Criando Caim e Abel: pensando a prevenção da infração juvenil Raising Caim and Abel: thinking on juvenile delinquency prevention

Este artigo é parte de uma pesquisa que envolveu adolescentes infratores e seus irmãos não infratores, realizada nas cidades do Rio de Janeiro e Recife. O principal objetivo foi o de conhecer os motivos que levam jovens a trilhar caminhos distintos, visando à prevenção da delinqüência juvenil. Foram incluídos casos de homicídio, assalto à mão armada, lesão corporal, estupro e atentado violento ao pudor e tráfico de drogas. A técnica de história de vida foi usada em entrevistas semi-estruturadas que foram aplicadas a 61 infratores e 31 não infratores. Nelas, buscou-se conhecer a sua realidade familiar, comunitária e social. A técnica de análise de conteúdo foi utilizada nas entrevistas. Foi feita ainda uma abordagem quantitativa dos dados (estudo de concordância e de associação de variáveis) com o objetivo de identificar os fatores predisponentes à infração. No presente trabalho apresenta-se um modelo teórico explicativo da gênese da delinqüência juvenil e suas formas de prevenção; uma síntese dos achados qualitativos e quantitativos da pesquisa; e um ensaio de proposta para identificação dos fatores envolvidos na rede causal da infração cometida por adolescentes.<br>This article is part of a research with juvenile delinquents and its siblings non delinquents. It was realized in the cities of Rio de Janeiro and Recife. It has the objective of studying the reasons that take young people to choose different roads, seeking the prevention of the juvenile delinquency. Cases of homicide, armed robbery, assault, rape and indecent act using force and drug traffic were included. The technique of life history was used in semi-structured interviews that were applied to 61 offenders and 31 non offenders. It stressed themes like family, community and social reality. The technique of content analysis was used in the interviews. It was still made a quantitative analysis of the data (agreement study and of association of variables) with the objective of identifying the factors leading to the infraction. This article still presents an explanatory theoretical model of the genesis of juvenile delinquency and its prevention; a synthesis of the qualitative and quantitative results; and an attempt to identify which factors are involved in juvenile delinquency

Empowering primary care to tackle the obesity epidemic : the Counterweight Programme

Objective: To improve the management of obese adults (18-75 y) in primary care. Design: Cohort study. Settings: UK primary care. Subjects: Obese patients (body mass index >= 30 kg/m(2)) or BMI >= 28 kg/m(2) with obesity-related comorbidities in 80 general practices. Intervention: The model consists of four phases: (1) audit and project development, (2) practice training and support, (3) nurse-led patient intervention, and (4) evaluation. The intervention programme used evidence-based pathways, which included strategies to empower clinicians and patients. Weight Management Advisers who are specialist obesity dietitians facilitated programme implementation. Main outcome measures: Proportion of practices trained and recruiting patients, and weight change at 12 months. Results: By March 2004, 58 of the 62 (93.5%) intervention practices had been trained, 47 (75.8%) practices were active in implementing the model and 1549 patients had been recruited. At 12 months, 33% of patients achieved a clinically meaningful weight loss of 5% or more. A total of 49% of patients were classed as 'completers' in that they attended the requisite number of appointments in 3, 6 and 12 months. 'Completers' achieved more successful weight loss with 40% achieving a weight loss of 5% or more at 12 months. Conclusion: The Counterweight programme provides a promising model to improve the management of obesity in primary care