[The influence of family and peer violence in the practice of bullying among school adolescents]. / A influência da violência familiar e entre pares na prática do bullying por adolescentes escolares.

The objective of this study was to estimate the prevalence of bullies and identify factors related to bullying among high school students in Recife. This is an analytical cross-sectional epidemiological study, composed of a probabilistic sample by clusters of 1,402 students aged 15 to 19 years old, enrolled in the second year of high school in both public and private schools in Recife. In this work the bullying will be approached according to the Bioecological Theory of Human Development of Bronfenbrenner. Data were collected by means of a self-administered questionnaire about bullying and associated factors. Data analysis was conducted by the Pearson chi-square test with statistical significance of 0.05 and 95% Confidence Interval. To analyze associations, a multilevel modeling was employed and STATA version 12.0 software was used. The results showed a prevalence of 21.26% of bullying aggressors and the factors associated with the practice of bullying were violence suffered at school, violence between peers, as well as violence practiced by the mother and siblings. Hence, the results indicate that the violence suffered in the family and school context can have repercussions on the practice of bullying among adolescents.

O objetivo deste estudo foi estimar a prevalência de agressores de bullying e identificar os fatores relacionados a este comportamento em adolescentes escolares do Recife. Trata-se de um estudo epidemiológico de corte transversal analítico, composto por uma amostra probabilística por conglomerados de 1.402 estudantes de 15 a 19 anos matriculados no segundo ano do ensino médio de escolas públicas e privadas do Recife. Neste trabalho, o bullying será abordado segundo a teoria bioecológica do desenvolvimento humano de Bronfenbrenner. A coleta de dados ocorreu por meio de um questionário autoaplicável com questões sobre bullying e fatores associados. A análise dos dados foi constituída pela aplicação do teste qui-quadrado de Pearson, considerando significância estatística de 0,05 e intervalo de confiança de 95%. Para a análise das associações foi empregada a modelagem multinível e o software utilizado foi o STATA, versão 12.0. Os resultados mostraram prevalência de 21,26% de agressores de bullying e os fatores associados à essa prática foram as violências sofridas na escola e entre pares, bem como a violência praticada pela mãe e irmãos. Dessa forma, os resultados indicam que as violências sofridas no contexto familiar e escolar podem repercutir na prática do bullying entre adolescentes.

Prevalence and factors associated with bullying: differences between the roles of bullies and victims of bullying.

OBJECTIVE: To identify the differences between the prevalence and factors associated with involvement in bullying among schoolchildren from Recife, in the role of victim and perpetrator. METHOD: This is an epidemiological, cross-sectional, analytical study, with a probabilistic cluster sample of 1,402 students enrolled in high schools in Recife. Data analysis consisted of a descriptive analysis, followed by the application of Pearson's chi-squared test with statistical significance of 0.05 and 95% confidence interval. For the association analysis, multilevel modeling was used to control the cluster effect. RESULTS: It was observed that adolescents who feel different from other peers were associated with bullying, regardless of the role played. Being a victim was associated with being female, having low self-esteem, and using tranquilizers; being a transgressor was a protective factor. As for the role of perpetrator, being male, excessive alcohol consumption, having poor school performance, being a transgressor, and accepting peer violence were the associated variables; in turn, not defending their ideas when among friends showed to be a protective factor for bullying. CONCLUSION: The differences between the adolescents, whether in the role of victim or perpetrator, indicate that the advocacy and prevention actions should focus on these aspects, mainly in the school environment.

Parasymphyseal fracture associated with fracture of a maxillary primary molar in a child: case report.

Bone and posterior tooth fractures can be serious injuries that are difficult to diagnose, particularly in emergencies. The aim of this study was to report a case of a parasymphyseal fracture associated with the fracture of a maxillary primary molar in a child.

Foster care time and characteristics of adolescents under foster care by type of institutional services. Recife, Brazil, 2009-2013. / Tempo de acolhimento e características dos adolescentes acolhidos por tipo de serviços institucionais. Recife, Brasil, 2009-2013.

