Journal articles on the topic 'Chile. Ley no. 17.798'

En este trabajo se analizó el nivel de percepción de los estudiantes sobre la calidad del servicio los centros universitarios. Para ello participaron 684 estudiantes de pregrado de un programa de estudios elegidos aleatoriamente, a quienes se les aplicó una escala que intenta calcular lo que se espera del servicio educativo. Se encontró que el nivel de percepción es aceptable con tendencia a ser buena sobre la calidad del servicio que presta la universidad, no se encontraron diferencias estadísticamente significativas según la ocupación del estudiante, sin embargo, si se hallaron diferencias según género y centro de estudios evaluados. Por lo tanto, la calidad del servicio aceptado por el estudiante de la universidad se ve reflejada en el aspecto físico, la modernización y el equipamiento, precisando que el personal administrativo debe capacitarse mejor para brindar una adecuada atención al usuario. Palabras Clave: Calidad del servicio, estudiantes, atención al usuario. Referencias [1]Ministerio de Educación, «MINEDU: Ley Universitaria 30220,» 2015. [En línea]. Disponible en: http://www.minedu.gob.pe/reforma-universitaria/pdf/ley_universitaria.pdf. [Último acceso: 15 10 2020]. [2]D. Ceballos, «La Calidad Educativa en la realidad Universitaria Peruana frente al Contexto Latinoamericano,» Flumen, Revista de la Universidad Católica Santo Toribio de Mogrovejo, vol. 7, nº 1, pp. 3-8, 2014. [3]S. Carrasco, Metodología de la investigación científica. Pautas metodológicas para diseñar y elaborar el proyecto de investigación, Lima: Editorial San Marcos E.I.R.L., 2019. [4]J. C. Vergara y Q. V. Manuel, «Análisis de la calidad en el servicio y satisfacción de los estudiantes de Ciencias Económicas de la Universidad de Cartagena mediante un modelo de ecuaciones estructurales,» Revista electrónica de investigación educativa, vol. 13, nº 1, pp. 108-122, 2011. [5]L. Muñoz y J. I. Pérez, «Calidad del servicio de uso de aulas para la enseñanza-aprendizaje desde la perspectiva del estudiante,» Universidad, Ciencia y Tecnología, vol. 17, nº 69, pp. 161-169, 2013. [6]P. I. Palominos, L. E. Quezada, C. A. Osorio, J. A. Torres y L. M. Lippi, «Calidad de los servicios educativos según los estudiantes de una universidad pública en Chile,» Revista iberoamericana de educación superior, vol. 7, nº 18, pp. 130-142, 2016. [7]N. Maneiro, A. Mejías y M. L. Romero, «Evaluación de la calidad de los servicios, una experiencia en la educación superior Venezolana,» Investigación Arbitrada, vol. 12, nº 43, pp. 797-804, 2008. [8]A. Parasuraman, V. Zeithaml y L. Berry, «SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality.,» Journal of Retailing, vol. 64, nº 1, pp. 12-40, 1988. [9]F. Ganga, N. Alarcón y L. Pedraja, «Medición de calidad de servicio mediante el modelo SERVQUAL: el caso del Juzgado de Garantía de la ciudad de Puerto Montt - Chile,» Ingeniare. Revista chilena de ingeniería, vol. 27, nº 4, pp. 668-681, 2019. [10] J. Inquilla, W. Calsina y B. Velazco, «La calidad educativa y administrativa vista desde dentro: caso Universidad Nacional del Altiplano - Puno -Perú 2017,» Comuni@cción, vol. 8, nº 1, pp. 5-15, 2017. [11]A. Mejías y A. Agustín, «Modelo para medir la calidad del servicio en los estudiantes universitarios de postgrado,» Universidad, Ciencia y Tecnología, vol. 9, nº 34, pp. 81-85, 2005. [12]L. D. Sánchez y R. Panduro, «Sociabilización del concepto de calidad y licenciamientoen las universidades del Perú. Lima 2020,» IGOBERNANZA, vol. 3, nº10, pp. 11-28, 2020. [13]L. A. Rivera, Gestión de información académica y el desarrollo del capital humano en las universidades públicas licenciadas, Lima: Universidad Peruana de las Américas, 2019. [14]S. Carrasco, Metodología de la Investigación Científica. Pautas metodológicas para diseñar y elaborar el proyecto de investigación, Lima: Editorial San Marcos, 2019. [15]A. Mejías, O. Reyes y N. Maneiro, «Calidad de los Servicios en la Educación Superior Mexicana: Aplicación del Servqualing en Baja California.,» Revista Investigación y Ciencia, vol. 14, nº 34, pp. 36-41, 2006. [16]J. Arciniegas y A. Mejías, «Percepción de la calidad de los servicios prestados por la Universidad Militar Nueva Granada con base en la escala Servqualing,con análisis factorial y análisis de regresión múltiple,» Comuni@cción, vol. 8, nº 1, pp. 1-11, 2017. [17]D. Frias, Análisis de la consistencia interna de las puntuaciones de un instrumento de medida, Valencia: Universidad de Valencia, 2020. [18]J. L. Ventura, «Tamaño del efecto para la U de Mann-Whitney: aportes al artículo de Valdivia-Peralta et al.,» Revista chilena de neuro-psiquiatría, vol. 54, nº4, pp. 353-354, 2016. [19]M. Tomczak y E. Tomczak, «Se revisó la necesidad de informar las estimaciones del tamaño del efecto. Una descripción general de algunas medidas recomendadas del tamaño del efecto,» Trends Sport Sciences, vol. 1, nº 21, pp. 19-25, 2014. [20]J. Cohen, «A power primer,» Psychological Bulletin, vol. 112, nº 1, pp. 155-159, 1992.

Abstract Introduction Based on research showing the benefits of camp settings, our overnight, 5-day summer camp is designed to provide social support, acceptance, rehabilitation, and normative childhood experiences for our pediatric burn survivors (ages 7–17). Typical recreational activities (e.g., swimming, sports, crafts) and burn-specific programming (e.g., peer support discussions) are infused into camp. Despite this enriching opportunity, some individuals decide not to attend camp. The purpose of this quality improvement study was to better understand factors influencing decisions not to attend our summer camp and to identify strategies for overcoming these barriers to optimize attendance in the future. Methods Beginning in February 2019, we attempted to contact and interview 81 guardians of children who were eligible and invited to our summer camp but did not attend in 2017 and/or 2018. Attempts to contact were made via telephone by a trained burncamp staff member. Three attempts to contact were made per family unless otherwise reached. Our interview guide elicited reasons that led to their decision not to attend camp. Interviews were completed in approximately 30 minutes or less. Results Sixty-four contacts were unsuccessful, resulting in a 79% failure to contact rate. Only 17 individuals (21%) were successfully contacted. Thirteen caregivers (16%) completed the interview via telephone, while 4 (5%) refused to take part in the interview. Principal reasons for non-attendance included school attendance, parental beliefs about camp (e.g., child being away from home), other conflicting activities (e.g., other camps, vacations), and perceived lack of need for support (e.g., my child is doing well/does not need to go to a burn camp). Conclusions Despite the positive psychosocial outcomes observed among survivors who attend camp, large numbers of families and youth are not attending. While the purpose of the study was to explore factors influencing decisions not to attend camp, we also learned that it is important to address barriers to successfully contacting families. Challenges in planning the logistics of camp, specific strategies for engaging families over time, and ideas for addressing reported barriers to attendance (e.g., empowering well-adjusted survivors to attend to support others) will be discussed in this presentation. Applicability of Research to Practice Results from this quality improvement project have impacted camp planning and recruitment strategies. Findings may lead to increased enrollment rates and enhanced awareness of camp and its benefits.

Se utiliza isoenzimas y marcadores moleculares (RAPD) para estimar la variabilidad genética de 7 poblaciones chilenas de castaño (Castanea sativa Mill.) propagadas por semilla. De 17 loci isoenzimáticos analizados se detectaron 41 alelos; 4 partidores RAPDs generaron 37 marcadores. Se detectó una baja variabilidad genética dentro de las poblaciones usando isoenzimas (FIS=0,027) y marcadores RAPD (Hs=0,02). Aunque la distancia geográfica entre las poblaciones es considerable, la diferenciación entre ellas no es alta: Gst = 0,095 para RAPD y Fst = 0,101 para las isoenzimas. No se estimaron desviaciones para ley de equilibrio de Hardy-Weinberg, aún cuando estas poblaciones habían estado sometidas a presiones de selección y habían sido introducidas a Chile recientemente, probablemente durante el siglo XIX con la llegada de emigrantes europeos. El análisis UPGMA basado en el índice de distancia genética de Nei e incluyendo información de isoenzimas estudiados previamente en poblaciones europeas, sugieren a Portugal como el posible centro de origen de las poblaciones chilenas de castaño. La información generada representa una importante contribución a los silvicultores y autoridades locales para determinar un apropiado manejo del castaño, que combine aspectos de productividad con otros de conservación, economía y ecología.

Las energías renovables son pilares estratégicos para disminuir la emisión de gases y daños a la atmosfera. Se reconoce un crecimiento exponencial, destacando la energía solar a través de instalaciones fotovoltaicas, expresión de ello son las inversiones a escala especialmente en el norte de Chile. En este contexto, este trabajo tiene como objetivo evaluar económicamente proyectos de menor escala como son los de Generación Distribuida, calculando su rentabilidad privada y de carácter social, incluida una valoración económica ambiental de proyectos en la inter comuna de Chillán – Chillán Viejo, como un estudio de caso. Para ello, se analiza la Ley 20.571, que permite a las generadoras residenciales vender sus excedentes de energía a la distribuidora eléctrica a precio regulado. Se realizó un estudio para 17 instalaciones del área residencial, agrícola, industrial y comercial, desarrollando un análisis del Valor Actual Neto (VAN) y la Tasa Interna de Retorno (TIR). Se construyeron los promedios móviles de consumo antes y posterior a sus operaciones, pago directos, costos e ingresos por venta de excedentes. Asimismo, se simuló una compensación de ingresos por venta de bonos de carbono. Los resultados, tanto en evaluación privada como la valoración económica ambiental, arrojan resultados desfavorables, de lo cual se puede inferir que este tipo de proyectos no son rentables en los sectores que abarca el estudio, y es necesario un apoyo estatal a la inversión inicial o la tarifa. Sin embargo, existe una dimensión que va más allá de lo económico que debe sustentar una política fiscal de apoyo para los próximos años.

Este artículo de reflexión es el resultado de la revisión analítica, interpretativa y crítica de los documentos, leyes y jurisprudencia relacionada con el derecho al olvido de los pederastas, la pedofilia y la pederastia, cumpliendo con los objetivos principales de clarificar los conceptos objeto de discusión y formular posibles alternativas frente a las escasas limitaciones para la vinculación al mercado laboral de quienes han sido condenados por delitos sexuales contra menores de catorce años. Mediante la utilización del tipo de investigación dogmática, descriptiva y de análisis estático de precedente se logró concluir que la pedofilia, al ser una enfermedad incurable, debe ser tratada con el fin de evitar su materialización en la pederastia y, como medida preventiva de delitos, el Congreso de la República de Colombia ostenta la misión de reglar el manejo de las bases de datos de los condenados por estos delitos a través de una ley estatutaria. 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Diferencias entre pedofilia y pederastia. Recuperado de https://psicologiaymente.net/clinica/diferencias-pedofilia-pederastiaCongreso de la República de Colombia. (s.f.). Proyecto de Ley “por el cual se tutela el derecho al libre desarrollo sexual de las niñas y niños menores de 14 años”. Recuperado de http://www.legisaldia.com/BancoMedios/Archivos/pl-041-16c-base-de-datos-pedofilos.pdf-------. (1991). Ley 12 de 1991 “por medio de la cual se aprueba la Convención sobre los Derechos del Niño adoptada por la Asamblea General de las Naciones Unidas el 20 de noviembre de 1989”. Recuperado de https://www.unidadvictimas.gov.co/sites/default/files/documentosbiblioteca/ley-12-de-1991.pdf-------. (1993). Ley 65 de 1993 “por la cual se expide el Código Penitenciario y Carcelario”. Recuperado de http://wp.presidencia.gov.co/sitios/normativa/leyes/Documents/Juridica/Ley%2065%20de%201993.pdf-------. (2000). Ley 599 de 2000 “por la cual se expide el Código Penal”. Recuperado de https://www.unodc.org/res/cld/legislation/can/codigo-penal_html/Codigo_Penal.pdf-------. (2002). Ley 734 de 2002 “por la cual se expide el Código Disciplinario Único”. Recuperado de http://secretariageneral.gov.co/transparencia/marco-legal/normatividad/ley-734-2002-------. (2004). Ley 890 de 2004 “aplicable a procesos de Ley 600 de 2000”. Recuperado de http://www.cortesuprema.gov.co/corte/index.php/2018/05/10/ley-890-de-2004-aplicable-a-procesos-de-ley-600-de-2000/-------. (2006). Ley 1098 de 2006 “por la cual se expide el Código de la Infancia y la Adolescencia”. Recuperado de https://www.icbf.gov.co/cargues/avance/docs/ley_1098_2006.htm-------. (2008). Ley 1236 de 2008 “por medio de la cual se modifica algunos artículos del Código Penal relativos a delitos de abuso sexual”. Recuperado de http://www.oas.org/dil/esp/ley_1236_de_2008_colombia.pdf-------. (2009). Ley 1336 de 2009, “por medio del cual se adiciona y robustece la Ley 679 de 2001, de lucha contra la explotación, la pornografía y el turismo sexual con niños, niñas y adolescentes”. Recuperado de https://diario-oficial.vlex.com.co/vid/robustece-pornografia-adolescentes-61325313-------. (2016). Proyecto de Ley Estatutaria Nº 112 de 2016 “por medio de la cual se crea el Registro Nacional de Ofensores Sexuales”. Recuperado de http://leyes.senado.gov.co/proyectos/images/documentos/Textos%20Radicados/proyectos%20de%20ley/2016%20-%202017/PL%20112-16%20REGISTRO%20NACIONAL%20DE%20OFENSORES%20SEXUALES.pdf-------. (2018). Ley 1918 de 2018 “por medio de la cual se establece el régimen de inhabilidades a quienes hayan sido condenados por delitos sexuales contra menores, se crea el Registro de inhabilidades y se dicta otras disposiciones”. Bogotá, Colombia. Recuperado de http://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=87420Consejo Superior de Política Criminal. (s.f.). Consejo Superior de Política Criminal. Recuperado de http://www.politicacriminal.gov.co/Portals/0/Conceptos/ConceptosCSPC/2016/22%20CSPC%20PLE%20112,%20PL%2087S%20y%2041C%20(Registro%20agresores%20sexuales).pdfCorte Constitucional. República de Colombia. (Junio de 1992). Sentencia T-414/92. [MP Ciro Angarita Barón]. Bogotá, Colombia. Recuperado de http://www.corteconstitucional.gov.co/relatoria/1992/t-414-92.htm-------. (Julio de 1992). Sentencia T-444/92. [MP Alejandro Martínez Caballero]. Bogotá, Colombia. Recuperado de http://www.corteconstitucional.gov.co/relatoria/1992/T-444-92.htm-------. (Marzo de 1995). Sentencia SU-082/95. [MP Jorge Arango Mejía]. Bogotá, Colombia. Recuperado de https://vlex.com.co/tags/sentencia-su-082-95-corte-constitucional-565292-------. (Septiembre de 2002). Sentencia T-729/02. [MP Eduardo Montealegre Lynett]. Bogotá, Colombia. Recuperado de http://www.corteconstitucional.gov.co/relatoria/2002/t-729-02.htm-------. (Diciembre de 2002). Sentencia T-1066/02. [MP Jaime Araujo Rentería]. Bogotá, Colombia. Recuperado de http://www.corteconstitucional.gov.co/relatoria/2002/c-1066-02.htm-------. (Marzo de 2003). Sentencia C-185/03. [MP Eduardo Montealegre Lynett]. Bogotá, Colombia. Recuperado de http://www.corteconstitucional.gov.co/relatoria/2003/C-185-03.htm-------. (Enero de 2008). Sentencia C-061 de 2008. [MP Nilson Pinilla Pinilla]. Bogotá, Colombia. Recuperado de http://www.corteconstitucional.gov.co/relatoria/2008/C-061-08.htm-------. (Marzo de 2008). Sentencia T-284/08. [MP Clara Inés Vargas Hernández]. Bogotá, Colombia. Recuperado de http://www.corteconstitucional.gov.co/relatoria/2008/T-284-08.htm-------. (Octubre de 2008). Sentencia C-1011/08. [MP Jaime Córdoba Triviño]. Bogotá, Colombia. Recuperado de http://www.corteconstitucional.gov.co/relatoria/2008/C-1011-08.htm-------. (Marzo de 2010). Sentencia T-164/10. [MP Jorge Iván Palacio Palacio]. Bogotá, Colombia. 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Recuperado de http://www.medicinalegal.gov.co/documents/20143/49523/Violencia+sexual.pdfDada, C. (17 de agosto de 2018). Pensilvania es el caso de abuso más preocupante en EE. UU. El Espectador. Recuperado de https://www.elespectador.com/noticias/el-mundo/pensilvania-es-el-caso-de-abuso-mas-preocupante-en-ee-uu-articulo-806746Echeburúa, E. y Guerricaechevarría, C. (2009). Abuso Sexual en la Infancia: Víctimas y agresores. Un enfoque clínico. Barcelona, España: Editorial Ariel.Fondo de las Naciones Unidas para la Infancia (UNICEF). (2006). Convención sobre los Derechos del Niño. Recuperado de http://www.un.org/es/events/childrenday/pdf/derechos.pdfGobierno de España. Ministerio de la Presidencia, Relaciones con las Cortes e Igualdad. (28 de julio 2015). Ley 26/2015 “de modificación del sistema de protección a la infancia y a la adolescencia”. Recuperado de https://www.boe.es/buscar/act.php?id=BOE-A-2015-8470Humanium. (s.f.). Declaración de Ginebra sobre los Derechos del Niño, 1924. 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(2013). ¿Qué es el Estado social y democrático de derecho? Bogotá, Colombia: Imprenta Nacional de Colombia.Ministerio de la Protección Social. (2007). Resolución No. 2346 “por la cual se regula la práctica de evaluaciones médicas ocupacionales y el manejo y contenido de las historias clínicas ocupacionales”. Recuperado de https://vlex.com.co/vid/-495385211Ministerio del Interior y Seguridad Pública. Subsecretaría del Interior. (19 de junio de 2012). Ley 20594 de 2012 “Crea inhabilidades para condenados por delitos sexuales contra menores y establece registro de dichas inhabilidades”. Recuperado de https://www.leychile.cl/Navegar?idNorma=1041136Ministerio de Tecnologías de la Información y las Telecomunicaciones. (2012). Decreto 019 de 2012 “por el cual se dicta normas para suprimir o reformar regulaciones, procedimientos y trámites innecesarios existentes en la Administración Pública”. Recuperado de https://www.mintic.gov.co/portal/604/w3-article-3567.htmlMontes, R. 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Background: Improved survival of children with congenital heart disease (CHD) into adult life has led to further study of their quality of life (QoL) and its determinants. The QoL including the symptoms of anxiety and depression of adults with CHD was analyzed to determine the relationship, if any, between prior cardiac surgery and QoL. Methods: Adults with CHD who were recruited from a single community-based cardiology practice completed self-reported questionnaires on their QoL, which included symptoms of anxiety and depression. Standard linear regression analysis was used to determine whether prior cardiac surgery predicted lower QoL scores. Results: One hundred forty-nine adult patients with CHD were sent QoL questionnaires. Completed questionnaires were received from 135 patients: 71 (53%) males and 64 (47%) females, with a mean age of 26.3 years (standard deviation: 7.8, min: 17, max: 49). Respondents were assigned to two groups: those who had (n = 89, 66%) or had not (n = 46, 34%) previously undergone one or more cardiac surgical interventions. Results from standard linear regression analyses revealed no predictive relationship between history of previous cardiac surgery, whether one or more operations, and QoL. Conclusions: Among adult patients with CHD who completed QoL questionnaires, we observed no association between a patient’s history of prior cardiac surgery and self-reported QoL measures. This welcome and important finding may be a reflection of the good functional capacity of both groups (postsurgical and nonsurgical) irrespective of the original CHD diagnosis and need for surgical intervention.

