Mapping 2 Decades of Research in Health Services Research, Health Policy, and Health Economics Journals.

OBJECTIVE: To identify major research topics and exhibit trends in these topics in 15 health services research, health policy, and health economics journals over 2 decades. DATA SOURCES: The study sample of 35,159 abstracts (1999-2020) were collected from PubMed for 15 journals. STUDY DESIGN: The study used a 3-phase approach for text analyses: (1) developing the corpus of 40,618 references from PubMed (excluding 5459 of those without abstract or author information); (2) preprocessing and generating the term list using natural language processing to eliminate irrelevant textual data and identify important terms and phrases; (3) analyzing the preprocessed text data using latent semantic analysis, topic analyses, and multiple correspondence analysis. PRINCIPAL FINDINGS: Application of analyses generated 16 major research topics: (1) implementation/intervention science; (2) HIV and women's health; (3) outcomes research and quality; (4) veterans/military studies; (5) provider/primary-care interventions; (6) geriatrics and formal/informal care; (7) policies and health outcomes; (8) medication treatment/therapy; (9) patient interventions; (10) health insurance legislation and policies; (11) public health policies; (12) literature reviews; (13) cost-effectiveness and economic evaluation; (14) cancer care; (15) workforce issues; and (16) socioeconomic status and disparities. The 2-dimensional map revealed that some journals have stronger associations with specific topics. Findings were not consistent with previous studies based on user perceptions. CONCLUSION: Findings of this study can be used by the stakeholders of health services research, policy, and economics to develop future research agendas, target journal submissions, and generate interdisciplinary solutions by examining overlapping journals for particular topics.

Association between breakfast consumption frequency and the risk of irritable bowel syndrome among Chinese female college students: A cross-sectional study.

ABSTRACT: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder that affects specific groups of people. The relationship between breakfast consumption frequency and the risk of IBS is unclear. This study aimed to investigate the association between breakfast consumption frequency and the risk of IBS among Chinese female college students.In this cross-sectional study (n = 706) conducted in October 2018, the frequency of breakfast consumption was categorized as 0 to 3 times/week, 4 to 6 times/week, or daily. IBS was diagnosed according to the Rome III criteria and was based on the presence of abdominal pain or discomfort for at least 3 months during the previous 6 months, with at least 2 or more of the following conditions: changes in frequency or form of stool and/or decrease in pain after defecation. We adjusted for confounding factors, including age, only child (yes or no), parents' educational levels (senior high school or below, college, or postgraduate), parents' marital status (married, widowed, or divorced), smoking status (smoker or nonsmoker), drinking status (drinker or nondrinker), body mass index, and depressive symptoms. A multiple logistic regression analysis was performed to determine the relationship between breakfast frequency and the risk of IBS.Among 706 participants, 23.7% were the only child in their family, and the proportion of parents divorced or widowed was 18.5%. The proportion of fathers and mothers with high school education or above was 93.3% and 96.3%, respectively. The prevalence of IBS among the participants was 17.3% (122/706). Multivariate logistic regressions analysis showed that breakfast consumption frequency is negatively associated with the risk of IBS after adjusting for confounding factors. The odds ratios (95% confidence intervals) for IBS in the breakfast frequency category of 0 to 3 times/week, 4 to 6 times/week, and daily were 1.00 (reference), 0.96 (0.58, 1.60), and 0.45 (0.26, 0.78), respectively (P = .002).Our data revealed that regular breakfast consumption is associated with a lower risk of IBS among Chinese college students. Future cohort and/or interventional studies should be conducted to further explore the association between breakfast consumption frequency and IBS.

Procedure Reimbursement, Inflation, and the Declining Buying Power of the Vascular Surgeon (2011-2021).

