Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

RESUMO: A assistência puerperal ainda não ocorre de forma satisfatória no âmbito da estratégia saúde da família (ESF). O objetivo da pesquisa foi identificar a assistência prestada à mulher no pós-parto por enfermeiros. Estudo qualitativo e descritivo, desenvolvido com 10 mulheres adstritas na área de abrangência da ESF, do município de Lajes, Estado do Rio Grande do Norte, Brasil. Os dados foram obtidos no período de abril a maio de 2010, por meio de entrevista semiestruturada após aprovação do Comitê de Ética da Universidade Federal do Rio Grande do Norte, e submetidos à análise de conteúdo. Os resultados apontam que, durante a visita domiciliar, o enfermeiro realizou o exame somente do neonato. As orientações foram para os cuidados com o recém-nascido e o uso de anticoncepcionais orais. Portanto, percebeu-se pouca vigilância voltada para a saúde da puérpera e as atenções foram direcionadas, quase que exclusivamente, para a criança. Palavras-Chave: Saúde da mulher; período pós-parto; visita domiciliar; enfermagem obstétrica. ABSTRACT: Postpartum care provided under the Family Health Strategy is not yet satisfactory. This study aimed to identify the care provided by nurses to women in postpartum. This qualitative, descriptive study involved 10 women residing in the Family Health Strategy catchment area in the city of Lages, Rio Grande do Norte, Brazil. After approval by the Ethics Committee of Rio Grande do Norte Federal University, data were collected by semi-structured interview in April and May 2010, and then subjected to content analysis. The results indicated that, during home visits, nurses examined only the newborns. The guidance given was on care for the newborn and use of oral contraceptives. Little vigilance was directed to the mothers' health; rather, care was directed exclusively to the newborn.

Objectives: to understand the cultural context presented in hospitals and its relation to the obstetric nurse's autonomous practice on low-risk childbirth care. Methods: ethnographic research performed in three public maternities in Rio Grande do Norte, Brazil. Three managers and twenty-three obstetric nurses participated in this research. Results: distinctive on cultural, organizational and structural aspects of the hospital institution interfering directly with the obstetric nurse's autonomous practice. Among these aspects, professional appreciation on low-risk childbirth care contributes for the nurse's autonomy Conclusions: it was noticed that obstetric nurses undergo different contexts of action, which directly interfere with their autonomy on low-risk childbirth care and their decisionmaking abilities. It is necessary, then, to eradicate the relation of dominance and submission that it is still imposed by medical hegemony.

No abstract

Este estudio tuvo como objetivo sintetizar la literatura científica publicada en artículos sobre las formas de violencia institucionalizada que se producen durante el parto. Se trata de una revisión integradora realizada en bases SCIELO, SCOPUS, PubMed y LILACS, utilizando los descriptores Childbirth AND “Parturition” AND “Obstetric” AND “Violence”. 13 artículos fueron seleccionados tras atender los criterios de inclusión y exclusión. Del análisis de los estudios emergieron cinco categorías, a saber: violencia institucional en las relaciones de poder; violencia institucional al cuerpo femenino; violencia institucional a través de la comunicación; violencia institucional en la modalidad de servicio; y violencia institucional como una violación de los derechos. A pesar de que la literatura científica sobre el tema va en aumento, la cantidad de estudios es todavía incipiente y bajo el nivel de evidencia científica.<br /><br />