bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sociodemographic correlates of cervical cancer screening rates in Calgary, AB: Matched Trend analysis of 2006, 2011 and 2016
Authors: Sayed Sayeeda Amber , Naugler Christopher , Dickinson James 
Published: September 2018

IntroductionCervical Cancer Screening (CCS) has reduced the incidence and mortality rates of cervical cancer (CC). However, the benefits are distributed unevenly since 30% of eligible women have not been screened within three years in Alberta. Women who have never been screened or are screened irregularly are most at risk for CC.
Objectives and ApproachThe aim of this study was to understand who gets CCS and who does not, in Calgary, Alberta and analyze the CC policy implications since 2006-2016. CCS information of women aged 25-69 were obtained from Calgary Laboratory Services for the years 2006, 2011 and 2016 and matched with Canadian Census data. Negative binomial regression and Generalized Estimating Equations were used to test associations of CCS rates with socio-demographic variables for eligible women. CCS spatial trends over the years was studied using the GIS Hotspot analysis.
ResultsMajor age and geographical variations were observed in CCS rates in Calgary. CCS rates in the recommended age groups varied from 40.6 % to 23.6 %. For age groups between 25 and 54, CCS rates were above 33\%, which implies that many women are having tests more than once every three years. Use was positively associated with median household income, education, Chinese ethnicity and negatively associated with ‘Black’ visible minority status. Women living in lower socio-economic areas of Calgary are screened at lower rates. Hotspot analysis maps revealed heterogeneous testing patterns in the city with relatively higher testing in the downtown, Southeast and Northwest quadrants of the city and relatively decreased CCS in the Northeast quadrant of Calgary
Conclusion/ImplicationsScreening programs need to be strengthened with greater focus on including specific demographic groups and reducing overuse. Understanding current testing patterns are important in assessing the benefit to harm ratio of CCS and for monitoring and evaluation of CCS program.
Advancing the measurement of health inequalities in Canada with linked health and social data
Authors: Pichora Erin , Allin Sara , Catley Christina , Sanmartin Claudia , Fines Philippe , Hynes Geoff 
Published: September 2018

IntroductionLinking health and socio-demographic data is providing new opportunities for measuring health inequalities in Canada. Measuring inequalities across relevant population sub-groups is a key step for understanding progress towards achieving health equity and informing interventions to reduce inequities.
Objectives and ApproachThis study uses two linked national datasets (excluding Quebec): 1) Statistics Canada’s linkage of the 2006 long-form Census to hospital data from the Canadian Institute for Health Information’s 2006-2008 Discharge Abstract Database (DAD); 2) hospital data linked to area-level income using Statistics Canada’s Postal Code Conversion File tool. Study objectives are to compare hospitalization rates between the linked census cohort and the general population and to inform the measurement of inequalities by income and education. Analysis was based on three hospitalization indicators: chronic obstructive pulmonary disease (COPD) among
ResultsThe linked cohort weighted to the population represented 67\% of DAD cases for asthma, 77\% for COPD and 80\% for heart attack. The lower coverage for asthma was because babies born after Census day were not linked. For all three indicators, rates were lower in the linked cohort than the DAD, likely because the linked cohort and DAD capture somewhat different populations (e.g., institutionalized population is in DAD but not Census).
Large income and education-related inequalities were observed for all three indicators. Further analyses revealed inequalities of similar magnitude using before and after-tax income data, and larger inequalities by individual-level income compared to area-level (for COPD only). Inequalities were similar using individual and household education, with a clear gradient using multiple education categories.
Conclusion/ImplicationsUpdating and expanding existing linkages to include recent data has the potential to expand and integrate health inequalities measurement into routine health system performance reporting. Challenges include measuring inequalities for smaller populations (e.g., health regions) and gaps in Census coverage (e.g., newborns/newcomers, urban indigenous populations, people experiencing homelessness, institutionalized population).
Advancing data collection of hospital-related harms: Validity of the new ICD-11 Quality & Safety Use Case
Authors: Eastwood Catherine , Southern Danielle , Boxill Alicia , Ghali William , Quan Hude 
Published: September 2018

