Knowledge of the Portuguese population on Basic Life Support and availability to attend training

OBJECTIVETo evaluate the level of knowledge and the availability of the Portuguese population to attend training in Basic Life Support (BLS) and identify factors related to their level of knowledge about BLS.METHODObservational study including 1,700 people who responded to a questionnaire containing data on demography, profession, training, interest in training and knowledge about BLS.RESULTSAmong 754 men and 943 women, only 17.8% (303) attended a course on BLS, but 95.6% expressed willingness to carry out the training. On average, they did not show good levels of knowledge on basic life support (correct answers in 25.9 ± 11.5 of the 64 indicators). Male, older respondents who had the training and those who performed BLS gave more correct answers, on average (p<0.01).CONCLUSIONThe skill levels of the Portuguese population are low, but people are available for training, hence it is important to develop training courses and practice to improve their knowledge.

Fées et weise Frauen: les faiseuses de dons chez Perrault et les Grimm, du merveilleux rationalisé au merveilleux naturalisé

Dans «La Belle au bois dormant» et «Dornröschen», des personnages aux pouvoirs magiques déterminent l'avenir des héroïnes en leur accordant des dons positifs ou négatifs. La comparaison des textes montre toutefois que les fées et les weise Frauen (femmes sages), issues de traditions différentes, ne jouent pas les mêmes rôles dans les intrigues et que leurs actions ne sont pas présentées de la même manière. Si le conte de Perrault explique les motivations des fées et en fait des êtres réfléchis, le Märchen des Grimm représente les weise Frauen comme des figures énigmatiques appartenant à un univers où se déroulent des événements inexpliqués. Ainsi, le traitement de ces personnages féminins emblématiques reflète une volonté de rationaliser le merveilleux chez Perrault, contrairement aux Grimm, et témoigne ainsi de différences génériques, mais aussi historiques et culturelles plus larges. / Both in «La Belle au bois dormant» and in «Dornröschen», characters with magical powers determine the future of the heroines by endowing them with positive or negative gifts. The comparison of the two texts nonetheless shows that the fées (fairies) and the weise Frauen (wise women) -coming as they do from different cultural traditions- do not play the same role in the plot, nor are their actions presented in the same way. Whereas Perrault's conte explains the fairies' motivations and portrays them as rational beings, Grimm's Märchen depicts weise Frauen as mysterious women who belong to a universe of unexplained events. The treatment of these wondrous feminine figures thus testifies to a willingness to rationalise the marvellous in Perrault, and to present it as self-evident in Grimm, thereby reflecting generic as well as broader historical and cultural differences.

Social preferences: Some simple tests and a new model

Departures from pure self interest in economic experiments have recently inspired models of "social preferences". We conduct experiments on simple two-person and three-person games with binary choices that test these theories more directly than the array of games conventionally considered. Our experiments show strong support for the prevalence of "quasi-maximin" preferences: People sacrifice to increase the payoffs for all recipients, but especially for the lowest-payoff recipients. People are also motivated by reciprocity: While people are reluctant to sacrifice to reciprocate good or bad behavior beyond what they would sacrifice for neutral parties, they withdraw willingness to sacrifice to achieve a fair outcome when others are themselves unwilling to sacrifice. Some participants are averse to getting different payoffs than others, but based on our experiments and reinterpretation of previous experiments we argue that behavior that has been presented as "difference aversion" in recent papers is actually a combination of reciprocal and quasi-maximin motivations. We formulate a model in which each player is willing to sacrifice to allocate the quasi-maximin allocation only to those players also believed to be pursuing the quasi-maximin allocation, and may sacrifice to punish unfair players.

Salience and consumer choice

We present a theory of context-dependent choice in which a consumer's attention is drawnto salient attributes of goods, such as quality or price. An attribute is salient for a good when itstands out among the good's attributes, relative to that attribute's average level in the choice set (orgenerally, the evoked set). Consumers attach disproportionately high weight to salient attributesand their choices are tilted toward goods with higher quality/price ratios. The model accounts fora variety of disparate evidence, including decoy effects, context-dependent willingness to pay, andlarge shifts in demand in response to price shocks.

