bluuebunny/crossref_metadata_2025 huggingface dataset:
Characterization of the self-perception of oral health in the Brazilian adult population
Authors: Bordin Danielle , Fadel Cristina Berger , Moimaz Suzely Adas Saliba , Santos Celso Bilynkievycz dos , Garbin Cléa Adas Saliba , Saliba Nemre Adas
Published: August 2020

Abstract This article aims to perform an analysis of the factors that determine the self-perception of oral health of Brazilians, based on a multidimensional methodology basis. This is a cross-sectional study with data from a national survey. A household interview was conducted with a sample of 60,202 adults. Self-perception of oral health was considered the outcome variable and sociodemographic characteristics, self-care and oral health condition, use of dental services, general health and work condition as independent variables. The dimensionality reduction test was used and the variables that showed a relationship were submitted to logistic regression. The negative oral health condition was related to difficulty feeding, negative evaluation of the last dental appointment, negative self-perception of general health condition, not flossing, upper dental loss, and reason for the last dental appointment. The use of a multidimensional methodological basis was able to design explanatory models for the self-perception of oral health of Brazilian adults, and these results should be considered in the implementation, evaluation, and qualification of the oral health network.
A Framework for Equity Access to Primary Dental Care
Authors: Antunes Denise Silveira , Naidoo Sudeshni , Myburgh Neil , Hilgert Juliana Balbinot , Fisher Paul Douglas , Hugo Fernando Neves
Published: August 2020

Abstract The objective of this study was to demonstrate face validity with a novel resource allocation framework designed to maximize equity into dental booking systems. The study was carried out in 2014. Eleven experts in primary dental care practice in Southern Brazil participated, using a three-round consensus group technique. First, the experts reached consensus on the items to be included in a 5-level diagnostic scale. They identified 21 clinical conditions and categorized them according to the oral health intervention required. Then, they described workload and activity standards for dental staff to carry out health promotion, oral disease prevention, dental treatment, dental rehabilitation, and urgent dental care. Finally, they agreed upon a set of wait times for primary dental care, establishing maximum waits from 2 to 365 days, according to the diagnostic classification. The framework demonstrated potential ability to promote more equitable access to primary dental services, since equal diagnostic classifications share the same waiting times for the dental care they require.
Gestão hospitalar no Sistema Único de Saúde: problemáticas de estudos em política, planejamento e gestão em saúde
Authors: Santos Thadeu Borges Souza , Moreira Andrea Laura Andrade , Suzart Nathália Almeida , Pinto Isabela Cardoso de Matos
Published: August 2020

Resumo O objetivo deste estudo é apresentar o estado da arte sobre gestão hospitalar, do período que antecede o SUS até a publicação da Política Nacional de Atenção Hospitalar. Trata-se de revisão sistemática nacional e internacional com adoção do Protocolo Prisma e levantamento da literatura científica indexada nas bases Lilacs, Scielo e Web of Science. Os 157 artigos incluídos, organizados em três períodos históricos, evidenciaram crescimento da produção científica a partir de 2003. Os achados, dentre outros aspectos, apontam incipiente capacidade de gestão sistêmica antes da criação do SUS. Chama atenção o pouco investimento para readequação do modelo de atenção hospitalar entre a Constituição de 1988 e o Plano de Reforma da Atenção Hospitalar em 2003. No período deste plano governamental e a Política Nacional de Atenção Hospitalar de 2013, um conjunto de problemáticas conduziu estratégias de gestão sistêmica e dos serviços hospitalares, como regionalização, instâncias de governança e adoção de modelos de gestão indireta. A produção científica analisada permitiu identificar importantes dimensões da gestão hospitalar no SUS, na perspectiva da Política, Planejamento e Gestão em Saúde, apontar lacunas e lançar possibilidades para a agenda de pesquisa na área.
Feminismo estilo magazine: um estudo sobre a Revista Elle Brasil*
Authors: Borges Juliano , Coppi Milena
Published: August 2020

Resumo O trabalho analisa duas edições da revista Elle Brasil que abordaram temáticas feministas em 2015. Destinada ao público feminino consumidor de moda, o feminismo foi incorporado à revista em aparente contradição com os conteúdos convencionais e valores afirmados em sua linha editorial. Porém, essa incorporação do feminismo não configura uma novidade, mas uma experiência de continuidade na história da imprensa feminina brasileira, a que chamamos de ‘feminismo estilo magazine’, pautada agora, porém, pela influência das redes sociais. Para compreender as ambiguidades e potencialidades políticas dessa dicotomia mobilizamos abordagens construcionistas em uma análise da revista como formadora de opinião.
Meninas negras e política: combatendo o racismo e fomentado a participação delas no espaço público*
Authors: Silva Otavio Henrique Ferreira da , Caetano Rafaelle Stéphanie Oliveira , Nanô João Paulo Lisbão
Published: August 2020

Resumo O objetivo deste artigo é apresentar o papel da intervenção pedagógica do Programa Escola Cidadã no empoderamento das meninas-mulheres negras de comunidades escolares da cidade de Ibirité-MG. Para isso, foram entrevistadas 11 meninas negras participantes do Programa. Diante do cenário de baixa representatividade da mulher negra na política, verifica-se que o Escola Cidadã além de contribuir para a ampliação do protagonismo das meninas e mulheres negras, tem oportunizado um ensaio da atuação parlamentar para uma ocupação futura dos espaços de poder representativo.
Entre experiências e diferenças nas mídias digitais: modos de uso da #seráqueéracismo*
Authors: Baboni Renata
Published: August 2020

