Introdução: A Doença Hepática Gordurosa Não Alcoólica (DHGNA) tem como causa principal a obesidade. Atualmente não existe tratamento medicamentoso específico para DHGNA. A cirurgia bariátrica surge como uma alternativa de tratamento em pacientes morbidamente obesos. Objetivos: Analisar, através de biópsia hepática intra-operatória, o grau de comprometimento hepático em obesos submetidos à cirurgia bariátrica, correlacionando os achados histopatológicos com o estado glicêmico dos pacientes. Métodos: Estudo de coorte prospectivo incluindo 521 pacientes submetidos à cirurgia bariátrica de julho de 2001 até dezembro de 2016. Os pacientes foram classificados em três grupos de acordo com o status glicêmico basal: 167(32,05%) diabéticos tipo 2 (G1), 132 (25,33%) pré-diabéticos (G2) e 222 (42,61%) obesos normoglicêmicos (G3). Foram obtidas biópsias hepáticas transoperatórias, as quais foram classificadas conforme os critérios de Brunt e do NASH-CRN. As variáveis clínicas e bioquímicas e histológicas foram comparadas antes da cirurgia e durante o seguimento pós-operatório. Resultados: A prevalência de DHGNA nesta coorte foi de 95%. Não houve diferença quanto ao gênero e IMC entre os grupos. Observaram-se taxas mais altas de fibrose (56,4% G1 vs 29,2% G2 vs 28,6% G3 p<0,001) e Esteatohepatite Não Alcoólica (EHNA) (59,4% G1vs 49,2% G2 vs 36% G3 p <0,001) nos pacientes diabéticos. Apenas 1,5 %, dos diabéticos apresentaram histologia normal (vs 7,76% G2 vs 15,7% G3). / Introduction: Obesity is the main cause of nonalcoholic fatty liver disease (NAFLD), for which there is currently no specific medical treatment. Bariatric surgery is a treatment alternative for morbidly obese patients. Objectives: Use an intraoperative liver biopsy to analyze the degree of liver damage in obese patients submitted to bariatric surgery and correlates the histopathological findings with glucose status. Methods: Prospective cohort study of 521 morbid obese patients undergoing bariatric surgery from July 2001 to December 2016, classified into three groups according to their baseline glucose status: 167 (32.05%) type 2 diabetes (G1), 132 (25.33%) pre-diabetic (G2) and 222 (42.61%) normoglycemic obese (G3). Patients using potentially hepatotoxic medications and a history of ethanol consumption or viral hepatitis were excluded. Intraoperative liver biopsies were obtained and classified in accordance with Brunt and NASH-CRN criteria. Clinical, biochemical and histopathological variables were compared before surgery and during postoperative follow-up. Results: The prevalence NAFLD was 95%. There was no intergroup difference for sex and BMI. Higher rates of fibrosis (56.4% G1 vs. 29.2% G2 vs. 28.6% G3 p<0.001) and nonalcoholic steatohepatitis (NASH) (59.4% G1vs 49.2% G2 vs. 36% G3 p <0.001) were observed in the diabetic patients. Only 1.5 % of diabetics showed normal histology (vs. 7.76% G2 and 15.7% G3).

