Search

Introduction: Integration in health and care can improve quality and outcomes, but it is challenged by expansion of medical knowledge, social pressures on patient needs, and demands to deliver critical information. In Latin American and in other lower and middle-income countries integrated care remains in development. This paper examined the available literature on integrated care to understand how Latin American countries identify and measure integration, and what factors influence success. Methods: This integrative literature review included systematic searches in Global Health, PubMed, SciELO and BVSPsi databases for articles on integrated care in Spanish, Portuguese, and English in the period from January of 1999 to December 2020. The articles were screened for selection and assessed independently by five reviewers that used the inclusion criteria of papers about integration in health care systems. The sample excluded articles that did not deal with the integration of health care, which addressed issues related to public health campaigns, programs to control endemics and epidemics, reports on the experience of implementing health services, health promotion guidelines, food safety, oral health, and books evaluation. Results: 24 articles were included: qualitative (75%), quantitative (12,5%), and mixed-method research (4%) published between 2000 and 2017. All studies were undertaken in Brazil, and two of them were also conducted in Latin American countries. In 15 articles there was an interchangeable use between concepts of integration of services and integrated care, while nine studies did not define integration. Barriers to integration included absence of shared understanding of knowledge among members of interprofessional teams, lack of clarity on professional roles, missing consensus on a definition and measurement of integrated care, power struggles between professionals, poor institutional support, insufficient team preparation and training and unequal valuation of professions by society. Conclusion: Several types of integration and factors contributing to the success of implementation of integrated care in various contexts in Brazil were identified. The concept of integration reflected the varied local and regional realities including different health settings and levels of health and care, suggesting a need for further clarifications on its objective and components especially in LMIC contexts. [ABSTRACT FROM AUTHOR]

This paper aims to analyse the role of supreme courts of justice in some of the recent removals from office of progressive "pink tide" Latin American presidents and governments where so-called "new right" governments have taken power. It shows the composition of the supreme courts to be a decisive factor in removing these governments from power. The core hypothesis is that the judiciary may have served as a body for legitimating interruption and dismissal processes led by the legislature in contexts of institutional paralysis (or conflict with the executive branch). To demonstrate this, the case of Brazil is analysed and specifically the role played by the Federal Supreme Court (STF) in the dismissals of Luis Inácio Lula da Silva and Dilma Rousseff. [ABSTRACT FROM AUTHOR]

This article maps risk perception across the pharmaceutical supply chain (PSC) in Brazil. Our paper employs the method orders-of-magnitude analytic hierarchy process to rank risks as perceived by industry, distributors, hospitals and pharmacies. We show that players have a siloed perception of risk and impact of those risks. While upstream players emphasize cost, downstream players value service; moreover, both prioritize operational risks over strategic risks. We call for further studies in Latin America: although interest in risk is growing, few studies address the PSC and even fewer realities outside the Northern Hemisphere. [ABSTRACT FROM AUTHOR]

In recent decades there has been a tendency throughout Latin America of the expansion of activities associated with the primary sector, such as mining, oil, cattle and soy, namely reprimarization. This tendency reflects the growth of the commodities markets and China in recent years. This paper examines the implications for both the environment and development in general, as a result of the reprimarization tendency in Argentina and Brazil. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to analyse the relationship between infrastructure and total factor productivity (TFP) in the four major Latin American economies: Argentina, Brazil, Chile, and Mexico. Design/methodology/approach – The authors hypothesise that an increase in infrastructure has an indirect effect on output by raising productivity. To assess this theory, the traditional Johansen methodology was used for testing the cointegration between TFP and physical measures of infrastructure stock, such as energy, roads, and telephones. The Lütkepohl, Saikkonen and Trenkler Test, which considers a possible level shift in the series and has better small sample properties, was applied to the same data set and the two tests were compared. Findings – The results do not support a robust long-term relationship between the series; the authors do not find strong evidence that cuts in infrastructure investment in some Latin American countries were the main reason for the fall in TFP during the 1970s and 1980s. Originality/value – The present paper addresses the empirical relationship between infrastructure and economic growth for Argentina, Brazil, Chile, and Mexico between 1950 and 2000, using new time series econometric methods finding new evidences on this relationship. [ABSTRACT FROM AUTHOR]

