Expressões de microagressões dirigidas a mulheres no contexto do sistema de saúde: uma abordagem baseada em incidentes críticos

Purpose. Patients belonging to social minorities can be exposed to various forms of discrimination in the healthcare context. Previous research in this domain has overlooked expressions of microaggressions against women and the role of intersectional identities. This study aims to uncover the themes that underly the experience of microaggressions by diverse women in Portugal. Methods. Using an interview model based on the Critical Incident Technique (Flanagan, 1954) 17 women were interviewed about their microaggression experiences in the healthcare setting. Among those with an intersectional identity, social minority membership was also based on ethnicity, LGB sexual orientation and functional diversity. Results. A total of 17 microaggressive themes were retrieved, five of which were found to be related to microaggressions towards women in general and a total of seven were unique for women with specific intersectional identities. Another four themes reflected providers’ general attitudes towards patients without being related to gender or any intersectional minority group, and one theme described systemic microaggressions. Conclusion. Some of the retrieved themes reflect microaggressions that women seem to experience in their everyday life but that are exacerbated by the health provider-patient power disparity. Some themes appear to be specific to the healthcare context and related to providers’ lack of patient-centeredness.info:eu-repo/semantics/publishedVersio

What kinds of microaggressions do women experience in the health care setting? Examining typologies, context and intersectional identities

Microaggressions are everyday verbal and non-verbal indignities, promoted intentionally or by well-intentioned people towards minority and disadvantaged individuals or groups. Microaggressions are often unconscious, socially normalized and naturalized. This qualitative study intended to examine and understand microaggressions lived by women with different intersectional identities (women of Color, immigrant women, straight women, LGBTQ+ women, functionally diverse women) in the Portuguese healthcare context. Semi-structured interviews were conducted using the Critical Incident Technique. Seventeen self-identified female feminists, activists and/or that were involved with NGOs and organizations actively committed to social causes participated. Content and thematic analysis were used in order to recognize the different microaggressive forms (microinsults, microinvalidations, microassaults) and manifestations (verbal, nonverbal/behavioral, environmental) committed in the healthcare context. The results are discussed in light of diversity training opportunities to raise awareness about subtle forms of discrimination among health care practitioners.info:eu-repo/semantics/publishedVersio

Peritoneal and hepatic hydatid disease causing major bile duct destruction

Echinococcosis is endemic in Mediterranean regions and is found primarily in the liver. Biliary fistula is a common complication, but major biliary duct involvement is very rare, and occurs in 0.47% of patients with hepatic hydatid disease. Cyst rupture causing secondary peritoneal hydatidosis is a rare but serious complication. We report the case of a 27-year-old man with multiple peritoneal and hepatic hydatid cysts. The patient came to our attention with cholestatic jaundice. Imaging exams showed numerous peritoneal cysts and massive hydatid disease of the liver, which involved the hepatic confluence, with destruction of the right hepatic duct and fistula formation to the left hepatic duct. The patient was treated with pre-operative albendazole therapy and radical surgery, which consisted of resection of all peritoneal cysts and extended right hepatectomy with biliary reconstruction. No recurrence was seen on CT investigations on the 12th month following surgery. Radical surgical approach remains the treatment of choice

The lessons learned from the unique characteristics of small technology-based firms.

The aim of this study is to identify how characteristics of small technology-based firms (STBFs), their unique combination of internal capabilities, structure, and processes, influence strategy formulation. Based on qualitative research using multiple case studies supported by semi-structured interviews, the study’s main results indicate the founder’s technical expertise shapes the business, mission, and vision. Lack of resources allows limited activities in strategy formulation with few matching capabilities analyses or benchmarking studies. STBFs favor competitive analysis almost exclusively in developing a market positioning strategy without regard for other methods

Lisbon and Porto metropolitan areas in context- the relevance of the car um greenhouse gas emissions, demanda and supply and in residents´ transportation costs

Transports sector is the second sector that most contributes to GHG emissions across the world, with a particular emphasis in Portugal. In a world where Car dominates demand by farandw here in dividuals, ingeneral, refer some problems in Mass transports supply, such as low frequency in peak hours and proximity to some residential areas, transportation costs (especially the ones related with the car) appear as an important urban problem. However, changes in Transports mix t squeeze the Car and that are estimated for 2030 and 2050 may have a crucial impact on GHG emissions reduction