This study aimed to analyze foster care time and characteristics of adolescents in the institutional foster care services in the city of Recife. This is a descriptive study with a quantitative approach. The study population consisted of all adolescents under foster care in the city of Recife-PE, in the period 2009-2013. The information was retrieved by consulting the Individual Assistance Plans (IAP), with 1,300 analyzed plans. Variables were categorized and described from absolute and relative frequency. Pearson's chi-square test was used to verify the association between variables, with a significance level of 0.05. Three types of services were observed: for adolescents who are victims of violence and neglect; at-risk with/without drug use; and with special needs. A predominance of older male adolescents, with lower school attendance, greater use of psychotropic substances, involved with socio-educational measures, suffering death threats and with a higher number of service entries-exits was observed. We can conclude that the different profiles of foster care services should be addressed and investigated in a particular way because they show different difficulties related to the establishment of efficient public policies.

O objetivo deste estudo foi analisar o tempo de acolhimento e as características dos adolescentes em serviços de acolhimento institucionais na cidade do Recife. Trata-se de um estudo descritivo, com abordagem quantitativa. A população de estudo consistiu de todos os adolescentes acolhidos na cidade do Recife-PE, no período de 2009-2013. As informações foram obtidas a partir da consulta aos Planos de Atendimento Individualizado, sendo analisados ao todo 1.300. As variáveis foram categorizadas e descritas a partir de frequência absoluta e relativa. Para verificar a associação entre variáveis foi aplicado o teste do qui-quadrado de Pearson, com grau de significância de 0,05. Foram observados três tipos de serviços: para adolescentes, vítimas de violência e abandono; em situação de risco com e sem uso de drogas; e com necessidades especiais. Foi constatada uma predominância de adolescentes do sexo masculino, mais velhos, com menor frequência escolar, maior uso de substância psicotrópica, envolvimento com medidas socioeducativas, ameaça de morte e maior número de entradas e saídas nos serviços. Conclui-se que os diferentes perfis de serviços de acolhimento devem ser tratados e investigados de forma particular por apresentarem distintas dificuldades para criação de políticas públicas eficientes.

Crown-root fracture of a lower first primary molar: report of an unusual case.

Dental traumas are highly prevalent lesions in primary teeth, but crown-root fractures are seldom observed in posterior teeth of this dentition. The aim of the present report was to describe the diagnosis, treatment, and a 24-month follow-up of an unusual case of complicated crown-root fracture in a lower first primary molar of a 3-year-old boy.

Parental behavior regarding traumatically avulsed teeth: case reports.

The prognosis for an avulsed tooth depends primarily on appropriate emergency management, which usually must be provided by lay people prior to the child's initial dental contact. As immediate replantation is considered the best therapy for an avulsed tooth in permanent dentition, parents should be made aware of first aid procedures for this situation. This article describes three cases involving avulsed teeth in children and discusses the parents' approaches concerning emergency procedures.

Evaluation of institutional foster care services for children and adolescents in Recife. / Avaliação dos serviços de acolhimento institucional de crianças e adolescentes no Recife.

This study aimed to evaluate the structure and process of institutional foster care services for the protection of children and adolescents who are victims of neglect and/or violence in Recife. A semi-structured questionnaire was applied to those responsible for the services. Variables frequency were calculated and the following implementation level classification system adopted: critical, when compliance was less than 40% of the recommended standards; inadequate, 40-59%; acceptable, 60%-89%; adequate and excellent, 90-100%. The qualitative analysis consisted in interviews with one manager from the Judiciary and three managers from the Executive. Of the five philanthropic institutions investigated, two had an excellent standard structure; two were acceptable and one inadequate. Among public institutions, one was considered inadequate and the others acceptable. Regarding the process, one institution was found to be excellent and the others acceptable. The content analysis identified that the greatest challenges to introduction of the measures envisaged in the Child and Adolescent Statute are drug use, family geographical remoteness, lack of integration with other institutions and staff turnover.

O objetivo do estudo foi avaliar a estrutura e o processo dos acolhimentos institucionais para proteção de crianças e adolescentes vítimas de abandono e/ou violência no Recife. Foi aplicado um questionário estruturado aos responsáveis pelos serviços, e então calculadas as frequências das variáveis e estabelecida a seguinte classificação do grau de implantação: crítico, quando a adequação à norma preconizada for inferior a 40%; inadequado, de 40-59%; aceitável, de 60%- 89%; adequado e ótimo, de 90-100%. Para análise qualitativa foram realizadas entrevistas com um gestor do poder judiciário e três do executivo. Das cinco instituições filantrópicas, duas apresentaram estrutura padrão ótimo, duas, aceitáveis, e uma, inadequada. Dentre as instituições públicas, uma municipal foi considerada inadequada e as demais, aceitáveis. Com relação ao processo, uma instituição apresentou padrão ótimo e as outras, aceitáveis. A análise de conteúdo permitiu observar que os maiores entraves para a realização das medidas previstas pelo Estatuto da Criança e de Adolescente decorrem do uso de drogas, distanciamento geográfico da família, falta de integração com outras instituições e rotatividade dos profissionais.

