[Accidental intoxication of the infant-juvenile population in households: profiles of emergency care]. / Intoxicação acidental na população infantojuvenil em ambientedomiciliar: perfil dos atendimentos de emergência.

OBJECTIVE: Analyzing profiles of intoxication and accidental poisoning of infant-juvenile population (0-24 years) in the household, treated at a reference facility for Emergency and Primary Care, during the year 2013. METHOD: A descriptive, cross-sectional study. Data were analyzed using Epi-Info, by way of simple and bivariate analyzes. The project was approved by the Research Ethics Committee (protocol 405.578). RESULTS: There were 45 intoxications, with a prevalence of males (60.0%), aged 1-4 years (71.1%). Among children under one, there was a higher frequency of pesticide poisoning (66.6%), between the ages of 1-4 by cleaning products (34.4%), and between 5-9 years of age by pharmacological substances (66.6%). The primary assistance was provided only at health institutions, with hospital admissions in 24.4% of the cases. CONCLUSION: The importance of prevention through legislation is evident, in order to ensure greater safety in packaging of various products, and community awareness to eliminate risks in the household environment.

[Vulnerability during adolescence: the experience and the expression of the adolescent]. / Vulnerabilidade na adolescência: a experiência e expressão do adolescente.

This cross-sectional quantitative study aims to identify situations of vulnerability experienced by adolescents of public secondary schools in Cuiabá, state of Mato Grosso, Brazil, during the second semester of 2009. A closed questionnaire was used in the research. The results show that 10.5% of the boys and 5.8% of the girls had already used illegal drugs at the age of 15--cocaine (28.9%) and marijuana (15.7%) were the most reported; and that 45.2% of the boys and 52.4% of the girls drink alcoholic beverages, beer being the most common. Among self-declared smokers (16.0%), the majority began smoking at the age of 15. Sexual violence was reported, but only 33.3% of the boys and 25.0% of the girls sought help. Fear and shame were the reported reasons for not seeking help. The need for specific prevention and treatment services for adolescents in vulnerable situations stands out, in view of the occurrence and the consequences of this kind of harm.

[Maltreatmens against children and teenagers]. / Maus tratos contra crianças e adolescents.

The maltreatments against children and adolescents are admitted as a crescent phenomenon in world, but its knowledge are in building process due to its complexity. This study show a revising the literature with aims know and publicise epidemiological data about the violence against children and adolescents, discuss the knowledge about magnitude of this violence, the related factors and the consequences for victims. The literature show the range and magnitude violence against children and adolescents. Furthermore, studies reinforce the importance of recognizing the nature and reality of these events to form a diagnosis that helps elaborate and accomplish specific prevention and intervention policies.

[Accidental poisoning among children and adolescents in a county in southern Brazil]. / Envenenamentos acidentais entre menores de 15 anos em município da Região Sul do Brasil.

This study analyzes the characteristics of accidental poisoning among children and young adolescents (< 15 years) in Londrina, Paraná State, Brazil, in 2001. Data were obtained from patient records in general hospitals, the local Poison Control Center, and the municipal Mortality Information Center. There were 473 cases of poisoning, with an incidence rate of 339.8 per 100,000, 58.5% due to poisonous substances and 39% due to venomous animals and plants. Increased risk was observed in the 1-3-year age group, due to poisonous substances. Medications (47.5%), pesticides (14.1%), and cleaning products (11.3%) were the main substances involved (284 cases), and 17.2% of children were hospitalized. Among 189 cases of contact with venomous animals and plants, caterpillars (29.1%), bees (25.9%), and spiders (22.8%) were the main agents, with a 1.1% hospitalization rate. Incidence of poisoning is high, and there are important differences in the types of agents involved according to age group, which may help orient the prevention of such accidents.

[Accidents in childhood and adolescence: a bibliographic review]. / Acidentes na infância e adolescência: uma revisão bibliográfica.

This study aims at reviewing the literature on accidents among young under the age of 15. Throughout Brazil, lesions and poisonings are responsible for 5 to 6 percent of total internments by the National Health System (SUS), generating 8 percent of the total hospital internment expenses. Sweden and Italy are the countries that have the lowest mortality rates related to external causes among youngsters under the age of 15. The rates of Denmark, Germany and Japan are regarded as intermediate. France, Belgium, Austria and Canada are regarded as countries with high mortality rates related to external causes among youngsters under the age of 15. Brazil together with the United States, Portugal, Mexico and Korea are considered countries with very high mortality rates related to childhood accidents, needing preventive actions. Furthermore, studies reinforce the importance of recognizing the nature and reality of childhood accidents in order to form a diagnosis that helps elaborate and accomplish specific prevention policies.

[Epidemiology of accidents and violence against children in a city of Southern Brazil]. / Epidemiologia dos acidentes e violências entre menores de 15 anos em município da região sul do Brasil.

