Private equity in radiology - Why aren't we more concerned?

There has been recent scrutiny of private equity involvement in the healthcare market by federal and state governmental agencies who are concerned about the corporatization and financialization of healthcare in the United States. Data is emerging that patient costs increase, quality of healthcare decreases, physician autonomy decreases, and physician burnout and moral injury increases when corporate interests like private equity enter the medical market. Like other medical specialties, the field of radiology has been affected by corporatization and radiologists should understand how private equity interests may affect individual radiologists and the radiology workforce on a larger scale.

Can Professional Motorcyclists Be an Asset in the Immediate Post-Crash Care System in Benin? Baseline of Knowledge and Practices in the City of Cotonou (Benin).

PURPOSE: The situation of road crashes-related deaths remains problematic in low-income countries. The present study aims at analyzing the first-aid knowledge and practices of professional motorcyclists (PMs) in the city of Cotonou in Benin. MATERIALS AND METHODS: This is a cross-sectional analytical study conducted from 25 March to 19 April 2019 in Cotonou and concerned PMs registered in a fleet who gave their consent to participate in the study. The World Health Organization's two-stage adaptive cluster sampling technique was applied to select the eligible PMs while respecting the proportionality rate per fleet. A logistic regression analysis was done and the odds ratios were estimated with 95% confidence interval. RESULTS: The 430 PMs surveyed were all middle-aged men with an average age of 38.38 (±8.70). Among them, 62.56% knew at least one of the emergency phone numbers for the ambulance, police or fire services and 49.53% of the PMs knew at least one of the 3 techniques evaluated. In addition, 33.23% of PMs who had witnessed at least an RC stated that they had alerted the emergency services, and 32.27% said they had helped the victims. The main reason given for the lack of initiative in RCs was lack of knowledge of the course of action to take (19.64%). The level of knowledge was associated with the level of education (AOR: 3.11; CI 95%: 1.79-5.43) and with the length of experience (AOR: 2.56; CI 95%: 1.58-4.18). CONCLUSION: This study reveals that the level of knowledge and practice of PMs in the field of first aid in Cotonou is low and demonstrates the relevance and the need to include this target group in the first-aid chain for road crashes in Benin.

Nursing societies in Santa Catarina state (1975-2018) / Sociedades de enfermería en Santa Catarina (1975-2018) / Sociedades de enfermagem em Santa Catarina (1975-2018)

ABSTRACT Objectives: to understand nursing representative entities' articulations and the influence on nursing. Methods: a qualitative study of a historical-social approach with a conceptual framework by nurse Denise Elvira Pires de Pires. With a historical profile from 1975 to 2018, five former presidents of Brazilian Nursing Association - Santa Catarina Section and Regional Nursing Board of Santa Catarina were interviewed. The methodology for understanding data was through Bardin's content analysis. Results: the board structuring and performance generated changes in the relations between the two entities and debate about the role and power of representation of each one. There were periods of approach and removal, with consequences for professional representation effectiveness. Conclusions: nursing valuation and recognition as a profession in society has a strong influence on entities' performance that represent it. The union of them, politically or organizationally, is necessary and urgent.

RESUMEN Objetivos: comprender las articulaciones de las entidades representativas de la enfermería y la influencia en la profesión. Métodos: estudio cualitativo, con enfoque histórico-social, con marco conceptual de la enfermera Denise Elvira Pires de Pires. Con un perfil histórico de 1975 a 2018, se entrevistaron a cinco ex presidentes de la Asociación Brasileña de Enfermería - Sección Santa Catarina y del Consejo Regional de Enfermería de Santa Catarina. La metodología para comprender los datos fue a través del análisis de contenido de Bardin. Resultados: la estructuración y desempeño del directorio generó cambios en las relaciones entre las dos entidades y debate sobre el rol y poder de representación de cada una. Hubo periodos de cercanía y retraimiento, con consecuencias para la efectividad de la representación profesional. Conclusiones: la valorización de la enfermería y su reconocimiento como profesión en la sociedad tiene una fuerte influencia en el desempeño de las entidades que la representan. La unión de ellos, política u organizativa, es necesaria y urgente.

