Amamentação como valor humano, prática feminina e direito social: contribuição crítica à política pública sustentada no referencial de justiça de Amartya Sen.

O aleitamento é uma prática humana reconhecida como um direito social, e como tal é um direito de todos que deve ser garantido pelo Estado. Apesar desse entendimento presente no arcabouço jurídico, como na Constituição Federal e no Estatuto da Criança e do Adolescente ainda há muitas mulheres e crianças privadas desse direito devido às estruturas organizacionais presentes nos equipamentos sociais, públicos e privados, que deveriam contemplar a condição feminina e proteger o livre exercício do aleitamento materno e não o fazem. O presente estudo buscou compreender a prática da amamentação de mulheres residentes na Região Metropolitana I (Baixada Fluminense), estado do Rio de Janeiro, em seu contexto social, político e econômico. O estudo se apoiou no conceito de privação (exclusão e inclusão injusta) da teoria de justiça de Amartya Sen. Utilizou-se a pesquisa qualitativa, o grupo focal como técnica de coleta de dados e a hermenêutica-dialética como método de análise. A etapa de campo foi realizada em três municípios da região estudada e ao todo foram realizados cinco grupos focais. Os sujeitos do estudo foram 29 mulheres com idade entre 17 e 49 anos, residentes na região e que vivenciaram a amamentação em condições de algum tipo de privação de direitos. Como resultado do estudo foram construídas duas categorias: 1. Instituições e desigualdades: a experiência da mulher que amamenta, e 2. Posicionalidade e condição de agente: amamentação como uma prática feminina. A primeira categoria se ocupou de descrever o direito como se apresenta na realidade concreta das mulheres que amamentam; a segunda categoria traz uma reflexão sobre o lugar que a mulher ocupa afetando sua condição de agente. A escolha de Amartya Sen como teórico para compreender a prática da amamentação de mulheres que vivenciam privações encontra identificação neste estudo, por se tratar de uma teoria de justiça que parte das injustiças impactantes e não de teorizações acerca da economia e dos sistemas políticos. Sendo as pessoas o foco da atenção, o autor está interessado na eliminação ou minimização dos efeitos das injustiças sentidas por estas e que tanto afetam seu desenvolvimento. Não há como chegar à justiça sem falar em instituições justas, uma vez que o alargamento das liberdades como fundamento da justiça requer de igual forma a ampliação das oportunidades e nessa questão as políticas públicas têm importante contribuição a dar à efetivação dos direitos e redução das desigualdades. Cabe, portanto, aos diferentes atores sociais o enfrentamento das iniquidades por meio de maior participação política e social numa perspectiva de agência em que se busca transformação no coletivo e para o coletivo e não apenas na perspectiva de bem-estar, paciente das benesses dos programas sociais.

Issues of HIV/AIDS/ health among the fisher communities of Lake Albert and Kyoga

The fisheries resources of Lakes Albert and Kyoga present a high potential for economic growth, food, employment and foreign earnings. However, livelihoods appear to be compromised with the emergence and rapid spread of HIV/AIDS in the fisher communities of L. Albert and Kyoga. HIV/AIDS is considered a silent epidemic that is unique, posing a great challenge to the fisheries managers, health service providers, development planners and the resource users themselves. Fishers have high HIV prevalence, as well as AIDS-related illnesses and mortality rates. The high HIV prevalence rates among the fishing communities in Uganda is between 10-40% compared to the national rates which lie between 6% and 7%. This indicates that the national programmes have not adequately addressed the plight of the fishing communities of Lakes Albert, and Kyoga and the consequences have been devastating. Men and women living in fishing villages across the world have been found to be between five and ten times more vulnerable to the disease than other communities (Tarzan et al 2005, FAO, 2007). The present prevalence rates among the fishing communities stands at 10 to 40 % (LVFO, 2008). Meanwhile the same fishing communities are the essential labour for the Lakes’ fishery industry which is thriving nationally and internationally. That resource potentially can alleviate poverty and the HIV/AIDS threat. Fishing communities are the hidden victims of the disease, mixing patterns with the general population could act as a reservoir of infection that could spill over into the general population to drive the epidemic. On L. Albert, a quarter of the fisher folk were HIV-positive by 1992 compared to 4% in a nearby Agricultural village. Since then, there have been no targeted studies to address or monitor the prevalence rates eight years later, yet the multiplicity factor is high. HIV/AIDS can be linked to unsustainable fisheries, as the labour force available would not go to deep waters to fish, instead would fish in the shallow waters as a coping mechanism. A further effect is the loss to National and local economies and reduced nutritional security for the wider population. HIV/AIDS remains a significant challenge that has created a mosaic of complexity in the fishery sector. This needs to be addressed. It is, therefore, paramount that a comprehensive study was under taken to address this pandemic and the phenomenon of HIV/AIDS based on the study objectives. 1. To determine the trend in HIV/AIDS infection among fishing communities and the factors affecting it 2. To assess the impacts of HIV/AIDS on fish production and the implications for fisheries management.

