Protocolo Andaluz para la Actuación Sanitaria ante la Violencia de Género

Se ha publicado la 2ª edición en mayo de 2015 (http://hdl.handle.net/10668/1892)

16 días de activismo contra la violencia de género: pintando de naranja nuestro mundo

Boletín semanal para profesionales sanitarios de la Secretaría General de Calidad, Innovación y Salud Pública de la Consejería de Igualdad, Salud y Políticas Sociales

Protocolo de intervención sanitaria en casos de maltrato infantil

Red SABIA (Salud y Buen Trato a la Infancia y la Adolescencia): red de profesionales que impulsa el buen trato a la infancia y la atención integral y de calidad al maltrato infantil desde el ámbito sanitario

Protocolo andaluz para la actuación sanitaria ante la violencia de género. 2ª ed

Publicado en la página Web de la Consejería de Igualdad, Salud y Políticas Sociales (Consejería de Igualdad, Salud y Políticas sociales / Profesionales / Salud Pública / Violencia de género: Actuación sanitaria)

Protocolo andaluz para la actuación sanitaria ante la violencia de género: guías rápidas

Publicado en la página Web de la Consejería de Igualdad, Salud y Políticas Sociales (Consejería de Igualdad, Salud y Políticas sociales / Profesionales / Salud Pública / Violencia de género: Actuación sanitaria)

Detección de violencia contra la mujer en la consulta del médico de familia.

Objectives. To find out the magnitude of violence against female partners among patients who visit their family doctor. To study frequency and acceptance of its investigation by the family doctor and to assess the effectiveness of a screening question on abuse. Design. Descriptive, cross-sectional study. Setting. Primary care, 4 samples from 2 urban health centres in Jaén, Spain. Participants. Who participated 170 women randomly selected from the female consulting population. Measurements. Interviews by means of the Bradley modified test and the anxiety and depression Goldberg scales. Perceived health, frequency of detection of domestic violence, by the family doctor, and female opinions were also studied. Results. During the last year, abuse against women was detected in 22.9% of the female population consulting their family doctor (95% confidence interval [95% CI], 16.6-29.2). Abused women had a worse perception of health (odds ratio [OR] =4.2; 95% CI, 1.02-17.5) and a higher probability of depression (OR=4.7; 95% CI, 1.8-12.5) independently from the rest of variables. The question "How are the things going with your partner?" as a screening of abuse does obtain a positive probability quotient of 6.23 (95% CI, 3.6-10.9), a specificity of 89% and a negative predictive value of 90%. Of those interviewed, 96.5% would not mind if their family doctor approached the couple's relationships, a situation that occurs in 24.7% of cases. Conclusions. Some degree of abuse was detected in almost a quarter of women who consult their family doctor. Family doctors do not usually ask about family and partner relationships and environment, although for almost all women it is well appreciated and the item has an increased likelihood ratio and high negative predictive value in detecting abuse.

Inclusive business and poverty: prospects in the Brazilian context

Inclusive business is a term currently used to explain the organizations that aim to solve social problems with efficiency and financial sustainability by means of market mechanisms. It can be said that inclusive businesses are those targeted at generating employment and income for groups with little or no market mobility, in keeping with the standards of so-called "decent jobs" and in a self-sustaining manner, i.e., generating profit for the enterprises, and establishing relationships with typical business organizations as suppliers of products and services or in the distribution of this type of production. This article discusses the different concepts found in the scientific literature on inclusive businesses. It also analyses data from a survey conducted with the audiences of Social Corporate Responsibility seminars held by FIEMG. This analysis reveals that prospects, risks and idealizations similar to those found in inclusive business theories can also be found among individuals that run social corporate responsibility projects, even if this designation is new for them. The connection between companies and poverty, especially in relation to inclusive businesses, seems full of stumbling blocks and traps in the Brazilian context.

