Beyond Confronting the Myth of Racial Democracy: The Role of Afro-Brazilian Women Scholars and Activists

This paper offers a synopsis of the current scholarship mapping the social and economic exclusion of women of African descent in Brazil. It highlights the work of and role played by Afro-Brazilian women scholars and activists in redressing the paucity, until recently, of basic data and research on the life conditions of women of African descent. Finally, it provides some initial thoughts on the national and transnational dynamics of knowledge production underlying this state of affairs

Popular Feminism(s) Reconsidered: Popular, Racialized, and Decolonial Subjectivities in Contention

This issue is concerned with the salience of “popular feminism” as an analytic category for naming the myriad contemporary forms of gendered awareness and agency appearing among Latin America’s poor, working-class and racialized communities. Although we have an analytic agenda, our underlying concern here is with the politics of feminism—the construction of intersectional feminist praxes of gender, race, and economic justice and their relation to other projects for social justice. Our focus on popular feminism addresses the relationship between the subaltern subjectivities of marginalized women, their relation to feminist political agency, and the relation of both to mixed-gender efforts for social transformation on the broader left. Although it may be a current within them, popular feminism is distinct from the mass feminisms on the streets and online, the “feminisms of the 99 percent,” that have gripped the continent in recent years. It is the feminism of the poor and the subaltern, whose concerns for gender justice are inescapably co-constituted with their collective struggles for material, cultural and psychic survival against racist violence, land dispossession, environmental despoliation, and economic deprivation. One well-known contemporary example of self-identified popular feminism is that of the Consejo Cívico de Organizaciones Populares y Indígenas de Honduras (Civic Council of Popular and Indigenous Organizations of Honduras—COPINH) whose founder, Berta Cáceres, a recipient of the Goldman Environmental Prize, was assassinated in 2016. Her assassination signaled retribution for COPINH’s hard-fought struggle against the rapacious capitalist, patriarchal, and colonizing practices destroying the land, rivers, and lives of the Lenca people. COPINH activists recently participated in an International Feminist Organizing School involving 200 grassroots feminists from around the world organized by the World – a popular feminist initiative March of Women, among others

Encountering Latin American and Caribbean Feminisms

This article examines the Latin American and Caribbean Feminist Encuentros as critical transnational sites for the collective re-imagining of feminist politics in the region. Paying special attention to the most recent regional gathering, held in Juan Dolio, Dominican Republic in 1999, we analyze the major political and philosophical debates that have emerged during twenty years of Encuentros: 1) shifting conceptions of movement autonomy and feminisms\u27 relationship to the larger women\u27s movement and to other actors in civil and political society, the State, and international institutions; 2) controversies generated by the movements\u27 recurrent crises of inclusion and crises of expansion ; and 3) debates centered on differences, inequalities, and power imbalances among women, in general, and among feminists, in particular. While this essay explores how the Encuentros have marked feminist debates in the region, it also argues that they are, in themselves, productive transborder sites that not only reflect but also (re)shape Latin American and Caribbean feminist discourses and practices

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Origens e desafios da profissionalização no movimento de saúde da mulher de São Paulo

Este texto proporciona um panorama das origens e características do movimento de saúde da mulher em São Paulo, como exemplo específico de movimento social. Focaliza sua diversidade organizacional que inclui (embora não se restrinja a) diferenças entre organizações profissionalizadas e não-profissionalizadas. Em pano de fundo, está presente a questão do que acontece com o potencial de movimentos sociais quando se tornam dependentes de doadores ou instituições convencionais, como fundações ou agências financiadoras. O texto levanta algumas questões preliminares sobre a relação entre as formas e práticas organizacionais, como a profissionalização e formalização, na medida em que influenciam a solidariedade e a identidade coletiva de grupos e, ainda, no modo como movimentos sociais produzem mudanças. Em termos mais amplos, busca aprofundar o conhecimento do campo dos movimentos sociais em sua pluralidade, que inclui a pluralidade organizacional, apontando as vantagens dessa diversidade assim como os problemas e tensões que provoca

Popular Feminism at Work: Redistribution and Recognition in the Marcha Mundial das Mulheres in Brazil

The World March of Women is a transnational socialist feminist coalition. Its exceptional Brazilian chapter has chosen to engage the state through protest and movement-building activities, in part in response to the institutionalization of Brazilian women’s movements since the late 1990s. It has successfully organized women from the popular sectors and strengthened their collective voice, a process which is key to building a strong and truly inclusive counter-hegemonic force in terms of gender as well as class. Inclusivity in terms of race and sexual identity and expression still needs further attention. Integral to the March’s success is its collective identity which consistently weaves redistribution and recognition issues. Both matter considerably to women from the working and marginalized classes. This chapter explores the contextual factors and features of the March’s internal political culture that have facilitated this deepening of both redistribution and recognition claims

Taming or Unleashing the Monster of Coalition Work: Professionalization and the Consolidation of Popular Feminism in Brazil

This article traces the history of cross-class alliances among Brazilian feminists over the last several decades. It hopes to offer insights into how we may tame the challenges of constructing coalitions across differences in a changing political environment by examining two cases: Brazil\u27s National Feminist Network for Health, Sexual, and Reproductive Rights, and Brazil\u27s chapter of the World March of Women