I Cannot Tell: Edward Thomas's Uncertainties

Poster, Jeremy, 'I Cannot Tell: Edward Thomas's Uncertainties', In: 'Branch-Lines: Edward Thomas and Contemporary Poetry', Guy Cuthbertson & Lucy Newlyn (eds), (London: Enitharmon Press), pp.264, 2007 RAE2008

"My" i "oni", "swój" i "obcy". Bałkany XX wieku z perspektywy kolonialnej i postkolonialnej

W artykule został przeanalizowany dyskurs bałkański XX wieku z kolonialnego i postkolonialnego punktu widzenia. Pierwsza część przybliża geopolityczny stosunek do Bałkanów,The Balans in the Gaze of Western Travellers (2004) jako przykłady korygującego wobec istniejących dotychczas reprezentacji i wyobrażeń Bałkanów. skupia się jednak nie tylko na nazwie geograficznej Półwysep Bałkański, lecz przede wszystkim na figuratywnym i metaforycznym języku, bazującym na stereotypach i negatywnych „etykietkach” Bałkanów, takich jak: „beczka prochu”, obszar „zadawnionej nienawiści”, „zderzenie cywilizacji”, „strefa rozłamu”, europejskie „jądro ciemności”, „dzika Europa”, „jeszcze- nie” Europa. Ten stosunek opiera się na opozycji My-Oni z kolonialnego, punktu widzenia Zachodu. W drugiej części tekstu zostaje przeprowadzona analiza trzech utworów prozatorskich autorstwa wybitnych pisarzy z Bałkanów – chorwacki dyskurs literacki jest reprezentowany przez Miroslava Krležę w opowiadaniu W Dreźnie. Mister Wu San Pej interesuje się problemem serbsko-chorwackim (1924), serbski dyskurs przedstawia Ivo Andrić w opowiadaniu List z roku 1920 (1946), natomiast bośniacki – Nenad Veličković i jego powieść epistolarna Sahib. Impresje z depresji (2001). Te trzy dyskursy z różnych przełomowych dla Jugosławii okresów pokazują, że pisarze chętnie sięgali po figurę „Obcego”, by uwypuklić problemy związane z własną złożoną, często zwielokrotnioną tożsamością. Ostatnia część akcentuje nowe, postkolonialne podejście do problemu Bałkanów – uczestniczą w nim wybitni naukowcy pochodzący z tego regionu, którzy zrobili kariery w Europie Zachodniej i USA. W tej części zostają zaprezentowane trzy fundamentalne dla tego problemu książki – studium Marii Todorowej (Bułgarka) Imagining the Balkans (1997), monografia Vesny Bjelogrlić-Goldsworthy (Serbka) Inventing Ruritania: The Imperializm of the Imagination (1998) oraz antropologiczna książka Božidara Jezernika (Słoweniec) Wild Europe.

