Can health beliefs help in explaining attendance to follow-up care? The Swiss Childhood Cancer Survivor Study

Objective: Improved treatment has increased the survival of childhood cancer patients in recent decades, but follow-up care is recommended to detect and treat late effects. We investigated relationships between health beliefs and follow-up attendance in adult childhood cancer survivors. Methods: Childhood cancer survivors aged younger than 16 years when diagnosed between 1976 and 2003, who had survived for more than 5 years and were currently aged 201 years, received a postal questionnaire. We asked survivors whether they attended follow-up in the past year. Concepts from the Health Belief Model (perceived susceptibility and severity of future late effects, potential benefits and barriers to follow-up, general health value and cues to action) were assessed. Medical information was extracted from the Swiss Childhood Cancer Registry. Results: Of 1075 survivors (response rate 72.3%), 250 (23.3%) still attended regular followup care. In unadjusted analyses, all health belief concepts were significantly associated with follow-up (po0.05). Adjusting for other health beliefs, demographic, and medical variables, only barriers (OR50.59; 95%CI: 0.43–0.82) remained significant. Younger survivors, those with lower educational background, diagnosed at an older age, treated with chemotherapy, radiotherapy, or bone marrow transplantation and with a relapse were more likely to attend follow-up care. Conclusions: Our study showed that more survivors at high risk of cancer- and treatmentrelated late effects attend follow-up care in Switzerland. Patient-perceived barriers hinder attendance even after accounting for medical variables. Information about the potential effectiveness and value of follow-up needs to be available to increase the attendance among childhood cancer survivors.

Similarities and differences between physician and non-physician acupuncturists in using diagnostic methods - an explorative study

Purpose: Acupuncture is one of the complementary medicine therapies with the greatest demand in Switzerland and many other countries in the West and in Asia. Over the past decades, the pool of scientific literature in acupuncture has markedly increased. The diagnostic methods upon which acupuncture treatment is based, have only been addressed sporadically in scientific journals. The goal of this study is to assess the use of different diagnostic methods in the acupuncture practices and to investigate similarities and differences in using these diagnostic methods between physician and non-physician acupuncturists. Methods: 44 physician acupuncturists with certificates of competence in acupuncture – traditional chinese medicine (TCM) from ASA (Assoziation Schweizer Ärztegesellschaften für Akupunktur und Chinesische Medizin: the Association of Swiss Medical Societies for Acupuncture and Chinese Medicine) and 33 non-physician acupuncturists listed in the EMR (Erfahrungsmedizinisches Register: a national register, which assigns a quality label for CAM therapists in complementary and alternative medicine) in the cantons Basel-Stadt and Basel-Land were asked to fill out a questionnaire on diagnostic methods. The responder rate was 46.8% (69.7% non-physician acupuncturists and 29, 5% physician acupuncturists). Results: The results show that both physician and non-physician acupuncturists take patients’ medical history (94%), use pulse diagnosis (89%), tongue diagnosis (83%) and palpation of body and ear acupuncture points (81%) as diagnostic methods to guide their acupuncture treatments. Between the two groups, there were significant differences in the diagnostic tools being used. Physician acupuncturists do examine their patients significantly more often with western medical methods (p<.05) than this is the case for nonphysician acupuncturists. Non-physician acupuncturists use pulse diagnosis more often than physicians (p<.05). A highly significant difference was observed in the length of time spent with collecting patients’ medical history, where nonphysician acupuncturists clearly spent more time (p<.001). Conclusion: Depending on the educational background of the acupuncturist, different diagnostic methods are used for making the diagnosis. Especially the more time consuming methods like a comprehensive anamnesis and pulse diagnosis are more frequently employed by non-physician practitioners. Further studies will clarify if these results are valid for Switzerland in general, and to what extent the differing use of diagnostic methods has an impact on the diagnosis itself and on the resulting treatment methods, as well as on the treatment success and the patients’ satisfaction.

