Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-05-10T14:01:11Z No. of bitstreams: 1 SandradeOliveiraDissertacao2016.pdf: 3477170 bytes, checksum: f9dcd58f0f92b370b721060e6d4c3ead (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-05-10T14:01:29Z (GMT) No. of bitstreams: 1 SandradeOliveiraDissertacao2016.pdf: 3477170 bytes, checksum: f9dcd58f0f92b370b721060e6d4c3ead (MD5) / Made available in DSpace on 2017-05-10T14:01:29Z (GMT). No. of bitstreams: 1 SandradeOliveiraDissertacao2016.pdf: 3477170 bytes, checksum: f9dcd58f0f92b370b721060e6d4c3ead (MD5) Previous issue date: 2016-02-29 / This was a cross-sectional study with the objective to correlate the elevated glycated hemoglobin levels (HbA1) with blood pressure, handgrip strength and the risk of cardiovascular disease in children and adolescents with type 1 diabetes mellitus (T1DM). The sample was composed by approximately 135 volunteers, children and adolescents aged 12 to 16 years, registered in the specialized research center in diabetes mellitus, from the Regional Hospital of Taguatinga of the Health Secretary of Federal District. The anthropometric measures such as: body mass, height and body mass index (BMI) were done in each appointment by using the growing graph from the National Center for Health Statistics (NCHS, 2000). Blood pressure and heart rate were measured by the oscillometric device (Microlife 3AC1-1, Widnau, Switzerland), according to the recommendations of the The Fourth Report on The Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents of 2004. To analyze the handgrip strength the mechanic dynamometer Jamar?? (Sammons Preston Jamar Hand Dynamometer) was used, according to the protocol of Espa??a- Romero and co-workers (2012). The HbA1 and glucose were mesured by high performance liquid chromatography (BioRad, Brazil). The lipid profile was determined by the enzymatic colorimetric method, and the high density lipoproteins were determined by ionic exchange, followed by colorimetric reaction with the Linco Research Inc. kit (St. Louis, EUA). The results demonstrated a correlation between elevated HbA1 levels with alterations in blood pressure, handgrip strength and time of diagnosis in children and adolescents with T1DM. / Esta pesquisa foi do tipo transversal, com o objetivo de comparar os n??veis elevados da hemoglobina glicada (HbA1c) com a press??o arterial, for??a de preens??o manual e o risco de doen??as cardiovasculares em crian??as e adolescentes com diabetes melitos tipo 1 (DM1) . A amostra foi composta de aproximadamente de 135 volunt??rios, crian??as e adolescentes com idade entre 12 a 16 anos, atendidos no polo de pesquisa, especializado em diabetes melitos, do Hospital Regional de Taguatinga, da Secretaria de Sa??de do Distrito Federal. As medidas antropom??tricas como: peso, estatura e ??ndice de massa muscular (IMC) foram realizadas em cada consulta, usando o gr??fico de crescimento da National Center for Health Stattistics (NCHS,2000). A press??o arterial e a frequ??ncia card??aca foram aferidas pelo aparelho oscilom??trico (Microlife 3AC1-1, Widnau, Switzerland), de acordo com as recomenda????es da (The Fourth Report on The Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents, 2004). Para a an??lise da for??a de preens??o manual foi utilizado dinam??metro mec??nico Jamar?? (Sammons Preston Jamar Hand Dynamometer), respeitando o protocolo de Espa??a-Romero e colaboradores Para as an??lises sangu??neas todos pacientes forneceram amostras de sangue, a glicose e a hemoglobina glicada foram medidas por cromatografia l??quida de alta performance (BioRad, Brasil). O perfil lip??dico foi medido por m??todo colorim??trico enzim??tico, equipament, para as lipoprote??nas de alta densidade foram determinadas por troca i??nica, seguidas por rea????o colorim??trica com kit de Linco Research Inc.(St. Louis, EUA). Os resultados demonstram a associa????o das concentra????es elevadas da HbA1c com altera????es na press??o arterial diast??lica, for??a de preens??o manual e tempo de diagn??stico de crian??as e adolescentes DM1.

Submitted by PPG Servi?o Social (servico-social-pg@pucrs.br) on 2018-09-26T12:32:45Z No. of bitstreams: 1 Disserta??o - Clarissa da Silva de Paula.pdf: 2055497 bytes, checksum: e782dddd4829328434eaa69f2bfafe73 (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-09-27T14:24:48Z (GMT) No. of bitstreams: 1 Disserta??o - Clarissa da Silva de Paula.pdf: 2055497 bytes, checksum: e782dddd4829328434eaa69f2bfafe73 (MD5) / Made available in DSpace on 2018-09-27T14:35:38Z (GMT). No. of bitstreams: 1 Disserta??o - Clarissa da Silva de Paula.pdf: 2055497 bytes, checksum: e782dddd4829328434eaa69f2bfafe73 (MD5) Previous issue date: 2018-07-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This dissertation aims at analyzing how conceptions of sexual violence, professional interventions and care flow to children and adolescents victims of sexual abuse are configured in municipalities with only Basic Social Protection and in municipalities with Basic Social Protection and Special Social Protection instituted. It was decided to sample two municipalities with different protection organizations, because, within the scope of SUAS, the requests of the violations arising from the rights violations must be performed by the Specialized Protection and Welfare Service for Families and Individuals (PAEFI), having as a locus the Specialized Reference Center for Social Assistance (CREAS). However, in the state of Rio Grande do Sul, only 24% of the municipalities have this