Aspectos innovadores en la atención al maltrato infantil

Especial XXII Congreso Español de Pediatría Social

Factors psicosocials associats a Inexperiència de dolor crònic en adolescents

El dolor crònic pediàtric és un problema molt important. Malgrat que la informació disponible és molt menor que en adults, els informes publicats no deixen lloc a cap mena de dubte. Per una banda els treballs epidemiològics realitzats en la població general mostren que els problemes de dolor crònic són habituals entre la població infantil i adolescent, mentre que, per una altra, els estudis fets amb població clínica apunten que el dolor crònic pediàtric és causa important de desajust social i un dels problemes que més perjudiquen la qualitat de vida dels nens, i dels seus familiars, a tots els nivells. L’objectiu fonamental d’aquest treball era avançar en el oneixement dels factors psicosocials relacionats amb l’experiència del dolor crònic, de manera que a llarg termini aquesta informació ens permetés plantejar i contrastar programes de prevenció secundària pel dolor i la discapacitat crònics. Han participat un total de 92 joves amb edats compreses entre els 14 i 16 anys (79% de resposta positiva), dels quals el 64.2% eren noies. Majoritàriament experimentaven problemes de dolor abdominal. Els resultats han mostrat que, en efecte, els adolescents amb dolor crònic (dolor igual o superior a tres mesos) tenenuna pitjor qualitat de vida que els nois d’edat semblant però sense problemes crònics de dolor. Específicament, destaquen d’entre els factors estudiats: els pensaments catastròfics, l’estat afectiu, i certes actituds i alguns tipus d’estratègies d’afrontament dels nens. Les reaccions dels pares davant la conducta de dolor dels seus fills també resulta ser un factor de risc que cal considerar: les conductes dels pares tendents a minimitzar el problema estaven relacionades significativament amb el dolor i la discapacitat dels seus fills/es.

Intoxications alcooliques massives aux urgences: combien, qui, quoi et comment [Massive alcoholic poisoning in the emergency department: how many, who, what and how?].

Alcohol abuse causes numerous medical and social problems. In spite of the decrease of the global consumption of alcohol per capita in Switzerland during the last years, the cases of massive alcoholic poisoning seem increasing in emergency departments. Very few data is available at the moment on this phenomenon. The present article focuses on this problem within the framework of the emergency department of the CHUV. It aims at bringing to light on the sociodemographic and medical characteristics, as well as on the characteristics of the stay of these patients who are admitted with such a problem, to have a global vision of this phenomenon.

Defining substance use disorders: do we really need more than heavy use?

AIMS: The aim of the study was to explore whether the concept of heavy substance use over time can be used as definition of substance use disorder. METHODS: Narrative review. RESULTS: Heavy use over time clearly underlies the neurobiological changes associated with current thinking of substance use disorders. In addition, there is evidence that heavy use over time can explain the majority of social problems and of burden of disease (morbidity and mortality). A definition of substance use disorders via heavy use over time would avoid some of the problems of current conceptualizations, for instance the cultural specificity of concepts such as loss of control. Finally, stressing the continuum of use may avoid the high level of stigmatization currently associated with substance use disorders. CONCLUSION: 'Heavy substance use over time' seems to be a definition of substance use disorders in line with results of basic research and epidemiology. Additionally, it reduces stigmatization. This approach should thus be further explored.

Policy Change and the Politics of Expertise. Economic Ideas and immigration Control Reforms in switzerland

This article analyses the varying influence across time of the "epistemic community" of free-market economists on immigration policy making in Switzerland. To this end, a framework for the analysis of the impact of economic expertise is provided, and then used in an historical analysis comparing the 1960s with the 1990s. Whereas this influence can be considered to have been weak in the 1960s, it gained significantly in importance in the 1990s, when a period of economic unrest seriously challenged previous immigration policies. It is argued that economic experts played an important role in framing the reforms undertaken during this latter period, notably by providing a "credible causal story" about the links between the existing immigration policy and the social problems which arose in the country in the 1990s. As compared to the 1960s, economic expertise in the 1990s enjoyed more credibility, more political support and took full advantage of a more uncertain social and economic context

Jevons et Walras : entre philosophie morale et économie sociale, un jalon dans la compréhension de la décision publique