Getting started with taiji: investigating students expectations and teachers appraisals of taiji beginners courses

In recent years, Taiji has been frequently investigated and considered as a stress management intervention. Although health care providers' appraisals and consumers' expectations are regarded as essential for treatment outcome, little attention has been drawn to this issue in Taiji research. In our study we have conducted two surveys to explore beginners' (n = 74) expectations and teachers' (n = 136) appraisals of their Taiji courses in general as well as more particularly related to stress management. Qualitative data analysis revealed that beginners mainly expected to learn a new method that is applicable in their daily life to foster peace of mind and to enhance their stress management. Congruently moderate-to-high improvements in stress management have also been found in quantitative analysis, whereby a lower educational level predicted higher expectations (P = 0.016). Taiji-teachers stated body- and mind-related benefits most frequently and appraised moderate-to-high improvements in stress management. Higher appraisals were predicted by a shorter teaching experience (P = 0.024). Our results inform about beginners' expectations and teachers' appraisals related to a Taiji-beginners course and highlight the role of educational background and teaching experience in shaping stress-management-related beginners' expectations and teachers' appraisals.

Influence of Gestational Age and Parental Education on Executive Functions of Children Born Very Preterm

Background: Children born very preterm (<32 weeks’ gestational age; VPT) and/or very low birth weight (<1500 g; VLBW) are at high risk of deficits in executive functions, namely inhibition, working memory, and shifting. Both, gestational age and socioeconomic factors, such as parental education, are known to influence executive functions, with children born at lower gestational age and with lower educated parents displaying worse executive skills. This study aimed to investigate if maternal and paternal education moderated the relationship between gestational age and executive functions in VPT/VLBW children aged 8-12 years. It was hypothesised that the disadvantageous effect of low gestational age could be buffered more easily in families with higher educational background. Methods: Sixty VPT/VLBW children born in the cohort of 1998-2003 were recruited. All children completed executive function tasks (inhibition, working memory, and shifting). Results: There was a significant dose-response-relationship between gestational age and inhibition, with children being born at earlier gestational age showing worse inhibition. However, neither maternal nor paternal education moderated the relationship between gestational age and executive functions significantly. Conclusion: children than parental education. The disadvantageous effect of low gestational age was equal in children with higher and lower educated parents. However, the impact of gestational age and parental education on executive functions may differ depending on the socioeconomic spectrum of the study sample.

Romanian glocalization : Case study on the Rosia Montana Gold Corporation Mining Project

At the end of the communist era, which was characterised as a closed social experiment, Romania found itself in the middle of a globalization process. Its industrial capacities have been considerably reduced through a poor and spendthrift management. There was a mass exodus of the labour force abroad and the educational background for the remaining part was no longer in agreement with the labour market. On these grounds, the vectors of globalization, in the form of foreign investments, entered Romania effortlessly. There even were local communities where the arrival of foreign investors was expected like a second coming of Christ. This is the context in which a Canadian company set forth the mining project Rosia Montana Gold Corporation. The implementation of the project should have started in 2005. Nevertheless, the project has not been effectively launched yet. This situation is based on what we call Romanian glocalization, namely a specific confrontation between global and local on Romanian land

Heterogeneidad de trayectorias laborales y temporalidades juveniles

Las trayectorias laborales de los jóvenes se diversifican en función de las duraciones, las etapas y las edades en las que ocurren los acontecimientos y se alcanzan ciertos roles. Sin embargo, factores clásicos asociados al origen social o al mundo del trabajo no alcanzan para comprender la diferenciación en los modos de inserción. Este artículo propone la inclusión de las temporalidades juveniles como factor clave para la comprensión de trayectorias laborales de jóvenes. Las temporalidades juveniles sirven para observar conjuntamente los marcos temporales dominantes de la inserción y la manera en la que los mismos son vividos por los sujetos. Las mismas discuten las tesis que señalan que en Argentina los jóvenes son prisioneros de un presentismo sin proyecto o que se someten inevitablemente a un contexto laboral incierto. Cuatro tipo des temporalidades han emergido en el análisis cualitativo y longitudinal de las trayectorias : los "planificadores", los "ejecutantes", los "latentes" y los "oportunistas"

Heterogeneidad de trayectorias laborales y temporalidades juveniles

Las trayectorias laborales de los jóvenes se diversifican en función de las duraciones, las etapas y las edades en las que ocurren los acontecimientos y se alcanzan ciertos roles. Sin embargo, factores clásicos asociados al origen social o al mundo del trabajo no alcanzan para comprender la diferenciación en los modos de inserción. Este artículo propone la inclusión de las temporalidades juveniles como factor clave para la comprensión de trayectorias laborales de jóvenes. Las temporalidades juveniles sirven para observar conjuntamente los marcos temporales dominantes de la inserción y la manera en la que los mismos son vividos por los sujetos. Las mismas discuten las tesis que señalan que en Argentina los jóvenes son prisioneros de un presentismo sin proyecto o que se someten inevitablemente a un contexto laboral incierto. Cuatro tipo des temporalidades han emergido en el análisis cualitativo y longitudinal de las trayectorias : los "planificadores", los "ejecutantes", los "latentes" y los "oportunistas"