A influência da violência familiar e entre pares na prática do bullying por adolescentes escolares / The influence of family and peer violence in the practice of bullying among school adolescents

Resumo O objetivo deste estudo foi estimar a prevalência de agressores de bullying e identificar os fatores relacionados a este comportamento em adolescentes escolares do Recife. Trata-se de um estudo epidemiológico de corte transversal analítico, composto por uma amostra probabilística por conglomerados de 1.402 estudantes de 15 a 19 anos matriculados no segundo ano do ensino médio de escolas públicas e privadas do Recife. Neste trabalho, o bullying será abordado segundo a teoria bioecológica do desenvolvimento humano de Bronfenbrenner. A coleta de dados ocorreu por meio de um questionário autoaplicável com questões sobre bullying e fatores associados. A análise dos dados foi constituída pela aplicação do teste qui-quadrado de Pearson, considerando significância estatística de 0,05 e intervalo de confiança de 95%. Para a análise das associações foi empregada a modelagem multinível e o software utilizado foi o STATA, versão 12.0. Os resultados mostraram prevalência de 21,26% de agressores de bullying e os fatores associados à essa prática foram as violências sofridas na escola e entre pares, bem como a violência praticada pela mãe e irmãos. Dessa forma, os resultados indicam que as violências sofridas no contexto familiar e escolar podem repercutir na prática do bullying entre adolescentes.

Abstract The objective of this study was to estimate the prevalence of bullies and identify factors related to bullying among high school students in Recife. This is an analytical cross-sectional epidemiological study, composed of a probabilistic sample by clusters of 1,402 students aged 15 to 19 years old, enrolled in the second year of high school in both public and private schools in Recife. In this work the bullying will be approached according to the Bioecological Theory of Human Development of Bronfenbrenner. Data were collected by means of a self-administered questionnaire about bullying and associated factors. Data analysis was conducted by the Pearson chi-square test with statistical significance of 0.05 and 95% Confidence Interval. To analyze associations, a multilevel modeling was employed and STATA version 12.0 software was used. The results showed a prevalence of 21.26% of bullying aggressors and the factors associated with the practice of bullying were violence suffered at school, violence between peers, as well as violence practiced by the mother and siblings. Hence, the results indicate that the violence suffered in the family and school context can have repercussions on the practice of bullying among adolescents.

Prevalence and factors associated with bullying: differences between the roles of bullies and victims of bullying / Prevalência e fatores associados ao bullying: diferenças entre os papéis de vítimas eagressores

Abstract Objective: To identify the differences between the prevalence and factors associated with involvement in bullying among schoolchildren from Recife, in the role of victim and perpetrator. Method: This is an epidemiological, cross-sectional, analytical study, with a probabilistic cluster sample of 1,402 students enrolled in high schools in Recife. Data analysis consisted of a descriptive analysis, followed by the application of Pearson's chi-squared test with statistical significance of 0.05 and 95% confidence interval. For the association analysis, multilevel modeling was used to control the cluster effect. Results: It was observed that adolescents who feel different from other peers were associated with bullying, regardless of the role played. Being a victim was associated with being female, having low self-esteem, and using tranquilizers; being a transgressor was a protective factor. As for the role of perpetrator, being male, excessive alcohol consumption, having poor school performance, being a transgressor, and accepting peer violence were the associated variables; in turn, not defending their ideas when among friends showed to be a protective factor for bullying. Conclusion: The differences between the adolescents, whether in the role of victim or perpetrator, indicate that the advocacy and prevention actions should focus on these aspects, mainly in the school environment.