RESUMO Objetivos: compreender as articulações das entidades representativas da enfermagem e a influência na profissão. Métodos: estudo qualitativo, de abordagem histórico-social, com marco conceitual da enfermeira Denise Elvira Pires de Pires. Com recorte histórico de 1975 a 2018, foram entrevistados cinco ex-presidentes das Associação Brasileira de Enfermagem - Seção Santa Catarina e do Conselho Regional de Enfermagem de Santa Catarina. A metodologia de compreensão dos dados se deu através da análise de conteúdo de Bardin. Resultados: a estruturação e atuação do conselho gerou mudanças nas relações entre as duas entidades e debate acerca do papel e poder de representação de cada uma. Verificou-se períodos de aproximação e afastamento, com consequências para efetividade da representação profissional. Conclusões: a valorização da enfermagem e seu reconhecimento enquanto profissão na sociedade tem forte influência da atuação das entidades que a representam. A união das mesmas, de forma política ou organizativa, é necessária e urgente.

Reflexões sobre ideias e disputas no contexto da promoção da alimentação saudável / Reflexiones sobre ideas y disputas en el contexto de la promoción de la alimentación saludable / Reflections on ideas and disputes in the context of the promotion of healthy eating

As ações de promoção da alimentação saudável são estratégicas para reversão dos problemas nutricionais. Este artigo analisa as disputas em torno das ideias presentes em repertórios discursivos sobre alimentação saudável em políticas nacionais, documentos internacionais, societários e do setor privado comercial, nos últimos vinte anos. Com base no método de análise documental em diálogo com a literatura acadêmica, foram identificadas as seguintes perspectivas de alimentação saudável: tradicional culturalista; nutricional biologicista medicalizante; multidimensional e sistêmica. As disputas instituem-se em torno das ideias sobre: a existência de "alimentos não saudáveis"; as atribuições, limites e formas de intervenção do Estado; a alimentação como uma questão da esfera individual ou de caráter público; os sentidos da sustentabilidade, da comensalidade, da cultura e da comida. Os posicionamentos adotados nas políticas em relação aos agrotóxicos, à fortificação de alimentos e à suplementação são elementos-chave dessas disputas. No âmbito da ação política, a fragmentação, a relativização e a distorção de significados são estratégias adotadas pelo setor privado comercial que reforçam a polarização entre ações individuais (estilos de vida, liberdade de escolha) e intervenções ambientais, e disseminam uma concepção restrita de educação alimentar e nutricional. A sociedade civil incide politicamente pressionando os governos a instituírem, em suas políticas, concepções e princípios que afetam diretamente os parâmetros das disputas. Estes, por sua vez, agem de forma mais ou menos permeável às pressões dos atores (internos ou externos) a depender de sua composição e dos espaços institucionais de interlocução com a sociedade.

Las acciones de promoción de la alimentación saludable son estratégicas para la reversión de los problemas nutricionales. Este artículo analiza las disputas en torno a las ideas presentes en repertorios discursivos sobre alimentación saludable en políticas nacionales, documentos internacionales, societarios y del sector privado comercial, en los últimos 20 años. En base al método de análisis documental, en diálogo con la literatura académica, se identificaron las siguientes perspectivas de alimentación saludable: tradicional-cultural; nutricional-biologicista-medicalizante; multidimensional y sistémica. Las disputas se instituyen en torno a las ideas sobre: la existencia de "alimentos no saludables"; las atribuciones, límites y formas de intervención del Estado; la alimentación como una cuestión de la esfera individual o de carácter público; los significados de la sostenibilidad, comensalidad, cultura y comida. Las posturas adoptadas en las políticas, relacionadas con los pesticidas, fortificación de alimentos y suplementación, son elementos-clave de esas disputas. En el ámbito de la acción política, la fragmentación, relativización y distorsión de significados son estrategias adoptadas por el sector privado comercial, que refuerzan la polarización entre acciones individuales (estilos de vida, libertad de elección) e intervenciones ambientales, y diseminan una concepción restringida de educación alimentaria y nutricional. La sociedad civil incide políticamente, presionando a los gobiernos a que instituyan en sus políticas concepciones y principios que afectan directamente los parámetros de las disputas. Estos, a su vez, actúan de forma más o menos permeable a las presiones de los actores (internos o externos) dependiendo de su composición y de los espacios institucionales de interlocución con la sociedad.

