O ambiente de abrigamento de crianças vítimas de violência

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Os modos contemporâneos de gestão do espaço urbano e a invenção de si

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Identificação das áreas com maior risco de morbimortalidade neonatal a partir de geoprocessamento

Pós-graduação em Saúde Coletiva - FMB

Tutela penal do embrião humano in vitro: uma releitura à luz da proteção jurídica das dimensões da vida

Pós-graduação em Direito - FCHS

Análise dos documentos utilizados na descredencialização das famílias de crianças em acolhimento institucional

O presente trabalho de pesquisa teve como objetivo analisar sob quais aspectos as famílias das crianças abrigadas foram avaliadas para que além do abrigamento, como medida protetiva, também se fizesse necessário o processo de destituição do poder familiar, a partir dos conteúdos encontrados nos documentos (prontuários) produzidos sobre as crianças e suas famílias. Teve como problema eixo a descredencialização das famílias que, por sua vez, ocasionou no processo de destituição do poder familiar, através da análise de conteúdo de três prontuários, cujas famílias já haviam perdido o poder familiar. Os documentos foram fotografados e em seguida digitalizados no computador, os dados analisados foram selecionados após uma leitura flutuante de todos os documentos, os componentes das mensagens analisadas foram agrupados em categorias, ou seja, foi realizada uma operação de classificação de elementos de conjunto por diferenciação (categorias molares) e posteriormente um reagrupamento por gênero (categorias moleculares) a partir do critério da semântica, que implica no agrupamento das categorias por tema, algumas regras foram seguidas a partir dos critérios de representatividade, homogeneidade e pertinência. Para a realização deste trabalho classificou-se a pesquisa, quanto a sua natureza, como qualitativa. Os dados foram analisados através da análise de conteúdo de Bardin (1979), compreendida como um conjunto de técnica de pesquisa cujo objetivo é a busca do sentido ou dos sentidos de um documento. O método de análise de conteúdo é balizado por duas fronteiras: de um lado a fronteira da linguística tradicional e do outro o território da interpretação do sentido das palavras (hermenêutica). É sob a fronteira da hermenêutica que os dados, desta pesquisa, foram analisados. Enquanto resultado foi possível constatar, a partir do discurso de proteção da infância em risco social, que a prática de institucionalização e de destituição do poder familiar, por vezes, é baseada na avaliação das ausências que cercam a família.

A identidade forjada pela mídia: expressões cotidianoas reveladas por jovens das classes populares em roteiros pelos metrôs de São Paulo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Apontamentos sobre as práticas psicológicas desenvolvidas nas entidades assistenciais que atendem a crianças e adolescentes pobres

Notes on the psychological practices developed in social work entities that serve poor children and adolescents We understand that psychology, along with Pedagogy is part of the assumptions that compose the multidisciplinary field that comprises the socioeducative action of social work entities that serve poor children and adolescents considered in “personal and social risk”. What kinds of Psychology practices could be found in these institutions? We find evidence that the age minority logic still in force in many social work entities - that implement predominantly disciplinary and repressive, correctional and shaping forms of care, - dispense with psychology as a social transformation practice. When we find professional psychologists in social work entities, it is not uncommon for them to develop extremely traditional, psychotherapeutic, patologization actions for the individual, and to promote actions of orthopedic behavior, and therefore they may be called "technicians of conduct." This psychology is not aligned with the citizen and empowering perspective proposed by the Statute of Children and Adolescent, based on the fundamental concept of the social subject of rights.

Interlocuções entre Psicologia e Direitos Humanos: práticas interventoras

This intervention research was developed with adolescents of an establishment of care for children and adolescents considered at personal and social risk, in a city located in the state of São Paulo. The care practices found in the mentioned establishment are aimed at “prevention” of children and adolescents who could become offenders or future criminals, since they are selected from the poorest families in the outskirts of the city where the institution is located. Our psychological practice reported here, however, was conceived and put into practice from the discussion on Human Rights and Citizenship which aims to afirm what is considered deviation from the norm, opening spaces for the difference in relation to otherness and to the policy statement of these bodies in the urban setting within which they are inserted.

As representações sociais de crianças em acolhimento institucional: proteção ou revitimização?

Pós-graduação em Serviço Social - FCHS

Fattori eziologici della Sindrome del Tunnel Carpale: una revisione sistematica con meta-analisi degli studi analitici

