RESUMO
Access to justice is a fundamental principal of the rule of law. With this in mind, this research aims to analyze the mechanisms and barriers that women from rural areas in the province of Chimborazo, Ecuador, face when seeking justice. This investigation adopted a qualitative method approach, and was comprised of exploratory fieldwork as well as descriptive documentary analysis. The findings indicate that in this province, rural women's access to justice is facilitated through various government institutions and university legal clinics. These entities collaborate to spread awareness and offer direct legal assistance. However, despite these efforts, challenges persist, including the lack of specific data on the affected women's localities and the need for broader dissemination of available legal pathways. The study concludes that addressing these shortcomings is essential to further bolster the province's legal infrastructure and better address the intricate needs of its female population, particularly those from rural backgrounds.
RESUMO
INTRODUCTION: The world is living through an outbreak of an acute respiratory syndrome caused by a new betacoronavirus known as coronavirus 2 (SARS CoV-2), which has been declared an international public health emergency by the World Health Organisation. Cancer patients are a very special population in this setting since they are more susceptible to viral infections than the general population. Several recommendations have been made on this issue, most of them based on expert opinion and institutional experience. It is essential to gather the evidence available for decision making. OBJECTIVE: To review the evidence available in order to create a multi-institutional position from the perspective of scientific societies in Argentina involved in the management of cancer patients. METHODOLOGY: The review included two phases: 1) search and systematic revision of the medical literature; 2) consensus and revision of the document drafted by national scientific societies involved in the management and care of cancer patients using the modified Delphi method. The final results were presented at a videoconference with all the participants. Also, additional comment and recommendations were discussed. The final document was revised and approved for publication by the members of the panel. RESULTS: The consensus panel included 18 representatives from scientific societies from Argentina who assessed the evidence and then made recommendations for the management of cancer patients in our country. International guidelines (CDC; ASCO, NCCN and ESMO) were considered as a background for analysis, as well as institutional guidelines and an open ad hoc survey administered to 114 healthcare professionals from the scientific societies involved in this study.The recommendations are grouped as follows: 1) general care interventions-training of the personnel, cleaning and disinfection of the hospital premises and patient scheduling; 2) treatment decisions-patient care, surgeries, immunosuppressive therapy, radiotherapy and screening; 3) ethical considerations-optimisation of resources, end-of-life care for critically-ill patients; 4) management of hospitalised patients; and 5) wellbeing of the healthcare team.The general recommendation arising from the study is that the management of cancer patients must adapt to the exceptional pandemic status quo without disregarding treatment or cure options. Moreover, healthcare professional accompaniment of all patients should not be neglected. All healthcare professionals must make a significant joint effort to create multidisciplinary teams to discuss the most appropriate measures for each particular situation. CONCLUSIONS: The scientific evidence available on this topic worldwide is in progress. This together with the epidemiologically shifting scenario poses unprecedented challenges in the management of cancer amidst this global pandemic. Furthermore, the key role of the healthcare structural organisation appears evident, such as the drafting of clear guidelines for all the stakeholders, adaptability to constant change and an interdisciplinary shared vision through consensus to provide adequate care to our cancer patients in the light of uncertainty and fast-paced change.
RESUMO
De una encuesta sobre tabaquismo contestada por 364 (70%) de 520 alumnos de la 2¬ Cátedra de Patología de la Universidad Nacional de Córdoba resaltan los siguientes datos: El 23% de los alumnos fuman (29% de los varones y 17% de las mujeres). Esta generación de jóvenes fuma mucho menos que sus progenitores (70% de los padres y 25% de las madres fuman). A pesar de la buena información existente aún son expuestos al humo del cigarrillo niños y embarazadas en un porcentaje significativo. A los fumadores les resulta difícil dejar el hábito. La mayoría lo intentó infructuosamente. Al 80% de los alumnos les causa desagrado que se fume en ambientes cerrados. La mayoría de los estudiantes fumadores declara respetar el derecho de los no-fumadores. Pocas cátedras de nuestras materias básicas se ocupan del tema, y en varias, docentes fuman y/o permiten fumar quebrantando normas específicas de nuestra Facultad y Universidad, actitudes que desaprueba la mayoría de los alumnos y lo conceptúar, un mal ejemplo y un hecho contradictorio. Exhortamos a los fumadores a respetar los derechos de los no-fumadores y a cumplir las normas sobre tabaquismo de nuestra Facultad y de nuestra Universidad. La Resolución 103/89 pide a profesores, docentes y empleados administrativos, educar con el ejemplo. ¿No es ésta una de las maneras de demostrar nuestro amor por la Universidad (AU)
Assuntos
Estudo Comparativo , Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Nicotiana , Estudantes de Medicina , Família , Inquéritos e Questionários , Nicotiana/legislação & jurisprudênciaRESUMO
De una encuesta sobre tabaquismo contestada por 364 (70%) de 520 alumnos de la 2ª Cátedra de Patología de la Universidad Nacional de Córdoba resaltan los siguientes datos: El 23% de los alumnos fuman (29% de los varones y 17% de las mujeres). Esta generación de jóvenes fuma mucho menos que sus progenitores (70% de los padres y 25% de las madres fuman). A pesar de la buena información existente aún son expuestos al humo del cigarrillo niños y embarazadas en un porcentaje significativo. A los fumadores les resulta difícil dejar el hábito. La mayoría lo intentó infructuosamente. Al 80% de los alumnos les causa desagrado que se fume en ambientes cerrados. La mayoría de los estudiantes fumadores declara respetar el derecho de los no-fumadores. Pocas cátedras de nuestras materias básicas se ocupan del tema, y en varias, docentes fuman y/o permiten fumar quebrantando normas específicas de nuestra Facultad y Universidad, actitudes que desaprueba la mayoría de los alumnos y lo conceptúar, un mal ejemplo y un hecho contradictorio. Exhortamos a los fumadores a respetar los derechos de los no-fumadores y a cumplir las normas sobre tabaquismo de nuestra Facultad y de nuestra Universidad. La Resolución 103/89 pide a profesores, docentes y empleados administrativos, educar con el ejemplo. ¿No es ésta una de las maneras de demostrar nuestro amor por la Universidad