Actions in the promotion of healthy eating are strategic for reversing nutritional problems. This article analyzes the disputes over ideas in discursive repertoires on healthy eating in Brazil's national policies and international, government, civil society, and private commercial sector documents in the last 20 years. Based on the document analysis method in dialogue with the academic literature, the following perspectives on healthy eating were identified: traditional culturalist; medicalizing biological/nutritional; multidimensional; and systemic. The disputes are established between ideas in the following areas: the existence of "unhealthy foods"; the attributions, limits, and forms of State intervention; eating as an individual or public matter; and the meanings of sustainability, commensality, culture, and food. Policy positions on pesticides, food fortification, and supplementation are key elements in these disputes. In the policy sphere, the private commercial sector adopts strategies of fragmentation, downplaying, and distortion of meanings that reinforce polarization between individual actions (lifestyles, freedom of choice) and environmental interventions, thereby disseminating a narrow approach to food and nutrition education. Civil society pressures governments to establish concepts and principles in policies that directly affect the disputes' parameters. The latter act with greater or lesser permeability to pressures from internal or external stakeholders, depending on their composition and the institutional spaces for dialogue with society.

La capacitación, la enseñanza y la investigación para una política de reconstrucción nacional en el área de la salud / Training, teaching and research for a policy of national reconstruction in the health field

Este texto reproduce el discurso pronunciado por el Dr. Mario Testa, el 28 de junio de 1973, en el aula magna de la Facultad de Medicina de la Universidad de Buenos Aires. Las líneas introductorias que lo anteceden, escritas por el propio autor, contextualizan no solo el momento histórico de aquella universidad, a pocos días de la asunción de Rodolfo Puiggrós como rector interventor, sino el sentido del proyecto de renovación pedagógica que proponía una redefinición de la relación entre universidad y sociedad y que dio origen a proyectos como el Instituto de Medicina del Trabajo, el Instituto de la Madre y el Niño y el Instituto de Patología Regional, en la Facultad de Medicina; el Centro de Producción de Medicamentos de Base en la Facultad de Farmacia y Bioquímica; el de Erradicación de Villas de Emergencia en la Facultad de Arquitectura, entre tantos otros. Volver a publicar aquellas palabras pronunciadas hace casi 40 años es poner en discusión el significado y el sentido de la formación de profesionales de la salud financiada con fondos públicos.

This text reproduces a speech given by Dr. Mario Testa on June 28, 1973 in the main hall of the Faculty of Medicine of the Universidad de Buenos Aires. The words of introduction preceding the text, written by Testa himself, provide the context of not only the historical moment the university was experiencing, just days after Rodolfo Puiggrós took office as the rector within the university's political overhaul, but also the meaning given to the project of pedagogical renovation. This project proposed redefining the relationship between the university and society, originating such projects such as the Instituto de Medicina del Trabajo (Institute of Occupational Medicine), the Instituto de la Madre y el Niño (Mother and Child Institute) and the Instituto de Patología Regional (Regional Pathology Institute) in the Faculty of Medicine; the Centro de Producción de Medicamentos de Base (the Center for Basic Drug Production) in the Faculty of Pharmacy and Biochemistry; and the Centro de Erradicación de Villas de Emergencia (Center for the Eradication of Shantytowns) in the Faculty of Architecture, among many others. Republishing these words, spoken almost 40 years ago, is a way of continuing to put into discussion the type of education and training health professionals receive with public funds.