[pt] Esta tese pretende contribuir para a melhor compreensão e aplicação do denominado direito ao esquecimento na sociedade contemporânea, notadamente caracterizada pela intensa circulação de informações viabilizada pela permanente evolução tecnológica. Para o desenvolvimento do estudo foi necessário tecer considerações críticas à expressão utilizada no Brasil para identificar o direito em exame, conceituá-lo como uma forma de restrição à ilimitada divulgação de informações individuais pretéritas e desprovidas de interesse público, além de definir sua configuração jurídica de direito fundamental da personalidade decorrente da cláusula geral de tutela da dignidade humana. A partir do reconhecimento de evidentes limites para a aplicação do direito ao esquecimento e considerada a tutela da vida privada em seu viés atual, de controle sobre a circulação de informações relativas aos indivíduos, entende-se não apenas possível como também fundamental a plena tutela do direito tratado na tese. Dada a magnitude do papel atualmente desempenhado pela Internet na comunicação social, defende-se, entre outras possibilidades de aplicação do direito ao esquecimento, o direito de o indivíduo requerer a exclusão de resultados das listas de links apresentadas após uma pesquisa, em provedores de busca, utilizando-se determinadas palavras ou expressões, ainda que tal exclusão não atinja também a fonte onde a informação foi originalmente divulgada. Ademais, o exame da legislação correlata ao tema, a análise de projetos de lei sobre a matéria, bem como a pesquisa da recente jurisprudência brasileira na aplicação do direito ao esquecimento foram métodos utilizados para se chegar à sugestão de critérios que possam ser adotados na ponderação entre os interesses eventualmente conflitantes à liberdade de expressão e à tutela dos direitos da personalidade. Em síntese, informações desatualizadas e irrelevantes sob a perspectiva do interesse público, cuja disseminação possa causar comprovados e injustos danos aos direitos da personalidade, não devem ser irrestritamente divulgadas, sob pena de configuração de notória violação à dignidade humana e, acrescente-se, sem que esta defendida limitação informativa possa ser considerada como prática análoga à tão condenável censura. / [en] This thesis intends to contribute for a better understanding and application of the so-called right to be forgotten in the contemporary society, notably characterized by the intense circulation of information made possible by the ongoing technological progress. In order to develop the study, it was necessary to weave critical considerations to the term used in Brazil to identify the right under review, conceptualize it as a way to restrict the unlimited disclosure of past individual information lacking public interest, as well as define its legal configuration of fundamental right of the personality resulting from the general clause of human dignity protection. From the recognition of clear limits for the application of the right to be forgotten and considering the protection of the private life in its current bias of control over the circulation of information regarding individuals, it is noticeable that it is not only possible but also fundamental to provide for the full protection of the right addressed in the thesis. Due to the magnitude of the role that is currently performed by the Internet in social communication, the right of an individual to require the exclusion of results from the lists of links presented after a search in search providers using certain words or terms, even if such exclusion fails to also reach the source where the information was originally disclosed, is defended, among other possibilities to apply the right to be forgotten. In addition to that, the analysis of the legislation related to the subject, the assessment of draft bills on the subject, as well as the survey of the recent Brazilian jurisprudence in the application of the right to be forgotten were methods used to get to the suggestion of criteria that may be adopted when pondering the possibly conflicting interests with freedom of expression and protection of personality rights. In short, outdated and irrelevant information under the perspective of public interest, whose dissemination may cause proven and unfair damages to the rights of personality, shall not beunrestrictedly disclosed, under the penalty of configuring notorious violation to human dignity and, moreover, not allowing that defended informative limitation to be considered a practice that is similar to the so condemnable censorship.

