This project is significant to social work because it addresses a topic that has not been given much attention. This particular population has not been studied much and we know little about the issues that are important to mentally ill gays and lesbians. Even in schools of social work this particular topic is frequently overlooked, and when it is discussed it is usually in relation to another topic.

The purpose of this study is to provide a descriptive analysis of the problems presented by a specific group of women seeking out-patient mental health treatment and to relate these problems to the ontogenetic (age-related) developmental issues presented in a study of the literature. The researcher’s involvement in this area developed from interest in current literature on adult development, and a personal commitment to life-long growth and acceptance of the inherent changes. In order to investigate whether developmental issues exist for this group of women, and if so to describe them, two distinct age groups--the decades of the 20's and the 40's--were chosen as the focus of this study.

Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2017-09-19T14:49:22Z No. of bitstreams: 1 Vanessa Meira Cintra Ribeiro.pdf: 1270789 bytes, checksum: c0f9c7a1f1d0c3c4f74468f35832fb2a (MD5) / Made available in DSpace on 2017-09-19T14:49:22Z (GMT). No. of bitstreams: 1 Vanessa Meira Cintra Ribeiro.pdf: 1270789 bytes, checksum: c0f9c7a1f1d0c3c4f74468f35832fb2a (MD5) Previous issue date: 2017-05-25 / Introduction: The structure of Pharmaceutical Care (FC), based on the National Medicines Policy and the National Pharmaceutical Assistance Program, is organized to guarantee a broad spectrum of drug assistance to prevalent pathologies. However, even with this AF structure and organization profile, there has been an increase in the number of users who resort to health judicializations, requesting inputs or specific drugs often not covered by SUS. Objective: To analyze the judicialization of health related to the Pharmaceutical Assistance of the State of Paraíba, through the lawsuit lawsuits for the purchase of medicines under the responsibility of the State Health Department (SES / PB) of 2013. Methods: Cross-sectional study , Quantitative data from the lawsuits for the acquisition of medicine and health supplies of 2013. The database of the Health Economics Center (NES / PB) and financial database of the Pharmaceutical Assistance Center (NAF) were used. Descriptive and inference statistical analyzes (p> 0.05) performed in the R® program. A coroplast map was drawn from the TabWin® program. The research was approved by the Research Ethics Committee of the Catholic University of Santos (CAAE: 64520316.0.0000.5536). Results: 3510 cases were requested with 4339 medications, with an average of 1.2 (± 0.68) per requesting user, which processed in 47 varas of the state, being the majority of João Pessoa and Campina Grande, representing 92% . Profile of the population: 59.6% were female, 48.9% were elderly. There was a higher proportion in the group of elderly patients who used continuous medication, 73.5% (p <0.001). With regard to the diseases that led to the judicialization, it was observed that 40.7% were endocrine diseases, respiratory diseases, neoplasms and the circulatory system, especially diabetes whose proportion was 26.2%. The IJ (Judicialization index) of Paraíba was 0.9 judgments for every 10,000 inhabitants. There was an association between IJ and HDI variables (municipality, longevity, income and schooling), total population and demographic density by municipality, illiteracy rate and percentage of extremely poor population by means of the Kendall test and bivariate linear regression, both With p <0.05. It was observed in a multiple regression analysis (p <0.001) that the population (¿ = 1,950) and the HDI of the municipality (¿ = 3.701) interfered positively in IJ growth. Regarding the economic aspects, it was observed that: the judicialization accounted for 4.2% of the state's own health expenditure, 44.8% with oncology, and the per capita expenditure was R $ 10548.79 (40 times more than The state's per capita health investment), 372 types of drugs were purchased, of which 12 had a price variation of> 90%. Increase in judicialization in the biennium 2012/2013 in number (512) and financial impact (50.95%). Conclusion: The study verified the increase in the judicialization in the state of Paraíba, following a national trend, associated to social factors related to population development, reinforcing the need for stimulus in the articulation between the judiciary and health sector with a view to optimizing access to medicines. This is reinforced by the importance of epidemiological studies and the identification of weaknesses in favor of management and SUS. / Introdução: A estrutura da assistência farmacêutica (AF), fundamentada na Política Nacional de Medicamentos e no Programa Nacional de Assistência Farmacêutica, é organizada para garantir um amplo espectro de assistência medicamentosa a patologias prevalentes. Entretanto, mesmo com este perfil de estrutura e organização da AF, tem aumentado o número de usuários que recorrem às judicializações em saúde, solicitando insumos ou medicamentos específicos muitas vezes não cobertos pelo SUS. Objetivo: Analisar a judicialização da saúde ligada a Assistência Farmacêutica do Estado da Paraíba, por meio dos processos de demanda judicial para aquisição de medicamentos sob a responsabilidade da secretaria de Saúde do Estado (SES/PB) do ano de 2013. Métodos: Estudo transversal, quantitativo a partir dos processos judiciais de aquisição de medicamento e insumos para saúde de 2013. Utilizou-se o banco de dados do Núcleo de Economia da Saúde (NES/PB) e banco de dados financeiro do Núcleo de Assistência Farmacêutica (NAF). Análises estatísticas descritivas e de inferência (adotado p>0,05) realizadas no programa R®. Elaborou-se um mapa coroplético a partir do programa TabWin®. A pesquisa recebeu a aprovação do Comitê de Ética em Pesquisa da Universidade Católica de Santos (CAAE: 64520316.0.0000.5536). Resultados: Foram 3510 processos com solicitação de 4339 medicamentos, sendo uma média de 1,2 (±0,68) por usuário requisitante, os quais tramitaram em 47 varas do estado, sendo a maioria de João Pessoa e Campina Grande, representado 92%. Perfil da população: 59,6% era do sexo feminino, 48,9% de idosos. Verificou-se maior proporção no grupo dos idosos que faziam uso de medicação contínua, 73,5% (p<0,001). Com relação às doenças que levaram à judicialização observou-se que 40,7% foram doenças endócrinas, respiratórias, neoplasias e do aparelho circulatório, com destaque para o diabetes cuja proporção foi de 26,2%. O IJ (índice de Judicialização) da Paraíba foi de 0,9 judicializações para cada 10.000 habitantes. Verificou-se associação entre o IJ e as variáveis IDH (município, longevidade, renda e escolaridade), população total e densidade demográfica por município, taxa de analfabetismo e percentual de população extremamente pobre por meio do teste de Kendall e regressão linear bivariada, ambos com p<0,05. Observou-se, em análise de regressão múltipla (p<0,001), que a população (¿=1,950) e o IDH do município (¿= 3,701) interferiram positivamente no crescimento do IJ. Sobre os aspectos econômicos observou-se que: a judicialização representou 4,2% dos gastos com recursos próprios do estado na saúde, destes 44,8% com oncológicos, o per capita gasto foi de R$10548,79 (40 vezes a mais que o investimento per capita em saúde do estado), foram aquisitados 372 tipos de medicamentos, destes 12 tiveram variação de > 90% nos preços. Aumento na judicialização no biênio 2012/2013 em número (512) e impacto financeiro (50,95%). Conclusão: O estudo verificou o aumento na judicialização presente no estado da Paraíba, seguindo uma tendência nacional, associado a fatores sociais ligados ao desenvolvimento da população, reforçando a necessidade de estímulo na articulação entre o judiciário e setor saúde com vistas à otimizar o acesso aos medicamentos. Para tal reforça-se a importância de estudos epidemiológicos e levantamento de fragilidades para favorecer à gestão e ao SUS.

