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Am Surg ; 86(3): 213-219, 2020 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-32223800


Grady Memorial Hospital is a pillar of public medical and surgical care in the Southeast. The evolution of this institution, both in its physical structure as well as its approach to patient care, mirrors the cultural and social changes that have occurred in the American South. Grady Memorial Hospital opened its doors in 1892 built in the heart of Atlanta's black community. With its separate and unequal facilities and services for black and white patients, the concept of "the Gradies" was born. Virtually, every aspect of care at Grady continued to be segregated by race until the mid-20th century. In 1958, the opening of the "New Grady" further cemented this legacy of the separate "Gradies," with patients segregated by hospital wing. By the 1960s, civil rights activists brought change to Atlanta. The Atlanta Student Movement, with the support of Dr. Martin Luther King Jr., led protests outside of Grady, and a series of judicial and legislative rulings integrated medical boards and public hospitals. Eventually, the desegregation of Grady occurred with a quiet memo that belied years of struggle: on June 1, 1965, a memo from hospital superintendent Bill Pinkston read "All phases of the hospital are on a non-racial basis, effective today." The future of Grady is deeply rooted in its past, and Grady's mission is unchanged from its inception in 1892: "It will nurse the poor and rich alike and will be an asylum for black and white."

Derechos Civiles/historia , Desegregación/historia , Desegregación/legislación & jurisprudencia , Afroamericanos/estadística & datos numéricos , Grupo de Ascendencia Continental Europea/estadística & datos numéricos , Georgia , Hispanoamericanos/estadística & datos numéricos , Historia del Siglo XX , Hospitales Públicos/historia , Humanos
West J Emerg Med ; 21(2): 423-428, 2020 Jan 27.
Artículo en Inglés | MEDLINE | ID: mdl-31999245


INTRODUCTION: Academic Emergency Medicine (EM) departments are not immune to natural disasters, economic or political forces that disrupt a training program's operations and educational mission. Due process concerns are closely intertwined with the challenges that program disruption brings. Due process is a protection whereby an individual will not lose rights without access to a fair procedural process. Effects of natural disasters similarly create disruptions in the physical structure of training programs that at times have led to the displacement of faculty and trainees. Variation exists in the implementation of transitions amongst training sites across the country, and its impact on residency programs, faculty, residents and medical students. METHODS: We reviewed the available literature regarding due process in emergency medicine. We also reviewed recent examples of training programs that underwent disruptions. We used this data to create a set of best practices regarding the handling of disruptions and due process in academic EM. RESULTS: Despite recommendations from organized medicine, there is currently no standard to protect due process rights for faculty in emergency medicine training programs. Especially at times of disruption, the due process rights of the faculty become relevant, as the multiple parties involved in a transition work together to protect the best interests of the faculty, program, residents and students. Amongst training sites across the country, there exist variations in the scope and impact of due process on residency programs, faculty, residents and medical students. CONCLUSION: We report on the current climate of due process for training programs, individual faculty, residents and medical students that may be affected by disruptions in management. We outline recommendations that hospitals, training programs, institutions and academic societies can implement to enhance due process and ensure the educational mission of a residency program is given due consideration during times of transition.

Derechos Civiles , Medicina de Emergencia/educación , Internado y Residencia , Servicio de Urgencia en Hospital , Humanos , Publicaciones , Estados Unidos
Clin Ter ; 170(1): e36-e43, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31850482


The author has delved into the most significant Italian and European court rulings related to heterologous fertilization and surrogate motherhood between 2012 and 2019, with a close focus on same-sex couples seeking to have their donor-conceived children born abroad legally registered in their country of origin. Undeniably, surrogacy has brought about a crisis in the traditional family model, made up of a mother and a father. The paper draws upon European Court of Human Rights established jurisprudence that upholds the children's best interests. Italian Court rulings are expounded upon as well, which have been instrumental in establishing the principles by which parental figures do not necessarily coincide with those who have generated the children (through biological bonds or delivery), but rather with those who wish to be recognized as parents. The cases herein examined involve homosexual couples who decided to travel abroad in order to gain access to surrogacy, from which children were born. In the case regarding two fathers, the child had no genetic tie with either one intended parent. The Italian Supreme Court's joint sessions have ruled that such children cannot be legally registered in Italy, since their foreign-issued birth certificates indicate no genetic connection between the children and their intended parents. The Author believes that the Supreme Court decision is valuable, but further legislative interventions will be necessary on account of scientific advancements; the issue of surrogacy is utterly complex and multi-faceted.

