Cervical cancer (CC) is a public health problem with a high disease burden and mortality in developing countries. In Brazil, areas with low human development index have the highest incidence rates of Brazil and upward temporal trend for this disease. The Northeast region has the second highest incidence of cervical cancer (20.47 new cases / 100,000 women). In this region, the mortality rates are similar to rates in countries that do not have a health system with a universal access screening program, as in Brazil. Thus, this study aimed to analyze the effects of age, period and birth cohorts on mortality from cervical cancer in the Northeast region of Brazil. Estimable functions predicted the effects of age, period and birth cohort. The average mortality rate was 10.35 deaths per 100,000 women during the period analyzed (1980-2014). The highest mortality rate per 100,000 women was observed in Maranhão (24.39 deaths), and the lowest mortality rate was observed in Bahia (11.24 deaths). According to the period effects, only the state of Rio Grande do Norte showed a reduction in mortality risk in the five years of the 2000s. There was a reduction in mortality risk for birth cohorts of women after the 1950s, except in Maranhão State, which showed an increasing trend in mortality risk for younger generations. We found that the high rates of cervical cancer mortality in the states of northeastern Brazil remain constant over time. Even after an increase in access to health services in the 2000s, associated with increased access to the cancer care network, which includes early detection (Pap Test), cervical cancer treatment and palliative care. However, it is important to note that the decreased risk of death and the mortality rates from CC among women born after the 1960s may be correlated with increased screening coverage, as well as increased access to health services for cancer treatment observed in younger women.

Results:The typology of violence that victimized transvestites and transsexuals were: verbal (91.96%), psychological (58.33%) and physical (33.33%), often between 24 hours and six months preceding the survey. Regarding the spatiality: the street, school and health services were all scenarios of aggression. With respect to the offending agent, the findings point towards neighbors, family members and health professionals. All forms of violence happened between agents and spaces of aggression. Conclusions:Violence among this population, silence around the situations of abuse became more pronounced as did its invisibility in the social and institutional context, reflecting the inhibition of human rights and concealment of reality.Keywords: Transgender people. Violence. Social vulnerability. RESUMO Objetivo: Analisar a partir do perfil sociodemográfico as situações de violência contra travestis e transexuais. Método: Pesquisa transversal, descritiva, composta por 16 travestis e transexuais, realizada em Cajazeiras (PB). A coleta de dados ocorreu em abril de 2014 e os mesmos foram analisados de forma descritiva. Resultados:A tipologia das violências que vitimaram travestis e transexuais foram: verbal (91,96%), psicológica (58,33%) e física (33,33%), com frequência entre 24 horas e seis meses anteriores à pesquisa. Quanto à espacialidade: a rua, a escola e os serviços de saúde configuraram os cenários das agressões. No que diz respeito ao agente agressor, os achados apontaram para vizinhos, membros da família e profissionais de saúde. Todas as formas indistintamente aconteceram entre os agentes e espaços da agressão.Conclusões: Na violência efetuada nesta população, acentuou-se o silenciamento das agressões sofridas e sua invisibilidade no contexto social e institucional reflete a inibição dos direitos humanos e ocultamento da realidade. Palavras-chave: Pessoas transgênero. Violência. Vulnerabilidade social. RESUMENObjetivo: Analizar las situaciones sociodemográficas de la violencia contra travestis y transexuales. Método: Se trata de un estudio transversal, descriptivo, compuesto por 16 travestis y transexuales, que se celebró en Cajazeiras/PB. La recolección de datos se llevó a cabo en abril de 2014 y se analizó descriptivamente.Resultados: La tipología de la violencia que victimizaba travestis y transexuales era verbal (91,96%), psicológica (58,33%) y física (33,33%) a menudo entre las 24 horas y seis meses anteriores a la investigación. Cuanto a la espacialidad: la calle, los servicios escolares y de salud escenarios de agresión configurados. Con respecto al agente agresor, los resultados apuntaron a vecinos, familiares y profesionales de la salud. Todas las formas indistintamente ocurridas entre agentes y espacios de agresión. Conclusión:En esta población se acentuó la violencia compuesta por el silenciamiento de estos abusos y su invisibilidad en el contexto social e institucional refleja la inhibición de los derechos humanos y la ocultación de la realidad.Palabras clave: Personas transgénero. Violencia. Vulnerab...

Objective: to analyze the temporal trend of the homicide rate of women in the states of Northeastern Brazil. Methods: ecological study of temporal trend. Data were the 25,332 feminicide deaths recorded in the Mortality Information System. A temporal trend analysis was performed using negative binomial regression. Results: after the correction steps, there was an increase of approximately 17.0% in deaths, corresponding to the standardized average rate of 4.7/100,000 women. There were higher mortality rates in women in the second and third decades of life. Higher average rates per 100,000 women were observed in the states of Pernambuco (8.25) and Alagoas (6.32). An increase in mortality rates in all the states of the analyzed region, in the period verified was evidenced, with the exception of Sergipe. Conclusion: a high magnitude of feminicide rates and ascendant trends were observed in most states in the Northeast Region of Brazil.

O presente estudo tem como objetivo buscar na literatura nacional disponível artigos que proponham a discussão acerca da Educação Permanente em Saúde, com vistas a traçar um perfil acerca da publicação relativa a esse tema no Brasil. Trata-se de uma revisão integrativa da literatura, cujo levantamento dos artigos ocorreu em junho de 2013, na base de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) com o emprego do descritor ‘educação permanente em saúde’. A partir da pesquisa realizada, foi encontrado um total de 13 artigos. Este estudo permitiu identificar que as atividades educativas com os trabalhadores da saúde e os diálogos sobre essa temática estão concentradas nas regiões Sul e Sudeste do Brasil. Continuous Education in Nursing within the Context of Permanent Health Education: Integrative Revision of the Literature ABSTRACT. Current paper deals with scientific articles published in Brazil on Permanent Education in Health so that an idea of publications on the theme would be available in the country. An integrative review of the literature was undertaken in June 2013 based on the Latin American and Caribbean Literature in Health Sciences (LILACS) data base with the descriptor ‘permanent education in health’. Thirteen articles were available and the study identified that educational activities with health professionals and dialogues on the theme are concentrated in the southern and south-eastern regions of Brazil.

Objective: assessing the knowledge and practice of nurses of the Family Health Strategy about autistic disorder. Method: an exploratory research of a qualitative approach consisting of 15 nurses. There was used a semistructured interview. Data analysis was made by the representational analysis. It was approved by the Committee of Ethics in Research of the University of Rio Grande do Norte (CEP/UERN nº 124/11). Results: it became evident insecurity and fragility in nurses' knowledge about autistic disorder, because they have failed to define autism or demonstrated experience with autistic people and report the lack of training turned to the above topic. Conclusion: there was knowledge deficit by the nurses about infantile autism and the inextencence of practical interventions with autistic people and their families, besides not offering capabilities that address the subject