IntroductionThe beta version of the new ICD-11 includes a 3-part model for coding hospital acquired conditions (harms) to enhance adverse event descriptions. This method includes code clusters for detail each condition/event (e.g. bleed), cause (e.g. anticoagulant drug), and mode (over-dose).
Objectives and ApproachTo compare the proportion of adverse events captured in ICD-11 to clinical chart review. A large field trial of 3000 inpatient charts are being coded with ICD-11 and chart review. Hospital admissions were randomly selected between January- June 2015 for adults at 3 Calgary hospitals. Chart reviewers were nurses trained to identify 11 categories of harms. Six coding specialists were trained to code with the ICD-11 3-part model for harm description. Coding decision trees and case examples of hospital-related harms were reviewed extensively by both teams. Coding training focused on new codes, code clustering, and extension codes for cause and mode of the harm.
ResultsOf the 1,009 records reviewed and coded using ICD-11 to date, chart reviewers and coding specialists accurately identified 49 (37%) of the same charts with documented hospital harms. Both correctly identified 797 (91\%) of cases with no harm. Detailed analysis will follow. Study case examples will demonstrate advanced features of ICD-11 and the coding rules being collaboratively developed by our team, CIHI, and and WHO representatives.
Conclusion/ImplicationsIdentification of hospital-related harms was consistent between coding specialists using ICD-11 principles and clinical chart reviewers. Variation existed in determining the cause and the mode of the harm. Case examples exemplify the new 3-part model for ICD-11 description of hospital-related harms.
Measuring social determinants of health and their impact on service use and medical complexity
Authors: Chateau Dan , Katz Alan , McDougall Chelsey , Taylor Carole , McCulloch Scott 
Published: September 2018

IntroductionPopulation based data on the social determinants of health are not widely available, despite a wide body of evidence pointing to their importance. The Mantioba Population Research Data Repository offers a unique opportunity to leverage data from multiple government departments to assess the relationship between measurable social determinants and health.
Objectives and ApproachUsing population based data from health, small area level census survey questions, social assisitance, education, social housing, child protective services and justice, linked at the individual level, we measured indicators of social complexity and mapped them in the province of Manitoba. Individuals with high level of social complexity were then compared with indicators of medical complexity and/or high use of medical services to determine the degree of overlap between these attributes of individuals. A matched group of individuals without any of the measured social complexities was developed and the number and reason for visits to primary care providers was compared.
ResultsThe rate of individuals having three or more social complexities varied from a low of ~7% to a high of 35%, depending on the geographic location. High residential mobiity, involvement with the justice system and history of social assistance were the most frequent (>15%). Individuals with social complexities tended to be younger and live in poorer neighbourhoods than medically complex individuals or high users of health services. Socially complex persons had on average 5.5 primary care visits annually, compared to only ~3.5 for matched individuals with no social complexities. The overlap with high users of health services was slight (14.4%) and depended on the characteristics of the population. The overlap with medically complex patients ws higher (16.2%), particularly when medical complexity included mental health related diagnoses (20.4%).
Conclusion/ImplicationsThe proportion of individuals with social complexities is large, and a substantial number have multiple risk factors. These individuals are for the most part a unique group, distinct from medically complex patients. Different strategies for care may be necessary to promote and sustain mental and physical health and wellbeing.
El impacto de la crisis económica en nuestras dos constituciones
Authors: García Roca Javier , Martínez Lago Miguel Ángel 
Published: September 2018