socio-welfare equipment. Since sexual abuse is a historical, multicausal phenomenon occurring in all societies, there is a need to think about victim care independently of the organizational structure of the municipalities. In this sense, this study sought to contribute to the discussion of how to fight such phenomenon in the face of the complexity of the theme and of society. As specific objectives, we sought to analyze the national and state plan for children and adolescents victims of sexual violence; mapping the municipal service network, as well as identifying the violence committed against the victims who access the care network in the surveyed cities, in order to problematize the limits and possibilities of care for children and adolescents in situations of sexual abuse in the social welfare area. Considering the given objectives, we chose qualitative research, in which we sought to know: the specificities of sexual abuse against children and adolescents, the perception of the subjects interviewed about the phenomenon, as well as the advances, challenges and possibilities for the effectiveness of the integrality of the service to the sexually victimized children and adolescents. For the collection of data, six semi-structured interviews were carried out, using forms, technical reference teams of social welfare services (social workers and psychologists), and the municipal managers of the policy. After the interviews, the data were transcribed and analyzed, using content analysis as methodology. Complementing the systematization of empirical research, the study of the legislation, thematic plans and authors with theoretical relevance was carried out with regard to the Social Welfare Policy and the phenomenon in question. As a result of the research, we highlight the need for budget allocation for actions to prevent and respond to sexual violence against children and adolescents. There is a need to expand the teams of the protection network, predict resources for the execution of actions and, especially, offer permanent education for professionals who act directly with the demands of violence. It emphasizes in this study, stand out the facilities and difficulties in articulation with the protection network, as well as the strategies used for the accomplishment of the consultations in the social welfare services. / A presente disserta??o de mestrado tem como objetivo geral analisar como se configuram as concep??es de viol?ncia sexual, interven??es profissionais e fluxo de atendimento ?s crian?as e adolescentes v?timas de abuso sexual, em munic?pios com apenas a Prote??o Social B?sica institu?da e em munic?pios com a Prote??o Social B?sica e Prote??o Social Especial institu?das. Optou-se, como amostra, por dois munic?pios com organiza??o de prote??es diferentes, pois, no ?mbito do SUAS, os atendimentos das demandas advindas das viola??es de direitos devem ser executados pelo Servi?o de Prote??o e Atendimento Especializado a Fam?lias e Indiv?duos (PAEFI), tendo como l?cus o Centro de Refer?ncia Especializado de Assist?ncia Social (CREAS). No entanto, no estado do Rio Grande do Sul apenas 24% dos munic?pios disp?em desse equipamento socioassistencial. Sendo o abuso sexual um fen?meno hist?rico, multicausal e que ocorre em todas as sociedades, h? a necessidade de pensar sobre o atendimento ?s v?timas independente da estrutura organizacional dos munic?pios. Nesse sentido, neste estudo buscou-se contribuir com a discuss?o de como enfrentar tal fen?meno diante da complexidade da tem?tica e da sociedade. Como objetivos espec?ficos, buscou-se analisar o plano nacional e estadual de enfrentamento e atendimento ?s crian?as e adolescentes v?timas de viol?ncia sexual; mapear a rede municipal de atendimento, e tamb?m identificar as viol?ncias cometidas contra as v?timas que acessam a rede de atendimento nos munic?pios pesquisados, a fim de problematizar os limites e possibilidades do atendimento ?s crian?as e adolescentes em situa??o de abuso sexual no ?mbito da assist?ncia social. Quanto ao m?todo de pesquisa, optou-se pela vertente qualitativa, buscando-se conhecer: as especificidades do abuso sexual contra crian?as e adolescentes; a percep??o dos sujeitos entrevistados sobre o fen?meno; e os avan?os, desafios e possibilidades para a efetiva??o da integralidade do atendimento ?s crian?as e adolescentes vitimizados sexualmente. A coleta de dados contou com seis entrevistas semiestruturadas, utilizando-se formul?rios, realizadas com as/os equipes t?cnicas de refer?ncia dos servi?os socioassistenciais (assistentes sociais e psic?logas), e com as/os gestoras/es municipais da referida pol?tica. Para a an?lise dos dados obtidos utilizou-se, como metodologia, a an?lise de conte?do. Complementando ? sistematiza??o da pesquisa emp?rica, realizou-se o estudo das legisla??es, planos tem?ticos e autores com relev?ncia te?rica no que se refere ? Pol?tica de Assist?ncia Social e ao fen?meno em quest?o. Como resultados da pesquisa destaca-se a necessidade de: destina??o or?ament?ria para as a??es de preven??o e atendimento ? viol?ncia sexual contra crian?as e adolescentes; amplia??o das equipes da rede de prote??o, previs?o de recursos para as execu??es das a??es e, principalmente, oferta de educa??o permanente para as/os profissionais que atuam diretamente com as demandas de viol?ncias. E, por fim, destacam-se as facilidades e dificuldades percebidas na articula??o com a rede de prote??o, e as estrat?gias utilizadas para a concretiza??o dos atendimentos nos servi?os socioassistenciais.

