66 research outputs found
Uruguay: participación social en salud y democratización de la sociedad y el Estado
Al investigar el desarrollo de la participación social en salud, la presente tesis procura aportar al análisis de las transformaciones socio sanitarias en Uruguay. Es una forma de rescatar las luchas de muchas personas para construir cambios profundos en la salud. Se estudian los avances, las dificultades, las contradicciones y la complejidad de estos procesos interactuando con los protagonistas sociales mediante un diseño metodológico de IAP Investigación-Acción-Participación. A pesar de la trascendencia de la reforma sanitaria como cambio histórico, estructural e inconcluso, hay una relativa carencia de investigaciones que relacionen relevamientos empíricos con debates teóricos, jerarquizando la voz de los actores sociales e interactuando con ellos. La grave crisis sanitaria actual incrementa la necesidad del conocimiento de estos procesos, sus diferentes actores y su proyección. La participación social en la salud es parte de las luchas por la democratización de la sociedad y el Estado en Uruguay y en Latinoamérica. Como también la educación, la seguridad social, las relaciones laborales, los derechos de las mujeres y otros campos. Las primeras décadas del siglo XXI fueron el escenario inédito de gobiernos progresistas y luego reacciones neoliberales y conservadoras en un continente marcado por desigualdad y la opresión. La democratización efectiva de la vida social y las estructuras estatales son un nudo crítico de estos procesos. El marco teórico son las corrientes que enfatizan la reinvención, radicalización, profundización de la democracia ante fuertes desigualdades y mecanismos de opresión propios del capitalismo, patriarcado, racismo y colonialismo. También como construcción de modelos civilizatorios alternativos ante las crisis de un planeta ambientalmente enfermo. En una primera etapa (2016-2018) la investigación estuvo centrada en los organismos participativos del SNIS plasmándose en una tesis de maestría. Entre 2019 y 2021 el eje fueron las redes territoriales y comunitarias en el marco de la Red de Municipios y Comunidades Saludables. En el primer período interactuó con instancias de formación-acción de trabajadores y usuarios que culminaron en la creación del Frente Social de la Salud en 2017. Dicho Frente realizó diversas acciones colectivas acordando una plataforma común con análisis, cuestionamientos y propuestas para el SNIS. Durante 2019 se abordaron las experiencias del Municipio A de Montevideo. El contexto desde 2020 incorpora dos cambios trascendentes : pandemia y nuevo gobierno nacional. La pandemia es analizada en sus distintas dimensiones y estrategias de abordaje, con énfasis en el protagonismo social. La investigación se enriqueció con el accionar de la Red de Municipios y Comunidades Saludables integrada por diversos actores sociales, institucionales y académicos. En 2020 esta Red realizó 16 talleres abiertos, un Curso de Animadores de Redes Comunitarias, 6 proyectos de intervención comunitaria, Curso de Tutores, página web, canal de youtube, culminando con una evaluación participativa y sistematización de aprendizajes . En 2021 fueron 18 talleres agrupados una parte en Seminarios del Espacio de Formación de Promotores Sociosanitarios y otros abordaron la atención a la salud en 2021, la experiencia de planes locales en Canelones y la actualidad del pensamiento de Paulo Freire a 100 años de su nacimiento. La publicación (en formato papel y digital) de un libro y la realización de 6 videos cortos sobre las experiencias de la Red MCS con apoyo de OPS fueron hitos de esta labor a fines de 2021. La tesis interactuó con un proyecto de investigación Udelar con apoyo CSIC sobre Descentralización y Trama Local de Cuidados, del cual el autor forma parte. Investigando todas estas experiencias se llega a conclusiones que procuran caracterizar estos procesos y aportar a los debates teóricos en las encrucijadas latinoamericanas.By investigating the development of social participation in health, this thesis seeks to contribute to the analysis of socio-health transformations in Uruguay. It is a way to rescue the struggles of many people to build profound changes in health. The advances, difficulties, contradictions and complexity of these processes are studied interacting with the social protagonists through a methodological design of PAR Research-Action-Participation. Despite the importance of health reform as a historical, structural and inconclusive change, there is a relative lack of research linking empirical surveys with theoretical debates, prioritizing the voice of social actors and interacting with them. The current serious health crisis increases the need for knowledge of these processes, their different actors and their projection. Transformations in