The goal was to understand the therapeutic itinerary of Maroon children in urgent

Objective:to evaluate the accuracy of the version of the Brighton Pediatric Early Warning Score translated and adapted for the Brazilian context, in the recognition of clinical deterioration. Method:a diagnostic test study to measure the accuracy of the Brighton Pediatric Early Warning Score for the Brazilian context, in relation to a reference standard. The sample consisted of 271 children, aged 0 to 10 years, blindly evaluated by a nurse and a physician, specialists in pediatrics, with interval of 5 to 10 minutes between the evaluations, for the application of the Brighton Pediatric Early Warning Score for the Brazilian context and of the reference standard. The data were processed and analyzed using the Statistical Package for the Social Sciences and VassarStats.net programs. The performance of the Brighton Pediatric Early Warning Score for the Brazilian context was evaluated through the indicators of sensitivity, specificity, predictive values, area under the ROC curve, likelihood ratios and post-test probability. Results:the Brighton Pediatric Early Warning Score for the Brazilian context showed sensitivity of 73.9%, specificity of 95.5%, positive predictive value of 73.3%, negative predictive value of 94.7%, area under Receiver Operating Characteristic Curve of 91.9% and the positive post-test probability was 80%. Conclusion:the Brighton Pediatric Early Warning Score for the Brazilian context, presented good performance, considered valid for the recognition of clinical deterioration warning signs of the children studied.

ABSTRACT:This qualitative study's objective was to analyze the process of identification of conjugal violence by professionals from the Family Health Strategy in São Francisco do Conde/Salvador, Bahia. Interviews were held with 22 professionals (doctors, nurses, social workers and dentists) and, after analysis of the data, the following categories emerged: (Non)identification of conjugal violence in the Family Health Team; Perception of the violence being restricted to physical aggression; The scale and complexity of the conjugal violence; and Breaking the silence in the Family Health Team. The study showed that identification of conjugal violence occurs during professional assistance. Failure to identify the phenomenon is related to the curriculums which do not cover domestic violence as a health object. This points to the importance of a listening and trusting relationship in the process of identifying this threat to health. It is necessary to adopt strategies for confronting the problem, along with better preparation of professionals, which would give greater visibility to the issue. A não identificação do fenômeno guarda relação com os currículos que ainda não contemplam a violência doméstica como objeto da saúde. Pontua-se para a importância da relação de confiança e da escuta no processo de identificação do agravo. Torna-se necessário melhor preparo profissional, o que possibilitará maior visibilidade da problemática e a adoção de estratégias de enfrentamento. DESCRIPTORS: DESCRITORES:Violência contra a mulher. Saúde da mulher. Saúde da família. Enfermagem. IDENTIFICACIÓN DE LA VIOLENCIA CONYUGAL A PARTIR DE LA ESTRATEGIA DE SALUD FAMILIARRESUMEN: Investigacion cualitativa con el objetivo de analizar el proceso de identificacion de la violencia conyugal por los profesionales que trabajan en la Estrategia de la Salud Familiar. Se entrevistaron 22 profesionales (doctores, enfermeros, trabajadores sociales y dentistas) de São Francisco do Conde/Salvador, Bahia. A partir del análisis de datos surgieron las siguientes categorías: (No)identificación de la violencia conyugal en la Estrategia de la Salud Familiar, Percepción de violencia se limita a la agresión física, Magnitud y complejidad de la violencia conyugal; y Rompiendo el silencio em Estrategia de la Salud Familiar. El estudio mostró que la identificación de la violencia conyugal se da durante la atención profesional. La no identificación del problema guarda relación con los currículos que aún no contemplan las violencia familiar como objeto de salud. Se resalta la importancia de la relación de confianza y de escucha en el proceso de identificación del agravio. Se hace necesario un mejor preparo profesional, lo que permitirá una mayor visibilidad del problema y la adopción de estrategias de afrontamiento. DESCRIPTORES:Violencia contra la mujer. Salud de la mujer. Salud de la familia. Enfermería.