PURPOSE: The purpose of this study was to evaluate trends in Medicare reimbursement for common vascular procedures over the last decade. To enrich the context of this analysis, vascular procedure reimbursement is directly compared to inflation-adjusted changes in other surgical specialties. METHODS: The Centers for Medicare & Medicaid Services Physician/Supplier Procedure Summary file was utilized to identify the 20 procedures most commonly performed by vascular surgeons from 2011-2021. A similar analysis was performed for orthopedic, general, and neurological surgeons. The Centers for Medicare & Medicaid Services Physician-Fee Schedule Look-Up Tool was queried for each procedure, and reimbursement data was extracted. All monetary data was adjusted for inflation to 2021 dollars utilizing the consumer price index. Average year-over-year and total percentage change in reimbursement were calculated based on adjusted data for included procedures. Comparisons to other specialty data were made with ANOVA. RESULTS: From 2011-2021, the average, unadjusted change in reimbursement for vascular procedures was -7.2%. Accounting for inflation, the average procedural reimbursement declined by 20.1%. The greatest decline was observed in phlebectomy of varicose veins (-50.6%). Open arteriovenous fistula revision was the only vascular procedure with an increase in inflation-adjusted reimbursement (+7.5%). Year-over-year, inflation-adjusted reimbursement for common vascular procedures decreased by 2.0% per year. Venous procedures experienced the largest decrease in average adjusted reimbursement (-42.4%), followed by endovascular (-20.1%) and open procedures (-13.9%). These changes were significantly different across procedural subgroups (P < 0.001). During the same period, the average adjusted change in reimbursement for the 20 most common procedures in orthopedic surgery, general surgery, and neurosurgery was -11.6% vs. -20.1% for vascular surgery (P = 0.004). CONCLUSION: Medicare reimbursement for common surgical procedures has declined over the last decade. While absolute reimbursement has remained relatively stable for several procedures, accounting for a decade of inflation demonstrates the true diminution of buying power for equivalent work. The most alarming observation is that vascular surgeons have faced a disproportionate decrease in inflation-adjusted reimbursement in comparison to other surgical specialists. Awareness of these trends is a crucial first step towards improved advocacy and efforts to ensure the "value" of vascular surgery does not continue to erode.

Factors associated with inadequate milk consumption among adolescents: national school health survey - pense 2012 / Fatores associados ao consumo inadequado de leite em adolescentes: pesquisa nacional de saúde do escolar - pense 2012

ABSTRACT Objective: To identify the prevalence and factors associated with inadequate milk consumption among adolescents. Methods: This was a cross-sectional study based on secondary data from the National School Health Survey (2012), a Brazilian survey carried out using a self-administered questionnaire in a representative sample of 9th-grade students from public and private schools. The frequency of milk intake and its association with socio-demographic characteristics, food consumption and physical activity were estimated. A descriptive and inferential analysis of factors associated with inadequate milk consumption (no consumption at least one of the seven days of the week) was performed. A multiple logistic model was adjusted to control confounders. Results: The sample included 108,828 adolescents and inadequate milk consumption ocurred in 58.9%. The final model included nine variables independently associated with inadequate milk intake: breakfast frequency less than 4 days per week (odds ratio [OR]=2.40; p<0.001), unprocessed or minimally processed foods intake less than 5 days per week (OR=1.93; p<0.001), living in the northeast region (OR=1.39; p<0.001), less maternal schooling (OR=1.35; p<0.001), physical inactivity (OR=1.33; p<0.001), attending public school (OR=1.26; p<0.001), not being white (OR=1.14; p<0.001), being older than 14 years old (OR=1.13; p<0.001) and having a habit of eating meals while watching TV or studying (OR=1.04; p=0.036). Conclusions: Inadequate milk consumption is prevalent among Brazilian adolescents. The identification of associated factors suggests the need to develop nutritional guidance strategies for the prevention of diseases that result from low calcium intake.

