Resumo Enquadramento: O acolhimento é uma estratégia de cuidado às crianças em situação de maus-tratos, pois compreende a organização de um espaço físico, equipa qualificada, fluxo de notificação e atendimento sensível pelos profissionais de saúde. Objetivo: Descrever o conhecimento e a prática dos profissionais de saúde no atendimento de crianças em situação de maus-tratos sob a ótica do acolhimento. Metodologia: Pesquisa qualitativa, descritiva, de caráter exploratório. A colheita foi realizada por entrevista não diretiva individual no ambiente hospitalar. Utilizou-se análise temática. Resultados: Participaram 23 profissionais de saúde. O sexo feminino foi o predominante e 17 participantes não possuíam curso de capacitação. O acolhimento foi apontado no modo de falar, agir e na rotina de cuidado. Conclusão: O conhecimento dos profissionais de saúde foi desenvolvido na prática profissional pelo tempo de formação e pelo cuidado sensível. A capacitação deficiente interfere na identificação de crianças e adolescentes em situação maus-tratos. Crianças menores são mais vulneráveis e podem sofrer negligência. O acolhimento precisa ser articulado com outras esferas com fluxo de atendimento conhecido.

Abstract Background: Welcoming child victims of maltreatment is a care strategy that requires a physical space, a qualified team, and a reporting system as well as the adoption of a more sensitive approach by health professionals. Objective: To describe the knowledge and practice of health professionals who provide care for maltreated children focusing on patient welcoming. Methodology: This is a qualitative, descriptive, exploratory study that used individual non-directive interviews in a hospital setting for data collection. A thematic analysis was conducted on the data collected. Results: A total of 23 health professionals participated in the study. Most participants were women and 17 had no formal qualifications. The welcoming practices were identified through the analysis of the statements, behaviors, and care practices of the participants. Conclusion: Health professionals have developed their knowledge through professional practice, training, and sensitivity. Inadequate training hinders the identification of child and adolescent victims of maltreatment. Younger children are more vulnerable and may suffer from neglect. Welcoming practices must be articulated with other professional sectors using a common line of care model.

Resumen Marco contextual: La acogida familiar es una estrategia para cuidar a los niños en situaciones de maltrato, ya que incluye la organización de un espacio físico, personal cualificado, flujo de notificaciones y atención sensible por parte de los profesionales sanitarios. Objetivo: Describir los conocimientos y la práctica de los profesionales sanitarios en la atención a niños en situación de maltrato desde la perspectiva de la acogida familiar. Metodología: Investigación cualitativa, descriptiva y exploratoria. Los datos se recogieron mediante entrevistas individuales no directivas en el entorno hospitalario. Se utilizó el análisis temático. Resultados: Participaron 23 profesionales sanitarios. Predominaron las mujeres y 17 participantes no tenían formación. La acogida destacó en su forma de hablar, de actuar y en su rutina asistencial. Conclusión: Los conocimientos de los profesionales sanitarios se desarrollaron en la práctica profesional mediante el tiempo de formación y el cuidado sensible. Una formación deficiente interfiere en la identificación de niños y adolescentes en situación de maltrato. Los niños más pequeños son más vulnerables y pueden sufrir desatención. La acogida familiar debe articularse con otras esferas con un flujo de cuidados conocido.

Abstract Child Sexual Abuse (CDA), an uncomfortable reality for humanity whose numbers rise every year. Given the demands established by international organizations, this research represents a first approach to the phenomenon through a documentary and comparative review to identify CSA prevention programs developed in Mexico and other countries in search of granting Children and Adolescents (C&A) a dignified life and promote their rights to integrity. A qualitative study was implemented through a review of materials using documentary review as an analysis technique. Once the pertinent literature was located, the documentary record was carried out under a methodological process and the corresponding analysis was elaborated through a comparative technique. Within the results of the research, sexual education is insufficient at the basic level even though the SEP has provided material for its prevention without sufficient coverage and the school has become responsible for implementing programs that meet the needs of the context. In the present work, programs aimed at students, parents, teachers and civil organizations whose objectives are to inform, detect risk situations, promote health and provide self-care tools are identified.