Derechos Civiles/legislación & jurisprudencia , Padre/legislación & jurisprudencia , Fertilización In Vitro/legislación & jurisprudencia , Salud Global/legislación & jurisprudencia , Derechos Humanos/legislación & jurisprudencia , Matrimonio/legislación & jurisprudencia , Madres Sustitutas/legislación & jurisprudencia , Adulto , Europa (Continente) , Femenino , Humanos , Recién Nacido , Italia , Estudios Longitudinales , Masculino
Licere (Online) ; 22(4): 42-65, dez.2019. ilus
Artículo en Portugués | LILACS | ID: biblio-1049340


Esta pesquisa identifica as leis relacionadas ao esporte/lazer, durante processo histórico da Lei Orgânica do Município de Macapá até a atualidade. Trata-se de uma pesquisa documental, onde se utilizou a Lei Orgânica Municipal, Leis ordinárias e complementares. Para fins de análise, optamos por agrupar a discussão em três categorias: "Espaço: perdas e ganhos"; "Garantia e Construção de Direitos" e "Manutenção de uma Agenda Pós-Estruturada". A inclusão do esporte/lazer nas leis municipais acompanha o movimento inaugurado pela Constituição Federal de 1988, o que implicou em uma trajetória de leis que abordam esporte/lazer como direito social na cidade de Macapá. Foi possível identificar dezessete leis que abarcam esse tema no município. No entanto, esse processo está calcado em contradições, revelando um hiato entre o dispositivo legal e a efetivação de políticas sociais no setor.

This research identifies the laws related to sport / leisure, during the historical process of the Organic Law of the Municipality of Macapá until today. This is a documental research, which we used the Municipal Organic Law, ordinary and complementary laws. For the purposes of analysis, we chose to group the discussion in three categories: "Space: gains and losses"; "Warranty and construction of rights" and "Maintaining a post structured agenda". The inclusion of sport / leisure in municipal laws accompanies the movement inaugurated by the Federal Constitution of 1988, which implied a trajectory of laws that approach sport / leisure as a social right in the city of Macapá. It was possible to identify seventeen laws that cover this theme in the municipality. However, this process is rooted in contradictions, revealing a gap between the legal device and the implementation of social policies in the sector.

Accesibilidad Arquitectónica , Política Pública , Deportes/legislación & jurisprudencia , Derechos Civiles , Administración Municipal , Participación de la Comunidad
Licere (Online) ; 22(4): 95-136, dez.2019. tab
Artículo en Portugués | LILACS | ID: biblio-1049342


A presente pesquisa advém de uma experiência pessoal em gestão do esporte e lazer universitário e, objetiva compreender o papel que as Associações Atléticas Acadêmicas (AAA's), presentes nas universidades federais do estado de Minas Gerais, assumem na organização e no desenvolvimento do esporte e lazer dentro de suas instituições. Por meio da análise quantitativa e qualitativa, contatou-se 107 associações das quais, 62 participaram da pesquisa. Os achados indicam que as AAA's prezam, não só pelo desenvolvimento e representação do desporto universitário, como também, pela integração de toda a comunidade acadêmica, através de eventos sociais e culturais. Assumindo assim, um papel fundamental na reivindicação e incentivo ao desenvolvimento de políticas de esporte e lazer nas universidades federais de Minas Gerais.