Made available in DSpace on 2014-12-17T15:46:15Z (GMT). No. of bitstreams: 1 RenataRLMPP.pdf: 607140 bytes, checksum: 88f1c2737223abd5220451124d34e10b (MD5) Previous issue date: 2007-11-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Analyze the problem of sexual violence suffered by children and adolescents in the city of Natal / Rio Grande do Norte (RN), attended by the Programa Sentinela, a service aimed at combating sexual violence children and teenagers who serves on the council of Natal. Thus aims to review the implementation of the Programa Sentinela in Natal / RN, in the period 2001 to 2006, verifying that the program has contributed to the access of children and adolescents who are victims of abuse and sexual exploitation to fundamental rights under the Statute Children and adolescents (ECA) and the Local Plan and the National gainst Infanto-Youth Sexual Violence. It has a theoretical and methodological approach quantitative and qualitative, covering the issue of sexual violence against children and adolescents, as one of the expressions of economic relationships, gender, race and culture that make up the material and symbolic structure of society. It methodological procedure: review of literature on the subject and conducting interviews with professionals and families of children and adolescent victims of sexual violence. Investigate as the unit of analysis the Sentinel Program. The analysis on the governmental actions of this period on this social problem points to the continuity and little change in the care of victims of sexual violence: despite maintain features and palliative assistencialistas, favoring the "Network of Sexual Tourism", go through some innovations in terms of securing rights from the ECA, which is the need for transparency and democratization in the management of government policies. In research undertaken, Brazil will only be combating this type of crime when each of the social actors are actually doing their share, down taboos, facing corruption and strengthening a system of guarantee of rights, which target children and adolescents are unprotected, and often ignored by Brazilian society / Analisa a problem?tica da viol?ncia sexual sofrida por crian?as e adolescentes na cidade do Natal/Rio Grande do Norte (RN), atendidas pelo Programa Sentinela, um servi?o voltado ao combate da viol?ncia sexual infanto-juvenil que atua no munic?pio de Natal. Nesse sentido tem a finalidade de analisar a execu??o do Programa Sentinela em Natal/RN, no per?odo 2001 a 2006, verificando se o referido programa tem contribu?do para o acesso de crian?as e adolescentes v?timas de abuso e explora??o sexual aos direitos fundamentais previstos no Estatuto da Crian?a e do adolescente (ECA) e no Plano Local e Nacional de Enfrentamento a Viol?ncia Sexual Infanto-Juvenil. Tem uma abordagem te?rico-metodol?gico quantitativa e qualitativa, abrangendo a quest?o da viol?ncia sexual contra crian?as e adolescentes, como uma das express?es das rela??es econ?micas, de g?nero, de ra?a e de cultura que configuram a estrutura material e simb?lica da sociedade. Tem como procedimento metodol?gico: revis?o de literatura sobre a tem?tica e realiza??o de entrevistas com profissionais e familiares de crian?as e adolescentes v?timas da viol?ncia sexual. Investiga como unidade de an?lise o Programa Sentinela. A an?lise sobre as a??es governamentais deste per?odo em rela??o a esta problem?tica social aponta para a continuidade e poucas mudan?as no atendimento das v?timas de viol?ncia sexual: apesar de manterem caracter?sticas paliativas e assistencialistas, favorecendo a Rede de Turismo Sexual , passam por algumas inova??es em termos de garantia de direitos, a partir do ECA, que aponta a necessidade de transpar?ncia e democratiza??o da gest?o de pol?ticas governamentais. Nas investiga??es desenvolvidas, o Brasil s? estar? combatendo esse tipo de crime quando cada um dos atores sociais estiver de fato fazendo a sua parte, derrubando tabus, encarando a corrup??o e fortalecendo um sistema de garantia de direitos, cujo alvo s?o crian?as e adolescentes desprotegidos, e muitas vezes ignorados pela sociedade brasileira

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-01-16T16:44:34Z No. of bitstreams: 1 MaiaraPacificoDosSantos_DISSERT.pdf: 3381773 bytes, checksum: 08007f399b5037ab811be2fb040a3b72 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-01-18T16:02:36Z (GMT) No. of bitstreams: 1 MaiaraPacificoDosSantos_DISSERT.pdf: 3381773 bytes, checksum: 08007f399b5037ab811be2fb040a3b72 (MD5) / Made available in DSpace on 2018-01-18T16:02:36Z (GMT). No. of bitstreams: 1 MaiaraPacificoDosSantos_DISSERT.pdf: 3381773 bytes, checksum: 08007f399b5037ab811be2fb040a3b72 (MD5) Previous issue date: 2017-08-28 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O presente trabalho busca problematizar a atua??o de ?rg?os que comp?em o Sistema de Garantia dos Direitos da Crian?a e do Adolescente - SGD, na realiza??o do enfrentamento ?s ocorr?ncias de viol?ncia no munic?pio do Natal. Para tanto, objetivou-se analisar como tem se dado o enfrentamento a viol?ncia contra crian?as e adolescentes em Natal/RN, particularizando as estrat?gias e mecanismos utilizados pelos ?rg?os de prote??o do SGD, no per?odo de 2014 a 2015, a fim de identificar os limites e possibilidades que interferem e/ou contribuem para a realiza??o desse enfrentamento no munic?pio. A investiga??o aconteceu mediante pesquisa qualitativa e foi norteada pelo referencial cr?tico dial?tico, sendo a coleta dos dados feita atrav?s de pesquisa documental e de campo na perspectiva quanti-qualitativa. O l?cus da pesquisa foi a Rede de Prote??o que atua na Regi?o Administrativa Norte do Natal, sendo as entrevistas semiestruturadas, realizadas com: o Conselho Tutelar, o Conselho Municipal dos Direitos da Crian?a e do Adolescente, o Centro de Refer?ncia Especializado de Assist?ncia Social, o N?cleo de Apoio ? Sa?de da Fam?lia e uma Escola Municipal. Os dados foram tratados com base na an?lise de conte?do e analisados ? luz do referencial te?rico adotado. Identificou-se que tr?s dimens?es s?o essenciais ? realiza??o do enfrentamento ao fen?meno: o atendimento, o acompanhamento e a preven??o. No entanto, determinantes de ordem cultural, social, pol?tica e econ?mica contribuem para a ocorr?ncia e recorr?ncia das situa??es de viol?ncia e interferem na realiza??o do enfrentamento. A fam?lia aparece como uma institui??o a qual se atribui, contraditoriamente, autoridade