Objective: To identify the flows of service for older people, victims of violence in different care services and to analyze the main critical issues. Method: This is a descriptive and exploratory study based on interviews with professionals responsible for: health services; judicial and social care, and with elder abuse victims, in a medium-sized city in the countryside of the state of São Paulo. Data enabled the creation of a flowchart to describe and define the critical issues, according to the model created by Franco and Merhy. Results: The following critical issues were identified: lack of centrality when directing complaints; difficulty to contact 100 hotline; collection of insufficient data on the event; lack of communication among services; victim's withdrawal in the middle of the process; lack of knowledge by the services and the population on social care functions; conflict among services in cases of difficult situations to solve, and lack of intervention by primary health care teams in response to a violence complaint. Conclusions and implications for practice: Critical issues point to the need to enhance interventions from the intersectoral perspective, with the aim to improve older people's quality of health.
INTRODUCTION: We aimed to evaluate the effects of musical auditory stimulation on cardiac autonomic regulation in subjects who enjoy and who do not enjoy the music. METHOD: The study was performed in young women (18-27 years old) divided in two groups (1) volunteers who enjoyed the music and (2) volunteers who did not enjoy the music. Linear indices of heart rate variability were analyzed in the time domain. The subjects were exposed to a musical piece (Pachelbel: Canon in D Major) during 10 minutes. Heart rate variability was analyzed at rest with no music and during musical auditory stimulation. RESULTS: In the group that enjoyed the music the standard deviation of normal-to-normal R-R intervals (SDNN) was significantly reduced during exposure to musical auditory stimulation. We found no significant changes for the other linear indices. The group composed of women who did not enjoy the music did not present significant cardiac autonomic responses during exposure to musical auditory stimulation. CONCLUSION: Women who enjoyed the music presented a significant cardiac autonomic response consisting of a reduction in heart rate variability induced by the musical auditory stimulation. Those who did not enjoy the musical piece presented no such response.
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