Resumo A pesquisa investigou a relação entre os modos de uso e os processos de identificação em torno da #seráqueéracismo no Twitter. Para isso, abordou como as diferenças sociais foram articuladas nas discursividades sobre “experiências de racismos”, por meio de análise dos conteúdos publicados nas mídias digitais e entrevistas semiestruturadas com xs influenciadorxs, produtorxs de narrativas muito compartilhadas; e utilizou os eixos analíticos "experiências" e "diferenças", por meio da Teoria Queer. Nessas negociações sobre diferenças, a hashtag – modo de comunicação sobre si – foi muito usada, tanto para demonstrar a prática contestatória da percepção de certa norma racista vigente, em algumas narrativas, quanto para gerar uma discussão sobre a falta de reconhecimento e a inferiorização de certas "experiências sobre racismos" relatadas, em outras narrativas. Nesse jogo de ambivalências das experiências, ora foram reproduzidas as normalizações sobre diferenças, por meio de demarcações de posicionalidades e estereotipações de sujeitos e subjetividades, ora foram contestadas. Também foi frequente o relato do "racismo dx outrx", vinculado ao desejo de reconhecimento social e subjetivo que rege esses usos (que, em muitos casos, foi negado à pessoa negra, conferindo-lhe vitimização e responsabilização sobre a existência das "experiências sobre racismos" relatadas).
Relações de gênero, educação da pequena infância e mudanças políticas no Brasil: contribuições para um estado da arte*
Authors: Silva Peterson Rigato da , Silva Tassio José da , Finco Daniela
Published: August 2020

Resumo Com o objetivo de atualizar o artigo já publicado em 2006 (Faria), este texto reúne pesquisas acerca das relações de gênero realizadas até 2016 e ainda esparsas na área da educação infantil. Tais estudos analisam as culturas infantis e as relações de poder entre as meninas pequenas e os meninos pequenos de 0 a 6 anos, entre elas/es e entre elas/es e as/os profissionais docentes de creche e pré-escola. Nesse processo a luta feminista e os estudos de gênero contribuem substancialmente para as modificações no cotidiano da educação da pequena infância e na construção de uma pedagogia não sexista.
TRANSLATION AND VALIDATION OF THE BRAZILIAN VERSION OF THE “QUALITY OF LIFE ASSESSMENT IN SPINA BIFIDA” QUESTIONNAIRE FOR CHILDREN AND TEENAGERS
Authors: Pompermaier Jorge , Andrade Maria Cristina de , Cruz Marcela Leal da , Macedo Júnior Antonio
Published: August 2020

ABSTRACT Objective: To assess the reliability and validity of the Quality of Life Assessment in Spina Bifida (QUALAS), children and teenager’s versions (QUALAS C and T, respectively). This is the first self-applicable quality of life assessment tool for patients under 13 years of age, which also addresses the issue of urinary and fecal incontinence. Methods: Two urologists performed the translation of both QUALAS versions. A commission produced a consensus version (Version 2), which was applied as a pilot study to define Version 3. It was then backtranslated into English and compared with the original version for equivalence of concepts. Internal consistency with Cronbach’s alpha and the intraclass correlation coefficient (ICC) reproducibility was analyzed after two assessments with an interval from two to four weeks. Convergent and divergent validities between the QUALAS and a generic health-related quality of life questionnaire, the KIDSCREEN-27, were studied through Pearson’s correlation. Results: The reliability analysis showed good internal consistency for QUALAS-C (α=0.73) and QUALAS-T (α=0.79) and good reproducibility in both questionnaires (QUALAS-C - ICC=0.86; QUALAS-T - ICC=0.92). For QUALAS-C convergent validity, there was a low correlation between its items (r=0.35). In addition, a low correlation was also found in the divergent validity analysis, when compared to the KIDSCREEN-27 (r≤0.33). Convergent and divergent validities of the QUALAS-T questionnaire had similar results: r=0.46 and r≤0.49, respectively. Conclusions: After the adaptation and validation process, QUALAS-C and QUALAS-T questionnaires showed to be reliable and valid instruments for measuring the health-related quality of life of children and teenagers with spina bifida aged 8 years or older.
IDEAL CARDIOVASCULAR HEALTH STATUS AND HEALTH-RELATED QUALITY OF LIFE IN ADOLESCENTS: THE LABMED PHYSICAL ACTIVITY STUDY
Authors: Agostinis-Sobrinho César , Werneck André de Oliveira , Kievišienė Justina , Moreira Carla , Ramírez-Vélez Robinson , Rosário Rafaela , Norkiene Sigute , Lopes Luís , Mota Jorge , Santos Rute
Published: August 2020