This study aimed to analyze the epidemiological characteristics of accidents and violence against children under 15 years old who lived in Londrina, a city in the South of Brazil, in 2001. Morbidity data were collected from general hospitals records and mortality data were obtained from the Municipal Mortality Information Center. A total of 8,854 children were studied, which corresponded to an incidence rate of 74.8/1,000 children. Admission and fatality rates were 4.2% and 0.2%, respectively. The incidence rate was higher among two-year olds (109/1,000) and male victims prevailed (60.7%). Other causes of injuries were the main subtype of external cause (61.0%), followed by events of undetermined intention (30.6%) and by transport-related injuries (7.5%). The head was the most affected body part (34.9%) and superficial injuries were the most frequent kind of trauma (32.4%). The results contribute to the planning of injury control and prevention actions.

[Accidents and violence in childhood and adolescence: risk and protective factors]. / Acidentes e violências na infância e adolescência: fatores de risco e de proteção.

Singled out by statistics as the third leading cause of mortality in our country, external causes (accidents and violence) entail a great impact with economic, social and emotional rebound. Knowing the factors related to the event is essential, because it allows identifying and breaking the web that determines morbidity and mortality from external causes. The study aims to analyze the existing publications on the factors associated with accidents and violence, in order to provide theoretical support for professionals in their practices. This is a bibliographical study of the Liliacs, Medline and Scielo databanks. The knowledge of the risk and protection factors discussed in the present study enables subsidize the practice of social actors engaged in transforming the conditions that lead to accidents and violence.

Circumstances and factors associated with accidental deaths among children, adolescents and young adults in Cuiabá, Brazil.

CONTEXT AND OBJECTIVE Analysis on accidents from the perspective of population segments shows there is higher incidence among children, adolescents and young adults. Since the characteristics and circunstances of the event are closely related to educational, economic, social and cultural issues, identifying them may contribute towards minimizing the causes, which are often fatal. The aim here was to identify the environmental, chemical, biological and cultural factors associated with deaths due to accidents among children, adolescents and young adults in Cuiabá, in 2009. DESIGN AND SETTING This was a descriptive cross-sectional study conducted in Cuiabá, Mato Grosso, Brazil. RESULTS Thirty-nine accidental deaths of individuals aged 0 to 24 years were examined: 56.4% due to traffic accidents; 25.6%, drowning; 10.3%, aspiration of milk; 5.1%, falls; and 2.6%, accidentally triggering a firearm. Male victims predominated (82.1%). The presence of chemical, environmental and biological risk factors was observed in almost all of the homes. Regarding cultural factors and habits, a large proportion of the families had no idea whether accidents were foreseeable events and others did not believe that the family's habits might favor their occurrence. Delegation of household chores or care of younger siblings to children under the age of 10 was common among the families studied. CONCLUSION The results point towards the need to have safe and healthy behavioral patterns and environments, and to monitor occurrences of accidents, thereby structuring and consolidating the attendance provided for victims.

Deaths from external causes in Cuiabá, 0 a 24 years: Profile of victims and families according to intentionality.

In view of the importance of knowing the circumstances associated with external causes (accidents and violence), this study analyzes the profile of the victims and their families as to the intentionality of the event (intentional or accidental). Cross-sectional study, which population comprise children, adolescents, and young people (age 0 to 24) who lived in Cuiabá, MT, and died from external causes in 2009. The data, processed by the Epi-Info software, were taken from the Declarations of Death and interviews with the families of the victims. The nonparametric chi-square test showed statistically significant differences between accidental and intentional deaths by sex and the type of accident or violence, the occurrence of the previous event external cause, parental education, family type, income, responsible for supporting the house, mother's age and caregiver. Among the victims, male participation (88.7 %) stands out compared to female (11.3 %). 50.0% of the deaths of females were accidental and 50.0% intentional; 68.2% of the deaths of males were intentional, 29.1% accidental and 2.7% from undetermined intent. Among the intentional deaths, 72.5% of the victims had already suffered violence. As the degree of instruction of the parents increases, intentional deaths decrease. The proportion of reconstituted/fragmented families is higher for fatal accidents. Intentional causes increase as family income decreases and the age of the parents increases. The agglomeration of people in the homes is higher for intentional deaths. Analizing the profiles of families and victims as to the intentionality of the event allows directing local prevention and control policies.

[Immunization status of risk newborns and difficulties experienced by mothers]. / Situação vacinal de recém-nascidos de risco e dificuldades vivenciadas pelas mães.

Among newborns at risk, immunization becomes relevant due to its preventive characteristic. The research aimed to analyze the vaccination status of newborns at risk of Cuiabá-MT, as well as satisfaction and difficulties of mothers regarding immunization. This is descriptive study, quantitative, with 113 newborns at risk, selected by the Statement of Live Birth: 25.7% had delayed immunization, being the lack of vaccine at the Health Unit (50.0%) the reason most often reported. Of the children with delayed immunization, 65.5% had more than one vaccine late, 100% had weight less than expected, 75.9% were accompanied in their growth and development by the Health Unit, 69.0% had an episode of illness in the six first months of life, 41.4% of mothers were under 18 years. The mothers reported more difficulties to the immunization service. We emphasize the importance of strategies to improve the quality of care, structure of health services, reception and professional preparation.