e dever de prote??o. Para al?m do fen?meno que se apresenta no imediato, a viol?ncia estrutural aparece como outra express?o da viol?ncia cometida contra crian?as e adolescentes. / The present work seeks to problematize the performance of agencies that make up the System for Guaranteeing the Rights of Children and Adolescents (SGD), in the accomplishment of coping with the occurrences of violence in the municipality of Natal. In order to do so, the objective was to analyze how violence against children and adolescents in Natal / RN has been tackled, particularizing the strategies and mechanisms used by the DGS protection agencies, in the period from 2014 to 2015, in order to identify the limits And possibilities that interfere and / or contribute to the accomplishment of this confrontation in the municipality. The research was conducted through qualitative research and was guided by the critical dialectical referential, and the data collection was done through documentary and field research in the quantitative-qualitative perspective. The focus of the research was the Protection Network that operates in the Northern Administrative Region of Natal. The semi-structured interviews were conducted with: the Guardianship Council, the Municipal Council for the Rights of Children and Adolescents, the Specialized Referral Center for Social Assistance, The Family Health Support Center and a Municipal School. The data were treated based on content analysis and analyzed in the light of the adopted theoretical framework. It was identified that three dimensions are essential to face the phenomenon: care, monitoring and prevention. However, determinants of cultural, social, political and economic order contribute to the occurrence and recurrence of situations of violence and interfere in the accomplishment of the confrontation. The family appears as an institution which, contradictorily, attributes authority and duty to protection. In addition to the phenomenon that occurs immediately, structural violence appears as another expression of violence committed against children and adolescents.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-26T20:50:39Z No. of bitstreams: 1 AdeilzaClimacoFerreira_DISSERT.pdf: 1665321 bytes, checksum: ade120aa1d91c84a77e75c9d0f9d024d (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-02-01T19:13:49Z (GMT) No. of bitstreams: 1 AdeilzaClimacoFerreira_DISSERT.pdf: 1665321 bytes, checksum: ade120aa1d91c84a77e75c9d0f9d024d (MD5) / Made available in DSpace on 2016-02-01T19:13:49Z (GMT). No. of bitstreams: 1 AdeilzaClimacoFerreira_DISSERT.pdf: 1665321 bytes, checksum: ade120aa1d91c84a77e75c9d0f9d024d (MD5) Previous issue date: 2014-08-26 / Este estudo apresenta a problem?tica da viol?ncia sexual Infanto-juvenil a partir de um olhar cr?tico sobre a avalia??o das a??es dos ?rg?os de defesa e prote??o nos casos de abuso sexual contra crian?as e adolescentes do munic?pio de Natal/RN. Objetivamos realizar esta avalia??o a partir da investiga??o de 05 casos de crian?as e adolescentes v?timas de abuso sexual que foram atendidas pela Delegacia Especializada em Defesa da Crian?a e do Adolescente (DCA), considerando o fluxo de atendimento dos casos, a articula??o entre os ?rg?os que comp?em o Sistema de Garantia de Direitos (SGD), o registro da den?ncia, bem como o tempo percorrido entre o registro da den?ncia e a responsabiliza??o do agressor. Para tanto, o presente estudo constitui-se em uma an?lise sob o enfoque te?rico-metodol?gico quantitativo e qualitativo tendo como pressuposto a viol?ncia sexual nas suas dimens?es sociais, hist?ricas, culturais, legais e econ?micas. O percurso estabelecido entre o conhecimento sobre o objeto e o m?todo de an?lise envolveu: pesquisa bibliogr?fica acerca da discuss?o conceitual sobre a viol?ncia sexual, an?lise de dados quantitativos disponibilizados pela DCA, bem como entrevistas semiestruturadas junto aos respons?veis pelas v?timas e aos profissionais que atuam em institui??es dos ?rg?os de defesa. Apreende-se neste estudo que as situa??es de viol?ncia contra crian?as e adolescentes ? um fen?meno multifacetado que tem express?es desde a sociedades antiga, assumindo uma particularidade na sociedade contempor?nea ao considerar a popula??o infanto-juvenil enquanto sujeitos de direitos. Al?m disso, foi poss?vel identificar a aus?ncia de efetividade, no que diz respeito ?s a??es dos ?rg?os de defesa na interven??o das situa??es de abuso sexual ora investigadas j? que ainda n?o se configura de fato um processo de articula??o entre os referidos ?rg?os na perspectiva da garantia de direitos e do rompimento do ciclo de viol?ncia. / This study presents the issue of Children and Youth sexual violence from a critical eye in assessing the actions of the organs of defense and protection in cases of sexual abuse against children and adolescents in the city of Natal / RN. We aimed to perform this evaluation from the investigation of 05 cases of child and adolescent victims of sexual abuse that were answered by Precinct Specializing in Defense of Children and Adolescents (DCA), considering the service flow of cases, the articulation between the organs that make up System Warranty rights (SGD), the record of the complaint, as well as the elapsed time between the record of the complaint and the accountability of the offender. Thus, the present study consists in an analysis from the quantitative and qualitative theoretical-methodological approach assuming 'sexual violence in their social, historical, cultural, legal and economic dimensions. The route established between the knowledge about the object and the method of analysis involved: literature about the conceptual discussion on sexual violence, analyzing quantitative data provided by DCA, as well as semi-structured interviews with victims and those responsible for the professionals working in institutions of the defense agencies. Is apprehended in this study that the situations of violence against children is a multifaceted phenomenon that has expressions from ancient societies, assuming a peculiarity in contemporary society to consider the juvenile population as subjects of rights. Furthermore, it was possible to identify the lack of effectiveness, with respect to the actions of the organs of defense in intervention situations of sexual abuse now investigated as yet not actually configure a process of articulation between these bodies from the perspective of ensuring rights and break the cycle of violence.