ABSTRACT Objective: Adolescent’s ideal cardiovascular health index (ICVH) seems to be an important indicator of youth’s lifestyles and cardiometabolic health with potential positive consequences for their Health-Related Quality of Life (HRQoL). The purpose of this study was to examine the associations between the ICVH index and HRQoL in adolescents. Methods: This was a cross-sectional study based on secondary analyses from the LabMed Physical Activity Study (n=407 adolescents, 53% girls). ICVH, as defined by the American Heart Association, was determined as meeting ideal behaviors (physical activity, body mass index, smoking status, and diet intake) and health factors (blood pressure, total glucose, and cholesterol). HRQoL was measured with the Kidscreen-10 self-report questionnaire. Results: Analysis of covariance (ANCOVA) showed a significant association between the accumulation of ideal cardiovascular health metrics and HRQoL (F(4,403)=4.160; p=0.003). In addition, the higher the number of ideal health behaviors accumulated, the higher the mean values of HRQoL (p-value for trend=0.001), after adjustments for age, sex, socioeconomic status and pubertal stage. Conclusions: ICVH index was positively associated with HRQoL in adolescents. Ideal health behaviors metrics seem to have a stronger association with HRQoL than the ideal health factors metrics in adolescents.
Vigilancia y Seroprevalencia: Evaluación de anticuerpos IgG para SARS-Cov2 mediante ELISA en el barrio popular Villa Azul, Quilmes, Provincia de Buenos Aires, Argentina
Authors: Muñoz Laura , Pífano Marina , Bolzán Andres , Varela Teresa , Comes Yamila , Specogna Mariana , Ceriani Leticia , Konfino Jonatan , Kreplak Nicolás , Garcia Enio
Published: August 2020

Objetivo: Evaluar la prevalencia de anticuerpos para SARS Cov-2 en el Barrio Villa Azul, del partido de Quilmes, junto con otras variables demográficas y de movilidad. Métodos: Estudio descriptivo de corte transversal realizado a través de una muestra probabilística sistemática. El tamaño de la muestra fue de 311 casos y consintieron la aplicación del test 284 casos. Fue aplicada una encuesta al 100% de los casos testeados. La información fue procesada con software SPSS 23 y los análisis consideraron la ponderación de la muestra de acuerdo al diseño equiprobabilístico establecido. Resultados: El 61% eran mujeres. La media de edad era de 40 años, la estructura poblacional era similar a la del universo. La presencia de anticuerpos fue del 14,8% de los casos, la mayoría en mujeres y de 40 años que no salieron a trabajar y no utilizaron transporte público. El ser trabajador de la salud no representó un riesgo acrecentado para el contagio. Se observa que de cada un caso sintomático existirían 1,2 asintomáticos. Conclusiones: Hubo una prevalencia mayor de personas con anticuerpos que en otros estudios, aunque comparando territorios similares la prevalencia de anticuerpos fue menor y esto pude ser una consecuencia de un abordaje territorial oportuno. La seroprevalencia fue predominantemente en mujeres y esto no indicaría mayor contagio en este sexo ya que existe incertidumbre en la relación entre infección y anticuerpos. Se observó que los contagios podrían haber sido dentro del hogar o el entorno comunitario ya que afectó a personas que no salían a trabajar.
Intermeeting Rate Cuts as a Response to Rare Disasters
Authors: Miller David S.
Published: August 2020

This paper measures the probability of rare disasters by measuring the probability of the intermeeting federal funds rate cuts they provoke. Differentiating between months with Federal Open Market Committee (FOMC) meetings and months without identifies excess returns on federal funds futures averaging -1.5 bps per horizon month-ahead at short horizons, corresponding to a 3-5% per month risk-neutral probability of an intermeeting rate cut. The excess returns differ between months with and without meetings, suggesting a positive risk premium associated with meetings. The federal funds excess returns explain a significant portion of equity excess returns, and hence the equity premium puzzle.
The Impact of Myths, Superstition and Harmful Cultural Beliefs against Albinism in Tanzania: A Human Rights Perspective
Authors: Ines Kajiru , Isaack Nyimbi
Published: August 2020

It cannot be denied that myths and superstitions have endured through history and that people have been affected by them since the beginning of time. Superstitious beliefs and myths that result in the victimization of persons with albinism (PWA) are centuries old, are present in cultural attitudes and practised around the world. In Africa and in Tanzania in particular, PWAs have also been targeted because of harmful speculation and unfounded myths which place their lives at risk. As members of society PWA have human rights that need to be protected against any kind of violation, particularly against being killed, tortured and discriminated against. This article analyses various legal provisions that protect the rights of PWA as articulated in various UN covenants and conventions as well as regional treaties and national laws.

Secondary data are consulted to examine the extent of the erroneous beliefs which heavily fuel the persecution and killing of PWA. It is found that there are deep-seated myths, superstitions and harmful cultural beliefs the existence of which seems to pose a serious obstacle to the implementation of the law and the protection of the rights of PWA in Tanzania. The article recommends awareness-raising and education in general for Tanzanian society as an approach towards the protection of PWA.
A cloroquina e o paraquedas: uma fábula da era COVID19
Authors: Bandeira de Mello Renato Gorga
Published: August 2020