Resumen El Abuso Sexual Infantil (ASI), una realidad incómoda para la humanidad cuyas cifras se elevan cada año. Ante las demandas establecidas por las organizaciones internacionales, esta investigación representa una primera aproximación al fenómeno a través de una revisión documental y comparativa para identificar los programas de prevención de ASI desarrollados en México y otros países en busca de otorgar a Niños, Niñas y Adolescentes (NNA) una vida digna y se promuevan sus derechos a la integridad. Se implementó un estudio cualitativo por medio de una revisión de materiales utilizando como técnica de análisis la revisión documental. Una vez localizada la literatura pertinente se procedió el registro documental bajo proceso metodológico y mediante una técnica comparativa se elaboró el análisis correspondiente. Dentro de los resultados de la investigación, la educación sexual resulta insuficiente en el nivel básico a pesar de que la SEP ha dotado de material para su prevención sin cobertura suficiente y la escuela se ha convertido en responsable de implementar programas que atiendan las necesidades del contexto. En el presente trabajo, se identifican programas dirigidos a alumnos, padres, maestros y organizaciones civiles cuyos objetivos son informar, detectar situaciones de riesgo, promover la salud y otorgar herramientas de autocuidado.

Abstract The objective of this research is to identify a possible relationship between a pathological profile of dissociation in higher education students, with respect to the variables of consumption of addictive substances, violence in childhood, eating disorders, cognitive dysfunctions and work stress. The selected methodology is based on correlational quantitative analysis, under an ex post facto research design. The measurement instruments used are the Dissociative Experiences questionnaire (DES II), the Eating Disorders Inventory (EDI-3), the Addictions test (dast-10), the Mini-Mental (MMSE), the of Child Abuse (CTQ-SF) and the Work Stress Inventory (CPP). With the above, it is suggested that the group diagnosed with a dissociative personality disorder presents significant differences with respect to the five variables evaluated; Furthermore, for this group there is a prevalence with a high index on the stress scales, characterized by a form of compulsion and the presence of discomfort at an organic level. For the group evaluated with a non-dissociative personality profile, incipient cases of abuse, physical neglect and sexual abuse were identified. This condition requires correct channeling and rehabilitation due to its high progression in self-destructive behaviors.

Resumen La presente investigación tiene como objetivo identificar una posible relación entre un perfil patológico de disociación en alumnos de nivel superior, con respecto a las variables de consumo de sustancias adictivas, violencia en la infancia, trastornos alimenticios, disfunciones cognitivas y estrés laboral. La metodología seleccionada se fundamenta en el análisis cuantitativo de tipo correlacional, bajo un diseño de investigación ex post facto. Los instrumentos de medición empleados son el cuestionario de Experiencias Disociativas (DES II), el Inventario de Trastornos de la Conducta Alimentaria (EDI-3), la prueba de Adicciones (dast-10), el Mini-Mental (MMSE), el Cuestionario de Maltrato Infantil (CTQ-SF) y el Inventario de estrés laboral (CPP). Con lo anterior, se sugiere que para el grupo diagnosticado con un trastorno de personalidad disociativa presenta diferencias significativas con respecto a las cinco variables evaluadas; además para este grupo existe una prevalencia con un índice alto en las escalas de estrés, caracterizadas por una forma de compulsión y la presencia de malestares a nivel orgánico. Para el grupo evaluado con un perfil no disociativo de personalidad se identifican casos incipientes de abuso, negligencia física y abuso sexual. Esta condición requiere una correcta canalización y rehabilitación debido a su alta progresión en conductas autodestructivas.

Resumen Las medidas de prevención de la infección por COVID-19 han aumentado los riesgos de abuso para los niños, especialmente en términos de alta vulnerabilidad a la tecnología. A pesar del aumento en el abuso sexual infantil asistido por tecnología (TA-CSA), se ha realizado poca investigación sobre las percepciones de los Trabajadores de la Salud Infantil más allá de informar sobre las experiencias de los jóvenes. Este nuevo estudio tiene como objetivo comprender cómo perciben los Trabajadores de la Salud Infantil el abuso sexual infantil asistido por tecnología, los riesgos, impactos, terapias y percepciones de necesidad. Se utilizó una metodología de investigación cualitativa para el estudio. Los trabajadores de la salud infantil que se ofrecieron como voluntarios para participar en el estudio fueron abordados mediante una estrategia de muestreo intencional y entrevistados en persona. Se tomaron notas de campo para registrar la conversación. Se utilizó un enfoque de teoría fundamentada para analizar los resultados y eliminar el sesgo asociado con el conocimiento presunto de la literatura. Los participantes informaron un aumento exponencial en los casos de TA-CSA durante la pandemia de COVID-19. Los impactos de TA-CSA, como la autoacusación, el miedo al agresor y la incapacidad para gestionar las emociones, fueron los aspectos más comunes y peculiares de TA-CSA en esta población. Aunque los trabajadores de la salud infantil reconocieron los riesgos e impactos de TA-CSA, desconocían la necesidad de marcos distintos y enfoques terapéuticos esenciales para manejar los casos de TA-CSA. Las complejidades en TA-CSA requieren un algoritmo para abordar TA-CSA como una entidad separada. La terapia debe centrarse en los impactos específicos de TA-CSA. Además, las observaciones del estudio estipulan el cambio exigente en la perspectiva de la comunidad de culpar a la víctima por avergonzar al agresor.

