Aline de Souza Pereira

Aspectos relacionados à administração e conservação de vacinas em centros de saúde no Nordeste do Brasil

O estudo caracteriza a experiencia e atualizacao do conhecimento sobre imunizacao da equipe de enfermagem responsavel pelas salas de vacinas, descreve as condicoes de trabalho nesse setor a partir da visao dessa equipe e identifica os procedimentos e atividades diarias realizados por esses profissionais. Trata-se de estudo transversal, realizado em 2007, nas salas de vacinas de 11 Centros de Saude da Familia (CSF) em Fortaleza (CE), com a participacao de 22 profissionais da equipe de enfermagem. Utilizou check-list e questionario autoaplicavel como instrumentos de coleta. Entre as participantes, 44,4% das enfermeiras e 30,8% dos tecnicos/auxiliares tem mais de cinco anos de experiencia; 55,6% das enfermeiras nao possuiam treinamento em vacinas; 88,9% das enfermeiras e 76,9% dos outros profissionais se mantem atualizados consultando livros, manuais e Internet. Detectaram-se lacunas quanto a estrutura fisica, verificacao e registro do mapa de temperatura e orientacoes sobre os efeitos posvacinais na maioria das salas estudadas. O estudo sinaliza que gerenciar o trabalho com imunobiologicos requer conhecimento e treinamento especifico para que se possa ofertar servico de qualidade e que nao comprometa a erradicacao e o controle de doencas imunopreveniveis.

Relatos de gestores da Assistência Social, Educação e Segurança Pública sobre o enfrentamento da violência

The study examines the perception of municipal managers in fighting violence against children and adolescents. With qualitative approach and inquiries about policies and actions implemented to prevent and confront the phenomenon, 25 education, welfare and public safety managers from 13 municipalities in the metropolitan region of Fortaleza, in 2010 and 2011 participated. The content analysis in the thematic mode enabled the data interpretation. Sexual abuse, neglect and child labor stood subsumed by structural violence, socioeconomic inequality, family vulnerability and drug addiction. The lack of public resources, the sectoral breakdown, the slow pace of justice, the paucity of public policies and the managers’ unpreparedness were some mishaps mentioned by participants. The phenomenon plural character demands government segments integration at the iniquities aggregated to the genesis and violence extent.

Family Relationships Of A Crack Cocaine-Using Pregnant Women In A Brazilian Northeastern City

Background: This article aims to describe family relationships of a crack cocaine-using pregnant woman through a genogram. Methods: A qualitative case study was carried out, in which semi-structured interviews were applied with the selected pregnant woman, three relatives and one health professional. The interviews were analysed using thematic content analysis and the results favored the construction of a genogram. Results: The results show a nuclear family formed by slum dwellers, with too close emotional relationships among some of the members; at the same time, the existence of fragile relationships are also highlighted, but the abuse of crack cocaine was not enough to change them, Drug use changed her trajectory to move through the health system. Conclusion: There is a need to raise awareness among health professionals about the care and monitoring of psychoactive substance users, in order to overcome barriers to access and improve the understanding about their family relations.

Determinação de fatores de risco para a queda infantil a partir do modelo Calgary de avaliação familiar - doi:10.5020/18061230.2010.p101

Objective: To determine risk factors for falls in children based on the Calgary Family Assessment Model (CFAM). Method: A qualitative approach, in which we interviewed six relatives of children who were admitted to an emergency hospital in Fortaleza, Ceara due to fall in the period from August to September, 2005. According to the CFAM we did the genogram and eco-map of two families (1) and (2). Results: By the genogram and eco-map of the families, we observed that (1) is a single parent family with six children, Roman Catholic, earns one minimum wage and attends both school and Family Health Basic Unit (UBSF). (2) is a nuclear family, with two children, Roman Catholic, earns three or more minimum wages and attends school, work and UBSF. Conclusion: The Calgary Family Assessment Model enabled to know the family structures of the children who had suffered falls and helped in defining the risk factors that exist within families and social environments in which these children attend. Family income, number of children, the presence or absence of fathers, schooling and lack of spaces for education support represent risk factors for these accidents.