health are a fundamental part of the struggles for the democratization of society and the State in Uruguay and throughout Latin America. As well as education, social security, labor relations, women's rights and other fields. The first decades of the 21st century were the unprecedented scenario of progressive governments and then neoliberal and conservative reactions in a continent marked by inequality and oppression. Social participation and the effective democratization of social life and state structures are a critical node of these Latin American processes. The theoretical framework is the currents that emphasize the reinvention, radicalization, deepening of democracy in the face of strong inequalities and mechanisms of oppression typical of capitalism, patriarchy, racism and colonialism. Also as the construction of alternative civilizational models in the face of the crises of an environmentally sick planet. In a first stage (2016-2018) the research was focused on participatory organizations from the SNIS resulting in a master's thesis. Between 2019 and 2021 the axis was the territorial and community networks within the framework of the Network of Healthy Municipalities and Communities. In the first period, it interacted with instances of training-action of workers and users that culminated in the creation of the Social Health Front in 2017. This Front carried out various collective actions agreeing on a common platform with analysis, questions and proposals for the SNIS. During 2019, the experiences of Municipality A of Montevideo were addressed. The context since 2020 incorporates two transcendent changes: pandemic and new national government. The pandemic is analyzed in its different dimensions and approach strategies, with emphasis on social protagonism. The research was enriched by the actions of the Healthy Municipalities and Communities Network made up of various social, institutional and academic actors. In 2020 this Network held 16 open workshops, a Community Network Animators Course, 6 community intervention projects, Tutors Course, website, YouTube channel, culminating with a participatory evaluation and systematization of learning. In 2021 there were 18 workshops grouped a part in Seminars of the Training Space of Socio-sanitary Promoters and others addressed health care in 2021, the experience of local plans in Canelones and the actuality of Paulo Freire's thought 100 years after his birth. The publication (in paper and digital format) of a book and the realization of 6 short videos on the experiences of the MCS Network with paho support were milestones of this work at the end of 2021. The thesis interacted with a Udelar research project supported by CSIC on Decentralization and Local Care Network, of which the author is a part. Investigating these experiences leads to conclusions that seek to contribute to the theoretical debates at the Latin American crossroads.Ao investigar o desenvolvimento da participação social em saúde, esta tese procura contribuir para a análise das transformações sociossanitárias no Uruguai. É uma forma de resgatar as lutas de muitas pessoas para construir mudanças profundas na saúde. Os avanços, dificuldades, contradições e complexidade desses processos são estudados interagindo com os protagonistas sociais através de um desenho metodológico de Pesquisa-Ação-Participação PAR. Apesar da importância da reforma da saúde como uma mudança histórica, estrutural e inconclusiva, há relativa carência de pesquisas que relacionem pesquisas empíricas com debates teóricos, priorizando a voz dos atores sociais e interagindo com eles. A grave crise atual de saúde aumenta a necessidade de conhecimento desses processos, seus diferentes atores e sua projeção. As transformações na saúde são parte fundamental das lutas pela democratização da sociedade e do Estado no Uruguai e em toda a América Latina. Bem como educação, seguridade social, relações de trabalho, direitos das mulheres e outros campos. As primeiras décadas do século 21 foram o cenário inédito de governos progressistas e depois de reações neoliberais e conservadoras em um continente marcado pela desigualdade e opressão. A participação social e a democratização efetiva da vida social e das estruturas do Estado são um nó crítico nesses processos latino-americanos. O referencial teórico são as correntes que enfatizam a reinvenção, a radicalização, o aprofundamento da democracia diante das fortes desigualdades e mecanismos de opressão típicos do capitalismo, patriarcado, racismo e colonialismo. Também como a construção de modelos civilizacionais alternativos diante das crises de um planeta ambientalmente enfermo. Numa primeira fase (2016-2018) a investigação centrou-se nos órgãos participativos do SNIS, resultando numa dissertação de mestrado. Entre 2019 e 2021 o eixo foram as redes territoriais e