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In 1990, the Brazilian Unifi ed Health System institutionalized new relationships between the government and society. In recognition of the inequalities and inequities infl icted upon Indigenous Peoples, the Indigenous Health Subsystem was established in 1999. Roles were created for the democratic exercise of Indigenous participation and prominence in three border spaces: Indigenous health agents as members of health teams; Indigenous representatives on health councils; and Indigenous organizations as primary care providers. This article explores these spaces based on ethnographic research from southern Brazil. It concludes that the roles created for Indigenous participation and governance are ambiguous and contradictory. When participating in new opportunities created by the government, Indigenous actors are subjected to a centralized and bureaucratized system that off ers litt le possibility of autonomous decision- making or action. [ABSTRACT FROM AUTHOR]

Translations of the native notion of shamanic agency of the Siona Indians of Colombia is explored throughout different historical and social contexts. The polysemic concept rau is central to the shaman’s capacity for establishing relations of exchange and negotiation with humans and non-humans. As the embodiment of his power, it fits within a semantic field that conveys the waxing and waning of life cycles. Sharing a series of qualities with the Melanesian concept of mana, rau should be understood as a social phenomenon whose use and meaning has transfigured through time and space. However, unlike the globalization of new mana, the important notion of Siona shamanic agency has been substituted by representations of the ritual substance of yajé as key symbol for power and knowledge as Siona rituals have been revitalized in their dialogue with the ethnic identity movement and the neo-shamanic network that associates sacred plants with primordial knowledge and agency. [ABSTRACT FROM AUTHOR]

This paper contributes to the dialogue between the social sciences and social medicine in Latin America by exploring therapeutic pluralism in indigenous health policies and services in Brazil. It reviews recent anthropological research, concepts and current debates to critically examine Brazilian indigenous health policy and its concept of “differentiated care,” which proposes articulation between official health practices and indigenous therapies. A number of contradictions and tensions are present in the structural organizational of the indigenous health subsystem at the national level and in the daily practices of health teams at the local level. Guided by the hegemonic ideology of biomedicine, health professionals fail to recognize the dynamics and agency expressed in indigenous health practices. [ABSTRACT FROM AUTHOR]

This article outlines the transformations of yajé shamanism among the Siona Indians of the Northwest Amazon Basin of Colombia. The shaman's role and the political and sacred use of yajé rituals have changed since colonial times and can be seen as a result of adaptive strategies for survival. This study examines the factors that have contributed to the current revitalization due to state and popular representations of the ecological and wise Indian. Although Gow and Taussig argue that ayahuasca shamanism in Peru and folk healing in Colombia rose out of colonial domination and proletarian concerns, Siona shamanic practices are best understood as a transfiguration and result of their particular response to outside forces. Their contemporary use of yajé reflects this past and the discourse, aesthetics, expectations, and demands of the larger society. [ABSTRACT FROM AUTHOR]

In Latin America countries, programs and public policies aimed at indigenous health have impacted on new roles and border spaces. By addressing indigenous participation in primary healthcare, we analyze the tensions and negotiations before and after the implementation of the Indigenous Healthcare Subsystem in Brazil, providing as an example the indigenous land Kaingáng (TIK) located in the south of the country. Prior to the implementation of the Subsystem, the definition and execution of the services in this TIK were characterized by the strong presence of indigenous people linked to the indigenous political leader and the weak presence of institutions. Since 2000, the subsystem started covering various public and private segments. In the TIK, the role of a Kaingáng organization was full of ambiguities and paradoxes, because while it was an opportunity for getting a greater role in the negotiation spaces created by the State, it was also subject to the priorities defined in outer spaces to the ethnic group. [ABSTRACT FROM AUTHOR]

This article traces the development of anthropological research on health in Brazil in light of discussions on modernity/coloniality and world anthropologies. Originating in the 1970s, stimulated by external and internal pressures for scientific production and along with the expansion of graduate programs, a network of anthropologists has consolidated and multiplied in Brazil. We describe the development of research groups, meetings, and publications in order to characterize Brazilian anthropology of health as a research program that distinguishes itself from North Atlantic medical anthropology. We examine the visibility and circulation of references in academic publications to explore the participation of Brazilians in the global discourse and, more specifically, in the North-South dialogue. From a comparative perspective, we argue that anthropological investigations of health reflect a perspective and ethos distinctive to Brazil and its historical and political processes. [ABSTRACT FROM PUBLISHER]

This article presents a reflection as to how notions and behavior related to the processes of health and illness are an integral part of the culture of the social group in which they occur. It is argued that medical and health care systems are cultural systems consonant with the groups and social realities that produce them. Such a comprehension is fundamental for the health care professional training. [ABSTRACT FROM AUTHOR]

Reports a concept analysis of fear and anxiety. Development of a process model reflecting characteristics of fear and anxiety; Distinction between fear and anxiety; Recommendation for further analysis.