La aplicación de una gestión medioambiental eficiente constituye un reto para todas las organizaciones que deseen contribuir al mejoramiento del entorno y favorecer un desarrollo sostenible. La ecoeficiencia y el análisis de los gastos corrientes son herramientas para lograr una gestión eficiente, encaminadas a desarrollar estrategias para optimizar el uso de recursos, aumentar la competitividad y prevenir y minimizar los impactos ambientales. La Universidad Agraria de La Habana no está ajena a esta realidad, de ahí que el objetivo de la presente investigación fue evaluar la ecoeficiencia y los gastos corrientes en el período 2015-2019. Para su cumplimiento se aplicaron los métodos teóricos y empíricos y se aplicó un procedimiento compuesto por seis etapas. Como resultado se obtuvo que no existe un comportamiento decreciente de los indicadores de ecoeficiencia y de los gastos corrientes en todos los elementos estudiados y si existe una disminución de los gastos totales. Palabras Clave: Contabilidad medioambiental, contabilidad de gestión, medio ambiente. Referencias [1]Partido Comunista de Cuba. Lineamientos de la política económica y social del partido y la Revolución, «https://www.tsp.gob.cu/sites/default/files/documentos/1%20lineamientos-politica-partido-cuba.pdf,» 18 Abr 2011. [En línea]. [Último acceso: 3 Nov 2019]. [2]V. Lima, «Las prácticas de contabilidad medioambiental en las entidades públicas portuguesas,» Universo Contábil, vol. 6, nº 4, pp. 119-136, 2010. [3]J. Leal, Ecoeficiencia: marco de análisis, indicadores y experiencias, Santiago de Chile: División de Desarrollo Sostenible y Asentamientos Humanos, Naciones Unidas, 2005. [4]Ministerio de Finanzas y Precios Resolución No. 375, «https://www.gacetaoficial.gob.cu/es/resolucion-375-de-2017-de-ministerio-de-finanzas-y-precios,» 1 Nov 2017. [En línea]. [Último acceso: 4 Nov 2020]. [5]J. Jiménez, Medio Ambiente y Desarrollo, Madri: IEPALA, 1989. [6]H. L, Factor Medio Ambiental en la Empresa, Bilbao: Deusto, S.A, 1993. [7]H. D. Cruz, Desarrollo y Medio Ambiente. Nuevos enfoques para un planeta más habitable, Madri, 1992. [8]Ministerio de Ciencia y Tecnología de Cuba. Ley No. 81 del medio ambiente., «http://www.citmavcl.gob.cu/?wpdmpro=ley-no-81-del-medio-ambiente,» 17 Sep 2020. [En línea]. [Último acceso: 3 Dic 2020 ]. [9]Oficina Nacional de Normalización NC ISO 14001 Sistemas de Gestión Ambiental. Requisitos con orientación para su uso. , «https://www.nueva-iso-14001.com/pdfs/FDIS-14001.pdf,» 14 Oct 2015. [En línea]. [10]L. Markus, Ecoeficiencia, Creando más valor con menos impacto, Ginebra: Conches WBCSD, 2000. [11]Business Council for Sustainable Development WBCSD. “Ecoefficiency learning module”, «https://docs.wbcsd.org/2006/08/EfficiencyLearningModule.pdf,» 11 Mar 2000. [En línea]. [Último acceso: 6 Oct 2019]. [12]H. González, «La educación en ecoeficiencia,» Revista de Investigación y Cultura, vol. 3, nº 1, p. Revista de Investigación y Cultura, 2014. [13]Ministerio del Ambiente Perú (2012) Guía de ecoeficiencia para instituciones del sector público, «http://hera.pcm.gob.pe/ecoeficiencia/wp-content/uploads/2014/09/Guia-de-Ecoeficiencia-para-Instituciones-Publicas-2012.pdf,» 1 Sep 2014. [En línea]. [Último acceso: 3 Mar 2020]. [14]Ministerio del Ambiente Perú. Guía de ecoeficiencia para empresas, «https://www.minam.gob.pe/calidadambiental/wp-content/uploads/sites/22/2013/10/guia_de_ecoeficiencia_para_empresas.pdf,» 22 Oct 2013. [En línea]. [Último acceso: 10 Ene 2020]. [15]Ministerio del Ambiente Perú. (2010). Guía de ecoeficiencia educacional. , «http://www.regionica.gob.pe/pdf/transparencia%202010/otros/ecoeficiencia/Guia%20de%20Ecoeficiencia%20Educacional.pdf,» 10 Ene 2010. [En línea]. [Último acceso: 5 Mar 2020]. [16]Y. Hernández, Elaboración de un procedimiento para integrar la Responsabilidad Social Empresarial en la Casa Matriz de la Comercializadora ITH, S.A, La Habana, 2012. [17]C. Desireé, Diseño del Manual de Políticas y Procedimientos para el Manejo de inventario y su influencia en la gestión de los procesos de compra, almacenaje y venta de la empresa comercial Asisco S.A., La Habana, 2011. [18]Norma Internacional ISO 14045 Gestión Ambiental de la Ecoeficiencia de Sistemas Productivos, «https://cdn.standards.iteh.ai/samples/43262/63293544519541d6833348ca8322c597/ISO-14045-2012.pdf,» 15 May 2012.

El objetivo de este trabajo es evaluar un proyecto fotovoltaico como fuente de energía alternativa en el sector de salud primaria como estudio de caso, desde la perspectiva económica y social. La evaluación se basó en variables técnicas y económicas bajo los criterios de Valor Actual Neto (VAN) y Tasa interna de retorno (TIR), valorizando las reducciones de carbono (CO2) y utilizando la tasa de descuento social del Ministerio de Desarrollo Social. Los resultados son favorables y sugieren la ejecución de este proyecto como iniciativa de política pública. Sin embargo, queda en evidencia que en periodos de invierno no se cubre las necesidades energéticas, haciendo imprescindible diversificar la matriz con fuentes tradicionales. Palabras Clave: Energía solar fotovoltaica, sector salud, sustentabilidad, evaluación social. Referencias [1]Fondo Nacional de Salud (FONASA), Boletin Estadístico 2016-2017. Disponible: https://www.fonasa.cl/sites/fonasa/adjuntos/Boletin_Estadistico_2016_2017_2018. [2]Cisterna L, Améstica-Rivas L, Piderit M. Proyectos fotovoltaicos en generación distribuida ¿Rentabilidad privada o sustentabilidad ambiental?. Revista Politécnica. 2020; 45(2): en prensa. Disponible: https://revistapolitecnica.epn.edu.ec/ojs2/index.php/revista_politecnica2/issue/view/39. [3]Medina J. La dieta de dióxido de carbono CO2. Conciencia Tecnológica. 2010; 39: 50-53. Disponible: https://www.redalyc.org/articulo.oa?id=94415753009. [4]Mardones C. Muñoz, T. Impuesto al CO2 en el sector eléctrico chileno: efectividad y efectos macroeconómicos. Economía Chilena. 2017; 20(1): 4-25. Disponible: https://www.bcentral.cl/web/guest/articulos-publicados. [5]Ministerio del Medio Ambiente, Tercer Informe de Actualización Bienal de Chile, 2018. Disponible: https://mma.gob.cl/wp-content/uploads/2019/07/2018_NIR_CL.pdf. [6]Gallego Y, Arias R, Casas L, Sosa R. Análisis de la implementación de un parque fotovoltaico en la Universidad Central de las Villas. Ingeniería Energética, 2018; 39(2): 82-90. Disponible: http://rie.cujae.edu.cu/index.php/RIE/article/view/531. [7]Arias R, Pérez I. Nueva metodología para determinar los parámetros de un módulo fotovoltaico. Ingeniería Energética. 2018; 39(1): 38-47. Disponible: http://rie.cujae.edu.cu/index.php/RIE/article/view/557. [8]Plá J, Bolzi C, Durán J.C. Energía Solar Fotovoltaica. Generación Distribuida conectada a la red. Ciencia e Investigación. 2018; 68(1), 51-64. Disponible: http://aargentinapciencias.org/wp-content/uploads/2018/03/tomo68-1/4-Duran-cei68-1-5.pdf. [9]Hou G, Sun H, Jiang Z, Pan Z, Wang Y, Zhang X, Zhao Y, Yao Q. Life cycle assessment of grid-connected photovoltaic power generation from crystalline silicon solar modules in China. Applied Energy. 2016; 164 (15): 882-890. Disponible: https://doi.org/10.1016/j.apenergy.2015.11.023. [10]Baharwani V, Meena N, Dubey A, Brighu U, Mathur J. Life Cycle Analysis of Solar PV System: A Review. International Journal of Environmental Research and Development. 2014; 4(2): 183-190. Disponible: https://www.ripublication.com/ijerd_spl/ijerdv4n2spl_14.pdf [11]Rojas-Hernández I, Lizana F. Tiempo de recuperación de la energía para sistemas fotovoltaicos basados en silicio cristalino en Costa Rica. Ingeniería Energética. 2018; 39 (3):195-202. Disponible: http://rie.cujae.edu.cu/index.php/RIE/article/view/544. [12]World Economic Forum. Informe Energía. 2017. Disponible: https://es.weforum.org/agenda. [13]Zou L, Wang L, Lin A, Zhu H., Peng Y, Zhao Z. Estimation of global solar radiation using an artificial neural network based on an interpolation technique in southeast China. Journal of Atmospheric and Solar-Terrestrial Physics. 2016; 146: 110-122 Disponible: https://doi.org/10.1016/j.jastp.2016.05.013. [14]Crawley D, Lawrie, L, Winkelmann F, Buhl W, Huang C, Pedersend C, Strand R, Liesen R, Fisher D, Witte M, Glazer J. EnergyPlus: creating a new-generation building energy simulation program. Energy and Buildings. 2001; 33(4): 319-331.Disponible: https://doi.org/10.1016/S0378-7788(00)00114-6. [15]Larrain S, Stevens C, Paz M. Las fuentes renovables de energía y el uso eficiente. 2002. LOM Ediciones, Chile Disponible: http://www.archivochile.com/Chile_actual/patag_sin_repre/03/chact_hidroay-3%2000010.pdf. [16]World Economic Forum. Cuatro países que lideran las tendencias de energía solar en América Latina y el Caribe, 2017.Disponible: https://es.weforum.org/agenda/2017/05/cuatro-paises-que-lideran-las-tendencias-de-energia-solar-en-america-latina-y-el-caribe/. [17]Ministerio de Energía. Ley 20.571, Regula el pago de las tarifas eléctricas de las generadoras residenciales. 2012. Disponible: https://www.leychile.cl/Navegar?idNorma=1038211. [18]Comisón Nacional de Energía (CNE) de Chile. Reporte mensual sector energético. 2019; 50. Disponible: https://www.cne.cl. [19]Ministerio de Energía, Programa de Techos Solares Públicos, Reporte de costos. 2018. Disponible: http://www.minenergia.cl/techossolares/wp-content/uploads/2017/04/Reporte-de-Costos-de-Adjudicacion-2018-233x300.jpg. [20]Löhr W, Gauer K, Serrano N, Zamorano A. Igarss 2014. Eficiencia Energética en Hospitales Públicos. Editorial GTZ- Dalkia. Santiago de Chile. [21]Smith M, De Titto E. Hospitales sostenibles frente al cambio climático: huella de carbono de un hospital público de la ciudad de Buenos Aires. Revista Argentina Salud Pública. 2018; 9(36): 7-13. Disponible: http://rasp.msal.gov.ar/rasp/articulos/volumen36/7-13.pdf. [22]Chung J, Meltzer, D. Estimate of the carbon footprint of the US health care sector. Jama. 2009; 302(18):1970-1972. Disponible: https://jamanetwork.com/journals/jama/article-abstract/184856. [23]Nope A, García R, Bobadilla A. Método para la implementación de sistemas solares activos en establecimientos hospitalarios, estudio de caso en el hospital clínico del sur, Concepción, Chile. En Proceedings of the 3rd International Congress on Sustainable Construction and Eco-Efficient Solutions. Sevilla. 2017; 451-464. Disponible: https://idus.us.es/xmlui/handle/11441/58969. [24]Compañía General de Electricidad, Tarifa de Suministro. 2018 Disponible: http://www.cge.cl/wp-content/uploads/2019/08/Publicacion-CGE-2019-08-01-Suministro-electrico.pdf. [25]Ministerio de Desarrollo Social, Precio Social del Carbono. 2018. Disponible: http://sni.ministeriodesarrollosocial.gob.cl/download/precio-social-co2-2017/?wpdmdl=2406.

Este trabajo es un estudio analítico y comparativo entre el régimen de contrato laboral vigente en Ecuador y el contrato de teletrabajo que busca resolver el problema legal de establecer si la relación laboral de teletrabajo configurada como contrato de trabajo puede estar sujeta a las reglas generales de los contratos o reglas específicas del contrato de vivienda contempladas en el Código de Trabajo Ecuatoriano. Como el teletrabajo no está reconocido por la legislación laboral ecuatoriana, el trabajo se divide en tres capítulos diferentes que buscan solucionar el problema legal mencionado. Se exponen todas las características, elementos y demás cuestiones relevantes al régimen de contratación laboral, sirviendo de antecedente para el análisis comparativo antes mencionado. Posteriormente, se hace una descripción y análisis de la figura del teletrabajo, así como sus características y elementos que lo convierten en una figura diferente y única. Finalmente, se hizo un análisis del trabajo a domicilio (modalidad que está regulada por la legislación laboral ecuatoriana) para luego pasar a compararlo con el teletrabajo. El resultado de esta comparación es determinar si es legalmente posible regular. Palabras Clave: teletrabajo, legislación laboral, contrato de trabajo. Referencias [1]N. Samaniego, «El teletrabajo en el Ecuador,» agosto 2016. [En línea]. Disponible: http://dspace.uniandes.edu.ec/bitstream/123456789/6133/1/TUSDMDL002-2017.pdf. [Último acceso: 09 Septiembre 2020]. [2]P. Alvarez, «Teletrabajo en la experiencia extranjera, » octubre 2018. [En línea]. Disponible: https://obtienearchivo.bcn.cl/obtienearchivo?id=repositorio/10221/25913/2/PA_Teletrabajo_2018.pdf. [Último acceso: 09 09 2020]. [3]M. Palacios, «El teletrabajo: hacia una regulación garantista en el Ecuador,» Quito, 2017. [4]J. Espinosa, «Los Efectos del Condicionamiento del Plazo de un Contrato de Trabajo a la Duración de un Contrato de Servicios Complementarios en Base al Artículo 169 numeral 3ero del Código de Trabajo,» Quito, 2015. [5]Constitución de la República del Ecuador, «Legislación laboral y de Seguridad Social Tomo I,» Pudeleco, Quito, 2016. [6]H. Chiriboga, «Historia del Derecho Laboral como instrumento político del Ecuador,» Guayaquil, 2017. [7]G. Blacio, «La vulneración de los principios constitucionales del trabajo, en cuanto a la exoneración del pago de utilidades a los operarios y aprendices de losartesanos,» Loja , 2016. [8]P. Arpi, «Estrategias para promover el teletrabajo en las empresas del sector privado del Ecuador para mejorar el empleo y la productividad,» Quito, 2018. [9]P. Martín, Teletrabajo y comercio electrónico, Madrid (España): Secretaría General Técnica, 2018. [10]G. Poveda, Abril 2018. [En línea]. Disponible: https://www.eumed.net/actas/18/empresas/18-una-revision-al-teletrabajo.pdf. [Último acceso: 09 09 2020]. [11]Organización Internacional del Trabajo, «Las dificultades y oportunidades del teletrabajo para los trabajadores y empleadores en los sectores de serviciosde tecnología de la información y las comunicaciones (TIC) y financieros,» 2016. [En línea]. Disponible: https://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/publication/wcms_531116.pdf. [Último acceso: 09 09 2020]. [12]E. Villa, «Beneficios e impactos del teletrabajo en el talento humano: una revisión de literatura,» CEA,vol. 2, nº 4, pp. 59-73, 2016. [13]Ministerio de Trabajo, Agosto 2016. [En línea]. Disponible: http://www.trabajo.gob.ec/wp-content/uploads/2016/10/Acuerdo_Teletrabajo_WEB.pdf. [Últimoacceso: 09 09 2020]. [14]C. Vélez, «Análisis de la norma jurídica sobre el teletrabajo en Ecuador y sus vacíos legales,» Enero 2020. [En línea]. Diponible: http://dspace.uniandes.edu.ec/bitstream/123456789/11164/1/PIUAMDL001-2020. pdf. [Último acceso: 09 09 2020]. [15]R. Hernández, Metodología de la investigación. Las rutas cuantitativa, cualitativa y mixta, México D.F. (México): McGraw Hill, 2018. [16]M. Bonilla y A. López, «Ejemplificación del proceso metodológico de la teoría fundamentada,» Scielo, pp. 305-315, 2016. [17]R. Buenaño, «El fututo del trabajo, teletrabajo y su influencia en la relación laboral,» Derecho Ecuador, 15 05 2020. [En línea]. Disponible: https://www.derechoecuador.com/el-futuro-del-trabajo-teletrabajo-y-su-influencia-en-la-relacion-laboral. [Último acceso: 10 09 2020]. [18]Ministerio del Trabajo y Previsión Social, «Ley 21220 Modifica el código del trabajo en materia de trabajo a distancia,» BCN, Santiago de Chile, 2020. [19]A. Mello y A. Acuña, «Primer Informe Estado del Teletrabajo en América Latina y El Caribe,» Ita Lac, América Latina y El Caribe, 2017. [20]C. Valera, «El teletrabajo en la legislación peruana y latinoamericana,» La Ley, Lima (Perú), 2020. [21]J. Rodríguez, «Teletrabajo en Panamá,» 06 03 2020. [En línea]. Disponible: https://www.dentonsmunoz.com/es/insights/articles/2020/march/6/teleworking-in-panama. [Último acceso: 11 09 2020]. [22]J. Hewitt, A. Acuña y A. Formoso, « Informe del Estado del Teletrabajo en Costa Rica,» CIIDTT, San José, 2017.

