Under construction: Toward a theory and praxis of queer peacebuilding

| This article explores what queer as a concept brings to peacebuilding, presenting a guiding framework and introduction for a special issue on queer peacebuilding. It offers an initial approach to the topic, which means to center queer and trans perspectives of peace and bring queer epistemologies to bear on how peace is constituted so as to rearticulate the concept both in theory and praxis. In doing so, it addresses an unexamined gap in peacebuilding efforts to achieve gender justice and inclusive security in conflict-affected societies, namely the unique experiences of LGBTQ (lesbian, gay, bisexual, trans and queer) individuals and their collective efforts to achieve social justice in these contexts. The authors approach the topic of queer peacebuilding through three questions: What is queer peacebuilding?, ‘Why is queer peacebuilding important? and What can queer peacebuilding contribute? While the impacts of queer peacebuilding in sites of contentious politics around the globe are visible, it remains an emergent and somewhat elusive concept, still under construction within peace and security scholarship and practice

Under Construction: Toward a Theory and Praxis of Queer Peacebuilding

This article explores what queer as a concept brings to peacebuilding, presenting a guiding framework and introduction for a special issue on queer peacebuilding. It offers an initial approach to the topic, which means to center queer and trans perspectives of peace and bring queer epistemologies to bear on how peace is constituted so as to rearticulate the concept both in theory and praxis. In doing so, it addresses an unexamined gap in peacebuilding efforts to achieve gender justice and inclusive security in conflict-affected societies, namely the unique experiences of LGBTQ (lesbian, gay, bisexual, trans and queer) individuals and their collective efforts to achieve social justice in these contexts. The authors approach the topic of queer peacebuilding through three questions: What is queer peacebuilding?, Why is queer peacebuilding important? and What can queer peacebuilding contribute? While the impacts of queer peacebuilding in sites of contentious politics around the globe are visible, it remains an emergent and somewhat elusive concept, still under construction within peace and security scholarship and practice. By presenting a conceptualization of the notion of queer peacebuiling, the authors seek to further academic efforts to construct and analyze queer peace.Este artículo explora lo que aporta el concepto queer/cuir a la construcción de paz, exponiendo un marco de referencia y una introducción para un número temático sobre la construcción de paz queer/cuir. Se presenta una aproximación inicial a este tema, lo que significa centrar las perspectivas queer/cuir y trans de la paz, así como aportar epistemologías queer/cuir a la forma en que se constituye la paz para rearticular el concepto tanto en la teoría, como en la práctica. Con ello, se aborda un vacío en los esfuerzos de construcción de la paz que buscan alcanzar justicia de género y seguridad inclusiva en sociedades afectadas por conflictos, es decir, se examinan las experiencias únicas de las personas LGBTQ (lesbianas, gays, bisexuales, trans y queer) y sus esfuerzos colectivos en pos de lograr la justicia social en esos contextos. Los autores abordan el tema de la construcción de la paz queer/cuir a través de tres preguntas: ¿qué es la construcción de la paz queer/cuir?, ¿por qué es importante la construcción de la paz queer/cuir? y ¿en qué puede contribuir la construcción de la paz queer/cuir?. Aunque los impactos de la consolidación de la paz queer/cuir en los lugares de conflicto político de todo el mundo son visibles, este sigue siendo un concepto emergente y un tanto esquivo, que todavía se está construyendo dentro de los estudios y las prácticas de paz y seguridad. Al presentar una conceptualización de la noción de construcción de la paz queer/cuir, los autores pretenden impulsar los esfuerzos académicos para construirla y analizarla.Neste artigo, é explorado o que o conceito queer/cuir contribui para a construção da paz, apresentando um referencial e uma introdução para um número temático sobre a construção da paz queer/cuir. É apresentada uma abordagem inicial do tema, o que significa centralizar as perspectivas queer/cuir e trans da paz, bem como trazer epistemologias queer/cuir para a forma em que a paz é constituída a fim de rearticular o conceito tanto na teoria quanto na prática. Com isso, é abordada uma lacuna nos esforços de construção da paz que buscam atingir justiça de gênero e segurança inclusiva em sociedades afetadas por conflitos; nesse sentido, são examinadas as experiências únicas das pessoas LGBTQ (lésbicas, gays, bissexuais, trans e queer) e seus esforços coletivos em prol de atingir a justiça social nesses contextos. Os autores abordam o tema da construção da paz queer/cuir por meio de três perguntas: o que é a construção da paz queer/cuir? Por que a construção da paz queer/cuir é importante? E para que a construção da paz queer/cuir pode contribuir? Embora os impactos da consolidação da paz queer/cuir nos lugares de conflito político de todo o mundo sejam visíveis, esse conceito continua sendo emergente e um tanto esquivo, que ainda está sendo construído dentro dos estudos e práticas de paz e segurança. Ao apresentar uma conceituação da noção de construção da paz queer/cuir, os autores pretendem fomentar os esforços acadêmicos para construí-la e analisá-la