Resumo Objetivo: Identificar as diferenças entre prevalências e os fatores associados ao envolvimento em bullying entre adolescentes escolares do Recife no papel de vítima e agressor. Método: Estudo epidemiológico de corte transversal analítico, com amostra probabilística por conglomerados de 1.402 estudantes matriculados no ensino médio de escolas do Recife. A análise dos dados foi constituída de uma análise descritiva, seguida da aplicação do teste de Qui-Quadrado de Pearson com significância estatística de 0,05 e Intervalo de Confiança de 95%. Para a análise de associações foi empregada a modelagem multinível para controle do efeito do conglomerado. Resultados: Observou-se que o adolescente que se sente diferente dos outros colegas apresentou associação com o bullying independente do papel desempenhado. A condição de ser vítima mostrou associação com ser do sexo feminino, ter baixa autoestima e utilizar tranquilizantes, além disso, ser transgressor mostrou ser fator de proteção. No papel de agressor de bullying ser do sexo masculino, fazer uso de álcool em excesso, ter um ruim desempenho escolar, ser transgressor e aceitar violência entre pares foram as variáveis associadas; por sua vez, não defender suas ideias com amigos revelou ser fator de proteção para prática do bullying. Conclusão: As diferenças apresentadas entre os adolescentes, seja no papel de vítima ou de agressor, apontam que condutas de promoção e prevenção tenham enfoque que considerem tais aspectos principalmente no ambiente escolar.

Satisfação dos usuários atendidos na Clínica Integral de Odontologia da Universidade Federal de Pernambuco e fatores associados / Patients satisfaction in Dental School Clinics of the Federal University of Pernambuco and associated factors

Objetivo: avaliar a satisfação dos usuários atendidos nas clínicas integrais do curso de Odontologia da Universidade Federal de Pernambuco e a associação com fatores relacionados ao paciente, ao acesso e ao atendimento. Método: trata-se de um estudo descritivo, quantitativo, de corte transversal, partindo de uma amostra de conveniência, realizado com 81 pacientes adultos, de ambos os sexos. Foi aplicado um questionário semiestruturado com questões do Questionário de Avaliação dos Serviços de Saúde Bucal (QASSAB), uma questão de ansiedade ao tratamento odontológico (Dental Anxiety Question modificada) e dados individuais do paciente, como sexo, idade, escolaridade, local de residência e procedimentos realizados. Resultados: os resultados demonstraram que os usuários consideraram a obtenção de uma vaga como razoável ou fácil (75,3%), e o tempo na fila de espera como razoável ou curto (66,7%). A maioria dos participantes respondeu que o motivo da procura por atendimento na clínica era o fato de não ter dinheiro para pagar o tratamento particular, e 40,7% dos pacientes manifestaram algum sinal de ansiedade. Houve uma avaliação positiva do ambiente físico do serviço por parte dos usuários, para a maioria das variáveis pesquisadas. No entanto, apenas a variável organização foi significativamente associada com a satisfação dos usuários. Conclusão: de forma geral, os resultados encontrados nesta pesquisa indicam um bom nível de satisfação, porém, tornam-se necessárias reavaliações periódicas para obtenção de informações importantes que possibilitem melhorias na estrutura e no atendimento das clínicas.(AU)

Objective: to evaluate patient satisfaction at the Dental School Clinics at the Federal University of Pernambuco, Brazil, and the association with factors related to the patient, access and care. Method: this is a descriptive, quantitative, cross-sectional study, based on a convenience sample, conducted with 81 adult patients, of both sexes. A semi-structured questionnaire was applied with questions from the Oral Health Services Assessment Questionnaire (QASSAB), a question of anxiety to dental treatment (modified Dental Anxiety Question) and individual patient data, such as sex, age, education, place of residence and procedures performed. Results: the results showed that users considered obtaining a place as reasonable or easy (75.3%) and the time in the queue as reasonable or short (66.7%), most participants answered that the reason why they chose theservice was the fact that they did not have the money to pay for private treatment and 40.7% of the patients showed some sign of anxiety. There was a positive evaluation of the physical stucture of the service by users, for most of the variables surveyed. However, only the organization variable was significantly associated with user satisfaction. Conclusion: in general, the results found in this research indicate a good level of satisfaction, however, periodic reassessments are necessary to obtain important information that will allow improvements in the structure and care of clinics.(AU)

Directionality of physical and psychological dating violence among adolescents in Recife, Brazil.