RESUMO Objetivo: Identificar a prevalência e os fatores associados ao consumo inadequado de leite em adolescentes. Métodos: Estudo transversal com base em dados secundários da Pesquisa Nacional de Saúde do Escolar (PeNSE; 2012), inquérito brasileiro realizado por meio de questionário autoaplicável em amostra representativa de alunos do nono ano do ensino fundamental de escolas públicas e privadas. Estimou-se a frequência da ingestão de leite e sua associação com características sociodemográficas, consumo alimentar e prática de atividade física. Foi realizada análise descritiva e inferencial dos fatores associados ao consumo inadequado de leite (ausência em pelo menos um dos sete dias da semana). Um modelo logístico múltiplo foi ajustado para controle das variáveis de confusão. Resultados: A amostra incluiu 108.828 adolescentes e o consumo inadequado de leite foi de 58,9%. O modelo final incluiu 9 variáveis independentemente associadas à ingestão inadequada de leite: frequência de desjejum inferior a 4 dias semanais (odds ratio [OR]=2,40; p<0,001), consumo de alimentos in natura e minimamente processados inferior a 5 dias semanais (OR=1,93; p<0,001), residir na Região Nordeste (OR=1,39; p<0,001), menor escolaridade materna (OR=1,35; p<0,001), inatividade física (OR=1,33; p<0,001), frequentar escola pública (OR=1,26; p<0,001), não ser da raça branca (OR=1,14; p<0,001), ter idade superior a 14 anos (OR=1,13; p<0,001) e possuir o hábito de realizar as refeições assistindo à TV ou estudando (OR=1,04; p=0,036). Conclusões: O consumo inadequado de leite é frequente entre adolescentes brasileiros. A identificação de fatores associados sugere a necessidade do desenvolvimento de estratégias de orientação nutricional para a prevenção de doenças resultantes da baixa ingestão de cálcio.

Pedagogia crítica e neoliberalismo / Critical pedagogy and neoliberalism / Pedagogía crítica y neoliberalismo

Neste artigo, nós refletimos sobre as possibilidade e responsabilidades da pedagogia crítica em relação ao neoliberalismo e a Educação Física. Ao explorar essas ideias, nós também discutimos os problemas da definição, bem como o colapso e confusão de termos como pedagogia crítica, pesquisa crítica e saúde crítica e Educação Física, bem como a problemática posição do neoliberalismo nos estudos críticos. Embora exista um crescente corpo de pesquisas que iluminam as nuanças e onipresença das políticas e práticas neoliberais em HPE -tanto em contextos globais e em contextos sociais específicos ­ nós argumentamos que ainda existe mais trabalho a ser feito para identificar como o trabalho pedagógico crítico pode dirigir-se (ou ao menos tentar) aos efeitos do neoliberalismo. Ao fim, continua a existir o perigo de que a pedagogia crítica em tempos neoliberais possa transmitir, em vez de contestar, os piores efeitos da escolarização neoliberal e do neoliberalismo em saúde e Educação Física

In this article, we reflect on the possibilities and responsibilities of critical pedagogy in relation to neoliberalism and physical education. In exploring these ideas, we also discuss problems of definition, such as the collapse and confusion of terms like critical pedagogy, critical research, and critical health and PE, as well the problematic positioning of 'neoliberalism' in critical scholarship. Although there is a growing body of research that illuminates the nuances and pervasiveness of neoliberal HPE policies and practices ­ both globally and in specific social contexts ­ we argue that there is still more work to be done to identify how critical pedagogical work may address (or at least attend to) the effects of neoliberalism. After all, there remains a 'danger' that critical pedagogy in neoliberal times may forward, rather than contest, the worst effects of neoliberal schooling and neoliberal HPE

En este artículo, reflexionamos sobre las posibilidades y las responsabilidades de la pedagogía crítica en relación al neoliberalismo y la Educación Física. Además de explorar estas ideas, debatimos los problemas de la definición, así como el colapso y la confusión de los términos como pedagogía crítica, investigación crítica, salud crítica y Educación Física, así como la problemática del neoliberalismo en los estudios críticos. Si bien hay un creciente cuerpo de investigaciones que iluminan los matices y la omnipresencia de las políticas y practicas neoliberales en HPE ­ tanto en los contextos globales como sociales específicos ­ nosotros argumentamos que ha todavia más trabajo por hacer para identificar como el trabajo pedagógico puede dirigirse (o por lo menos intentar) a los efectos del neoliberalismo. Al ultimo, sigue existiendo el peligro de que la pedagogía crítica en tiempos neoliberales pueda transmitir, en lugar de cuestionar, los peores efectos de la escolarización neoliberal y del neoliberalismo en salud y Educación Física

Asymmetric impact of oil prices on stock returns in Shanghai stock exchange: Evidence from asymmetric ARDL model.

