Resumo: O presente estudo analisa a questão do turismo sexual (TS) infanto-juvenil e suas correlações com os megaeventos esportivos, a partir da implementação de uma política pública preventiva na cidade de Recife - região nordeste do Brasil - em razão da Copa do Mundo de Futebol 2014. Através de um estudo qualitativo com duração de três anos - entrevistas, observações e fotografias -, a questão do TS infanto-juvenil é investigada, levando-se em consideração os aspectos sociais enredados, bem como o envolvimento de setores societários excluídos na organização dos chamados megaeventos. Embora, em curto prazo, a implementação de uma política pública preventiva tenha sido satisfatória, em longo prazo, mostram-se necessárias medidas efetivas para que, de fato, haja mudanças na situação dos indivíduos implicados. No contexto dos grandes eventos esportivos, a temática relativa ao TS infanto-juvenil permanece incipiente, notadamente em regiões onde a desigualdade social persevera, assim como as questões relativas ao gênero.

Abstract: This study aims to analyze the issue of child sex tourism (CST) and their correlations with sport mega-events tanking into consideration the implementation of preventive public policy in in the host city of Recife - located in the Northeast Brazil -due to the 2014 Football World Cup. Through a qualitative approach based on a three-year longitudinal study - interviews, observations and photographs - the theme will be analyzed taking into account the social aspects entangled, and the implications of excluded sectors of society in the organization of so-called mega-events. Although in the short term, the results obtained in the analyzed projects have been satisfactory, in the long run, effective social and educational measures must be prioritized to improve the situation of the actors involved. As part of a sport mega-event, the topic of CST remains marginal, particularly in countries where the social inequality persists, as well as gender issues.

Abstract The Sao Paulo Declaration (1998) committed leisure professionals to extending Rights, Inclusion and Social Order in leisure customs and practice. The engine for this intervention consisted of the twin processes of globalization and cosmopolitanism. Both were seen as dissolving economic and political barriers. The Declaration did not make use of the term ‘world society’. On the other hand it clearly defined itself to be part of a global movement that addressed leisure for all. In the last 20 years, the progress made n fulfilling the terms of the Declaration has been disappointing. Economic barriers of wealth inequality and uneven development in globalization and cosmopolitanism have blocked many aspects of the Rights, Inclusion and Order articulated in the Declaration. This paper examines how far globalization and cosmopolitanism have progressed in achieving the principle that ‘all persons have the right to leisure.’ It examines data on wealth inequality, debt and unemployment rates to consider some of the concrete impediments. It concludes by maintaining that there is a need to go beyond the Sao Paulo Declaration by addressing the economic and political barriers that currently prevent leisure from being a right for all.

INTRODUÇÃO: A via radial é objeto de interesse crescente de cardiologistas intervencionistas, por oferecer diversas vantagens, entre elas a redução da taxa de sangramento e eventos cardíacos adversos maiores (ECAM). Entretanto, apesar de os idosos apresentarem maior risco de sangramento da via de acesso, a utilização da via radial é motivo de controvérsias, pela maior complexidade anatômica desses pacientes. MÉTODOS: Estudo retrospectivo, que incluiu pacientes submetidos a intervenção coronária percutânea (ICP) por via radial, divididos nos grupos idoso (> 65 anos) e não-idoso (< 65 anos). Foram analisados os perfis clínico, angiográfico e do procedimento, além da evolução tanto inicial como tardia. RESULTADOS: No grupo idoso foram incluídos 131 pacientes (145 ICPs) e no grupo não-idoso, 149 pacientes (176 ICPs). O grupo idoso apresentou mais frequentemente menor índice de massa corporal e de tabagistas, e maiores taxas de insuficiência renal crônica, doença arterial periférica, quadros clínicos estáveis, doença multiarterial e lesões calcificadas. Não houve diferença nas taxas de troca de via de acesso (4,8% vs. 3,4%), tempo de fluoroscopia (15,3 ± 10,3 minutos vs. 16,1 ± 10,3 minutos), tempo do procedimento (40,6 ± 26,4 minutos vs. 46,4 ± 53,6 minutos), sucesso tanto angiográfico (96,3% vs. 97,5%) como clínico (94,5% vs. 95,4%), ECAM (3,4% vs. 3,4%) e sangramentos (0,21% vs. 0,6%) na fase hospitalar. No seguimento tardio também não houve diferença nas taxas de ECAM (9,6% vs. 11%). CONCLUSÕES: Apesar da maior complexidade tanto clínica como angiográfica, a realização de ICP por via radial em idosos é segura e eficaz, com elevado índice de sucesso do procedimento e baixa taxa de complicações hospitalares e tardias.

BACKGROUND: Radial access is the object of increasing interest for interventional cardiologists, providing several advantages, including a reduction of bleeding and major adverse cardiovascular event (MACE) rates. However, even though elderly patients have a greater risk of access site bleedings, the use of the radial approach is controversial, due to the greater anatomical complexity of these patients. METHODS: Retrospective study including patients undergoing percutaneous coronary intervention (PCIs) using the radial access divided into an elderly (> 65 years) and a non-elderly (< 65 years) group. Clinical, angiographic and procedural characteristics as well as early and late follow-up outcomes were analyzed. RESULTS: The elderly group included 131 patients (145 PCIs) and the non-elderly group, 149 patients (176 PCIs). The elderly group presented lower body mass index and fewer smokers and higher rates of chronic renal failure, peripheral arterial disease, stable coronary artery disease, multivessel disease and calcified lesions. There was no difference in the rate of access-site crossover (4.8% vs. 3.4%), fluoroscopy time (15.3 ± 10.3 minutes vs. 16.1 ± 10.3 minutes), procedure time (40.6 ± 26.4 minutes vs 46.4 ± 53.6 minutes), angiographic (96.3% vs 97.5%) and clinical (94.5% vs 95.4%) success, MACE (3.4% vs 3.4%) and bleedings (0.21% vs 0.6%) during hospitalization. In the late follow-up there was no difference in the MACE rates (9.6% vs 11%). CONCLUSIONS: Despite the greater clinical and angiographic complexity, PCI using the radial access is safe and effective, with a high procedural success rate and low in-hospital and late follow-up complication rates.