La capacitación, la enseñanza y la investigación para una política de reconstrucción nacional en el área de la salud / Training, teaching and research for a policy of national reconstruction in the health field

Este texto reproduce el discurso pronunciado por el Dr. Mario Testa, el 28 de junio de 1973, en el aula magna de la Facultad de Medicina de la Universidad de Buenos Aires. Las líneas introductorias que lo anteceden, escritas por el propio autor, contextualizan no solo el momento histórico de aquella universidad, a pocos días de la asunción de Rodolfo Puiggrós como rector interventor, sino el sentido del proyecto de renovación pedagógica que proponía una redefinición de la relación entre universidad y sociedad y que dio origen a proyectos como el Instituto de Medicina del Trabajo, el Instituto de la Madre y el Niño y el Instituto de Patología Regional, en la Facultad de Medicina; el Centro de Producción de Medicamentos de Base en la Facultad de Farmacia y Bioquímica; el de Erradicación de Villas de Emergencia en la Facultad de Arquitectura, entre tantos otros. Volver a publicar aquellas palabras pronunciadas hace casi 40 años es poner en discusión el significado y el sentido de la formación de profesionales de la salud financiada con fondos públicos.(AU)

This text reproduces a speech given by Dr. Mario Testa on June 28, 1973 in the main hall of the Faculty of Medicine of the Universidad de Buenos Aires. The words of introduction preceding the text, written by Testa himself, provide the context of not only the historical moment the university was experiencing, just days after Rodolfo Puiggrós took office as the rector within the universitys political overhaul, but also the meaning given to the project of pedagogical renovation. This project proposed redefining the relationship between the university and society, originating such projects such as the Instituto de Medicina del Trabajo (Institute of Occupational Medicine), the Instituto de la Madre y el Niño (Mother and Child Institute) and the Instituto de Patología Regional (Regional Pathology Institute) in the Faculty of Medicine; the Centro de Producción de Medicamentos de Base (the Center for Basic Drug Production) in the Faculty of Pharmacy and Biochemistry; and the Centro de Erradicación de Villas de Emergencia (Center for the Eradication of Shantytowns) in the Faculty of Architecture, among many others. Republishing these words, spoken almost 40 years ago, is a way of continuing to put into discussion the type of education and training health professionals receive with public funds.(AU)

Discussões sobre saúde e doença: revisitando a obra adulta de Monteiro Lobato / Discussions about health and illness: revisiting Monteiro Lobato's adult work

As opiniões de Monteiro Lobato a respeito dos temas saúde e doença não se esgotaram na discussão sobre a situação do Jeca Tatu; ele foi além, e em diversos trechos de sua obra adulta observam-se suas opiniões, seus relatos sobre a experiência de adoecer. O presente artigo resgata as concepções de saúde e doença observadas nos escritos de Monteiro Lobato. Por meio da análise de sua obra adulta, pudemos destacar opiniões, relatos sobre a experiência de adoecer de pessoas próximas e queridas, a possibilidade que a doença oferece de socializar as pessoas, o corporativismo médico, a atuação na Liga Pró-Saneamento, o paternalismo das práticas de saúde e a vulnerabilidade daqueles que possuem condição social desfavorável, além de outros tópicos, ora com traços de comicidade, ora com resignação e até com revolta. Assim, o presente estudo analisou a obra adulta do autor, discutindo trechos que tratam da saúde e da doença como experiência vivenciada nas primeiras décadas do século XX.

Training, teaching and research for a policy of national reconstruction in the health field. 1973. / La capacitación, la enseñanza y la investigación para una política de reconstrucción nacional en el área de la salud.

