ResumoO presente estudo objetiva apresentar o significado que as famílias de adolescentes privados de liberdade atribuem à medida socioeducativa de internação e às medidas socioeducativas cumpridas anteriormente à internação. A partir de uma abordagem qualitativa, foi realizado estudo de caso de três famílias que possuem filhos em cumprimento de internação no Centro de Integração de Adolescentes de Planaltina (CIAP). Os instrumentais utilizados foram a visita domiciliar e as entrevistas semiestruturadas, e, para a análise e a interpretação dos dados, foi utilizada a análise de conteúdo. A pesquisa evidencia que a internação, apesar de restringir a liberdade dos adolescentes, é significada pelas famílias como a única medida socioeducativa que consegue garantir a proteção de seus filhos, em contraponto às demais medidas socioeducativas. Palavras-chave: Família, Adolescente infrator, Medidas socioeducativas. The significance of socio-educational measures for families of adolescents in deprived of freedom AbstractThe present study aims at presenting the meaning that families of adolescents deprived of freedom attribute to the socioeducative measure of internment and to the socio-educative measures served prior to institutionalization. As from a qualitative approach, a case study of three families who have sons institutionalized at the Adolescents Integration Center of Planaltina was performed. The instruments used were home visits and semi-structured interviews and, for the analysis and interpretation of data, the content analysis. The research shows that institutionalization, in spite of restricting freedom of the adolescents, is considered by the families as the only socio-educative measure that guarantees the protection of their sons, in opposite to the other socio-educative measures. La importancia de las medidas educativas para las familias de los adolescentes encarcelados ResumenEl presente estudio tiene por objetivo presentar el significado que las familias de los adolescentes encarcelados atribuyen a las medidas socioeducativas cumplidas anteriormente al encarcelamiento. Desde un enfoque cualitativo se realizó un estudio de caso de tres familias que tenían hijos encarcelados en el Centro de Integración de Adolescentes de Planaltina (CIAP). Se utilizaron la visita domiciliar y a las entrevistas semiestructuradas, y para el análisis y la interpretación de l os datos se utilizó el análisis de contenido. La investigación evidencia que el encarcelamiento a pesar de que limita la libertad de los adolescentes, es representado por las familias como la única medida socioeducativa que puede garantizar la protección de sus hijos, a diferencia a las demás medidas socioeducativas. Palabras clave: Familia, Adolescente delincuente, Medidas socioeducativas.
A noção de socioeducação surgiu no Estatuto da Criança e do Adolescente quando da implementação das medidas socioeducativas, representando importante conquista na atenção e intervenção com adolescentes autores de atos infracionais. Contudo, apesar de representar um avanço, o estatuto pouco esclareceu sobre a concepção de socioeducação que pudesse subsidiar intervenções efetivamente promotoras do desenvolvimento dos adolescentes em cumprimento de medidas socioeducativas. Buscando superar a fragilidade e imprecisão do que se entende por socioeducação, o presente artigo apresenta e discute elementos conceituais e teóricos relativos à socioeducação e às práticas socioeducativas, almejando contribuir para conferir maior clareza e intencionalidade às práticas profissionais daqueles que trabalham diariamente com adolescentes em medida socioeducativa. Partindo da concepção de educação social, a socioeducação é um conjunto articulado de programas, serviços e ações desenvolvidos a partir da articulação entre práticas educativas, demandas sociais e direitos humanos com o objetivo de mobilizar nos jovens novos posicionamentos sem, contudo, romper com as regras éticas e sociais vigentes. Desdobra-se desse entendimento que, além do processo judicial, a medida socioeducativa contempla ações articuladas e em rede que por meio de ações pedagógicas e intencionais têm o potencial de oportunizar a ressignificação das trajetórias infratoras e a construção de novos projetos de vida. Aos gestores e profissionais responsáveis pela execução do atendimento socioeducativo compete problematizar os significados cristalizados e reducionistas, de maneira a considerar o cometimento de atos infracionais como fenômeno complexo e multideterminado sobre o quais ações socioeducativas de cunho crítico e emancipatório podem gerar rupturas transformadoras.
Bitewing had a better diagnostic accuracy and significantly outperformed LFpen in the detection of non-cavitated lesions. Similar results were obtained by the two methods at the cavitation threshold.
Summary Introduction:?The frontal osteomyelitis is a complication of rhinosinusitis which can evolve to acute or chronicle. There is inflammatory reaction by the increasing of intraosseous pressure, ischemia and local necrosis, leading to bone abscess formation. There is no drainage, it will occur detachment of the periosteum, soft tissue invasion and worsening of ischemia with subsequent bone sequestration. Method:?Case report of an inpatient in an emergency service of another institution by the complication of rhinosinusitis who was referred to the Otorhinolaryngology Service of University Hospital Professor Edgard Santos of Federal University of Bahia. Case Report:?Male patient, 16 years-old, presented himself to the ER of another institution with cephalea, vomits and fever which evolved to periorbital edema and frontal to the left, moving to palpebral fluctuation and frontal. Subjected to frontal and palpebral abscess drainage, with broad-spectrum antibiotic therapy with no improvement. He was referred to our service keeping edema and fluctuation in region frontal and light edema in left periorbital region. The nasal endoscopy showed edema in meatus to the left and the computerized tomography showed fronto-ethmoid sinusitis to the left and signs of frontal osteomyelitis with bone sequestration and epidural empyema. Subjected to sinasal endoscopy surgery, external Access or removal of the frontal one affected and epidural empyema drainage. Evolved to the remission of the disease. Final Considerations:?Failure in the diagnosis and rhinosinusitis complication treatment can lead to sequalae and fatal complications. The diagnosis of the frontal osteomyelitis is confirmed by the clinical suspicion and confirmed by radiological examination. The surgery is indicated when the evolution is insidious, there is bone sequestration and intracranial complications.
Summary Introduction: Among the rhinosinusitis complications, the orbital are the most frequent ones, occurring mostly in the youngsters and children. Simultaneous complications involving the intracranial orbit and space are extremely rare, but they must be severely treated for they have a high rate of morbidity and mortality. Case report: In this work, the authors report a case of a patient who appeared to have preseptal cellulites and epidural abscess, in the form of simultaneous complications of an acute rhinosinusitis. In the patient of this case, choice was made for a clinic treatment associated with a nasosinusal endoscopic surgery and neurosurgical drainage of the intracranial abscess. CT was enough to achieve the diagnosis of this case. Final commentaries: However, it is recommended that, in cases where patients have rhinosinusitis complications, an extensive intracranial investigation needs to be deepened even when this is not so evident in the beginning. Given the polymicrobial nature of these infections, an aggressive culture-guided antibiotic therapy and a multidisciplinary follow-up significantly increase the likelihood of success.
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