Submitted by Carla Santos (biblioteca.cp2.carla@bahiana.edu.br) on 2018-11-20T16:41:19Z No. of bitstreams: 1 Rozana Teixeira-Taise (1).pdf: 5571475 bytes, checksum: bbc699a3d1a66dcda27d7c9a36da4b2b (MD5) / Approved for entry into archive by JOELMA MAIA (ebmsp-bibliotecacp2@bahiana.edu.br) on 2018-11-20T18:41:28Z (GMT) No. of bitstreams: 1 Rozana Teixeira-Taise (1).pdf: 5571475 bytes, checksum: bbc699a3d1a66dcda27d7c9a36da4b2b (MD5) / Made available in DSpace on 2018-11-20T18:41:28Z (GMT). No. of bitstreams: 1 Rozana Teixeira-Taise (1).pdf: 5571475 bytes, checksum: bbc699a3d1a66dcda27d7c9a36da4b2b (MD5) Previous issue date: 2018-08-31 / Disfun????o endotelial, inflama????o cr??nica e altera????es no perfil lip??dico (PL) integram a fisiopatologia da Anemia Falciforme (AF). Associa????es entre estes mecanismos e manifesta????es cl??nicas podem definir perfis de gravidade e colaborar para melhor compreens??o da doen??a. Objetivos: Avaliar o n??vel de citocinas e o PL em crian??as e adolescentes com AF e sua associa????o com vari??veis cl??nicas e laboratoriais; comparar o n??vel de citocinas e o PL entre falc??micos tratados e n??o tratados com hidroxiur??ia (HDX). M??todos: Estudo transversal, envolvendo 55 crian??as e adolescentes est??veis com hemoglobina SS, das quais 24 em uso de HDX e 41 crian??as e adolescentes saud??veis, de 6 a 18 anos de idade. Realizadas dosagem das Interleucinas (IL) 1??, 6, 8, 10, 12pq, 17A e TNF-??; dosagem do colesterol total, triglic??rides (TG), LDL-C e HDL-C; dosagem de prote??na C reativa de alta sensibilidade (PCRas). A fun????o endotelial foi avaliada atrav??s da vasodilata????o mediada por fluxo (VMF) da art??ria braquial. Dados do doppler transcraniano foram obtidos em consulta ao prontu??rio. An??lise de cluster hier??rquico (CH) foi realizado para avaliar a diferen??a entre os grupos Resultados: A idade e o sexo foram semelhantes entre os grupos AF HDX n??o; AF HDX sim e grupo controle (p=0,054 e p=0,115 respectivamente). A an??lise de CH demonstrou predom??nio de marcadores inflamat??rios (IL, PCR as, leuc??citos) no grupo AF. As citocinas IL-17A e IL-8 apresentaram correla????o positiva com n??mero de crises vasoclusivas(CVO) e TNF- ?? com n??mero de transfus??es sangu??neas. O grupo AF apresentou n??veis de colesterol total (CT), LDL-c e HDL-c baixos, TG/HDL-c e TG elevados comparados ao grupo saud??vel. TG/ HDL-c se correlacionou positivamente com LDH (rs 0,30 p= 0,047), com contagem de leuc??citos (rs 0,40 p= 0,006), com velocidade do fluxo sangu??neo na art??ria cerebral direita (rs 0,35 p = 0,037) e esquerda (rs 0,361 p=0,026). CT se correlacionou negativamente com PCR as (rs -0,3 p=0,04) e LDL-c com total de transfus??o sangu??nea (rs -0,3 p= 0,032). Falc??micos com TG/HDL-c acima de 2,73 mg/dl apresentaram mais Sindrome Tor??cica Aguda 70,6% vs 29,4% p=0,027, com chance de 3,77 vezes, IC95%(1,135- 12,53) para este evento. Identificado tr??s subfen??tipos: hemol??tico, grupo AF HDX n??o; inflamat??rio, grupo AF HDX sim; grupo saud??vel com fun????o endotelial preservada, aus??ncia de anemia, n??veis mais elevados de IL-10. Conclus??es: Crian??as e adolescentes com AF tratados com HDX, potencialmente mais graves, apresentaram perfil inflamat??rio que se associou a CVO, demonstrando o envolvimento das citocinas na patog??nese da AF. Pacientes n??o tratados com HDX apresentaram perfil hemol??tico associado a eleva????o dos n??veis de TG/HDL-c, demonstrando a associa????o entre metabolismo lip??dico e hem??lise. TG/HDL-C desponta como marcador de les??o vascular atrav??s das associa????es com marcadores de hem??lise, inflama????o, manifesta????es agudas e complica????es da doen??a.

Submitted by PPG Servi?o Social (servico-social-pg@pucrs.br) on 2017-12-26T11:17:40Z No. of bitstreams: 1 Tese - Conrado Paulino da Rosa.pdf: 2767305 bytes, checksum: 211404d522ad33b740092a51673977e7 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-12-26T19:20:30Z (GMT) No. of bitstreams: 1 Tese - Conrado Paulino da Rosa.pdf: 2767305 bytes, checksum: 211404d522ad33b740092a51673977e7 (MD5) / Made available in DSpace on 2017-12-26T19:25:05Z (GMT). No. of bitstreams: 1 Tese - Conrado Paulino da Rosa.pdf: 2767305 bytes, checksum: 211404d522ad33b740092a51673977e7 (MD5) Previous issue date: 2017-11-08 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The present thesis addresses, in an interdisciplinary way, the management of the life of the children after the dissolution of a marriage or a common-law marriage. The research begins with the analysis of the advance of the legislation pertinent to the thematic having in view that originally in our legal system there was only the prediction of the unilateral custody that, because of social issues, ended up being determined only in favor of the mother. With the attribution, the ascendant custodial parent exclusively decides on all matters pertaining to the life of the offspring. However, in 2008, Law 11,698 amended articles 1,583 and 1,584 of the Civil Code to establish the possibility of shared custody between parents, which is ?joint responsibility and the exercise of the rights and duties of the father and the mother who do not live under the same roof, concerning the family power of common children?. Nevertheless, since then, it has been usual the social confusion of the institute of the sharing with of the