RESUMOEm relação ao sexo, prevaleceu a violência moral/psicológica (59%) e a sexual (100%) no feminino, e a violência física (46,1%) e a negligência (100%) no sexo masculino. Conclusão: Houve um aumento significativo no número de notificações, o que deu visibilidade ao problema. Tal fato demonstra uma necessidade de constante qualificação dos profissionais que participam no processo de atendimento às pessoas que sofreram ou que vivem em situações de violência e a importância do preenchimento efetivo e padronizado das fichas de notificações, pois as informações obtidas pelo seu preenchimento, além de dar visibilidade ao problema, são essenciais para a elaboração de políticas de atendimento consistentes e comprometidas com a realidade da infância vitimada. Palavras-chave: maus-tratos infantis; violência; criança; defesa da criança e do adolescente. ABSTRACTObjective: Describing the notifications of violence against children and adolescents at the 19th Health Region of Brejo Santo, Ceará, Brazil. Methods: Cross-sectional study. All reports of violence against children and adolescents contained in the Notifiable Diseases Information System (SINAN) between 2010 and 2014 were used. The following variables were considered: gender, age, race, place of occurrence, recurrence, relationship to the victim and type of violence. Data were extracted and presented in tables in the form of absolute and percentage frequency. Results: During the study period, 40 reports of violence against children and adolescents were recorded in the municipalities of the 19th Health Region of Brejo Santo, representing 53.3% of the total 75 calls. There was an increase in reports of almost 1050%, from 3 notifications in 2010 to 23 reports in 2014. The psychological and moral violence had the highest number of notifications. Regarding gender, moral/psychological (59%) and sexual (100%) violence prevailed in females; physical violence (46.1%) and negligence (100%) prevailed in males. Conclusion: There was a significant increase in the number of notifications, which gave visibility to the issue. This shows a need for constant qualification of the professionals who participate in the process of care for people who have suffered or who live in situations of violence; and the importance of effective and standardized filling of the notifications files; as information obtained by its filling, besides giving visibility to the issue, are essential for the development of consistent service policies, committed to the reality of victimized children.

Objective: To understand the daily demands of Family Health Strategy in clinical practice of the team and social vulnerabilities of community territory. Method: Research with qualitative approach, in a critical-refl exive perspective, held with two teams of the Family Health Strategy, in the city of Fortaleza, State of Ceará, Brazil. The participants were 22 users and 19 health professionals from the basic health network. Data from the interviews and observation were analyzed under the assumptions of critical hermeneutics. Results: We highlight the unveiling of sufferings and daily clashes, the infl uence of social determinants on health and psychosocial demands, limits and possibilities of everyday clinical practice. Conclusion: The clinic attention must recognize the perceptions and living conditions by listening and promoting health in the community. Descriptors: Family Health Strategy; Social Vulnerability; Social Determinants of Health; Health Systems; Public Health. RESUMO Objetivo:Compreender as demandas cotidianas da Estratégia Saúde da Família na prática clínica da equipe e as vulnerabilidades sociais do território comunitário. Método: Pesquisa com abordagem qualitativa, numa perspectiva crítico-refl exiva, realizada com duas equipes da Estratégia Saúde da Família, no município de Fortaleza, Estado do Ceará, Brasil. Os participantes foram 22 usuários e 19 profi ssionais de saúde da rede básica de saúde. Os dados das entrevistas e observação foram analisados sob os pressupostos da hermenêutica crítica. Resultados: Evidenciam-se o desvelamento de sofrimentos e enfrentamentos cotidianos, a infl uência dos determinantes sociais na saúde e as demandas psicossociais, limites e possibilidades da prática clínica cotidiana. Conclusão: Considera-se que a atenção clínica deve reconhecer as percepções e condições de vida pela escuta e ações de promoção de saúde na comunidade. Descritores: Estratégia Saúde da Família; Vulnerabilidade Social; Determinantes Sociais da Saúde; Sistemas de Saúde; Saúde Pública. RESUMENObjetivo: Conocer las demandas diarias de la Estrategia de Salud Familiar en la práctica clínica del personal y las vulnerabilidades sociales en la comunidad. Método: Estudio cualitativo, bajo la perspectiva crítica y refl exiva, realizado con dos personales de la Estrategia de Salud Familiar en la municipalidad de Fortaleza, Brasil. Los participantes fueron 22 usuarios y 19 profesionales de salud en la red básica de salud. Tanto los datos de las entrevistas como los de la observación se los evaluaron bajo la hermenéutica crítica. Resultados: Fueron manifestados sufrimientos y enfrentamientos diarios, así como la infl uencia de los determinantes sociales en la salud y las demandas psicosociales, los límites y las posibilidades en la práctica clínica diaria. Experiences in the Family Health Strategy: demands and vulnerabilities in the territory Pinto AGA, et al. RESEARCH Experiences in the Family