Kwestie kobiece w czesko-słowackiej refleksji filmowej po 1989 roku

Tekst stanowi krytyczną rekapitulację refleksji filmoznawczej prowadzonej w Czechach i Słowacji a dotykającej problematyki tzw. ženskej otázki (kwestii kobiecej). Myśl feministyczna i genderowa pojawiła się w refleksji publicznej i naukowej dopiero po Aksamitnej Rewolucji, napotykając na wstrzemięźliwą i zdystansowaną reakcję środowisk naukowych i twórczych. Dotychczasowa niezbyt rozbudowana refleksja nad kwestiami kobiecymi w kinie czeskim i słowackim, reprezentuje wczesny etap feminizmu akademickiego. Czesko-słowackie women’s studies skupiają się na gromadzeniu wiedzy dotyczącej historii, kultury, życia społecznego i politycznego kobiet. W centrum swojego dyskursu sytuują analizę wizerunków kobiecych, przede wszystkim we wczesnym kinie, rozważania nad kategorią kobiecości, jej specyfiką i przeobrażeniami dokonującymi się w procesie historycznym. Tymczasem w dokonaniach kinematografii Czech i Słowacji coraz większą rolę odgrywają kobiety reżyserki. Współczesne kino kobiet jest tu wyraźnie dostrzegalnym w swojej specyfice jakościowej i ilościowej zjawiskiem artystycznym, który na razie pozostaje obszarem nieeksplorowanym w czesko-słowackiej myśli filmoznawczej ukierunkowanej feministycznie i genderowo.

Religijne motywy w tworczości syberyjskiego pisarza Wiktora Astafjewa

Wydział Neofilologii: Instytut Filologii Rosyjskiej

The Whitby life of Gregory the Great: exegesis and hagiography

The eight-century Whitby Vita Gregorii is one of the earliest examples of Anglo-Saxon hagiography, and is the earliest surviving life of Gregory the Great (590-604). The work has proved itself an anomaly in subject matter, style and approach, not least because of the writer’s apparently arbitrary insertion of an account of the retrieval of the relics of the Anglo-Saxon King Edwin (d.633). There has, however, been relatively little research on the document to date, the most recent concentrating on elements in the Gregorian material in the work. The present thesis adapts a methodology which identifies patristic exegetical themes and techniques in the Vita. That is not only in material originating from the pen of Gregory himself, which is freely quoted and cited by the writer, but also in the narrative episodes concerning the Pope. It also identifies related exegetical themes underlying the narrative of the Anglo-Saxon material in the document, and this suggests that the work is of much greater coherence then has previously been thought. In the course of the thesis some of the Vita Gregorii’s major patristic themes are compared with Bede and other insular writers in the presentation of topics that have been of considerable interest to insular historians in recent years. That is themes including: the conversion and salvation of the English people; the ideal pastor; monastic influence on formation of Episcopal spiritual authority; relations between king and bishop. The thesis also includes a re-evaluation of the possible historical context and purpose of the work, and demonstrates the value of a proper understanding of the Vita’s spiritual nature in order to achieve this. Finally the research is supported by a new structural analysis of the entire Vita Gregorii as an artefact formed within literary traditions.

Clinical practice guidelines for the management of cryptococcal disease: 2010 update by the infectious diseases society of america.

Cryptococcosis is a global invasive mycosis associated with significant morbidity and mortality. These guidelines for its management have been built on the previous Infectious Diseases Society of America guidelines from 2000 and include new sections. There is a discussion of the management of cryptococcal meningoencephalitis in 3 risk groups: (1) human immunodeficiency virus (HIV)-infected individuals, (2) organ transplant recipients, and (3) non-HIV-infected and nontransplant hosts. There are specific recommendations for other unique risk populations, such as children, pregnant women, persons in resource-limited environments, and those with Cryptococcus gattii infection. Recommendations for management also include other sites of infection, including strategies for pulmonary cryptococcosis. Emphasis has been placed on potential complications in management of cryptococcal infection, including increased intracranial pressure, immune reconstitution inflammatory syndrome (IRIS), drug resistance, and cryptococcomas. Three key management principles have been articulated: (1) induction therapy for meningoencephalitis using fungicidal regimens, such as a polyene and flucytosine, followed by suppressive regimens using fluconazole; (2) importance of early recognition and treatment of increased intracranial pressure and/or IRIS; and (3) the use of lipid formulations of amphotericin B regimens in patients with renal impairment. Cryptococcosis remains a challenging management issue, with little new drug development or recent definitive studies. However, if the diagnosis is made early, if clinicians adhere to the basic principles of these guidelines, and if the underlying disease is controlled, then cryptococcosis can be managed successfully in the vast majority of patients.