Óbitos por violência na capital de Mato Grosso, Brasil: circunstâncias e fatores associados / Deaths from violence in the capital city of Mato Grosso state, Brasil: associated factors and circumstances / Muertes por violencia en la capital del estado de Mato Grosso, Brasil: las circunstancias y los factores asociados

Atualmente, a violência constitui-se grande desafio para o setor saúde, em que crianças, adolescentes e jovens têm sido reconhecidos como grupos etários de maior vulnerabilidade, o que desperta para a necessidade de entendimento das circunstâncias e dos fatores de risco neste grupo específico. O estudo teve o objetivo de identificar os fatores associados aos óbitos por violência ocorridos na capital de Mato Grosso, em 2009, no grupo de 0 a 24 anos de idade. A metodologia adotada foi o inquérito domiciliar, cujos dados foram analisados pelo EpiInfo, sendo o valor de p considerado de <0,05 para significância estatística. Foram estudados 82 óbitos: 73 por agressão (89,0%), 7 por lesão autoprovocada (8,5%) e 2 por intervenção legal (2,4%). Os resultados mostraram: quanto às vulnerabilidades, maternidade na adolescência, sobrecarga de papéis maternos, consumo de álcool e drogas, conflitos familiares, episódios de violência e morte anterior por violência na família; quanto aos fatores de proteção, o acesso à rede de saúde foi relatado como afirmativo. Concluiu-se que a presença de situações de vulnerabilidade e a ausência de fatores de proteção, bem como a concepção sobre a forma de educar os filhos, apontaram para a fragilidade das famílias estudadas no que se refere à violência.

Currently, violence constitutes a great challenge for the health sector, as children, adolescents and young people have been recognized as the most vulnerable age groups, which points at the importance of understanding the circumstances and the risk factors for this particular group. The study sought to identify factors associated with violent deaths in the capital of Mato Grosso, in 2009, from the group 0-24 years of age. It was adopted a household survey, whose data were analyzed using EpiInfo, with the value of p considered <0.05 for statistical significance. 82 deaths were studied: 73 by aggression (89.0%), 7 by self-harm (8.5%) and 2 by legal intervention (2.4%). Results show: regarding vulnerabilities, teenage motherhood, maternal roles overload, use of alcohol and drugs, family conflicts, previous episodes of violence and death from violence in the family; regarding protective factors, access to health care services was reported as affirmative. In conclusion, the presence of vulnerability situations and the absence of protective factors, as well as the conception on how to raise children, pointed to the fragility of the families studied regarding violence.

Actualmente, la violencia constituye un gran desafío para el sector de la salud, en que los niños, adolescentes y jóvenes han sido reconocidos como los grupos de edad más vulnerables, lo que despierta para la importancia de comprender las circunstancias y los factores de riesgo en este grupo particular. El estudio trató de identificar los factores asociados a las muertes violentas, que se produjeron en la capital de Mato Grosso, en 2009, en el grupo de 0-24 años de edad. La metodología adoptada fue la encuesta de hogares, cuyos datos fueron analizados utilizando EpiInfo, con el valor de p considerado <0,05 para la significación estadística. Se estudiaron 82 muertes: 73 por agresión (89,0%), 7 de autolesiones (8,5%) y 2 por intervención legal (2,4%). Los resultados mostraron: en cuanto a las vulnerabilidades, maternidad adolescente, sobrecarga de la ocupación materna, consumo de alcohol y drogas, conflictos familiares, episodios de violencia y muerte anterior a causa de la violencia en la familia; en cuanto a los factores de protección, el acceso a los servicios de salud fue reportado como afirmativo. Concluyese que la presencia de situaciones de vulnerabilidad y la ausencia de factores de protección, así como la concepción de cómo criar a los niños, apuntan a la fragilidad de las familias estudiadas en relación con la violencia.

Queimaduras domésticas na população infantojuvenil: atendimentos de urgência e emergência / Domestic burns among children, adolescents and young adults: urgency and emergency cases

Estudo cujo objetivo foi analisar as queimaduras domiciliares decorrentes de exposição à corrente elétrica/radiação/temperatura, fumaça/fogo/chamas e contato com fonte de calor/substâncias quentes, em vítimas crianças, adolescentes e jovens, atendidos em serviço de urgência/emergência de referência. Estudo descritivo, transversal, com vítimas de queimaduras domiciliares (entre zero a 24 anos) atendidas por serviço de pronto-atendimento em uma capital do centro oeste brasileiro, no ano de 2013. Foram estudadas 84 vítimas de queimaduras domiciliares, prevaleceu o sexo feminino (59,5%) e a faixa etária de 1-4 anos (27,4%). As queimaduras mais frequentes foram por contato com fonte de calor/substâncias quentes (82,1%) e exposição à fumaça/fogo/chamas (15,5%). As regiões corpóreas mais atingidas foram cabeça, tronco, membros superiores e inferiores (90,5%) e prevaleceu a queimadura de segundo grau (40,5%). Queimaduras domiciliares atingem significativamente o público infantojuvenil com destaque para o sexo feminino, apontando para a importância de atividades preventivas e educativas direcionadas para as meninas.