O cenário atual da COVID-19 tem gerado muitas angústias. É natural que a sociedade anseie por respostas rápidas. Entretanto, o conhecimento gerado por estudos científicos demanda alto investimento, rigidez metodológica e árduo trabalho para que dados coletados sejam confiáveis e gerem resultados robustos e, assim, possam ser aplicados diretamente à população adoecida.Passos científicos importantes têm sido “pulados” para se tentar dar celeridade às respostas exigidas pelo momento atual. De forma mais preocupante, estudos de baixa qualidade metodológica estão sendo publicados e conclusões inapropriadas têm ganhado as páginas dos jornais e posts pouco racionais nas mídias.Baseado em heurística, preceitos científicos e nos dados até aqui divulgados sobre cloroquina e hidroxicloroquina, este texto trata de forma narrativa, metafórica e algo sarcástica o tema através de uma fábula aplicável ao cenário atual, traçando um paralelo liberal entre o paradigma do paraquedas e as recomendações de hidroxicloroquina para tratamento da COVID-19.
HTAPP_Dissociation of human ovarian cancer resection to a single-cell suspension for single-cell RNA-seq v2
Authors: Wakiro Isaac , Napolitano Sara , Wu Jingyi , Vigneau Sébastien , Rotem Asaf , Rozenblatt-Rosen Orit , Johnson Bruce , Regev Aviv
Published: August 2020

This protocol is used for the dissociation of human ovarian cancer specimens resected from the ovary and omentum to a single-cell suspension compatible with droplet-based single-cell RNA-Seq technology. It is based on the Miltenyi Human Tumor Dissociation Kit, which was previously reported to successfully dissociate ovarian tumors for multiparametric mass cytometry (CyTOF) (Gonzalez et al, 2018). For the Human Tumor Atlas Pilot Project (HTAPP) it has been successfully applied to ovarian cancer resections from the ovary and omentum and captured a diversity of cells including malignant and non-malignant cells. Description of this protocol and guidance for testing and selecting methods for processing other tumor and sample types can be found in Slyper et al.
Gender and Christology in Africa for social and political involvement
Authors: Maseno Loreen
Published: August 2020

The person, life, death and resurrection of Jesus Christ are the central tenets of the Christian mystery. The theological reflection upon the meanings of these is summed up in Christology. This paper seeks to explore the inspiration derived from feminist Christologies by women in Africa for social and political participation. The emphasis of feminist Christologies on the African continent is how one understands the life of Jesus and how that understanding can help alter present circumstances and be empowered to fight for change. Feminist Christologies in this paper arise from its significance in women’s daily lives. Using the cases of Bishop Margaret Wanjiru of Jesus is Alive Ministries (JIAM) and the late Catholic Prof. Sister Anne Nasimiyu, this paper proceeds to tease out their understanding of the life of Jesus and how from a gender perspective they found this useful for women’s social and political involvement. As shall be demonstrated, feminist Christologies are compactly intertwined with women’s social, political and contemporary lived realities and also serve to empower them.
power of silence in marriage
Authors: Mligo Elia Shabani
Published: August 2020

Silence speaks louder than verbal speech, penetrating deeper into the hearts of those to whom it is directed. Marriage, as any other institution, is often surrounded by moments of silence between couples, which leads to thoughtful suffering. Contextualizing the theory of Spiral of Silence of Noelle-Neumann in the Bena context in Tanzania, this article provides a reading of the text in the Gospel according to John to discern the way in which it enlightens the real life situations of the church in regard to the role of silence. The article argues that the silence of Jesus in the text, as was his silence in the passion narratives, is a form of expression of his urgency and the communication of his power against the public opinion. In this case, the reading intents to look at the implication of silence within the prism of gender with specific reference to emotional abuses exerted by the church to marginalized people.
The female body on the dance floor
Authors: Carstens Amanda , Molopyane Lethabo M
Published: August 2020

Using dance perspective and Homi Bhabha’s postcolonial ambivalence theory, this study re-reads the events that occurred during the banquet at Herod’s house. Unlike previous perspectives that focuses on the gruesome murder of John by Herod, the study focuses on the banquet that resulted in the young girl to dance to the point whereby, having been intoxicated and greatly amused, Herod asks the girl what she can have as a reward. By intersecting the female body that culturally signifies gender inferiority to its ambivalence as a subject of attraction and pleasure, I develop the hypothesis that the body through its dance regained its power by becoming a somewhat equal patron; negotiating its rights and being the source of an alternative and yet subversive power. Instead of the female body being a source merely of the male’s gaze and pleasure, it attained agency and power.
Household and gender
Authors: Moxnes Halvox
Published: August 2020

In this paper, I will try to engage with African positions on gender and households and respond with a reading of New Testament texts from my position in a Nordic context within Europe. The terms “household” and “gender” refer to central issues in social and historical studies of societies. Household signifies a central social unit in a society whereas gender is an analytical category when discussing the social and ideological roles of men and women. The question of the forms of household and of the roles of men and women respectively, is part of the larger context of worldviews, political ideologies and ethics. The specific forms of household and gender play a large part in the societies that make up the contexts of New Testament texts, as well as in contemporary societies where these texts play important roles. In this essay, I seek a “dialogue” between the New Testament context and the church in Africa, focusing especially on the understanding of gender roles within Pentecostal churches.
nexus between church and gender
Authors: Savala Angeline
Published: August 2020