partial custody, which would represent a static division of time between both parents, in which the parent in his company would have exclusive decision-making power. Considering that there was never the possibility of partial custody in Brazil, in 2014 there was a need for a new amendment modifying the Civil Code through Law 13,058. Among the changes, the application of shared custody became the preferential route and the unilateral, as a consequence, the restrictive way. In addition, it was clarified that the sharing can be applied even when parents reside in different cities and also when there is litigation between them. Another fact to be considered is the constant presence of processes where there is parental alienation between the parents. According to Law 12,318/2010, it is considered an act of parental alienation the interference in the psychological formation of the child or adolescent promoted or inducted by one of the parents, by the grandparents or by those who have the child or adolescent under their authority, custody or supervision to repudiate or to cause damage to the establishment or maintenance of bonds with the parent. In this vein lies the problem of this thesis: in which way does joint custody represent some kind of change in coparenting? Through the analysis of content, using the documentary analysis as a research procedure and, as a corpus of analysis the legislation on the subject, which are Federal Constitutions, Civil Code of 1916 (Law 3,071/1916), Married Woman Statute (Law 4,121/1962), Constitutional Amendment n. 9/1977, Child and Adolescent Statute (Law 8,069/1990), Civil Code of 2002 (Law 10,406), Law 11,698/2008, Law 12,318/2010, Law 13,058/2014 and Code of Civil Procedure of 2015 (Law 13,105). Moreover, this thesis will be based on bibliographies, not only from Social Service, but also from Psychology and Law. It will seek to verify the viability of the coactive shared custody as a hindering means of the practice of parental alienation and also as a way of effectuation of the rights of children and adolescents. / A presente tese aborda, de forma interdisciplinar, a gest?o da vida dos filhos ap?s a dissolu??o de um casamento ou de uma uni?o est?vel. A pesquisa inicia com a an?lise do avan?o da legisla??o pertinente a tem?tica tendo em vista que, originalmente, em nosso ordenamento jur?dico, existia apenas a previs?o da guarda unilateral a qual, pela pr?tica social, acabava sendo determinada apenas em favor da genitora. Com a sua atribui??o, o ascendente detentor da guarda passa a decidir de modo exclusivo todas as quest?es pertinentes a vida da prole. Todavia, em 2008, a Lei 11.698 alterou os artigos 1.583 e 1.584 do C?digo Civil para estabelecer a possibilidade da guarda compartilhada entre os genitores, sendo ela a ?responsabiliza??o conjunta e o exerc?cio de direitos e deveres do pai e da m?e que n?o vivam sob o mesmo teto, concernentes ao poder familiar dos filhos comuns?. Mesmo assim, desde ent?o, mostrou-se frequente a confus?o social do instituto do compartilhamento com o da guarda alternada, que representaria uma divis?o est?tica do tempo entre ambos os genitores onde, nessa estrutura, aquele genitor que se encontraria em sua companhia deteria poder exclusivo de decis?o. Considerando que jamais existiu a possibilidade de guarda alternada no Brasil, em 2014, houve a necessidade de nova altera??o modificando o C?digo Civil, por meio da Lei 13.058. Dentre as altera??es, a aplica??o da guarda compartilhada passou ser a via preferencial e a unilateralidade, em consequ?ncia, a sa?da restritiva. Al?m disso, houve o esclarecimento de que o compartilhamento pode ser aplicado mesmo quando os pais residam em cidades diferentes e, tamb?m, quando existir o lit?gio entre os genitores. Outro fato a ser considerado ? a presen?a constante de processos onde existe a presen?a de aliena??o parental entre os genitores. Segundo a Lei 12.318/2010, considera-se ato de aliena??o parental a interfer?ncia na forma??o psicol?gica da crian?a ou do adolescente promovida ou induzida por um dos genitores, pelos av?s ou pelos que tenham a crian?a ou adolescente sob a sua autoridade, guarda ou vigil?ncia para que repudie genitor ou que cause preju?zo ao estabelecimento ou ? manuten??o de v?nculos com este. Nessa esteira ? que reside a problem?tica da presente tese: exsurge como problem?tica da presente tese: de que forma a guarda compartilhada representa uma mudan?a na forma de cogest?o parental? Por meio da an?lise de conte?do, a partir de Laurence Bardin, utilizamos como procedimento de pesquisa a an?lise documental e, enquanto corpus de an?lise as legisla??es a respeito da tem?tica, quais sejam, Constitui??es Federais, C?digo Civil de 1916 (Lei 3.071/1916), Estatuto da Mulher Casada (Lei 4.121/1962), Emenda Constitucional n. 9/1977, Estatuto da Crian?a e do Adolescente (Lei 8.069/1990), C?digo Civil de 2002 (Lei 10.406), Lei 11.698/2008, Lei 12.318/2010, Lei 13.058/2014 e C?digo de Processo Civil de 2015 (Lei 13.105). Al?m disso, fundamentar-se-? a presente tese com bibliografias, n?o apenas do Servi?o Social, mas tamb?m, da Psicologia e do Direito, buscar-se-? compreender os desafios do compartilhamento coativo da guarda enquanto meio obstaculizador da pr?tica da aliena??o parental, mas tamb?m, como possibilidade de efetiva??o dos direitos da crian?a e do adolescente.