Abstract COVID-19 infection prevention measures have enhanced risks of abuse for children, especially in terms of high vulnerability to technology. Despite the rise in technology-assisted child sexual abuse (TA-CSA), little research has been conducted on Child Healthcare Workers’ perceptions beyond reporting on young people’s experiences. This novel study aims to understand how Childcare Workers perceive technology-assisted child sexual abuse, risks, impacts, therapeutics, and perceptions of need. Qualitative research methodology was used for the study. Child healthcare workers volunteering to participate in the study were approached by a purposive sampling strategy and interviewed in person. Field notes were taken to record the conversation. Grounded theory approach was used to analyze the results to eliminate bias associated with presumptive knowledge from literature. Participants reported an exponential rise in cases of TA-CSA during the COVID-19 pandemic. Impacts of TA-CSA such as self- blame, fear of offender, and inability to manage emotions were the most common and peculiar aspects of TA-CSA in this population. Though the childcare workers recognized the risks and impacts of TA-CSA, they were unaware of the need for distinct frameworks and therapeutic approaches essential for handling cases of TA-CSA. Complexities in TA-CSA necessitate an algorithm in addressing TA-CSA as a separate entity. Therapy should be focused on the specific impacts of TA-CSA. Further, the observations of the study stipulate the exigent shift in community perspective from blaming the victim to shaming the offender.

Abstract Objective Child sexual violence is a multidimensional problem of many contemporary societies, affecting people of all sexes, social stratum and age groups. Offenses involving children and adolescents are more serious, given their total or partial dependence on parents and caregivers. Information on child sexual violence in Brazil is found in raw form and without detail. The objective was to compare the information with social and economic data in the state of Paraná. Methods The authors conducted a retrospective study of secondary data from the Notifiable Diseases Information System (SINAN) on cases of sexual violence involving victims aged 0 to 19 years. Results are presented according to notification characteristics. The authors applied exploratory spatial data analysis to assess spatial autocorrelations and investigated relationships by the ordinary least squares regression model. Results Between 2017 and 2021, there were 13,403 reports of child sexual violence in Paraná State, Brazil. Most victims (82.8%) were female and aged between 10 and 14 years. The majority of sexual violence cases (67.8%) occurred in the home environment. The highest rates on a population basis were observed in the North Central and Greater Curitiba regions, mainly in cities with higher population density and with higher rates of other types of violence. Conclusion The results provide data that can promote a broader understanding of the distribution of sexual violence and the state and associated variations. It is expected to improve the provision of care for victims of child sexual violence and assist in strategic planning to prevent future offenses. societies sexes groups serious caregivers detail SINAN (SINAN 1 years characteristics model 201 2021 13403 13 403 13,40 State 82.8% 828 82 8 (82.8% 67.8% 678 67 (67.8% environment regions variations offenses 20 202 1340 40 13,4 82.8 (82.8 67.8 6 (67.8 2 134 4 13, 82. (82. 67. (67. (82 (67 (8 (6 (