This text reproduces a speech given by Dr. Mario Testa on June 28, 1973 in the main hall of the Faculty of Medicine of the Universidad de Buenos Aires. The words of introduction preceding the text, written by Testa himself, provide the context of not only the historical moment the university was experiencing, just days after Rodolfo Puiggrós took office as the rector within the university's political overhaul, but also the meaning given to the project of pedagogical renovation. This project proposed redefining the relationship between the university and society, originating such projects such as the Instituto de Medicina del Trabajo (Institute of Occupational Medicine), the Instituto de la Madre y el Niño (Mother and Child Institute) and the Instituto de Patología Regional (Regional Pathology Institute) in the Faculty of Medicine; the Centro de Producción de Medicamentos de Base (the Center for Basic Drug Production) in the Faculty of Pharmacy and Biochemistry; and the Centro de Erradicación de Villas de Emergencia (Center for the Eradication of Shantytowns) in the Faculty of Architecture, among many others. Republishing these words, spoken almost 40 years ago, is a way of continuing to put into discussion the type of education and training health professionals receive with public funds.

Este texto reproduce el discurso pronunciado por el Dr. Mario Testa, el 28 de junio de 1973, en el aula magna de la Facultad de Medicina de la Universidad de Buenos Aires. Las líneas introductorias que lo anteceden, escritas por el propio autor, contextualizan no solo el momento histórico de aquella universidad, a pocos días de la asunción de Rodolfo Puiggrós como rector interventor, sino el sentido del proyecto de renovación pedagógica que proponía una redefinición de la relación entre universidad y sociedad y que dio origen a proyectos como el Instituto de Medicina del Trabajo, el Instituto de la Madre y el Niño y el Instituto de Patología Regional, en la Facultad de Medicina; el Centro de Producción de Medicamentos de Base en la Facultad de Farmacia y Bioquímica; el de Erradicación de Villas de Emergencia en la Facultad de Arquitectura, entre tantos otros. Volver a publicar aquellas palabras pronunciadas hace casi 40 años es poner en discusión el significado y el sentido de la formación de profesionales de la salud financiada con fondos públicos.

Expedición de la Nueva Cédula Profesional / Expedition of the New Professional Identification

La cédula profesional no es sólo un trámite adicional al registro deI título universitario. Es el documento que garantiza los conocimientos de una persona ante la sociedad, para ejercer una profesión o especialidad tanto en el Distrito Federal como en cualquier estado de la República. En el caso de los profesionistas de enfermería al término de un nivel técnico o licenciatura. Desde enero del año 2000 la Secretaría de Educación Pública, mediante la Dirección General de Profesiones, emite las cédulas y autorizaciones a profesionistas mexicanos y extranjeros una vez que cubran los requisitos que estipula la misma y existiendo reducción de pago de derechos en algunos casos. La atención se otorga directamente al público en los gobiernos de los estados, Instituciones educativas y jornadas de registro profesional a través de las áreas de profesiones, instituciones de educación media superior y superior, de los colegios de profesionistas o directamente en la ciudad de México en la Dirección General de Profesiones (http://sesic.sep.gob.mx). Así mismo, los profesionistas que ya cuentan con cédula profesional y deseen obtener el nuevo formato pueden solicitar un duplicado cuyo costo por servicios lo estipula la Ley Federal de Derechos.

The professional identification is not only an additional step to the registration of professional title, it is the document that guarantees the knowledge of a person, by the society, to exercise a profession or specialty so much in the Federal District as in any State of the Republic. In the case of the infirmary at the end of a technical level or licensure. Siace January 2000 the Secretary of Public Education, by means of the General Address of Professions, emits the identifications and authorizations to Mexican and foreign professionals once they cover the requirements that it specifies there is reduction of payment of rights in some cases. The attention is granted to the public directly in the governments of the States, educational Institutions and registration professional's days through the areas of professions, institutions of professional college, the or directly in the city of México in the General Address of Professions (http://sesic.sep.gob.mx). Likewise, the professionals that al-ready have professional identification and want to obtain the new format they can request a copy whose cost for Services specifies on ¡t the Federal Law of Rights.