scholarly journals A Transcrição de Exames na Consulta de Medicina Geral e Familiar: Perspetiva Ética Sobre o Caso do Pedido de Tomografia Computorizada Maxilofacial para Realização de Implantes Dentários

2019 ◽  
Vol 32 (6) ◽  
pp. 415
Author(s):  
Paulo Santos

In the Portuguese National Health Service, little attention has been paid to oral health care. The almost nonexistence of a dentistry network raises concern about accessibility to services, and justifies the need to call on a predominantly private provision of services. The coexistence between the public and private settings is not always easy, especially when services need to interact and actively collaborate in order to find answers to the patient’s problems. Dental implant procedures and the need to perform a previous maxillofacial computerized tomography to study the bone bed where osseointegrated dental implants are placed are a common situation. The current governmental regulation, blinded to the clinical context, may limit the accessibility to the tests. Based on this scenario, we discuss the possible options from an ethical point of view, framing the patient’s and the physician’s perspective and the relation between both.We conclude that the medical decision can’t be disregarded from the clinical evaluation, in the intimacy of the medical consultation. This is an ethical duty that overrules the administrative and bureaucratic constraints. A good management of this apparent dichotomy may enhance better health and greater empowerment for the patient.

2021 ◽  
Vol 27 (1) ◽  
pp. 5-20
Author(s):  
Jacek Stasiak

The existence of the public and private sectors in the modern economy is justified from the point of view of economic policy, especially with regard to its stabilising function (regulatory sphere) and allocative and redistributive function (real sphere).


2019 ◽  
Vol 11 (2) ◽  
pp. 314 ◽  
Author(s):  
Antonio Nesticò ◽  
Maria Rosaria Guarini ◽  
Pierluigi Morano ◽  
Francesco Sica

The second half of the 20th century was characterized by rapid growth of the urban population and lack of attention to environmental quality in the urbanizes territories. Thus, the development of many cities during that period took place through policies which, over time, resulted in a disaggregated landscape, both in morphological and functional terms. In some cases, these policies have caused the creation of land portions without a specific characterization, and the generation of urban voids that negatively affect the city’s development. To solve this problem, the public administration sectors of many countries are looking for new intervention strategies that are feasible from a social and economic point of view which are able to guarantee sustainable development. From this perspective, the execution of urban regeneration initiatives, including forestation, allows for the improvement of both environmental quality and citizens’ well-being, and promotes economic development. Considering the multiple effects that these initiatives can generate and the limited availability of public and private resources, it is appropriate to use multi-criteria decision support tools through which it is possible to evaluate the interventions’ complexity and best identify the city areas that lend themselves to be recovered and improved through the forestation. The aim of this work is to develop a support tool for public administrations aimed at identifying the optimal forestry projects’ location according to criteria that not only refer to financial type, but also their social, cultural, and environmental nature. Using Discrete Linear Programming algorithms, the model has been tested through a theoretical case study and reveals the advantages and limitations of the model, as well as future research prospects.


2019 ◽  
Vol 9 (1) ◽  
pp. 266
Author(s):  
Osama Khaled Alkhlaifat

The aim of this study has been to investigate and provide a deeper understanding of the motives of silence towards the participation in the work-related decisions, in both the public and private schools in the Jordanian capital (Amman). ‘100’ teachers were interviewed using the semi-structured interviews through the available communication means. The pre-set questions were directed to the sample of the study to identify both the situations related to the decisions and motives leading to silence and non-participation from the respondents' point of view. The motives were classified according to the factors to which they belong, as well as the situations were classified according to each stage of the decision-making process, where some specialists in the field of human resources management had been asked to help in accomplishing the classification. The results showed that the largest percentage of respondents faced at least one situation in which they chose to remain silent. Most of the situations mentioned were related to the first and last stage of decision-making process (identifying the problem and following up the decision). The results also showed that most of the motives were related to the organizational practices by the officials, where the total iteration is twice as the personal motives.