El objetivo del estudio fue analizar el nivel de compromiso laboral según factores sociolaborales en colaboradores de dos gobiernos locales, el estudio se realizó en 477 colaboradores de gestión local elegidos aleatoriamente, a quienes se les aplicó la escala UWES-17 (Utrecht Work Engagement Scale). Se encontró que el nivel de compromiso laboral en los colaboradores es de nivel medio, no se encontraron diferencias estadísticamente significativas según sexo y condición laboral, sin embargo, si se hallaron diferencias según centro de trabajo. En conclusión, el nivel de compromiso laboral en los colaboradores se debe a que aún no han experimentado totalmente un estado psicológico positivo hacia su trabajo, para poder dedicarse, involucrarse, entusiasmarse y sentirse bien en su espacio laboral. Palabras Clave: compromiso laboral, colaboradores, gobiernos locales. Referencias [1]Ley Orgánica de Municipalidades. Ley N° 27972, Perú. [2]T. d. J. Cárdenas y A. Jaik, El Engagement (ilusión por el trabajo) y los factores que lo integran, Durango: Fundación Dialnet, 2013. [3]A. Juarez, «Engagement laboral, una concepción científica: entrevista con Wilmar Schaufeli,» Liberabit, vol. 21, nº 2, pp. 187-194, 2015. [4]B. L. Rich, J. A. Lepine y E. R. Crawford, «Job engagement: Antecedents and effects on,» Academy of Management Journal, vol. 53, nº 3, pp. 617-635, 2010. [5]D. Álvarez, C. Castro y G. Vila, «Actitudes y engagement en el trabajo como antecedentes del comportamiento altruista,» Revista Venezolana de Gerencia, vol. 19, nº 65, pp. 23-42, 2014. [6]S. Carrasco, Metodología de la investigación científica. Pautas metodológicas para diseñar y elaborar el proyecto de investigación, Lima: Editorial San Marcos E.I.R.L., 2019. [7]R. Benítez y A. R. Del Aguila, «Compromiso en el trabajo y prácticas de recursos humanos de alto rendimiento en organizaciones de acción social. El caso deAspromanis,» Lan Harremanak - Revista de Relaciones Laborales, vol. 32, nº 1, pp. 159-179, 2015. [8]M. M. Chiang, I. I. Fuentealba y R. A. Nova, «Relación Entre Clima Organizacional y Engagement, en Dos Fundaciones Sociales, Sin Fines de Lucro, de laRegión del Bio Bio,» Ciencia & trabajo, vol. 19, nº 59, pp. 105-112, 2017. [9]M. J. Foncubierta y J. M. Sánchez, «Hacia la Felicidad laboral: Atender motivaciones y eliminar temores digitales,» RETOS. Revista de Ciencias de la Administración y Economía, vol. 9, nº 18, pp. 239-257, 2019. [10]R. R. Romero y F. Palacini, «Relación entre niveles de engagement y niveles de intención de rotación en empleados de dos empresas privadas de Asunción,» Revista Científica de la UCSA, vol. 7, nº 2, pp. 3-25, 2020. [11]J. Pérez y X. L. Pedraza, «Medición del work engagement y su relación con la comunicación, liderazgo y TIC en una empresa editorial mexicana,» SIGNOS, vol. 11, nº 1, pp. 37-53, 2019. [12]W. Schaufeli y A. Bakker, UWES – Utrecht Work Engagement Scale, manual preliminar, Utrecht: Unidad de Psicología de la Salud Ocupacional Universidad de Utrecht, 2003. [13]C. A. Contreras, «Determination of the level of work Engagement among employees of an oil and gas facility offshore in Mexico,» Ciencia & trabajo, vol. 17,nº 52, pp. 37-42, 2015. [14]C. Flores, M. Fernández, A. Juárez, C. Merino y M. Guimet, «Entusiasmo por el trabajo (engagement): un estudio de validez en profesionales de la docencia en Lima, Perú,» Liberabit, vol. 21, nº 2, pp. 195-206, 2015. [15]F. J. López y C. Chiclana, «Engagement, una plataforma para el desarrollo de la persona,» Comunicación y Hombre, vol. 14, nº 1, pp. 53-62, 2017. [16]F. Luna y M. Ross, «Cultura organizacional y engagement en colaboradores de una empresa agroindustrial de Lambayeque,» Tesis de grado, Universidad Señor de Sipán, Pimentel, Perú, 2017. [17]K. S. Diaz, «Engagement entre dos instituciones financieras de Chiclayo,» Tesis de grado, Universidad Señor de Sipán, Pimentel, Perú, 2016. [18]J. Amozorrutia, (2017, abril, 19). La emoción de sentirse bien en el Trabajo. «Great Place to Work,» [En línea]. Disponible: https://www.greatplacetowork.com.pe/publicaciones/otros/blog/la-emocion-de-sentirsebien-en-el-trabajo. [Último acceso: 22 julio 2020]. [19]D. Pérez, J. Peralta y P. Fernández-Davila, «Influencia de variables organizacionales en la calidad de vida laboral de funcionarios del sector público de saluden el extremo norte de Chile,» Universitas Psychologica, vol. 13, nº 2, pp. 541-551, 2014. [20]M. F. Gutiérrez, «Compromiso organizacional y compromiso con el trabajo en instituciones de gestión pública,» Tesis de maestría, Universidad Nacional deEducación, Lima, Perú, 2019. [21]L. V. Chero y L. V. 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Introdução: Disfunção Temporomandibular (DTM) é o termo para designar um quadro de desorganização neuromuscular identificada pela presença de cefaleias crônicas, sons na articulação temporomandibular, restrições dos movimentos mandibulares, hiperestesia e dor nos músculos da mastigação, da cabeça e do pescoço. Objetivo: realizar uma revisão de literatura sobre a DTM. Material e Método: foi feita uma seleção de artigos científicos a partir das bases de dados LILACS e SCIELO utilizando os descritores “Articulação Temporomandibular”, “Transtornos da Articulação Temporomandibular” e “Dor Facial”, usando como critérios de inclusão trabalhos brasileiros e inglês publicados em português e inglês no período de 2000 a 2018. Dos 798 artigos encontrados e delimitados pelos critérios inclusivos, foram selecionados 56 artigos como amostra, que apresentaram a temática elencada para a pesquisa e que foram discutidos nas seguintes sessões: a) Conceitos e epidemiologia; b) Etiologia; c) Sintomatologia; d) Diagnóstico; e) Tratamento. Conclusão: as causas da DTM são multifatoriais e seu diagnóstico deve ser minucioso. Observa-se a importância da anamnese para coleta de dados sintomatológicos da doença e o estudo de cada caso para melhor adequar a técnica de tratamento a ser utilizada. Há a necessidade de avaliações clínicas multidisciplinares nos indivíduos identificados com DTM para que o tratamento seja otimizado, minimizando a morbidade e diminuindo os custos do tratamento. Descritores: Articulação Temporomandibular; Transtornos da Articulação Temporomandibular; Dor Facial. Referências Capellini VK, Souza GS, Faria CRS. Massage therapy in the management of myogenic TMD: a pilot study. J Appl Oral Sci. 2006;14(1):21-6. Bastos LVW, Tesch RS, Denardin OV. Alterações cefalométricas presentes em crianças e adolescentes com desordens da ATM nas diferentes classificações sagitais de má oclusão. R Dental Press Ortodon Ortop Facial. 2008;13(2):40-8. Menezes MS, Bussadori SK, Fernandes KPS, Gonzalez DAB. Correlação entre cefaleia e disfunção temporomandibular. Fisioterapia e Pesquisa. 2008,15(2):183-7. Branco RS, Branco CS, Tesch RS, Rapoport A. Frequência de relatos de parafunções nos subgrupos diagnósticos de DTM de acordo com os critérios diagnósticos para pesquisa em disfunções temporomandibulares (RDC/TMD). R Dental Press Ortodon Ortop Facial. 2008;13(2):61-9. Ritzel CH, Diefenthaeler F, Rodrigues AM, Guimarães ACS, Vaz MA. Temporo-mandibular joint dysfunction and trapezius muscle fatigability. Rev Bras Fisioter. 2007;11(5):333-9. Kato MT, Kogawa EM, Santos CN, Conti PCR. Tens and low-level laser therapy in the management of temporo-mandibular disorders. J Appl Oral Sci. 2006;14(2):130-5. Tomacheski DF, Barboza VL, Fernandes MR, Fernandes F. Disfunção têmporo-mandibular: estudo introdutório visando estruturação de prontuário odontológico. Publ UEPG Ci Biol Saúde. 2004;10(2):17-25. Machado IM, Pialarissi PR, Minici TD, Rotondi J, Ferreira LP. Relação dos sintomas otológicos nas disfunções temporomandibulares. Arq Int Otorrinolaringol. 2010;14(3):274-9. Venancio RA, Camparis CM, Lizarelli RFZ. Laser no Tratamento de Desordens Temporomandibulares. J. Bras. Oclusão, ATM, Dor Orofac. 2002;7:229-34. Quinto CA. Classificação e tratamento das disfunções temporomandibulares: qual o papel do fonoaudió- logo no tratamento dessas disfunções? Rev CEFAC. 2000;2(2):15-22. Piozzi R, Lopes FC. Desordens temporomandibulares: aspectos clínicos e guia para a odontologia e fisioterapia. J. Bras. Oclusão, ATM Dor Orofacial. 2002;2(5):43-7. De Leeuw R. Dor orofacial: guia de avaliação, diagnóstico e tratamento 4ª ed. São Paulo: Quintessence;2010. Carlsson GE, Magnusson T, Guimarães AS. Tratamento das disfunções temporomandibulares na clínica odontológica. 1ª. ed. São Paulo: Quintessence; 2006. Köhler AA, Hugoson A, Magnusson T. Clinical signs indicative of temporomandibular disorders in adults: time trends and associated factors. Swed Dent J. 2013;37(1):1-11. Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders. New Engl J Med. 2008;59(25):693-705. Gameiro GH, Silva Andrade A, Nouer DF, Ferraz de Arruda Veiga MC. How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Investig. 2006;10(4):261-8. Monteiro DR, Zuim PRJ, Pesqueira AA, Ribeiro PP, Garcia AR. Relationship between anxiety and chronic orofacial pain of Temporomandibular Disorder in a group of university students. J Prosthodont Res. 2011;55(3):154-8. McMillan AS, Wong MCM, Lee LTK, Yeun RWK. Depression and diffuse physical symptoms in Southern Chinese with Temporomandibular Disorders. J Oral Rehabil. 2009;36(6):403-7. Giannakopoulos NN, Keller L, Rammelsberg P, Kronmüller KT, Schmitter M. Anxiety and depression in patients with chronic temporomandibular pain and in controls. J Dent. 2010;38(5):369-376. Fernandes G, Gonçalves DA, De Siqueira JT, Camparis CM. Painful temporomandibular disorders, self reported tinnitus, and depression are highly associated. Arq Neuropsiquiatr. 2013;71(12):943-7. Mottaghi A, Razavi SM, Elham Zamani Pozveh E, Jahangirmoghaddam M. Assessment of the relationship between stress and temporomandibular joint disorder in female students before university entrance exam (Konkour exam). Dent Res J (Isfahan). 2011;8(Supl.1):76-9. Pizolato RA, Freitas-Fernandes FS, Gavião MB. Anxiety/depression and orofacial myofacial disorders as factors associated with TMD in children. Braz Oral Res 2013;27(2):156-162. Calixtre LB, Grüninger BLS, Chaves TC, Oliveira AB. Is there an association between anxiety/depression and Temporomandibular Disorders in college students? J Appl Oral Sci. 2014;22(1):15-21. Winocur E, Gavish A, Finkelshtein T, Halachmi M, Gazit E. Oral habits among adolescent girls and their association with symptoms of temporomandibulardisorders. J Oral Rehabil. 2001;28(7):624-629. Carvalho LPM, Piva MR, Santos TS, Ribeiro CF, Araújo CRF, Souza LB. Estadiamento clínico da disfunção temporomandibular: estudo de 30 casos. Odontol Clín-Cient. 2008;7(1):47-52. Medeiros SP, Batista AUD, Forte FDS. Prevalência de sintomas de disfunção temporomandibular e hábitos parafuncionais em estudantes universitários. RGO 2011;59(2):201-208. Valetic'-Peruzovic'm, Alajbeg I, Prpic'-Mehicic'g, Juros V, Illes D, Pelivan I. Acta Medica Croatica. 2008;62(2):179-187. Gavish A, Halachmi M, Winocur E, Gazit E. Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls. J Oral Rehabil. 2000;27(1):22-32. Thilander B, Rubio G, Pena L, Mayorga C. Prevalence of Temporomandibular Dysfunction and Its Association With Malocclusion in Children and Adolescents: An Epidemiologic Study Related to Specified Stages of Dental Development. Angle Orthod. 2002;72(2):146-154. Paulino MR, Moreira VG, Lemos GA, Silva PLP, Bonan PRF, Batista AUD. Prevalência de sinais e sintomas de disfunção temporomandibular em estudantes pré-vestibulandos: associação de fatores emocionais, hábitos parafuncionais e impacto na qualidade de vida. Ciência & Saúde Coletiva. 2018;23(1):173-186. Okeson, Jeffrey P. Etiologia e identifi cação dos distúrbios funcionais no sistema mastigatório. In:. Tratamento das desordens temporomandibulares e oclusão. 4. ed. São Paulo: Artes Médicas, 2000. p. 117-272. Greene, Charles S. The etiology of temporomandibular disorders: implications for treatment. Journal of Orofacial Pain. 2001;15(2)93-105. Bove SRV, Guimarães AS, Smith RL. Caracterização dos pacientes de um ambulatório de disfunção temporomandibular e dor orofacial. Rev Latino Enferm. 2005;13(5):686-91. Detamore MS, Athanasiou KA. Structure and function of the temporomandibular joint disc: implications for tissue engineering. J Oral Maxillofac Surg. 2003;61(4):494-506. Ramínez LM, Ballesterol LE, Sandoval GP. Otological symptoms among patients with temporimandibular joint disorders. Revista Médica de Chile. 2007;135(12):1582-90. Felício CM, Melchior MDEO, Ferreira CL, Silva MA. Otologic symptoms of temporomandibular disorder and effect of orofacial myofunctional disorder and effect of orofacial myofunctional therapy. Cranio. 2008;26(2):118-25. Bertoli, Elizangela de et al. Prevalence and impact of post-traumatic stress disorder symptoms in patients with masticatory muscle or temporomandibular joint pain: differences and similarities. Journal of Orofacial Pain, Carol Stream, v. 21, n. 2, p. 107-119, Spring 2007. Reissmann, Daniel R. et al. Functional and psychosocial impact related to specifi c temporomandibular disorder diagnoses. Journal of Dentistry, Guildford, v. 35, n. 8, p. 643-650, Aug. 2007. Aggarwal, Vishal R. et al. Psychosocial interventions for the management of chronic orofacial pain Psychosocial interventions for the management of chronic orofacial pain Psychosocial interventions for the management of chronic orofacial pain. Cochrane Database of Systematic Reviews, Oxford, v. 9, n. 11, CD008456, Nov. 2011. Costa, Max Dória; Froes Junior, Gontran da Rocha Torres; SANTOS, Carlos Neanes. Avaliação de fatores oclusais em pacientes com disfunção temporomandibular. Dental Press Journal of Orthodontics, Maringá, v. 17, n. 6, p. 61-68, nov./dez. 2012. Liao, Chun-Hui et al. The risk of temporomandibular disorder in patients with depression: a population-based cohort study. Community Dentistry and Oral Epidemiology, Copenhagen, v. 39, n. 6, p. 525-531, Dec. 2011. Conti PCR. Behavioural changes and occlusal splints are effective in the management of masticatory myofascial pain: a short-term evaluation. Journal of Oral Rehabilitation. 2012;39(10):754-60. John MT, Reissmann DR, Schierz O, Wassell RW. Oral health-related quality of life in patients with temporo­mandibular disorders. J Orofac Pain. 2007;21(1):46-54. Barros VMM, Seraidarian PI, Côrtes MI, Paula LV. The impact of orofacial pain on the quality of life of pa­tients with temporomandibular disorder. J Orofac Pain. 2009;23(1):28-37. Schierz O, John MT, Reissmann DR, Mehrstedt M, Sz­entpétery A. Comparison of perceived oral health in patients with temporomandibular disorders and dental anxiety using oral health-related quality of life profiles. Qual Life Res. 2008;17(6):857-66. Dahlström L, Carlsson GE. Temporomandibular disor­ders and oral health-related quality of life. A systematic review. Acta Odontol Scand. 2010;68(2):80-85. Lemos GA, Paulino MR, Forte FDS, Beltrão RTS, Ba­tista AUD. Influence of temporomandibular disorder presence and severity on oral health-related quality of life. Rev Dor. 2015;16(1):10-14. Ballegaard V, Thede-Schmidt-Hansen P, Svensson P, Jensen R. Are headache and temporomandibular disorders related? A blinded study. Cephalalgia. 2008;28(8):832-41. Plesh O, Noonan C, Buchwald DS, Goldberg J, Afari N. Temporomandibular disorder-type pain and migraine headache in women: A preliminary twin study. J Orofac Pain. 2012;26(2):91-8. Melo GM, Barbosa JFS. Parafunção x DTM: a influ­ência dos hábitos parafuncionais na etiologia das de­sordens temporomandibulares. POS. 2009; 1(1):43-8. Guhur MLP, Alberto RN, Carniatto N. Influências bio­lógicas, psicológicas e sociais do vestibular na adoles­cência. Roteiro. 2010;35(1):115-38. Cuccia AM, Caradonna C, Caradonna D. Manual Therapy of the mandibular accessory ligaments for the management of temporomandibular joint disorders. JAOA. 2011;111(2):102-12. Pasinato F, Souza JA, Corrêa ECR, Silva AMT. 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Child Distance Learning (CDL) during the pandemic has led to an optimal development of children and effective teaching and learning processes in kindergartens. To overcome this, teachers need to apply a teaching approach in accordance with the principles of kindergarten education. In addition, teachers' self-efficacy of their ability to teach is also important for developing children's skills. This study aims to describe the teaching approach and the efficacy of kindergarten teachers during the CDL process and to identify the relationship between the two. The research method used is quantitative through document analysis as a source of data findings. A total of 116 Public Kindergarten (PK) teachers in DKI Jakarta participated in filling out the Classroom Management Scale and Teachers' Sense of Efficacy Scale online. All data were processed using descriptive statistics and correlation. Furthermore, there is a document analysis carried out on the Daily / Weekly Learning Program Design in PK Jakarta. The findings identified that the teaching approach of kindergarten teachers during CDL included only two principles of kindergarten education, namely thematic teaching and developing life skills. Furthermore, PK teachers in the Jakarta area showed low self-efficacy during CDL. The teaching approach and self-efficacy were caused by teachers' unpreparedness in facing challenges during CDL. In addition, other findings indicate that there is a relationship between teaching approaches and teacher self-efficacy. Another CDL model Interventions to increase teacher self-efficacy and the extent to which the relationship between the two variables can be studied further in future studies. Keywords: Early Childhood, Distance Learning, Teaching Approach, Teacher Self-Efficacy References: Agustin, M., & Wahyudin, U. (2011). Penilaian perkembangan anak usia dini. Refika Aditama. Agustin, M., Puspita, R. D., Nurinten, D., & Nafiqoh, H. (2020). Tipikal Kendala Guru PAUD dalam Mengajar pada Masa Pandemi Covid 19 dan Implikasinya. Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini, 5(1), 334. https://doi.org/10.31004/obsesi.v5i1.598 Ayu, N. (2015). Pengelolaan Kurikulum 2013 Di Tk Negeri Pembina Semarang. Program Sarjana Universitas Negeri Semarang. Bullock, A., Coplan, R. J., & Bosacki, S. (2015). Exploring links between early childhood educators’ psychological characteristics and classroom management self-efficacy beliefs. Canadian Journal of Behavioural Science, 47(2), 175–183. https://doi.org/10.1037/a0038547 Cheung, S. K., Fong, R. W. tsz, Leung, S. K. Y., & Ling, E. K. wei. (2019). The Roles of Hong Kong Preservice Early Childhood Teachers’ Creativity and Zest in Their Self-efficacy in Creating Child-centered Learning Environments. Early Education and Development, 30(6), 788–799. https://doi.org/10.1080/10409289.2019.1586224 Choi, J., Lee, J., & Kim, B. (2019). How does learner-centered education affect teacher self-efficacy? The case of project-based learning in Korea. Teaching and Teacher Education, 85, 45–57. Dimyati, J. (2016). Pembelajaran terpadu untuk taman kanak-kanak/ raudhatul athfal dan sekolah dasar. Prenamedia Group. Dinçer, Ç., & Akgün, E. (2015). Developing a classroom management skills inventory for preschool teachers and the correlation of preschool teachers’ classroom management skills with different variables. Egitim Ve Bilim, 40(117). Duffin, L., Patrick, H., & French, B. (2012). The teachers’ sense of efficacy scale: Confirming the factor structure with beginning pre-service teachers. Teaching and Teacher Education: An International Journal of Research and Studies, 28(6), 827–834. Essa, E. (2011). Introduction to early childhood education. Wadsworth. Harwati, D., & Mariyanti, S. (2014). Hubungan antara self-efficacy dengan burnout pada pengajar taman kanak-kanak sekolah “X” di Jakarta. Jurnal Psikologi, 12(2), 54–60. Ismawati, D., & Prasetyo, I. (2020). Efektivitas pembelajaran menggunakan video zoom cloud meeting pada anak usia dini era pandemi covid-19. Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini, 5(1), 665-675. DOI: 10.31004/obsesi. v5i1.671 Jackman, H. (2011). Early education curriculum: A child’s connection to the world. Delmar Thomson Learning. Jalal, M. (2020). Kesiapan guru menghadapi pembelajaran jarak jauh di masa covid-19. Smart Kids: Jurnal Pendidikan Islam Anak Usa Dini, 2(1), 35–40. Johar, R., & Hanum, L. (2016). Strategi belajar mengajar. Penerbit Deepublish. Klassen, R. M., & Chiu, M. M. (2010). Effects on teachers’ self-efficacy and job satisfaction: Teacher gender, years of experience, and job stress. Journal of Educational Psychology, 102(3), 741–756. https://doi.org/10.1037/a0019237 Lee, C., & Davis, H. (2014). Teacher self-efficacy. In W. Scarlett (Ed.), The sage encyclopedia of classroom management (Vol. 2, pp. 811-812). SAGE Publications Inc., https://www.doi.org/10.4135/9781483346243.n341. Masdudi, M. (2016). Karakteristik perkembangan pendidikan anak usia dini. Jurnal Pendidikan Anak, 1(2), 1-26. Moran, M., & Hoy, A. (2001). Teacher efficacy: capturing an elusive construct. Teaching and Teacher Education, 17, 783-805. Mulyani, S., Nasution, E., & Pratiwi, I. (2020). Hubungan efikasi diri dan keterikatan kerja guru taman kanak-kanak. JP3SDM, 9(1), 74-89. Ndari., & Chandrawaty. (2018). Telaah kurikulum pendidikan anak usia dini. Edu Publisher. Nindiati, D. (2020). Pengelolaan pembelajaran jarak jauh yang memandirikan siswa dan implikasinya pada pelayanan pendidikan. Journal of Education and Instruction, 3(1), 14-20. Restyningtyas, D. (2013). Penerapan Child Centered pada Anak Usia Dini di Taman Anak (TA) Sanggar Anak Alam (SALAM). Fakultkas Ilmu Pendidikan Universitas Negeri Yogyakarta. Saifulloh, A. M., & Darwis, M. (2020). 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Soedjono, 2008. Pembelajaran Sains Moderen. http://www.guru-scn/pakem.html. Syarah, E. S., Mayuni, I., & Dhieni, N. (2020). Understanding Teacher's Perspectives in Media Literacy Education as an Empowerment Instrument of Blended Learning in Early Childhood Classroom. Jurnal Pendidikan Usia Dini, 14(2), 201-214. Tiara, D. R., & Pratiwi, E. (2020). Mengukur Kesiapan Guru Sebagai Dasar Pembelajaran Daring Di Lembaga PAUD. Jurnal Golden Age, 4(02), 362-368. Utami, dkk. (2014). Modul PLPG pendidikan anak usia dini, Buku I. Konsorsium Sertifikasi Guru. Yusnita, N., & Muqowim. (2020). Pendekatan student centered learning dalam menanamkan karakter disiplin dan mandiri anak di TK Annur II. Jurnal Ilmiah Potentia, 5(2), 116–126.