The objective of this study was to analyze domestic burns caused by the exposure to electric current/radiation/temperature, smoke/fire/flames and contact with a source of heat/hot substances, in children, adolescents and young adults treated at an urgency/emergency service of reference. A descriptive, cross-sectional study was conducted with victims (0 to 24 years of age) of home burns treated at an urgency/emergency service of a capital city located in the center-west region of Brazil, in 2013. In total, 84 victims of home burns were studied, with prevalence of female victims (59.5%) and age group of 1-4 years of age (27.4%). The most frequent burns were caused by contact with a source of heat/hot substances (82.1%) and exposure to smoke/fire/flames (15.5%). The body areas most commonly affected by home burns were head, trunk, and upper and lower limbs (90.5%), with prevalence of second-degree burns (40.5%). Home burns significantly affect children, adolescents and young adults, particularly female subjects, highlighting the importance of providing preventive and educational activities to female victims.

Acidentes domiciliares por forças mecânicas animadas na população infantojuvenil / Home accidents due to exposure to animate mechanical forces amongst children and youth population / Accidentes domiciliarios debido a fuerzas mecánicas animadas en la población infanto-juvenil

Acidentes por mordeduras humanas, de animais e picadas de insetos em ambiente domiciliar são importantes causas de atendimentos hospitalares na população infantojuvenil (0-24 anos). Conhecer as circunstâncias que envolvem esses acidentes é essencial para traçar as medidas preventivas e intervenções. OBJETIVO: analisar o perfil de acidentes domiciliares causados por forças mecânicas animadas na população infantojuvenil, atendida por serviço público de referência em urgência e emergência, durante o ano de 2013. MÉTODO: estudo epidemiológico de corte transversal com coleta retrospectiva de dados e análise quantitativa. Foram analisadas as fichas de pronto-atendimento decorrentes de acidentes domiciliares por forças mecânicas animadas na população de zero a 24 anos durante o ano de 2013, atendidas por um hospital público de referência em urgência e emergência. Os dados foram digitados no programa EPIINFO e para análise foram utilizadas estatísticas simples e bivariadas. RESULTADOS: predomínio do sexo masculino (63,6%) e faixa etária de 1-9 anos (64,6%). A mordedura de cão representou 63,9% dos atendimentos. Entre crianças de 1-4 anos as lesões concentraram-se no segmento encefálico (62,5%) e entre 15-24 anos nos membros superiores. Houve alta em 97,0% dos atendimentos. CONCLUSÃO: evidenciou-se a importância de medidas preventivas para acidentes com forças animadas de forma que eliminem os riscos e torne o ambiente domiciliar seguro para o desenvolvimento de crianças, adolescentes e jovens.

Human, animal and insect bite accidents in the home are a major cause of hospital attendance amongst children and adolescents (0-24 years). Inorder to delineate preventive measures and interventions it is necessary to identify the circumstances surrounding such accidents. Objective: Toassess home accidents due to exposure to animate mechanical forces amongst children and youth population cared for at the emergency care unitof a public reference hospital during 2013. Method: Cross-sectional epidemiological study with retrospective data collection and quantitative analysis.The researchers analysed records of home accidents due to exposure to animate mechanical forces in the population aged 0-24 years throughout2013. The participants had been cared for at the emergency care unit of a public reference hospital. Data were entered in EPI program and analysedthrough simple and bivariate statistics. Results: most participants were male (63.6%), aged 1 to 9 (64.6%). Dog bites were observed in 63.9% of the cases. Head injuries were more common among children aged 1 to 4, whereas injuries to upper limbs were recorded mostly amongst those aged 15 to24 (62.5%). Hospital discharge happened in 97.0% of the cases. Conclusion: the researchers recommend preventive measures addressing this type ofaccidents in order to reduce the risks and ensure a safe home environment for the development of children and adolescents.