Interface between the Bible and ideas about gender and church mission work in Africa is a phenomenon that calls for discussion within theological forums. Despite both men and women being active in church activities, the early church depicts men as being at the forefront while women quietly participated. Concerning the missionary era, men publicly were the leaders as women followed or privately served as the personal assistant or as administrators. In addition, looking now at the contemporary church, in the traditional (orthodox) churches, the so-called historical or mainstream churches, men take the top leadership roles while women deputize them. However, this position is being challenged by the new religious movements and Christian ministries movements where women are usurping the top leadership positions. This paper therefore seeks to paint a seemingly more balanced account of gender roles that would benefit men and women alike by exploring historical and theological leadership roles and gender in the church.
Ethics of responsibility in a theological perspective
Authors: Huber Wolfgang
Published: August 2020

In the article the author explicates his own view of a theological ethics of responsibility in dialogue with other proponents of such an ethics. A distinction is first made between an “ethic or responsibility” and an “ethics of responsibility”. Attention is then given to the emergence of the key term of “responsibility” in Western culture and its theological origin pointed out. It is argued that responsibility as an ethical concept implies the accountability of human persons for their deeds before an ultimate instance of accountability and thus with inner necessity depends on an affirmative understanding of autonomy and self-determination. What is, however, also implied is dependence on human interaction and communication. From this follows the conclusion that the ethics of responsibility is based on a relational rather than an essentialist anthropology. This conclusion is confirmed in an extensive discussion of the views of the two most important representatives of a theological approach to the ethics of responsibility, namely Dietrich Bonhoeffer and H. Richard Niebuhr. In the last part of the article it is argued that what distinguishes theological ethics of responsibility is that contrary to a purely future-oriented ethics – as is the case with, for example, the ethics of responsibility of Max Weber and Hans Jonas – it is an ethics that intertwines the three modi of time: past, present and future.
Prosperity Theology and African Traditional Religion
Authors: Court Andrew T
Published: August 2020

Studies of Prosperity Theology in Africa have increased as research into Pentecostalism has burgeoned, but few theological analyses have explored the significance of African Traditional Religions and their role in shaping Prosperity Theology. While some studies have explored the resonance of Prosperity Theology and African Traditional Religions, they tend to do so briefly, or with a focus on sociology rather than theology. Through a case study of Nigerian Pastor Chris Oyakhilome, this research tests the thesis that many have intuited: Prosperity Theology resonates with traditional African religion, and these resonances contribute to an explanation of the expression and proliferation of Prosperity Theology in Africa. Evaluating the resonance of Oyakhilome’s teaching with African Traditional Religions (relying especially on John S. Mbiti’s work) demonstrates that Oyakhilome’s emphasis on accessing blessing, spiritual enemies, and activating power draws heavily on the resources of the typical African religious worldview.
Intolerance before and after the 1517 Reformation and the Kenyan context
Authors: Gathogo Julius
Published: August 2020

The article sets out to demonstrate that theo-social intolerance in both colonial and post-colonial Kenya, a phenomenon which reminisces other forms of intolerance during and after the 1517 reformation and the persecutions in the early Church, can be overcome. In Kenya, theo-social intolerance was evident when both the missionaries and the colonial authorities blocked any room for dialogue with the practitioners of African religion. It reached its climax when African Instituted Churches and their founded schools were closed down in 1952 by the colonial authorities. Intolerance also manifests itself through the tensions that are evident among Christians and Muslims, afro-Pentecostals versus mainline Churches and so on. As we mark over 500 years of reformation (1517–2019), are there lessons that can inform our theo-social discourses in the 21st century, especially in regard to theo-social tolerance? How can this Ubulwane/Unyama (beastly) behaviour be avoided in our future socio-ecclesial discourses? Despite borrowing broadly in order to build the case for religious tolerance, the article has cited the case of St Andrew’s Kabare, an Anglican Mission centre that was established in 1910, where Rev. Edmund Crawford demonstrated that dialogue between African culture and the Gospel has a positive impact on the society being evangelized.
Pastoral response to unemployment
Authors: Marsay Gloria
Published: August 2020

Pastoral work is about assisting people to live their lives to the full. A great deal of scholarship has accumulated around the employment challenges precipitated by a variety of socio-political and economic factors. The all-encompassing challenge with which we are presented is to create and sustain a community of care, promoting hope, personal agency and self-determination to earn a living, in a life-giving environment This paper rests on the concept of “Hope in Action” as the mission of the church and examines the hermeneutics of hope and work, as mandatory for a meaningful life. The paper suggests a structure for an intervention that could be useful for those who work with young people to awaken hope, as a unique foundation, and make plans to find work so that they can earn a sustainable livelihood and live life to the full.
Santé communautaire : un paradigme pour penser et agir autrement en santé
Authors: Massé Julie , Harvey Annie-Claude , Goyette Marie-Savane , Acakpo Gaudens , Roy Bernard
Published: August 2020

La biomédecine et la santé publique sont identifiées, par plusieurs auteurs contemporains, comme étant porteuses de la conceptualisation dominante de la santé. Mais qu’en est-il de la vision véhiculée au sein d’une santé communautaire qui a vu le jour au tournant des années 1970, en réaction aux enjeux soulevés par la biomédecine traditionnelle? Cet article propose une réflexion critique postulant des distinctions fondamentales entre santé communautaire et santé publique, sur les plans épistémologique et ontologique. Se fondant notamment sur les travaux de Canguilhem, l’article présente d’abord une description des conceptions de la santé telles qu’appréhendées au prisme de la santé communautaire et de la santé publique. Une discussion s’ensuit autour de la pertinence et de la validité d’un paradigme de santé communautaire, dans un contexte sociopolitique marqué par l’idéologie néolibérale. Le déploiement d’une épistémologie renouvelée pour aborder la complexité du réel et des objets de santé est proposé.
La dénonciation infirmière en contexte de pandémie de COVID-19: une analyse de contenu de la plate-forme « Je dénonce »
Authors: Perron Amélie , Dufour Caroline , Marcogliese Emily , Gagnon Marilou
Published: August 2020