Este trabajo surge a partir de la investigación general de las técnicas hidropónicas teniendo en cuenta sus ventajas y desventajas para de esta forma poder encontrar aquel factor determinante a través de una comparación de técnicas hidropónicas que permitan clasificarlas y escoger la mejor opción que genere menos impacto ambiental negativo y demuestre ser más productivo en los entornos urbanos. Adicionalmente, un factor determinante en las ciudades es su espacio limitado por lo que la mejor opción también deberá incluir un óptimo manejo del espacio que permita a casi cualquier individuo poder aplicarlos desde su entorno sin recurrir a excesivas modificaciones. Como principal resultado se escogió a la Hidroponía recirculante como método predominante por los excelentes resultados que se obtienen con relación a los demás, adicionalmente, este puede ser fácilmente aplicado en los ambientes urbanos por su versatilidad y buen manejo de recursos. 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Buckley, «Partially treated domestic wastewater as a nutrient source for tomatoes(Lycopersicum solanum) grown in a hydroponic system: effect on nutrientabsorption and yield,» Heliyon, vol. 6, nº 12, pp. 2405-8440, 2020. [11]C. ARANO, «Hidroponía: Algunas paginas de historia,» Tecnología de Producción , nº 58 , pp. 24-32, 2007. [12]G. Guzmán, Hidroponia en Casa: Una actividad familiar, Costa Rica: Ministerio de Agricultura y ganaderia, 2004. [13]J. Gilsanz, HIDROPONIA, Montevideo : Unidad de Comunicación y Transferencia de Tecnología , 2007. [14]C. Miller, «El debate de hidroponia orgánica: Perspectivas norteamericanas sobre si la producción hidropónica merece ser certificada como orgánica.,» Productores de Hortalizas, nº 6, pp. 36-38, 2017. [15]A. Herrera, «Manejo de la solución nutritiva en la producción de tomate en hidroponía,» Terra Latinoamericana, vol. 17, nº 3, pp. 221-229, 1999. [16]C. Espinal y D. Matulić, «Recirculating Aquaculture Technologies,» Biomedical and Life Sciences, pp. 35-76, 2020. [17]H. Resh, «Técnicas de cultivo con flujo laminar de nutrientes,» de Cultivos Hidroponicos, España, Mundi-Prensa, 2001, pp. 35-37. [18]P. Blanca y L. Teresa, «Sistemas recirculantes y su interés en el cutlivo de ornamentales,» Tecnología de producción, nº 35, pp. 34-36, 2006. [19]C. Magán, «Recirculación de las soluciones nutritivas, Manejo y Control Microbiologico,» InfoAgro , nº 2, pp. 1-2, 2016. [20]S. Goddek, A. Joyce, B. Kotzen y M. Dos-Santos, «Aquaponics and Global Food Challenges,» Aquaponics Food Production Systems. Springer, vol. 1, nº 1, pp. 3-17, 2019. [21]S. G. Verdoliva, D. Gwyn Jones, A. Detheridge y P. Robson, «Controlled comparisons between soil and hydroponic systems reveal increased water use efficiency and higher lycopene and β-carotene contents in hydroponically grown tomatoes,» Scientia Horticulturae, pp. 3002-4238, 2020. [22]A. Chaudhry y V. Mishra, «A Comparative Analysis of Vertical Agriculture Systems in Residential Apartments, » de 2019 Advances in Science and Engineering Technology International Conferences (ASET), Dubai, United Arab Emirates, United Arab Emirates, 2019. [23]T. Mazhar, G. Jianmin, L. Imran, S. Kashif, Q. Waqar, S. Sher y C. Jiedong, «Modern plant cultivation technologies in agriculture under controlled nvironment: a review on aeroponics,» Journal of Plant Interactions, vol. 13, nº 1, pp. 338-352, 2012. [24]K. Janiak, A. Jurga, J. Kuźma, W. Breś y M. Muszyński, «Surfactants effect on aeroponics and important mass balances of regenerative life support system – Lettuce case study,» Science of the Total Environment, vol. 718, nº137324, pp. 1-12, 2020. [25]F. Rahman, I. Jahan, R. Biplob, N. Farhin y J. Uddin, «Automated Aeroponics System for Indoor Farming using Arduino,» de 2018 Joint 7th International Conference on Informatics, Electronics & Vision (ICIEV) and 2018 2nd International Conference on Imaging, Vision & Pattern Recognition (icIVPR), Kitakyushu, Japan, 2018. [26]M. Caldeyro Stajano, «La Hidroponía Simplificada como Tecnología apropiada, para implementar la Seguridad Alimentaria en la Agricultura Urbana.,» Cuadernos del CEAgro, nº 8, pp. 71-76, 2006.

La investigación se fundamenta en la normativa vigente y las sanciones correspondientes por evasión tributaria a las pequeñas y medianas empresas. El estudio se basó en analizar las contribuciones tributarias de todos los sectores económicos y la gestión que realiza el SRI para combatir las empresas fantasmas. El objetivo del estudio fue determinar los principales delitos que existen y las sanciones correspondientes por cada infracción. El diseño metodológico fue de orden mixto. Cualitativo porque se realizó un análisis descriptivo de los principales delitos especificados en el COIP Art. 298. Cuantitativo porque se analizó e interpretó datos económicos acerca de las PYMES, contribuciones tributarias generales y evasión de impuestos. Los resultados revelaron que las PYMES generan un alto valor tributario, por ende, existe incremento de empresas fantasmas que evaden impuestos y no existe una adecuada gestión para combatir este problema. Palabras Clave: Contribución tributaria, PYMES, evasión de impuestos, empresas fantasmas. Referencias [1]I. Quispe, “La evasión tributaria y su influencia en las micro y pequeñas empresas del sector comercio distrito de quilmaná provincia de cañete, periódo 2018,” 2019. [2]E. Cobos, “Los impuestos financian el 70% del sector público,” Rev. Gestión, no. El petróleo pierde revancha, pp. 1–2, 2018, [En línea]. Disponible en: https://revistagestion. ec/index.php/economia-y-finanzas-analisis/los-impuestos-financian-el-70-del-sector-publico. [Último acceso: 4 de mayo de 2020] [3]J. Yañez, “Evasión Tributaria : Atentado a la Equidad,” Cent. Estud. Tribut. Univ. Chile, pp. 171–206, 2015, [En línea]. Disponible en: https://revistaestudiostributarios.uchile.cl/index.php/RET/article/view/39874%0Ahttps://revistaestudiostributarios.uchile.cl/index.php/RET/article/view/39874/41444. [Último acceso: 4 de mayo de 2020]. [4]J. Benítez, R. Granda, R. Noboa, E. Villegas, I. Valero, and S. López, “Incidencia De Las Obligaciones Tributarias En Las Utilidades De Mipymes En Ecuador,caso comercial “su hacienda” del cantón general Antonio Elizalde (Bucay) Del Año 2014,” Rev. Caribeña Ciencias Soc., vol. 11, no. 2016_05, pp. 61–67, 2016. [5]M. Tamariz, “La evasión tributaria en la legislación ecuatoriana,” Universidad de Cuenca, 2015. [6]M. D. Echaiz and M. S. Echaiz, “La elusión tributaria : Análisis crítico de la actual normatividad y propuestas para una futura reforma,” Derecho Soc., p. 17,2014. [7]J. Sánchez, F. Esparza, I. Gaibor, and M. Barba, “La evasión tributaria originada en el uso de comprobantes de venta/Evaluation of micro and small enterprises of the popular and solidarity economy prior to participating in a Business Round,” KnE Eng., vol. 2020, pp.149–163, 2020, doi: 10.18502/keg.v5i2.6231. [8]SRI, “SRI investiga a nuevas empresas que presuntamente evaden impuestos con la falsificación de facturas,”Quito, 2017. [En línea]. Disponible en: https://www.sri.gob.ec/web/guest/detalle-noticias?idnoticia=412. [Último acceso: 4 de mayo de 2020]. [9]C. Yance, L. Solis, I. Burgos, I. Hermida, “La importancia de las Pymes en México,” Rev. Obs. la Econ. Latinoam. Ecuador, p. 22, 2017. [10]J. García, S. Galarza, and A. Altamirano, “Importancia de la administración eficiente del capital de trabajo en las Pymes,” Rev. Cienc. UNEMI, vol. 10,no. 2528–7737, pp. 30–39, 2017, [En línea]. Disponible en: http://ojs.unemi.edu.ec/ojs/index.php/cienciaunemi/article/view/495. [Último acceso: 4 de mayo de 2020]. [11]R. E. Ron Amores and V. A. Sacoto Castillo, “Las PYMES ecuatorianas: Su impacto en el empleo como contribución del PIB PYMES al PIB total,” Espacios,vol. 38, no. 53, 2017. [12]M. Maldonado, “Cultura Tributaria De Las Mipymes Y Su Incidencia En El Contexto Socio-Económico Ecuatoriano.,” Rev. Sur Acad., vol. 1, no. 8, pp. 43–50, 2017. [13]D. D. Delgado and G. P. Chávez, “Las pymes en el Ecuador y sus fuentes de financiamiento,” Rev. Obs. la Econ. Lationamericana, no. Abril, pp. 1–18, 2018, [En línea]. Disponible en: https://www.eumed.net/rev/oel/2018/04/pymes-ecuador-financiamiento.html. [Último acceso: 4 de mayo de 2020] [14]Asamblea Constituyente, “Codigo Organico Integral Penal,” Noticias, p. 1, 2015, [En línea]. Disponible en: https://www.mendeley.com/import/. [Último acceso: 4 de mayo de 2020]. [15]R. Hernández, Metodología de la investigación, vol. 3, no. 2. 2015. [16]M. Saltos, “El delito tributario en ecuador,” vol. 11, no. 1390, pp. 43–46, 2017. [17]M. Caguana, “Defraudación tributaria según el Código Orgánico Integral Penal (COIP)”. Tesis de maestría. Universidad de Cuenca, 2015. [18]Asamblea Constituyente, “Ley Reformatoria para la Ewuidsd Tributaria del Ecuador,” Quito, 2018. [19]W. Carrillo, P. Sánchez, and G. Carrillo, “Recaudación de impuestos por domicilio fiscal Ecuador: zona de planificación tres (Chimborazo, Cotopaxi, Tungurahua, Pastaza), 2007-2018,” Bolentín Coyunt., vol. 1, no. 21,p. 22, 2019, doi: 10.31164/bcoyu.21.2019.693. [20]W. G. Torres, “La recaudación de impuestos cayó casi un 35% en un año,” Primicias, 2020, [En línea]. Disponible en: https://www.primicias.ec/noticias/economia/sri-recaudacion-tributaria-dura-caida-abril/. [Último acceso: 4 de mayo de 2020] [21]V. Calderon, M. García, and J. Espinoza, “Las empresas fantasmas en ecuador: caracterización, socios y empresas relacionadas,” 2017. [22]SRI, “Intercambio de información y cooperación con entidades gubernamentales y judiciales para el combate al fraude fiscal , lavado de activos y delitosconexos,” 2018, [En línea]. Disponible en: https://ciatorg.sharepoint.com/sites/cds/Conocimientos/EventosInstitucionales/Asambleas/2018/es/Presentaciones/pdf/2.2_Ecuador.pdf. [Último acceso: 4 de mayo de 2020].

