15 research outputs found

    The role of expertise in Public Policy of Equality in Spain

    Get PDF
    El artículo discute el papel del conocimiento experto en materia de igualdad en España y surelación con el poder. Parte de un planteamiento teórico sobre el papel delconocimiento experto en el campo político (y en las políticas de igualdad enconcreto), para analizar dos cuestiones centrales. En primer lugar se ocupa delos agentes y las dinámicas del conocimiento experto sobre igualdad en España,abordando sus orígenes, las limitaciones de las comunidades epistémicas degénero y las características de los principales agentes expertos externos a laadministración (académicas y consultoras). En segundo lugar se analizan lasnociones de igualdad presentes en este conocimiento experto, utilizando técnicascualitativas (entrevista y grupo de discusión) para recoger el discurso deacadémicas y consultoras. Para concluir con una reflexión sobre la relaciónentre saber y poder en el ámbito de la igualdad en nuestro contexto, valorandola capacidad que tiene la comunidad de expertas para influir en los núcleos yprocesos del poder.This article discusses expert knowledge on gender equality in Spain. The analysis, in the first place, explains State intervention on gender equality in Spain from a historical perspective with a specific focus on the role of expert knowledge in this process; in the second place, the paper traces differences in expert narratives in relation to the meaning of equality; lastly, it assesses the influence of expert communities on shaping power configurations, with a comprehensive definition of impact that goes beyond the discussion of women’s issues. The article draws on qualitative methodologies (interviews and focus groups) to portray the views of expert women both in Academia and in the private sector; theoretically, a typology of expert knowledge is defended together with a discussion of the conflictive ways in which these types intersect with one another

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

    Get PDF
    Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    Notas sobre la obra De Angelis. Filosofía, mercado y postmodernidad

    No full text
    José María Ripalda consigue unir en su texto tres dimensiones sociales: el pensamiento reflexivo de la filosofía que le permite interrogar la realidad, la nueva imagen del mercado, que sigue esquemas de consumo cultural, y el espacio urbano como generador de identidades en las sociedades contemporáneas

    Un gesto político frente a la violencia contra las mujeres

    No full text
    The Ministry of Labour and Social Affairs¿ General Secretariat for Equality Policies was created in 2004.Among other issues it deals with the problem of violence against women in Spain at the institutional level. Its creation constitutes political acknowledgement of the need to include women in decision-making, and to further their participation in all domains. Since the voice of women, and their presence are essential to the development of democracy at all levels of political endeavour, the competencies vested in the General Secretariat for Equality Policies extend to all areas of social, political, economic and cultural life.La Secretaría General de Política de Igualdad del Ministerio de Trabajo y Asuntos Sociales se creó en 2004. Entre otros asuntos, se ocupa del problema de la violencia contra las mujeres en España a nivel institucional. Su creación supone un reconocimiento político de la necesidad de incluir a la mujer en la toma de decisiones y de aumentar su participación en todos los ámbitos. Puesto que la voz y presencia de la mujer es clave en el desarrollo de la democracia a todos los niveles de esfuerzo político, las competencias otorgadas en la Secretaría General a la Política de Igualdad se amplían a todas las áreas de la vida social, política, económica y cultural

    Notas sobre la obra "de Angelis": filosofía, mercado y postmodernidad

    No full text
    José María Ripalda consigue unir en su texto tres dimensiones sociales: el pensamiento reflexivo de la filosofía que le permite interrogar la realidad, la nueva imagen del mercado, que sigue esquemas de consumo cultural, y el espacio urbano como generador de identidades en las sociedades contemporáneas

    La invisibilización del cuidado en la familia y los sistemas sanitarios

    No full text
    Sin resume

    Notas sobre la obra "de Angelis": filosofía, mercado y postmodernidad

    No full text
    José María Ripalda consigue unir en su texto tres dimensiones sociales: el pensamiento reflexivo de la filosofía que le permite interrogar la realidad, la nueva imagen del mercado, que sigue esquemas de consumo cultural, y el espacio urbano como generador de identidades en las sociedades contemporáneas
    corecore