La divulgation d’enjeux critiques par le personnel soignant constitue une part essentielle de la bonne marche de tout système de santé. En contexte de pandémie, la communication rapide d’informations critiques est indispensable à l’identification et à la résolution de problèmes. Or, une telle communication est difficile en contexte de crise. Des témoignages d’infirmières, d’infirmières auxiliaires et d’autres professionnels de la santé, indiquent que des signalements réalisés dans des milieux de soins aux prises avec la COVID-19 se sont soldés par l’absence de mesures correctives et, dans certains cas, des représailles envers les personnes divulgatrices. Au Québec, ce contexte de crise a mené à la mise en service d’une plate-forme en ligne par une instance syndicale. Celle-ci sert à recueillir des témoignages de professionnels de la santé et de membres du public et à les rendre rapidement disponibles à la population et aux médias. Cet article présente les résultats d’une analyse de contenu des témoignages soumis par des infirmières et infirmières auxiliaires afin, d’une part, de constater la teneur des enjeux dénoncés et, d’autre part, d’examiner l’utilité de ce type de plate-forme dans les démarches de dénonciations entreprises par le personnel infirmier.
Nursing Voices during COVID-19: An Analysis of Canadian Media Coverage
Authors: Gagnon Marilou , Perron Amélie
Published: August 2020

While it is generally recognized that nurses and nursing issues are underrepresented in the media, the contrary is also true during major public health care crises like Ebola and SARS (Severe Acute Respiratory Syndrome). We see this phenomenon unfolding in the midst of the current COVID-19 pandemic with nurses and nursing issues receiving extensive media coverage in Canada and internationally. To gain more insights into this media coverage, we analyzed the content of Canadian news stories published in both English and French during the first five months of the COVID-19 pandemic. This paper presents the findings of our analysis and identifies important lessons learned. We believe that our findings serve as an important starting point for understanding nurses’ agency and the media savviness they displayed during the first months of the pandemic.
Nurse led educational intervention on the knowledge of management of selected childhood conditions among mothers of under five in tertiary hospitals in Bayelsa state
Authors: Forcebray Ebikienmo , O. Sowunmi Christiana
Published: August 2020

Background: Infant and child mortality remains a daunting challenge in Nigeria as findings showed inadequacy in knowledge and skills regarding management of selected childhood conditions among mothers. This study assessed a nurse-led educational intervention on management of selected childhood conditions among mothers of under-five in tertiary hospitals in Bayelsa State.Method: Two group pre-test, post-test quasi-experimental design was used for the study. Total enumeration was adopted to include 150 mothers of under-five. Data were collected using a self-developed questionnaire and a checklist pre and post intervention. Two research questions were answered using descriptive statistics of while hypotheses were tested using inferential statistics of t-test at 0.05 level of significance.Results: Findings showed that pre-intervention knowledge was below average in both control (23.19±6.66) and experimental (21.97±7.32) while an improvement was found with the participants' post-intervention knowledge on the management of selected childhood conditions in the experimental (49.99±5.86) group and not with the control (23.82±6.75) group. No significant difference was found in the pre intervention knowledge (Mean difference=1.22, t(148)=1.01, p=0.103) in the control and experimental group, while a significant difference was reported in the post intervention mean score on knowledge (Mean diff. = 26.17, t(148)=19.45, p=0.000) in the control and experimental group.Conclusion: The nurse-led intervention programme improved knowledge and skills in the management of selected childhood conditions among mothers of under-five. It is recommended that more awareness should be created on the management of selected childhood conditions parameters.
Ascorbic acid irrigation during debridement decreased the colony count of Staphylococcus aureus and interleukin-6 blood count in grade ii open fracture of long bones
Authors: Suyasa I. Ketut , Astawa Putu , Ridia Mulyadi , Wibowo Trimanto
Published: August 2020

Background: Infection in open fractures is still a problem that cannot be fully managed. Various types of studies have been conducted to find an effective and efficient solution to wash open fracture wounds. This study compared the effectiveness of ascorbic acid irrigation in reduction of Staphylococcus aureus colony and interleukin-6 (IL-6) serum level as systemic inflammation marker in debridement procedure of grade II Gustilo-Anderson open fracture of long bones.Methods: This study was an experimental study with pre-post-test control group design. This study included 24 subjects aged 15-75 years old with Gustillo-Anderson type II open fractures which were divided into two groups. The treatment group had additional irrigation by using 10 mg/ml ascorbic acid solution during debridement, whereas the control group had debridement only without irrigation with ascorbic acid. The culture and colony count of Staphylococcus aureus and IL-6 serum level was obtained and measured before and after the treatment in both groups. Statistical analysis (Wilcoxon test) was performed to compare the difference of the two parameters (Δ colony count and Δ IL-6) before and after the treatment.Results: There were no significant difference in Δ colony count of Staphylococcus aureus (p=0.308) and ΔIL-6 serum level (p=0.239) between the control group and treatment group.Conclusions: Ascorbic acid irrigation was not proved to decrease the colony count of Staphylococcus aureus and IL-6 serum level in grade II open fracture of long bones.
Late hematoma: a rare complication on breast implant
Authors: Pedroza Luis Tamez , Luna Francisco Palacious , Vargas Iram Gonzalez
Published: August 2020