Introduction: Dengue fever is currently a major endemic health issue in the city of Brejo Santo, located in the Brazilian Northeast outback, due to the rising morbidity and mortality rates in the area. The mosquito Aedes aegypti, the main vector of dengue fever virus, is highly adapted to the domestic environment. Since 1981 Brazil has been living with epidemic outbreaks of dengue fever.

ResumoA motivação representa hoje uma das ferramentas mais importantes para otimizar a prestação de serviços de saúde com qualidade. Assim, este estudo objetiva conhecer os fatores que facilitam a motivação dos profissionais de saúde. A pesquisa é exploratória descritiva com abordagem qualitativa, realizada de março a julho de 2010. Os informantes foram 11 profissionais de saúde que trabalhavam em nove equipes da Estratégia Saúde da Família localizadas em Barbalha-Ceará-Brasil. Utilizou-se na coleta de dados uma entrevista e, na análise destes, a técnica do Discurso do Sujeito Coletivo. Os resultados demonstraram que, dentre os principais determinantes na motivação profissional, estão à remuneração por trabalho extra, melhores salários, trabalho em equipe, autonomia, bom relacionamento multiprofissional e intersetorial, elogios e valorização profissional. Também foi salientado que o aumento de salário com algumas gratificações, a melhoria das condições de trabalho, o reconhecimento do trabalho desenvolvido, a diminuição das responsabilidades e a oferta de treinamentos como outras formas de motivação. Dessa forma, acredita-se que uma maior sensibilização, especialmente por parte dos gestores locais, possa contribuir ainda mais para motivação laboral. Palavras-chave:Motivação em saúde; Administração; Satisfação no Trabalho; Estratégia Saúde da Família. CONTRIBUTORY FACTORS FOR REASONS OF HEALTH PROFESSIONALS OF PRIMARY CARE HEALTH AbstractThe motivation today is one of the most important tools to optimize the delivery of health services with quality. Thus, this study aimed to evaluate the factors that facilitate the motivation of health workers. The research is descriptive exploratory qualitative approach, carried out from March to July 2010. The informants were 11 health professionals working in nine teams of the Family Health Strategy located in Barbalha-Ceará-Brazil. It was used in data collection and an interview, when analyzing the technique of the Collective Subject Discourse. The results showed that among the main determinants in professional motivation, are to pay for extra work, better pay, teamwork, autonomy, good multidisciplinary and intersectoral relationship, praise and professional development. It was also pointed out that the salary increase with some bonuses, improved working conditions, recognition of its work, the reduction of liabilities and the provision of training and other forms of motivation. Thus, it is believed that increased awareness, especially by local managers, can further contribute to labor motivation

