Search

No presente artigo, realizamos uma breve apresentação de Agustina Bessa-Luís, introduzindo as contribuições da autora para a literatura, com o objetivo de refletir sobre a ressignificação da aura mística feminina por meio das protagonistas Quina de A Sibila (1954) e Eugénia Viseu e Silvina do romance Eugénia e Silvina (1989). São apresentadas, em vista disso, algumas posições teóricas sobre o projeto estético agustiniano, estabelecendo relações entre a representação feminina feita por Bessa-Luís e a condição da mulher na sociedade patriarcal. Para tanto, embasamo-nos em Beauvoir (2016), Bloch (1995), Coelho (1999), Fonseca (2017), Machado (1979), Moisés (2001, 2013), entre outros. Ao tratar das representações do feminino nos seus romances, Agustina Bessa-Luís proporciona uma discussão demasiado importante acerca de estereótipos misóginos, favorecendo sua desconstrução. Nesse sentido, o projeto estético e literário de Agustina Bessa-Luís, a nosso ver, transforma o panorama da ficção portuguesa novecentista, e abre espaço para os escritos que vieram depois.

Acute pancreatitis; Comorbidity; Hospital mortality Pancreatitis aguda; Comorbilidad; Mortalidad hospitalaria Pancreatitis aguda; Comorbilitat; Mortalitat hospitalària Background The impact of pre-existing comorbidities on acute pancreatitis (AP) mortality is not clearly defined. Our study aims to determine the trend in AP hospital mortality and the role of comorbidities as a predictor of hospital mortality. Methods We analyzed patients aged ≥ 18 years hospitalized with AP diagnosis between 2016 and 2019. The data have been extracted from the Spanish National Hospital Discharge Database of the Spanish Ministry of Health. We performed a univariate and multivariable analysis of the association of age, sex, and comorbidities with hospital mortality in patients with AP. The role of the Charlson and Elixhauser comorbidity indices as predictors of mortality was evaluated. Results A total of 110,021 patients diagnosed with AP were hospitalized during the analyzed period. Hospital mortality was 3.8%, with a progressive decrease observed in the years evaluated. In multivariable analysis, age ≥ 65 years (OR: 4.11, p 1.5 (OR: 2.03, p 1.5 (OR: 2.71, p

Monitoring and controlling costs are relevant matters to any organization, especially hospitals which usually encounter limitations in relation to available resources, as this information is vital to successful management. The literature frequently points to the advantages of using different cost systems for service organizations, especially those involved in the health care industry, although these models have not been validated in a complete hospital organization, nor have their real and effective benefits been identified. As such, the objective of this study is to demonstrate the use of absorption costing joined with the RKW system for generating managerial information in a hospital organization, thus making use of a parallel system of costing and costs and thereby relating them to fulfillment of legal precepts. The research was conducted starting with an interview held in November 2007 with the person responsible for hospital costs, followed by documental analysis. In light of the discoveries of the research and review of the literature it can be concluded that the traditional absorption system joined with the RKW system allows for monitoring of costs of hospital procedures with an acceptable level of precision, and is an important instrument in management.