Comentarios al dossier de la edición número 39 de la revista ÍCONOS, Revista de Ciencias Sociales FLACSO- Ecuador, Enero de 2011 ¿Cómo se piensa lo “queer” en América Latina? [reseña]

El debate en torno a la noción de género y a sus relaciones con el sexo y la sexualidad, promovido por activistas y universitarios bajo el nombre de teoría queer empezó a circular en América Latina desde hace aproximadamente quince años Esta tendencia, inspirada en algunos desarrollos postmodernos y postestructuralistas discutió las categorías de oposición binaria, hombres/mujeres, homosexuales/heterosexuales y sostuvo que el discurso sobre la identidad de género era inherente a las ficciones reguladoras de la heterosexualidad, y de las mujeres y los hombres como realidades coherentes y en el último caso, antagónicas (Butler, 2001 y 2002). Por esta razón, se dio por tarea cuestionar categorías analíticas como sexo y naturaleza que conducen a la univocidad. La coordinadora y los coordinadores de este dossier, Maria Amelia Viteri, José Fernando Serrano y Salvador Vidal-Ortiz identifican lo queer con las “teorías y prácticas políticas de contestación y resistencia a las políticas de identidad” (Viteri, Serrano y Vidal-Ortiz, 2011, p. 47), en particular a las que reivindican el ‘orgullo gay’, desde una perspectiva que aborda los debates sobre sexualidades y género, en sus interacciones con la raza, la etnicidad y la clase, como categorías historizadas. Esta propuesta se hace teniendo en cuenta la pregunta sobre cómo se piensa lo queer en América Latina que supone a su vez explicitar a su vez cómo se piensa a “América Latina”. Podría plantearse como respuesta que los artículos reunidos en este dossier no sólo conciben a “América Latina” como un lugar en el mapa, cuyos contornos están ligados a la empresa colonial ibérica, sino también como una consecuencia y un producto de la geopolítica del conocimiento fabricada e impuesta por la “modernidad”, y como un subcontinente que simboliza la diferencia, en contraste con el ideal representado por la cultura y la composición racial europea. Saber cómo se piensa lo queer en América Latina implica además abordar el tema de la circulación de este debate teórico en un contexto geopolítico, social y cultural muy distinto a los de su surgimiento

Qué necesitan los estudiantes de Periodismo para su inserción laboral. Análisis de la demanda del mercado laboral de las empresas de comunicación.

