Go Zika Go: A Feasibility Protocol of a Modified Ride-on Car Intervention for Children with Congenital Zika Syndrome in Brazil.

Children with congenital Zika syndrome (CZS) present severe motor disability and can benefit from early powered mobility. The Go Zika Go project uses modified ride-on toy cars, which may advance the body functions, activities, and participation of children. This paper describes the study protocol aiming to assess the feasibility of a modified ride-on car intervention for children with CZS in Brazil. A mixed-methods design with a multiple 1-week baseline, 3-month intervention, and 1-month follow-up will be implemented. Modified ride-on car training sessions will be conducted three times a week at the participants' home or in the clinic. The primary outcome will be a narrative description of study feasibility (photovoice method, focus groups, parent feasibility questionnaire and assessment of learning powered mobility). Secondary outcomes will be switch activation, driving sessions journal, social-cognitive interactions, mobility (pediatric evaluation of disability inventory computer adaptive test), goal attainment scaling (GAS), and participation (young children's participation and environment measure). Go Zika Go is expected to be viable and to improve function, activity, and participation of children with CZS, providing a low-cost, evidence-based rehabilitation option that will be relevant to early child development in a global perspective.

Empirically testing some factors affecting HMS usage.

Purpose - Without use the expected benefits from healthcare management systems (HMS) cannot be derived. Thus, while use alone may not guarantee success, one can safely assume that the more use the better. HMS has been instrumental in facilitating care providers' work. However, many hospitals have encountered usage problems and some user-related factors have been recognized in the literature as potentially important to make HMS more successful. The purpose of this paper is to test the importance of the factors proposed in the literature as important determinants of HMS usage measured by the number of hours used and the frequency of use. Design/methodology/approach - Several user-related variables such as user participation, user expertise, and user training previously studied separately by different authors are brought together into an integrated model to be tested empirically. Data from 213 nurses using their hospital HMS have been used to test proposed relationships between the independent variables and HMS usage results. Findings - The results confirm the importance of these factors and provide the basis for managerial recommendations. Hospital managers can use the resources validated by this study to improve their own operations and improve the likelihood of success implementing HMS. Future research projects may identify other possible factors important for HMS implementation success to improve the model proposed here. Originality/value - HMS is a very widely used and an important system for hospitals, but has been neglected in research. This is one of the first rigorous studies of HMS, and the results provide new practical insights for hospital administrators.

Atividades socialmente empreendedoras na enfermagem: contribuições à saúde/viver saudável / Socially entrepreneurial activities in nursing: contributions to health/healthy living / Actividades socialmente emprendedoras en enfermería: contribuciones a la salud/la vida saludable

Objetivo: Conhecer as contribuições de atividades socialmente empreendedoras da enfermagem à saúde de mulheres de uma Associação de Materiais Recicláveis. Métodos: Pesquisa exploratória, descritiva, de abordagem qualitativa, realizada entre julho e dezembro/2014 com 12 mulheres de uma Associação de Materiais Recicláveis, do Rio Grande do Sul. Os dados coletados antes e após as atividades, por meio de entrevista semiestruturada e observação participante, foram submetidos à análise de conteúdo. Resultados: Identificaram-se as categorias: da invisibilidade à necessidade de estímulo à saúde e viver saudável - processo dinâmico e complexo de superações diárias; da ausência de estímulo à saúde e viver saudável - o desejo de sentir-se cuidada; contribuições das atividades no estímulo do viver saudável - o significado de "sentir-se gente". Conclusão: as atividades desenvolvidas por meio do empreendedorismo social com as mulheres mostraram-se potencializadoras de autoestima, saúde/viver saudável na realidade investigada.

Objective: To know the contributions of socially entrepreneurial activities in Nursing to women participating in an Association of Recyclable Materials.Methods:An exploratory and descriptive study with a qualitative approach was conducted between July and December 2014, including 12 women participating in an Association of Recyclable Materials, in Rio Grande do Sul state, Southern Brazil. Data were collected before and after the activities, through semi-structured interviews and participant observations, and submitted to content analysis.Results:The following categories were identified: From invisibility to the need of health and healthy living - a dynamic and complex process of daily overcoming; From the lack of encouragement to health and healthy living - the desire to feel cared of; Contributions of activities to the promotion of healthy living - the meaning of 'feeling like a person'.Conclusion:The activities developed through social entrepreneurship with women enhanced their self-esteem and health/healthy living in the context analyzed.

Objetivos: Conocer las contribuciones de las actividades socialmente emprendedoras de enfermería a la salud de mujeres de una Asociación de Materiales Reciclables en Rio Grande do Sul.Métodos:Investigación exploratoria, descriptiva, cualitativa, realizada entre julio y diciembre de 2014 con 12 mujeres. Los datos recolectados antes y después de las actividades a través de entrevistas semi-estructuradas y observación participante fueron sometidos al análisis de contenido.Resultados:Se identificaron las categorías: De la invisibilidad a la necesidad de estímulo a la salud y la vida saludable - proceso dinámico y complejo de superaciones diarias; De la ausencia del estímulo a la salud y la vida sana - el deseo de sentirse cuidada; Contribuciones de las actividades en la estimulación de la vida sana - el significado de "sentir gente".Conclusión:Las actividades desarrolladas a través del emprendimiento social con las mujeres demostraron potenciar la autoestima, la salud/vida saludable en la realidad investigada.