OBJECTIVE: The aim was to investigate the physical and psychological dating violence among adolescents with respect to the profiles of directionality - only man perpetrates, only woman perpetrates, and bidirectional, ie, both perpetrate violence. METHODS: Sample was performed by two-stage cluster selection in public and private school in the city of Recife (PE), Brazil, presenting data on 355 adolescents of both sexes between 15 and 19 years old. Psychological violence was measured in dimensions threat, verbal/emotional, and relational. Statistical analyzes incorporated the sampling weight and the complex sample design. RESULTS: Violence is bidirectional in most forms studied (83.9%) and girls reported higher levels of perpetration of physical violence, and boys reported more perpetration of relational violence. CONCLUSION: It was concluded that adolescent dating violence shows a pattern where partners attack each other, both physically and psychologically. Future research should study the patterns of these acts of violence, keeping the adolescent couple as the unit of analysis and exploring the context in which such violence occurs.

Tempo de acolhimento e características dos adolescentes acolhidos por tipo de serviços institucionais. Recife, Brasil, 2009-2013 / Foster care time and characteristics of adolescents under foster care by type of institutional services. Recife, Brazil, 2009-2013

Resumo O objetivo deste estudo foi analisar o tempo de acolhimento e as características dos adolescentes em serviços de acolhimento institucionais na cidade do Recife. Trata-se de um estudo descritivo, com abordagem quantitativa. A população de estudo consistiu de todos os adolescentes acolhidos na cidade do Recife-PE, no período de 2009-2013. As informações foram obtidas a partir da consulta aos Planos de Atendimento Individualizado, sendo analisados ao todo 1.300. As variáveis foram categorizadas e descritas a partir de frequência absoluta e relativa. Para verificar a associação entre variáveis foi aplicado o teste do qui-quadrado de Pearson, com grau de significância de 0,05. Foram observados três tipos de serviços: para adolescentes, vítimas de violência e abandono; em situação de risco com e sem uso de drogas; e com necessidades especiais. Foi constatada uma predominância de adolescentes do sexo masculino, mais velhos, com menor frequência escolar, maior uso de substância psicotrópica, envolvimento com medidas socioeducativas, ameaça de morte e maior número de entradas e saídas nos serviços. Conclui-se que os diferentes perfis de serviços de acolhimento devem ser tratados e investigados de forma particular por apresentarem distintas dificuldades para criação de políticas públicas eficientes.

Abstract This study aimed to analyze foster care time and characteristics of adolescents in the institutional foster care services in the city of Recife. This is a descriptive study with a quantitative approach. The study population consisted of all adolescents under foster care in the city of Recife-PE, in the period 2009-2013. The information was retrieved by consulting the Individual Assistance Plans (IAP), with 1,300 analyzed plans. Variables were categorized and described from absolute and relative frequency. Pearson's chi-square test was used to verify the association between variables, with a significance level of 0.05. Three types of services were observed: for adolescents who are victims of violence and neglect; at-risk with/without drug use; and with special needs. A predominance of older male adolescents, with lower school attendance, greater use of psychotropic substances, involved with socio-educational measures, suffering death threats and with a higher number of service entries-exits was observed. We can conclude that the different profiles of foster care services should be addressed and investigated in a particular way because they show different difficulties related to the establishment of efficient public policies.

[Co-occurrence of physical and psychological violence among dating adolescents in Recife, Brazil: prevalence and associated factors]. / Coocorrência de violência física e psicológica entre adolescentes namorados do recife, Brasil: prevalência e fatores associados.

The scope of this study was to assess the prevalence of physical and psychological violence among dating adolescents from Recife, Brazil, to identify associated factors and the co-occurrence of both types of violence. 302 adolescents aged between 15 and 19 years in public and private schools who were in a relationship in the last year filled out the questionnaire. Univariate and multivariate logistic regression statistical analysis were performed and the sample weight and the complex sample design were entered. The prevalence was 19.9% of physical violence 82.8% of psychological violence and 18.9% for the co-occurrence of both. Adolescents who have experienced violence in the community and who were in dating relationships of more than one year duration were more likely to perpetrate psychological violence. For the co-occurrence of physical and psychological violence, the variables that increased the chance of perpetration were suffering physical violence from the father, violence among siblings, physical violence and the perpetration of verbal violence in previous relationships. The conclusion reached is that psychological violence and the co-occurrence of physical and psychological violence have a distinct dynamics from physical violence in dating relationships.