This research comes from a personal experience in sport and leisure management, and aims to understand the role that Academic Athletic Associations (AAA's), present in the Federal universities of the State of Minas Gerais, in the Organization and in the development of sports and recreation within their institutions. Through quantitative and qualitative analysis, it was possible to contact 107 of which 62 associations participated in the research. The findings indicate that the AAA's treasure, not only for the development and representation of the University Sports, but also by the integration of the entire academic community, through social and cultural events. Assuming so, a fundamental role in the claim and encourage the development of sport and leisure policy in the Federal universities of Minas Gerais.

Adulto , Política Pública , Universidades , Derechos Civiles , Participación de la Comunidad , Actividades Recreativas
Rev. bioét. derecho ; (47): 129-140, nov. 2019.
Artículo en Inglés | IBECS | ID: ibc-184870


The European Union recommends unpaid blood donation because it deems this to be the safest way of collecting blood and the best way of respecting the dignity of the donor as well as certain ethical principles relating to the availability of human-origin products. However, the risk of suffering shortages of blood has led EU law to authorize the importation and consequent circulation across EU territory of blood from countries where the law allows donors to be paid. This paper analyses the inconsistency this represents and mentions the alternative of blood donation becoming a civic duty. This would allow the necessary amounts of blood to be collected in a more consistent way for EU regulation than the situation as it currently stands

La Unión Europea recomienda la donación no remunerada de sangre por considerar que este tipo de donación es el método más seguro para obtener sangre y sustancias derivadas de la misma, y el que mejor respeta la dignidad del donante así como algunos principios éticos relativos a la disposición de productos de origen humano. Sin embargo, el riesgo de sufrir escasez de sangre y de otros hemoderivados, ha hecho que el Derecho comunitario autorice la importación, y consiguiente circulación por el territorio comunitario, de productos sanguíneos provenientes de países en los cuales la ley permite remunerar a los donantes. Ante esta situación, se analiza la incoherencia que supone y se alude a la alternativa de que la donación de sangre sea considerada un deber cívico a cargo de los ciudadanos, lo que permitiría obtener las cantidades necesarias de sangre y derivados de forma más coherente y menos problemática para la regulación comunitaria que la situación en la que se encuentra en la actualidad

La Unió Europea recomana la donació no remunerada de sang per considerar que aquest tipus de donació és el mètode més segur per a obtenir sang i substàncies derivades d'aquesta, i el que millor respecta la dignitat del donant així com alguns principis ètics relatius a la disposició de productes d'origen humà. No obstant això, el risc de sofrir escassetat de sang i d'altres hemoderivats, ha fet que el Dret comunitari autoritzi la importació, i consegüent circulació pel territori comunitari, de productes sanguinis provinents de països en els quals la llei permet remunerar als donants. Davant aquesta situació, s'analitza la incoherència que suposa i s'al·ludeix a l'alternativa que la donació de sang sigui considerada un deure cívic a càrrec dels ciutadans, la qual cosa permetria obtenir les quantitats necessàries de sang i hemoderivats de forma més coherent i menys problemàtica per a la regulació comunitària que la situació actual

Humanos , Medicamentos Hemoderivados , Donantes de Sangre/legislación & jurisprudencia , Derechos Civiles/legislación & jurisprudencia , Personeidad , Salud Pública/legislación & jurisprudencia , Planes de Seguro sin Fines de Lucro/legislación & jurisprudencia , Derechos Civiles/normas
Trans Am Clin Climatol Assoc ; 130: 119-126, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31516175


In 1955 three individuals converged to change the arc of history, Martin Luther King Jr., Rosa Parks, and arguably the most provocative but least known, Frank Minis Johnson Jr. Johnson served on the Federal District Court of the Middle District of Alabama from 1955 to 1979, during which time his numerous decisions revolutionized Civil Rights. His rulings ended the Montgomery Bus Boycott, integrated public transportation, reformed state prisons, and improved the care for the mentally ill.