El impacto de los servicios sanitarios sobre la salud

This paper reviews what has increased medical-care spending bought in terms of health benefitswith longitudinal data from the U.S and, more limited, from Spain. Health services contributionto health has been positive in average, especially during the last 50 years for the U.S andthe last 30 years for Spain. This contribution differs among countries and is much greater forsome diseases (cardiovascular) than for others (cancer). Benefits from health care interventionscan be valued on basis on the social willin gness to pay, observed or declared on the process ofestablishing health policy priorities. 30.000 euros per Quality Adjusted Life Year could providean efficiency threshold for financing publicly health services in Spain: Consensus andlegitimacy of the political process of establishing health priorities becomes, however, moreimportant than any approximate number. Attention is paid finally to bridging the gap betweenefficacy (the possibilities given by innovation and resources devoted to health care) andeffectiveness (the distance to the frontier) of the everyday working of a health system with itsinappropriate care and limited application of the existing knowledge.

Relative payoffs and happiness: An experimental study

Some current utility models presume that people are concerned with their relative standing in a reference group. If this is true, do certain types care more about this than others? Using simple binary decisions and self-reported happiness, we investigate both the prevalence of ``difference aversion'' and whether happiness levels influence the taste for social comparisons. Our decision tasks distinguish between a person s desire to achieving the social optimum, equality or advantageous relative standing. Most people appear to disregard relative payoffs, instead typically making choices resulting in higher social payoffs. While we do not find a strong general correlation between happiness and concern for relative payoffs, we do observe that a willingness to lower another person s payoff below one s own (competitive preferences) seems correlated with unhappiness.

The adverse effects of environmental policy in green markets

We model green markets in which purchasers, either firms orconsumers, have higher willingness-to-pay for lesspolluting goods. The effectiveness of pollution reductionpolicies is examined in a duopoly setting. We show thatduopolists' strategic behaviour may increase pollutionlevels. Maximum emission standards, commonly used in greenmarkets, improve the environmental features of products.Nonetheless, overall pollution levels will rise becausegovernment regulation also affects market shares and bootsfirms' sales. Consequently, social welfare may be reduced.We also explore the effects of technological subsidies andproduct charges, including differentiation of charges.

Drug innovation, prices and health

This article tries to reconcile economic-industrial policy with health policy when dealing with biomedical innovation and welfare state sustainability. Better health accounts for an increasingly large proportion of welfare improvements. Explanation is given to the welfare losses coming from the fact than industrial and health policy tend to ignore each other. Drug s prices reflecting their relative relative effectiveness send the right signal to the industry rewarding innovation with impact on quantity and quality of life- and to the buyers of health care services.The level of drug s public reimbursement indicates the social willingness to pay of the different national health systems, not only by means of inclusion, or rejection, in the basket of services covered, but especially establishing the proportion of the price that is going to be financed publicly.Reference pricing for therapeutic equivalents as the upper limit of the social willingness to pay- and two-tiered co-payments for users (avoidable and inversely related with the incremental effectiveness of de drug) are deemed appropriate for those countries concerned at the same time with increasing their productivity and maintaining its welfare state. Profits drive R&D but not its location. There is no intrinsic contradiction between high productivity and a consolidated National Health Service (welfare state) as the European Nordic Countries are telling us every day.

Estudo exploratório sobre as atitudes e os comportamentos de alunos e professores do ensino secundário

A exploração exacerbada dos recursos naturais para a satisfação das necessidades humanas e para a manutenção de certos padrões de consumo e estilos de vida provocou a exaustão dos recursos da natureza, a degradação sócio ambiental e a perda de valores na relação homem natureza. O problema não é o consumo porque somos consumidores. O presente estudo teve como objetivo principal aferir e compreender o nível de conhecimento, os comportamentos pró e pós-consumo, a natureza e a extensão das oportunidades e ameaças, bem como pontos fortes e fracos que os alunos e professores da escola secundária selecionada apresentam em relação ao consumo e sustentabilidade e a promoção de ações conducentes à sustentabilidade ambiental. Para a sua realização utilizou-se um guião de entrevistas elaborado para servir de instrumento de gestão da entrevista semi estruturada dirigida a uma amostra de 18 participantes. Os resultados indicam que a maioria dos participantes apresenta um nível de conhecimento satisfatório sobre o consumo e a sustentabilidade, embora se tenha verificado algumas discrepâncias entre os discursos ambientalmente sustentáveis e as práticas de consumo diário. As dificuldades financeiras, os preços elevados e a iliteracia ambiental são as justificativas apresentadas. Constatou-se no grupo uma consciência e sensibilidade para a proteção ambiental, aliadas a uma forte recetividade às informações veiculadas ao longo do estudo, valores que devem ser valorizados e estimulados pela educação ambiental, que deve ser transversal a toda a sociedade, pois para a sustentabilidade do planeta é necessário que todos passem por uma alfabetização ecológica.

