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Vitorino Freire, Brazil

Lobato G.R.,Centro Universitario Serra dos Orgaos | Moraes C.L.,State University of Rio de Janeiro | Moraes C.L.,Estacio de Sa University | do Nascimento M.C.,State University of Rio de Janeiro
Cadernos de Saude Publica | Year: 2012

This qualitative case study aimed to analyze the challenges faced by the Family Health Program (FHP) teams in dealing with domestic violence against children and adolescents in Teresópolis, Rio de Janeiro State, Brazil. The sample consisted of 25 professionals from three family health teams. Data were collected through face-to-face semi-structured thematic interviews and submitted to content analysis. Findings included the health professionals' detection of cases of domestic violence among families enrolled in the program, often associated with drug use and drug dealing, alcoholism, family breakdown, and poverty. Collaboration with the community and difficulty in inter-sector actions were identified as challenges for detecting, reporting, and monitoring cases. Most professionals felt insecure in dealing with such cases, due to lack of appropriate knowledge and skills. The study concludes that it is essential to managers, staff and community discuss the problem and means to approach it in the context of the territories. Source


Siqueira-Batista R.,Federal University of Vicosa | Gomes A.P.,Federal University of Vicosa | Albuquerque V.S.,Centro Universitario Serra dos Orgaos | Cavalcanti F.O.L.,Instituto Nacional do Cancer INCA | Cotta R.M.M.,Federal University of Vicosa
Ciencia e Saude Coletiva | Year: 2013

The transformations that have revolutionized the labor market in contemporary society make it necessary to think of new alternatives for training health care professionals, thereby establishing a new approach to the health problems of individuals and collectives. Based on these considerations, this paper sets out to discuss training in health based on the concept of competence with a focus on education for the Brazilian Unified Health System (SUS), using attempts to analyze and propose an alternative to the system entrenched in the logic of late capitalism as a theoretical benchmark. It is thus a reflection on the subject, correlating theory and praxis, in constant and relentless movement of construction, deconstruction and (re)construction of propositions. Source


Teixeira S.A.M.,State University of Rio de Janeiro | Teixeira S.A.M.,Centro Universitario Serra dos Orgaos | Taquette S.R.,State University of Rio de Janeiro | Taquette S.R.,University of Sao Paulo
Revista da Associacao Medica Brasileira | Year: 2010

Objective. To identify factors associated with unprotected sexual activity in female adolescents younger than 15 years. Methods. Observational cross-sectional trial with female teenagers less than 15 years-old and sexually active, attended at a public gynecology clinic. Instruments for data collection were: semi-structured interviews for personal data and about sexuality as well as clinical examination and laboratory tests for diagnosis of sexually transmitted diseases. Data were analyzed by testing of frequency, association of variables with p <0.05 and multiple correspondence analysis. Results. One hundred adolescents between 11 and 14 years of age sexually active were interviewed and examined, 71% declared themselves black, one-third were behind in school, 80% began sexual activity before 13 years of age, 58% reported having been victims of violence in the intrafamily environment and 13% had suffered sexual abuse, 77% did not use condoms regularly and 22% had STDs. Unprotected sexual activity occurred more frequently with the first sexual intercourse before 13 years of age, commercial sexual exploitaion, multiple sexual partners, intrafamily violence and school delay, in addition to be black, to unexpected pregnancy and have STDs. Conclusion. The multiple violence suffered by teenagers, including structural, intrafamily and sexual, contribute to increase their vulnerabilities, early and unprotected sexual activity, as well as STDs and unexpected pregnancies. The synergy between poverty, poor education and low self-esteem reduces the chances of adolescents building self-protection mechanisms and exposes them to be victimized again outside the family environment. Source


Antonioli R.D.S.,Centro Universitario Serra dos Orgaos | Simoes D.,Centro Universitario Serra dos Orgaos
Revista Neurociencias | Year: 2010

The sexual dysfunctions are a problem that affects the life's quality of the women. We detach the chronic pelvic pain, the secondary anorgasmy, the vaginism and the dyspareunia as the main manifestations most found. It's important to know that the incidence of the dysfunctions is difficult to be determinate because the women don't look for attendance. But, the women that go to a consult have found not much options of therapy, what don't stimulate the others. With it, the physical therapy starts to blunt as a new alternative to brighten up the problem. This way, the aim of this article is to describe the main options of physical therapy treatment that can decrease the most found sexual dysfunctions in women. It was made a review including books, periodicals, printed matters and electronics from 1993 up to 2008 as basement for the article. It was observed that physical therapy is appearing as a viable practice that, together with other therapeutic options, allows conditions for reestablish a healthy sexual life of affected women. Source


De Souza Da Fonseca A.,Rio de Janeiro State Federal University | De Souza Da Fonseca A.,State University of Rio de Janeiro | De Souza Da Fonseca A.,Centro Universitario Serra dos Orgaos | Presta G.A.,Rio de Janeiro State Federal University | And 5 more authors.
Lasers in Medical Science | Year: 2012

Low-intensity laser therapy is based on the excitation of endogenous chromophores in biotissues and free-radical generation could be involved in its biological effects. In this work, the effects of the low-intensity infrared laser on plasma protein content and oxidative stress in blood from Wistar rats were studied. Blood samples from Wistar rats were exposed to low-intensity infrared laser in continuous wave and pulsed-emission modes at different fluencies. Plasma protein content and two oxidative stress markers (thiobarbituric acid-reactive species formation and myeloperoxidase activity) were carried out to assess the effects of laser irradiation on blood samples. Low-intensity infrared laser exposure increases plasma protein content, induces lipid peroxidation, and increases myeloperoxidase activity in a dose- and frequency-dependent way in blood samples. The low-intensity infrared laser increases plasma protein content and oxidative stress in blood samples, suggesting that laser therapy protocols should take into account fluencies, frequencies, and wavelengths of the laser before beginning treatment. © 2011 Springer-Verlag London Ltd. Source

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