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Objective: to understand the access of lesbians, gays, bisexuals and transvestites/transsexuals to the Basic Family Health Units. Methods: qualitative research held with 54 patients. A semi-structured interview and the free association test were used. The data were processed by the software IRaMuTeQ® and submitted to the technique of Content Analysis in the thematic modality. Results:six categories emerged: Silencing regarding sexual orientation and gender identity – access is facilitated as they do not reveal themselves; Invisibility and indifference to legal political references - antagonism between the paradigm thought and executed; Homophobic manifestations and effects on access - restricted use of the service; Embarrassment and distancing - removal and search for private services; Des (humanized) and unethical practices - lack of awareness, secrecy; and Stigma and access - permanence of stigmata between Acquired Immunodeficiency Syndrome and homosexuality. Conclusion: the access to health services is limited with intolerance, constraints, exclusionary and aerial positions. ; Objetivo: compreender o acesso de lésbicas, gays, bissexuais e travestis/transexuais às Unidades Básicas de Saúde da Família. Métodos: pesquisa qualitativa, realizada com 54 usuários(as). Utilizou-se entrevista semiestruturada e o teste de associação livre de palavras. Os dados foram processados pelo software IRaMuTeQ®, submetidos à técnica de Análise de Conteúdo. Resultados: emergiram seis categorias: Silenciamento quanto à orientação sexual e identidade de gênero -o acesso é facilitado desde que não se revelem; Invisibilidade e indiferença aos marcos políticos legais- antagonismo entre o paradigma pensado e executado; Manifestações homofóbicas e efeitos no acesso - uso restrito do serviço; Constrangimento e distanciamento - afastamento e busca por serviços privados; Práticas des(humanizadas) e antiéticas - falta de sensibilização, sigilo; e Estigma e acesso - permanência de estigmas entre Síndrome de Imunodeficiência Adquirida e homossexualidade. Conclusão: o acesso desta população aos serviços de saúde é limitado, permeado por intolerância, constrangimentos e posicionamentos aéticos e excludentes.

Objective: recognizing the senses attributed to solitude by the elderly. Method: an exploratory research conducted with 68 elderly with minimum age of 62 years old and maximum of 94, of both genders, residents in institutions of long permanence in the city of João Pessoa - Paraíba, brazil. The data were collected from the semi-structured interview and analyzed with the aid of alceste software: 2010. Results: the analyzed data pointed to five classes or categories in which the elderly associate loneliness to negative dimensions, such as: abandonment and contempt. Conclusion: the representations of the elderly are decurrent from their previous experiences and existing contact or not with their families.

ABSTRACT This study aimed to analyze the conceptions that guide the practices of professionals in relation to care provided in mental health. This qualitative study enrolled professionals from a government health clinic in João Pessoa, Paraíba, Brazil. Data collection was conducted through a semi-structured interview during which the testimonies were recorded and subsequently transcribed in full. Analysis of the speech used Fiorin's Critical Theory, which allowed the elaboration of two subcategories: "Knowledge that guides practices in mental health" and "The invisibility of the integrating character of the Family Health Strategy from the Network of Psychosocial Care perspective". The focus of nursing care and health must not be bound only to the sickness, but caring practices should be transformed to promote comprehensive care and the resocialization of the person with psychic suffering.

Objective: it is an integrative literature review, in order to verify the knowledge produced by researchers
about the perception of older people on Alzheimer's disease (AD). Method: the literature review was
conducted in the Virtual Health Library (BVS BRAZIL), MEDLINE and in the Capes Journal Portal databases.
Results: the final sample consisted of nine scientific articles selected by previously established inclusion
criteria. It was noticed the little amount of scientific articles published on Alzheimer's disease with
qualitative methodology using the Theory of Social Representations (SR). Conclusion: there was the need
for research to investigate the behavior of elderly patients in face of Alzheimer's disease having the theory
of SR as theoretical support so that in the near future benefits with scientific basis are accumulated, creating
opportunities for interventions such as health policies, with the main purpose to improve the quality of life
for seniors.

