The family planning of women with mental disorders: what CAPS professionals have to say

O objetivo deste estudo foi verificar demandas de planejamento familiar que chegam ao Centro de Atendimento Psicossocial (CAPS) e investigar contribuições desse serviço para as mulheres portadoras de transtorno mental. Trata-se de estudo qualitativo, realizado com oito profissionais de um CAPS de Fortaleza-CE. A coleta de dados ocorreu por meio de entrevista, sendo utilizada para análise a técnica de conteúdo. As demandas detectadas foram: solicitação de informações pelos familiares para lidar com paciente sexualmente ativo; pacientes suscetíveis à violência sexual e gravidez; mulheres com depressão, em uso de carbonato de lítio. As contribuições: necessidade de rede integrada (atenção básica/CAPS), com profissionais conhecedores das particularidades do planejamento familiar dessas mulheres - parte defende atendimento na atenção básica, parte, atendimento no CAPS, destacando-se o matriciamento como estratégia a corresponsabilizar os dois polos, evitando encaminhamentos desnecessários aos CAPS, pelo fortalecimento da resolubilidade dos casos na atenção básica.El objetivo del estudio fue verificar demandas de planeamiento familiar que llegan al Centro de Atención Psicosocial (CAPS) e investigar contribuciones de tal servicio hacia las mujeres afectadas por transtorno mental. Estudio cualitativo, realizado con ocho profesionales de un CAPS de Fortaleza-CE. Datos recolectados mediante entrevista, utilizándose técnica de análisis de contenido. Las solicitudes fueron: pedido de informaciones a los familiares para hacerse cargo del paciente sexualmente activo; pacientes susceptibles a violencia sexual y gravidez; mujeres con depresión, medicadas con carbonato de litio. Contribuciones: necesidad de red integrada de atención primaria/CAPS, con profesionales conocedores de las particularidades del planeamiento familiar de tales mujeres: una parte apoya su atención en la atención primaria; y otra, atención en el CAPS, destacándose la partición como estrategia para corresponsabilizar a ambos polos, evitando derivaciones innecesarias a los CAPS, por la facilitación de la resolución de casos en la atención básica.The objective of this study was to explore the family planning demands that occur at the Psychosocial Care Center (Centro de Atendimento Psicossocial - CAPS) and investigate the contributions of this service to women with mental disorders. This qualitative study was performed with eight workers from a CAPS located in Fortaleza-CE. Data collection was performed through interviews, and the data were submitted to content analysis. The following demands were identified: relatives' request for information on how to cope with a sexually active patient; patients susceptible to sexual violence and pregnancy; and women with depression taking lithium carbonate. Contributions identified were: the need for an integrated network (primary healthcare/CAPS) with professionals who understand the complexities regarding these women's family planning; supportive care should be provided in the primary healthcare setting, emphasizing matrix organization as a strategy to make both centers co-responsible, thus avoiding unnecessary patient referrals to the CAPS by strengthening the ability to deal with these cases in the primary healthcare setting

“Death is destiny”: Sovereign decisions and the lived experience of HIV/AIDS and biomedical treatment in central Mozambique

Long time exposure to the threat of death under the form of extreme poverty, hunger and terror warfare turns HIV/AIDS in just another danger. Confronted with the integration of AIDS clinics in general primary health care services some patients in anti-retroviral treatment interpreted the decision as the will to kill them massively and decided to drop-out treatment. The concepts of biopower, bare life, and biological citizenship were useful heuristic devices to explore the complexities of HIV/AIDS biomedical treatment, the production of subjectivities as well as AIDS sufferers' lived experiences. Drawing on two years ethnographic field research from 2007 to 2009 in Manica province and in Maputo—the country's capital—this dissertation shows that HIV/AIDS care and treatment cannot be reduced to access to pharmaceuticals. It also argues that a dilapidated, understaffed and poorly served national health service combined with a decontextualized anti-retroviral treatment delivery model produce exclusion mechanisms that leave out the poorer, illiterate and for the most part inhabitants of rural areas. A biomedical culture and practice associated with some authoritative traits also plays a role in HIV/AIDS patients' lived experience of the illness and their attitudes towards care and treatment. This dissertation suggests that the frequent interface with biomedical services and its disciplinarian apparatus, as well as the requirements of anti-retroviral treatment, constitute a pervasive engagement of people living with HIV/AIDS with "modernity"

Planejamento familiar de mulheres com transtorno mental: o que profissionais do CAPS têm a dizer

O objetivo deste estudo foi verificar demandas de planejamento familiar que chegam ao Centro de Atendimento Psicossocial (CAPS) e investigar contribuições desse serviço para as mulheres portadoras de transtorno mental. Trata-se de estudo qualitativo, realizado com oito profissionais de um CAPS de Fortaleza-CE. A coleta de dados ocorreu por meio de entrevista, sendo utilizada para análise a técnica de conteúdo. As demandas detectadas foram: solicitação de informações pelos familiares para lidar com paciente sexualmente ativo; pacientes suscetíveis à violência sexual e gravidez; mulheres com depressão, em uso de carbonato de lítio. As contribuições: necessidade de rede integrada (atenção básica/CAPS), com profissionais conhecedores das particularidades do planejamento familiar dessas mulheres - parte defende atendimento na atenção básica, parte, atendimento no CAPS, destacando-se o matriciamento como estratégia a corresponsabilizar os dois polos, evitando encaminhamentos desnecessários aos CAPS, pelo fortalecimento da resolubilidade dos casos na atenção básica

Porous Boron-Doped Diamond/Carbon Nanotube Electrodes

Nanostructuring boron-doped diamond (BDD) films increases their sensitivity and performance when used as electrodes in electrochemical environments. We have developed a method to produce such nanostructured, porous electrodes by depositing BDD thin film onto a densely packed “forest” of vertically aligned multiwalled carbon nanotubes (CNTs). The CNTs had previously been exposed to a suspension of nanodiamond in methanol causing them to clump together into “teepee” or “honeycomb” structures. These nanostructured CNT/BDD composite electrodes have been extensively characterized by scanning electron microscopy, Raman spectroscopy, cyclic voltammetry, and electrochemical impedance spectroscopy. Not only do these electrodes possess the excellent, well-known characteristics associated with BDD (large potential window, chemical inertness, low background levels), but also they have electroactive areas and double-layer capacitance values ∼450 times greater than those for the equivalent flat BDD electrodes