Hoy por hoy, la responsabilidad social empresarial (RSE) es una nueva forma de enfocar las organizaciones, y de tener un poco de conciencia o respeto hacia los diferentes medios o entornos en los cuales éstas desarrollan sus actividades empresariales. Aparte de ello se puede mencionar que, aunque no existe una gran cantidad de organizaciones pertenecientes al sector secundario, encargado de transformar la materia prima en un bien final, existe una amplia cantidad de pequeñas y medianas empresas (Pymes) del sector primario en la región amazónica, que realizan actividades como la extracción de madera, carbón, peces, producción de ganado, entre otras, acciones que perjudican toda la biodiversidad de la Amazonía colombiana. El presente artículo es de enfoque cualitativo y tipo metodológico descriptivo, ya que se buscó caracterizar el impacto de la RSE en la Amazonía colombiana por parte de las pequeñas y medianas empresas. Referencias: Acero, R. (2016). Lineamientos estratégicos para la incorporación congruente de la variable ambiental en los planes y esquemas de ordenamiento territorial de Colombia (Tesis de Maestría). Universidad de Chile. Recuperado de http://mgpa.forestaluchile.cl/Tesis/Acero%20Ronald.pdf Agudelo, E. (2015). Bases científicas para contribuir a la gestión de la pesquería comercial de bagres (familia pimelodidae) en la Amazonía colombiana y sus zonas de frontera. Recuperado de https://ddd.uab.cat/record/142475 Agudelo, S. (2009). Responsabilidad Social Empresarial, Una mirada desde Colombia. Revista de Negocios Internacionales, 2(1), 3‐11. Altuna, M. (2013). Los Factores de la Responsabilidad Social: El Análisis de las Pequeñas y Medianas Empresas Manufactureras Guipuzcoanas. Azkoaga, 16, 149-172. Anónimo. (s.f.). La RSE. “Modelo de Buena Práctica Empresarial”. Recuperado de https://aprendeenlinea.udea.edu.co/revistas/index.php/ tgcontaduria/article/viewFile/323512/20780676 Arenas, A., Escobar, E., Acosta, J., Monsalve, L. y Oyola, E. (2012). RSE “Moda o Compromiso Real” (Trabajo de Grado). Universidad de Medellín. Medellín, Colombia. Recuperado de http://repository.udem.edu.co/bitstream/handle/11407/357/ Responsabilidad%20social%20empresarial.%20%E2%80%9CModa% 20o%20compromiso%20 real%E2%80%9D.pdf?sequence=1&isAllowed=y Aristimuño, M. y Rodríguez, C. (2014), Responsabilidad social universitaria. Su gestión desde la perspectiva de directivos y docentes. Estudio de caso: una pequeña universidad latinoamericana. Interciencia, 39(6), 375-382. Baltera, P., Díaz, E. y Dussert, J. (2005). Responsabilidad Social Empresarial, Alcances y Potencialidades en Materia Laboral. Cuaderno de Investigación N° 25. Recuperado de http://www.dt.gob.cl/portal/1626/articles-88984_recurso_1.pdf Barrena, A. (2012). La protección de las especies silvestres, especial tratamiento de la protección en situ (Tesis doctoral). Universidad de Alicante. Recuperada de https://rua.ua.es/dspace/handle/10045/28038Bencomo, T. (2007). Desarrollo de las TIC y la formación profesional. http://www.saber.ula.ve/bitstream/handle/123456789/25149/articulo1.pdf; jsessionid=A8697326F48141C4F9366A86EA3CED46?sequence=2 Buriticá, L. (2011). La RSE y su Relación Teórica con la Gestión del Talento Humano. Universidad de Manizales (Tesis de Maestría). Universidad de Manizales. Recuperado de http://ridum.umanizales.edu.co:8080/xmlui/bitstream/handle/6789/297/Buritica_ Castro_Lida_Marcela_ 2011.pdf?sequence= Camejo, A. y Cejas, M. (2009). Responsabilidad social: factor clave de la gestión de los recursos humanos en las organizaciones del siglo XXI. Nómadas, Critical Journal of Social and Juridical Sciences, 21(1), 127-142. Cardona, C. y Giraldo, L. (2010). Estandarización de Indicadores de Responsabilidad Social Empresarial Propuestas por Organizaciones de Reconocimiento Mundial (Trabajo de Grado). Universidad Tecnológica de Pereira. Recuperado de http://repositorio.utp.edu.co/dspace/bitstream/handle/11059/1549/ 658408C268. pdf;jsessionid=A24F7FD84FFE4F942F3159EE7AB68BF7?sequence=1 Congreso de la República de Colombia. (2000). Ley 590 de 2000 “por la cual se dicta disposiciones para promover el desarrollo de las micro, pequeñas y medianas empresas”. Bogotá, Colombia. Recuperada de http://www.alcaldiabogota.gov.co/sisjur/normas/Norma1.jsp?i=12672 Curatola, G. (2011). Patrones de distribución espacial de Triplaris Americana en Tambopata, Perú. Pontificia Universidad Católica del Perú. Recuperado de http://tesis.pucp.edu.pe/repositorio/handle/123456789/454 De La Cuadra, F. (2013). Cambio climático, movimientos sociales y políticas públicas, una vinculación necesaria. Recuperado de https://journals.openedition.org/polis/9651 Delgado, V. y Olarte, M. (2012). Responsabilidad social corporativa en el sector de la televisión. Un estudio longitudinal de las memorias de sostenibilidad. Revista Internacional de Investigación en Comunicación aDResearch ESIC, 6(6), 112-129. Delgado, Y., Herrera, N. y Gallón, C. (2014). La Responsabilidad Social Empresarial: una mirada a la aplicación en el sector transporte público automotor. Trabajos de Grado Contaduría Pública, 8(1), 1-29. Duque, Y., Cardona, M. y Rendón, J. (2013). Responsabilidad Social Empresarial: Teorías, índices, estándares y certificaciones. Cuadernos de Administración, 29(50), 196-206. Escamilla, S., Jiménez, I. y Prado, C. (2013). La Responsabilidad Social Empresarial, una forma de crear valor. Madrid, España: Editorial Académica Española. Fernández, C. (2012). Responsabilidad Social Empresarial: Cultura y Medio ambiente (Tesis de Posgrado). Recuperado de http://repositorio.uchile.cl/handle/2250/112084 Franco, C. (s.f.). Dinámica de construcción de una nueva sociedad desde los negocios. Recuperado de http://interamerican-usa.com/articulos/Gob-Corp-Adm/Responsabilidad%20Social%20Carolina%20Franco[1].pdf García, M. y Duque, J. (2012). Gestión Humana y Responsabilidad Social Empresarial: un enfoque estratégico para la vinculación de prácticas responsables a las Organizaciones. Libre Empresa, 17, 13-37. Gil, F. (2013). La responsabilidad social universitaria desde la perspectiva ambiental: universidad y desarrollo sustentable (Tesis de Maestría). Universidad Nacional Autónoma de México. Recuperado de http://132.248.9.195/ptd2013/agosto/0700625/0700625.pdf Gómez, M. (2010). La Gestión y la Información sobre la Responsabilidad Social Empresarial de las PYMES: la Necesidad de Diferenciación. Contaduría Universidad de Antioquia, 56, 15-40. Gómez-Villegas, M. y Quintanilla, D. (2012). Los informes de Responsabilidad Social Empresarial: su evolución y tendencias en el contexto internacional colombiano. Cuadernos de Contaduría, 13(32), 121-158. Gómez, H. (2014). Responsabilidad Social Empresarial en la municipalidad de Huehuetenango (Trabajo de Grado). Universidad Rafael Landívar. Recuperado de http://biblio3.url.edu.gt/Tesario/2014/01/01/Gomez-Helen.pdf Guerra, F., Higuera, K., Molina, F. y Villagrán, P. (2015). Estudio comparativo sobre responsabilidad social entre empresas y países. Recuperado de http://repositorio.uchile.cl/bitstream/handle/2250/131943/ Estudio%20comparativo %20sobre% 20responsa.pdf Henao, J. (2013). La Responsabilidad Social Empresarial como Estrategia de Gestión en la Organización Pranha S.A. (Tesis de Maestría). Universidad Nacional de Colombia. Recuperado de http://www.bdigital.unal.edu.co/12095/1/7711507.2013.pdf Lara, M. (2003). La responsabilidad social de la empresa: implicaciones contables. España: Editorial Edisofer S.L. López, I. (2014). El cambio climático, ¿reto para la Responsabilidad Social Empresarial? Revista Internacional de Organizaciones, 13, 39-53. Mantilla, M. (2012). Responsabilidad Social Empresarial y Población Indígena Colombiana. Bogotá, Colombia: Fondo de Publicaciones de la Universidad Sergio Arboleda. Méndez-Beltrán, J. y Peralta-Borray, D. (2014). Reflexiones respecto a la Responsabilidad Social Empresarial y la creación de valor económico desde la perspectiva de los proveedores. Cuadernos de Contabilidad, 15(38), 625-645. Meza, A. (2007). La Responsabilidad Social Empresarial como factor de competitividad (Trabajo de Grado). Pontificia Universidad Javeriana, Bogotá, Colombia. Recuperado de http://www.javeriana.edu.co/biblos/tesis/economia/tesis27.pdf Milian, L. (2015). Responsabilidad social corporativa. Origen y evolución del concepto de RSC en el entorno empresarial europeo y español. Recuperado de https://repositorio.comillas.edu/rest/bitstreams/7232/retrieve Montoya, J. (2011). Plan de educación ambiental para el desarrollo sostenible en los colegios de la institución La Salle. Recuperado de https://www.tesisenred.net/handle/10803/41714 Montoya, B. y Martínez, P. (Coord.). (2012). Responsabilidad Social Empresarial: Una Respuesta Ética ante los Desafíos Globales. Recuperado de http://www.kas.de/wf/doc/kas_37565-1522-4-30.pdf?140425034037 Navarro, F. (2008). Responsabilidad Social Corporativa: Teoría y Práctica. Recensiones, Revista del Ministerio de Trabajo e Inmigración, 76, 193-195. Núñez, I., González, E. y Barahona, A. (2003). La biodiversidad: historia y contexto de un concepto. Interciencia, 28(7), 387-393. Observatorio de Responsabilidad Social Corporativa. Comisión Europea. (2001). Libro Verde: Fomentar un Marco Europeo para la Responsabilidad Social de las Empresas. Recuperado de https://observatoriorsc.org/libro-verde-fomentar-un-marco-europeo-para-la-responsabilidad-social-de-las-empresas/ Ortiz, P. (2009). La Responsabilidad Social Empresarial como base de la estrategia competitiva de HZX (Trabajo de Grado). Pontificia Universidad Javeriana, Colombia. Recuperado de https://repository.javeriana.edu.co/handle/10554/9169 Pérez, C. (2014). Acuerdos ambientales multilaterales para la conservación de la biodiversidad. Análisis de cumplimiento en Chile (Tesis de Maestría). Universidad de Chile. Recuperado de http://mgpa.forestaluchile.cl/Tesis/Perez%20Cristian.pdf Porter, M. & Kramer, M. (2011). Creating Shared Value. Recuperado de https://hbr.org/2011/01/the-big-idea-creating-shared-value Puentes, R., Antequeras, J. y Velasco, M. (2008). La responsabilidad social corporativa y su importancia en el espacio europeo de educación superior. Recuperado de https://dialnet.unirioja.es/servlet/articulo?codigo=2740076 Rodríguez, Y., Alemán, R., Domínguez, J., Soria, S., Hernández, H. Salazar, C. y Jara, A. (2016). 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The pandemic of COVID-19 has afflicted every individual and has initiated a cascade of directly or indirectly involved events in precipitating mental health issues. The human species is a wanderer and hunter-gatherer by nature, and physical social distancing and nationwide lockdown have confined an individual to physical isolation. The present review article was conceived to address psychosocial and other issues and their aetiology related to the current pandemic of COVID-19. The elderly age group has most suffered the wrath of SARS-CoV-2, and social isolation as a preventive measure may further induce mental health issues. Animal model studies have demonstrated an inappropriate interacting endogenous neurotransmitter milieu of dopamine, serotonin, glutamate, and opioids, induced by social isolation that could probably lead to observable phenomena of deviant psychosocial behavior. Conflicting and manipulated information related to COVID-19 on social media has also been recognized as a global threat. Psychological stress during the current pandemic in frontline health care workers, migrant workers, children, and adolescents is also a serious concern. Mental health issues in the current situation could also be induced by being quarantined, uncertainty in business, jobs, economy, hampered academic activities, increased screen time on social media, and domestic violence incidences. The gravity of mental health issues associated with the pandemic of COVID-19 should be identified at the earliest. Mental health organization dedicated to current and future pandemics should be established along with Government policies addressing psychological issues to prevent and treat mental health issues need to be developed. References World Health Organization (WHO) Coronavirus Disease (COVID-19) Dashboard. 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[Accessed on 23 August 2020]. Xiang Y, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry 2020;(3):228–229. https://doi.org/10.1016/S2215-0366(20)30046-8. Van Bortel T, Basnayake A, Wurie F, Jambai M, Koroma A, Muana A, et al. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bull World Health Organ. 2016;94(3):210–214. https://dx.doi.org/10.2471%2FBLT.15.158543. Kumar A, Nayar KR. COVID 19 and its mental health consequences. Journal of Mental Health. 2020; ahead of print:1-2. https://doi.org/10.1080/09638237.2020.1757052. Gupta R, Grover S, Basu A, Krishnan V, Tripathi A, Subramanyam A, et al. Changes in sleep pattern and sleep quality during COVID-19 lockdown. Indian J Psychiatry. 2020; 62(4):370-8. https://doi.org/10.4103/psychiatry.indianjpsychiatry_523_20. Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4): P300-302. https://doi.org/10.1016/S2215-0366(20)30073-0. Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr. 2020; 14(5): 779–788. https://dx.doi.org/10.1016%2Fj.dsx.2020.05.035. Wright R. The world's largest coronavirus lockdown is having a dramatic impact on pollution in India. CNN World; 2020. Available at: https://edition.cnn.com/2020/03/31/asia/coronavirus-lockdown-impact-pollution-india-intl-hnk/index.html. [Accessed on 23 August 2020] Foster O. ‘Lockdown made me Realise What’s Important’: Meet the Families Reconnecting Remotely. The Guardian; 2020. Available at: https://www.theguardian.com/keep-connected/2020/apr/23/lockdown-made-me-realise-whats-important-meet-the-families-reconnecting-remotely. (Accessed on 23 August 2020) Bilefsky D, Yeginsu C. 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Background and Objective: Suicide attempts are 10-20X more common than completed suicide and an important risk factor for death by suicide, yet most people who attempt suicide do not die by suicide. The process of recovering after a suicide attempt has not been well studied. The Reasons to go on Living (RTGOL) Project, a narrative web-based study, focuses on experiences of people who have attempted suicide and made the decision to go on living, a process not well studied. Narrative research is ideally suited to understanding personal experiences critical to recovery following a suicide attempt, including the transition to a state of hopefulness. Voices from people with lived experience can help us plan and conceptualize this work. This paper reports on a secondary research question of the larger study: what stories do participants tell of the positive role/impact of the mental health system. Material and Methods: A website created for The RTGOL Project (www.thereasons.ca) enabled participants to anonymously submit a story about their suicide attempt and recovery, a process which enabled participation from a large and diverse group of participants. The only direction given was “if you have made a suicide attempt or seriously considered suicide and now want to go on living, we want to hear from you.” The unstructured narrative format allowed participants to describe their experiences in their own words, to include and emphasize what they considered important. Over 5 years, data analysis occurred in several phases over the course of the study, resulting in the identification of data that were inputted into an Excel file. This analysis used stories where participants described positive involvement with the mental health system (50 stories). Results: Several participants reflected on experiences many years previous, providing the privilege of learning how their life unfolded, what made a difference. Over a five-year period, 50 of 226 stories identified positive experiences with mental health care with sufficient details to allow analysis, and are the focus of this paper. There were a range of suicidal behaviours in these 50 stories, from suicidal ideation only to medically severe suicide attempts. Most described one or more suicide attempts. Three themes identified included: 1) trust and relationship with a health care professional, 2) the role of friends and family and friends, and 3) a wide range of services. Conclusion: Stories open a window into the experiences of the period after a suicide attempt. This study allowed for an understanding of how mental health professionals might help individuals who have attempted suicide write a different story, a life-affirming story. The stories that participants shared offer some understanding of “how” to provide support at a most-needed critical juncture for people as they interact with health care providers, including immediately after a suicide attempt. Results of this study reinforce that just one caring professional can make a tremendous difference to a person who has survived a suicide attempt. Key Words: web-based; suicide; suicide attempt; mental health system; narrative research Word Count: 478 Introduction My Third (or fourth) Suicide AttemptI laid in the back of the ambulance, the snow of too many doses of ativan dissolving on my tongue.They hadn't even cared enough about meto put someone in the back with me,and so, frustrated,I'd swallowed all the pills I had with me— not enough to do what I wanted it to right then,but more than enough to knock me out for a good 14 hours.I remember very little after that;benzodiazepines like ativan commonly cause pre- and post-amnesia, says Google helpfullyI wake up in a locked rooma woman manically drawing on the windows with crayonsthe colors of light through the glassdiffused into rainbows of joy scattered about the roomas if she were coloring on us all,all of the tattered remnants of humanity in a psych wardmade into a brittle mosaic, a quilt of many hues, a Technicolor dreamcoatand I thoughtI am so glad to be able to see this. (Story 187)The nurse opening that door will have a lasting impact on how this story unfolds and on this person’s life. Each year, almost one million people die from suicide, approximately one death every 40 seconds. Suicide attempts are much more frequent, with up to an estimated 20 attempts for every death by suicide.1 Suicide-related behaviours range from suicidal ideation and self-injury to death by suicide. We are unable to directly study those who die by suicide, but effective intervention after a suicide attempt could reduce the risk of subsequent death by suicide. Near-fatal suicide attempts have been used to explore the boundary with completed suicides. Findings indicated that violent suicide attempters and serious attempters (seriousness of the medical consequences to define near-fatal attempts) were more likely to make repeated, and higher lethality suicide attempts.2 In a case-control study, the medically severe suicide attempts group (78 participants), epidemiologically very similar to those who complete suicide, had significantly higher communication difficulties; the risk for death by suicide multiplied if accompanied by feelings of isolation and alienation.3 Most research in suicidology has been quantitative, focusing almost exclusively on identifying factors that may be predictive of suicidal behaviours, and on explanation rather than understanding.4 Qualitative research, focusing on the lived experiences of individuals who have attempted suicide, may provide a better understanding of how to respond in empathic and helpful ways to prevent future attempts and death by suicide.4,5 Fitzpatrick6 advocates for narrative research as a valuable qualitative method in suicide research, enabling people to construct and make sense of the experiences and their world, and imbue it with meaning. A review of qualitative studies examining the experiences of recovering from or living with suicidal ideation identified 5 interconnected themes: suffering, struggle, connection, turning points, and coping.7 Several additional qualitative studies about attempted suicide have been reported in the literature. Participants have included patients hospitalized for attempting suicide8, and/or suicidal ideation,9 out-patients following a suicide attempt and their caregivers,10 veterans with serious mental illness and at least one hospitalization for a suicide attempt or imminent suicide plan.11 Relationships were a consistent theme in these studies. Interpersonal relationships and an empathic environment were perceived as therapeutic and protective, enabling the expression of thoughts and self-understanding.8 Given the connection to relationship issues, the authors suggested it may be helpful to provide support for the relatives of patients who have attempted suicide. A sheltered, friendly environment and support systems, which included caring by family and friends, and treatment by mental health professionals, helped the suicidal healing process.10 Receiving empathic care led to positive changes and an increased level of insight; just one caring professional could make a tremendous difference.11 Kraft and colleagues9 concluded with the importance of hearing directly from those who are suicidal in order to help them, that only when we understand, “why suicide”, can we help with an alternative, “why life?” In a grounded theory study about help-seeking for self-injury, Long and colleagues12 identified that self-injury