Abstract Introduction. Rapunzel syndrome is an uncommon condition that manifests as trichobezoars, which are hair bundles in the stomach or small intestine that can mimics other surgical illnesses. Multiple complications can arise from delayed diagnosis and treatment. Clinical case. A 10-year-old female patient with trichotillomania and trichophagia, with abdominal pain and nonspecific symptoms of intestinal obstruction of eight months of evolution. Physical examination revealed epigastric tenderness and a solid mass was palpable in the mesogastric and epigastric region. An abdominal ultrasound showed gastric trichobezoar that extended into the small intestine. A gastrotomy was performed and the trichobezoar was extracted with satisfactory evolution of the patient. The comprehensive approach allowed knowing the psychological bond due to possible child abuse. Results. The patient had a satisfactory evolution and was discharged on the fifth day of hospitalization. He is currently being monitored by psychology, child psychiatry and pediatrics. Discussion. This clinical case highlights the importance of recognizing situations that seldom present in pediatrics, which may have a psychological aspect due to the presumption of child abuse, and which present as a recurrent organic condition simulating other frequent abdominal pathologies in childhood; all of which may lead to an unwanted outcome due to diagnostic delay. Conclusion. The comprehensive management of the pediatric patient is mandatory to recognize situations of presumed child abuse, in the face of a recurrent surgical conditions.

Resumen Introducción. El síndrome de Rapunzel es una entidad infrecuente, que se presenta como un tricobezoar a causa de una aglomeración de cabello acumulado dentro del tracto gastrointestinal, por lo que simula otras patologías quirúrgicas. Caso clínico. Paciente femenina de 10 años de edad, con tricotilomanía y tricofagia, dolor abdominal y síntomas inespecíficos de obstrucción intestinal de ocho meses de evolución. Al examen físico se encontró abdomen con distensión y masa palpable en epigastrio y mesogastrio. La ecografía permitió hacer el diagnóstico de tricobezoar gástrico extendido hasta el intestino delgado, por lo que se llevó a cirugía para gastrotomía y se extrajo el tricobezoar, con evolución satisfactoria de la paciente. El abordaje integral permitió conocer la atadura sicológica por posible maltrato infantil. Resultado. La paciente tuvo una evolución satisfactoria y se dio egreso al quinto día de hospitalización. Actualmente se encuentra en seguimiento por sicología, siquiatría infantil y pediatría. Discusión. El caso clínico denota la importancia en reconocer situaciones de presentación infrecuente en pediatría, que puedan estar asociadas a alteraciones sicológicas o presunción de maltrato infantil y que se presenten como una condición orgánica recurrente que simule otras patologías abdominales frecuentes en la infancia. El retraso diagnóstico puede conducir a un desenlace no deseado con complicaciones. Conclusión. Se hace mandatorio el manejo integral del paciente pediátrico y aumentar la sensibilidad para reconocer situaciones de presunción de maltrato infantil, sobre todo en pacientes con una condición orgánica quirúrgica recurrente.

Resumen El presente trabajo tiene como objetivo analizar las implicaciones para las ciencias sociales que presentan los delitos en línea, específicamente la estafa y la pederastia en Ecuador. La metodología utilizada se justifica en la concepción de las revisiones sistematizadas, empleándose el marco analítico de revisiones sistematizadas en Ciencias Humanas y Sociales. Se utilizaron bases de datos como Google Scholar, SCOPUS, Web of Science (WOS), Scientific Electronic Library Online (Scielo), entre otras. Las conclusiones señalan la necesidad de incrementar las investigaciones sobre estos delitos desde las ciencias sociales, la aplicación del enfoque fenomenológico, la investigación de los mitos y creencias sobre estos fenómenos, el fomento de políticas públicas y fomento de la interdisciplinariedad con otras ciencias del comportamiento.

Abstract The objective of this paper is to analyze the implications for the social sciences of online crimes, specifically fraud and pedophilia in Ecuador. The methodology used is justified in the conception of systematized reviews, using the analytical framework of systematized reviews in Human and Social Sciences. Databases such as Google Scholar, SCOPUS, Web of Science (WOS), Scientific Electronic Library Online (Scielo), among others, were used. The conclusions point to the need to increase research on these crimes from the social sciences, the application of the phenomenological approach, the investigation of myths and beliefs about these phenomena, the promotion of public policies and the promotion of interdisciplinarity with other behavioral sciences.