2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Arja Nurmi

Abstract This article discusses the multilingual practices identified in the public and private writings of Laurence Sterne, novelist and clergyman. The data used consists of Sterne’s two novels as well as a selection of his personal correspondence. Sterne uses a wide variety of languages in his texts, although the most common ones are French and Latin, the languages he seems to have been most fluent in. Sterne engages in some practices associated with translanguaging, particularly in terms of playful language use and mediation of foreign-language passages, but it is impossible to pinpoint any specific characteristics of translanguaging for certain. On the whole, it would seem that the analysis of Sterne’s multilingual practices does not benefit from the translanguaging point-of-view.


2013 ◽  
Vol 12 (4) ◽  
pp. 508-536 ◽  
Author(s):  
Lotta Lehti

The article shows that while public discourse is claimed to be undergoing a process of conversationalisation – i.e. adopting features of casual and informal communicative situations – this process does not apply to any great extent to French politicians’ blogs. The parameters investigated in a corpus of 80 politicians’ blog posts during September 2007 are private and informal topics, and conversation-like interaction. The main focus of the study is on the minority of blogs in the material which are in fact conversationalised. These blogs are examined from the point of view of persuasion, as devices in constructing a credible image of the author. The results show that while these few conversationalised blogs construct an image of the author as an ‘ordinary’ person close to the public, the majority of the blogs create an authorial image as a remote political expert. The extent to which the construction of a lay image is successful, however, is questioned in the analysis.


2013 ◽  
Vol 131 (4) ◽  
pp. 257-263 ◽  
Author(s):  
Diego Costa Astur ◽  
Rodrigo Ferreira Batista ◽  
Gustavo Goncalves Arliani ◽  
Moises Cohen

CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.


Author(s):  
Oliver Bohl ◽  
Ruth Schaefer ◽  
Udo Winand

The provision of services and the production of wares and services nowadays often require the cooperation of partners from different sectors. These cooperations can comprise public and private organizations, companies, universities, NGOs, and other groupings as well as individuals. The cooperative collaboration is esteemed as a core element of democratic social systems within a free market economy (Kirsch, 1996; Pongsiri, 2001). As one relevant method of organizing such collaborations, public private networks (PPN) extend the concept of public private partnerships (PPP) by adding the idea of networking and its core elements. From a scientific point of view as well as from the business perspective there is a shortcoming in the systematic processing of ideas, motivations, and forms as well as implications for internal and external participants of PPPs/PPNs. In the following, partnerships between partners from public and private business environments will be discussed. (Pongsiri, 2001) In particular, PPPs and PPNs in the field of academic education will be portrayed, since the cooperation in knowledge intensive areas is seen as an important issue. (Inkpen, 1996; Seufert, von Krogh, & Back, 1999) In the following the concepts of PPPs and PPNs will be explained. This will be done by an extensive literature review. The aim is to provide the required definitions and to discuss the incorporated views of others.


Transilvania ◽  
2021 ◽  
pp. 60-64
Author(s):  
Célia Vieira ◽  
Inês Guerra Santos

In this article, it is intended to reflect about the concept of celebrity, mainly in the end of the XIX century, departing from Émile Zola. In this context, the main goals are both the understanding of the construction of the concept “celebrity”, and how and if it may fit to a literary figure as Zola as a public person, based on the analysis of a specific medium, the letter, as a means of communication situated between the public and private spheres. We propose to analyse a corpus of letters, available on the Eman platform, sent from the Ibero-American area to Zola at the end of the 19th century. This corpus does not constitute a uniform object of analysis, given the diversity of letter writers who take the liberty of writing to Zola during this period when the novelist and his work are already well known and had been the target of numerous polemics on art and literature in the decade preceding the writing of these texts. From a theoretical point of view, we place ourselves in the perspective of studies concerning the history and culture of celebrity, as well as studies concerning comparative literature. In the light of these achievements, we will seek to study this corpus as an expression of an audience that reflects the image of Zola as a public figure and, at the same time, achieves a literary and cultural self-reflection. The methodologies used will be a qualitative analysis applied to the content of the letters, in order to show that, although correspondence have traditionally been allocated a secondary status, in fact the correspondence method, as a primary data-gathering technique, may present unique advantages circumventing the embarrassment that participants may face otherwise.