estabelecidas quatro categorias: 1. esfera sexual: mudanças nas práticas sexuais; 2. tipos de práticas sexuais experienciadas; 3. significado do preservativo; 4. o desejo sexual. Papéis de gênero são decisivos para as práticas exercidas, sensações de prazer despertadas e uso do preservativo, em que desigualdades de gênero aparecem como um componente maciço, chamando atenção à fragilidade feminina frente ao exercício da sexualidade e ao processo de ser/sentir-se indivíduo. PALAVRAS-CHAVE:Mulheres; Soropositividade para HIV; Sexualidade; Comportamento sexual. AIDS, as complex subject, mobilizes for the public sphere, parameters relegated to the private sphere. It also unveils private court questions, which are particular of the sexual area. Our objective with this study was to understand the implications of the positive serology for HIV in the sexuality of women who live with the disease. It's a qualitative and descriptive study, carried out from May to June 2006 using semi-structured interview with 12 users from the Clinic of Infectlogy in Juazeiro do Norte-CE. By the technique of content analysis four categories had been established: 1. Sexual sphere: changes in the sexual practices; 2. types of experienced sexual practices; 3. Meaning of the condom; 4. the sexual desire. Gender roles are decisive for their practices, sensations of pleasure and use of the condom, in which gender inequality are shown as a massive component, calling attention to the feminine fragility front to the exercise of its sexuality and the process of being and feeling of the individual.

Barreto JAPS, Marinho MNASB, Vidal ECF, Pinto AGA, Aquino PS, Vidal ECF. Feelings of women with human papilloma virus regarding their infection: an exploratory study. Online braz j nurs [internet] 2016 Sept [cited year month day]; 15 (3):382-392. RESUMENObjetivo: Conocer la percepción de mujeres infectadas por el virus papiloma humano (HPV), acerca de esta infección sexualmente trasmisible. Método: Estudio exploratorio con enfoque cualitativo, realizado con 14 mujeres, usuarias de un servicio de atención especializada en Juazeiro del Norte-Ceará-Brasil, entre marzo a junio de 2012, utilizando la técnica del Discurso del Sujeto Colectivo. Resultados: se encontraron percepciones equivocadas con respecto al HPV, desconocimiento de la no eliminación del virus mediante la el enfoque terapéutico, sentimientos relatados con características negativas frente al diagnóstico y actitudes de autoprotección y protección a los hijos. Conclusión: Las percepciones encontradas tienden a perjudicar el empoderamiento de las mujeres para lidiar con mayor seguridad en esta situación. Lagunas también son mostradas en la educación en salud. Se debe continuar la discusión sobre la temática, con informaciones dirigidas al vivir con el HPV a través de un enfoque singular, respetando la individualidad de cada mujer, tornando la asistencia más humanizada y eficaz. Descriptores: Mujeres; Papillomaviridae; Conocimiento; Emociones. Barreto JAPS, Marinho MNASB, Vidal ECF, Pinto AGA, Aquino PS, Vidal ECF. Feelings of women with human papilloma virus regarding their infection: an exploratory study. Online braz j nurs [internet] 2016 Sept [cited year month day]; 15 (3):382-392.

Introduction: Yellow fever is an infectious disease endemic to Africa, and Central and South America with a significant impact on public health, causing outbreaks and epidemics. Clinical manifestations can vary from asymptomatic to more severe and lethal disease outcomes. The primary prevention of yellow fever occurs through the vaccination of individuals, which confers immunity for life. Patients with chronic kidney disease, especially those undergoing dialysis, have low vaccination and seroconversion rates. As mentioned above, this research aimed to perform a systematic review of the yellow fever vaccination protocol in hemodialysis patients Methods: A systematic review on vaccination against yellow fever in hemodialysis patients using databases, PubMed and Biblioteca Virtual em Saúde (BVS), was performed. For data collection, combinations were made using the following descriptors: protocols, vaccination, yellow fever, kidney dialysis, chronic kidney failure, chronic kidney disease, and group risk included in the title and abstract description. Articles with no subject related to the search were excluded and also if they were duplicated. Results: In this review, 90 scientific articles were identified in both databases. After applying exclusion criteria, a total of 3 articles were selected. Conclusion: We recommend carefully assessing the risk-benefit and contraindications for the patient, emphasizing the risk groups. There is an evident lack of studies on the subject, and there is a need to broaden investigations related toimmunization for patients on dialysis. The review is registered in the PROSPERO system with the number 323550.

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