Abstract Some reports from EsSalud (2020) indicated that certain habits linked to health had a negative impact on children between the ages of 6 and 12 during the covid-19 period. As such, this research aimed to investigate the state of the art and the promotion of healthy habits in primary schools in Peru. Not finding precedents, this inquiry focused on articles published between 2018 and 2022, on healthy habits in schoolchildren from 6 to 12 years of age at the primary level in Peru. Regarding the methodology; the research was descriptive with a qualitative approach; A bibliographic review was made on websites and databases such as; Sciencie, Scielo, Scopus del Perú and Renati, using search equations; with keywords and logical operators. Regarding the results, 54 articles were selected; 8 on physical activity, 32 on healthy eating, 10 on healthy hygiene habits and 4 on sleep quality. Finally, the investigation discovered that schoolchildren present deficiencies in their eating, hygienic, recreational and physical habits, this due to multiple factors such as; false beliefs, bad practices, lack of basic services; drinking water, personal hygiene items; toothpastes, soaps, and abuse of processed foods. The results collect valid proposals to improve the healthy habits of schoolchildren, and range from promoting physical exercise, offering healthy diets to monitoring the regulation of food products and advertisements.

Resumen Algunos informes de EsSalud (2020) indicaron que ciertos hábitos ligados a la salud impactaron negativamente en los niños de 6 a 12 años de edad durante el periodo del covid-19. Por eso, esta investigación tuvo como objetivo indagar sobre el estado de la cuestión y la promoción de hábitos saludables en los colegios de educación primaria en el Perú. Al no encontrarse antecedentes, esta indagación se centró en artículos publicados entre los años 2018 y 2022 sobre los hábitos saludables en los escolares de 6 a 12 años del nivel primario en el Perú. En cuanto a la metodología, la investigación fue descriptiva, con enfoque cualitativo. En concreto, se hizo una revisión bibliográfica en sitios web y bases de datos como Sciencie, Scielo, Scopus del Perú y Renati, para lo cual se usaron ecuaciones de búsqueda con palabras claves y operadores lógicos. En cuanto a los resultados, se seleccionaron 54 artículos: 8 de actividad física, 32 de alimentación saludable, 10 de hábitos de higiene saludable y 4 sobre la calidad del sueño. Finalmente, la investigación descubrió que los escolares presentan deficiencias en sus hábitos alimenticios, higiénicos, de esparcimiento y físicos debido a múltiples factores, como falsas creencias, malas prácticas, carencia de servicios básicos, agua potable, artículos de aseo personal, dentífricos, jabones y abuso de alimentos procesados. Los datos recogen propuestas válidas para mejorar los hábitos saludables de los escolares, los cuales van desde promover el ejercicio físico y ofrecer dietas saludables hasta monitorear la regulación de productos y propagandas alimenticias.

Resumo Alguns relatórios de EsSalud (2020) indicaram que certos hábitos ligados à saúde tiveram um impacto negativo em crianças entre 6 e 12 anos durante o período de covid-19. Assim, esta pesquisa teve como objetivo investigar o estado da arte e a promoção de hábitos saudáveis nas escolas primárias do Peru. Como não foram encontrados precedentes, esta pesquisa se concentrou em artigos publicados entre 2018 e 2022, sobre hábitos saudáveis em escolares de 6 a 12 anos de idade no nível primário no Peru. Em relação à metodologia; a pesquisa foi descritiva com abordagem qualitativa; Foi feita uma revisão bibliográfica em sites e bases de dados como; Sciencie, Scielo, Scopus del Perú e Renati, usando equações de busca; com palavras-chave e operadores lógicos. Quanto aos resultados, foram selecionados 54 artigos; 8 em atividade física, 32 em alimentação saudável, 10 em hábitos saudáveis de higiene e 4 em qualidade do sono. Por fim, a investigação descobriu que os escolares apresentam deficiências em seus hábitos alimentares, higiênicos, recreativos e físicos, devido a múltiplos fatores como; falsas crenças, más práticas, falta de serviços básicos; água potável, artigos de higiene pessoal; cremes dentais, sabonetes e abuso de alimentos processados. Os resultados coletam propostas válidas para melhorar os hábitos saudáveis dos escolares, e vão desde a promoção de exercícios físicos, oferta de alimentação saudável até o monitoramento da regulamentação de produtos alimentícios e propagandas.

Resumen En prisión existen programas específicos de tratamiento para condenados por agresión sexual a menores; sin embargo, quienes además tienen pedofilia, requieren una atención específica. El objetivo del presente estudio es doble: primero, ofrecer una propuesta de intervención específica para pedofilia en el entorno penitenciario basada en la evidencia científica disponible y complementaria al Programa de Control de la Agresión Sexual y después, justificar dicha propuesta a través del caso de un interno con pedofilia. En concreto, proponemos una intervención individual y centrada en personas con pedofilia; trabajando la baja autoestima, evaluando la ideación suicida y reestructurando las distorsiones cognitivas con menores, facilitando la creación de relaciones personales funcionales con adultos, evaluando la polivictimización pasada y su posible influencia sobre la conducta sexual posterior, proporcionar a los internos psicoeducación sobre pedofilia; atender de forma específica las fantasías sexuales con menores, evitando las conductas disexuales y la eliminación del consumo de material abusivo.