<p align="justify">Este trabajo recoge el texto de la conferencia pronunciada por Javier GARCÍA ROCA en el Centro de Estudios Políticos y Constitucionales el 30 de enero de 2014. Aquel compromiso sirvió para exponer las principales tesis de nuestra monografía: Estabilidad presupuestaria y consagración del freno constitucional al endeudamiento (Civitas- Thomson Reuters, 2013). Por eso decidimos que este artículo viniera firmado por ambos autores. Ahora tratamos de propiciar la discusión sobre la transformación que la crisis económica está dejando en problemas que ya teníamos desde hace tiempo y que han empeorado y aflorado prácticamente a la vez, después de treinta y cinco años de desarrollo constitucional. La crisis ha introducido en el Derecho de la Unión Europea y en nuestro ordenamiento interno —con la reforma del artículo 135 de la Constitución— un reforzado principio de estabilidad presupuestaria, una verdadera prohibición de rango constitucional. A nivel europeo asistimos a un lugar constitucional material, que es donde se encuentran las decisiones políticas básicas y supremas respecto de la economía. Y a nivel interno se hace urgente emprender una reforma constitucional como mecanismo de defensa de la Constitución, con el fin de evitar el apagón del circuito democrático representativo.</p>
<p align="justify"><b>This paper presents the text of the conference pronounced by Javier García Roca at the Center of Political and Constitutional Studies, on January 30, 2014. That commitment served to expose the main thesis of our essay: Budgetary stability and constitutional consecration of debt brake (Civitas-Thomson Reuters, 2013). So we decided we both would sign this article. Now we try to stimulate discussion about the transformation of the economic crisis is leaving problems that we had long and have gotten worse and emerged practically at once, after thirty-five years of constitutional development. The crisis has introduced in the law of the European Union and in our domestic legislation —with the reform of Article 135 of the Constitution—a stronger principle of budget stability, a true constitutional prohibition. At European level, we are witnessing a material constitutional place, that is where there are the basic and supreme political decisions about the economy. And at the domestic level it is urgent to undertake a constitutional reform, as a defense of the Constitution, in order to avoid the blackout of the representative democratic system.</b></p>
Desarrollo e incidencia de las Organizaciones de la Sociedad Civil en Chihuahua, México
Authors: Sarabia Ríos Cecilia , Castillo Viveros Nemesio 
Published: September 2018

Las Organizaciones de la Sociedad Civil en Chihuahua han desarrollado un proceso de reflexión e innovación en cuanto a estrategias de participación en el espacio público y en el posicionamiento de sus demandas sociales en la agenda oficial. En esta investigación, se analiza el origen y los cambios provocados por la implementación de las políticas económicas neoliberales en México y su correspondencia con los registrados en la relación entre el Estado y la sociedad civil, en particular, con sus organizaciones. Se expone el caso del Plan Estratégico de Juárez como ejemplo emblemático en los procesos de adaptación, innovación e incidencia en la toma de decisiones, y se argumenta a favor de una lógica de adaptación y resistencia ante las políticas neoliberales del Estado Mexicano, a través de la definición, negociación y renegociación con sus instituciones.Palabras clave: Neoliberalismo y Sociedad civil, y Organizaciones Development and incidence of Civil Society Organizations in Chihuahua, MexicoSummaryThe Civil Society Organizations in Chihuahua have developed a process of reflection and innovation regarding strategies of participation in the public space and the positioning of their social demands in the official agenda. In this research, we analyze the origin and changes caused by the implementation of neoliberal economic policies in Mexico and their correspondence with those registered in the relationship between the State and civil society, in particular, with their organizations. The case of the Juarez Strategic Plan is presented as an emblematic example in the processes of adaptation, innovation and incidence in decision-making, and it is argued in favor of a logic of adaptation and resistance to the neoliberal policies of the Mexican State, through the definition, negotiation and renegotiation with its institutions.Keywords: Neoliberalism and Civil society, and Organizations Développement et impact des organisations de la société civile à Chihuahua, MexiqueRésuméLes organisations de la société civile à Chihuahua ont développé un processus de réflexion et d’innovation à propos des stratégies de participation dans l’espace public et du positionnement de leurs demandes sociales dans l’agenda officielle. Dans cette recherche, nous analysons l’origine et les changements provoqués par la mise en œuvre des politiques économiques néolibérales au Mexique et leur corrélation avec ceux observés dans la relation entre l’Etat et la société civile, en particulier avec ses organisations. Nous présentons le cas du Plan Stratégique de Juárez en tant qu’exemple emblématique des processus d’adaptation, d’innovation et d’impact dans la prise de décision et nous argumentons en faveur d’une logique d’adaptation et de résistance face aux politiques néolibérales de l’Etat mexicain, au travers de la définition, négociation et renégociation avec ses institutions.Mots-clés: Néolibéralisme, Société civile, Organisations
Escalante Golzalbo, Fernando (2012). El crimen como realidad y representación. Contribución para una historia del presente
Authors: Barojas Sánchez Josefina 
Published: September 2018