This thesis is a case study focused on a relationship between public policy to prevent childhood obesity and the role of the food production and marketing in the Czech Republic. The emphasis is especially given to the institutional framework of food marketed and produced for children and its social concequences, because childhood obesity is one of them. The results from the analysis are then confronted with views and opinions of children and their parents, with how they feel about food advertising. Conclusion: advertising and production of food designated for children is not regulated in the Czech Republic. On governmental level only basic standards and rules are given and self-regulation is given precedence. Parents are aware of the huge influence of advertising on their children and that is why they are not satistied with the current situation. They would appreciate stronger legislative regulation of marketing and production of food for children.

The present study explored the interaction between paediatric asthma and family functioning, within the context of family systems theory. Eight families, each with an asthmatic child between the ages of 8 and 15, were included in this study. In each case, the parents were interviewed and completed a quantitative measure, the Family Assessment Device, The results indicated that each family has a unique way of functioning and of integrating the child's asthma into its lifestyle. Factors found to be involved in the mutual impact of paediatric asthma and family functioning were the size of the family, the severity of the child's condition, the ways in which the family copes with the stress of asthma, communication patterns between parents, compliance with family rules and boundaries, and the affective responsiveness and involvement of family members. / Psychology / M.A. (Psychology)

The present study explored the interaction between paediatric asthma and family functioning, within the context of family systems theory. Eight families, each with an asthmatic child between the ages of 8 and 15, were included in this study. In each case, the parents were interviewed and completed a quantitative measure, the Family Assessment Device, The results indicated that each family has a unique way of functioning and of integrating the child's asthma into its lifestyle. Factors found to be involved in the mutual impact of paediatric asthma and family functioning were the size of the family, the severity of the child's condition, the ways in which the family copes with the stress of asthma, communication patterns between parents, compliance with family rules and boundaries, and the affective responsiveness and involvement of family members. / Psychology / M.A. (Psychology)