This PhD dissertation deals with the question of evaluating social welfare and public policy making through the works of William Stanley Jevons (1835-1882) and Léon Walras (1834-1910), two economists who lived in the 19th century. These authors, well-known for their analyses on pure economics, were also deeply interested in the social problems of their time and proposed solutions to remedy them. In accordance with utilitarianism, Jevons was convinced that the reforms implemented by public authorities should improve social welfare (viewed as dependant on individual utilities). As for Walras, he defined a justice criterion based on a particular definition of natural law, and the reforms he proposed had the objective of restoring the rights following from this definition. We have drawn two principal conclusions from our work. First, the analyses of Jevons and Walras, who are often considered marginalise, are different not only in pure economics (as suggested by Jaffé in the seventies), but also from the point of view of welfare economics (defined as a science dealing with the evaluation of different social states). Secondly, these authors propose two different ways of justifying social reforms which have similarities with modern theory even though neither Jevons nor Walras are considered pioneers of welfare economics or public economics. Based on these two conclusions, we claim that studying these authors' theories might be of interest for the evaluation of public projects by the economists of today. Not only were their problems similar to ours, but also the original ideas present in their analyses may lead to the refinement of modern methods.Résumé en françaisCette these de doctorat porte sur les manières dont deux économistes du XIXe siècle, William Stanley Jevons (1835-1882) et Léon Walras (1834-1910), abordent la question du bien- etre collectif et la prise de décision publique. Connus principalement pour leurs travaux en économie pure, ces auteurs s'intéressent également à la question sociale et proposent des solutions pour y remédier. Jevons, conformément à son adhésion à la tradition utilitariste, estime que les interventions des autorités publiques doivent avoir pour objectif l'amélioration du bien- être collectif. Quant à Walras, il adopte un critère de justice qui relève du « droit naturel » et les propositions sociales qu'il préconise sont justifiées sur la base de leur conformité avec ce dernier. A l'issue du travail effectué dans le cadre de cette thèse, nous avons abouti à deux résultats principaux : (1) Les analyses de Jevons et Walras, deux économistes qui sont souvent considérés comme des « marginalistes » diffèrent fondamentalement non seulement dans leur analyse de l'économie pure, comme Jaffé le soulignait (1976), mais également en termes d'économie du bien-être (comprise comme une science ayant pour objectif l'évaluation des différents états sociaux). (2) Il existe deux voies originales pour justifier les réformes sociales dans les oeuvres de Jevons et Walras qui partagent des similarités importantes avec les théories modernes bien que ces auteurs ne fassent pas partie des jalons généralement retenus de l'histoire de l'économie du bien-être et de l'économie publique. Ces deux résultats nous conduisent à avancer que l'étude des approches de Jevons et de Walras peut contribuer à la formulation de nouvelles solutions à des problèmes rencontrés dans l'évaluation des différentes politiques publiques, car non seulement les préoccupations de ces auteurs était similaires aux nôtres, mais vu les éléments originaux que leurs propositions comportent, elles peuvent permettre de nuancer certaines aspects des méthodes modernes.

Economic and legal analysis of mandatory non-recourse mortgages with applications to Spain

“The liquidity crisis of the Spanish banks is largely due to the lack of confidence of foreign investors and, therefore, the changes that occur in the legislation should not affect the credibility, stability, legal certainty, predictability that markets expect”.Sergio Nasarre (2011)In the current situation of economic crisis, many people have found they can no longer pay back the mortgage loans that were granted to them in order to purchase a dwelling. It is for this reason that, in light of the economic, political and social problems this poses, our paper studies the state of the Spanish real-estate system and of foreclosure, paying special attention to the solution that has been proposed recently as the best option for debtors that cannot make their mort-gage payments: non-recourse mortgaging. We analyze this proposal from legal and economic perspectives in order to fully understand the effects that this change could imply. At the same time, this paper will also examine several alternatives we believe would ameliorate the situation of mortgage-holders, among them legal reforms, mortgage insurance, and non-recourse mortgaging itself.

Victimització en joves de protecció a la infància i l’adolescència i de justícia juvenil

A Catalunya, un nombre significatiu d’infants i adolescents es troba sota la guarda i tutela del sistema de protecció i d’altres són atesos pel sistema de justícia juvenil. En molts casos, aquests joves han viscut experiències de maltractaments i abusos per part de les principals figures cuidadores, però també d’altres formes de violència en contextos diversos que poden incloure: el carrer, l’escola, el grup d’iguals, les noves tecnologies o els propis centres on poden residir provisionalment. Aquesta multiplicitat d’experiències de violència els converteix amb el que es coneix com a polivíctimes. Però entre l'experiència de victimització en la infància i el desenvolupament de problemes psicològics podem trobar la resiliència, la capacitat de l’ésser humà per superar o recuperar-se amb èxit de circumstàncies adverses. I aquí és on els professionals poden intervenir amb èxit. Els objectius principals d’aquest estudi són conèixer la prevalença d’experiències de victimització en aquests joves, identificar els casos de polivictimització, analitzar les característiques sociodemogràfiques, victimològiques i el nivell de desajust psicològic que presenten. Alhora, identificar perfils de resiliència i analitzar el seu efecte en el nivell de malestar psicològic del jove víctima. Els resultats ens indiquen que són els recursos personals, relatius a la confiança en un mateix, la fe en un futur millor, la capacitat d’identificació i connexió amb les pròpies emocions o les habilitats socials, els que permeten al jove fer front a les dificultats amb èxit. Aquests recursos personals són els que marcaran la diferència en la posterior reintegració social i correcte desenvolupament del jove i, per tant, els professionals els han de conèixer, enfortir i desenvolupar.