For public service or money: Understanding geographical imbalances in the health workforce in Ethiopia

Geographical imbalances in the health workforce have been a consistent feature of nearly all health systems, and especially in developing countries. In this paper we investigate the willingness to work in a rural area among final year nursing and medical students in Ethiopia. Analyzing data obtained from contingent valuation questions, we find that household consumption and the student s motivation to help the poor, which is our proxy for intrinsic motivation, are the main determinants of willingness to work in a rural area. We investigate whoe is willing to help the poor and find that women are significantly more likely than men. Other variables, including a rich set of psychosocial characteristics, are not significant. Finally, we carry out some simulation on how much it would cost to make the entire cohort of starting nurses and doctors chooseto take up a rural post.

Unemployment duration and workers' wage aspirations in Spain

This paper examines unemployed workers' declared willingness to work for a wage lower than the one warranted by their qualification. We analyze which personal and economic characteristics determine thiswillingness and how it changes as unemployment spells lengthen. Moreover, we also study the influence of this willingness on unemployment duration. The main results are: (i) Young workers, those less educated and those living in regions with high unemployment show a more positive attitude towards accepting lower wages while married women with a working husband show more negative attitudes; (ii) The exhaustion of unemployment benefits has positive effects in the transition probability of the attitude from negative to positive; (iii) The effect of this attitude on the unemployment hazard rate is positive but only marginally significant which may be showing that this willingness is not only reflecting the worker's reservation wage but also some unobserved heterogeneity; (iv) The negative duration dependence of the unemployment hazard rate is substantially reduced when unobserved heterogeneity is controlled for.

Effects of hatching asynchrony on sibling negotiation, begging, jostling for position and within-brood food allocation in the barn owl Tyto alba

When siblings differ markedly in their need for food, they may benefit from signalling to each other their willingness to contest the next indivisible food item delivered by the parents. This sib-sib communication system, referred to as 'sibling negotiation', may allow them to adjust optimally to investment in begging. Using barn owl (Two alba) broods. I assessed the role of within-brood age hierarchy on sibling negotiation, and in turn on jostling for position where parents predictably deliver food (i.e. nest-box entrance), begging and within-brood food allocation. More specifically, I examined three predictions derived from a game-theoretical model of sibling negotiation where a senior and a junior sibling compete for food resources (Roulin, 2002a, Johnstone and Roulin, 2003): (1) begging effort invested by the senior sibling should be less sensitive to the junior sibling's negotiation than vice versa; (2) the junior should invest less effort in sibling negotiation than its senior sibling but a similar amount of effort in begging; and (3) within-brood food allocation should be directly related to begging but only indirectly to sibling negotiation. Two-chick broods were created and vocalization in the absence (negotiation signals directed to siblings) and presence (begging signals directed to parents) of parents was recorded. In support of the first prediction, juniors begged at a low cadence after their senior sibling negotiated intensely, probably because negotiation reflects prospective investment in begging and hence willingness to compete. In contrast, the begging of senior siblings was not sensitive to their junior sibling's negotiation. In contrast to the second prediction, juniors negotiated and begged more intensely than their senior sibling apparently because they were hungrier rather than younger. In line with the third prediction, juniors monopolized food delivered by their parents when their senior sibling begged at a low level. The begging cadence of both the junior and senior sibling, the junior's negotiation cadence, the difference in age between the two nest-mates and jostling for position were not associated with the likelihood of monopolizing food. In conclusion, sibling negotiation appears to influence begging behaviour, which, in turn, affects within-brood food allocation. Juniors may negotiate to challenge their senior siblings, and thereby determine whether seniors are less hungry before deciding to beg for food. In contrast, seniors may negotiate to deter juniors from begging.