Made available in DSpace on 2014-12-17T14:27:30Z (GMT). No. of bitstreams: 1 AndersonSS.pdf: 411955 bytes, checksum: 5e1635b0c0478f712655188f802072b8 (MD5) Previous issue date: 2007-04-23 / In the middle of modern social changes produced by globalization and capitalism, several markets have changed. States have left the direct coordination of these markets (chiefly public utility sector in the form of monopolies), introducing regulation in order to promote competition. These changes have affected natural gas industry by promoting competition as a key factor to the development and the increase of firms in this market. The regulatory reform of natural gas industry ocurred in EUA and Europe Union and it has produced its first results. In Brazilian context, Constitutional Amendment nbr. 09 and Federal Law nbr. 9.478/97 ( Petroleum Law ) opened the natural gas market to a broad range of private economic agents and they finished the monopoly over the industry before managed by Petrobras. The new regulatory framework of Brazilian natural gas industry has designed competition as a central element to the new form of managment of business and contractual relationships of this industry. Among the regulatory instruments, open access regulation in natural gas pipelines is directed to promote competition. The questions arised about its implementation in Brazilian context are studied in the present work, in which it is discussed the constitutional rules and principles are to be applied to the open access regulation within the theme of statal regulation of economy present in constitutional economic order / No movimento de mudan?as sociais capitaneados pelo capitalismo global e pelo discurso neoliberal, t?m sido promovidas no mundo reformas nos chamados setores de infra-estrutura (antes geralmente geridos de forma direta pelo Estado sob a forma de monop?lios) no sentido de se introduzir uma regula??o que promova a concorr?ncia. Desses setores a industria do g?s natural vem sofrendo reformas institucionais relevantes que procuram retirar-lhe caracter?sticas monopol?sticas e permitir, dessa maneira, o aumento dos agentes nesse mercado. Em alguns paises essas transforma??es na industria do g?s natural encontram j? seus resultados (EUA e Uni?o Europ?ia). O Brasil tem promovido reformas no setor de g?s desde a Emenda Constitucional n? 09 e a Lei 9.478/97, abrindo as portas do mercado brasileiro de petr?leo e g?s para os investimentos privados, criando um cen?rio onde a Petrobr?s n?o est? mais sozinha na execu??o de atividades da cadeia do petr?leo e g?s natural. Acabou-se, assim, com o monop?lio da execu??o das atividades da industria do petr?leo e g?s (foi mantido o monop?lio da titularidade), passando-se a introduzir nesses setores a interven??o pela regula??o, a regula??o econ?mica. Dentre as pautas de regula??o importante da ind?stria do g?s natural encontra-se o chamado livre acesso (open access) aos gasodutos de transporte, fazendo-se pensar a regula??o do livre acesso ? luz da ordem econ?mica da nossa Constitui??o e projetar as rela??es entre Estado e Economia, buscando desenhar o conjunto de regras e princ?pios que orientam a a??o reguladora e fundamentam a possibilidade constitucional do controle de estruturas pelo livre acesso no segmento de transporte de g?s natural

Introdução: A Doença Hepática Gordurosa Não Alcoólica (DHGNA) tem como causa principal a obesidade. Atualmente não existe tratamento medicamentoso específico para DHGNA. A cirurgia bariátrica surge como uma alternativa de tratamento em pacientes morbidamente obesos. Objetivos: Analisar, através de biópsia hepática intra-operatória, o grau de comprometimento hepático em obesos submetidos à cirurgia bariátrica, correlacionando os achados histopatológicos com o estado glicêmico dos pacientes. Métodos: Estudo de coorte prospectivo incluindo 521 pacientes submetidos à cirurgia bariátrica de julho de 2001 até dezembro de 2016. Os pacientes foram classificados em três grupos de acordo com o status glicêmico basal: 167(32,05%) diabéticos tipo 2 (G1), 132 (25,33%) pré-diabéticos (G2) e 222 (42,61%) obesos normoglicêmicos (G3). Foram obtidas biópsias hepáticas transoperatórias, as quais foram classificadas conforme os critérios de Brunt e do NASH-CRN. As variáveis clínicas e bioquímicas e histológicas foram comparadas antes da cirurgia e durante o seguimento pós-operatório. Resultados: A prevalência de DHGNA nesta coorte foi de 95%. Não houve diferença quanto ao gênero e IMC entre os grupos. Observaram-se taxas mais altas de fibrose (56,4% G1 vs 29,2% G2 vs 28,6% G3 p<0,001) e Esteatohepatite Não Alcoólica (EHNA) (59,4% G1vs 49,2% G2 vs 36% G3 p <0,001) nos pacientes diabéticos. Apenas 1,5 %, dos diabéticos apresentaram histologia normal (vs 7,76% G2 vs 15,7% G3). / Introduction: Obesity is the main cause of nonalcoholic fatty liver disease (NAFLD), for which there is currently no specific medical treatment. Bariatric surgery is a treatment alternative for morbidly obese patients. Objectives: Use an intraoperative liver biopsy to analyze the degree of liver damage in obese patients submitted to bariatric surgery and correlates the histopathological findings with glucose status. Methods: Prospective cohort study of 521 morbid obese patients undergoing bariatric surgery from July 2001 to December 2016, classified into three groups according to their baseline glucose status: 167 (32.05%) type 2 diabetes (G1), 132 (25.33%) pre-diabetic (G2) and 222 (42.61%) normoglycemic obese (G3). Patients using potentially hepatotoxic medications and a history of ethanol consumption or viral hepatitis were excluded. Intraoperative liver biopsies were obtained and classified in accordance with Brunt and NASH-CRN criteria. Clinical, biochemical and histopathological variables were compared before surgery and during postoperative follow-up. Results: The prevalence NAFLD was 95%. There was no intergroup difference for sex and BMI. Higher rates of fibrosis (56.4% G1 vs. 29.2% G2 vs. 28.6% G3 p<0.001) and nonalcoholic steatohepatitis (NASH) (59.4% G1vs 49.2% G2 vs. 36% G3 p <0.001) were observed in the diabetic patients. Only 1.5 % of diabetics showed normal histology (vs. 7.76% G2 and 15.7% G3).