was not the problem for their participants, but a panacea, even if temporary, to painful life experiences. Participant narratives reflected a complex journey for those who self-injured: their wish when help-seeking was identified by the theme “to be treated like a person”. There has also been a focus on the role and potential impact of psychiatric/mental health nursing. Through interviews with experienced in-patient nurses, Carlen and Bengtsson13 identified the need to see suicidal patients as subjective human beings with unique experiences. This mirrors research with patients, which concluded that the interaction with personnel who are devoted, hope-mediating and committed may be crucial to a patient’s desire to continue living.14 Interviews with individuals who received mental health care for a suicidal crisis following a serious attempt led to the development of a theory for psychiatric nurses with the central variable, reconnecting the person with humanity across 3 phases: reflecting an image of humanity, guiding the individual back to humanity, and learning to live.15 Other research has identified important roles for nurses working with patients who have attempted suicide by enabling the expression of thoughts and developing self-understanding8, helping to see things differently and reconnecting with others,10 assisting the person in finding meaning from their experience to turn their lives around, and maintain/and develop positive connections with others.16 However, one literature review identified that negative attitudes toward self-harm were common among nurses, with more positive attitudes among mental health nurses than general nurses. The authors concluded that education, both reflective and interactive, could have a positive impact.17 This paper is one part of a larger web-based narrative study, the Reasons to go on Living Project (RTGOL), that seeks to understand the transition from making a suicide attempt to choosing life. When invited to tell their stories anonymously online, what information would people share about their suicide attempts? This paper reports on a secondary research question of the larger study: what stories do participants tell of the positive role/impact of the mental health system. The focus on the positive impact reflects an appreciative inquiry approach which can promote better practice.18 Methods Design and Sample A website created for The RTGOL Project (www.thereasons.ca) enabled participants to anonymously submit a story about their suicide attempt and recovery. Participants were required to read and agree with a consent form before being able to submit their story through a text box or by uploading a file. No demographic information was requested. Text submissions were embedded into an email and sent to an account created for the Project without collecting information about the IP address or other identifying information. The content of the website was reviewed by legal counsel before posting, and the study was approved by the local Research Ethics Board. Stories were collected for 5 years (July 2008-June 2013). The RTGOL Project enabled participation by a large, diverse audience, at their own convenience of time and location, providing they had computer access. The unstructured narrative format allowed participants to describe their experiences in their own words, to include and emphasize what they considered important. Of the 226 submissions to the website, 112 described involvement at some level with the mental health system, and 50 provided sufficient detail about positive experiences with mental health care to permit analysis. There were a range of suicidal behaviours in these 50 stories: 8 described suicidal ideation only; 9 met the criteria of medically severe suicide attempts3; 33 described one or more suicide attempts. For most participants, the last attempt had been some years in the past, even decades, prior to writing. Results Stories of positive experiences with mental health care described the idea of a door opening, a turning point, or helping the person to see their situation differently. Themes identified were: (1) relationship and trust with a Health Care Professional (HCP), (2) the role of family and friends (limited to in-hospital experiences), and (3) the opportunity to access a range of services. The many reflective submissions of experiences told many years after the suicide attempt(s) speaks to the lasting impact of the experience for that individual. Trust and Relationship with a Health Care Professional A trusting relationship with a health professional helped participants to see things in a different way, a more hopeful way and over time. “In that time of crisis, she never talked down to me, kept her promises, didn't panic, didn't give up, and she kept believing in me. I guess I essentially borrowed the hope that she had for me until I found hope for myself.” (Story# 35) My doctor has worked extensively with me. I now realize that this is what will keep me alive. To be able to feel in my heart that my doctor does care about me and truly wants to see me get better.” (Story 34). The writer in Story 150 was a nurse, an honours graduate. The 20 years following graduation included depression, hospitalizations and many suicide attempts. “One day after supper I took an entire bottle of prescription pills, then rode away on my bike. They found me late that night unconscious in a downtown park. My heart threatened to stop in the ICU.” Then later, “I finally found a person who was able to connect with me and help me climb out of the pit I was in. I asked her if anyone as sick as me could get better, and she said, “Yes”, she had seen it happen. Those were the words I had been waiting to hear! I quickly became very motivated to get better. I felt heard and like I had just found a big sister, a guide to help me figure out how to live in the world. This person was a nurse who worked as a trauma therapist.” At the time when the story was submitted, the writer was applying to a graduate program. Role of Family and Friends Several participants described being affected by their family’s response to their suicide attempt. Realizing the impact on their family and friends was, for some, a turning point. The writer in Story 20 told of experiences more than 30 years prior to the writing. She described her family of origin as “truly dysfunctional,” and she suffered from episodes of depression and hospitalization during her teen years. Following the birth of her second child, and many family difficulties, “It was at this point that I became suicidal.” She made a decision to kill herself by jumping off the balcony (6 stories). “At the very last second as I hung onto the railing of the balcony. I did not want to die but it was too late. I landed on the parking lot pavement.” She wrote that the pain was indescribable, due to many broken bones. “The physical pain can be unbearable. Then you get to see the pain and horror in the eyes of someone you love and who loves you. Many people suggested to my husband that he should leave me in the hospital, go on with life and forget about me. During the process of recovery in the hospital, my husband was with me every day…With the help of psychiatrists and a later hospitalization, I was actually diagnosed as bipolar…Since 1983, I have been taking lithium and have never had a recurrence of suicidal thoughts or for that matter any kind of depression.” The writer in Story 62 suffered childhood sexual abuse. When she came forward with it, she felt she was not heard. Self-harm on a regular basis was followed by “numerous overdoses trying to end my life.” Overdoses led to psychiatric hospitalizations that were unhelpful because she was unable to trust staff. “My way of thinking was that ending my life was the only answer. There had been numerous attempts, too many to count. My thoughts were that if I wasn’t alive I wouldn’t have to deal with my problems.” In her final attempt, she plunged over the side of a mountain, dropping 80 feet, resulting in several serious injuries. “I was so angry that I was still alive.” However, “During my hospitalization I began to realize that my family and friends were there by my side continuously, I began to realize that I wasn't only hurting myself. I was hurting all the important people in my life. It was then that I told myself I am going to do whatever it takes.” A turning point is not to say that the difficulties did not continue. The writer of Story 171 tells of a suicide attempt 7 years previous, and the ongoing anguish. She had been depressed for years and had thoughts of suicide on a daily basis. After a serious overdose, she woke up the next day in a hospital bed, her husband and 2 daughters at her bed. “Honestly, I was disappointed to wake up. But, then I saw how scared and hurt they were. Then I was sorry for what I had done to them. Since then I have thought of suicide but know that it is tragic for the family and is a hurt that can never be undone. Today I live with the thought that I am here for a reason and when it is God's time to take me then I will go. I do believe living is harder than dying. I do believe I was born for a purpose and when that is accomplished I will be released. …Until then I try to remind myself of how I am blessed and try to appreciate the wonders of the world and the people in it.” Range of Services The important role of mental health and recovery services was frequently mentioned, including dialectical behavioural therapy (DBT)/cognitive-behavioural therapy (CBT), recovery group, group therapy, Alcoholics Anonymous, accurate diagnosis, and medications. The writer in Story 30 was 83 years old when she submitted her story, reflecting on a life with both good and bad times. She first attempted suicide at age 10 or 12. A serious post-partum depression followed the birth of her second child, and over the years, she experienced periods of suicidal intent: “Consequently, a few years passed and I got to feeling suicidal again. I had pills in one pocket and a clipping for “The Recovery Group” in the other pocket. As I rode on the bus trying to make up my mind, I decided to go to the Recovery Group first. I could always take the pills later. I found the Recovery Group and yoga helpful; going to meetings sometimes twice a day until I got thinking more clearly and learned how to deal with my problems.” Several participants described the value of CBT or DBT in learning to challenge perceptions. “I have tools now to differentiate myself from the illness. I learned I'm not a bad person but bad things did happen to me and I survived.”(Story 3) “The fact is that we have thoughts that are helpful and thoughts that are destructive….. I knew it was up to me if I was to get better once and for all.” (Story 32): “In the hospital I was introduced to DBT. I saw a nurse (Tanya) every day and attended a group session twice a week, learning the techniques. I worked with the people who wanted to work with me this time. Tanya said the same thing my counselor did “there is no study that can prove whether or not suicide solves problems” and I felt as though I understood it then. If I am dead, then all the people that I kept pushing away and refusing their help would be devastated. If I killed myself with my own hand, my family would be so upset. DBT taught me how to ‘ride my emotional wave’. ……….. DBT has changed my life…….. My life is getting back in order now, thanks to DBT, and I have lots of reasons to go on living.”(Story 19) The writer of Story 67 described the importance of group therapy. “Group therapy was the most helpful for me. It gave me something besides myself to focus on. Empathy is such a powerful emotion and a pathway to love. And it was a huge relief to hear others felt the same and had developed tools of their own that I could try for myself! I think I needed to learn to communicate and recognize when I was piling everything up to build my despair. I don’t think I have found the best ways yet, but I am lifetimes away from that teenage girl.” (Story 67) The author of story 212 reflected on suicidal ideation beginning over 20 years earlier, at age 13. Her first attempt was at 28. “I thought everyone would be better off without me, especially my children, I felt like the worst mum ever, I felt like a burden to my family and I felt like I was a failure at life in general.” She had more suicide attempts, experienced the death of her father by suicide, and then finally found her doctor. “Now I’m on meds for a mood disorder and depression, my family watch me closely, and I see my doctor regularly. For the first time in 20 years, I love being a mum, a sister, a daughter, a friend, a cousin etc.” Discussion The 50 stories that describe positive experiences in the health care system constitute a larger group than most other similar studies, and most participants had made one or more suicide attempts. Several writers reflected back many years, telling stories of long ago, as with the 83-year old participant (Story 30) whose story provided the privilege of learning how the author’s life unfolded. In clinical practice, we often do not know – how did the story turn out? The stories that describe receiving health care speak to the impact of the experience, and the importance of the issues identified in the mental health system. We identified 3 themes, but it was often the combination that participants described in their stories that was powerful, as demonstrated in Story 20, the young new mother who had fallen from a balcony 30 years earlier. Voices from people with lived experience can help us plan and conceptualize our clinical work. Results are consistent with, and add to, the previous work on the importance of therapeutic relationships.8,10,11,14–16 It is from the stories in this study that we come to understand the powerful experience of seeing a family members’ reaction following a participant’s suicide attempt, and how that can be a potent turning point as identified by Lakeman and Fitzgerald.7 Ghio and colleagues8 and Lakeman16 identified the important role for staff/nurses in supporting families due to the connection to relationship issues. This research also calls for support for families to recognize the important role they have in helping the person understand how much they mean to them, and to promote the potential impact of a turning point. The importance of the range of services reflect Lakeman and Fitzgerald’s7 theme of coping, associating positive change by increasing the repertoire of coping strategies. These findings have implications for practice, research and education. Working with individuals who are suicidal can help them develop and tell a different story, help them move from a death-oriented to life-oriented position,15 from “why suicide” to “why life.”9 Hospitalization provides a person with the opportunity to reflect, to take time away from “the real world” to consider oneself, the suicide attempt, connections with family and friends and life goals, and to recover physically and emotionally. Hospitalization is also an opening to involve the family in the recovery process. The intensity of the immediate period following a suicide attempt provides a unique opportunity for nurses to support and coach families, to help both patients and family begin to see things differently and begin to create that different story. In this way, family and friends can be both a support to the person who has attempted suicide, and receive help in their own struggles with this experience. It is also important to recognize that this short period of opportunity is not specific to the nurses in psychiatric units, as the nurses caring for a person after a medically severe suicide attempt will frequently be the nurses in the ICU or Emergency departments. Education, both reflective and interactive, could have a positive impact.17 Helping staff develop the attitudes, skills and approach necessary to be helpful to a person post-suicide attempt is beginning to be reported in the literature.21 Further implications relate to nursing curriculum. Given the extent of suicidal ideation, suicide attempts and deaths by suicide, this merits an important focus. This could include specific scenarios, readings by people affected by suicide, both patients themselves and their families or survivors, and discussions with individuals who have made an attempt(s) and made a decision to go on living. All of this is, of course, not specific to nursing. All members of the interprofessional health care team can support the transition to recovery of a person after a suicide attempt using the strategies suggested in this paper, in addition to other evidence-based interventions and treatments. Findings from this study need to be considered in light of some specific limitations. First, the focus was on those who have made a decision to go on living, and we have only the information the participants included in their stories. No follow-up questions were possible. The nature of the research design meant that participants required access to a computer with Internet and the ability to communicate in English. This study does not provide a comprehensive view of in-patient care. However, it offers important inputs to enhance other aspects of care, such as assessing safety as a critical foundation to care. We consider these limitations were more than balanced by the richness of the many stories that a totally anonymous process allowed. Conclusion Stories open a window into the experiences of a person during the period after a suicide attempt. The RTGOL Project allowed for an understanding of how we might help suicidal individuals change the script, write a different story. The stories that participants shared give us some understanding of “how” to provide support at a most-needed critical juncture for people as they interact with health care providers immediately after a suicide attempt. While we cannot know the experiences of those who did not survive a suicide attempt, results of this study reinforce that just one caring professional can make a crucial difference to a person who has survived a suicide attempt. We end with where we began. Who will open the door? References 1. World Health Organization. Suicide prevention and special programmes. http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/index.html Geneva: Author; 2013.2. Giner L, Jaussent I, Olie E, et al. Violent and serious suicide attempters: One step closer to suicide? J Clin Psychiatry 2014:73(3):3191–197.3. Levi-Belz Y, Gvion Y, Horesh N, et al. Mental pain, communication difficulties, and medically serious suicide attempts: A case-control study. Arch Suicide Res 2014:18:74–87.4. Hjelmeland H and Knizek BL. Why we need qualitative research in suicidology? Suicide Life Threat Behav 2010:40(1):74–80.5. Gunnell D. A population health perspective on suicide research and prevention: What we know, what we need to know, and policy priorities. Crisis 2015:36(3):155–60.6. Fitzpatrick S. Looking beyond the qualitative and quantitative divide: Narrative, ethics and representation in suicidology. Suicidol Online 2011:2:29–37.7. Lakeman R and FitzGerald M. How people live with or get over being suicidal: A review of qualitative studies. J Adv Nurs 2008:64(2):114–26.8. Ghio L, Zanelli E, Gotelli S, et al. Involving patients who attempt suicide in suicide prevention: A focus group study. J Psychiatr Ment Health Nurs 2011:18:510–18.9. Kraft TL, Jobes DA, Lineberry TW., Conrad, A., & Kung, S. Brief report: Why suicide? Perceptions of suicidal inpatients and reflections of clinical researchers. Arch Suicide Res 2010:14(4):375-382.10. Sun F, Long A, Tsao L, et al. The healing process following a suicide attempt: Context and intervening conditions. Arch Psychiatr Nurs 2014:28:66–61.11. Montross Thomas L, Palinkas L, et al. Yearning to be heard: What veterans teach us about suicide risk and effective interventions. Crisis 2014:35(3):161–67.12. Long M, Manktelow R, and Tracey A. The healing journey: Help seeking for self-injury among a community population. Qual Health Res 2015:25(7):932–44.13. Carlen P and Bengtsson A. Suicidal patients as experienced by psychiatric nurses in inpatient care. Int J Ment Health Nurs 2007:16:257–65.14. Samuelsson M, Wiklander M, Asberg M, et al. Psychiatric care as seen by the attempted suicide patient. J Adv Nurs 2000:32(3):635–43.15. Cutcliffe JR, Stevenson C, Jackson S, et al. A modified grounded theory study of how psychiatric nurses work with suicidal people. Int J Nurs Studies 2006:43(7):791–802.16. Lakeman, R. What can qualitative research tell us about helping a person who is suicidal? Nurs Times 2010:106(33):23–26.17. Karman P, Kool N, Poslawsky I, et al. Nurses’ attitudes toward self-harm: a literature review. J Psychiatr Ment Health Nurs 2015:22:65–75.18. Carter B. ‘One expertise among many’ – working appreciatively to make miracles instead of finding problems: Using appreciative inquiry as a way of reframing research. J Res Nurs 2006:11(1): 48–63.19. Lieblich A, Tuval-Mashiach R, Zilber T. Narrative research: Reading, analysis, and interpretation. Sage Publications; 1998.20. Braun V and Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006:3(2):77–101.21. Kishi Y, Otsuka K, Akiyama K, et al. Effects of a training workshop on suicide prevention among emergency room nurses. Crisis 2014:35(5):357–61.