OBIETTIVO: sintetizzare le evidenze disponibili sulla relazione tra i fattori di rischio (personali e lavorativi) e l’insorgenza della Sindrome del Tunnel Carpale (STC). METODI: è stata condotta una revisione sistematica della letteratura su database elettronici considerando gli studi caso-controllo e di coorte. Abbiamo valutato la qualità del reporting degli studi con la checklist STROBE. Le stime studio-specifiche sono state espresse come OR (IC95%) e combinate con una meta-analisi condotta con un modello a effetti casuali. La presenza di eventuali bias di pubblicazione è stata valutata osservando l’asimmetria del funnel plot e con il test di Egger. RISULTATI: Sono stati selezionati 29 studi di cui 19 inseriti nella meta-analisi: 13 studi caso-controllo e 6 di coorte. La meta-analisi ha mostrato un aumento significativo di casi di STC tra i soggetti obesi sia negli studi caso-controllo [OR 2,4 (1,9-3,1); I(2)=70,7%] che in quelli di coorte [OR 2,0 (1,6-2,7); I(2)=0%]. L'eterogeneità totale era significativa (I(2)=59,6%). Risultati simili si sono ottenuti per i diabetici e soggetti affetti da malattie della tiroide. L’esposizione al fumo non era associata alla STC sia negli studi caso-controllo [OR 0,7 (0,4-1,1); I(2)=83,2%] che di coorte [OR 0,8 (0,6-1,2); I(2)=45,8%]. A causa delle molteplici modalità di valutazione non è stato possibile calcolare una stima combinata delle esposizioni professionali con tecniche meta-analitiche. Dalla revisione, è risultato che STC è associata con: esposizione a vibrazioni, movimenti ripetitivi e posture incongrue di mano-polso. CONCLUSIONI: I risultati della revisione sistematica confermano le evidenze dell'esistenza di un'associazione tra fattori di rischio personali e STC. Nonostante la diversa qualità dei dati sull'esposizione e le differenze degli effetti dei disegni di studio, i nostri risultati indicano elementi di prova sufficienti di un legame tra fattori di rischio professionali e STC. La misurazione dell'esposizione soprattutto per i fattori di rischio professionali, è un obiettivo necessario per studi futuri.

Endemic tuberculosis, the homeless, and public transportation: A merging of geographical information systems surveillance and the Houston Tuberculosis Initiative Surveillance project

To reach the goals established by the Institute of Medicine (IOM) and the Centers for Disease Control's (CDC) STOP TB USA, measures must be taken to curtail a future peak in Tuberculosis (TB) incidence and speed the currently stagnant rate of TB elimination. Both efforts will require, at minimum, the consideration and understanding of the third dimension of TB transmission: the location-based spread of an airborne pathogen among persons known and unknown to each other. This consideration will require an elucidation of the areas within the U.S. that have endemic TB. The Houston Tuberculosis Initiative (HTI) was a population-based active surveillance of confirmed Houston/Harris County TB cases from 1995–2004. Strengths in this dataset include the molecular characterization of laboratory confirmed cases, the collection of geographic locations (including home addresses) frequented by cases, and the HTI time period that parallels a decline in TB incidence in the United States (U.S.). The HTI dataset was used in this secondary data analysis to implement a GIS analysis of TB cases, the locations frequented by cases, and their association with risk factors associated with TB transmission. ^ This study reports, for the first time, the incidence of TB among the homeless in Houston, Texas. The homeless are an at-risk population for TB disease, yet they are also a population whose TB incidence has been unknown and unreported due to their non-enumeration. The first section of this dissertation identifies local areas in Houston with endemic TB disease. Many Houston TB cases who reported living in these endemic areas also share the TB risk factor of current or recent homelessness. Merging the 2004–2005 Houston enumeration of the homeless with historical HTI surveillance data of TB cases in Houston enabled this first-time report of TB risk among the homeless in Houston. The homeless were more likely to be US-born, belong to a genotypic cluster, and belong to a cluster of a larger size. The calculated average incidence among homeless persons was 411/100,000, compared to 9.5/100,000 among housed. These alarming rates are not driven by a co-infection but by social determinants. The unsheltered persons were hospitalized more days and required more follow-up time by staff than those who reported a steady housing situation. The homeless are a specific example of the increased targeting of prevention dollars that could occur if TB rates were reported for specific areas with known health disparities rather than as a generalized rate normalized over a diverse population. ^ It has been estimated that 27% of Houstonians use public transportation. The city layout allows bus routes to run like veins connecting even the most diverse of populations within the metropolitan area. Secondary data analysis of frequent bus use (defined as riding a route weekly) among TB cases was assessed for its relationship with known TB risk factors. The spatial distribution of genotypic clusters associated with bus use was assessed, along with the reported routes and epidemiologic-links among cases belonging to the identified clusters. ^ TB cases who reported frequent bus use were more likely to have demographic and social risk factors associated with poverty, immune suppression and health disparities. An equal proportion of bus riders and non-bus riders were cultured for Mycobacterium tuberculosis, yet 75% of bus riders were genotypically clustered, indicating recent transmission, compared to 56% of non-bus riders (OR=2.4, 95%CI(2.0, 2.8), p<0.001). Bus riders had a mean cluster size of 50.14 vs. 28.9 (p<0.001). Second order spatial analysis of clustered fingerprint 2 (n=122), a Beijing family cluster, revealed geographic clustering among cases based on their report of bus use. Univariate and multivariate analysis of routes reported by cases belonging to these clusters found that 10 of the 14 clusters were associated with use. Individual Metro routes, including one route servicing the local hospitals, were found to be risk factors for belonging to a cluster shown to be endemic in Houston. The routes themselves geographically connect the census tracts previously identified as having endemic TB. 78% (15/23) of Houston Metro routes investigated had one or more print groups reporting frequent use for every HTI study year. We present data on three specific but clonally related print groups and show that bus-use is clustered in time by route and is the only known link between cases in one of the three prints: print 22. (Abstract shortened by UMI.)^