This paper attempts to develop a mathematically rigid and unified framework for neural spatial interaction modeling. Families of classical neural network models, but also less classical ones such as product unit neural network ones are considered for the cases of unconstrained and singly constrained spatial interaction flows. Current practice appears to suffer from least squares and normality assumptions that ignore the true integer nature of the flows and approximate a discrete-valued process by an almost certainly misrepresentative continuous distribution. To overcome this deficiency we suggest a more suitable estimation approach, maximum likelihood estimation under more realistic distributional assumptions of Poisson processes, and utilize a global search procedure, called Alopex, to solve the maximum likelihood estimation problem. To identify the transition from underfitting to overfitting we split the data into training, internal validation and test sets. The bootstrapping pairs approach with replacement is adopted to combine the purity of data splitting with the power of a resampling procedure to overcome the generally neglected issue of fixed data splitting and the problem of scarce data. In addition, the approach has power to provide a better statistical picture of the prediction variability, Finally, a benchmark comparison against the classical gravity models illustrates the superiority of both, the unconstrained and the origin constrained neural network model versions in terms of generalization performance measured by Kullback and Leibler's information criterion.

Penser l’être humain comme un être libre : tel est le souci constant de la réflexion de Paul Ricœur. Au niveau anthropologique, le philosophe cherche à remettre la liberté en lien avec la condition concrète de l’homme, où la nature, le corps, autrui et la société sont en jeu. Ce n’est qu’en reconnaissant une telle condition que la liberté devient réelle, affirmative et puissante. Au niveau ontologique, c’est la liberté humaine qui offre un accès privilégié à la compréhension de l’être en général. Après avoir écarté la notion de l’être comme objectivité, la liberté le dévoile comme un acte affirmatif. Au niveau méthodologique, le développement d’une herméneutique phénoménologique constitue un élément essentiel de l’ontologie de la liberté, dans la mesure où la pensée est elle-même toujours impliquée dans cette interrogation ontologique. C’est par un tel « engagement » que la pensée atteste l’être de la liberté, surtout face à l’énigme du mal. / One of the persistent concerns of Paul Ricœur’s philosophy is to reflect upon the human being as being free. At the anthropological level, Ricœur always considers freedom within concrete human condition, in which nature, body, others and society are all involved. One’s freedom becomes real, affirming and powerful only when such condition is recognized. At the ontological level, it is only as a free being that one has the privileged access to the understanding of being in general. Human as free being reveals that being should not be understood as objectivity, but as an affirming act. Finally, at the methodological level, Ricœur’s elaboration of phenomenological hermeneutics constitutes an essential element of his ontology of freedom. From his methodological development, it can be seen that the thinking philosopher himself, as a free being, is also engaged in his inquiry. In this regard, Ricœur’s philosophy as such becomes an attestation of free being, especially in his confrontation with the enigma of evil.

En droit positif, la qualification de l’enfant à naître est incertaine et celui-ci ne bénéficie d’aucun statut. Pour autant, son intérêt est pris en considération depuis le droit romain à travers l’adage « infans conceptus pro nato habetur quoties de commodis ejus agitur » selon lequel l'enfant conçu est réputé né chaque fois qu’il en va de son intérêt. À l’origine, cet adage était exclusivement tourné vers la matière patrimoniale. Aujourd’hui, la préservation de l'intérêt de l’enfant à naître a connu des évolutions majeures dépassant largement cette maxime latine. Plusieurs facteurs ont été à l’origine de l’extension de la prise en considération de cet intérêt : la légalisation de l’interruption de grossesse, les techniques d’assistance médicale à la procréation, le développement de la recherche scientifique, l’évolution de la médecine prénatale et fœtale. La question de la préservation de l’intérêt de l’enfant à naître est aujourd’hui sans cesse renouvelée en raison du développement constant des pratiques médicales et scientifiques, et sous l’impulsion de la notion d’intérêt de l’enfant né.L'intérêt de l’enfant à naître entre en conflit avec d’autres droits et intérêts concurrents peu conciliables. Ces droits et intérêts font l’objet de revendications fortes dans la société et entraînent de vifs débats quant aux solutions de conciliation. L’antagonisme de ces droits et intérêts aboutit à d’importantes contradictions et incohérences difficilement surmontables. Aussi, appréhender l'intérêt de l’enfant à naître en droit positif consiste à analyser ses manifestations à l’aune de la conciliation avec les droits et intérêts concurrents. Notre étude vise à déterminer le contenu de l’intérêt de l’enfant à naître en droit français, afin de mettre en exergue les cohérences et les incohérences existantes, et ce dans une perspective de rationalisation / In positive law, the qualification of the unborn child is unclear and he has no status. However, his interest is