PIMCD nº 176, realizado por el grupo Research and Learning of Media and Communications Management. Investigación y Enseñanza de la Gestión de los Medios y la Comunicación (MediaCom UCM) www.ccinf.es/mediacom/Primera fase de trabajo para fijar descriptores que identifiquen comportamientos formativos de entrada en el mercado laboral. En esta fase se han encontrado 442 oferentes de contratos en prácticas para estudiantes de Periodismo. Los datos obtenidos se articulan de acuerdo a dos subsecciones: sectores empresariales y empresas; a su vez, cada subsector, atendiendo al índice de recepción de alumnos y la descripción cualitativa de los puestos.Depto. de Periodismo y Comunicación GlobalFac. de Ciencias de la InformaciónFALSEsubmitte

Cuerpo, diferencias y desigualdades

Cuando se evidencian el deterioro, las averías y la deficiencias de los cuerpos; cuando se considera que la obviedad del cuerpo sexuado es insuficiente para definir y entender un itinerario de vida con sus posibilidades, límites y opciones

Temas Socio-Jurídicos. Volumen 20 No. 42 Junio 2002

Arribamos a la edición número 42 de la revista Temas Socio- Jurídicos tras veinte años de persistente presencia en el medio académico del país, y de haber obtenido nuevamente la homologación como publicación científica por parte del comité de Colciencias. Al cierre de la edición registramos el deceso de tres juristas vinculados a los orígenes de nuestra facultad de derecho, los doctores Carlos Alberto Zuluaga Soto, Hernán Prada Niño y Alvaro Rey Ramírez, así como del humanista Jorge Enrique Valderrama en cuya memoria dedicamos este esfuerzo de la comunidad académica.We arrive at the 42nd edition of the Socio-Legal Issues magazine after twenty years of persistent presence in the media of the country, and having again obtained approval as a scientific publication by the committee of Colciencias. At the close of the edition we recorded the death of three jurists linked to the origins of our law school, doctors Carlos Alberto Zuluaga Soto, Hernán Prada Niño and Álvaro Rey Ramírez, as well as the humanist Jorge Enrique Valderrama in whose memory we dedicate this effort of the academic community

Effects of intubation timing in patients with COVID-19 throughout the four waves of the pandemic : a matched analysis

The primary aim of our study was to investigate the association between intubation timing and hospital mortality in critically ill patients with COVID-19-associated respiratory failure. We also analysed both the impact of such timing throughout the first four pandemic waves and the influence of prior non-invasive respiratory support on outcomes. This is a secondary analysis of a multicentre, observational and prospective cohort study that included all consecutive patients undergoing invasive mechanical ventilation due to COVID-19 from across 58 Spanish intensive care units (ICU) participating in the CIBERESUCICOVID project. The study period was between 29 February 2020 and 31 August 2021. Early intubation was defined as that occurring within the first 24 h of intensive care unit (ICU) admission. Propensity score (PS) matching was used to achieve balance across baseline variables between the early intubation cohort and those patients who were intubated after the first 24 h of ICU admission. Differences in outcomes between early and delayed intubation were also assessed. We performed sensitivity analyses to consider a different timepoint (48 h from ICU admission) for early and delayed intubation. Of the 2725 patients who received invasive mechanical ventilation, a total of 614 matched patients were included in the analysis (307 for each group). In the unmatched population, there were no differences in mortality between the early and delayed groups. After PS matching, patients with delayed intubation presented higher hospital mortality (27.3% versus 37.1%, p =0.01), ICU mortality (25.7% versus 36.1%, p=0.007) and 90-day mortality (30.9% versus 40.2%, p=0.02) when compared to the early intubation group. Very similar findings were observed when we used a 48-hour timepoint for early or delayed intubation. The use of early intubation decreased after the first wave of the pandemic (72%, 49%, 46% and 45% in the first, second, third and fourth wave, respectively; first versus second, third and fourth waves p<0.001). In both the main and sensitivity analyses, hospital mortality was lower in patients receiving high-flow nasal cannula (n=294) who were intubated earlier. The subgroup of patients undergoing NIV (n=214) before intubation showed higher mortality when delayed intubation was set as that occurring after 48 h from ICU admission, but not when after 24 h. In patients with COVID-19 requiring invasive mechanical ventilation, delayed intubation was associated with a higher risk of hospital mortality. The use of early intubation significantly decreased throughout the course of the pandemic. Benefits of such an approach occurred more notably in patients who had received high-flow nasal cannul

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation