Pelvic trauma : WSES classification and guidelines

Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic impairment of pelvic ring function and the associated injuries. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Thus the management of pelvic trauma must be multidisciplinary and should be ultimately based on the physiology of the patient and the anatomy of the injury. This paper presents the World Society of Emergency Surgery (WSES) classification of pelvic trauma and the management Guidelines.Peer reviewe

Higher education in nursing: the faculty work process in different institutional contexts

Objective To analyze the characteristics of faculty work in nursing higher education. Method An exploratory qualitative study with a theoretical-methodological framework of dialectical and historical materialism. The faculty work process was adopted as the analytical category, grounded on conceptions of work and professionalism. Semi-structured interviews were conducted with 24 faculty members from three higher education institutions in the city of São Paulo, classified according to the typology of institutional contexts. Results The faculty members at these higher education institutions are a heterogeneous group, under different working conditions. Intensification and precarious conditions of the faculty work is common to all three contexts, although there are important distinctions in the practices related to teaching, research and extension. Conclusion Faculty professionalization can be the starting point for analyzing and coping with such a distinct reality of faculty work and practice

Eleições, estabilidade democrática e socialização política no Brasil: análise longitudinal da persistência de valores nas eleições presidenciais de 2002 a 2010

O objetivo deste artigo é examinar os debates recentes sobre os fatores que explicam a estabilidade democrática no Brasil. Com base no conceito de socialização política examina-se o impacto que as eleições têm no fortalecimento democrático e a importância de normas e valores para o futuro da democracia. Considera-se que as eleições presidenciais no contexto político brasileiro se constituem em um momento importante do processo de socialização política. Para verificar esta proposição este trabalho utiliza como base de dados as pesquisas do Estudo Eleitoral Brasileiro (ESEB) de 2002, 2006 e 2010. É analisado se o fator idade gera diferenças em relação aos valores e atitudes manifestados pelos entrevistados com um tempo maior de experiência democrática, contribuindo na formação de uma cultura política congruente com a democracia, ou se são definidos pelo contexto eleitoral, tendo como base a divisão da população em coortes por faixa etária e na escolha eleitoral em cada pleito. Com base nos dados analisados identifica-se uma mudança da cultura política em direção à valorização da democracia, mas com a manutenção de contradições que indicam a manutenção de uma cultura híbrida, que não favorece a democracia representativa poliárquica.The main objective of this article is to examine the recent debates about the factors that explain democratic stability in Brazil. Based upon the concept of political socialization it analyses the impact of elections on the strengthening of democracy and the importance of norms and values for the future of democracy. We think that presidential elections in the Brazilian case could be characterized as an important moment in the political socialization process. To test this proposition we use the data from the Brazilian Electoral Study (ESEB) conducted in 2002, 2006 and 2010. It is analyzed if age generates differences in the values and attitudes manifested by people, with more democratic experience leading, to the materialization of a political culture congruent with democracy, or if they are defined by the electoral context, analyzing the dimensions dividing population by cohorts by age, and by electoral choice in each turnout. We conclude that political culture has changed to support more democratic values, but the contradictions remaining indicates a hybrid culture that does not favor a poliarchic representative democracy