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Search Results: 1 - 10 of 19233 matches for " Cristina GAVRILOVICI "
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The Integration of Health Services. Health networks
Social Research Reports , 2013,
Abstract: This paper is based on a systematic and comprehensive review of the literature on the subject of systems’ integration, trying to provide the most relevant definitions for the understanding of the concept of integration, processes and measures that can be used as instruments of planning, application and evaluation of the integration strategies that can be easily used by politics. Seen as a natural development of the society, not as a trend imposed by policymakers, integration is achieved in particular through an institutional and spatial dynamics, which usually results in network type configurations. The paper also presents an explanation related to the field of health. The first part represents a contextualization of the integration as phenomenon, followed by conceptual clarifications, and in the last part some coordinates of the mechanism of configuration of the networks in medical care systems are presented. From methodological standpoint this article resulted from the search, selection, evaluation and summaries of some papers focused on the economy and health policy systems in the field of health.
Ethical Issues in Financing Health Care in Romania
Sorin Gabriel ANTON,Cristina GAVRILOVICI,Liviu OPREA
Social Research Reports , 2013,
Abstract: The allocation of financial resources in accordance with population health care needs represents a complex task, with practical and ethical dilemmas. The decisions regarding resource allocation are made at macro, mezzo and micro levels. Legislative authorities and government decide how to allocate limited resources based on cost effectiveness criteria. Managing directors of hospitals and research institutes take mezzo decisions, while doctors and researchers in healthcare area are responsible to make micro decisions. The aim of this paper is to assess the use of equity criteria for resource allocation in Romanian public hospitals. We found that resource allocation within the Romanian health system increases the inequalities among individuals and groups.
Looking at the International Medical Recruitment Code from the Perspective of Rawlsian Theory of Justice
Social Research Reports , 2013,
Abstract: The international recruitment of health personnel appears to be lately an usual practice for some countries to cover their needs in health care. That is possible due to income differences between countries that motivate physicians to migrate. Now this is an unavoidable fact, but the resulting ethical problems cannot be ignored, like the unbalance in the developing countries healthcare systems by losing physicians. The whole practice became morally questionable with international ongoing efforts to solve it one as the recruitments codes. We will to discuss the WHO Global Code of Practice on the International Recruitment of Health Personnel from an original perspective inspired from Rawls theory of justice. The rawlsian principles we will focus on are: a. the veil of ignorance, b. the maximin strategy. With this, we offer a better look inside the code and the practice it tries to regulate.
Regional Analysis of Inequalities in Romanian Healthcare System
Social Research Reports , 2013,
Abstract: This paper aims to analyse several inequalities in the Romanian healthcare system at regional level and to highlight the resemblances and the differences, taking into account the socio-economic development, the population health status and the material and human resources allocated to healthcare, in different Romanian regions. We use secondary data registered at NUTS 2 level for eight Romanian regions collected from Eurostat (2009 – 2010). The results show large discrepancies between Romanian regions in most of analysed variables. Bucharest, North-West and West regions are characterized by a higher level of resources allocated to healthcare, a higher level of education and a lower poverty rate, unlike North-East, South-West and South regions, which display the opposite situation.
Therapist as Reader, Client as Author: A New Model - A Therapeutic Relationship
Ana Voichita TEBEANU,Ovidiu GAVRILOVICI,George Florian MACARIE
Social Research Reports , 2013,
Abstract: Chronic suffering plays an important role in the current concerns of health professionals. The recent narrative medicine trend indicates the relevance of a new rapport between providers of services and the persons and the families involved. We investigate a possible analogy between models of relationship, as described by fictional texts analyzed by Umberto Eco in his "Six Walks in the Fictional Woods", and stories developed by the narrative therapist and the person whose story is in the center. The analogy applies to the relationship therapist-person in narrative therapy and the relationship author - reader in a fictional text. We indicate a metaphoric presentation of this relationship, as it is depicted in the science fiction novel “Roadside Picnic” by brothers Arkady and Boris Strugatski. The resulting thematic categories are: speed and completeness of the unfolding story, examples of metaphors in the story: the guide and the means of transportation, the audience of the story, the relationship between outside (packaging) and inside (core) of the story, the search for a particular meaning for each listener/reader, the usage of story, the story final destination, etc. The analogy underlines aspects of the narrative competence required for the mental health professional or caretaker, so that he or she can create a space of story enrichment and meaning-making in cooperation with the patient.
V. Gavrilovici,F. Grecu,A. L?pu?neanu,D. Ferariu
Jurnalul de Chirurgie , 2011,
Abstract: The surgical approach to hilar cholangiocarcinoma has changed during last decades from local and non-radical resection to aggressive surgery, including extended liver resections, with low morbidity and mortality rate and better survival. We present the case of a patient with hilar cholangiocarcinoma (classified type IIIb Bismuth-Corlette) treated by left hepatectomy and segment I resection, en bloc with extrahepatic bile duct and periarterial lymphadenectomy. Patient received postoperatively partial adjuvant treatment and is alive three years later.
Family, Poverty and Inequalities in Latin America and the Caribbean  [PDF]
Cristina Gomes
Sociology Mind (SM) , 2013, DOI: 10.4236/sm.2013.31005