Fernando Escalante ofrece un análisis detallado de los discursos que se construyen socialmente acerca del crimen, es decir, de cómo éstos se han instituido y circulan en la colectividad. A grandes rasgos, la obra conduce a la reflexión con respecto al papel de las instituciones encargadas de la seguridad, y sobre el Estado mexicano y su funcionamiento.Escalante Golzalbo, Fernando (2012). Crime as reality and representation. Contribution to a history of the presentSummaryFernando Escalante offers a detailed analysis of the discourses that are socially constructed about crime, that is, how these have been introduced and circulated in the community. Broadly speaking, the work leads to the reflection on the role of the institutions in charge of security, and on the Mexican State and its functioning.Escalante Golzalbo, Fernando (2012). Le crime comme réalité et représentation. Contribution pour une histoire du présent RésuméFernando Escalante propose une analyse détaillée des discours qui se construisent socialement sur le crime, c’est-à-dire de comment ils se sont instaurés et circulent dans la collectivité. En synthèse, son travail mène à une réflexion sur le rôle des institutions chargées de la sécurité et sur l’Etat mexicain et son fonctionnement.
Externalidades y cultura vial. Fenómenos en torno al uso del automóvil en Xalapa, Veracruz, México
Authors: García Leyva Alberto 
Published: September 2018

Existe una serie de factores que influyen en la planeación urbana de una ciudad; desde las condiciones geográficas, hasta las costumbres de las personas que la habitan. En este artículo, se aborda la problemática del uso del automóvil en una ciudad carente de planeación urbana, como Xalapa, Veracruz, México. Se expone los fenómenos en torno al uso del automóvil y las externalidades negativas que genera: contaminación, demanda de infraestructura y crecimiento urbano expandido, frente a la falta de planeación urbana y de cultura vial que se retroalimentan negativamente. Al término, se plantea medidas para disminuir las afectaciones de dicha problemática en la ciudad. Palabras clave: Comportamiento, Urbanismo, Externalidades, Cultura vial, Uso del automóvilExternalities and road-safety culture. Phenomena about the use of automobiles in XalapaSummaryThere are a number of factors that influence the urban planning of a city; from the geographical conditions, to the customs of the people who inhabit it. In this article, the problem of car use is addressed in a city lacking of urban planning, such as Xalapa, Veracruz, Mexico. It exposes the phenomena about the use of the automobile and the negative externalities it generates: pollution, infrastructure demand and expanded urban growth, before the lack of urban planning and road-safety culture that feed each other negatively. At the end, measures are proposed to reduce the effects of this problem in the city.Keywords: Behavior, Urbanism, Externalities, Road-safety culture, Car useExternalités et culture automobile. Phénomènes autour de l’usage de l’automobile à XalapaRésuméIl existe une série de facteurs qui influent sur la planification urbaine d’une ville, depuis les conditions géographiques jusqu’aux coutumes des personnes qui l’habitent. Dans cet article, nous abordons la problématique de l’usage de l’automobile dans une ville qui souffre d’un déficit de planification urbaine, comme c’est le cas de Xalapa, dans l’Etat de Veracruz, au Mexique. Nous analysons les phénomènes autour de l’usage de l’automobile et les externalités négatives qu’il génère: pollution, demande d’infrastructure et expansion de la croissance urbaine, face au déficit de planification urbaine et de culture automobile qui se combinent négativement. Finalement, nous envisageons des mesures pour diminuer les dégâts causés par cette problématique dans la ville.Mots-clés: Comportement, Urbanisme, Externalités, Culture automobile, Usage de l’automobile
La acción colectiva feminista. ¿De la lucha de clases a la lucha de géneros? El caso Ni Una Menos
Authors: Castro Riaño Luis Carlos 
Published: September 2018