Inequality, the Welfare State, and Demographic Change

This dissertation is a three-part analysis examining how the welfare state in advanced Western democracies has responded to recent demographic changes. Specifically, this dissertation investigates two primary relationships, beginning with the influence of government spending on poverty. I analyze two at-risk populations in particular: immigrants and children of single mothers. Next, attention is turned to the influence of individual and environmental traits on preferences for social spending. I focus specifically on religiosity, religious beliefs and religious identity. I pool data from a number of international macro- and micro-data sources including the Luxembourg Income Study (LIS), International Social Survey Program (ISSP), the World Bank Databank, and the OECD Databank. Analyses highlight the power of the welfare state to reduce poverty, but also the effectiveness of specific areas of spending focused on addressing new social risks. While previous research has touted the strength of the welfare state, my analyses highlight the need to consider new social risks and encourage closer attention to how social position affects preferences for the welfare state.

Crisis, educación y precariedad-afluencia. El rol de la educación en las condiciones de vida de la población española

El objeto de este artículo es estudiar la influencia del nivel educativo (capital cultural) en los procesos de precariedad-afluencia de la población española entre los años posteriores a la crisis de inicio de la década de 1990 y los años más duros de la crisis de 2007. A partir de los datos de las encuestas PHOGUE y ECV del Instituto Nacional de Estadística (INE) se han construido cuatro indicadores para medir la precariedad laboral, de ingresos, de salud y de vivienda y su distribución según distintas variables demográficas. Se pretende contrastar la hipótesis de que más educación significa más protección frente a la precariedad, estudiando diferentes condiciones de las condiciones de vida y existencia en momentos tanto de crecimiento como de crisis económica. Mediante un análisis multivariable se intenta determinar el nivel de impacto del capital cultural, alcance, evolución y, sobre todo, si sus efectos positivos o negativos están en proceso de expansión o desaceleración. El resultado tiene una doble aportación: de un lado, metodológica, consistente en la construcción de los indicadores; de otro lado, los resultados, con los que se puede reevaluar algunas generalizaciones sobre la pérdida de importancia del rol de la educación en las sociedades contemporáneas.

Estrutura de organizações sociais: adaptação aos projetos sociais ou às pressões institucionais?

This is a study concerning in the structure of non governmental organizations, based on the institutional theory. It aims to understand the relation among structure, social projects and environmental influences, analyzing if there is coherence with project social or expresses adaptation to the institutional pressures of the environment. It introduces as theoretical support for the themes, studies about institutional theory and social structure. The research is descriptive and exploratory; it also applies to a study of case, based on the technical procedures. From the research universe, that was compound by non governmental organizations from Natal, RN, Brasil, it was chosen the Casa Renascer, a non governmental organization that works with the combat to the violence and sexual exploration of children and teenagers. The data collection process employed includes documental research, observations and semi structured research devices, guided by the organizational process proposed by Serva (1996) and by the institutional theory. The collected data were qualitatively treated. The analysis was divided into three parts, following the research matters. The social project characterization demonstrated that the organization went by three main phases. The first one, characterized by focus in women and girls education and health; the second shows the emphasis on girls in social risk situation, with preventive approach; and the last one, characterized by victims assistance of violence and sexual exploration. From the analysis using the institutional theory mechanisms, the results showed that exists coherence between structure and environmental influences, but a weak coherence between structure and social projects. It indicates as main determinant of the structure, an aspect forgotten by the institutional theory, the power. It was observed the presence from normative, coercive and mimetic mechanisms, highlighting normative influences

Estrutura de organizações sociais: adaptação aos projetos sociais ou às pressões institucionais?

This is a study concerning in the structure of non governmental organizations, based on the institutional theory. It aims to understand the relation among structure, social projects and environmental influences, analyzing if there is coherence with project social or expresses adaptation to the institutional pressures of the environment. It introduces as theoretical support for the themes, studies about institutional theory and social structure. The research is descriptive and exploratory; it also applies to a study of case, based on the technical procedures. From the research universe, that was compound by non governmental organizations from Natal, RN, Brasil, it was chosen the Casa Renascer, a non governmental organization that works with the combat to the violence and sexual exploration of children and teenagers. The data collection process employed includes documental research, observations and semi structured research devices, guided by the organizational process proposed by Serva (1996) and by the institutional theory. The collected data were qualitatively treated. The analysis was divided into three parts, following the research matters. The social project characterization demonstrated that the organization went by three main phases. The first one, characterized by focus in women and girls education and health; the second shows the emphasis on girls in social risk situation, with preventive approach; and the last one, characterized by victims assistance of violence and sexual exploration. From the analysis using the institutional theory mechanisms, the results showed that exists coherence between structure and environmental influences, but a weak coherence between structure and social projects. It indicates as main determinant of the structure, an aspect forgotten by the institutional theory, the power. It was observed the presence from normative, coercive and mimetic mechanisms, highlighting normative influences