comunitárias no âmbito da Rede de Municípios e Comunidades Saudáveis. No primeiro período, interagiu com instâncias de formação-ação de trabalhadores e usuários que culminaram na criação da Frente Social de Saúde em 2017. Esta Frente realizou diversas ações coletivas pactuando uma plataforma comum com análises, questionamentos e propostas para o SNIS. Durante 2019, foram abordadas as experiências do Município A de Montevidéu. O contexto desde 2020 incorpora duas mudanças transcendentes: pandemia e novo governo nacional. A pandemia é analisada em suas diferentes dimensões e estratégias de abordagem, com ênfase no protagonismo social. A pesquisa foi enriquecida pelas ações da Rede Municípios e Comunidades Saudáveis, composta por diversos atores sociais, institucionais e acadêmicos. Em 2020 esta Rede realizou 16 workshops abertos, um Curso de Animadores de Rede Comunitária, 6 projetos de intervenção comunitária, Curso de Tutores, site, canal YouTube, culminando numa avaliação participativa e sistematização da aprendizagem. Em 2021, foram 18 oficinas agrupadas em Seminários do Espaço de Formação de Promotores Socioanimados e outros voltados para a saúde em 2021, a experiência de planos locais em Canelones e a realidade do pensamento de Paulo Freire 100 anos após seu nascimento. A publicação (em papel e formato digital) de um livro e a realização de 6 vídeos curtos sobre as experiências da Rede MCS com apoio da OPS foram marcos deste trabalho no final de 2021. A tese interagiu com um projeto de pesquisa da Udelar apoiado pelo CSIC sobre Descentralização e Rede Local de Atenção, do qual a autora faz parte. A investigação dessas experiências leva a conclusões que buscam contribuir para os debates teóricos iniciais na encruzilhada latino-americana
Bridging the Information Divide: Leveraging the Learning Health System to Understand Rural-Urban Health Disparities in the COVID-19 Era
The examination of healthcare disparities, which the COVID-19 pandemic exacerbated, revealed a pronounced divide between rural and urban settings. This divide particularly underscored the challenges of integrating rural healthcare into the Learning Health System (LHS) and utilizing real-world data (RWD) in response to a public health emergency. Our investigation expanded the growing body of literature on the rural mortality penalty, encompassing the period following the COVID-19 pandemic. By employing an LHS-enabled centralized platform of RWD, we assessed the impact of rurality on adverse COVID-19 outcomes (Aim 1), focusing on inpatient adverse events and the effectiveness of treatments and vaccinations across demographics. Our efforts also included exploring associations with adverse post-COVID-19 events, post-vaccination breakthrough infections, variations in treatment effectiveness, and temporal trends in adverse events following the vaccine rollout. We investigated the informatics challenges and methodological approaches necessary for studying rural populations using RWD (Aim 2). This task involved strategies for managing data harmonized from various sources, optimizing data quality and usability, and navigating the complexities of integrating and analyzing diverse datasets from different contributing centers across the US. We assessed the current state of rural healthcare\u27s integration within the LHS (Aim 3), identifying steps toward advancing a rural-inclusive model. This assessment thoroughly evaluated achievements and gaps in data standardization, system adaptation, and rural engagement, aiming to develop targeted recommendations for enhancing rural health integration. Despite the barriers, using the LHS enabled the demonstration of higher hospitalization and mortality rates, alongside increased rates of breakthrough infections post-vaccination, in rural compared to urban areas. Better incorporation of rural communities into the LHS will offer clearer insights into these growing disparities, equipping providers, public health officials, and policymakers with enhanced tools and resources to address ongoing and future public health crises
INITIATORS AND INITIATING COMPOSITIONS: A LITERATURE SEARCH. VOLUME I. UNCLASSIFIED CITATIONS AND ABSTRACTS
Iris Magazine: Worship
Poetry
“Sunlight” by Lili Gorley
Author bio: Lili Gourley is a creative writing major at Geneseo with a concentration in poetry. She often finds her muse in music and nature. She hopes to work in the publishing industry someday.
Trigger warning: non-violent death
“Craft” by Lidabel Avila
Author bio: Lidabel Avila (she/her)
Trigger warning: N/A
“The Finale” by Liz Louie
Author bio: Liz Louie is an author of all things you don’t want to find in your closet. She is currently working towards a BA from SUNY Geneseo in Creative Writing. She has been published in Catharsis Magazine, and enjoys spending time watching scary movies and riding horses.