En este artículo se propone una explicación factible de los movimientos sociales contemporáneos, considerando la acción colectiva feminista del caso argentino “Ni Una Menos” y cuatro componentes visibles en ella: el estructural, el político, el estratégico y el cultural. Para ello, se incorpora perspectivas de diferentes teorías sobre la movilización social; se revisa los postulados centrales del feminismo materialista francés, la teoría queer y el feminismo decolonial, y se reflexiona sobre las estrategias de la movilización, los repertorios de acción y los marcos de la movilización, con énfasis en las gramáticas de la vida pública implementadas en tales marcos. El texto tiene el objetivo de reforzar el vínculo entre la comprensión y la práctica de la protesta social.Palabras clave: Movimientos sociales, Acción colectiva, Esquemas de interpretación, Gramáticas de la vida pública Feminist collective action. From the class struggle to the gender struggle? The case Ni una menosSummaryIn this article a feasible explanation of contemporary social movements is proposed, considering the feminist collective action of the Argentine case "Ni Una Menos" and four visible components in it: the structural, the political, the strategic and the cultural. For this, perspectives of different theories on social mobilization are incorporated; the central postulates of French materialist feminism, the queer theory and decolonial feminism are reviewed, and the strategies of mobilization, action repertoires and mobilization frameworks are explored, with emphasis on the grammars of public life implemented in such frames. The text aims to strengthen the link between understanding and the practice of social protest.Keywords: Social movements, Collective action, Schemes of interpretation, Grammar of public life. L’action collective féministe. De la lutte des classes à la lutte des genres? Le cas de Ni una Menos RésuméDans cet article, nous proposons une explication viable des mouvements sociaux contemporains, en considérant l’action collective féministe du cas argentin “Ni una menos” et quatre composants visibles en elle: le structurel, le politique, le stratégique et le culturel. Pour cela, nous incorporons les perspectives de différentes théories sur la mobilisation sociale; nous révisons les postulats centraux du féminisme matérialiste français, la théorie queer et le féminisme décolonial et nous réfléchissons sur les stratégies de mobilisation, les registres d’action et les cadres de la mobilisation, avec une emphase sur les grammaires de la vie publique mises en œuvre dans ces cadres. Le texte a pour objectif de renforcer le lien entre la compréhension et la pratique de la protestation sociale.Mots-clés: Mouvements sociaux, Action collective, Schémas d’interprétation, Grammaires de la vie publique
La antropología relacional, una posibilidad epistemológica
Authors: Galán Castro Erick Alfonso 
Published: September 2018

El objetivo del artículo es exponer y poner a debate el giro relacional de las ciencias sociales como alternativa teórico-metodológica para entender la realidad actual, donde las barreras físico-geográficas y los grupos sociales no tocados por la civilización moderna son, en lo general, inexistentes. La perspectiva relacional antropológica propone que el objeto de estudios empíricos y reflexiones teóricas se sitúe en torno a relaciones sociales, definidas como referencias simbólicas, organizativas y pragmáticas, desde las cuales los actores sociales pueden generar o actualizar sus vínculos. Palabras clave: Antropología, Realismo Crítico, Enfoque Relacional Relational anthropology, an epistemological possibilitySummaryThe objective of the article is to expose and put into debate the relational turn of the social sciences as a theoretical-methodological alternative to understand the current reality, where physical-geographical barriers and social groups not touched by modern civilization are, in general, nonexistent The anthropological relational perspective proposes that the object of empirical studies and theoretical reflections be placed around social relations, defined as symbolic, organizational and pragmatic references, from which social actors can generate or update their links.Keywords: Anthropology, Critical realism, Relational approach. L’anthropologie relationnelle, une possibilité épistémologiqueRésuméL’objectif de l’article est d’exposer et de mettre en débat le tournant relationnel des sciences sociales comme une alternative théorico-méthodologique pour comprendre la réalité actuelle, puisque les barrières physico-géographiques et les groupes sociaux non touchés par la civilisation moderne y sont, en général, inexistants. La perspective relationnelle anthropologique propose que l’objet des études empiriques et des réflexions théoriques verse sur les relations sociales, définies comme des références symboliques, organisatrices et pragmatiques, depuis lesquelles les acteurs peuvent générer ou actualiser leurs liens.Mots-clés: Anthropologie, Réalisme critique, Optique relationnelle