Late hematoma is a rare complication on the use of breast implants but on recent year’s case reports become more frequent, there's no data regarding the incidence, authors report multiple theory’s about etiology. In this case report we report a patient who presented a spontaneous late hematoma, patient arrived at doctor’s office complaining about gradual increase over the last 15 days of left breast, we treated the hematoma with guided-ultrasound drainage with total improvement of the symptoms, 1 week later the patient returns for the same symptoms that occurred the first time, an ultrasound-guided drainage is performed again and it is decided to schedule the surgical date in 1 week, as reported on previous cases we tried non-invasive management with ultrasound guided drainage on 2 attempts but patient hematoma recurred and we decided to perform drainage, capsulectomy and implant replacement, we follow the patient through the outpatient clinic 7 months later, and she has not presented a hematoma recurrence.
Recent advances in the systemic management of non-clear cell renal cell carcinoma: a review article
Authors: Sengupta Soumish , Basu Supriya , Ghosh Kadambari
Published: August 2020

Non-clear cell renal cell carcinoma (nccRCC) is not as common as clear cell renal cell carcinoma (ccRcc). But then it is not uncommon in regular urological practice. It usually carries a grave prognosis. Authors need to converse ourselves with National comprehensive cancer network (NCCN) categories for evidence and we need to converse as well with NCCN categories for preferences. ‘Preferred intervention’ is based on superior efficacy, safety and evidence and when appropriate, affordability. ‘Other recommended interventions’ are somewhat less efficacious, more toxic, or based on less mature data or significantly less affordable for similar outcomes. ‘Useful in certain circumstances’ are interventions that may be used for a selected patient population. Clinical trials for targeted agents are mainly directed at ccRCC because of its high prevalence. According to the NCCN panel, enrolment in clinical trials is the preferred strategy for nccRCC. Outcomes of patients with nccRCC have improved with the introduction of targeted therapy. Precise pathological diagnosis of the types of nccRCC by immunohistochemical analysis is mandatory. This enables specific treatments for individual nccRCC. Currently TKIs are the drug of choice (both first and second line) for metastatic papillary RCC. Both TKIs and mTOR inhibitors are effective against chromophobe RCC. Platinum based chemotherapy should be used for metastatic CDC. Further evidence is required for management of nccRCC.
Effect of Affirmative Actions on Student Permanence at a Brazilian Federal University
Authors: Ferreira Lusia Ribeiro , Frare Anderson Betti , Gomes Débora Gomes de , Czarneski Flávia Regina , Bianchi Márcia
Published: August 2020

The study aims to identify the Affirmative Actions (AAS) promoted among students of business programs at a Brazilian federal university and analyze whether, in the students’ opinion, they meet the fundamental assumptions of the theory of justice. The documentary survey of AA examines student housing, financial aid for student parents, food, transport, permanence, and pedagogical support. Sixty-two respondents took part in the survey. The results show that personal factors, especially those of a psychological nature, adversely affect the permanence and performance of university students. Considering the students’ perception of Rawl’s “equal liberty” and equality of opportunity, the university’s AAS are understood to reflect the assumptions of John Rawls’ theory of justice.
LABOUR MIGRATION FROM UKRAINE: ECONOMIC AND LEGAL WAYS OF COUNTERING
Authors: O. M. Yaroshenko  , O. H. Sereda  , G. P. Sereda  , O. A. Yakovlyev
Published: August 2020

The main reasons of labour migration from Ukraine are analysed. It is emphasized that this process becomes a sign of danger for the socio and economic development of Ukraine. The refusal of citizens to work in Ukraine creates a threat to the formation of funds of the Pension Fund of Ukraine, and today the state doesn’t receive the revenues to the budgets, which are formed by the payment of personal income tax. It is emphasized that Ukraine should use the foreign experience and international standards of creation of proper working conditions for workers on the way to counter the labour migration. Such conditions include not only working conditions where occupational safety and hygiene is important, but also remuneration conditions, where fair remuneration must be calculated in the context of purchasing power, which effectively determines the access of workers and their families to social benefits. It is emphasized separately that hired labour has at least 3 interrelated goals. The first one is intended to create gross domestic product in the state and money circulation through trade in goods, works and services. The second one is aimed at physically restoring the working capacity of the worker and ensuring the vital needs of non-working members of the employee's family. The third one is aimed at restoring, stabilizing and developing the mental and social well-being of the employee and his or her family. The research proposes: a) to review, at the national level, the minimum living wage; b) normatively determine the coefficients of wage differentiation not only by the inter-qualification ratio but also by sectoral activities to take into account the professional needs of workers of different professions. The sectoral wage differentiation coefficient is to be paid by the employer at the expense of its wages and salaries. The actual costs of remuneration for work, taking into account the sectoral coefficient of wage differentiation, should be fixed in collective agreements and collective contracts. The primary level of counteraction to labour migration from Ukraine should be enterprises, institutions, organizations.
METHODOLOGICAL AND APPLIED ASPECTS OF FORMING THE COMPETITIVE STRATEGY OF AN ENTERPRISE BASED ON TYPOLOGIZATION OF REGIONAL MARKETS (USING THE EXAMPLE OF THE AUTOMOTIVE INDUSTRY)
Authors: I. A. Dmytriiev  , I. Shevchenko  , O. Dmytriieva  , I. Dzhereliuk  , T. Serohina
Published: August 2020

