The Affordable Care Act and the Transformation of US Health Care

The neoliberal period was accompanied by a momentous transformation within the US health care system.  As the result of a number of political and historical dynamics, the healthcare law signed by President Barack Obama in 2010 ‑the Affordable Care Act (ACA)‑ drew less on universal models from abroad than it did on earlier conservative healthcare reform proposals. This was in part the result of the influence of powerful corporate healthcare interests. While the ACA expands healthcare coverage, it does so incompletely and unevenly, with persistent uninsurance and disparities in access based on insurance status. Additionally, the law accommodates an overall shift towards a consumerist model of care characterized by high cost sharing at time of use. Finally, the law encourages the further consolidation of the healthcare sector, for instance into units named “Accountable Care Organizations” that closely resemble the health maintenance organizations favored by managed care advocates. The overall effect has been to maintain a fragmented system that is neither equitable nor efficient. A single payer universal system would, in contrast, help transform healthcare into a social right.

Dialogical-reflective meetings on reading practices and literacy (s) in a public school: report of research

This article is part of a research that investigated the practices of reading and literacy of students from a public school in Rondonópolis, Mato Grosso, and promote reflective meetings with teachers to know their views and practices regarding the teaching and learning of reading, searching contribute to the critical reflection on these practices. Thus, the proposed work was guided by reading theories and critical literacy, combined with the Bakhtin’s language theory and Vygotsky’s learning theory and human development. The data revealed that students participate in a variety of literacy practices  out of school contexts, however the context of school literacy uncovers centralization of activities in traditional tasks in school, especially copy of texts and activities of the blackboard. In the first meetings with the teachers, their perceptions about these practices were marked by uncertainty, not understanding what to do with some school problems. As the meetings were going on, the discourses could reveal critical reflection moments.

Teen content creators : experiences of using information to learn

As access to networked digital communities increases, a growing number of teens participate in digital communities by creating and sharing a variety of content. The affordances of social media - ease of use, ubiquitous access, and communal nature - have made creating and sharing content an appealing process for teens. Teens primarily learn the practices of encountering and using information through social interaction and participation within digital communities. This article adopts the position that information literacy is the experience of using information to learn. It reports on an investigation into teens experiences in the United States, as they use information to learn how to create content and participate within the context of social media. Teens that participate in sharing art on sites such as DeiviantArt, website creation, blogging, and/or posting edited videos via YouTube and Vimeo, were interviewed. The interviews explored teens' information experiences within particular social and digital contexts. Teens discussed the information they used, how information was gathered and accessed, and explored the process of using that information to participate in the communities.

Disorganizing educational tropes: Conceptions of dis/ability and curriculum

A study examined the politics of dis/ability and curriculum. Data were obtained from a review of the new disability studies literature, focusing on the areas of history, sociology, anthropology, and critical legal theory. The results indicate that this new literature challenges popular psychoeducational models that assume disability as an objective medical, individual, and pathological deficiency, effectively restricting the systematic study of dis/ability as relational, external, shifting, and socially constituted. The findings suggest ways in which perceptions of “school problems” have to be adjusted to understand how the constant refiguration of normativities in everyday activities creates perceptions of disability-negative ontologies, generates experiences that incite efforts to modify those perceptions in multiple ways, and produces unintended effects from well-intended approaches that in the end remain irreducible to simplistic definitions for the one “ethical” or “politically correct” strategy.

Repensando os distúrbios de aprendizagem a partir da psicologia histórico-cultural

A psicologia histórico-cultural assume que o fator biológico determina a base das reações inatas dos indivíduos. Sobre esta base se constitui todo o sistema de reações adquiridas, sendo estas determinadas mais pela estrutura do meio cultural da criança do que pelas disposições biológicas. Se é por meio do processo de apropriação da cultura que cada homem adquire as capacidades humanas, a compreensão atual acerca dos distúrbios de aprendizagem pode ser reconfigurada, demonstrando que mediações adequadas e consistentes podem ter caráter revolucionário para a aprendizagem, ao tornarem presente o talento cultural quando o talento biológico não se revela como esperado.

Caracterização do desempenho de crianças com dislexia do desenvolvimento em tarefas de escrita

INTRODUCTION: developmental dyslexia is characterized by impairment in reading and writing of simple words often involving deficits in phonological decoding and spelling. It affects individuals without sensory disabilities, free of significant emotional commitment and adequate educational opportunities. OBJECTIVE: to characterize the performance in activities related to writing observed in children with developmental dyslexia. METHOD: a total of six children (boys and girls) from 3rd to 7th grade from public schools in a city in the state of Sao Paulo, eight to thirteen years of age, participated in this study. Data were collected in CEES - Centro de Estudos de Educação e Saúde of UNESP - in Marília -SP in writing tasks. The results were analyzed descriptively by the score in percentage of correct answers. RESULTS: children with developmental dyslexia presented alterations in relation to the activities: writing of isolated words and writing of dictated words were below expectations for the education level, presenting phonological and orthographic changes. CONCLUSION: it is important that children with school problems make a more specific evaluation concerning these tasks.