This study scrutinized the asymmetric impact of oil prices on stock returns in Shanghai stock exchange with data (January 2000 to December 2018) by using asymmetric ARDL model. The examined results of asymmetric autoregressive distributed lag model indicate that cointegration exists between the oil prices and the stock returns. Results of asymmetric autoregressive distributed lag model confirm that both in the long run and the short run increase in oil prices have a negative impact on the stock returns of Shanghai stock exchange while decrease in the oil prices has a positive impact on the stock returns. The examined results of this study recommend that oil prices dynamically contribute incompetence in stock prices in such a way that impact the profits of investors in stock market.

Obligation and the Changing Nature of Publicly Funded Healthcare.

This article explores the relationship between obligation and publicly funded healthcare. Taking the National Health Service (NHS) as the focal point of discussion, the article presents a historical analysis of the shifting nature and function of obligation as it relates to this institution. Specifically, and drawing inspiration from recent literature that takes seriously the notion of the tie or bond at the core of obligation, the article explores how the forms of social relation and bonds underpinning a system like the NHS have shifted across time. This is undertaken via an analysis of Aneurin Bevan's vision of the NHS at its foundation, the importance today of the patient (and the individual generally) within publicly funded healthcare, and the role of contract as a contemporary governance mechanism within the NHS. A core feature of the article is its emphasis on the impact that a variety of economic factors-including privatisation, marketisation, and the role of debt and finance capital-are having on previously settled understandings of obligation and the forms of social relation underpinning them associated with the NHS. It is therefore argued that an adequate analysis of obligation in healthcare law and related fields must extend beyond the doctor-patient relationship and that of state-citizen of the classical welfare state in order to incorporate new forms of relation, such as that between creditor and debtor, and new actors, including private healthcare providers and financial institutions.

Molecular authentication of Pargo fillets Lutjanus purpureus (Perciformes: Lutjanidae) by DNA barcoding reveals commercial fraud

The Caribbean Red Snapper (Pargo) Lutjanus purpureus is the most economically important snapper in Brazil, which is sold, among other forms, as frozen fillets. During the process of transformation into fillets there is the removal of the distinctive morphological traits, being able to favor the substitution by less valued species. In addition, there is no national legislation requiring the insertion of the specific name on the product label. However, according to a Normative Instruction (IN N ° 29/2015 MAPA) that correlates the common and specific names of the products destined to the national trade, in Brazil only L. purpureus and L. campechanus can be denominated "Pargo". Thus, the DNA barcode tool was used to identify the fillets sold in north of Brazil, labeled "Pargo", with the aid of sequences from the public and control databases. The results showed that among 142 fillets examined, 78% was identified as L. purpureus and 22% as Rhomboplites aurorubens, a snapper with low commercial value in the country, revealing commercial fraud. The molecular identification method successfully used in this study to authenticate fillets snappers may also be used by surveillance authorities in the quality control of processed fish products, towards ensuring consumer rights.(AU)

O Pargo Lutjanus purpureus, lutjanídeo mais importante economicamente no Brasil, é vendido, entre outras formas, como filés congelados. Durante a transformação em filés, há a remoção das características morfológicas distintivas, podendo favorecer a substituição por espécies menos valorizadas. Além disso, não há legislação nacional que exija a inserção do nome específico no rótulo. Porém, de acordo com uma Instrução Normativa (IN N° 29 /2015 MAPA) que correlaciona os nomes comuns e específicos dos produtos destinados ao comércio nacional, no Brasil somente L. purpureus e L. campechanus podem ser denominados "Pargo". Assim, a ferramenta DNA barcode foi usada para identificar os filés vendidos no norte do Brasil, rotulados como "Pargo", com o auxílio de sequências dos bancos de dados públicos e banco controle. Os resultados mostraram que entre os 142 filés examinados, 78% foi identificado como L. purpureus e 22% como Rhomboplites aurorubens, um lutjanídeo com baixo valor comercial no país, revelando fraude comercial. O método de identificação molecular, utilizado com êxito neste estudo para autenticar filés de lutjanídeos, pode também ser utilizado pelas autoridades de vigilância no controle de qualidade de produtos processados derivados de peixes em geral, para garantir os direitos dos consumidores.(AU)

Políticas de "conciliação" entre trabalho e responsabilidade familiar: o debate em curso na Europa e na América Latina / "Conciliation" policies between work and family responsibility: the ongoing debate in Europe and Latin America