Avaliação dos serviços de acolhimento institucional de crianças e adolescentes no Recife / Evaluation of institutional foster care services for children and adolescents in Recife

Resumo O objetivo do estudo foi avaliar a estrutura e o processo dos acolhimentos institucionais para proteção de crianças e adolescentes vítimas de abandono e/ou violência no Recife. Foi aplicado um questionário estruturado aos responsáveis pelos serviços, e então calculadas as frequências das variáveis e estabelecida a seguinte classificação do grau de implantação: crítico, quando a adequação à norma preconizada for inferior a 40%; inadequado, de 40-59%; aceitável, de 60%- 89%; adequado e ótimo, de 90-100%. Para análise qualitativa foram realizadas entrevistas com um gestor do poder judiciário e três do executivo. Das cinco instituições filantrópicas, duas apresentaram estrutura padrão ótimo, duas, aceitáveis, e uma, inadequada. Dentre as instituições públicas, uma municipal foi considerada inadequada e as demais, aceitáveis. Com relação ao processo, uma instituição apresentou padrão ótimo e as outras, aceitáveis. A análise de conteúdo permitiu observar que os maiores entraves para a realização das medidas previstas pelo Estatuto da Criança e de Adolescente decorrem do uso de drogas, distanciamento geográfico da família, falta de integração com outras instituições e rotatividade dos profissionais.

Abstract This study aimed to evaluate the structure and process of institutional foster care services for the protection of children and adolescents who are victims of neglect and/or violence in Recife. A semi-structured questionnaire was applied to those responsible for the services. Variables frequency were calculated and the following implementation level classification system adopted: critical, when compliance was less than 40% of the recommended standards; inadequate, 40-59%; acceptable, 60%-89%; adequate and excellent, 90-100%. The qualitative analysis consisted in interviews with one manager from the Judiciary and three managers from the Executive. Of the five philanthropic institutions investigated, two had an excellent standard structure; two were acceptable and one inadequate. Among public institutions, one was considered inadequate and the others acceptable. Regarding the process, one institution was found to be excellent and the others acceptable. The content analysis identified that the greatest challenges to introduction of the measures envisaged in the Child and Adolescent Statute are drug use, family geographical remoteness, lack of integration with other institutions and staff turnover.

[Rehabilitation care for victims of accidents and violence: the situation of the municipal districts in Pernambuco, Brazil]. / Assistência em reabilitação para vítimas de acidentes e violência: a situação dos municípios em Pernambuco, Brasil.

A diagnostic analysis of care was conducted for rehabilitation of victims of accidents and violence in municipal districts of Pernambuco, Brazil, with over 100 thousand inhabitants. A cross-sectional and descriptive study was carried out. The principles of the triangulation method were followed because the study required the input of various informers and used a variety of collection techniques. An interview was conducted with the municipal manager of each district to map out and select the services to be analyzed. Questionnaires were applied to the managers of the services for identification of the unit, characterization of the activities and description of the structure. The results revealed that more than half of the services involved group care, prevention of relapses and neuropsychomotor stimulation. The team numbered 273 health professionals, with physiotherapists being the largest group (34.8%), followed by psychologists (13.5%), and speech therapists (12.8%). Only one municipal district supplied ortheses, prostheses and auxiliary equipment for locomotion. Deficits of some types of services and discrepancies in the distribution of such services were observed in the different areas of the state.

[Health care for aged victims of accidents and violence: analysis of SUS health services in Recife (PE, Brazil)]. / Assistência à saúde dos idosos vítimas de acidentes e violência: uma análise da rede de serviços SUS no Recife (PE, Brasil).

A situational diagnosis of the health services regarding the care of aged victims of accidents and violence (AVAV) was carried out in Recife, Pernambuco, Brazil. The National Policy for Reducing Accident and Violence Related Morbidity and Mortality and the National Policy for the Aged People Health were used as references. The methodology was based on the triangulation method, with both quantitative and qualitative approaches. Questionnaires and interviews were answered by managers and health staff of hospital, prehospital and rehabilitation services; and local aged health policy managers. In 2006, only the Family Health Program reported prehospital care for AVAV, 31 cases were due to violence and 18 to accidents. The hospital care for aged people was 7.2% of the total care, 27% from accidents and 10% from violence. In the same year, there was no record of rehabilitation care of AVAV. The directives of the policies studied are only partially followed. The health care is deficient in several aspects, such as: clinical protocols; notification devices; support to the aged, caregivers and aggressors; and also continuous training. This analysis can be such a contribution to the reorganization of the local health system, recognizing the aged person as vulnerable to accidents and violence.