La patología oncológica representa la segunda causa de muerte en Chile. Si bien se han realizado importantes avances como las garantías explicitas de salud para 17 patologías malignas, la Ley Ricarte Soto para enfermedades de alto costo y la Ley del Cáncer Dr. Claudio Mora, aun existen importantes diferencias de sobrevida basados en estrato socioeconómico y desgraciadamente no existen datos nacionales sobre diferencias en resultados clínicos entre centros de alto y bajo volumen. Para avanzar en un cuidado de pacientes con cáncer que permita a la población de Chile recibir una buena atención y optar a los mejores resultados oncológicos posibles, se hace necesario concentrar la experiencia en cáncer en un grupo mas reducido de centros regionales que puedan concentrar recursos y experiencia.

IntroductionThis paper addresses two separate notions of embodiment – western maternal embodiment and art making as a form of embodied critical resistance. It takes as its subject breeder; my unpublished five minute video installation from 2012, which synthesises these two separate conceptual framings of embodiment as a means to visually and conceptually rupture dominant ideologies surrounding Australian motherhood. Emerging from a paradoxical landscape of fear, loathing and desire, breeder is my dark satirical take on ambivalent myths surrounding suburban Australian motherhood. Portraying my white, heavily pregnant body breeding, cooking and consuming pink, sugar-coated butterflies, breeder renders literal the Australian mother as both idealised nation-builder and vilified, self-indulgent abuser. A feminine reification of Goya’s Saturn Devouring His Children, breeder attempts to make visible my own grapplings with maternal ambivalence, to complicate even further, the already strained position of motherhood within the Australian cultural imaginary. Employing the mediums of video and performance to visually manifest an ambivalent protagonist who displays both nurturing maternal ideals and murderous inclinations, breeder pushes contradictory maternal expectations to their breaking point and challengingly offers the following proposition: “This is what you want; but what you’ll get is so much more than you bargained for” (Grosz 136). Drawing upon critical, feminist theorising that challenges idealised views of motherhood; accounts of motherhood by mothers themselves; as well as my own personal grapplings with maternal expectations, this paper weaves reflexive writing with textual analysis to explore how an art-based methodology of embodied critical resistance can problematise representations of motherhood within Australia. By visualising the disjuncture between dominant representations of motherhood that have saturated Australian mainstream media since the late 1990s and the complex ambivalent reality of some women’s actual experiences of mothering, this paper discusses how breeder’s intimate portrayal of maternal domesticity at the limits of tolerability, critically resists socially acceptable mothering practices by satirising the cultural construct of motherhood as a means “to use it, deform it, and make it groan and protest” (Nietzsche qtd. in Gutting).Contradictory Maternal KnowledgeImages of motherhood are all around us; communicating ideals and stereotypes that tell us how mothers should feel, think and act. But these images and the concepts of motherhood that underpin them are full of contradictions. Cultural representations of the idealised and sometimes “yummy mummy” - middle class, attractive, healthy, sexy and heterosexual – (see Fraser; Johnson), contrast with depictions of “bad” mothers, leading to motherhood being simultaneously idealised and demonised within the popular press (Bullen et al.; McRobbie, Top Girls; McRobbie, In the Aftermath; McRobbie, Reflections on Feminism; Walkerdine et al.). Mothers own accounts of motherhood reflect these unsettling contradictions (Miller; Thomson et al.; Wilkinson). Claiming the maternal experience is both “heaven and hell” due to the daily experience of irreconcilable and contradictory feelings (Coward), mothers (myself included), silently struggle between feelings of extreme love and opposing feelings of failure, despair and hate as we get caught up in trying to achieve a set of ideals that promulgate standards of perfection that are beyond our reach. Surrounded by images of motherhood that do not resonate with the contradictory nature of the lived maternal experience, mothers are “torn in two” as we desperately try to reconcile or find absolution for maternal emotions that dominant cultural representations of motherhood render unacceptable. According to Roszika Parker, this complicated and contradictory experience where a mother has both loving and hating feelings for her child is that of maternal ambivalence; a form of exquisite suffering that oscillates between the overwhelming affect of blissful gratification and the raw edges of bitter resentment (Parker 1). As Parker states, maternal ambivalence refers to:Those fleeting (or not so fleeting) feelings of hatred for a child that can grip a mother, the moment of recoil from a much loved body, the desire to abandon, to smash the untouched plate of food in a toddler’s face, to yank a child’s arm while crossing the road, scrub too hard with a face cloth, change the lock on an adolescent or the fantasy of hurling a howling baby out of the window (5).However, it is not only feelings of hatred that stir up ambivalence in the mother, so too can the overwhelming intensity of love itself render the rush of ambivalence so surprising and so painful. Commenting on the extreme contradictory emotions that fill a mother and how not only excessive hatred, but excessive love can turn dangerously fatal, Parker turns to Simone De Beauvoir’s idea of “carnal plenitude”; that is, where the child elicits from the mother, the emotion of domination; where the child becomes the “other” who is both prey and double (30). For Parker, De Beauvoir’s “carnal plenitude” is imaged by mothers in a myriad of ways, from a desire to gobble up the child, to feelings of wanting to gather the child into a fatal smothering hug. Commenting on her own unsettling love/hate relationship with her child, Adrienne Rich describes her experiences of maternal ambivalences as “the murderous alternation between bitter resentment and raw-edged nerves and blissful gratification and tenderness” (363). Unable to come to terms with this paradox at the core of the unfolding process of motherhood, our culture defends itself against this illogical ambivalence in the mother by separating the good nurturing mother from the bad neglectful mother in an attempt to deny the fact that they are one and the same. Resulting in a culture that either denigrates or idealises mothers, we are constantly presented with images of the good perfect nurturing mother and her murderous alter ego; the bad fatal mother who neglects and smothers. This means that how a mother feels about mothering or the meaning it has for her, is heavily determined by cultural representations of motherhood. Arguing for a creative transformation of the maternal that breaches the mutual exclusivities that separate motherhood, I am called to action by Susan Rubin Suleiman, who writes (quoting psychoanalyst Helene Deutsch): “Mothers don’t write, they are written” (Suleiman 5). As a visual attempt to negotiate, translate and thus “write” my lived experience of Australian motherhood, breeder gives voice to the raw material of contradictory (and often taboo experiences) surrounding maternal embodiment and subjectivity. Hijacking and redeploying contradictory understandings and representations of Australian motherhood to push maternal ideals to their breaking point, breeder seeks to create a kind of “mother trouble” that challenges the disjuncture between dominant social constructions of motherhood designed to keep us assigned to our proper place. Viscerally embracing the reality that much of life with small children revolves around loss of control and disintegration of physical boundaries, breeder visually explores the complex and contradictory performances surrounding lived experiences of mothering within Australia to complicate even further the already strained position of western maternal embodiment.Situated Maternal KnowledgeOver the last decade and a half, women’s bodies and their capacity to reproduce have become centre stage in the unfolding drama of Australian economic policy. In 1999 fears surrounding dwindling birth-rates and less future tax revenue, led then Victorian Premier Jeff Kennett to address a number of exclusive private girls’ schools. Making Australia-wide headlines, Kennett urged these affluent young women to abandon their desire for a university degree and instead invited them to consider motherhood as the ultimate career choice (Dever). In 2004, John Howard’s Liberal government made headlines as they announced the new maternity allowance; a $3000 lump-sum financial incentive for women to leave work and have babies. Ending this announcement by urging the assembled gathering of mostly male reporters to go home and have “one for the Dad, one for the Mum and one for the Country” (Baird and Cutcher 103), Federal Treasurer Peter Costello made a last ditch effort to save Baby Boomers from their imminent pensionless doom. Failing to come to terms with the impending saturation of the retirement market without the appropriate tax payer support, the Liberal Government turned baby-making into the ultimate Patriotic act as they saw in women bodies, the key to prevent Australia’s looming economic crisis. However, not all women’s bodies were considered up to the job of producing the longed for “Good tax-paying Citizen” (Tyler). Kennett only visited exclusive private girls’ schools (Ferrier), headhunting only the highest calibre of affluent breeders. Blue-collar inter-mingling was to be adamantly discouraged. Costello’s 2004 “baby bonus” catch-cry not only caused international ire, but also implicitly relegated the duty of child-bearing patriotism to a normalised heterosexual, nuclear family milieu. Unwed or lesbian mothers need not apply. Finally, as government spokespeople repeatedly proclaimed that the new maternity allowance was not income tested, this suggested that the target nation-builder breeder demographic was the higher than average income earner. Let’s get it straight people – only highly skilled, high IQ’s, heterosexual, wedded, young, white women were required in this exclusive breeding program (see Allen and Osgood; Skeggs; Tyler). And if the point hadn’t already been made perfectly clear, newspaper tabloids, talkback radio and current affairs programs all over the country were recruited to make sure the public knew exactly what type of mother Australia was looking for. Out of control young, jobless single mothers hit the headlines as fears abounded that they were breeding into oblivion. An inherently selfish and narcissistic lot, you could be forgiven for thinking that Australia was running rampant with so-called bogan single mothers, who left their babies trapped in hot airless cars in casino carparks all over the country as they spent their multiple “baby bonus’” on booze, ciggies, LCD’s and gambling (see Milne; O’Connor; Simpson and Dowling). Sucking the economy dry as they leeched good tax-payer dollars from Centrelink, these undesirables were the mothers Australia neither needed nor wanted. Producing offspring relegated to the category of bludgerhood before they could even crawl, these mothers became the punching bag for the Australian cultural imaginary as newspaper headlines screamed “Thou Shalt Not Breed” (Gordon). Seen as the embodiment of horror regarding the ever out-of-control nature of women’s bodies, these undesirable mothers materialised out of a socio-political landscape that although idealised women’s bodies as Australia’s economic saviour, also feared their inability to be managed and contained. Hoarding their capacity to reproduce for their own selfish narcissistic desires, these white trash mothers became the horror par excellence within the Australian cultural imaginary as they were publically regarded as the vilified evil alter-ego of the good, respectable white affluent young mother Australian policy makers were after. Forums all over the country were inundated. “Yes,” the dominant voices seemed to proclaim: “We want to build our population. We need more tax-paying citizens. But we only want white, self-less, nurturing, affluent mothers. We want women who can breed us moral upstanding subjects. We do not want lazy good for nothing moochers.” Emerging from this paradoxical maternal landscape of fear, loathing and desire, breeder is a visual and performative manifestation of my own inability to come to terms with the idealisation and denigration of motherhood within Australia. Involving a profound recognition that the personal is still the political, I not only attempt to visually trace the relationship between popular Australian cultural formations and individual experiences, but also to visually “write” my own embodied grapplings with maternal ambivalence. Following the premise that “critique without resistance is empty and resistance without critique is blind” (Hoy 6), I find art practice to be a critically situated and embodied act that can openly resist the power of dominant ideologies by highlighting maternal corporeal transgressions. A creative destablising action, I utilise the mediums of video and performance within breeder to explore personal, historical and culturally situated expectations of motherhood within Australia as a means to subvert dominant ideologies of motherhood within the Australian cultural imaginary. Performing Maternal KnowledgeReworking Goya’s Romantic Gothic vision of fatherhood in Saturn Devouring His Children, breeder is a five minute two-screen video performance that puts an ironic twist to the “good” and “bad” myths of Australian motherhood. Depicting myself as the young white heavily pregnant protagonist breeding monarch butterflies in my suburban backyard, sugar-coating, cooking and then eating them, breeder uses an exaggerated kitsch aesthetic to render literal the Australian mother as both idealistic nation-builder and self-indulgent abuser. Selfishly hoarding my breeding potential for myself, luxuriating and devouring my “offspring” for my own pleasure and delight rather than for the common good, breeder simultaneously defies and is complicit with motherhood expectations within the suburban Australian imaginary. Filmed in my backyard in the southern suburbs of Perth, Western Australia, breeder manifests my own maternal ambivalence and deliberately complicates the dichotomous and strained position motherhood holds in western society. Breeder is presented as a two screen video installation. The left screen is a fast-paced, brightly coloured, jump-cut narrative with a pregnant protagonist (myself). It has three main scenes or settings: garden, kitchen and terrace. The right screen is a slow-moving flow of images that shows the entire monarch butterfly breeding cycle in detail; close ups of eggs slowly turning into caterpillars, caterpillars creating cocoons and the gradual opening of wings as butterflies emerge from cocoons. All the while, the metamorphic cycle is aided by the pregnant protagonist, who cares for them until she sets them free of their breeding cage. In the left screen, apricot roses, orange trees, yellow hibiscus bushes, lush green lawns, a swimming pool and an Aussie backyard garden shed are glimpsed as the pregnant protagonist runs, jumps and sneaks up on butterflies while brandishing a red-handled butterfly net; dressed in red high heels and a white lace frock. Bunnies with pink bows jump, dogs in pink collars bark and a very young boy dressed in a navy-blue sailor suit all make cameo appearances as large monarch butterflies are collected and placed inside a child’s cherry red insect container. In a jump-cut transition, the female protagonist appears in a stark white kitchen; now dressed in a bright pink and apricot floral apron and baby-pink hair ribbon tied in a bow in her blonde ponytail. Standing behind the kitchen bench, she carefully measures sugar into a bowl. She then adds pink food colouring into the crystal white sugar, turning it into a bright pink concoction. Cracking eggs and separating them, she whisks the egg whites to form soft marshmallow peaks. Dipping a paint brush into the egg whites, she paints the fluffy mixture onto the butterflies (now dead), which are laid out on a well-used metal biscuit tray. Using her fingers to sprinkle the bright pink sugar concoction onto the butterflies, she then places them into the oven to bake and stands back with a smile. In the third and final scene, the female protagonist sits down at a table in a garden terrace in front of French-styled doors. Set for high tea with an antique floral tea pot and cup, lace table cloth and petit fours, she pours herself a cup of tea. Adding a teaspoon of sugar, she stirs and then selects a strawberry tart from a three-tiered high-tea stand that holds brightly iced cupcakes, cherry friands, tiny lemon meringue pies, sweet little strawberry tarts and pink sugar coated butterflies. Munching her way through tarts, pies, friands and cupcakes, she finally licks her lips and fuchsia tipped fingers and then carefully chooses a pink sugar coated butterfly. Close ups of her crimson coated mouth show her licking the pink sugar-crumbs from lips and fingers as she silently devours the butterfly. Leaning back in chair, she smiles, then picks up a pink leather bound book and relaxes as she begins to read herself into the afternoon. Screen fades to black. ConclusionAs a mother I am all fragmented, contradictory; full of ambivalence, love, guilt and shame. After seventeen years and five children, you would think that I would be used to this space. Instead, it is a space that I battle to come to terms with each and every day. So how to strategically negotiate engrained codes of maternity and embrace the complexities of embodied maternal knowledge? Indeed, how to speak of the difficulties and incomparable beauties of the maternal without having those variously inflected and complex experiences turn into clichés of what enduring motherhood is supposed to be? Visually and performatively grappling with my own fallout from mothering ideals and expectations where sometimes all I feel I am left with is “a monster of selfishness and intolerance” (Rich 363), breeder materialises my own experiences with maternal ambivalence and my inability to reconcile or negotiate multiple contradictory identities into a single maternal position. Ashamed of my self, my body, my obsessions, my anger, my hatred, my rage, my laughter, my sorrow and most of all my oscillation between a complete and utter desire to kill each and every one of my children and an overwhelming desire to gobble them all up, I make art work that is embedded in the grime and grittiness of my everyday life as a young mother living in the southern suburbs of Western Australia. A life that is most often mundane, sometimes sad, embarrassing, rude and occasionally heartbreaking. A life filled with such simple joy and such complicated sorrow. A life that in reality, is anything but manageable and contained. Although this is my experience, I know that I am not the only one. As an artist I engage in the embodied and critically resistant practice of sampling from my “mother” identities in order to bring out multiple, conflictive responses that provocatively encourage new ways of thinking and acknowledging embodied maternal knowledge. Although claims abound that this results in a practice that is “too personal” or “too specific” (Liss xv), I do not believe that this in fact risks reifying essentialism. Despite much feminist debate over the years regarding essentialist/social constructivist positions, I would still rather use my body as a site of embodied knowledge then rhetorically give it up. Acting as a disruption and challenge to the concepts of idealised or denigrated maternal embodiment, the images and performances of motherhood in breeder then, are more than simple acknowledgements of the reality of the good and bad mother, or acts reclaiming an identity that they taught me to despise (Cliff) or rebelling against having to be a "woman" at all. Instead, breeder is a lucid and explicit declaration of intent that politely refuses to keep every maternal body in its place.References Allen, Kim, and Jane Osgood. “Young Women Negotiating Maternal Subjectivities: The Significance of Social Class.” Studies in the Maternal. 1.2 (2009). 30 July 2012 ‹www.mamsie.bbk.ac.uk›.Almond, Barbara. The Monster Within. Berkeley: University of California Press, 2011.Baird, Marian, and Leanne Cutcher. “’One for the Father, One for the Mother and One for the Country': An Examination of the Construction of Motherhood through the Prism of Paid Maternity Leave.” Hecate 31.2 (2005): 103-113. 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Cambridge: Cambridge University Press. 2005.Milne, Glenn. “Baby Bonus Rethink.” The Courier Mail 11 Nov. 2006. 30 Sep. 2011 ‹http://www.couriermail.com.au/news/national-old/baby-bonus-rethink/story-e6freooo-1111112507517›.O’Connor, Mike. “Baby Bonus Budget Handouts a Luxury We Can Ill Afford.” The Courier Mai. 5 Dec. 2011. 30 Apr. 2012 ‹http://www.couriermail.com.au/news/opinion/handouts-luxury-we-can-ill-afford/story-e6frerdf-1226213654447›.Parker, Roszika. Mother Love/Mother Hate, London: Virago Press, 1995.Rich, Adrienne. “Anger and Tenderness.” In M. Davey, ed. Mother Reader. New York: Seven Stories Press, 2001.Simpson, Kirsty, and Jason Dowling. “Gambling Soars in Child Bonus Week”. The Sunday Age Aug. 2004. 28 Apr. 2012 ‹http://www.couriermail.com.au/news/opinion/handouts-luxury-we-can-ill-afford/story-e6frerdf-1226213654447›.Skeggs, Beverly. Formations of Class and Gender: Becoming Respectable. London: Sage, 1997.Suleiman, Susan. “Writing and Motherhood,” Mother Reader Ed. Moyra Davey. New York: Seven Stories Press, 2001. 113-138Thomson, Rachel, Mary Jane Kehily, Lucy Hadfield, and Sue Sharpe. Making Modern Mothers. Bristol: Policy Press, 2011. 30 July 2012 ‹http://www.policypress.co.uk/display.asp?K=9781847426055&sf1=keyword&st1=motherhood&m=1&dc=16›.Tyler, Imogen. “’Chav Mum, Chav Scum’: Class Disgust in Contemporary Britain.” Feminist Media Studies 8.2. (2008): 17-34. 31 July 2012 http://dx.doi.org/10.1080/14680770701824779›.Walkerdine, Valerie, Helen Lucey, and Melody June. Growing Up Girl: Psychosocial Explorations of Gender and Class. London: Palgrave. 2001. Wilkinson, Tony. Uncertain Surrenders: The Coexistence of Beauty and Menace in the Maternal Bond and Photography. PhD thesis. Perth: Edith Cowan University, 2012. 31 July 2012 ‹http://ro.ecu.edu.au/cgi/viewcontent.cgi?article=1458&context=theses›.