Las mordeduras humanas accidentales, de animales y las picaduras de insectos en el ambiente domiciliario son importantes causas de atenciónhospitalaria entre niños y adolescentes (0-24 años). Es esencial conocer las circunstancias en las cuales suceden tales accidentes para poderadoptar medidas preventivas y trazar las intervenciones necesarias. Este estudio busca evaluar el perfil de los accidentes domiciliarios causadospor fuerzas mecánicas animadas en la población infantojuvenil, atendidos por servicios públicos de referencia en emergencias durante 2013.Estudio epidemiológico de corte transversal con recogida de datos retrospectiva y análisis cuantitativa. Se consideraron las anotaciones del 2013 de un servicio público de emergencias referentes a dichos accidentes en la población mencionada. Los datos fueron introducidos en el programaEPIINFO y para su análisis se emplearon las estadísticas simples y bivariadas. Los resultados indicaron predominio masculino (63,6%) y de edadentre 1-9 años (64,6%). Las mordeduras de perros representaron un 63,9% de los casos. Entre los niños de 1 y 4 años las lesiones se concentraronen el segmento encefálico (el 62,5%) y entre los 15 y 24 años en los miembros superiores. En el 97.0% de los casos los pacientes tuvieron alta hospitalaria. Es evidente la importancia de las medidas preventivas para accidentes de fuerzas animadas con miras a eliminar los riesgos y aque el hogar sea un ambiente seguro para el desarrollo de niños y adolescentes.

Acidentes domiciliares por forças mecânicas inanimadas em crianças, adolescentes e jovens / Accidentes domésticos por fuerzas mecánicas inanimadas en niños, adolescentes y jóvenes / Domestic accidents by inanimate mechanical forces in children, adolescents and the young

RESUMO Analisar o perfil dos atendimentos de urgência e emergência decorrentes de acidentes domiciliares causados por forças mecânicas inanimadas na população infantojuvenil. Trata-se de um estudo transversal com coleta retrospectiva de dados. Foram analisadas fichas de atendimento decorrentes de acidentes domiciliares por forças mecânicas inanimadas em pessoas com idade até 24 anos, atendidas por um serviço público de referência em urgência e emergência, durante o ano de 2013. Foram estudados 526 acidentes. Entre as vítimas prevaleceu o sexo masculino (56,1%) e faixa etária de 1 a 4 anos (47,9%). O acidente de maior frequência foi penetração de corpo entranho em orifício natural, sendo em maior proporção nas crianças de 1 a 4 anos (71,0%). Evidenciou-se grande variedade de acidentes por forças mecânicas inanimadas no ambiente domiciliar e presença de sequelas físicas imediatas em 0,8% das vítimas. Destaca-se a importância da implementação de medidas preventivas, único meio de se reduzir o evento, as lesões e sequelas decorrentes.

RESUMEN Analizar el perfil de atención de urgência y emergência como resultado de accidentes domésticos causados por fuerzas mecánicas inanimadas en la población infantojuvenil. Se trata de un estudio transversal con la recogida de datos retrospectiva. Fueron analizados los registros de asistencia relativas a accidentes domésticos por fuerzas mecánicas inanimadas en la población infantojuvenil (0 a 24 años), atendidos por un servicio público de referencia en la atención de urgência y emergência, durante el año 2013. Se estudiaron 526 accidentes, entre las victimas prevaleció el sexo masculino (56,1%) y la edad de 1 a 4 años (47,9%). El accidente más frecuente fue la penetración de cuerpo extraño en orificio no natural, presentando mayor proporción en niños de 1 a 4 años (71,0%). Sin embargo, se mostró ampla variedade de accidentes por fuerzas mecánicas inanimadas en ambiente del hogar y presencia de secuelas en el 0,8% de las víctimas. Destaca la importancia de aplicar medidas preventivas, la única manera de reducir los eventos, las lesiones y secuelas que surjan.

ABSTRACT This study aimed to analyze the profile of urgent and emergency attendances resulting from domestic accidents caused by inanimate mechanical forces in the child and juvenile population. It is a transversal study with retrospective data collection. Records of attendance resulting from domestic accidents caused by inanimate mechanical forces, among people aged up to 24 years old, attended in a public center of excellence in urgent and emergency care during 2013, were analyzed. A total of 526 accidents were studied. Among the victims, there is a prevalence of males (56.1%) and an age range from 1 to 4 years old (47.9%). The most frequent accident was penetration of a foreign body in a natural orifice, the highest proportion being among children aged from 1 to 4 years old (71.0%). A wide variety of accidents caused by inanimate mechanical forces in the domestic environment was evidenced, as was the presence of immediate physical sequelae in 0.8% of the victims. Emphasis is placed on the importance of implementing preventive measures, the only means of reducing this event, the lesions and the resulting sequelae.

[Descriptive study of fall among children under the age of 15 in the municipality of Londrina (Paraná, Brazil)]. / Estudo descritivo de quedas entre menores de 15 anos no município de Londrina (PR, Brasil).

