Health professionals' intervention in the context of domestic violence against women: exploring perceptions and experiences of providing healthcare.

Domestic violence against women is a complex social phenomenon and a widely recognised issue of public health, which requires that all sectors of society, including the health sector, take the necessary action to prevent and address it. This paper aims to contribute to the discussion on the role of the primary health care in addressing domestic violence against women, by analysing health professionals' perceptions of their practice as well as the difficulties they experience in providing healthcare to victims. To fulfil this aim, a qualitative approach was chosen, using focus groups with health professionals working in the area of primary health care in an inland region of Portugal. The main findings point to the lack of a specific protocol and insufficient information and skills to respond to domestic violence situations, which hinders health professionals' confidence to intervene and tends to orientate them towards a more medical response. Resulting from these findings, implications for practice are discussed: the need for clear and specific orientations to guide health professionals' intervention; the need to offer training that enables them to provide appropriate healthcare to women experiencing domestic violence; and the need to position themselves in the context of an integrated, multi-sectoral intervention.

Análise do serviço socioeducativo ofertado para crianças e adolescentes de 6 a 15 anos retiradas do trabalho infantil / Analysis of childcare service offered to children and adolescents aged 6 to 15 years removed from child labor

A erradicação do trabalho infantil figura como prioridade na agenda do governo federal. O seu combate envolve políticas sociais realizadas por ações intersetoriais do MDS, do MTE e da OIT. Destacou-se a ação do MDS, que por meio de programas sociais tem por objetivo, combater, conscientizar e prevenir o trabalho infantil nas populações vulneráveis através do programa PETI – Programa de Erradicação ao Trabalho Infantil, atualmente integrado ao programa Bolsa Família. Neste estudo foi feita uma análise dos serviços socioeducativos ofertados para crianças e adolescentes na faixa etária de 06 (seis) a 15 (quinze) anos de idade, retiradas do trabalho infantil, oferecido no Serviço de Convivência e Fortalecimento de Vínculo – SCFV. Este serviço pertence a atenção básica do SUAS, e é realizado pelas unidades de atendimento do CRAS - Centro de Referência de Assistência Social. Dessa forma, pesquisamos o SCFV do Distrito Federal que é ofertado por 06 (seis) CRAS e 17 (dezessete) COSE – Centro de Orientação Socioeducativa, em jornada complementar à Escola da criança e do adolescente. Ressaltamos ainda que existe paralelamente o acompanhamento à família das crianças pelo programa PAIF – Programa de Atenção Integral à Família. A gestão e a avaliação dos programas citados são de responsabilidade do Ministério do Desenvolvimento Social e Combate à Fome – MDS...

The fight against child labor figures on the agenda of the federal government as a priority for its eradication. That is accomplished by social policies involving Intersectoral actions performed by MDS, MTE and OIT. Stood out the action of MDS, which through social programs aims, fight, raise awareness and prevent child labor in vulnerable populations through the PETI program - Program to Eradicate Child Labor, currently integrated into the Bolsa Familia program. In this paper, an analysis of the socio-educational services offered to children and adolescents between 06 and 15 years old, withdrawn from child labor, the service offered Coexistence and Strengthening the Link - SCFV. This service belongs to the primary SUAS, and it is performed by the service units of CRAS - Reference Centre for Social Welfare. Thus, we surveyed the SCFV of the Distrito Federal that is offered by 6 CRAS and 17 COSE - Socio Guidance Center in Complementary journey to school and adolescent children. We also emphasize that exists parallel monitoring of children by the Family program PAIF - Program full attention to family. The management and evaluation of programs cited are the responsibility of the Ministry of Social Development and Fight against Hunger - MDS...

Broncoplastia: estudo clínico estudo de casos operados no Hospital Universitário Antonio Pedro - Universidade Federal Fluminense, no Hospital Geral da Santa Casa de Misericórdia do Rio de Janeiro, 21 enfermaria e na Beneficência Portuguesa de Niterói - Hospital Santa Cruz, no período de 1953 a 1990 / Bronchus: a clinical study of cases operated at the University Hospital Antonio Pedro - Universidade Federal Fluminense, the General Hospital of the Santa Casa de Misericordia do Rio de Janeiro, 21 Infirmary and Charity Portuguese Niterói - Hospital

Este trabalho refere-se ao estudo de quarenta e oito casos de broncoplastias realizadas no período de 1953 a 1990 no Hospital Universitário Antonio Pedro, na Santa Casa de Misericórdia do Rio de Janeiro (32 enfermaria)...Conclui-se que a broncoplastia é a cirurgia de eleição para a preservação do parênquima pulmonar, permitindo ainda a recuperação funcional dos brônquios, deve ser realizada independente do tempo decorrido do trauma; nos casos de carcinomas, o sucesso depende de seu tipo histológico e do estágio em que se encontra; entre os fios de sutura, deve-se preferir os absorvíveis.