Uma das maiores preocupações relacionadas a segurança transfusional é a possibilidade de transmissão de doenças infecciosas atraves de sangue transfundido, entre as quais se encontram as hepatites B e C, o HIV e a sífilis. Este trabalho teve como objetivo estudar doadores que passaram pelo processo de seleção pré-doação no Hemocentro de Ribeirão Preto e apresentaram resultados de testes sorológicos positivos para essas doenças/infecções.Estudou-se a frequencia dos resultados positivos entre os individuos que doaram sangue no hemocentro de Ribeirão Preto ou em seu posto de Coleta Central,de 1o.de julho de 2005 a 31 de julho de 2006. Os indivíduos com resultados sorológicos positivos confirmados em um segundo teste foram caracterizados segundo algumas variáveis demográficas e socioeconomicas, tendo sido identificados seus fatores de risco e as causas determinantes de sua não-detecção na triagem clínica (TC). Estudaram-se também o comportamento de doadores em relação a auto-exclusão confidencial (AEC) e os fatores determinantes desse comportamento. Participaram da pesquisa 106 doadores, predominantemente do sexo masculino e casados, com menos de 40 anos de idade e baixa escolaridade. Eram principalmente doadores de primeira vez, procedentes de Ribeirão Preto e da região de Ribeirão Preto e pertencentes aos estratos econômicos C e D. As frequencias de marcadores sorologicos positivos encontradas foram: 0,07% para o HBsAg; 0,03% para o anti-HIV; 0,13% para o VDRL; 0,21 para o anti-HCV. Cerca de 40% dos participantes assumiram ter omitido fatores de risco na TC. Os motivos mencionados foram: não se sentir a vontade para falar ou não achar relevante fazê-lo; confiar totalmente nos exames; ter como objetivo conhecer sua condição sorológica; encontrar problemas relacionados a entrevista/triador; não confiar no sigilo das informações; sentir constrangimento diante de acompanhantes. Apenas 1,9% dos participantes utilizaram a AEC, e as justificativas alegadas foram: estar se sentindo bem e, por isso, não julgar necessário; não se considerar de risco;não achar que tivesse mentido na entrevista. Os achados indicam a necessidade de mudar a abordagem dos doadores na TC, de rever os procedimentos de captação de doadores e de reavaliar profundamente os procedimentos de orientação/conscientização dos candidatos a doação, procurando tornar esses procedimentos mais eficazes. / One of the main concerns related to the safety of transfusion is the possibility of diseases/infections transmitted through blood transfusion,amongst which we may include B and C hepatitis, HIV and syphilis.This paper aimed at studying the donors who have undergone the pre-donation selection at Blood Center of Ribeirao Preto and have presented positive serological results for theses diseases/infections.We have studied the frequency of positive results amongst the individuals who have donate blood at Blood Center of Ribeirao Preto and at the Central Collection Unit, from July 1st 2005 to July 31st 2006. The individuals who have had their positive serological results confirmed at a second test were classified according to demographic and socioeconomic variables, the risk factors present amongst them were identified, as well as the determinant causes for detection failure at the clinical screening. A study on the donors\' behavior towards the confidential self-exclusion process and the determinant factors that caused such behavior was also carried out. The research reached 106 donors, most of whom were males, married, under 40 and with low level of education. Most of them were first-time donors from the City of Ribeirão Preto and surrounding towns, belonging to the C and D economic classes. The frequencies of the serological markers were: 0,07% to HbsAg; 0,03% to anti-HIV; 0,13% to VDRL; 0,21 to anti-HCV. Around 40% of the participants affirmed having omitted risk factors at the clinical screening (CS). The reasons mentioned were the following: feeling unease to talk about it or not finding it relevant; relying completely on test results; having the aim of being aware of their real serological condition; issues related to the interview or screener; lack of trust in the confidentiality of the information he/she would give; feeling constrained in the presence of their companions. Only 1.9% of the participants used the confidential self-exclusion process, and the reasons given as justifications were: being feeling well and therefore not finding it necessary; not considering himself/herself a risk; not agreeing that he/she had lied during the interview. The findings indicate the necessity of changes as to the approach to donors at the CS, the need of a review of the procedures carried out to motivate people to become donors, and a deep revaluation of the procedures for orientation/awareness by candidates as to donation, aiming at turning them more effective.