Abstract There are specific treatment programs in prisons for those convicted of sexually assaulting minors; however, those who also have pedophilia require specific attention. The aim of this study is twofold: first, to offer a specific intervention proposal for pedophilia in the prison setting based on the available scientific evidence, and complementary to the Sexual Assault Control Program, and second, to justify this proposal through the case of an inmate with pedophilia. Specifically, we propose an individual intervention focused on people with pedophilia; working on low self-esteem, assessing suicidal ideation, and restructuring cognitive distortions with minors, facilitating the creation of functional personal relationships with adults, assessing past polyvictimization and its possible influence on subsequent sexual behavior, providing inmates with psychoeducation on pedophilia; specifically addressing sexual fantasies with minors, avoiding dissexual behavior, and eliminating the consumption of abusive material.

ABSTRACT Research in Coronel Portillo, Ucayali, examined how the Gesell Chamber affects the protection of children's best interests in judicial processes. With a quantitative approach and pre-experimental design, 128 minors were observed. The results indicated that the effective use of the Gesell Chamber has a positive and significant influence on the application of the best interests of the child, reducing revictimization and improving the quality of the judicial process.

RESUMEN La investigación en coronel Portillo, Ucayali, examinó cómo la Cámara Gesell afecta la protección del interés superior del niño en procesos judiciales. Con un enfoque cuantitativo y diseño pre-experimental, se observaron 128 menores. Los resultados indicaron que el uso eficaz de la Cámara Gesell tiene una influencia positiva y significativa en la aplicación del interés superior del niño, reduciendo la revictimización y mejorando la calidad del proceso judicial.

Child sexual abuse affects children and caregivers all around the world. According to the South African Police Service's (2020/21) crime statistics report, child sexual abuse is common in South Africa, particularly the township of Tsakane. Tsakane, located in Ekurhuleni, Gauteng, is predominantly comprised of IsiZulu-speaking residents and has a significant child sexual abuse problem. Child sexual abuse may be perceived differently by IsiZulu-speaking caregivers than by other cultural groups and hence a qualitative study was carried out to explore this phenomenon. The study employed an exploratory design and semi-structured individual interviews. Thematic content analysis was conducted in analysing the data. The findings revealed that isiZulu caregivers in Tsakane are hesitant to report incidences of child sexual abuse because of cultural, environmental and psychological cost factors. This means that social work should address child sexual abuse in a comprehensive, culturally sensitive and community-focused manner.

Resumen: El embarazo, el parto y el nacimiento son momentos de grandes cambios en la vida de madres y padres. Este artículo tiene como objetivo presentar el protocolo de investigación para estimar la prevalencia de los resultados de la salud mental en madres y padres en el posparto, maltratos y la satisfacción durante la atención del parto/aborto, y las interrelaciones entre ellos y los factores socioeconómicos, obstétricos y de salud infantil. La investigación tiene dos componentes: un estudio de cohorte prospectivo con todas las puérperas entrevistadas en las 465 maternidades incluidas en la línea de base de la encuesta Nacer en Brasil II realizada entre 2021 y 2023, y un estudio seccional con las parejas/padres de los bebés. Las entrevistas se efectúan mediante llamada telefónica o enlace de autocumplimentación enviado vía WhatsApp a las puérperas a los 2 y 4 meses después del parto/aborto. El contacto con la pareja se hace a los tres meses del nacimiento (excluyendo abortos, mortinatos y muertes de recién nacidos), a través del teléfono facilitado por la puérpera en la sala de maternidad. Las entrevistas abordan, entre las puérperas, los síntomas de depresión, ansiedad y trastorno de estrés postraumático, maltrato durante la atención en la maternidad y la calidad del vínculo madre-bebé. También se investiga la presencia de morbilidad materna y neonatal, uso de servicios posnatales y satisfacción con la atención en la maternidad. Entre los padres, se aborda la ocurrencia de síntomas de depresión y ansiedad, y la calidad de la relación con la esposa/pareja y el bebé. La información recopilada en esta etapa de la investigación puede apoyar la planificación y mejora de la atención dirigida a la salud de la tríada madre-padre-hijo después del nacimiento.