Oportunidades na legislação brasileira para sistemas de gestão compartilhada da pesca costeira / Opportunities for fisheries co-management in coastal systems within Brazilian legislation

Co-management initiatives involving different stakeholders from government agencies to local users of common-pool resources, has improved small-scale fisheries systems in different world regions. The incorporation of the local perspectives in formal regulations demands a legal institutional apparatus. In this study, we conducted a contextual search in electronic portals of government agencies of Brazil for legislation that directly or indirectly influence coastal fisheries management. We then analyzed in which ones there were opportunities for participation of local users in decision-making processes of fisheries management using content analysis method. We found 175 legal documents at the federal level, promulgated between 1934 and 2012, of different normative natures. Of these, seven institutional arrangements provide some opportunity for artisanal fisheries co-management. However, the participation of users in these arrangements is mainly through its representations of class, which in some cases leads to issues of legitimacy of representatives Fisheries Agreement is the arrangement that allows greater users autonomy in decision-making and represents the instrument with the greatest opportunity for fisheries co-management.

A gestão compartilhada entre poder público e usuários locais dos recursos naturais de uso comum tem se mostrado uma medida promissora na gestão da pesca artesanal em diferentes sistemas de pescarias no mundo. No entanto, a incorporação da perspectiva local nas tomadas de decisão sobre uso e acesso aos recursos pesqueiros pressupõe estrutura institucional que a respalde legalmente. Neste estudo, realizou-se uma busca contextual em portais eletrônicos governamentais por diplomas legais que influenciam direta ou indiretamente a gestão da pesca costeira. Na seleção de documentos, analisou-se onde há oportunidades para a participação dos usuários locais nas tomadas de decisão sobre a pesca, por meio de análise de conteúdo. Foram encontrados 175 diplomas legais no âmbito federal, promulgados entre 1934 e 2012, de diferentes naturezas normativas. Destes, há sete arranjos institucionais que oferecem alguma oportunidade para a gestão compartilhada. No entanto, a participação dos usuários nestes arranjos se dá principalmente por meio de suas representações de classe, o que muitas vezes pode levar a questões de legitimidade das representações. Os Acordos de Pesca são os arranjos que permitem maior autonomia dos usuários nas tomadas de decisão e representa o instrumento com maior oportunidade para a gestão compartilhada da pesca.

Oportunidades na legislação brasileira para sistemas de gestão compartilhada da pesca costeira / Opportunities for fisheries co-management in coastal systems within Brazilian legislation

Co-management initiatives involving different stakeholders from government agencies to local users of common-pool resources, has improved small-scale fisheries systems in different world regions. The incorporation of the local perspectives in formal regulations demands a legal institutional apparatus. In this study, we conducted a contextual search in electronic portals of government agencies of Brazil for legislation that directly or indirectly influence coastal fisheries management. We then analyzed in which ones there were opportunities for participation of local users in decision-making processes of fisheries management using content analysis method. We found 175 legal documents at the federal level, promulgated between 1934 and 2012, of different normative natures. Of these, seven institutional arrangements provide some opportunity for artisanal fisheries co-management. However, the participation of users in these arrangements is mainly through its representations of class, which in some cases leads to issues of legitimacy of representatives Fisheries Agreement is the arrangement that allows greater users autonomy in decision-making and represents the instrument with the greatest opportunity for fisheries co-management.(AU)

A gestão compartilhada entre poder público e usuários locais dos recursos naturais de uso comum tem se mostrado uma medida promissora na gestão da pesca artesanal em diferentes sistemas de pescarias no mundo. No entanto, a incorporação da perspectiva local nas tomadas de decisão sobre uso e acesso aos recursos pesqueiros pressupõe estrutura institucional que a respalde legalmente. Neste estudo, realizou-se uma busca contextual em portais eletrônicos governamentais por diplomas legais que influenciam direta ou indiretamente a gestão da pesca costeira. Na seleção de documentos, analisou-se onde há oportunidades para a participação dos usuários locais nas tomadas de decisão sobre a pesca, por meio de análise de conteúdo. Foram encontrados 175 diplomas legais no âmbito federal, promulgados entre 1934 e 2012, de diferentes naturezas normativas. Destes, há sete arranjos institucionais que oferecem alguma oportunidade para a gestão compartilhada. No entanto, a participação dos usuários nestes arranjos se dá principalmente por meio de suas representações de classe, o que muitas vezes pode levar a questões de legitimidade das representações. Os Acordos de Pesca são os arranjos que permitem maior autonomia dos usuários nas tomadas de decisão e representa o instrumento com maior oportunidade para a gestão compartilhada da pesca.(AU)