Directionality of physical and psychological dating violence among adolescents in Recife, Brazil / Direcionalidade da violência física e psicológica no namoro entre adolescentes do Recife, Brasil

OBJECTIVE: The aim was to investigate the physical and psychological dating violence among adolescents with respect to the profiles of directionality - only man perpetrates, only woman perpetrates, and bidirectional, ie, both perpetrate violence. METHODS: Sample was performed by two-stage cluster selection in public and private school in the city of Recife (PE), Brazil, presenting data on 355 adolescents of both sexes between 15 and 19 years old. Psychological violence was measured in dimensions threat, verbal/emotional, and relational. Statistical analyzes incorporated the sampling weight and the complex sample design. RESULTS: Violence is bidirectional in most forms studied (83.9%) and girls reported higher levels of perpetration of physical violence, and boys reported more perpetration of relational violence. CONCLUSION: It was concluded that adolescent dating violence shows a pattern where partners attack each other, both physically and psychologically. Future research should study the patterns of these acts of violence, keeping the adolescent couple as the unit of analysis and exploring the context in which such violence occurs. .

OBJETIVO: O objetivo desta pesquisa foi estudar a violência física e psicológica entre namorados adolescentes com relação aos perfis de direcionalidade - apenas o homem perpetra, apenas a mulher perpetra, e bidirecional, ou seja, ambos perpetram violência. MÉTODO: Realizou-se amostra por conglomerados em dois estágios de seleção nas redes pública e particular de ensino médio da cidade de Recife (PE), apresentando-se dados referentes a 355 adolescentes de ambos os sexos entre 15 e 19 anos de idade. A violência psicológica foi mensurada nas dimensões ameaça, verbal/emocional e relacional. As análises estatísticas incorporaram o peso amostral e o desenho da amostra complexa. RESULTADOS: A violência é bidirecional na maioria das formas estudadas (83,9%). As meninas relataram mais alto nível de perpetração de violência física, e os meninos apresentaram maior perpetração de violência relacional. CONCLUSÃO: Concluiu-se que a violência praticada nas relações afetivas/amorosas dos adolescentes apresenta um padrão onde os parceiros se agridem mutuamente, tanto física como psicologicamente. Futuras pesquisas devem aprofundar os estudos sobre esses padrões e contextos de violência, tendo como unidade de análise o casal de adolescentes. .

[Diagnostic analysis of the rehabilitation services that attend victims of accidents and violence in Recife]. / Análise diagnóstica dos serviços de reabilitação que assistem vítimas de acidentes e violências em Recife.

This paper aims to analyze the rehabilitation services in Recife, Brazil, confronting it with what the National Policy for Decreasing Morbimortality from Accidents and Violence (NPDMAV) professes. Six units of rehabilitation services were analyzed; five were from municipal administration and the other was an ONG on an agreement with SUS. A partial structured interview was conducted with the person in charge for the Attention to the Disable Person's Health aiming to map the network. Also a questionnaire was applied to the managers of the six services aiming to identify the unit and its activities, structure and organization. The Rehabilitation Assistance network in Recife do not meet the NPDMAV guidelines as it presents: decreased number of services/programs; lack of a multidisciplinary team; lack of technological support; deficient joint intra and inter sectors; little interaction between the victim and his family to reinsertion into family and social life; and still incipient prevention and promotion actions. In conclusion, there is an effort to adequate the actions to this population group; however there are relevant covering deficits of people, equipments, information and articulation registers among the various levels of this health network.