Global research collaboration: the UKIERI India-UK initiative – lessons from practice for sustainable international partnerships

As knowledge development is claimed to underpin the development of globalisation, interest in research collaboration and its internationalisation has become more widespread. This paper looks at the motivations behind, and development of, higher educational collaborations with a focus on research collaboration, and also compares some of the key issues surrounding academic collaborations. It employs current thinking on strategic alliances and in particular on social network and social capital theories to judge how collaborations can best be encouraged and managed. The paper uses the specific case of India-UK relationship as an example and looks at the context and motivation for collaboration in these two countries. It presents the UK India Education and Research Initiative (UKIERI) and reviews how this initiative deals with the issues discussed by current writers in relation to collaboration, as well as drawing lessons from the initiative for research collaboration more widely.

Contingent screening for down syndrome is an efficient alternative to non-disclosure sequential screening

Objective To present a first and second trimester Down syndrome screening strategy, whereby second-trimester marker determination is contingent on the first-trimester results. Unlike non-disclosure sequential screening (the Integrated test), which requires all women to have markers in both trimesters, this allows a large proportion of the women to complete screening in the first trimester. Methods Two first-trimester risk cut-offs defined three types of results: positive and referred for early diagnosis; negative with screening complete; and intermediate, needing second-trimester markers. Multivariate Gaussian modelling with Monte Carlo simulation was used to estimate the false-positive rate for a fixed 85% detection rate. The false-positive rate was evaluated for various early detection rates and early test completion rates. Model parameters were taken from the SURUSS trial. Results Completion of screening in the first trimester for 75% of women resulted in a 30% early detection rate and a 55% second trimester detected rate (net 85%) with a false-positive rate only 0.1% above that achievable by the Integrated test. The screen-positive rate was 0.1% in the first trimester and 4.7% for those continuing to be tested in the second trimester. If the early detection rate were to be increased to 45% or the early completion rate were to be increased to 80%, there would be a further 0.1% increase in the false-positive rate. Conclusion Contingent screening can achieve results comparable with the Integrated test but with earlier completion of screening for most women. Both strategies need to be evaluated in large-scale prospective studies particularly in relation to psychological impact and practicability.

A Debriefing Session with a Nutritionist Can Improve Dietary Assessment Using Food Diaries.

The objective of the current study was to evaluate the effect of a debriefing call on nutrient intake estimates using two 3-d food diaries among women participating in the Women's Health and Interview Study (WISH) Diet Validation Study. Subjects were 207 women with complete data and six 24-h recalls (24-HR) by telephone over 8 mo followed by two 3-d food diaries during the next 4 mo. Nutrient intake was assessed using the food diaries before and after a debriefing session by telephone. The purpose of the debriefing call was to obtain more detailed information on the types and amounts of fat in the diet. However, due to the ubiquitous nature of fat in the diet, the debriefing involved providing more specific detail on many aspects of the diet. There was a significant difference in macronutrient and micronutrient intake estimates after the debriefing. Estimates of protein, carbohydrate, and fiber intake were significantly higher and total fat, monounsaturated fat, saturated fat, vitamin A, vitamin C, -tocopherol, folic acid, and calcium intake were significantly lower after the debriefing (P <0.05). The limits of agreement between the food diaries before and after the debriefing were especially large for total fat intake, which could be under- or overestimated by 15 g/d. The debriefing call improved attenuation coefficients associated with measurement error for vitamin C, folic acid, iron, tocopherol, vitamin A, and calcium estimates. A hypothetical relative risk (RR) = 2.0 could be attenuated to 1.16 for folic acid intake assessed without a debriefing but to only 1.61 with a debriefing. Depending on the nutrients of interest, the inclusion of a debriefing can reduce the potential attenuation of RR in studies evaluating diet disease associations.