This study aims at analyzing, from the epidemiological point of view, occurrences of falls among children under the age of 15 who live in Londrina, Paraná, and were treated at emergency departments, hospitalized or passed away due to such event in 2001. Data were obtained from registries of general hospitals and from the Mortality Information Nucleus. 2,991 children victims of falls were analyzed, representing an incidence rate of 25.3 per 1000 children. Non-fatal hospitalization rate was 3.9%; one death occurred in an emergency department. The risk of suffering falls was higher among boys, except with children aged less than one year. Most frequently injured by falls were the groups of one year old (coefficient of 46.0 per 1000 children) and of two years old (coefficient of 38.4 per 1000 children). The most affected body region was head/neck (55.2%) and superficial traumatism was the most frequent kind of injury (46.4%). Falls occurred mainly from bed/cradle, furniture/couch, tricycle/skates, staircase/degrees, playground equipment, wall/gate/roof/balcony, hammock, tree and stroller. Findings show a high falls incidence among children and adolescents and contribute to increasing epidemiological knowledge of such events and so grounding the planning of preventive and control measures.

Accidental intoxication of the infant-juvenile population in households: profiles of emergency care / Intoxicación Accidental En La Población infanto-juvenil En Ambiente Domiciliario: Perfil De Las Atenciones De Emergencia / Intoxicação acidental na população infanto-juvenil em ambiente domiciliar: perfil dos atendimentos de emergência

OBJECTIVE Analyzing profiles of intoxication and accidental poisoning of infant-juvenile population (0-24 years) in the household, treated at a reference facility for Emergency and Primary Care, during the year 2013. METHOD A descriptive, cross-sectional study. Data were analyzed using Epi-Info, by way of simple and bivariate analyzes. The project was approved by the Research Ethics Committee (protocol 405.578). RESULTS There were 45 intoxications, with a prevalence of males (60.0%), aged 1-4 years (71.1%). Among children under one, there was a higher frequency of pesticide poisoning (66.6%), between the ages of 1-4 by cleaning products (34.4%), and between 5-9 years of age by pharmacological substances (66.6%). The primary assistance was provided only at health institutions, with hospital admissions in 24.4% of the cases. CONCLUSION The importance of prevention through legislation is evident, in order to ensure greater safety in packaging of various products, and community awareness to eliminate risks in the household environment. .

OBJETIVO Analizar el perfil de intoxicación y envenenamiento accidental en ambiente domiciliario en la población infanto-juvenil (0-24 años) atendida en un servicio de referencia en urgencia y emergencia, durante el año 2013. MÉTODO Estudio descriptivo, transversal. Los datos fueron valorados por Epi-Info, mediante análisis sencillos y bivariados. Aprobó el proyecto el Comité de Ética en Investigación (protocolo 405.578). RESULTADOS Hubo 45 intoxicaciones, de las que prevaleció el sexo masculino (60,0%) y edades entre 1-4 años (71,1%). Entre los menores de un año hubo mayor frecuencia de intoxicación por pesticidas (66,6%), entre 1-4 años por productos de limpieza (34,4%) y 5-9 años por farmacológicos (66,6%). La primera atención fue prestada solo en instituciones de salud, habiendo ingreso hospitalario en el 24,4% de los casos. CONCLUSIÓN Se evidencia la importancia de la prevención mediante legislación que asegure una mayor seguridad en los embalajes de diversos productos, además de la concientización de la comunidad, a fin de eliminar riesgos en el ambiente domiciliario. .

OBJETIVO Analisar o perfil de intoxicação e envenenamento acidental em ambiente domiciliar na população infanto-juvenil (0-24 anos) atendida em um serviço de referência em urgência e emergência, durante o ano de 2013. MÉTODO Estudo descritivo, transversal. Os dados foram analisados pelo Epi-Info, por meio de análises simples e bivariadas. O Projeto foi aprovado pelo Comitê de Ética em Pesquisa (protocolo 405.578). RESULTADOS Houve 45 intoxicações, das quais prevaleceu o sexo masculino (60,0%) e idades entre 1-4 anos (71,1%). Entre os menores de um ano houve maior frequência de intoxicação por pesticidas (66,6%), entre 1-4 anos por produtos de limpeza (34,4%) e 5-9 anos por farmacológicos (66,6%). O primeiro atendimento foi prestado apenas em instituições de saúde, havendo internação em 24,4% dos casos. CONCLUSÃO Evidencia-se a importância da prevenção através de legislação que garanta maior segurança em embalagens de diversos produtos, além da conscientização da comunidade para eliminar riscos no ambiente domiciliar. .

Características da violência sofrida por adolescentes escolares de uma capital brasileira / Characteristics of violence suffered by high school adolescents in a Brazilian state capital

Estudo transversal cujo objetivo foi descrever as características da violência sofrida por adolescentes do ensino médio da rede pública de ensino de uma capital do Brasil. Os dados correspondem a 456 adolescentes vítimas de violência, coletados por meio de questionário e processados pelo Epi-Info cujas análises consideraram valor de p<0,05. A maioria dos adolescentes foram meninas e as variáveis (sexo, faixa etária, vínculo com agressor, frequência/tempo de abuso, local de ocorrência e sua interrupção) variou conforme o tipo de violência (bullying, física, psicológica, ameaça, sexual, testemunho, assédio moral, cyberbullying, abandono, negligência, trabalho infantil e alienação parental). Os resultados representam o cenário da violência sofrida por adolescentes, uma realidade pouco conhecida e relatada aos órgãos oficiais, contudo, os dados descritivos representam apenas parte do problema, destacando a necessidade de desenvolver novos estudos que aprofundem nas diversas facetas da temática abordada e que sugiram novas medidas de enfrentamento da violência na adolescência.