Derechos Civiles/historia , Rol Judicial/historia , Historia del Siglo XX , Estados Unidos
RECIIS (Online) ; 13(3): 634-646, jul.-set. 2019. ilus
Artículo en Portugués | LILACS | ID: biblio-1021537


O presente artigo trata-se de um trabalho descritivo sobre o Coletivo Bee, um movimento estudantil pertencente à Universidade Estadual de Ciências da Saúde de Alagoas que surgiu com o objetivo de implantar o movimento LGBTT na Universidade para discutir o preconceito de gênero e de orientação sexual, por meio de ações de empoderamento e de emancipação das minorias LGBTTs. Ao longo de sua trajetória, o Coletivo desenvolveu atividades como reuniões para discussão das temáticas relacionadas ao movimento, organização de eventos, atividades de protestos, cyber ativismo, participação na regulamentação e implantação do uso do nome social, entre outras atividades com finalidade de trazer a reflexão sobre a cidadania e a saúde da população LGBTT. Sua importância esteve concentrada na integração de lésbicas, gays, bissexuais, travestis e transexuais à sociedade e, sobretudo, na busca de assegurar o direito ao acesso integral aos serviços da rede pública de saúde e fortalecer a Política Nacional de Saúde Integral LGBTT na formação universitária.

This article is about a descriptive work about the Bee Collective, a student movement belonging to the State University of Health Sciences of Alagoas, which came up with the objective of implanting the LGBTT movement in the University to discuss gender bias and sexual orientation, through actions of empowerment and emancipation of LGBTT minorities. Throughout its history, the Collective has developed activities such as meetings to discuss issues related to the movement, organization of events, protest activities, cyber activism, participation in regulation and implementation of the social name, among other activities to bring the reflection on the citizenship and health of the LGBTT population. Its importance was focused on the integration of lesbians, gays, bisexuals, transvestites and transsexuals into society and, above all, in the quest to ensure the right to full access to public health services and to strengthen the National LGBTT Comprehensive Health Policy in university education.

Este artículo trata sobre un trabajo descriptivo sobre Bee Collective, un movimiento estudiantil perteneciente a la Universidad Estatal de Ciencias de la Salud de Alagoas, que tuvo el objetivo de implantar el movimiento LGBTT en la universidad para discutir el sesgo de género y la orientación sexual, a través de acciones de empoderamiento y emancipación de las minorías LGBTT. A lo largo de su historia, el Colectivo ha desarrollado actividades como reuniones para discutir temas relacionados con el movimiento, organización de eventos, actividades de protesta, ciberactivismo, participación en la regulación y la implementación del nombre social, entre otras actividades para llevar la reflexión sobre la ciudadanía y salud de la población LGBTT. Su importancia se centró en la integración de lesbianas, gays, bisexuales, travestis y transexuales en la sociedad y, sobre todo, en la búsqueda de garantizar el derecho al pleno acceso a los servicios de salud pública y de fortalecer la Política nacional de salud integral LGBTT en la educación universitaria.

Humanos , Política Pública , Equidad en Salud , Minorías Sexuales y de Género , Activismo Político , Política de Salud , Universidades , Participación de la Comunidad , Sexualidad , Estudiantes de Salud Pública , Salud Poblacional , Derechos Civiles , Promoción de la Salud , Salud Holística
Licere (Online) ; 22(3): 425-466, set.2019. ilus, tab, graf
Artículo en Portugués | LILACS | ID: biblio-1046405


O objetivo dessa pesquisa foi analisar a produção de artigos no campo da política pública em lazer no Brasil nas dimensões do direito e do reconhecimento social. Para tanto, foram selecionados 40 artigos coletados junto às bases de dados Lilacs, Scielo e Portal de Periódicos CAPES. Averiguou-se que esse campo de investigação tem sido intensificado com o aumento exponencial das publicações, a partir de 2005, e que a Constituição de 1988 impactou as pesquisas em lazer, bem como as ações ligadas ao governo, especialmente com a criação do Ministério do Esporte. A análise dos artigos evidenciou a existência de lacunas na produção de conhecimento, notadamente em relação ao entendimento de políticas públicas de lazer como direito e reconhecimento social, bem como a maneira esparsa dessa produção, uma vez a dificuldade de se estabelecer diálogo entre os campos acadêmico, político burocrático e societal.