Uma das maiores preocupações relacionadas a segurança transfusional é a possibilidade de transmissão de doenças infecciosas atraves de sangue transfundido, entre as quais se encontram as hepatites B e C, o HIV e a sífilis. Este trabalho teve como objetivo estudar doadores que passaram pelo processo de seleção pré-doação no Hemocentro de Ribeirão Preto e apresentaram resultados de testes sorológicos positivos para essas doenças/infecções.Estudou-se a frequencia dos resultados positivos entre os individuos que doaram sangue no hemocentro de Ribeirão Preto ou em seu posto de Coleta Central,de 1o.de julho de 2005 a 31 de julho de 2006. Os indivíduos com resultados sorológicos positivos confirmados em um segundo teste foram caracterizados segundo algumas variáveis demográficas e socioeconomicas, tendo sido identificados seus fatores de risco e as causas determinantes de sua não-detecção na triagem clínica (TC). Estudaram-se também o comportamento de doadores em relação a auto-exclusão confidencial (AEC) e os fatores determinantes desse comportamento. Participaram da pesquisa 106 doadores, predominantemente do sexo masculino e casados, com menos de 40 anos de idade e baixa escolaridade. Eram principalmente doadores de primeira vez, procedentes de Ribeirão Preto e da região de Ribeirão Preto e pertencentes aos estratos econômicos C e D. As frequencias de marcadores sorologicos positivos encontradas foram: 0,07% para o HBsAg; 0,03% para o anti-HIV; 0,13% para o VDRL; 0,21 para o anti-HCV. Cerca de 40% dos participantes assumiram ter omitido fatores de risco na TC. Os motivos mencionados foram: não se sentir a vontade para falar ou não achar relevante fazê-lo; confiar totalmente nos exames; ter como objetivo conhecer sua condição sorológica; encontrar problemas relacionados a entrevista/triador; não confiar no sigilo das informações; sentir constrangimento diante de acompanhantes. Apenas 1,9% dos participantes utilizaram a AEC, e as justificativas alegadas foram: estar se sentindo bem e, por isso, não julgar necessário; não se considerar de risco;não achar que tivesse mentido na entrevista. Os achados indicam a necessidade de mudar a abordagem dos doadores na TC, de rever os procedimentos de captação de doadores e de reavaliar profundamente os procedimentos de orientação/conscientização dos candidatos a doação, procurando tornar esses procedimentos mais eficazes. / One of the main concerns related to the safety of transfusion is the possibility of diseases/infections transmitted through blood transfusion,amongst which we may include B and C hepatitis, HIV and syphilis.This paper aimed at studying the donors who have undergone the pre-donation selection at Blood Center of Ribeirao Preto and have presented positive serological results for theses diseases/infections.We have studied the frequency of positive results amongst the individuals who have donate blood at Blood Center of Ribeirao Preto and at the Central Collection Unit, from July 1st 2005 to July 31st 2006. The individuals who have had their positive serological results confirmed at a second test were classified according to demographic and socioeconomic variables, the risk factors present amongst them were identified, as well as the determinant causes for detection failure at the clinical screening. A study on the donors\' behavior towards the confidential self-exclusion process and the determinant factors that caused such behavior was also carried out. The research reached 106 donors, most of whom were males, married, under 40 and with low level of education. Most of them were first-time donors from the City of Ribeirão Preto and surrounding towns, belonging to the C and D economic classes. The frequencies of the serological markers were: 0,07% to HbsAg; 0,03% to anti-HIV; 0,13% to VDRL; 0,21 to anti-HCV. Around 40% of the participants affirmed having omitted risk factors at the clinical screening (CS). The reasons mentioned were the following: feeling unease to talk about it or not finding it relevant; relying completely on test results; having the aim of being aware of their real serological condition; issues related to the interview or screener; lack of trust in the confidentiality of the information he/she would give; feeling constrained in the presence of their companions. Only 1.9% of the participants used the confidential self-exclusion process, and the reasons given as justifications were: being feeling well and therefore not finding it necessary; not considering himself/herself a risk; not agreeing that he/she had lied during the interview. The findings indicate the necessity of changes as to the approach to donors at the CS, the need of a review of the procedures carried out to motivate people to become donors, and a deep revaluation of the procedures for orientation/awareness by candidates as to donation, aiming at turning them more effective.