Summary: The present paper considers a sometimes contentious process of land reform presently occurring in Brazil. This process, referred to in the paper as Direct Action Land Reform (DALR), involves organizations such as the Landless Rural Workers Movement (Movimento dos Trabalhadores Rurais Sem Terra, or MST) and more spontaneous actions of individuals desiring a piece of land for their own. Results of a survey covering 751 households engaged in such land reform actions in the Brazilian Amazon are presented, in order to describe participants and land reform processes. Evidently, social movement organizations provide for a modest degree of wealth accumulation, a welfare improvement that must be set against potential environmental costs. The paper concludes by calling attention to the challenge DALR may ultimately pose to the Brazilian state. [Copyright &y& Elsevier]

In Latin America, and particularly Brazil, inequality and social exclusion continue to plague the quality of democracy despite two decades of transition and consolidation. Still, in Brazil, the Workers’ Party has been remarkably successful over the past decade, explicitly addressing the problem of social exclusion and ‘incomplete citizenship‘. This paper provides an analysis of the case of Porto Alegre covering the four Workers’ Party municipal administrations from 1989 to the present in order to assess the significance of social incorporation and citizenship for the quality of democracy in Brazil. The paper discusses some conceptual notions that are relevant for the question of democracy in Brazil, particularly the role of citizenship and civil society in ‘deepening’ democracy. Then the paper goes into the evolution and dynamics of Porto Alegre's system of ‘participatory budgeting’. The paper's assessment of this experience with respect to its performance, depth and robustness shows that ‘participatory budgeting’ has had positive effects with respect to the provision of public goods services, the quality of governance, and citizens’ participation in what is seen as a new ‘public space’ shared by the local state and grass roots organisations. The paper concludes by relating the case experience to the question of citizenship, civil society and democracy and by reflecting upon its wider implications for the current and future quality of democracy in Brazil. [ABSTRACT FROM AUTHOR]

Gelanor Thorell, 1969 comprises 11 Neotropical species. In this paper, two new species are described from Bra- zil: Gelanor hoga sp. nov., based on males and females from the state of Amazonas, and Gelanor cachimbo sp. nov., based on males from the state of Pará. Additionally, new records from Brazil are provided for Gelanor altithorax Keyserling, 1893, Gelanor consequus O. P.-Cambridge, 1902, Gelanor juruti Benavides & Hormiga, 2016, Gelanor latus (Keyserling, 1881), Gelanor waorani Benavides & Hormiga, 2016 and Gelanor zonatus (C.L. Koch, 1845) and a key to the Brazilian species and illustrations are provided. [ABSTRACT FROM AUTHOR]

The paper presents a general analysis of the relations among United States and Latin America considering issues such as the questioning of the US centrality globally and in the hemisphere, Brazil's policies to the region and the impact of the growing relations with China. [ABSTRACT FROM AUTHOR]

Abstract: Sales of electrical and electronic equipment are increasing dramatically in developing countries. Usually, there are no reliable data about quantities of the waste generated. A new law for solid waste management was enacted in Brazil in 2010, and the infrastructure to treat this waste must be planned, considering the volumes of the different types of electrical and electronic equipment generated. This paper reviews the literature regarding estimation of waste electrical and electronic equipment (WEEE), focusing on developing countries, particularly in Latin America. It briefly describes the current WEEE system in Brazil and presents an updated estimate of generation of WEEE. Considering the limited available data in Brazil, a model for WEEE generation estimation is proposed in which different methods are used for mature and non-mature market products. The results showed that the most important variable is the equipment lifetime, which requires a thorough understanding of consumer behavior to estimate. Since Brazil is a rapidly expanding market, the “boom” in waste generation is still to come. In the near future, better data will provide more reliable estimation of waste generation and a clearer interpretation of the lifetime variable throughout the years. [Copyright &y& Elsevier]