taken into consideration since Roman law through the adage « infans conceptus pro nato habetur quoties de commodis ejus agitur » according to which the conceived child is deemed to be born whenever it is in his interest. Originally, this adage was exclusively focused on the patrimonial rights. Today, the preservation of the interest of the unborn child has undergone major changes far beyond this Latin maxim. Several factors explain this fact : the legalization of the termination of pregnancy, techniques of assisted procreation, the development of scientific research, evolution prenatal and fetal medicine. The question of preserving the unborn child’s interest is today constantly renewed because of the constant development of medical ans scientific practices, and under the impetus of the concept of the born child’s interest. The unborn child’s interest conflicts with other competing rights and competing interests. These rights and interests are the subject of strong demands in society and lead to intense debates over conciliation solutions. The antagonism of these rights and interests leads to important contradictions and inconsistencies that are difficult to resolve. Therefore, to apprehend the interest of the unborn child in positive law is to analyze its manifestations in termes of conciliation with competing rights and interests. Our study aims to determine the content of the interest of the unborn child in French law, in order to highlight the existing coherences and inconsistencies, and this in a perspective of rationalization

Au cœur de la phénoménologie gît une thèse métaphysique selon laquelle le flux phénoménal du vécu (Erlebnisstrom) puise son sens et son être en lui-même, plutôt que d’une quelque réalité extérieure ou sous-jacente. En outre, cette thèse de l’autonomie existentielle du flux phénoménal, ou de l’équivalence de l’être et du paraître, ne s’atteste que moyennant une transformation complète de notre rapport au monde, où l’on s’efforce de se mettre à l’écoute des choses, et du mystère qui les enveloppe, plutôt que de les maîtriser. Pris ensemble, cette thèse métaphysique et cette attitude du laisser-être (Seinlassen) constituent les deux piliers de la phénoménologie comme manière de vivre dont la présente thèse se propose de tracer les grandes lignes. Pour ce faire, nous centrons nos recherches sur l’œuvre du fondateur de la phénoménologie, Edmund Husserl, que nous soumettons toutefois à une critique immanente; c’est Husserl qui à la fois dégage l’idée d’une phénoménologie comme manière de vivre et lui pose le plus sérieux obstacle. Cette tension au sein de la pensée husserlienne s’aperçoit à même les deux exigences qui la définissent : celle du « retour aux choses mêmes », d’une part, et celle de la description eidétique, de l’autre. À l’aide de différents interlocuteurs – qui nous permettent d’interroger Husserl rétrospectivement (Pyrrhon), contemporainement (James, Bergson) et prospectivement (Heidegger) –, nous montrons que ces deux exigences sont en fait incompatibles, et proposons afin de résoudre cette contradiction d’éliminer un de ses termes, soit l’exigence de description eidétique. Se fait alors jour la possibilité d’une phénoménologie qui assume pleinement sa vocation existentielle. Enfin, en parallèle à cette critique immanente de Husserl, et afin de l’étayer, nous développons une explication génétique de l’ἐποχή transcendantale, où celle-ci est caractérisée en tant que conversion de l’attitude naturelle à une forme de conscience postréflexive, c’est-à-dire mystique. / At the heart of phenomenology lies a metaphysical claim according to which the phenomenal stream of lived experience (Erlebnisstrom) derives its meaning and its being from itself, rather than from some external or underlying reality. Moreover, this claim of the existential autonomy of the phenomenal stream, or of the equivalence of being and appearing, can only be verified through a complete transformation of our relationship to the world, where we seek to become mindful of things, and of the mystery in which they are steeped, rather than seeking to master them. Taken together, this metaphysical claim and this attitude of letting-be (Seinlassen) constitute the two pillars of phenomenology as a way of life, which the present thesis proposes to describe in broad outline. To do so, we focus our research on the work of the founder of phenomenology, Edmund Husserl, which we submit however to an internal critique; it is Husserl who both allows us to contemplate the idea of phenomenology as a way of life and at the same time poses the greatest obstacle to it. This tension within Husserlian thought can be seen in the two imperatives that define it: that of the “return to the things themselves”, on the one hand, and that of eidetic description, on the other. With the help of various interlocutors – who allow us to interrogate Husserl retrospectively (Pyrrho), contemporaneously (James, Bergson) and prospectively (Heidegger) – we show that these two imperatives are in fact incompatible, and propose in order to lift this contradiction to eliminate one of its terms, namely the imperative of eidetic description. Thus a path is cleared for a phenomenology that fully commits itself to its existential vocation. Finally, in parallel to this internal critique of Husserl, and to better support it, we develop a genetic explanation of the transcendental ἐποχή, where it is characterized as a conversion from the natural attitude to a post-reflective, that is mystical, form of consciousness.