The aims of this cross-sectional study was to describe the characteristics of violence suffered by high school adolescent students of public schools in a Brazilian state capital. The data correspond to 456 adolescent victims of violence, collected by means of a questionnaire and processed by Epi-Info, in which analyses considered a value of p<0.05. Most of the adolescents were girls and the variables (gender, age, relationship with aggressor, frequency/length of time of abuse, place of occurrence and its interruption) varied according to the type of violence (bullying, physical, psychological, threat, sexual, witness, harassment, cyber-bullying, abandonment, neglect, child labor and parental alienation). The results represent the scene of violence suffered by adolescents, a reality that is poorly known and reported to official bodies, however, the descriptive data represent only part of the problem, highlighting the need to develop new studies to further investigate the various facets of the theme and to suggest new measures for facing violence in adolescence.

Conhecimento de adolescentes do ensinomédio quanto aos métodos contraceptivos / School teenager knowledge on contraceptive methods

Atualmente, as questões relativas à contracepção na adolescência tornam-se relevantes, principalmente no que se refereao conhecimento dos adolescentes quanto ao seu uso. O estudo objetivou analisar o conhecimento sobre métodos contraceptivose seu uso entre adolescentes da rede pública de Cuiabá-MT. Estudo transversal quantitativo, realizado nos mesesde novembro a dezembro de 2013, com 691 adolescentes. Utilizou-se questionário com perguntas fechadas e múltiplasescolhas, os dados foram processados pelo programa Epi Info 3.5.2. A idade mais frequente de início da relação sexual foide 15 anos. Cerca de 1,4% dos entrevistados tem 1 ou mais filhos. Homens utilizam principalmente a camisinha masculina(52,8%), enquanto as mulheres combinam mais de 1 método (14,9%). Os déficits de conhecimento relacionado ao uso demétodos contraceptivos foram: camisinha masculina (19,3%); feminina (25,4%), anticoncepcional oral (30,7%); pílula dodia seguinte (28,8%); coito interrompido (41%) e tabelinha (33,8%). Os resultados chamam a atenção para a importância daefetivação de políticas públicas voltadas para o adolescente e a inserção de atividades de saúde no contexto escolar e social.

Currently, issues relating to contraception in adolescence become relevant, particularly as regards knowledge of adolescentsabout their use. The study aimed evaluation of the knowledge on contraceptive methods and their utilization amongadolescents of the secondary grade of public schools in Cuiaba-MT. Quantitative transversal study, conducted in the monthsof November to December 2013, with 691 teenagers. They were interviewed with closed questions / multiple choicequestionnaires. Data were analyzed with Epi Info 3.5.2 statistics software. The major age for sexual initiation was 15 years.About 1.44% of the teenagers interviewed have 1 or more children. Men make use principally of male condoms (52.8%),while women usually combine more than 1 method (14.9%). The commonest errors on answering how to use contraceptivemethods were related to: male condoms (30.7%), female condoms (25.4%), hormonal pills (30.7%), morning-after pills(28.8%), coitus interruptus (41%) and calendar-based abstinence (33.8%). Results call attention to the high importanceof public health efforts targeted to the adolescents and the insertion of health services in the school/social environments.

Neonatos de risco: avaliação das famílias sobre os atendimentos em situações cotidianas e de alteração na saúde / Neonate risk: assessing families on the daily attendance in situations and chage in health

Avaliar, na opinião das mães de recém-nascidos de risco, os serviços de saúde acessados e o atendimento recebido nas situações cotidianas e nas alterações de saúde do neonato. Estudo descritivo, cuja população foi composta por neonatos de risco nascidos em Cuiabá, selecionados a partir da Declaração de Nascido Vivo, de acordo com os critérios de classificação definidos pelo Ministério da Saúde para recém-nascido de risco, com realização de inquérito domiciliar após seis meses do nascimento. Para análise dos dados utilizou-se o EpiInfo. Das 113 crianças estudadas: 73,8% faziam acompanhamento do Crescimento e Desenvolvimento em Unidade Básica de Saúde; 38,9% necessitaram de atendimento de intercorrências nos seis primeiros meses de vida. As famílias classificaram o atendimento na UBS como regular (33,6%), assim como o agendamento de consultas, encaminhamentos e marcação de exames. Grande parte (50,4%) tem dificuldade no acesso à UBS, destacando-se a superlotação, horário restrito de atendimento, longo tempo de espera na unidade para concluir o atendimento, demora em ser atendido e falta de médico. Discussões sobre o acompanhamento dos recém-nascidos de risco nas unidades básicas de saúde são necessárias a fim de subsidiar estratégias e políticas que possam reverter as dificuldades apontadas pela presente pesquisa.(AU)