Made available in DSpace on 2014-12-17T15:39:06Z (GMT). No. of bitstreams: 1 TabitaASM_DISSERT.pdf: 1343081 bytes, checksum: 9a450bfdf04008fbb559605cc8fb39f6 (MD5) Previous issue date: 2014-05-02 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The Shelters are responsible for caring for children and adolescents whose families or guardians are temporarily unable to fulfill his role as care and protection. The activities to be developed by psychologists in these services are greatly important for the elaboration and development of political- pedagogical project of the same, and for reasons pertaining to the present and future of children and adolescents received judgments. The psychologist puts up the challenge of contributing to a better care of children, also cooperating with the implementation of the new care standards of childcare. The aim of this study was to investigate the role of the professional psychologist in assistance to children and adolescents in 13 Shelters in the Metropolitan Region of Natal/RN. For both set out to make visits to the institutions to know how it is organized the field work of the psychologist, his routine work and activities developed. Nine psychologists interviewed according to a semi-structured interview script. The data analysis is supported by the theoretical aspects of dialectical materialism historical and theme content analysis was used. Results were presented from three angles: psychologists and institutional framework; activities, resources and methods of work; psychologists and legal frameworks of the Institutional Hospitality. The study points out the recent entry of the psychologist in Shelters, combined with considerable turnover of these professionals. This work has been organized through the Individualized Service Plan, prioritizing the return to family of origin. Moreover, in general, perform joints with the service network, reporting, individual consultations and follow-adoption processes . Staff members, however, feel a lack of specific and continuing training on special protection, including due to the distance between the proposed theory and practice. It was thus observed a movement of psychologists distance themselves from welfare or repressive practices, however the structural difficulties of services and lack of continuing education appear to limit the development of a performance focused on the transformation of the reality of children and adolescents treated and their families / Os Servi?os de Acolhimento s?o respons?veis por cuidar das crian?as e adolescentes cujas fam?lias ou respons?veis est?o temporariamente impossibilitados de cumprir sua fun??o de cuidado e prote??o. As atividades a serem desenvolvidas pelos psic?logos nesses servi?os s?o sobremaneira importantes para a elabora??o e desenvolvimento do projeto pol?tico-pedag?gico das mesmas, bem como para a fundamenta??o das decis?es judiciais concernentes ao presente e futuro dos acolhidos. Ao psic?logo, coloca-se o desafio de contribuir para um melhor atendimento ? inf?ncia, cooperando tamb?m com a implementa??o dos novos par?metros de atendimento dos servi?os de acolhimento. O objetivo desse estudo foi investigar a atua??o do profissional psic?logo no ?mbito da assist?ncia a crian?as e adolescentes nos 13 Servi?os de Acolhimento da Regi?o Metropolitana de Natal/RN. Para tanto, prop?s-se a realiza??o de visitas ?s institui??es, para conhecer como est? organizado o campo de trabalho do psic?logo, sua rotina de trabalho e atividades desenvolvidas. Foram encontrados nove psic?logos, entrevistados de acordo com um roteiro semiestruturado. A an?lise do material coletado est? apoiada nos aspectos te?ricos do materialismo-hist?rico dial?tico, tamb?m foi utilizada a an?lise de conte?do tem?tica e o software de an?lise de dados qualitativos QDA Miner. Os resultados foram apresentados a partir de tr?s eixos de an?lise: os psic?logos e a estrutura institucional; atividades, m?todos e recursos de trabalho; os psic?logos e os referenciais legais do Acolhimento Institucional. O estudo aponta a recente entrada do psic?logo nos Servi?os de Acolhimento, aliada a consider?vel rotatividade desses profissionais. Seu trabalho tem se organizado atrav?s do Plano Individualizado de Atendimento, com prioridade para o retorno ? fam?lia de origem. Al?m disso, em geral, realizam articula??es com a rede de atendimento, elabora??o de relat?rios, atendimentos individuais e acompanhamentos de processos de ado??o. Os profissionais, por?m, sentem falta de forma??es espec?ficas e continuadas sobre a prote??o especial, inclusive devido ? dist?ncia entre o proposto na teoria e a pr?tica. Foi observado um movimento dos psic?logos em distanciar-se de pr?ticas assistencialistas ou repressivas, entretanto, as dificuldades estruturais dos servi?os e a aus?ncia de forma??o continuada parecem limitar o desenvolvimento de uma atua??o voltada para a transforma??o da realidade das crian?as e adolescentes atendidos e suas fam?lias

Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2017-09-29T18:38:54Z No. of bitstreams: 1 2016 - Maria L?cia Fernandes Barroso.pdf: 1460228 bytes, checksum: 14646f13cec0b2391227b0f29e044421 (MD5) / Made available in DSpace on 2017-09-29T18:38:54Z (GMT). No. of bitstreams: 1 2016 - Maria L?cia Fernandes Barroso.pdf: 1460228 bytes, checksum: 14646f13cec0b2391227b0f29e044421 (MD5) Previous issue date: 2016-09-26 / The research presented here was to investigate the views of the professionals of the Federal Institute of Education Science and Tecnology of Amap? (IFAP), Campus Macap? on the responsibility of the educational institution in combating violence suffered by adolescent students of the integrated secondary school. We sought to identify the knowledge that education teachers and technicians have about the legislation that advocates the rights of this segment to be raised and educated without violence of any kind, as well as to map the existence of cases of victimized students inside or outside the school environment as well as knowing what the view of the professionals in relation to this phenomenon. For this, we used a qualitative approach by carrying out documentary research. In the first phase were studied institutional documents, decrees among others, in addition to the Institutional Development Plan of IFAP, with a view to identifying how the institution materializes combating violence. Also part of the documentary data records three right care sectors to the student called educational core and pedagogical coordination of support to the student. Data collection instrument was a questionnaire with open and closed questions that reached the participation of forty-five teachers and nineteen educational technicians analyzed and categorized based on an analysis of documents. As theoretical work foundation held a brief historical review of the social construction of the concept of childhood and policies in this segment in Brazil in different historical periods to implement the statute of children and adolescents and definition of the Rights Guarantee System .The results revealed a significant quantity of thirty-two students who have suffered violence. According to the records of the former pedagogical coordination the institution has demonstrated the need for a specific policy that directs the IFAP for an expansion of preventive and interventional actions based on three main points: 1. Integrated responsibility and articulation by part of those