Resumo: A gravidez, o parto e o nascimento são momentos de grandes mudanças na vida das mães e dos pais. Este artigo tem como objetivo apresentar o protocolo da pesquisa para estimar a prevalência dos desfechos em saúde mental nas mães e pais no pós-parto, dos maus tratos e satisfação na atenção ao parto/abortamento, e as inter-relações entre eles e fatores socioeconômicos, obstétricos e da saúde da criança. A pesquisa tem dois componentes: estudo de coorte prospectiva com todas as puérperas entrevistadas nas 465 maternidades incluídas na linha de base da pesquisa Nascer no Brasil II realizada entre 2021 e 2023, e estudo seccional com os companheiros/pais dos bebês. As entrevistas são realizadas por ligação telefônica ou link de autopreenchimento enviado por WhatsApp com as puérperas aos 2 e 4 meses após o parto/aborto. Os companheiros são abordados três meses após o nascimento (excluídos os abortos, natimortos e neomortos), a partir do telefone informado pela puérpera na maternidade. As entrevistas abordam, entre as puérperas, sintomas de depressão, ansiedade e transtorno de estresse pós-traumático, maus-tratos na atenção na maternidade e qualidade do vínculo mãe-bebê. São investigados também a presença de morbidade materna e neonatal, utilização de serviços pós-natais, e satisfação com o atendimento na maternidade. Entre os pais, é abordada a ocorrência de sintomas de depressão e ansiedade, e a qualidade do relacionamento com a esposa/companheira e o bebê. As informações coletadas nessa etapa da pesquisa poderão subsidiar o planejamento e melhoria do cuidado voltado para a saúde da tríade mãe-pai-filho após o nascimento.

Abstract: Pregnancy, parturition and birth bring major changes to the lives of mothers and fathers. This article presents a research protocol for estimating the prevalence of postpartum mental health outcomes in mothers and fathers, abuse and satisfaction in delivery/abortion care, and the correlations between them and socioeconomic, obstetric, and child health factors. As a 2-component research, it consists of a prospective cohort study with all postpartum women interviewed in the 465 maternity hospitals included at the Birth in Brazil II baseline survey conducted from 2021 to 2023, and a cross-sectional study with the newborns’ fathers/partners. Interviews will be conducted via telephone or self-completion link sent by WhatsApp with the mother at 2 and 4 months after delivery/abortion. Partners will be approached three months after birth (excluding abortions, stillbirths and newborn death) using the telephone number informed by the mother at the maternity ward. Postpartum women will be inquired about symptoms of depression, anxiety and post-traumatic stress disorder, abuse during maternity care and quality of the mother-newborn bond. Maternal and neonatal morbidity, use of postnatal services, and satisfaction with maternity care are also investigated. Fathers will be asked to report on symptoms of depression and anxiety, and the quality of the relationship with the partner and the newborn. The information collected in this research stage may help to plan and improve care aimed at the postpartum health of the mother-father-child triad.

Abstract Neglect is one of the most frequently reported forms of violence against children and adolescents, although it has rarely been explored in national studies. In this light, the present study aimed to analyze the personal social network of families involved in negligence against children and adolescents. This work takes a qualitative approach, anchored in the Paradigm of Complexity, conducted with twenty families involved in negligence against children and adolescents in a municipality in the countryside of the state of São Paulo, Brazil. Data collection took place through minimal maps of the personal social network and semi-structured interviews in January 2021. The networks were limited, with little to no interaction among the different services and sectors, and were predominantly homogeneous. Because they have many weakened ties, they are relatively unsupportive, pointing out difficulties in access to work, education, and health. Due to the characteristics of the network, the complexity of the phenomenon of neglect was identified, in which elements condition and perpetuate experiences of absence and fragility. Interprofessional and intersectoral views and actions are requested and recommended.