Romanian glocalization : Case study on the Rosia Montana Gold Corporation Mining Project

At the end of the communist era, which was characterised as a closed social experiment, Romania found itself in the middle of a globalization process. Its industrial capacities have been considerably reduced through a poor and spendthrift management. There was a mass exodus of the labour force abroad and the educational background for the remaining part was no longer in agreement with the labour market. On these grounds, the vectors of globalization, in the form of foreign investments, entered Romania effortlessly. There even were local communities where the arrival of foreign investors was expected like a second coming of Christ. This is the context in which a Canadian company set forth the mining project Rosia Montana Gold Corporation. The implementation of the project should have started in 2005. Nevertheless, the project has not been effectively launched yet. This situation is based on what we call Romanian glocalization, namely a specific confrontation between global and local on Romanian land

Romanian glocalization : Case study on the Rosia Montana Gold Corporation Mining Project

At the end of the communist era, which was characterised as a closed social experiment, Romania found itself in the middle of a globalization process. Its industrial capacities have been considerably reduced through a poor and spendthrift management. There was a mass exodus of the labour force abroad and the educational background for the remaining part was no longer in agreement with the labour market. On these grounds, the vectors of globalization, in the form of foreign investments, entered Romania effortlessly. There even were local communities where the arrival of foreign investors was expected like a second coming of Christ. This is the context in which a Canadian company set forth the mining project Rosia Montana Gold Corporation. The implementation of the project should have started in 2005. Nevertheless, the project has not been effectively launched yet. This situation is based on what we call Romanian glocalization, namely a specific confrontation between global and local on Romanian land

Heterogeneidad de trayectorias laborales y temporalidades juveniles

Las trayectorias laborales de los jóvenes se diversifican en función de las duraciones, las etapas y las edades en las que ocurren los acontecimientos y se alcanzan ciertos roles. Sin embargo, factores clásicos asociados al origen social o al mundo del trabajo no alcanzan para comprender la diferenciación en los modos de inserción. Este artículo propone la inclusión de las temporalidades juveniles como factor clave para la comprensión de trayectorias laborales de jóvenes. Las temporalidades juveniles sirven para observar conjuntamente los marcos temporales dominantes de la inserción y la manera en la que los mismos son vividos por los sujetos. Las mismas discuten las tesis que señalan que en Argentina los jóvenes son prisioneros de un presentismo sin proyecto o que se someten inevitablemente a un contexto laboral incierto. Cuatro tipo des temporalidades han emergido en el análisis cualitativo y longitudinal de las trayectorias : los "planificadores", los "ejecutantes", los "latentes" y los "oportunistas"

Las teorías del gótico y su representación gráfica en España el último tercio del siglo XIX. Un estudio sobre: Some Account of Gothic Architecture in Spain, de George Edmund Street