O surgimento das práticas de assistência à saúde mental da criança inspiradas na psicanálise no início do século XX através da obra de Durval Bellegard Marcondes

Psychoanalysis was introduced in Brazil since 1920 contributing to the appearance of new practices of health care for the child. Therefore, the present article aims to discuss the link between psychoanalysis and practices focused on children's mental health that emerged from the 1930s through the work of Durval Marcondes, a pioneer in the dissemination and use of psychoanalysis in Brazil. A historical research was held from a survey on Durval Marcondes’s work and the team led by him confined in the epigraph theme. It was found from that work that the link between mental hygiene, new school and psychoanalysis developed a pioneering service of care to children with school problems based on the diagnostic evaluation and guidance of parents and teachers. It is concluded that this work introduced the differentiation between children with cognitive and emotional problems and provided the foundations of psychoeducational and psycodiagnostic interventions.

Direitos humanos e demandas escolares: problematizando a aproximação entre psicologia e conselho tutelar

This paper presents the main achievements in the field of children and youngsters social rights and provides some data on Brazilian education that show the discrepancy between the legal guidelines and the educational situation of children and youngsters within public schools. It presents a critical approach to the ways production and attendance of school problems have been interpreted and shows the dimension in which social facilities established to provide protection to children and adolescents have not been able to ensure a good quality schooling. It highlights the Guardian Council as addressee of school demands and stands out the urgency of debating the violation of fundamental rights such as the lack of quality in education, the repeated situations of failure, and dropping out experienced by a significant number of poor students. The analyzes developed point to the fragility of the relationship between school and Guardian Council revealing an institutional dynamic that individualize social issues. The analyzes developed also suggest the possibility of including Psychology mediation to school, family and Guardian Council. These aim to break the hegemony of the gaze individualizing approach that blame individual and / or family for school failures. This all present to professionals the urgenct for a critical attitude, based on theoretical and practical approaches able to research and propose critical interventions in order to overcome the production of educational exclusion.

Estudo avaliativo do Programa Institucional de Bolsas de Iniciação à Docência (PIBID) na formação de professores de química na UNESP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Long-term follow-up after stroke in childhood

Over the last few years, the importance of paediatric stroke has become more and more evident; however, there is still little known about long-term neurological and especially neuropsychological outcome of these children. By retrospective chart review, questionnaire and clinical examination with structured interview, we analysed initial presentation, aetiology and long-term outcome of children suffering ischaemic childhood stroke between 1985 and 1999. A total of 20 children (13 boys) suffered acute arterial ischaemic events. Aetiology was detected in 14, and suspected in another five. Follow-up after 1-15 years (mean 7 years) was possible for 16 children; two had died and two were lost to follow-up. Only two were completely healthy, five suffered mild, six moderate, and three severe handicap. Eleven children presented with combined neurological and neuropsychological problems. Neurological problems were mild to moderate hemisyndrome in 11, dysphasia, epilepsy and other in six each. Mild to severe neuropsychological problems were detected in 13 children, school problems in eight, attention deficits in nine and behaviour problems in seven, increased fatigability and headache in six each. Recurrence was observed in three children, all due to progressive underlying disease. Outcome was most affected by the presence of combined cortical/subcortical and least affected by subcortical infarction. Epilepsy affected neuropsychological outcome. CONCLUSION: although prognosis of paediatric stroke is better than for adult stroke, neurological and especially neuropsychological long-term problems significantly influence the lives of these children. Careful long-term follow-up to support these children in their school career and integration into professional life is necessary. Future studies should evaluate whether specific treatments during the acute episode could improve outcome for these children.

Gestão escolar : O processo organizacional no âmbito escolar

INTRODUÇÃO: O gestor escolar é um profissional que deve buscar atitudes que tenham como base detectar os problemas no âmbito escolar, observar quais são os desafios e diante deles ou dos mesmos levar os impactos sofridos pelos seus alunos e subordinados no decorrer de suas atribuições e funções dentro da escola em prol de traçar perspectivas e soluções empreendedoras; pois todo profissional irá encontrar dificuldade para alcança objectivos positivos em busca de cumprir o seu papel dentro da sociedade. OBJECTIVOS: Conhecer a gestão escolar e como acontece todo o processo nesse ambiente organizacional. METODOLOGIA /MÉTODOS: Estudo exploratório-descritivo, numa amostra de 20 participantes, compostos por director, coordenadores pedagógicos, educadores, auxiliares administrativos e auxiliares de serviços gerais, numa escola pública de Taquarana, Alagoas, Brasil. A Pesquisa de Campo foi realizada por meio de entrevista e aplicação de questionários. RESULTADOS: Obtivemos 70% de respostas positivas por parte dos educadores, em relação à actuação do gestor e apenas 30% responderam que muitas vezes à gestora entra em assuntos que não de sua responsabilidade. Sobre a gestão escolar as respostas foram unanimes, afirmado que está sendo liderada. CONCLUSÕES: Constamos que a gestão escolar é realizada por um profissional graduado em graduação e que está cursando pós-graduação a qual é uma profissional responsável no seu direccionamento como gestor e que segundo relatos não é autoritária, trabalha em equipe, é responsável e disciplinada. Esteve sempre disposta a aprender e a construir novos conhecimentos para que seja possível um crescimento profissional e pessoal, dentro e fora da escola. PALAVRAS-CHAVE: gestão escolar, organização, ambiente, desafios.

Local community fact book, 1938 ....

Mode of access: Internet.

Report.

1900/02 and 1902/04 contain also "A list of the native fishes of Illinois, with keys [by] Thomas Large."

Report on the Kaskaskia river basin.

Mode of access: Internet.

Statistical report of the superintendent of public instruction.

Running title: 1934/35- Illinois school statistics.