The automotive industry is a powerful driver of national economic development. Today, the automotive industry of Ukraine faces fierce struggle with foreign auto concerns. At the same time, the competition with brands of foreign automakers is of a purely price nature due to the fact that Ukrainian automotive products are obsolete. Under the circumstances, the domestic automakers need to elaborate new approaches to forming their competitive strategies in the automotive market. The purpose of the article is the elaboration and approbation of methodological support for the formation of the competitive strategies of automakers based on typologization of regional automotive markets. In the article the model for forming the competitive strategies of automakers based on typologization of regional automotive markets by influence of factors of socio-economic development and the competitive status of automaker is developed. By the criterion «influence of factors of socio-economic development» the regional automotive markets can be typed as «production-oriented», «socially-oriented», «trade-oriented», «financially- and investment-oriented», «innovation-oriented», «mixed». By the criterion «competitive status of the automaker» the regional automotive markets can be typed as «with a high competitive status of the automaker», «with a medium competitive status of the automaker», «with a low competitive status of the automaker». The constructed model for forming the competitive strategies of automakers based on typologization of regional automotive markets is tested using the example of PJSC «Zaporizhzhia Automobile Building Plant». According to the results of the applied research, it was stated the expediency of implementation of the following competitive strategies by PJSC «Zaporizhzhia Automobile Building Plant»: in Dnipropetrovsk, Kyiv and Kharkiv regions, in Kyiv city — strategy of integration; in Donetsk region — strategy of differentiation; in Zaporizhzhia, Luhansk, Sumy and Cherkasy regions — strategy of diversification; in Poltava region — strategy of clustering; in Vinnytsia, Volyn, Zakarpattia, Ivano-Frankivsk, Lviv, Odesa, Rivne, Ternopil, Khmelnytskyi and Chernivtsi regions — strategy of conversion; in Kirovohrad, Kherson and Chernihiv regions — strategy of reengineering; in Zhytomyr and Mykolaiv regions — strategy of restructuring. The research was carried out using the example of the automotive industry with regard to the strategic importance of ensuring the development of the mechanical engineering sector in Ukraine, but the constructed model for forming the competitive strategy of an enterprise, based on typologization of regional markets, can be adapted to other sectors of the economy.
METHODOLOGICAL APPROACH TO ASSESING THE LEVEL OF STRATEGIC FINANCIAL MANAGEMENT IN AN ORGANIZATION
Authors: V. Tretyak  , L. Obolentseva  , T. Burmaka  , S. Aleksandrova  , S. Perminova
Published: August 2020

The article presents a methodological approach to assessing the level of strategic financial management in an organization based on the definition of the criteria for the overall economic efficiency of its activities. It has been found out that financial management in the overall organization management system plays a key role, since financial resources are the source of the formation of other types of resources: material, labor, investment, etc. and one of the main factors ensuring the competitiveness and financial stability of the organization.

The presented system of strategic financial management in an organization consists of a strategic financial analysis and a comprehensive assessment of the organization’s strategic financial position, strategic financial planning, development of strategic standards for the organization’s financial activities, strategic financial decisions, formation and implementation of a financial strategy, the system of strategic control and assessment of the level of strategic financial management.

A model for the formation of the financial strategy of an organization has been developed. The criteria for the effectiveness of strategic financial management have been defined. The criteria are divided into blocks depending on the influence of the factors of the internal and external financial environment of an organization.

It has been proposed to assess the level of strategic financial management in an organization as the sum of the criteria for its overall effectiveness. A technique for determining the average assessment of the level of strategic financial management by elements of the system and stages of the financial management process has been suggested. The suggested methodological approach to assessing the level of strategic financial management can be considered as the first step towards organizing a system for managing the activities of an economic entity as a whole. Its application will allow creating a database for analysis of the financial state of the organization, to improve the financial management system to justify effective management decisions.
Cultura e comunicação como direitos humanos: aproximações diante da nova onda neoliberal
Authors: Cabral Filho Adilson Vaz , Dantas Taveira Cabral Eula
Published: August 2020

RESUMO Diante da nova onda neoliberal posta em marcha em todo mundo e, particularmente na América Latina, busca-se investigar a afirmação de políticas públicas que aproximem a Cultura e a Comunicação como direitos humanos. Com base nas pesquisas bibliográfica e documental, são abordadas propostas de formulação e implementação de políticas culturais e de comunicação no continente, proporcionando uma compreensão ampla e integrada em relação a segmentos sociais distintos, evidenciando possíveis articulações para a construção de políticas democráticas alternativas.
Palavras-chave: Direito Humano à Comunicação; Diversidade Cultural; Políticas de Comunicação.