With the advent of the internet, the opportunity to gamble for money is no longer limited by opening hours or that gambling is only available in specific places, which has meant that more and more people have developed an unhealthy relationship with gambling. Having an unhealthy relationship with gambling can have several negative consequences. To address this problem, relatively new legislation has been introduced in Sweden. According to the new legislation, all companies with a Swedish gambling license must implement responsible gambling tools. The purpose of these tools is to encourage users to play in a healthy manner. The results in existing research and literature on responsible gambling tools are contradictory, but in general it has emerged that responsible gambling tools have a low impact, especially among the players who have the greatest need for them, as they do not use the tools in a proper way. This study aims to investigate why responsible gambling tools have low impact among players with gambling problems. The study has a qualitative research approach with semi-structured interviews as a method for data collection. With this as a starting point, eight semi-structured interviews were conducted in which the informant was asked to explain opinions and perceptions about gambling responsible tools. The interviews were analyzed through a thematic analysis, which resulted in seven themes that individually and together can explain the study's purpose. The themes the study found were interpretable legislation, unlicensed gambling, lack of standardization, lack of centralization, lack in user knowledge, lack in provided information and a lack in self-exclusion tools. This study also develops the general knowledge of what the view of responsible gambling tools looks like from the various actors. The themes presented will also be a contribution, that can be used in future research and continued development of responsible gambling tools. / I och med internets framväxt är möjligheten att spela om pengar inte längre begränsad av öppettider eller av specifika platser, vilket medfört att allt fler har utvecklat ett osunt förhållande till spel. Att ha ett osunt förhållande till spel om pengar kan få negativa konsekvenser. För att bemöta detta problem har en relativt ny lagstiftning införts. Alla bolag med svensk spellicens måste enligt den nya lagstiftningen implementera så kallade spelansvarsverktyg. Syftet med dessa verktyg är att uppmuntra användarna att spela på ett sunt sätt. Tidigare forskningsstudier och litteratur om spelansvarsverktyg är motsägelsefulla, men generellt har det framkommit att spelansvarsverktyg har en liten effekt speciellt på de individer som har störst behov av dem, då dessa inte använder spelansvarsverktygen.  Denna studie avser att undersöka varför spelansvarsverktyg har liten effekt på spelare med spelproblem. Studien har en kvalitativ forskningsansats med semistrukturerade intervjuer som metod för datainsamling. Med detta som utgångspunkt genomfördes åtta semistrukturerade intervjuer där informanterna ombads redogöra för åsikter och uppfattningar om spelansvarsverktyg. Resultatet har analyserats genom en tematisk analys som resulterat i sju teman som var för sig och tillsammans förklarar studiens syfte och frågeställning. De sju teman var: icke licensierade spel, bristande lagstiftning, avsaknad av centralisering, avsaknad av standardisering, brister i användarkunskapen, avsaknad av information och brist i självuteslutning. Denna studie bidrar också med kunskap om hur de olika aktörerna ser på spelansvarsverktyg. De presenterade temana blir således ett bidrag som kan användas i framtida forskning och fortsatt utveckling av spelansvarsverktyg