Resumo A negligência constitui uma das violências contra crianças e adolescentes mais notificadas, entretanto ainda pouco explorada em estudos nacionais. O objetivo deste estudo foi analisar a rede pessoal social de famílias envolvidas na negligência contra crianças e adolescentes. Estudo qualitativo, ancorado no paradigma da complexidade, realizado junto a 20 familiares envolvidos na negligência contra crianças e adolescentes em município do interior de São Paulo, Brasil. A coleta de dados se deu por mapas mínimos da rede pessoal social e entrevistas semiestruturadas em janeiro de 2021. As redes se apresentaram reduzidas, com pouca ou nenhuma articulação entre os diferentes serviços e setores e predominantemente homogêneas. Por terem muitos vínculos fragilizados, mostrou-se pouco sustentadora, apontando dificuldades no acesso a trabalho, educação e saúde. Pelas características da rede, identificou-se a complexidade do fenômeno da negligência, em que elementos condicionam e perpetuam vivências de ausências e fragilidades. Olhares e ações interprofissionais e intersetoriais são pleiteadas e recomendadas.

There is an increase in child sexual abuse among young learners in Zimbabwe (Mahoso, 2020), therefore, there is an urgent need for comprehensive sexuality education to be implemented. This study aimed to establish the views of parents on teaching comprehensive sexuality education (CSE) to young children in primary schools. Most schools in Zimbabwe are avoiding teaching topics on CSE. This resulted in young learners being deprived of age appropriate CSE knowledge and their rights and responsibilities informed by the ecological theoretical framework. A qualitative approach within the interpretivist paradigm was applied with a case study design. Data were gathered using a semi-structured interview schedule. Purposive sampling was used to select 10 parents. The study revealed that parents' cultural and religious beliefs impacted their views. Parents believed that sexuality education content is taboo and against their norms and values. They indicated that CSE content would encourage sexual activities among children. The study recommended continuous education on the importance of CSE and intensive advocacy campaigns to be initiated by all stakeholders. Parents should become involved in the development of a CSE curriculum framework for primary schools. Parents and teachers should work together to support the teaching of CSE to children.

Resumen: El objetivo del presente estudio bibliométrico consistió en analizar la producción científica acumulada sobre los factores de riesgo biopsicosocial conducentes al suicidio en la infancia y la adolescencia mediante la implementación de la teoría de grafos. Se consultaron las bases de datos Scopus (Elsevier) y Web of Science, y el análisis se efectuó en bibliometrix, Sci2 tool y Gephi. Se encontraron 2,058 registros. El análisis mostró una red de citaciones de 2,905 registros y cuatro clústeres principales. Los resultados arrojaron una estructura de red de la producción de conocimiento en cuatro tendencias de investigación: (1) factores de predicción de tipo psiquiátrico del comportamiento suicida en niños y adolescentes; (2) asociación entre conducta autolesiva no suicida y comportamiento suicida en adolescentes; (3) relación entre maltrato infantil y suicidio; (4) uso de antidepresivos en la niñez y adolescencia y comportamiento suicida. Finalmente, se plantean consideraciones para la prevención del suicidio en la población objeto de estudio.

Abstract: The aim of this bibliometric paper was to analyze the scientific production on biopsychosocial risk factors leading to suicide in childhood and adolescence using graph theory. The Scopus (Elsevier) and Web of Science databases were consulted and the analysis was performed using bibliometrix, Sci2 tool and Gephi. A total of 2,058 records were found. The analysis of the records revealed a citation network of 2,905 records and four main clusters. The results showed a network structure of knowledge production behavior in four research trends: (1) psychiatric predictors of suicidal behavior in children and adolescents; (2) association between non-suicidal self-injurious behavior and suicidal behavior in adolescents; (3) relationship between child abuse and suicidal behavior; (4) use of antidepressants in childhood and adolescence and suicidal behavior. Finally, considerations for suicide prevention in the study population are raised.

Resumo: O objetivo deste estudo bibliométrico foi analisar a produção científica sobre os fatores de risco biopsicossociais que levam ao suicídio na infância e adolescência utilizando a teoria dos grafos. Foram consultadas as bases de dados Scopus (Elsevier) e Web of Science e a análise foi realizada no bibliometrix, Sci2 e Gephi. Foram encontrados 2058 registos. A análise revelou uma rede de citações com 2905 registos e quatro clusters principais. Os resultados geraram uma estrutura de rede de produção de conhecimento em quatro tendências de pesquisa: (1) preditores de tipo psiquiátrico de comportamento suicida em crianças e adolescentes; (2) associação entre comportamento autolesivo não suicida e comportamento suicida adolescente; (3) relação entre maltrato infantil e suicidio; (4) uso de antidepressivos na infância e adolescência e comportamento suicida. Por fim, são propostas considerações para a prevenção do suicídio na população em estudo.