Political changes related to globalization apparently produce similar effects on old and new democracies. All over the world, comparative research on democratization has showed that political distrust is a common variable affecting the whole of the State and the relationship between citizens and democracy. Nevertheless, political discontent in old democracies has stimulated citizens to adopt new attitudes and modes of political participation, while in newly democratized countries citizens tend to withdraw from politics as a consequence of institutional distrust. In fact, in many new democracies, although adhering to the normative meaning of the democratic regime, distrust of democratic institutions is associated to citizens' negative feeling about political efficacy, low levels of political interest and political participation, and also preference for democratic models which exclude political parties and/or parliaments. This paper evaluates the meanings and consequences of the contemporary phenomenon of political discontent in Brazil and Latin America and discusses its implications for democratic theory. [ABSTRACT FROM AUTHOR]

This paper provides the description of Phaenocarpa neosilbae sp. n. (Braconidae: Alysiinae) reared from larvae of Neosilba perezi (Romero & Ruppel, 1973) (Diptera: Lonchaeidae) in Brazil. Diagnostic characters are figured and the key to the Neotropical species of Phaenocarpa (Arouca & Penteado-Dias, 2006) is modified to include the new species. [ABSTRACT FROM AUTHOR]

Abstract: The academic literature on Brazilian cities focuses overwhelmingly upon the metropolises of Rio de Janeiro and São Paulo. While fruitful in its own right, this research confronts scholars of Latin American cities elsewhere with two ongoing limitations: (1) Despite estimates that nearly one quarter of Brazil’s urban population inhabits the conurbation of Rio and São Paulo, at least 75% of urban space in Brazil, an area populated by roughly 120 million people, is consistently overlooked; and (2) the findings from these two megacities are often (and unfairly) extrapolated across other urban contexts in Brazil, perpetuating lingering misgivings about the overall ‘nature’ of Brazilian cities. In this paper, I consider the Northeast of Brazil, drawing upon my own research from the favela (slum) community of Pirambu, located in the city of Fortaleza, to help understand urban development outside of the Rio/São Paulo corridor. By considering historical circumstances, geographic specificity, theoretical implications, and the course of Brazilian development, I highlight informal urban growth in an oft-overlooked region of Latin America while, at the same time, revealing many of the geographic attributes that give Rio and São Paulo their truly exceptional character. My goal in this work is not to refute the work of others, but rather to underscore the importance of geographic context to socio-spatial processes of urban development. [ABSTRACT FROM AUTHOR]

Summary: This paper examines the relationship between the employment of children and their mothers, with the aim of informing discussion on efforts to reduce child labor in Brazil. The analysis builds on the largely separate literatures on children’s time use and mothers’ work in two ways—by examining characteristics of employment which are often not available in survey data, and by modeling both children’s work and mothers’ employment. The results suggest that the relationship between children’s and mothers’ work is complex, with substantial evidence of positive correlation. The findings are consistent with the argument that anti-poverty programs that target women’s employment could result in increased child labor. This possibility warrants further analysis in order to better inform policy regarding child labor. [Copyright &y& Elsevier]

Latin America accounts for approximately 8 per cent of the global generic market. Generics participation in the Latin American countries has been growing — however, the concept of generics differs considerably from country to country. In such landscape, Brazil has been distinguished not only because of the rigorous sanitary legislation — requiring bioequivalence tests and Good Manufacturing Practices certification for generic registration and aligning local regulation with internationally recognised scientific standards for proof of efficacy and safety — but also because of the market performance the generics have shown since their implementation in 1999. Annual sales reached US717m and 157m units in 2005 and displayed the highest growth rates among the different segments within the Brazilian pharmaceutical market. This paper reviews the Brazilian experience with generics, focusing on current regulatory and market issues and on the main challenges and opportunities expected for the near future in this region.Journal of Generic Medicines (2006) 4, 30–36. doi:10.1057/palgrave.jgm.4950045 [ABSTRACT FROM AUTHOR]