BackgroundCaregivers are responsible for the home care of family members with mental-health disorders often experience changes in their life that can generate stress and burden. The aim of this study was to identify factors associated with the burden of caregivers of family members with mental disorders.MethodsThis cross-sectional study was conducted with a non-probability sample of family caregivers, whose patients attended a community services program, the Psychosocial Care Centers, in three cities in the southwest region of Goiás State, Central Brazil. Data collection took place from June 2014 to June 2015. The participants were 281 caregivers who completed a sociodemographic questionnaire and the Zarit Burden Interview (ZBI). Bivariate analyses (t test, analysis of variance, and Pearson correlation) were performed, and variables with values of p < 0.10 and gender were included in a multiple-linear regression model. Values of p < 0.05 were considered significant.ResultsThe caregivers were mostly female and parents of the patients, were married, with low education, and of low income. The mean ZBI score was 27.66. The factors independently associated with caregivers’ burden were depression, being over 60 years of age, receiving no help with caregiving, recent patient crisis, contact days, and having other family members needing care.ConclusionsThis study identified factors that deserve the attention of community services and can guide programs, such as family psycho-education groups, which may help to minimize or prevent the effects of burden on family caregivers responsible for patients’ home care.

(1) Background: The aim of this research was to analyze factors associated with quality of life (QoL) and marital satisfaction in married family caregivers of patients with mental disorders. (2) Methods: A cross-sectional study was conducted in all community mental health services in Goiania municipality, Brazil, in 2016–2017. Married family caregivers of patients with severe and persistent mental disorders were recruited and their QoL and marital satisfaction was assessed by using the World Health Organization Quality of Life Instrument Abbreviated version (WHOQOL-BREF) and Marital Satisfaction Scale. Multiple linear regressions were performed to identify factors associated with QoL and marital satisfaction. (3) Results: For 163 family caregivers, the psychological and environmental QoL domains presented the best and the worst scores, respectively. Factors independently associated with better QoL for caregivers were male caregiver, the younger age of a caregiver, >8 years of schooling, ≥5 years as a caregiver who performed physical activities, caregiver without chronic disease, and no patient’s crisis in the last 30 days. Factors independently associated with marital satisfaction of the caregiver were male caregiver, caregiver with >8 years of schooling, caregiver who received support by relatives to care for the patient, caregiver who performed physical activities, no patient’s crisis in the last 30 days, and patient hospitalization in the last six months; (4) Conclusions: The main predictor for marital satisfaction was support by relatives, and for QoL it was no patient’s crisis in the last 30 days.

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Resumo: Este manuscrito apresenta um relato de experiência com algumas atividades do Centro de Referência sobre Drogas e Vulnerabilidades Associadas da Universidade de Brasília -Faculdade Ceilândia (CRR/FCE/UnB) implementadas e desenvolvidas durante o ano de 2013. Este relato permite a reflexão sobre o processo de construção de parcerias baseadas na rede social e na noção de território para cuidado daqueles com problemas relacionados ao uso de drogas e as vulnerabilidades associadas. Esta experiência segue o atual marco da prática e da política nacional (p. ex., lei 10.216/2001), nas quais se estabelecem as mudanças no modelo de cuidado integral de pessoas com transtornos mentais, inclusive aquelas em sofrimento pelo uso de álcool e outras drogas. Inicialmente, a equipe do CRR/FCE/UnB mapeou a rede social local (instituições públicas de diferentes setores) de quatro municípios, sendo uma delas no Distrito Federal (Brazlândia) e três no estado de Goiás (Valparaíso, Luziânia e Águas Lindas).Após o mapeamento, a equipe do CRR buscou articular e estabelecer uma agenda de discussão sobre os problemas relacionados ao uso de álcool e outras drogas e suas vulnerabilidades associadas entre as diferentes instituições, setores e profissionais (p. ex., enfermeiros, médicos, terapeutas ocupacionais, assistentes sociais, policiais). Essa estratégia possibilitou a capacitação de diversos atores para o desenvolvimento e qualificação da sua rede intersetorial que, consequentemente, qualifica as ações de cuidado integral, conforme recomendado por inúmeras políticas nacionais. Palavras-chave: Saúde Mental, Drogas, Vulnerabilidade Social. Developing and articulating intersectorial networks for integral care of drug users in vulnerable contextsAbstract: This manuscript presents an experience report with some activities that the Reference Center on Drugs and Associated Vulnerabilities -CRR, 'Faculdade Ceilândia'/University of Brasilia -UNB implemented and developed in 2013. This account allows us to reflect on the process of building partnerships based on social networks and the notion of territory for people with problems related to drugs and their associated vulnerability. The experience follows the current national framework, in which the social network has become a central paradigm of public practices and policies (e.g. Law 10.216/2001). These changes occur in the model of care for people with mental disorders, including the integral health policy for users and dependents of alcohol and other drugs. The CRR team mapped local social networks, i.e. several public institutions in different sectors, in four municipalities: one in the Federal District (Brazlândia) and three in the state of Goiás (Valparaiso, Luziânia, Águas Lindas). After the mapping, the CRR

Neste estudo utilizamos 18 (dezoito) cabeças de macacos prego (Cebus apella) cedidos pelo Departamento de Cirurgia da Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo, e provenientes do Zoológico da cidade de São Paulo, vindos a óbito naturalmente. O método incluiu técnica de mesoscopia de luz, sendo a rotina técnica: canulação da aorta no sentido cranial; perfusão com água morna (40°C); injeção do sistema arterial com solução de látex (Neoprene 450) corado (sulvinil corante), fixação e conservação em solução aquosa de formol a 10%. Foram dissecados trinta e seis antímeros. O músculo digástrico, composto por dois ventres (rostral e caudal) unidos por um tendão intermediário, inseriu-se na linha paramediana da mandíbula, indo da borda ventral incisiva à borda ventral molar (ventre rostral). O modo de origem, trajeto e a direção das fibras apresentou três arranjos: um com ventres planos e tendão fusiforme (55,5%); um com ventre plano, fibras ancoradas caudolateralmente na borda ventral mandibular e tendão fusiforme (38,9%); e um ventre fusiforme com tendão fusiforme. O ventre caudal relacionou-se com o ventre e o tendão do músculo estilo-hióideo: cruzando-o ventralmente (22,2%) ou dorsalmente (2,7%); cruzando o tendão intermediário: ventralmente (35,9%) ou dorsalmente (33,2%). O músculo digástrico (ventre rostral) é plano no Cebus apella (94,4%) tem ampla inserção óssea na borda ventral mandibular e o tendão intermediário apoia-se na fáscia cervical em expansão lateral até atingir o osso compondo um duplo ponto de apoio (38,9%).