La percepción del riesgo de inundación: experiencias de aprendizaje en la costa brava

Taking as an example three study cases in the Costa Brava area, this paper examines through surveys and interviews the perception of floods among residents living in hazardous areas. perception is then related to vulnerability, flood management, and citizens preferences regarding alternatives to curb flood losses in the future. The study concludes that flood awareness and the willingness to take actions regarding this hazard is clearly related to the degree of social involvement with the affairs of the local community

Identifications multiples à des groupes de statut différent et changement social

Le but de cette thèse est d'étudier l'impact d'une appartenance groupale jouissant d'un supérieur dans la hiérarchie sociale sur la volonté de participer à des actions collectives en faveur d'une appartenance groupale désavantagée. Selon la Théorie de l'Identité Sociale, les individus sont en effet membres de plusieurs groupes simultanément, qui constituent autant d'identités sociales potentielles. Comme l'ont montré les recherches en sociologie du genre s'inscrivant dans le courant intersectionnel, les diverses catégories sociales auxquelles une personne appartient peuvent se trouver dans des positions différentes dans la hiérarchie sociale, plaçant ainsi les individus à l'intersection de divers rapports de domination. Toutefois, ces rapports ne sont pas indépendants les uns des autres, mais interagissent et contribuent conjointement à construire une façon spécifique de vivre et de percevoir l'expérience de la domination. Globalement, notre thèse montre que lorsque deux endogroupes dotés de statuts différents sont simultanément saillants, les individus tendent à agir prioritairement en accord avec les intérêts de l'endogroupe dont le statut est le plus élevé, au détriment de l'endogroupe dont le statut est le plus bas : les individus tendent en effet à adhérer à des idéologies qui contribuent à légitimer le maintien des inégalités intergroupes, ce qui a pour conséquence de réduire leur volonté de participer à des actions collectives en faveur de leur endogroupe de statut inférieur. - This thesis focuses on the impact of a high status ingroup on willingness to participate in collective action in favour of a low status ingroup. According to Social Identity Theory, individuals are members of various groups, each of which is a potential social identity. Moreover, the feminist sociological theory of intersectionality suggests that these various ingroups can occupy different positions in social hierarchies, placing individuals at the intersection of various relations of domination. However, these relations do not act independently of one another, but interrelate, and shape a specific way to live and perceive the experiences of domination. On the whole, our thesis shows that when two ingroups with different statuses are salient, people tend to acts uppermost in compliance with the higher status group interest, to the detriment of the lower status group : Indeed, people tend to agree with ideologies that contribute to legitimate the perpetuation of intergroup inequalities. Consequently their willingness to participate in collective action in favor of their low-status group is reduced.

Effets du cannabis oral et du dronabinol sur la capacité à conduire [Effects of oral cannabis and dronabinol on driving capacity]

Two retrospective epidemiologic studies have shown that cannabis is the main psychoactive substance detected in the blood of drivers suspected of driving under the influence of psychotropic drugs. An oral administration double-blind crossover study was carried out with eight healthy male subjects, aged 22 to 30 years, all occasional cannabis smokers. Three treatments and one placebo were administered to all participants at a two week interval: 20 mg dronabinol, 16.5 mg D9-tétrahydrocannabinol (THC) and 45.7 mg THC as a cannabis milk decoction. Participants were asked to report the subjective drug effects and their willingness to drive under various circumstances on a visual analog scale. Clinical observations, a psychomotor test and a tracking test on a driving simulator were also carried out. Compared to cannabis smoking, THC, 11-OH-THC and THC-COOH blood concentrations remained low through the whole study (&lt;13.1 ng THC/mL,&lt;24.7 ng 11-OH-THC/mL and&lt;99.9 ng THC-COOH/mL). Two subjects experienced deep anxiety symptoms suggesting that this unwanted side-effect may occur when driving under the influence of cannabis or when driving and smoking a joint. No clear association could be found between these adverse reactions and a susceptibility gene to propensity to anxiety and psychotic symptoms (genetic polymorphism of the catechol-O-methyltransferase). The questionnaires have shown that the willingness to drive was lower when the drivers were assigned an insignificant task and was higher when the mission was of crucial importance. The subjects were aware of the effects of cannabis and their performances on the road sign and tracking test were greatly impaired, especially after ingestion of the strongest dose. The Cannabis Influence Factor (CIF) which relies on the molar ratio of active and inactive cannabinoids in blood provided a good estimate of the fitness to drive.