Trigger warning: abuse, minor gore, violence
“Imago Therapy” by Isaac Schiller
Author bio: Isaac Schiller (he/him)
Description: Imago Therapy: Untangle those attachment wounds you developed in childhood! Look in the mirror. Do you see your parents hiding inside your face? Take a pen and draw over it until your face no longer belongs to anyone.
Trigger warning: N/A
“Every Eve” by Tess Woitaszek
Author bio: Tess Woitaszek is a senior at Geneseo and part of a creative writing program, in which she focuses on poetry and creative short fiction.
Trigger warning: N/A
“Holy” by Tess Woitaszek
Author bio: Tess Woitaszek is a senior at Geneseo and part of a creative writing program, in which she focuses on poetry and creative short fiction.
Trigger warning: N/A
Visual art
“Worship” by Noel Guidry
Author bio: Noel Guidry (he/him)
Description: This piece depicts three figures praying to an ethereal figure of light.
Trigger warning: N/A
“The Adoration of the Magi” by Noel Guidry
Author bio: Noel Guidry (he/him)
Description: Depicts a nativity scene where the three kings, depicted in black, are seeing the baby jesus for the first time.
Trigger warning: N/A
“The Journey of the Magi” by Noel Guidry
Author bio: Noel Guidry (he/him)
Description: Depicts the three wise men riding across the Arabian Desert on camelback.
Trigger warning: N/A
“The Witches Tree” by Kaitlin Anzalone
Author bio: Kaitlin Anzalone (she/her)
Description: It was once believed that a spirit could be trapped in a wine bottle. People began hanging glass bottles on dead tree branches in hopes that a spirit would become trapped and the morning sun would neutralize the spirit.
Trigger warning: N/A
Untitled by Kaitlin Anzalone
Author bio: Kaitlin Anzalone (she/her)
Description: Children tend to worship the ground older individuals walk on. We should slow down and do the reverse.
Trigger warning: N/A
Untitled by Jillian Orr
Author bio: Jillian is a junior sociomedical sciences major who loves drawing, watching the leaves change color, and cookie dough ice cream.
Trigger warning: N/A
Creative writing
“Gender Nonconformity in Northanger Abbey and a Partisan Narrator’s Sympathy” by Matt Keller
Author bio: Matt Keller is a senior English major concentrating in Creative Writing. He has previously been published in MiNT magazine and is President of the Creative Writing Club at Geneseo. The piece is a type of creative nonfiction lyric essay known as a “hermit crab essay.” It takes the disguise, or shell, of a literary analysis, hiding the narrator’s perspective within. As the narrator discovers more about himself as he discovers more about the characters of Northanger Abbey.
Trigger warning: N/A
“Ostinato; Prometheus’ Refrain” by Jackson Faulkner
Author bio: Jackson Faulkner (he/they)
Description: A conversation on love, worship, myth, and revival.
Trigger warning: deathhttps://knightscholar.geneseo.edu/glm-iris/1006/thumbnail.jp
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A veritable feast of 1,500 quotes from more than 1,000 Supreme Court decisions, this is the first such reference devoted solely to the Supreme Court. Dating from the beginning of the Republic to the present, these excerpts provide a powerful historical overview of the mission and majesty of the Supreme Court. They are topically arranged and cover the legislative, judicial, and executive branches; states' rights; due process; free speech; equal rights; and freedom of religion. Each entry features the quote -- especially chosen for its profound, compelling, and inspirational nature; the name of the case, primary citation, year, and author; and the kind of decision (dissenting, concurring, or opinion of the Court)
It All Begins With You: Improving Law School Learning Through Professional Self-Awareness and Critical Reflection
From the author\u27s introduction: This paper grows out of my reflections on my own introduction to learning theory. In it, I hope to accomplish two things. First, I present a modest proposal for becoming a better teacher. My thesis is simple: by knowing more about ourselves and our own learning processes, preferences, and inclinations, we will become better teachers. We will discover why we have elected to teach as we do, and we will also uncover when we have been on automatic pilot, blithely accepting the role of law professor, as conceived by our institutions, our students\u27 expectations, and our preconceived assumptions. Second, this paper is a kind of phenomenology of discovery about learning theory. This is not a didactic essay. It is a self-report of my own reading of the literature of applied learning theory. It is a story of self-discovery, a starting place for the harried law professor who needs a map of the learning theory terrain
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