Objectives: identifying the content related to sexuality that has been worked in the school environment and analyzing the knowledge of students about the mode of transmission and prevention of HIV/Aids. Method: this is a descriptive study (survey) that was conducted with 54 students enrolled in the ninth year of the second segment of elementary education at two public schools in João Pessoa - Paraíba. The data were analyzed in the Software Statistic 9.0 Statsof. Results: In School A, it was given a special attention related to body hygiene (44,0%). At school B there was prevention of sexually transmitted diseases (58,6%), HIV infection/Aids (51,7%) and condom use (44,8%). Conclusion: the information directed to self-care must transcend the limits of prevention and hygienisation, incorporating extensive, inclusive and reflective methodologies, which promote healthy sexual experience and consequent reduction of vulnerability to HIV/Aids.

The objective of this study was to recognize the working process of the matrix supporters who work in the Family Health Strategy. It is a qualitative research, developed in a Sanitary District, located in one of the towns of the metropolitan region of João Pessoa – PB. It was observed that the matrix supporters is considered an articulator and facilitator of the process of work of the team who is opposite to the management. He develops activities which are managerial from the assessment of the process of work of each sector of the service and encourages the development of spaces of co-management. Another activity related to the assistential dimension which is guided by the proposal of the expanded health clinics. We so conclude that, the work of the matrix supporters configures a strategy of management that corroborates with the strength of the building up of an integral and humanized care according to what advocates the SUS (Brazilian Government Health System).

Objetivou-se conhecer a percepção dos coordenadores do Programa de Controle da Tuberculose quanto à utilização do Sistema de Informação de Agravos de Notificação (SINAN) como instrumento da estratégia DOTS (Directly Observed Treatment). Estudo de natureza qualitativa utilizou a entrevista semi-estruturada com oito coordenadores do Programa de Controle da Tuberculose de seis municípios paraibanos. Os resultados evidenciaram que os municípios utilizam o SINAN para avaliação das ações de controle da tuberculose, apontando como dificuldades, deficiência do preenchimento das fichas de notificação de tuberculose; precária infra-estrutura de informática; qualificação insuficiente de recursos humanos; falta de integração entre profissionais de diferentes setores; deficiência do fluxo da informação entre unidades de saúde/municípios. Considerando que a qualidade da informação pode comprometer o monitoramento dos resultados de tratamento dos pacientes e conseqüentemente a eficácia da estratégia DOTS, conclui-se que é fundamental o compromisso político da gestão para superar as fragilidades identificadas. ; El estudio tuvo como objetivo conocer la percepción de los coordinadores del Programa de Control de la Tuberculosis en lo que se refiere a la utilización del Sistema de Informação de Agravos de Notificação (SINAN) como instrumento de la estrategia DOTS (Directly Observed Treatment). Se trata de un estudio de naturaleza cualitativa que utilizó la entrevista semi-estructurada con ocho coordinadores del Programa de Control de la Tuberculosis de seis municipios del estado de Paraíba. Los resultados evidenciaron que los municipios utilizan el SINAN para evaluar las acciones de control de la tuberculosis, apuntando como dificultades, la deficiencia del llenado de los registros de notificación de tuberculosis; la precaria infraestructura de informática; la calificación insuficiente de recursos humanos; la falta de integración entre profesionales de diferentes sectores; y, la deficiencia del flujo de la información entre las unidades de salud/municipios. Considerando que la calidad de la información puede comprometer el monitoreo de los resultados del tratamiento de los pacientes y consecuentemente la eficacia de la estrategia DOTS, se concluyó que es fundamental el compromiso político de la administración para superar las fragilidades identificadas. ; This article had the purpose to understand the perception of the coordinators of the Tuberculosis Control Program regarding the use of the Notification Aggravation Information System - Sistema de Informação de Agravos de Notificação (SINAN) as an instrument of the DOTS (Directly Observed Treatment) Strategy. This qualitative study used semi-structured interviews, with eight coordinators of the Tuberculosis Control Program in six cities of the state of Paraíba. The results showed that the cities use the SINAN to evaluate actions to control tuberculosis, pointing to difficulties such as failure to fill out the tuberculosis notification sheets, precarious computer infrastructure, insufficient qualification of human resources, lack of integration between professionals from different sectors and deficiencies in the information flow between healthcare units and cities. Considering that the quality of the information can jeopardize the monitoring of the results of treatments for patients, and consequently the efficiency of the DOTS strategy, it is concluded that the political commitment of the administration is fundamental to overcome the identified weaknesses.