As transformações que vêm ocorrendo nas famílias no contexto capitalista têm colocado inúmeras questões acerca das relações entre a esfera da produção e da reprodução. Dentre elas estão as referentes à "conciliação" entre trabalho e responsabilidades familiares. Nesse quadro, objetiva-se apresentar, de forma sistematizada, uma aproximação com a produção científica sobre as políticas conciliatórias, considerando dois universos distintos: de um lado, o debate e os enfrentamentos realizados nos países europeus; de outro, o debate e os enfrentamentos desenvolvidos no contexto latinoamericano, destacando as particularidades do Brasil. Evidenciam-se as origens e particularidades das políticas de conciliação entre trabalho e responsabilidades familiares, seus aspectos conceituais, suas relações, bem como as contradições e conflitos presentes nos dois universos, marcados por dinâmicas muito diferentes. Pretende-se contribuir para a discussão sobre essa questão, principalmente entre os profissionais que pensam e atuam no campo da política pública.

The transformations that has been occurring in families in the contemporary context of capitalist development have placed numerous questions about relations between the sphere of production and reproduction. Among them are those relating to the 'conciliation" between work and family responsibilities. Within this framework, the goal is to introduce, systematically, a rapprochement with the scientific production on the conciliatory policies, considering two distinct universes. On one side the debate and confrontation that has been organized in the framework of European countries, and on the other hand the debate and confrontation that has been developed in the Latin American context, highlighting the peculiarities of Brazil. Shows the origins and peculiarities of the policies of conciliation between work and family responsibilities, their conceptual aspects, their relationships, contradictions and conflicts present in both universes, marked by very different dynamics. Aims to give visibility and encourage discussion on this issue, especially among the professionals who think and act in the field of public policy.

A educação crítica e cidadã no PET economia/UFES / The critical education and citizen in PET economics/UFES

O objetivo deste artigo é apresentar o funcionamento e algumas das atividades desenvolvidas pelo PET Economia/UFES, ao longo de sua existência, que contribuíram e contribuem para o desenvolvimento de uma Educação Tutorial crítica e cidadã no seio de nosso grupo. Para tanto, apresentaremos, inicialmente, um pouco da construção histórica do grupo para em um segundo momento descrever algumas de nossas atividades que constituem o eixo ensino, pesquisa e extensão.

The objective of this paper is to present the functioning and some of the activities that are undertaken by the PET Economia/UFES throughout its existence, these activities have contributed and still contribute to the development of a tutorial education critical and citizenship within our group. Therefore, we will initially present a bit of the historical formation of the group and, in a second moment, we wil describe some of our activities that constitute the axis of teaching, research and extension.

An analysis of leading, lagging, and coincident economic indicators in the United States and its relationship to the volume of plastic surgery procedures performed: an update for 2012.

BACKGROUND: As physician compensation and reimbursement tightens throughout the United States, it is important for physicians to be aware of the influence that the economic environment has on the unique medical field of plastic and reconstructive surgery. This study will attempt to determine a relationship between the volume of different plastic surgical procedures and various economic indicators. METHODS: Information from the American Society of Plastic Surgeons' annual reports on plastic surgery statistics available on the Internet (http://www.plasticsurgery.org/Media/Statistics.html) was collected from the years 2000 through 2011. Yearly economic indicators were collected from readily available Web sites. RESULTS: In terms of the total number of plastic surgery procedures performed, there was a significant positive relationship with GDP, GDP per capita, personal income, consumer price index (CPI) (all), and CPI (medical), and a significant negative relationship with the issuance of new home permits. There was a significant positive relationship with total cosmetic procedures and GDP, GDP per capita, personal income, CPI (all), and CPI (medical), and a significant negative relationship with the issuance of new home permits. There was a significant positive relationship between cosmetic surgical procedures and the issuance of new home permits and the average prime rate charged by banks. There was a significant positive relationship with cosmetic minimally invasive procedures and GDP, GDP per capita, personal income, CPI (all), and CPI (medical), and a significant negative relationship with the issuance of new home permits. There was a significant negative relationship between reconstructive procedures and GDP, GDP per capita, personal income, CPI (all), and CPI (medical). CONCLUSIONS: Cosmetic minimally invasive procedures involve less downtime, are generally less expensive than surgical options, and are widely available, making it easier for patients to decide on them quickly during good economic times. Furthermore, it is apparent that plastic surgeons must be proficient at performing minimally invasive cosmetic procedures to maintain a clientele and offer patients a more affordable option during tough economic times. This may lead to further business growth during more favorable economic times.