Summaries in English and Shona / Introduction Despite wide spread information and knowledge of HIV and AIDS transmission, High school teenage girls continued to engage in risky sexual behaviour in Tshwane, a District of Gauteng Province of South Africa. Age-parity relationships between High school teenage girls and older men known as “Sugar Daddies” or “Blessers”, who showered High school teenage girls with money and expensive gifts, were believed to be spreading HIV. High school teenage girls failed to negotiate condom use due to lack of autonomy, coupled with sexual violence, resulting in HIV transmission. Consequently, Tshwane became one of the highest HIV burdened cities in South Africa. Purpose of the study This study explored and described the High school teenage girls’ knowledge and perceptions of the risks of human immunodeficiency virus and acquired immune deficiency syndrome in Tshwane, a District of Gauteng Province of South Africa. Method The study used a quantitative approach. The data were collected using questionnaires. The population comprised of all girls aged 15 to 19 at a selected High school. The sample consisted of 109 girls. Systematic sampling was used. The study was conducted in the school hall of a selected High school. Data were analysed using SPSS version 23 program. Results Generally, the High school teenage girls’ HIV knowledge was very high (84.4%) as compared to their knowledge on AIDS (3.7%). Only 10.1% of the High school teenage girls knew what the window period entailed. They were aware of HIV preventive measures evidenced by abstinence ranking first (1) and had the highest score of five (5). 17.4% of the High school teenage girls doubted the usefulness of the condom in combating HIV infection. Health care workers were easily accessible (30.3%). The television was the most available mass media (92%). The radio was most preferred (31%). High school teenage girls preferred to discuss HIV related information with their peers and friends (50%). 42% of the High school teenage girls preferred to discuss sex related topics with parents or guardians. Those who were below 18-years were 7.2 times less likely to have sex. 90% of the 19-year-old girls had had sex. Therefore, High school teenage girls’ perception of HIV risk was low because they continued to be involved in concurrent multiple relationships although 90% of those involved were using condoms. Conclusion Although High school teenage girls proved that they had knowledge of HIV and AIDS, they still had a low perception of HIV risk because they were involved in concurrent multiple sexual relationships with older men. / Habedi, Debbie Kgomotso / Kunyangwe vane ruzivo rwechirwere cheshura matongo, vasikana vane makore ari pakati pegumi nematatu negumi nemapfumbamwe vari kuenderera mberi nekuita unhu unoita kuti vabatwe nechirwere cheshuramatongo (AIDS). Vasikana ava vari kudanana nevarume vakuru kuvadarika vamwe masadzimba zvinoita kuti vatapurirwe utachiona hweHIV zvinoita kuti vasikana vane hutachiona uhwu vawandise muguta reTshwane, mudunhu reGauteng munyika yeSouth Africa. Vanasikana ava vanopuwa mari nekutengerwa mbozhanhre nenguvo zvinodhura nekudya tunonaka. Nekuda kwekuti varume vanesimba rehudzvinyiriri nekuvarwisa, muAfrica, vasikana ava havakwanisi kushandisa makondomu kuzvidzivirira kubva kuhutachiona hweHIV. Ndosaka guta reTshwane raita mukurumbira munyika yeSouth Africa nekuti vanasikana vane hutachiona hweHIV vari kuwandisa. Gwaro iri rinoongorora nekutsanangura ruzivo uye maonero evanasikana huipi hwechirwe cheshuramatongo muguta