In Brazil, the right to health claimed by indigenous peoples interacts with various regulatory milestones, including the Alma-Ata Declaration, which proposes and highlights primary health care (PHC) as a means to increase access and minimize health inequalities. As part of the Brazilian Unified Health System (SUS), an indigenous health subsystem (SASI) was established, along with a National Policy for the Care of Indigenous Peoples (PNASPI), as a strategy to ensure health care access for these populations. PNASPI aims to provide differentiated health care to indigenous populations, considering the sociocultural diversity and the epidemiological and logistic peculiarities associated with the care of these peoples and focusing on the provision of comprehensive care. The present article discusses the implementation of PNASPI, highlighting achievements and challenges faced during this process. Despite the growing financial resources made available for the implementation of the indigenous health subsystem, the initiatives developed thus far have had little impact on health indicators, which reflect historical inequalities in relation to other population segments. Indigenous social control is still fragile, and the discussions in this arena show the dissatisfaction of users toward the system. The discontinuity of care, added to the shortage of and high turnover of health care workers and the need to establish intercultural dialogues that promote articulation with traditional knowledges, challenge the effectiveness of PNASPI. Care is still centered on palliative and emergency measures, usually based on relocation of patients for treatment, which is associated with high cost. To overcome these challenges, PHC must be strengthened and recognized as a regulatory milestone by the PNASPI organizational model. [ABSTRACT FROM AUTHOR]

Failure to consider the cultural and social factors of projects can lead to situations where mitigation does not effectively address the impacts they were intended to alleviate, and can even create other impacts. We critically analyse the processes of designing and implementing a social and environmental compensation program for the Lajeado Hydroelectric Dam in the Amazon region of central-northern Brazil. This mitigation program caused a wide range of social and environmental impacts on the Xerente Indigenous people, such as intra-group conflict, and changes in agricultural practices and food regime. Based on qualitative fieldwork and an extensive document analysis, we present a contextualization of the region, the project, the Xerente people, and their cosmological understandings. We consider the perspectives of a broad range of stakeholders about the compensation program and its outcomes, and demonstrate how traditional cultural practices and values played a role in the unfolding of the program. Better comprehension of sociocultural aspects through the use of ethnography, ongoing consultation, and meaningful community participation in the planning and implementation of mitigation measures are recommended. [ABSTRACT FROM PUBLISHER]

In the second half of the twentieth century, Indigenous populations from different parts of the world were identified as key subjects in a wide range of investigations into patterns of human biological variation. Focusing on Amazonia, a prominent region for such research, this paper explores some of the complex relationships between biomedicine, anthropological knowledge, political regimes, and Indigenous rights. We focus on the roles of Francis L. Black (Yale University) and James V. Neel (University of Michigan), leading American scientists working in lowland South America from the 1970s to the 1990s, in knowledge production and scientific disputes at the intersection of human biology and susceptibility to infectious diseases, as well as the use of specific biomedical technologies (e.g., vaccines). During the Cold War, arguments concerning genetically determined susceptibility to infectious diseases and the role of biomedicine in health care for Indigenous populations became highly disputed, as scientists were concerned about how scientific knowledge could be used in the implementation of public policies. We argue that analysis of unpublished debates about the political implications of the trajectory of biomedical research about Amazonian Indigenous peoples helps to broaden and complexify the global history of human biological diversity research in the post–World War II period. [ABSTRACT FROM AUTHOR]

Cellulitis-adenitis syndrome is rarely diagnosed in the neonatal period and generally associated with group B streptococci infection. We present the first report of cellulitis-adenitis syndrome of the axilla due to Klebsiella oxytoca in a premature infant. Therefore, empiric antibiotic treatment for cellulitis-adenitis syndrome in the neonatal period should include antibiotics that act against both Gram-positive and Gram-negative bacteria. [ABSTRACT FROM AUTHOR]