2014 ◽  
Vol 38 (2) ◽  
pp. 192-210 ◽  
Author(s):  
M. Obaidul Hamid ◽  
Richard B. Baldauf

While macro-level language policy and planning (LPP) that is done mainly by governments still dominates thinking in the field, limitations of this focus have been demonstrated by recent broader and more focused conceptualizations of LPP. For instance, global LPP, particularly for languages of wider communication such as English, has received considerable attention. Similarly, studies of meso- and micro-level planning has shown that many LPP decisions have to be taken at sub-national institutional, communal and familial levels, particularly in contexts where macro-level policies do not exist, where non-interventionist policies of benign neglect are deemed appropriate from a political point of view, or where a problem is too small to attract national attention. These recent developments have led to additions to the macro-level LPP framework, providing more appropriate and contextually relevant tools to understand LPP efforts carried out by LPP “actors” both within and beyond individual polities. However, this diversification of LPP frames and contexts can also be seen as going through a process of simultaneous unification and taking a macro-like character, as illustrated by the distinctions being drawn between the public and the private sector LPP. Taking Bangladesh as a case and drawing on LPP issues pertaining to public and private universities as well as pre-tertiary educational institutions with a particular focus on medium of instruction and the private tutoring industry, we argue for the relevance of this macro-like distinction for a better understanding of complex LPP issues in the country. We maintain that the public-private domain distinction may complement existing variables by adding a dimension that is increasingly becoming important in a globalized world dominated by neoliberalism.


Author(s):  
Marcelo Zaro ◽  
Rejane Margarete Schaefer Kalsing ◽  
Heloísa Theodoro

Resumo: O desperdício de alimentos apresenta diversos aspectos negativos do ponto de vista ambiental, econômico, social e ético. O objetivo desse trabalho foi coletar informações com famílias de um bairro de Caxias do Sul/RS com relação ao consumo e descarte de resíduos alimentares, através de questionários. Os resultados indicaram que 42,1% dos respondentes percebem o desperdício de alimentos em casa, e 36,8% compram além do planejado na rotina de compras. Sobre o destino dos resíduos alimentares, destaca-se o reaproveitamento em outras refeições e a destinação à coleta pública. Constata-se uma limitação de informações sobre o tema que, entre diversas razões, também é resultado da pouca atenção dada ao assunto até então, e uma carência em termos de programas de sensibilização. Por fim, são sugeridas ações de educação ambiental sobre o assunto, que ainda são escassas no Brasil, assim como o incentivo à compostagem nos domicílios.Palavras-chave: Desperdício de alimentos. Educação ambiental. Consumo. Resíduos Sólidos. Gestão.  CONSUMPTION AND DISPOSAL OF FOOD WASTE IN A COMMUNITY OF CAXIAS DO SUL/RS Abstract: The food wastage presents several negatives aspects with regard to the environmental, economic, social and ethical point of view. The aim of this work was to gather information from families of a neighborhood from Caxias do Sul/RS about their food consumption and waste disposal, using questionnaires. The results indicated that 42.1% of the respondents notice food wastage at home and 36.8% buy more than planned during their shopping routines. Referring to the disposal of food waste, the reuse in other meals and the destination to the public collection system are common practices among the families. It was verified a lack of information about food wastage, which is a consequence of the little attention given to the issue so far, and a shortage in terms of awareness programs. The study suggests environmental education actions that are still scarce in Brazil, as well as incentives to the adoption of composting techniques in households.Keywords: Food wastage. Environmental education. Consumption. Solid waste. Management


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