This article adopts the concept of development as freedom and the relationship between income and capabilities to analyze and compare macroeconomic, demographic and poverty trends and inequalities in Latin American and the Caribbean countries, and the responses from governments to promote the inclusion of the poorest and marginalized population groups in development and policies. Differences in population structures indicate that poverty and gender, generational and race inequalities fragment societies. Policies oriented to reduce poverty have been implemented with a set of combined programs such as cash transfers articulated with actions in nutrition, health, education, day-care programs for poor children, civil registration and other programs to promote poverty reduction and the conciliation of domestic and work life for poor women and social protection. Some good practices are discussed, particularly in Brazil and Mexico. During the last 15 years, the Conditioned Cash Transfers programs raised public support and political consensus, guaranteeing continuity in their implementation, development and integration with other social protection programs. Currently there are 18 countries implementing such programs, covering approximately 25 million households and over 133 million people, representing 19% of the Latin American and Caribbean. Policies to reduce poverty, in combination with income distribution and social protection in nutrition, health, education, civil registration and day-care for children, have contributed to human development, and also promoted internal market of consumers, even in rural areas, mobilizing local economies and promoting the return of investments to development. Despite the economic crisis in 2008-2009, Latin America had a relatively good performance in the world economy, demonstrating that social and economic

Family and women decide child nutrition—The role of human development, capabilities and lifestyles  [PDF]
Cristina Gomes
Health (Health) , 2013, DOI: 10.4236/health.2013.57153

In this article, capacities and freedom approach, as well as lifestyles are explored taking into account child nutrition, and other relevant dimensions of human life more than just economic and other elementary resources, and also social, cultural, psychological, values and freedom dimensions. Nourishment, health and survival are considered some of the elementary capabilities, and the concept of malnutrition, including under and over-nutrition, is discussed, based upon the comparison of data on food production and distribution from the macro level context, as well as from the family and individual levels included anthropometrical measurements. The advantages and limits of different kinds of measurements are discussed, suggesting more complex approaches, based also upon family and gender equality. The double burden of malnutrition, under and over-nourishment of children is highlighted as a public health issue to be resolved by adequate policies and considering the role of female empowerment, nutrition-knowledge and education as relevant keys to achieve equality in family food and resource distribution, healthy lifestyles and human development.

Education, Work and Reproductive Health among Adolescents in Latin America and the Caribbean  [PDF]
Cristina Gomes
Advances in Applied Sociology (AASoci) , 2013, DOI: 10.4236/aasoci.2013.32019

Investments in education, work, and the sexual and reproductive health of adolescents and youth contribute to their human development and autonomy, and guarantee that they will have their own resources and pensions for old age. In Latin America and the Caribbean 100 million adolescents aged 10 to 19 years demand schools and teachers in secondary education, employment and health services. This work describes and analyses the situation of adolescents and youths in these three areas of interest, as a basis for defining priorities and the integration of policies oriented to take advantage of the demographic bonus and to enhance the sustainability of future dignified ageing for youth generations. Since Latin America and the Caribbean is the region with the highest inequality rates in the world, investing in demographic dividend can also contribute to decreasing inequalities in the long term. Secondary data from censuses, surveys and international organizations are analysed to relate to the three relevant issues of interest. Most than half of teens in Central America, and between 20% and 40% of adolescents in South America leave school before completing secondary level education and most of them receive poor quality education, 20% of them do not study or work and some are trapped in a triad of problems: the secondary school dropout, unemployment, informal and unprotected work and adolescent pregnancy. Despite the decline in adolescent fertility rates, they continue to be up to seven times higher among the less educated. Unemployment rates are three times higher for young people than for adults, half of them work in informal and low skilled jobs. The relationship between health, education, employment, poverty and inequalities demonstrates the need to strengthen and integrate policies of inclusion at school and at work, as well as special protection and social security for adolescents and youth.

From Prototype and Skopos Theories to Corpus-Based and Audiovisual Approaches in Children’s Literature Translation  [PDF]
Cristina Chifane
Open Journal of Social Sciences (JSS) , 2015, DOI: 10.4236/jss.2015.38011
Abstract: For a long time an unexploited field of scientific research, Children’s Literature Translation Studies deserve a thorough examination primarily due to the current world-wide publishing boom of children’s texts. The dominance of the literary productions of the Anglo-American environment determines the overwhelming number of translations in different cultures and languages. Most translation theories which have been traditionally analyzed and applied to what is generally assumed to be adult literature should be revisited and reconsidered in the case of children’s books with the aim of helping translators and ensuring the efficiency of the translation process. From this perspective, the present article focuses upon the influence of the prototype theory upon children’s literature translation strategies, the importance of the double addressee in the skopos theory, the advantages of the corpus-based approach and the adaptation to the changing landscapes of children’s texts intermediated by the audiovisual approach. Since contemporary translators of children’s literary texts are facing the imperative of tight deadlines, they need to be clearly aware of their translation commission trying to fulfill the expectations of the potential target readers. The aforementioned theories and approaches pave the way to new discoveries with respect to the challenge of translating children’s texts which share both similarities and differences with adult literature.
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