To evaluate, in the opinion of the mothers of newborns at risk, health services accessed and care received in everyday situations and changes in the health of the newborn. A descriptive study, quantitative, whose population was composed of risk newborns born in Cuiabá, selected from the Statement of Live Birth, according to the classification criteria defined by the Ministry of Health for newborn risk, who carried out a household survey after six months of birth. For data analysis we used the EpiInfo. Of 113 children studied, 73.8% made up of Growth and Development in the Basic Health Unit - UBS, 38.9% needed care for complications in the first six months of life. The families classify as regular attendance at UBS (33.6%), as well as appointment scheduling, referrals and marking examinations. Most (50.4%) have difficulty in access to UBS, especially overcrowding, limited hours of service of UBS, long stay in the unit to complete the service, delay in being serviced and lack of medical attention. Discussions on monitoring of newborns at risk in the basic health are required in order to support strategies and policies that can reverse the difficulties highlighted by this research.(AU)

Evaluar, en opinión de las madres de los recién nacidos em riesgo, los servicios de salud accesibles y la atención recibida em las situaciones cotidianas y los cambios sin la salud del recién nacido. Estudio descriptivo, de análisis cuantitativo, cuya población se compone de los recién nacidos de riesgo nacidos en Cuiabá, seleccionados de la declaración de nacimiento vivo, de acuerdo com los criterios de clasificación definidos por el Ministerio de Salud para el riesgo de recién nacido, que llevó a cabo una encuesta de hogares después de los seis meses de nacimiento. Para análisis de los datos se utilizó el programa EpiInfo. De los 113 niños estudiados, el 73,8% formado por el crecimiento y el desarrollo en la Unidad Básica de Salud, el 38,9% con la atención necesaria para las complicaciones en los primeros seis meses de vida. Las familias clasifican como la asistencia regular a UBS (33,6%), así como la programación de citas, referencias y exámenes de marcado. La mayoría (50,4%) tienen dificultades en el acceso a UBS, en especial el hacinamiento, las horas limitadas de servicio, larga estancia en la unidad para completar el servicio, la demora en ser atendidos y la falta de atención médica. Los debates sobre el seguimiento de los recién nacidos em riesgo em la salud básica se requieren com el fin de apoyar las estrategias y políticas que puedan revertir las dificultades señaladas por esta investigación.(AU)

Cases of fatal accidents and violence among children, adolescents and young people: perception of the family and associated factors / Casos fatais de acidentes e violências entre crianças, adolescentes e jovens: percepção da família e fatores associados

Hundreds of children and young people die from fatal accidents or violence every year and others suffer the consequences of non-lethal lesions. Knowing the associated factors is essential for moving forward in the control of these events. The study analysed the families' perception and factors associated with deaths due to external causes of children, adolescents and young people. Cross-sectional study from deaths from accidents and violence in the age group of 0 to 24 years in the city of Cuiabá- State of Mato Grosso, followed by a domestic survey with the families. The families could not tell whether the accident/violence was a foreseeable event and do not believe that habits/lifestyle have favoured the occurrence. Intentional deaths showed a greater association with factors: maternity/paternity in adolescence, role overload of the mother, consumption of alcohol/drugs, family conflicts and prior deaths from external cause. Feelings of appreciation (study, housing, work, and whether the victim's pregnancy has been desired) were positive in a higher proportion among cases at which the victims died in an accident. The families had easy access to health care services; however, it was difficult to access the network of social and religious support. Associated factors differ according to the intentionality of the event.

Anualmente, milhares de crianças e jovens morrem anualmente de acidente ou violência e milhões sofrem as consequências de lesões não fatais. Conhecer os fatores associados é essencial para que se avance no controle desses eventos. O estudo analisou a percepção das famílias e os fatores associados com os óbitos por causas externas de crianças, adolescentes e jovens. Estudo transversal a partir dos óbitos por acidente e violência, de 0 a 24 anos de idade, em Cuiabá­Mato Grosso, seguida de inquérito domiciliar com as famílias. As famílias não souberam responder se o acidente/violência constituiu-se evento previsível e não acreditam que os hábitos/estilo de vida favorecem a ocorrência destes. As mortes intencionais apresentaram maior associação com os fatores: maternidade e paternidade na adolescência, sobrecarga de papéis da mãe, consumo de álcool/drogas, conflitos familiares e mortes anteriores por causa externa. Os sentimentos de valorização (estudo, moradia, trabalho e se a gravidez da vítima foi desejada) foram afirmativos com maior proporção entre as vítimas que faleceram por acidente. As famílias acessam facilmente os serviços de saúde, porém há dificuldade de acesso à rede de apoio social e religioso. Os fatores associados se diferenciam conforme a intencionalidade do evento.