IntroductionOn 4 December 2016, a man entered a Washington, D.C., pizza parlor armed with an AR-15 assault rifle in an attempt to save the victims of an alleged satanic pedophilia ring run by prominent members of the Democratic Party. While the story had already been discredited (LaCapria), at the time of the incident, nearly half of Trump voters were found to give a measure of credence to the same rumors that had apparently inspired the gunman (Frankovic). Was we will discuss here, the bizarre conspiracy theory known as "Pizzagate" had in fact originated a month earlier on 4chan/pol/, a message forum whose very raison d’être is to protest against “political correctness” of the liberal establishment, and which had recently become a hub for “loose coordination” amongst members the insurgent US ‘alt-right’ movement (Hawley 48). Over a period of 25 hours beginning on 3 November 2016, contributors to the /pol/ forum combed through a cache of private e-mails belonging to Hillary Clinton’s campaign manager John Podesta, obtained by Russian hackers (Franceschi-Bicchierai) and leaked by Julian Assange (Wikileaks). In this short time period contributors to the forum thus constructed the basic elements of a narrative that would be amplified by a newly formed “right-wing media network”, in which the “repetition, variation, and circulation” of “repeated falsehoods” may be understood as an “important driver towards a ‘post-truth’ world” (Benkler et al). Heavily promoted by a new class of right-wing pundits on Twitter (Wendling), the case of Pizzagate prompts us to reconsider the presumed progressive valence of social media protest (Zuckerman).While there is literature, both popular and academic, on earlier protest movements associated with 4chan (Stryker; Olson; Coleman; Phillips), there is still a relative paucity of empirical research into the newer forms of alt-right collective action that have emerged from 4chan. And while there have been journalistic exposés tracing the dissemination of the Pizzagate rumors across social media as well as deconstructing its bizarre narrative (Fisher et al.; Aisch; Robb), as of yet there has been no rigorous analysis of the provenance of this particular story. This article thus provides an empirical study of how the Pizzagate conspiracy theory developed out of a particular set of collective action techniques that were in turn shaped by the material affordances of 4chan’s most active message board, the notorious and highly offensive /pol/.Grammatised Collective ActionOur empirical approach is partially inspired by the limited data-scientific literature of 4chan (Bernstein et al.; Hine et al.; Zannettou et al.), and combines close and distant reading techniques to study how the technical design of 4chan ‘grammatises’ new forms of collective action. Our coinage of grammatised collective action is based on the notion of “grammars of action” from the field of critical information studies, which posits the radical idea that innovations in computational systems can also be understood as “ontological advances” (Agre 749), insofar as computation tends to break the flux of human activity into discrete elements. By introducing this concept our intent is not to minimise individual agency, but rather to emphasise the ways in which computational systems can be conceptualised in terms of an individ­ual-milieu dyad where the “individual carries with it a certain inheritance […] animated by all the potentials that characterise [...] the structure of a physical system” (Simondon 306). Our argument is that grammatisation may be thought to create new kinds of niches, or affordances, for new forms of sociality and, crucially, new forms of collective action — in the case of 4chan/pol/, how anonymity and ephemerality may be thought to afford a kind of post-truth protest.Affordance was initially proposed as a means by which to overcome the dualistic tendency, inherited from phenomenology, to bracket the subject from its environment. Thus, affordance is a relational concept “equally a fact of the environment and a fact of behaviour” (Gibson 129). While, in the strictly materialist sense affordances are “always there” (Gibson 132), their capacity to shape action depends upon their discovery and exploitation by particular forms of life that are capable of perceiving them. It is axiomatic within ethology that forms of life can be understood to thrive in their own dynamic, yet in some real sense ontologically distinct, lifeworlds (von Uexküll). Departing from this axiom, affordances can thus be defined, somewhat confusingly but accurately, as an “invariant combination of variables” (Gibson 134). In the case of new media, the same technological object may afford different actions for specific users — for instance, the uses of an online platform appears differently from the perspective of the individual users, businesses, or a developer (Gillespie). Recent literature within the field of new media has sought to engage with this concept of affordance as the methodological basis for attending to “the specificity of platforms” (Bucher and Helmond 242), for example by focussing on how a platform’s affordances may be used as a "mechanism of governance" (Crawford and Gillespie 411), how they may "foster democratic deliberation" (Halpern and Gibbs 1159), and be implicated in the "production of normativity" (Stanfill 1061).As an anonymous and essentially ephemeral peer-produced image-board, 4chan has a quite simple technical design when compared with the dominant social media platforms discussed in the new media literature on affordances. Paradoxically however in the simplicity of their design 4chan boards may be understood to afford rather complex forms of self-expression and of coordinated action amongst their dedicated users, whom refer to themselves as "anons". It has been noted, for example, that the production of provocative Internet memes on 4chan’s /b/ board — the birthplace of Rickrolling — could be understood as a type of "contested cultural capital", whose “media literate” usage allows anons to demonstrate their in-group status in the absence of any persistent reputational capital (Nissenbaum and Shiffman). In order to appreciate how 4chan grammatises action it is thus useful to study its characteristic affordances, the most notable of which is its renowned anonymity. We should thus begin by noting how the design of the site allows anyone to post anything virtually anonymously so long as comments remain on topic for the given board. Indeed, it was this particular affordance that informed the emergence of the collective identity of the hacktivist group “Anonymous”, some ten years before 4chan became publicly associated with the rise of the alt-right.In addition to anonymity the other affordance that makes 4chan particularly unique is ephemerality. As stated, the design of 4chan is quite straightforward. Anons post comments to ongoing threaded discussions, which start with an original post. Threads with the most recent comments appear first in order at the top of a given board, which result in the previous threads getting pushed down the page. Even in the case of the most popular threads 4chan boards only allow a finite number of comments before threads must be purged. As a result of this design, no matter how popular a discussion might be, once having reached the bump-limit threads expire, moving down the front page onto the second and third page either to be temporarily catalogued or else to disappear from the site altogether (see Image 1 for how popular threads on /pol/, represented in red, are purged after reaching the bump-limit).Image 1: 55 minutes of all 4chan/pol/ threads and their positions, sampled every 2 minutes (Hagen)Adding to this ephemerality, general discussion on 4chan is also governed by moderators — this in spite of 4chan’s anarchic reputation — who are uniquely empowered with the ability to effectively kill a thread, or a series of threads. Autosaging, one of the possible techniques available to moderators, is usually only exerted in instances when the discussion is deemed as being off-topic or inappropriate. As a result of the combined affordances, discussions can be extremely rapid and intense — in the case of the creation of Pizzagate, this process took 25 hours (see Tokmetzis for an account based on our research).The combination of 4chan’s unique affordances of anonymity and ephemerality brings us to a third factor that is crucial in order to understand how it is that 4chan anons cooked-up the Pizzagate story: the general thread. This process involves anons combing through previous discussion threads in order to create a new thread that compiles all the salient details on a given topic often archiving this data with services like Pastebin — an online content hosting service usually used to share snippets of code — or Google Docs since the latter tend to be less ephemeral than 4chan.In addition to keeping a conversation alive after a thread has been purged, in the case of Pizzagate we noticed that general threads were crucial to the process of framing those discussions going forward. While multiple general threads might emerge on a given topic, only one will consolidate the ongoing conversation thereby affording significant authority to a single author (as opposed to the anonymous mass) in terms of deciding on which parts of a prior thread to include or exclude. While general threads occur relatively commonly in 4chan, in the case of Pizzagate, this process seemed to take on the form of a real-time collective research effort that we will refer to as bullshit accumulation.The analytic philosopher Harry Frankfurt argues that bullshit is form of knowledge-production that appears unconcerned with objective truth, and as such can be distinguished from misinformation. Frankfurt sees bullshit as “more ambitious” than misinformation defining it as “panoramic rather than particular” since it is also prepared to “fake the context”, which in his estimation makes bullshit a “greater enemy of the truth” than lies (62, 52). Through an investigation into the origins of Pizzagate on /pol/, we thus are able to understand how grammatised collective action assists in the accumulation of bullshit in the service of a kind of post-truth political protest.Bullshit Accumulation4chan has a pragmatic and paradoxical relationship with belief that has be characterised in terms of kind of quasi-religious ironic collectivism (Burton). Because of this "weaponizing [of] irony" (Wilson) it is difficult to objectively determine to what extent anons actually believed that Pizzagate was real, and in a sense it is beside the point. In combination then with the site’s aforementioned affordances, it is this peculiar relationship with the truth which thus makes /pol/ so uniquely productive of bullshit. Image 2: Original pizzagate post on 4chan/pol/When #Pizzagate started trending on Twitter on 4 November 2017, it became clear that much of the narrative, and in particular the ‘pizza connection’, was based on arcane (if not simply ridiculous) interpretations of a cache of e-mails belonging to Hillary Clinton’s campaign manager John Podesta released by Wikileaks during the final weeks of the campaign. While many of the subsequent journalistic exposé would claim that Pizzagate began on 4chan, they did not explore its origins, perhaps because of the fact that 4chan does not consistently archive its threads. Our analysis overcame this obstacle by using a third party archive, Archive4plebs, which allowed us to pinpoint the first instance of a thread (/pol/) that discussed a connection between the keyword “pizza” and the leaked e-mails (Image 2).Image 3: 4chan/pol/ Pizzagate general threadsStarting with the timestamp of the first thread, we identified a total of 18 additional general threads related to the topic of Pizzagate (see Image 3). This establishes a 25-hour timeframe in which the Pizzagate narrative was formed (from Wednesday 2 November 2016, 22:17:20, until Thursday 3 November 2016, 23:24:01). We developed a timeline (Image 4) identifying 13 key moments in the development of the Pizzagate story such as the first attempts at disseminating the narrative to other platforms such as the Reddit forum r/The_Donald a popular forum whose reactionary politics had arguably set the broader tone for the Trump campaign (Heikkila).Image 4: timeline of the birth of Pizzagate. Design by Elena Aversa, information design student at Density Design Lab.The association between the Clinton campaign and pedophilia came from another narrative on 4chan known as ‘Orgy Island’, which alleged the Clintons flew to a secret island for sex tourism aboard a private jet called "Lolita Express" owned by Jeffrey Epstein, an American financier who had served 13 months in prison for soliciting an underage prostitute. As with the Pizzagate story, this narrative also appears to have developed through the shared infrastructure of Pastebin links included in general posts (Pastebin) often alongside Wikileaks links.Image 5: Clues about “pizza” being investigatedOrgy Island and other stories were thus combined together with ‘clues’, many of which were found in the leaked Podesta e-mails, in order to imagine the connections between pedophila and pizza. It was noticed that several of Podesta’s e-mails, for example, mentioned the phrase ‘cheese pizza’ (see Image 5), which on 4chan had long been used as a code word for ‘child pornography’ , the latter which is banned from the site.Image 6: leaked Podesta e-mail from Marina AbramovicIn another leaked e-mail, for example, sent to Podesta from the renowned performance artist Marina Abramovich (see Image 6), a reference to one of her art projects, entitled ‘Spirit Cooking’ — an oblique reference to the mid-century English occultist Aleister Crowley — was interpreted as evidence of Clinton’s involvement in satanic rituals (see Image 7). In the course of this one-day period then, many if not most of the coordinates for the Pizzagate narrative were thus put into place subsequently to be amplified by a new breed of populist social media activists in protest against a corrupt Democratic establishment.Image 7: /pol/ anon’s reaction to the e-mail in Image 6During its initial inception on /pol/, there was the apparent need for visualisations in order make sense of all the data. Quite early on in the process, for example, one anon posted:my brain is exploding trying to organize the connections. Anyone have diagrams of these connections?In response, anons produced numerous conspiratorial visualisations, such as a map featuring all the child-related businesses in the neighbourhood of the D.C. pizza parlor — owned by the boyfriend of the prominent Democratic strategist David Brock — which seemed to have logos of the same general shape as the symbols apparently used by pedophiles, and whose locations seems furthermore to line up in the shape of a satanic pentagram (see Image 8). Such visualisations appear to have served three purposes: they helped anons to identify connections, they helped them circumvent 4chan’s purging process — indeed they were often hosted on third-party sites such as Imgur — and finally they helped anons to ultimately communicate the Pizzagate narrative to a broader audience.Image 8. Anonymously authored Pizzagate map revealing a secret pedophilia network in D.C.By using an inductive approach to categorise the comments in the general threads a set of non-exclusive codes emerged, which can be grouped into five overarching categories: researching, interpreting, soliciting, archiving and publishing. As visualised in Image 9, the techniques used by anons in the genesis of Pizzagate appears as a kind of vernacular rendition of many of the same “digital methods” that we use as Internet researchers. An analysis of these techniques thus helps us to understanding how a grammatised form of collective action arises out of anons’ negotiations with the affordances of 4chan — most notably the constant purging of threads — and how, in special circumstances, this can lead to bullshit accumulation.Image 9: vernacular digital methods on /pol/ ConclusionWhat this analysis ultimately reveals is how 4chan/pol/’s ephemerality affordance contributed to an environment that is remarkably productive of bullshit. As a type of knowledge-accumulation, bullshit confirms preconceived biases through appealing to emotion — this at the expense of the broader shared epistemic principles, an objective notion of “truth” that arguably forms the foundation for public reason in large and complex liberal societies (Lynch). In this sense, the bullshit of Pizzagate resonates with Hannah Arendt’s analysis of totalitarian discourse which nurtures a conspiratorial redefining of emotional truth as “whatever respectable society had hypocritically passed over, or covered with corruption" (49).As right-wing populism establishes itself evermore firmly in many countries in which technocratic liberalism had formerly held sway, the demand for emotionally satisfying post-truth, will surely keep the new online bullshit factories like /pol/ in business. Yet, while the same figures who initially assiduously sought to promote Pizzagate have subsequently tried to distance themselves from the story (Doubeck; Colbourn), Pizzagate continues to live on in certain ‘alternative facts’ communities (Voat).If we conceptualise the notion of a ‘public’ as a local and transient entity that is, above all, defined by its active engagement with a given ‘issue’ (Marres), then perhaps we should consider Pizzagate as representing a new post-truth species of issue-public. Indeed, one could go so far as to argue that, in the era of post-truth, the very ‘reality’ of contemporary issues-publics are increasingly becoming a function of their what communities want to believe. Such a neopragmatist theory might even be used to support the post-truth claim — as produced by the grammatised collective actions of 4chan anons in the course of a single day — that Pizzagate is real!References Agre, Phillip E. “Surveillance and Capture.” The New Media Reader. Eds. 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Drawing upon popular magazines, newspapers, blogs, Web sites, and videos, this essay compares the media framing of six, “fat” political figures from around the world. Framing refers to the suggested interpretations that are imbedded in media reports (Entman; McCombs and Ghanem; Seo, Dillard and Shen). As Robert Entman explains, framing is the process of culling a few elements of perceived reality and assembling a narrative that highlights connections among them to promote a particular interpretation. Frames introduce or raise the salience of certain ideas. Fully developed frames typically perform several functions, such as problem definition and moral judgment. Framing is connected to the [covert] wielding of power as, for example, when a particular frame is intentionally applied to obscure other frames. This comparative international study is an inquiry into “what people and societies make of the reality of [human weight]” (Marilyn Wann as quoted in Rothblum 3), especially in the political arena. The cultural and historical dimensions of human weight are illustrated by the practice of force-feeding girls and young women in Mauritania, because “fat” women have higher status and are more sought after as brides (Frenkiel). The current study, however, focuses on “fat” politics. The research questions that guide the study are: [RQ1] which terms do commentators utilize to describe political figures as “fat”? [RQ2] Why is the term “fat” utilized in the political arena? [RQ3] To what extent can one detect gender, national, or other differences in the manner in which the term “fat” is used in the political arena? After a brief introduction to the current media obsession with fat, the analysis begins in 1908 with William Howard Taft, the 330 pound, twenty-seventh President of the United States. The other political figures are: Chris Christie (Governor of New Jersey), Bill Clinton (forty-second President of the United States), Michelle Obama (current First Lady of the United States), Carla Bruni (former First Lady of France), and Julia Gillard (former Prime Minister of Australia). The final section presents some conclusions that may help readers and viewers to take a more critical perspective on “fat politics.” All of the individuals selected for this study are powerful, rich, and privileged. What may be notable is that their experiences of fat shaming by the media are different. This study explores those differences, while suggesting that, in some cases, their weight and appearance are being attacked to undercut their legitimate and referent power (Gaski). Media Obsession with Fat “Fat,” or “obesity,” the more scientific term that reflects the medicalisation of “fat” (Sobal) and which seems to hold sway today, is a topic with which the media currently is obsessed, both in Asia and in the United States. A quick Google search using the word “obesity” reports over 73 million hits. Ambady Ramachandran and Chamukuttan Snehalatha report on “The Rising Burden of Obesity in Asia” in a journal article that emphasizes the term “burden.” The word “epidemic” is featured prominently in a 2013 medical news report. According to the latter, obesity among men was at 13.8 per cent in Mongolia and 19.3 per cent in Australia, while the overall obesity rate has increased 46 per cent in Japan and has quadrupled in China (“Rising Epidemic”). Both articles use the word “rising” in their titles, a fear-laden term that suggests a worsening condition. In the United States, obesity also is portrayed as an “epidemic.” While some progress is being made, the obesity rate nonetheless increased in sixteen states in 2013, with Louisiana at 34.7 per cent as the highest. “Extreme obesity” in the United States has grown dramatically over thirty years to 6.3 per cent. The framing of obesity as a health/medical issue has made obesity more likely to reinforce social stereotypes (Saguy and Riley). In addition, the “thematic framing” (Shugart) of obesity as a moral failure means that “obesity” is a useful tool for undermining political figures who are fat. While the media pay considerable attention to the psychological impact of obesity, such as in “fat shaming,” the media, ironically, participate in fat shaming. Shame is defined as an emotional “consequence of the evaluation of failure” and often is induced by critics who attack the person and not the behavior (Boudewyns, Turner and Paquin). However, in a backlash against fat shaming, “Who you callin' fat?” is now a popular byline in articles and in YouTube videos (Reagan). Nevertheless, the dynamics of fat are even more complicated than an attack-and-response model can capture. For example, in an odd instance of how women cannot win, Rachel Frederickson, the recent winner of the TV competition The Biggest Loser, was attacked for being “too thin” (Ceja and Valine). Framing fat, therefore, is a complex process. Fat shaming is only one way that the media frame fat. However, fat shaming does not appear to be a major factor in media coverage of William Howard Taft, the first person in this study. William Howard Taft William Howard Taft was elected the 27th President of the United States in 1908 and served 1909-1913. Whitehouse.com describes Taft as “Large, jovial, conscientious…” Indeed, comments on the happy way that he carried his “large” size (330 pounds) are the main focus here. This ‹happy fat› framing is much different than the media framing associated with ‹fat shaming›. His happy personality was often mentioned, as can be seen in his 1930 obituary in The New York Times: “Mr. Taft was often called the most human President who ever sat in the White House. The mantle of office did not hide his winning personality in any way” (“Taft Gained Peaks”). Notice how “large” and “jovial” are combined in the framing of Taft. Despite his size, Taft was known to be a good dancer (Bromley 129). Two other words associated with Taft are “rotund” (round, plump, chubby) and “pudgy.” These terms seem a bit old-fashioned in 2015. “Rotund” comes from the Latin for “round,” “circular,” “spherical.” “Pudgy,” a somewhat newer term, comes from the colloquial for “short and thick” (Etymology Online). Taft was comfortable with being called “pudgy.” A story about Taft’s portrait in the Smithsonian’s National Portrait Gallery in Washington, D.C. illustrates the point: Artist William Schevill was a longtime acquaintance of Taft and painted him several times between 1905 and 1910. Friendship did not keep Taft from criticizing the artist, and on one occasion he asked Schevill to rework a portrait. On one point, however, the rotund Taft never interfered. When someone said that he should not tolerate Schevill's making him look so pudgy in his likenesses, he simply answered, "But I am pudgy." (Kain) Taft’s self-acceptance, as seen in the portrait by Schevill (circa 1910), stands in contrast to the discomfort caused by media framing of other fat political figures in the era of more intense media scrutiny. Chris Christie Governor Christie has tried to be comfortable with his size (300+ pounds), but may have succumbed to the medicalisation of fat and the less than positive framing of his appearance. As Christie took the national stage in the aftermath of Hurricane Sandy (2012), and subsequently explored running for President, he may have felt pressure to look more “healthy” and “attractive.” Even while scoring political points for his leadership in the aftermath of Superstorm Sandy, Christie’s large size was apparent. Filmed in his blue Governor jacket during an ABC TV News report that can be accessed as a YouTube video, Christie obviously was much larger than the four other persons on the speakers’ platform (“Jersey Shore Devastated”). In the current media climate, being known for your weight may be a political liability. A 2015 Rutgers’ Eagleton Poll found that 53 percent of respondents said that Governor Christie did not have “the right look” to be President (Capehart). While fat traditionally has been associated with laziness, it now is associated with health issues, too. The media framing of fat as ‹morbidly obese› may have been one factor that led Christie to undergo weight loss surgery in 2013. After the surgery, he reportedly lost a significant amount of weight. Yet his new look was partially tarnished by media reports on the specifics of lap-band-surgery. One report in The New York Daily News stressed that the surgery is not for everyone, and that it still requires much work on the part of the patient before any long-term weight loss can be achieved (Engel). Bill Clinton Never as heavy as Governor Christie, Bill Clinton nonetheless received considerable media fat-attention of two sorts. First, he could be portrayed as a kind of ‹happy fat “Bubba”› who enjoyed eating high cholesterol fast food. Because of his charm and rhetorical ability (linked to the political necessity of appearing to understand the “average person”), Clinton could make political headway by emphasizing his Arkansas roots and eating a hamburger. This vision of Bill Clinton as a redneck, fast-food devouring “Bubba” was spoofed in a popular 1992 Saturday Night Live skit (“President-Elect Bill Clinton Stops by a McDonald's”). In 2004, after his quadruple bypass surgery, the media adopted another way to frame Bill Clinton. Clinton became the poster-child for coronary heart disease. Soon he would be framed as the ‹transformed Bubba›, who now consumed a healthier diet. ‹Bill Clinton-as-vegan› framing fit nicely with the national emphasis on nutrition, including the widespread advocacy for a largely plant-based diet (see film Forks over Knives). Michelle Obama Another political figure in the United States, whom the media has connected both to fast food and healthy nutrition, is Michelle Obama. Now in her second term as First Lady, Michelle Obama is associated with the national campaign for healthier school lunches. At the same time, critics call her “fat” and a “hypocrite.” A harsh diatribe against Obama was revealed by Media Matters for America in the personal attacks on Michelle Obama as “too fat” to be a credible source on nutrition. Dr. Keith Ablow, a FOX News medical adviser said, Michelle Obama needs to “drop a few” [pounds]. “Who is she to be giving nutrition advice?” Another biting attack on Obama can be seen in a mocking 2011 Breitbart cartoon that portrayed Michelle Obama devouring hamburgers while saying, “Please pass the bacon” (Hahn). Even though these attacks come from conservative media utterly opposed to the presidency of Barack Obama, they nonetheless reflect a more widespread political use of media framing. In the case of Michelle Obama, the media sometimes cannot decide if she is “statuesque” or “fat.” She is reported to be 5’11 tall, but her overall appearance has been described as “toned” (in her trademark sleeveless dresses) yet never as “thin.” The media’s ambivalence toward tall/large women is evident in the recent online arguments over whether Robyn Lawley, named one of the “rookies of the year” by the Sports Illustrated Swimsuit issue, has a “normal” body or a “plus-size” body (Blair). Therefore, we have two forms of media framing in the case of Michelle Obama. First, there is the ‹fat hypocrite› frame, an ad hominem framing that she should not be a spokesperson for nutrition. This first form of framing, perhaps, is linked to the traditional tendency to tear down political figures, to take them off their pedestals. The second form of media framing is a ‹large woman ambiguity› frame. If you are big and tall, are you “fat”? Carla Bruni Carla Bruni, a model and singer/songwriter, was married in 2008 to French President Nicolas Sarkozy (who served 2007 to 2012). In 2011, Bruni gave birth to a daughter, Giulia. After 2011, Bruni reports many attacks on her as being too “fat” (Kim; Strang). Her case is quite interesting, because it goes beyond ‹fat shaming› to illustrate two themes not previously discussed. First, the attacks on Bruni seem to connect age and fat. Specifically, Bruni’s narrative introduces the frame: ‹weight loss is difficult after giving birth›. Motherhood is taxing enough, but it becomes even more difficulty when the media are watching your waist line. It is implied that older mothers should receive more sympathy. The second frame represents an odd form of reverse fat shaming: ‹I am so sick and tired of skinny people saying they are fat›. As Bruni explains: “I’m kind of tall, with good-size shoulders, and when I am 40 pounds overweight, I don’t even look fat—I just look ugly” (Orth). Critics charge that celebs like Bruni not only do not look fat, they are not fat. Moreover, celebs are misguided in trying to cultivate sympathy that is needed by people who actually are fat. Several blogs echo this sentiment. The site Whisper displays a poster that states: “I am so sick and tired of skinny people saying they are fat.” According to Anarie in another blog, the comment, “I’m fat, too,” is misplaced but may be offered as a form of “sisterhood.” One of the best examples of the strong reaction to celebs’ fat claims is the case of actress Jennifer Lawrence. According The Gloss, Lawrence isn’t chubby. She isn’t ugly. She fits the very narrow parameters for what we consider beautiful, and has been rewarded significantly for it. There’s something a bit tone deaf in pretending not to have thin or attractive privilege when you’re one of the most successful actresses in Hollywood, consistently lauded for your looks. (Sonenshein) In sum, the attempt to make political gain out of “I’m fat” comments, may backfire and lead to a loss in political capital. Julia Gillard The final political figure in this study is Julia Eileen Gillard. She is described on Wikipedia as“…a former Australian politician who served as the 27th Prime Minister of Australia, and the Australian Labor Party leader from 2010 to 2013. She was the first woman to hold either position” (“Julia Gillard”). Gillard’s case provides a useful example of how the media can frame feminism and fat in almost opposite manners. The first version of framing, ‹woman inappropriately attacks fat men›, is set forth in a flashback video on YouTube. Political enemies of Gillard posted the video of Gillard attacking fat male politicians. The video clip includes the technique of having Gillard mouth and repeat over and over again the phrase, “fat men”…”fat men”…”fat men” (“Gillard Attacks”). The effect is to make Gillard look arrogant, insensitive, and shrill. The not-so-subtle message is that a woman should not call men fat, because a woman would not want men to call her fat. The second version of framing in the Gillard case, ironically, has a feminist leader calling Gillard “fat” on a popular Australian TV show. Australian-born Germaine Greer, iconic feminist activist and author of The Female Eunuch (1970 international best seller), commented that Gillard wore ill-fitting jackets and that “You’ve got a big arse, Julia” (“You’ve Got”). Greer’s remarks surprised and disappointed many commentators. The Melbourne Herald Sun offered the opinion that Greer has “big mouth” (“Germaine Greer’s”). The Gillard case seems to support the theory that female politicians may have a more difficult time navigating weight and appearance than male politicians. An experimental study by Beth Miller and Jennifer Lundgren suggests “weight bias exists for obese female political candidates, but that large body size may be an asset for male candidates” (p. 712). Conclusion This study has at least partially answered the original research questions. [RQ1] Which terms do commentators utilize to describe political figures as “fat”? The terms include: fat, fat arse, fat f***, large, heavy, obese, plus size, pudgy, and rotund. The media frames include: ‹happy fat›, ‹fat shaming›, ‹morbidly obese›, ‹happy fat “Bubba›, ‹transformed “Bubba›, ‹fat hypocrite›, ‹large woman ambiguity›, ‹weight gain women may experience after giving birth›, ‹I am so sick and tired of skinny people saying they are fat›, ‹woman inappropriately attacks fat men›, and ‹feminist inappropriately attacks fat woman›. [RQ2] Why is the term “fat” utilized in the political arena? Opponents in attack mode, to discredit a political figure, often use the term “fat”. It can imply that the person is “unhealthy” or has a character flaw. In the attack mode, critics can use “fat” as a tool to minimize a political figure’s legitimate and referent power. [RQ3] To what extent can one detect gender, national, or other differences in the manner in which the term “fat” is used in the political arena? In the United States, “obesity” is the dominant term, and is associated with the medicalisation of fat. Obesity is linked to health concerns, such as coronary heart disease. Weight bias and fat shaming seem to have a disproportionate impact on women. This study also has left many unanswered questions. 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Germaine Greer Advice for Julia Gillard.” Politics and Porn in a Post-Feminist World. 24 Aug. 2012. 22 Apr. 2015 ‹https://www.youtube.com/watch?v=8lFtww!D3ss›. See also: ‹http://www.smh.com.au/federal-politics/political-news/greer-defends-fat-arse-pm-comment-20120827-24x5i.html›.