victims were predominantly young male motorcyclists; findings may serve to inform intersectoral actions to prevent work-related RTAs, appropriate to the profile of the victims.
IntroductionSexual violence against children and adolescents, due to their physical, emotional, cognitive and social, has become recognised in recent decades as a public health problem. However, its diagnosis is considered a difficult task, because not always the physical signs of their occurrence are evident. The forensic interview is a feature whereby the personal history and clinical and behavioural changes of the victim are valued in the entire peer review, assisting in the elucidation of cases in which no physical evidence found.ObjectiveThis study investigated the interview forensic as an additional tool to physical examination expert in identifying sexual violence against children and adolescents at Institute of Forensic Medicine, Recife.MethodExploratory, descriptive study conducted from November 2008 to March 2009. Were interviewed 22 forensics doctors, using a questionnaire to investigate clinical and legal aspects of the sexological exam of children and adolescents.ResultsThe analysis revealed that 100% of medical examiners conduct interviews with victims, based on clinical experience gained in working life, without using a specific protocol for management of children and adolescents.ConclusionThe absence of an interview protocol for medico-legal approach to child and adolescent victims of sexual violence is reflected in the reports of the sexological examination, which prioritise the physical evidence rather than behavioural change, recognised in the scientific literature as related consequences sexual violence. It is necessary to investigate and propose procedures and routines for the care of victims, their families and early intervention programs.
Introdução: O tabagismo é uma causa de morte evitável e está associado à incidência de diversos cânceres. Implantar o tratamento do tabagismo contribui para o seu controle e de suas diversas consequências. Objetivo: Analisar a implantação, sob a perspectiva das ações de competência da gestão estadual, da rede de tratamento do tabagismo em Pernambuco a partir da Portaria 571/2013. Método: Estudo transversal, descritivo, de abordagem mista, com dados coletados no período de novembro a dezembro de 2016 na Gerência de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde da Secretaria Estadual de Saúde de Pernambuco. Foi composto por duas etapas: a primeira, qualitativa, em que foram analisados os documentos da gestão estadual do Programa de Controle do Tabagismo, utilizou a análise documental. A segunda, quantitativa, utilizou informações provenientes do FormSus. Resultados: A análise documental destacou 26 atividades, sendo 12 atividades referentes ao monitoramento das ações de controle do tabagismo, oito referentes à gestão do programa e seis de educação permanente. No que diz respeito à análise quantitativa, foi observada a ampliação da oferta do tratamento do tabagismo na Atenção Básica, que concentrou a maior parte dos atendimentos. Conclusão: A análise destaca a importância das estratégias de educação permanente, de monitoramento e de mobilização social na implantação do tratamento do tabagismo no Estado de Pernambuco após a portaria 571/2013, todas contribuindo para ampliação da oferta de tratamento do tabagismo na Atenção Básica em Saúde do Estado.
The objective of this study was to describe the experience of the development of the upgrading course in strategic actions for professionals in the Academia das Cidades e Saúde Programs, conducted by the School of Government in Public Health, together with the technical team of the Programs at the State Health Secretariat and the Secretariat for Urban Development and Housing, both from Pernambuco. For this, the experience report format was used. The course was developed through distance learning, in three stages: planning, development and evaluation. The minutes of meetings, tutors’ reports, online course monitoring files and students’ evaluations were used to describe the experience. The course was offered in 2019, in the state’s first health macro-region. Of the 156 professionals enrolled in the course, and who worked in the Programs, 100 concluded it, and positively evaluated the course, mainly in terms of changes in their work practices.
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