responsible for teenagers an adolescents aducational process, 2. Continuing the proposal to be followed by professionals at IFAP; 3. Actions aimed at expansion of family participation in the education of adolescents. As a suggestion that there is synergy in these cases of identified violence it was proposed to start this work through an implementation of a flow comprising the participation and involveme of the whole school community in the social commitment in order to breaking cycles of violence involving adolescents students. / A pesquisa ora apresentada se prop?s a investigar as percep??es dos profissionais do Instituto Federal do Amap? (IFAP), Campus Macap? acerca da responsabilidade da institui??o de ensino no enfrentamento ? viol?ncia sofrida por alunos adolescentes do ensino m?dio integrado. Buscou-se identificar o conhecimento que docentes e t?cnicos educacionais possuem acerca da legisla??o que preconiza o direito desse segmento a ser criado e educado sem viol?ncia de qualquer natureza, realizar um mapeamento da exist?ncia de casos de alunos vitimizados dentro ou fora do ambiente escolar, bem como conhecer qual a vis?o dos profissionais em rela??o a esse fen?meno. Para isso, utilizou-se a abordagem qualitativa realizando-se pesquisa documental. Na primeira fase foram estudados documentos institucionais, decretos e portarias, al?m do Plano de Desenvolvimento Institucional do IFAP, com vistas a identificar como a institui??o materializa o enfrentamento da viol?ncia. Tamb?m fizeram parte dos dados documentais os registros de tr?s setores de atendimento direto ao aluno, quais sejam, coordena??o de turno, n?cleo pedag?gico e coordena??o de apoio ao estudante. Como instrumento de coleta de dados foi aplicado um question?rio com perguntas abertas e fechadas que alcan?ou a participa??o de quarenta e cinco docentes e dezenove t?cnicos educacionais, analisados e categorizados com base na an?lise documental. Como alicerce te?rico do trabalho realizou-se um breve resgate hist?rico da constru??o social do conceito de inf?ncia e das pol?ticas de atendimento a esse segmento no Brasil em diferentes per?odos hist?ricos at? a implementa??o do Estatuto da Crian?a e do Adolescente e defini??o do Sistema de Garantia de Direitos. Os resultados revelaram um quantitativo significativo de vinte e quatro alunos que sofreram viol?ncias, de acordo com os registros da antiga coordena??o pedag?gica, da coordena??o de turno e da coordena??o de apoio ao estudante, bem como a fragilidade nos registros de encaminhamentos adotados nestes casos pela equipe da institui??o, demonstrando a necessidade de uma pol?tica pr?pria que direcione o IFAP para uma amplia??o de a??es preventivas e interventivas, baseadas em tr?s pontos principais:1. Articula??o com a Rede de atendimento ? crian?a e ao adolescente de Macap??; 2. Forma??o continuada dos profissionais do IFAP; 3. A??es voltadas para amplia??o da participa??o da fam?lia na educa??o dos adolescentes. Como sugest?o para que haja sinergia nos encaminhamentos dos casos de viol?ncia identificados, ? proposto a partir desse trabalho, a implementa??o de um Fluxo de encaminhamento, que compreende a participa??o e envolvimento de toda comunidade escolar no compromisso social com o rompimento de ciclos de viol?ncia envolvendo os alunos adolescentes.

Made available in DSpace on 2014-12-17T15:46:28Z (GMT). No. of bitstreams: 1 RaquelMAM_DISSERT.pdf: 1264229 bytes, checksum: b23914164b89ecbf42b12f53a3910c1b (MD5) Previous issue date: 2013-05-24 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This work discourses about the child and adolescent s Guaranty System of Rights (GSR), on the intervention in cases of juvenile domestic sexual violence, in Recife. The course (trajectory) is analyzed, where circulate cases of sexual violence, until its resolution, in (GSR). Actually, the violence represents a serious problem of public health. Was thought about the difficulties and the limits that make GSR become a full field of contradictions and challenges for the effectiveness of the children and adolescents rights. Therefore, it was verified the treatments that are developed by GSR, how this system is structured and articulated and how occurs the resolution of the sexual violence cases against children and adolescents. Proceedings of the quantitative and qualitative research were used, was done observation, directed interview and analysis of documents. Thus, the field research was the visits in these institutions: Restaura??o Hospital, Police Management of the Child and Adolescent (PMCA) three Guardianship Councils, Dom Helder Camara Center of Studies and Social Action (CENDHEC) and the Tribunal of Childhood and Adolescence. The research subjects were seven professionals of GSR. The theoretical discussion is guided in reflections about the children and youth rights, in the violence theme and in the construction and institutionalization process of GSR. In this experiment, was noticed there are many difficulties for working together the GSR, because many obstacles are found when we call the responsible institutions, besides some violence cases happen again. This system is not totally institutionalized and articulated, faces structural problems, material, poorly qualified professionals, underinvestment, low transfer of public resources, among other difficulties, causing many losses in the implementation of public policies that enforce secured rights by legislation / Este trabalho discorre acerca do Sistema de Garantia de Direitos da crian?a e do adolescente (SGD), na interven??o nos casos de viol?ncia dom?stica sexual infanto-juvenil, na cidade do Recife. ? realizada uma an?lise do percurso (da trajet?ria) pelo qual circulam os casos de viol?ncia sexual, at? a sua resolubilidade, no SGD. Atualmente, a viol?ncia representa um grave problema de sa?de p?blica. Refletiu-se sobre as dificuldades e os limites que tornam o SGD um campo cheio de contradi??es e desafios para efetiva??o dos direitos das crian?as e dos adolescentes. Para tanto, verificou-se os atendimentos que s?o desenvolvidos pelo SGD, como est? estruturado e articulado este sistema e como ocorre a resolu??o dos casos de viol?ncia sexual contra crian?as e adolescentes. Foram utilizados procedimentos da pesquisa quanti-qualitativa, recorreu-se a observa??o, entrevista dirigida e an?lise de documentos. Desta forma, a pesquisa de campo se constituiu em visitas ?s seguintes institui??es: Hospital da Restaura??o, Ger?ncia de Pol?cia da Crian?a e do Adolescente (GPCA), tr?s Conselhos Tutelares, Centro Dom Helder C?mara de Estudos e A??o Social (Cendhec) e o Juizado da Inf?ncia e Adolesc?ncia. Os sujeitos da pesquisa foram sete profissionais do SGD. A discuss?o te?rica est? pautada nas reflex?es acerca dos direitos infanto-juvenis, na tem?tica da viol?ncia e no processo de constru??o e institucionaliza??o do SGD. Nesta experi?ncia, constatou-se que muitas s?o as dificuldades em atuar junto ao SGD, pois muitos s?o os entraves encontrados ao acionar os ?rg?os competentes, al?m da ocorr?ncia da reincid?ncia de alguns casos de viol?ncia. Este sistema n?o est? totalmente institucionalizado e articulado, enfrenta problemas de cunho estrutural, material, pouca qualifica??o dos seus profissionais, poucos investimentos, baixo repasse de recursos p?blicos, dentre outras dificuldades, causando preju?zos diversos na implementa??o de pol?ticas p?blicas que efetivem os direitos assegurados pela legisla??o em vigor