guru reTShwane, mudunhu reGauteng. Munyika yeSouth Africa. Mafambiro Egwaro Gwaro iri riri kuongorora nekutsanangura ruzivo nemaonerwo anoitwa hutachiona hweHIV nechirwere cheshuramatongo nevasikana vari pakati pemakore gumi nemakore matatu nevanegumi nemakore mapfumbamwe pachikoro chesekonari chakasarudzwa mugutu guru reTshwane, mudunhu reGauteng, munyika yeSouth Africa. Vasikana vaka pindura mibvunzo pamusoro peruzivo rwavaiva narwo uye zvakanyangara zvinoita kuti vabatwe nehutachiona hweHIV. Vasikana zana nevapfumbamwe ndivo vakapindura mibvunzo. Vasikana vakapindura mibvunza yaiva pamapepa muhoro yepachikoro pavo. Zvakabuda Muchidzidzo Zvakaonekwa kuti vasikana vane ruzivo rwechirwere cheshuramatongo asi vane zvimwe zvinhu zvavasinga nzwisisi pamusoro pechirwere ichi zvekuzvidzivirira. Vasikana havakwanisi kupa mutsauko wehutachiona (HIV) nechirwere cheshuramatongo (AIDS). Vanasikana vazhinji vanofunga kuti hutachiona hweHIV hunotapurirwana pakutsvodana uye pakushandisa zvimbuzi. Vasikana vazhinji havakwanisi kutsanangura nguva inogara hutachina hweHIV mumuviri hwusati hwaonekwa kuti hurimo. Vasikana havana chokwadi chekuti makondomu anogona kudzivirira hutachiona hweHIV kuti hwusapinda mumuviri nguva dzebonde. Vadzidzisi vechikoro ndivo vakasarudzwa kuti vane ruzivo rwechirwere cheshuramatongo. Vasikana havafariri kudzidziswa nezve chirwere cheshuramatongo nevabereki vavo. Vanofarira kukurukura nezvechirwere ichi nevanhu vezera ravo. Vasikana vasingagari nevabereki vavo vanoita bonde kudarika vanogara nevabereki vavo uye vanoita bonde nevadiwa vazhinji vamwe vacho varume vakuru madzisaimba. Vasikana vanotaridza kusatya kubatwa nechirwere chishuramatongo nemhaka yehunhu wawo hwakashata hweku danana nevarume vazhinji uye kusashandisa makondomu nguva dzebonde. Mhendero Zvidzidzo zvinopiwa vasikana zvinechekuita nezvepabonde zvinofanira kuongororwa zvipamhidzirwe kuti vasikana vagone kuzvidzivirira kuchirwere cheshuramatongo. Madzimudzangara netelevhizhoni zvino kurudzirwa kudzidzisa mitambo nedzimbo dzinodzidzisa pamusoro pekudzivirira chirwere cheshuramatongo. Vabereki vanofanira kudzidziswawo kuti vagone kudzidzisa vana vavo kuti vagone kuzvidzivirira kuti vasabatwa nechirwere ichi. Vanasikana vanofanirwa kudzidziswa kushandisa makondomu pese pavanoita bonde. Makondomu anofanira kuiswa pachena paano kwanisa kuwonekwa nevasikana. / Health Studies / M.P.H. (Health Studies)

Violence against women continues to be an issue that severely impacts women worldwide. Since the global spread of the #MeToo movement in 2017, debates regarding this issue significantly increased. Yet the precise ways in which women are impacted by violence, heavily influenced by their unique and diverse aspects of identity, are often disregarded. By focusing on two of these aspects of identity, namely gender and nationality, and comparing the circumstances of sexual violence against women in Germany, Nigeria, and South Korea, this thesis aims to showcase the diverse experiences of ‘being a woman’ and what this implies regarding the issue of sexual violence against women. With an additional analysis of four important international conventions aimed at ameliorating women’s lives (UDHR, CEDAW, DEVAW, and BPfA) regarding their acknowledgement of this diversity and guided by three theories, namely Multi-Ethnic Feminism, Feminist Postcolonialism, and Intersectionality, this thesis highlights the necessity of including everyone and their unique experiences with all kinds of discrimination to adequately tackle an issue such as sexual violence against women.