Coocorrência de violência física e psicológica entre adolescentes namorados do recife, Brasil: prevalência e fatores associados / Co-occurrence of physical and psychological violence among dating adolescents in Recife, Brazil: prevalence and associated factors

Os objetivos foram estimar a prevalência de perpetração de violência física e psicológica entre adolescentes namorados de Recife, identificar fatores associados e a coocorrência de ambos os tipos de violência. Participaram do estudo 302 adolescentes de escolas públicas e particulares, com idade entre 15 e 19 anos, que tiveram algum relacionamento amoroso no último ano e esses preencheram o questionário. Foram realizadas análise univariada e regressão logística e todas as análises estatísticas incorporaram o peso amostral e o desenho da amostra complexa. A prevalência de violência física foi de 19,9%, de 82,8% para violência psicológica e de 18,9% para a coocorrência de violência física e psicológica. Os adolescentes que vivenciaram violência na comunidade e em relacionamentos de mais de um ano de duração apresentaram maiores chances de perpetrar violência psicológica. Enquanto, sofrer violência física do pai, entre irmãos e em namoros anteriores, além de ter perpetrado violência verbal em relacionamentos anteriores, foram variáveis que aumentaram a chance de perpetração de violência física e psicológica no namoro. Conclui-se que a violência psicológica e a coocorrência de violência física e psicológica possuem uma dinâmica distinta da violência física no namoro.

The scope of this study was to assess the prevalence of physical and psychological violence among dating adolescents from Recife, Brazil, to identify associated factors and the co-occurrence of both types of violence. 302 adolescents aged between 15 and 19 years in public and private schools who were in a relationship in the last year filled out the questionnaire. Univariate and multivariate logistic regression statistical analysis were performed and the sample weight and the complex sample design were entered. The prevalence was 19.9% of physical violence 82.8% of psychological violence and 18.9% for the co-occurrence of both. Adolescents who have experienced violence in the community and who were in dating relationships of more than one year duration were more likely to perpetrate psychological violence. For the co-occurrence of physical and psychological violence, the variables that increased the chance of perpetration were suffering physical violence from the father, violence among siblings, physical violence and the perpetration of verbal violence in previous relationships. The conclusion reached is that psychological violence and the co-occurrence of physical and psychological violence have a distinct dynamics from physical violence in dating relationships.

Assistência em reabilitação para vítimas de acidentes e violência: a situação dos municípios em Pernambuco, Brasil / Rehabilitation care for victims of accidents and violence: the situation of the municipal districts in Pernambuco, Brazil

Foi realizada uma análise diagnóstica da assistência em reabilitação para vítimas de acidentes e de violência em municípios de Pernambuco, Brasil, com mais de 100 mil habitantes. O desenho da investigação foi transversal e descritivo. Por contemplar a visão de vários informantes e empregar uma variedade de técnicas de coleta, foram adotados os princípios da triangulação de métodos. Foram investigados sete municípios e 21 Serviços de Reabilitação, com a aplicação de entrevista ao gestor municipal, para mapear e selecionar os serviços a serem analisados, e de questionário aos gerentes dos serviços, para identificação da unidade, caracterização das atividades e descrição da estrutura. Os resultados apontaram que mais da metade dos serviços realizam apenas atendimentos em grupo, prevenção de sequelas e estimulação neuropsicomotora. O quadro profissional dos 21 Serviços é composto por 273 pessoas, o Fisioterapeuta tem maior representatividade (34,8 por cento), seguido do Psicólogo (13,5 por cento) e do Fonoaudiólogo (12,8 por cento). Apenas um município realiza dispensação de órteses, próteses e meios auxiliares para locomoção. Foram observados déficits de oferta de alguns tipos de atendimento e discrepâncias na distribuição geográfica desses serviços, nas diferentes regiões do Estado.

A diagnostic analysis of care was conducted for rehabilitation of victims of accidents and violence in municipal districts of Pernambuco, Brazil, with over 100 thousand inhabitants. A cross-sectional and descriptive study was carried out. The principles of the triangulation method were followed because the study required the input of various informers and used a variety of collection techniques. An interview was conducted with the municipal manager of each district to map out and select the services to be analyzed. Questionnaires were applied to the managers of the services for identification of the unit, characterization of the activities and description of the structure. The results revealed that more than half of the services involved group care, prevention of relapses and neuropsychomotor stimulation. The team numbered 273 health professionals, with physiotherapists being the largest group (34.8 percent), followed by psychologists (13.5 percent), and speech therapists (12.8 percent). Only one municipal district supplied ortheses, prostheses and auxiliary equipment for locomotion. Deficits of some types of services and discrepancies in the distribution of such services were observed in the different areas of the state.