The aim of this research was to analyze the production of articles in the field of public policy in leisure in Brazil in the dimensions of law and social recognition. For this intention, 40 articles were selected from Lilacs, Scielo and CAPES Periodicals Portal. It was found that this field of research has been intensified with the exponential increase of publications since 2005 and that the 1988 Constitution impacted leisure research as well as government-related actions, especially with the creation of the Ministry of Sports. The analysis of the articles evidenced the existence of gaps, such as the understanding of leisure as a right and social recognition, as well as the pulverization of knowledge production, given the difficulty of establishing dialogue between the academic, bureaucratic and societal political fields, which is the most narrow in the process of recognition of leisure as a right.

Política Pública , Derechos Civiles , Actividades Científicas y Tecnológicas , Actividades Recreativas
Licere (Online) ; 22(3): 603-622, set.2019.
Artículo en Portugués | LILACS | ID: biblio-1046740


A sociedade organizou-se social e economicamente tendo a categoria trabalho como seu alicerce. Em sua centralidade, o trabalho nos humanizou e nos desumanizou, nos liberou dos limites impostos pela natureza, mas ao mesmo tempo nos aprisionou na era do valor e do consumo, no capitalismo. Em uma sociedade de produção maciça, o tempo de não trabalhar é em grande medida um tempo de consumo. O direito ao tempo livre foi uma das reivindicações da classe trabalhadora brasileira a partir da promulgação da Consolidação das Leis do Trabalho (CLT) em 1943. Nos tempos atuais, o lazer é visto como um tempo de fruição e do prazer individual, alicerçado no mito do bem-estar. Diante do cenário apresentado, o objetivo deste artigo é colocar em questão a sociedade fundamentada no consumo e no trabalho, tendo em vista que o lazer também se enquadra como uma forma de apropriação do tempo de não trabalho por parte do capital.

Society organized itself socially and economically with the category of work as its foundation. In its centrality, labor has humanized us and dehumanized us, liberated us from the limits imposed by nature, but at the same time imprisoned us in the era of value and consumption, in capitalism. In a mass production society, the time of not working is largely a time of consumption. The right to free time was one of the demands of the Brazilian working class since the enactment of the Consolidation of Labor Laws (CLT) in 1943. Nowadays, leisure is seen as a time of enjoyment and individual pleasure, grounded in myth Of well-being. In view of the presented scenario, the objective of this article is to question the society based on consumption and work, considering that leisure also fits as a way of appropriating the time of not working on the part of the capital.

Humanos , Descanso , Factores Socioeconómicos , Derechos Civiles , Capitalismo , Equilibrio entre Vida Personal y Laboral
Educ Prim Care ; 30(5): 322-323, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31409205


Context: According to the World Health Organisation 'more people are on the move now than ever before with an estimated 1 billion migrants in the world today and 68 million forcibly displaced people'. GPs are on the frontline of healthcare in the UK and have a responsibility to provide free and equitable access for everyone. Aim: The main aim of our work was to assess GP trainees' current experience, knowledge and attitudes towards caring for refugees, asylum seekers and undocumented migrants. Description: 30 final year GP trainees on the Dorset Vocational Training Scheme (VTS) were asked to participate by completing a questionnaire. Outcomes: The results show that GP trainees lack knowledge regarding migrants health needs, rights to care, including whether there is a duty to disclose an illegal immigrant and what to do if a patient could not provide proof of identification. They lacked experience and confidence in caring for this group of patients, with the biggest perceived challenge being language barriers. Conclusions: Education in primary care needs to respond to meet the challenge of population movement (5), and this project highlighted a need to improve education on migrants' rights to care, local support groups, as well as common health problems. In response, we have reviewed our curriculum and introduced an education session on refugee health for all our GP trainees in Dorset.

Médicos Generales/educación , Conocimientos, Actitudes y Práctica en Salud , Refugiados , Migrantes , Adulto , Derechos Civiles , Inglaterra , Femenino , Médicos Generales/psicología , Accesibilidad a los Servicios de Salud/legislación & jurisprudencia , Humanos , Lenguaje , Masculino , Investigación Cualitativa , Encuestas y Cuestionarios