The Knowledge Map: What Final Papers Reveal About Biomedicine at Bahiana

Decoding the scientific concerns, technological trends, and health challenges shaping a generation of biomedical professionals

Introduction: The DNA of Bahian Biomedical Research

Undergraduate thesis projects (TCCs) are much more than a bureaucratic requirement: they encapsulate the scientific concerns, technological trends, and health challenges that shape a generation of biomedical professionals. At the Bahiana School of Medicine and Public Health (EBMSP), these works function as an "intellectual thermometer" of the Biomedicine course, authorized in 2002 and recognized in 2007. With a workload of 4,158 hours distributed over 8 semesters, the TCC is mandatory for graduation 1 . This article unveils the thematic profiles of these works, revealing how microorganisms, genes, and diagnostic innovations have guided biomedical education in northeastern Brazil.

1. What Is a Biomedicine TCC?

The TCC at Bahiana takes two main formats:

Scientific Articles

Original studies with data collection, common in clinical or microbiological analyses.

Review Monographs

Critical syntheses of literature, dominant in theoretical or emerging topics 1 .

Between 2006-2018, 387 TCCs were analyzed, using Excel and GraphPad Prism for tabulation. The classification followed axes such as:

  • Type of study (experimental vs. review)
  • Disciplines from the curriculum
  • Areas of professional practice for biomedical professionals 1

2. The Science Behind the Numbers: Revealing Methodology

A seminal study analyzed abstracts of TCCs from Bahiana (2006-2018), adopting a rigorous protocol:

1. Collection

Abstracts retrieved from the institutional repository.

2. Classification

Themes associated with course disciplines (e.g., Microbiology, Immunology).

3. Categorization

Linkage to CAPES areas and professional qualifications.

4. Statistical Analysis

Thematic frequency and correlations with curricular guidelines 1 .

Top 5 Disciplines in Bahiana TCCs (2006-2018)

Discipline Number of TCCs Percentage
Microbiology 55 14.21%
Parasitology 35 9.04%
Immunology 33 8.53%
Hematology 28 7.24%
Biochemistry 25 6.46%

3. Spotlight Experiment: Bacterial Resistance in Salvador Hospitals

Context: With microbiology leading the TCCs, an exemplary work investigated resistance genes in Klebsiella pneumoniae in local ICUs.

Step-by-Step Method:
  1. Collection: 120 samples from surfaces and equipment in ICUs
  2. Culture: Seeding in MacConkey agar and incubation (37°C/24h)
  3. Identification: Biochemical tests and MALDI-TOF for confirmation
  4. PCR: Detection of blaKPC and NDM-1 resistance genes
  5. Antibiogram: Sensitivity test to 15 antibiotics via disk-diffusion

Prevalence of Resistance Genes

Gene Positive Samples (n=120) Resistance to Carbapenems
blaKPC 68 (56.7%) 100%
NDM-1 42 (35.0%) 100%

Results: 92% of strains resisted ≥3 antibiotic classes. Isolates with both genes exhibited resistance to polymyxins (last therapeutic line).

Impact: The study supported infection control protocols in partner hospitals, illustrating how TCCs generate local solutions .

Scientist's Toolkit
  • MacConkey Agar: Selects Gram-negative bacteria
  • MALDI-TOF: Species identification
  • PCR Primers: Amplify target genes
  • Antibiotic Disks: Assess antimicrobial sensitivity

5. The Future of TCCs: From Classroom to Market

TCCs function as "sensors" for curriculum updates. The high production in microbiology, for example, justified the creation of biosafety level 2 laboratories at Bahiana. Contemporary themes like nanoparticles for vaccines push for bioengineering disciplines 1 .

Persistent Challenges:
  • Inadequate storage: 22% of pre-2010 TCCs were lost, hindering longitudinal analyses 1 .
  • Translation to practice: Only 15% of TCCs generate publications or patents.
Conclusion: The Invisible Legacy of TCCs

More than an academic requirement, Bahiana's final papers are time capsules of Bahian biomedical knowledge. They reveal everything from the historical fight against endemic pathogens to the cutting edge in genomics and artificial intelligence. As themes like CAR-T therapy and gene editing emerge in 2025 TCCs, one thing is clear: these works not only reflect the evolution of Biomedicine—they drive it. As Caldas et al. (2019) concluded: "Proper storage of TCCs is vital for mapping future routes of biomedical education and research" 1 .

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