Para além do capital: rumo a uma teoria da transição / Beyond capital: towards a theory of transition

A presente obra busca trazer uma reflexão crítica sobre o capital em suas formas, engrenagens e mecanismos de funcionamento. Influenciada por Marx, Lukács e Rosa Luxemburgo, a obra de Mészáros pretende ser um desenho crítico e analítico contra o capital e suas formas de controle social. O autor procura ainda empreender uma reflexão sobre a sociabilidade contemporânea e a lógica que a preside...

Tendências na evolução do emprego e nas relações de trabalho em saúde: a dimensão econômica na gestão de recursos humanos no Brasil / Trends in the evolution of employment and in work relations in health: the economic dimension in the management of human resources in Brazil

INTRODUÇÃO: A linha de investigação Tendências na Evolução do Emprego e nas Relações de Trabalho em Saúde é priorizada pelo Observatório de Recursos Humanos em Saúde da Universidade de Brasília (ObservaRH/UnB) desde o início de sua criação. Contempla abordagens de cunho analítico, sobre sistemas de gestão pública de pessoal em âmbito nacional e internacional, integrando a pauta de temas prioritários da Rede Observatório na América Latina, além de contribuir com a agenda de prioridades do Ministério da Saúde do Brasil, das demais instâncias político administrativas do Sistema Único de Saúde (SUS) e com o debate entre todos os demais estudiosos e interessados nesse campo. OBJETIVO: Esta publicação privilegia investigações e artigos produzidos nessa linha, que analisam A Dimensão Econômica na Gestão de Recursos Humanos no Brasil. Abrange 3 artigos a seguir referenciados. MATERIAIS: O estudo inicialmente apresentado, Macroeconomia e Mercado de Trabalho no Brasil: Trajetória Recente e Tendência Aparente, é de autoria de José Celso Cardoso Júnior e foi elaborado no ano de 2006. A ideia central do texto é discutir o comportamento recente do mercado de trabalho nacional, à luz tanto do quadro histórico relativo ao último quarto do século XX (posto tratar-se de um período de transição ainda inacabado), como também tendo em vista os condicionantes macroeconômicos mais gerais sob os quais se situa a problemática do emprego no país.Despesa com Pessoal e Lei de Responsabilidade Fiscal: Uma Análise da Situação na União, nas Unidades Federadas e nos Municípios, é o segundo texto apresentado. Elaborado em 2006, pela equipe do ObservaRH - NESP/CEAM/UnB, com destaque para a orientação de Roberto Passos Nogueira e a participação de Valdemar de Almeida Rodrigues. Este estudo foi efetuado com a intenção de proporcionar ao gestor público uma visão panorâmica e comparativa da situação da despesa com pessoal face aos limites preconizados pela LRF, tomando por base os dados divulgados pelo Ministério da Fazenda. Tem em vista particularmente o gestor do SUS, mas os dados e análises aqui apresentados têm igual utilidade para os gestores de outras áreas governamentais e para os demais interessados no assunto. A preocupação é municiar o gestor com informações que lhe permitam no que concerne especificamente ao item de despesa com pessoal: (i) ter uma avaliação da situação de seu ente (União, estado ou município) no que diz respeito ao cumprimento dos dispositivos da LRF e (ii) comparar com a situação de outros entes na esfera federativa a que pertence. A Análise da Evolução das Despesas com Pessoal do Governo Federal e do Ministério da Saúde, no período 1995-2003, de autoria de Bruno de Carvalho Duarte finaliza o conjunto de textos desta publicação. Analisa a composição e a evolução das despesas com o pagamento de pessoal da União e do Ministério da Saúde no período compreendido entre 1995 e 2003. CONCLUSÃO: Faz parte do escopo desse trabalho uma análise das despesas em relação aos limites estabelecidos pela LRF.O ObservaRH/UnB agradece aos autores dos estudos pela contribuição para a reflexão dessa instigante temática.