Soluble P-selectin levels during normal pregnancy: a longitudinal study.

Objective: To investigate soluble P-selectin (sP-selectin) levels and platelet parameters in normal pregnant women compared with non-pregnant control subjects. Design: A longitudinal case-control study. Setting: Obstetric outpatient clinic in the Jubilee Maternity Hospital, Belfast. Population: One hundred and twenty normal pregnant women and 41 non-pregnant age matched control subjects. Main outcome measures Plasma sP-selectin as a measure of platelet activation in normal pregnancy. Methods: The plasma concentration of sP-selectin in pregnant women sampled at 12, 20 and 35 weeks of gestation, and, in a subgroup at 3 days post-partum, and non-pregnant controls sampled in parallel, was determined using a commercial quantitative sandwich immunoassay kit. Platelet parameters on each blood sample were also recorded using a SYSMEX SE 9500 analyser. Main outcome measures: Plasma sP-selectin as a measure of platelet activation in normal pregnancy. Results: Soluble P-selectin was significantly higher in pregnant women than in non-pregnant control subjects at 20 and 35 weeks of gestation, (p

Tissue factor expression on monocyte subpopulations during normal pregnancy.

Pregnancy is often referred to as a hypercoaguable state due to changes in the haemostatic system. Tissue factor (TF) is the initiator of blood clotting in vivo. The effect of pregnancy on monocyte TF expression was determined in a longitudinal case control study, (89 pregnant, 39 non-pregnant). Using whole blood flow cytometry and CD14 as a monocyte marker, TF expression was measured on all CD14 positive, CD14Bright and CD14Dim cells. TF expression was significantly lower in pregnant women than in non-pregnant control subjects, on all CD14 positive cells at 20 and 35 weeks, on CD14Bright cells at 12 and 35 weeks and on CD14Dim cells at 20 weeks. Additionally, we report that a higher percentage of CD14Dim than CD14Bright cells express TF. These results suggest that, in order to maintain homeostasis in haemostasis in an otherwise hypercoaguable state, monocyte TF expression is reduced during normal pregnancy.

Emergencias de la mediación intelectual. "La Revista de América" (París, 1912-1914) y la red de escritores latinoamericanos en Europa a comienzos del siglo XX

Este trabajo estudia el proyecto editorial de la Revista de América (1912-1914), fundada en París y dirigida por Francisco García Calderón. Mi propósito es analizar el modo en que muchos de los vínculos entre los escritores latinoamericanos radicados en París entre fines del siglo XIX y la Primera Guerra Mundial se materializaron en la edición de revistas. Propongo examinar las estrategias de difusión de las producciones latinoamericanas en el Viejo Continente, como así también algunos aspectos ideológicos y de intervención intelectual que la revista llegó a articular. En un primer momento, me detengo en los rasgos materiales tanto del proyecto editorial de la revista como de los vínculos entre los latinoamericanos desterrados. Luego indago las distintas formas de mediación crítica, por un lado, y cultural, por otro, que la revista escenificó y, en algunos casos, desarrolló activamente. En efecto, la revista de García Calderón vuelve visible una dimensión mediadora en varios sentidos: mediación crítica entre productores y lectores, pues se propuso como instancia de difusión, al convocar a “a los mejores escritores latinoamericanos”. Al mismo tiempo, propuso otras dos mediaciones: entre pares, al funcionar como consagradora, seleccionando y agrupando simbólicamente a los escritores de cada país latinoamericano. Finalmente, una mediación intercontinental entre culturas en la contemporaneidad, que intentó acercar dos gestos en la acción de la revista: una legitimación del pensamiento y el arte “de ultramar” y una valoración de los desarrollos artísticos europeos del presente.