La tesis se centra en el estudio, descripción y análisis del libro publicado por el arquitecto británico George Edmund Street en 1865, bajo el título Some Account of Gothic Architecture in Spain. El libro dio a conocer una de la colecciones más importantes de dibujos realizada en el siglo XIX sobre la arquitectura gótica española, y por lo tanto fue una primera referencia para su estudio, hasta bien entrado el siglo veinte. El volumen incluyó 107 grabados de diversos tipos de edificios con perspectivas y detalles, y 25 láminas con 45 planos de plantas de iglesias y claustros, muchos de ellos publicados por primera vez. Gracias a varias campañas de verano por la mitad norte del país, la casi inexplorada -desde un punto de vista académico- arquitectura española medieval fue finalmente descubierta. Este hecho conduce a una pregunta intrigante que está en el origen de esta investigación ¿cómo pudo Street en pocos viajes sentar las bases de la historia del gótico español que hasta entonces los estudiosos españoles no habían sido capaces de definir? Esta tesis comienza describiendo la obra de Street en su contexto cultural con un breve repaso a su biografía y a su posición profesional y teórica. También su relación con las personas más representativas que participaron en el estudio de la arquitectura gótica, como Robert Willis, William Whewell, Augustus Pugin, o George G. Scott. Se ha prestado especial atención, en explicar su papel relevante en el Gothic Revival, para entender el significado de su interés en la arquitectura gótica continental. Estos capítulos preliminares son seguidos por una revisión del papel del dibujo como herramienta para la arquitectura de los viajeros en sus rutas en busca de la arquitectura gótica. También se trata la influencia de la Royal Academy y sus académicos, (entre los cuales estuvo Street) y su formación académica. Finalmente la tesis entra en el estudio de los planos arquitectónicos que Street hizo durante sus viajes continentales de arquitectura, seguido por una descripción detallada de sus dibujos de España, analizando su método, su técnica, y las nuevas características aportadas, que fueron una novedad en el contexto español. También se lleva a cabo algunos estudios comparativos de los dibujos de España, gracias a una recopilación exhaustiva de bocetos y dibujos originales de Street, que en su gran mayoría se conservan en los archivos del RIBA, cotejándolos con sus versiones finales, con dibujos de la época de otros autores sobre los mismos edificios, y con fotos recientes. La tesis deja claro por qué y cómo Street, gracias a su soporte teórico y habilidades para el dibujo, pudo realizar algo que había pasado desapercibido para los estudiosos españoles de la época (construcción, historia de los estilos, señalamiento de períodos constructivos), lo que le permitió encontrar el lugar adecuado de la arquitectura gótica española en la historia y en el mapa de la arquitectura gótica europea. ABSTRACT This thesis focuses on the study, description and analysis of the book published by the British architect George Edmund Street in 1865, under the title Some Account of Gothic Architecture in Spain. The book displayed one of the most significant collections of drawings on Spanish Gothic Architecture made in the nineteenth century, and therefore was a first reference for its study, until well into the twentieth century. The book included 107 engravings, the surveying of various types of buildings with perspectives and details, and 25 sheets containing 45 ground plans of churches and cloisters, many of them new and published for the first time. Thanks to several summer campaigns in the north half of the country, the almost unexplored -from a scholar point of view- medieval Spanish architecture was eventually revealed. This fact lead to an intriguing question that is at the origin of this research: how could Street in a few trips lay the foundations of the history of Spanish Gothic that until then Spanish scholars had not been able to define? This thesis begins inscribing this Street's work in his cultural context. A brief review of his biography and professional and theoretical positions has been seen as necessary. Also his debts and relationship with the most representative people involved in the study of Gothic architecture, like Robert Willis, William Whewell, Augustus Pugin, or George G. Scott are discussed. Special attention has been paid, taken into account his relevant role in the Gothic Revival, to understand the significance of his interest in continental Gothic architecture. These preliminary chapters are followed by a review of role of drawing as a tool for Architectural travellers in their Tours in search of the Gothic architecture. The influence of the Royal Academy and its academicians, (among which was Street) and his educational background are here tackled. Eventually this thesis enters into the study of the architectural drawings Street made during his continental architectural journeys, which is followed by a detailed description and analysis of the Spanish ones: his methods, his technique, and the new features which were a novelty in the Spanish context are explored. Also in this thesis is carried out some comparative studies thanks to a previous exhaustive gathering of Street's sketches and original drawings, most of which are preserved in the RIBA archives. Their final versions, drawings of the same buildings from other contemporary draughtsman and pictures of their current state are compared with them. This thesis makes clear why and how Street thanks to his theoretical back-ground and portraying skills could realize what have passed unnoticed by contemporary Spanish scholars (construction, genealogy of forms, dating of periods) allowing him to find the proper place of the Spanish architecture in the history and the map of European Gothic architecture.

UM ESTUDO SOBRE A IMPORTÂNCIA DO USO DAS FERRAMENTAS DE CONTROLE GERENCIAL NAS MICRO, PEQUENAS E MÉDIAS EMPRESAS INDUSTRIAIS NO MUNICÍPIO DE SÃO CAETANO DO SUL

O objetivo desse estudo foi evidenciar o uso das ferramentas de controle gerencial que auxiliam no processo de tomada de decisão nas Micros, Pequenas e Médias Empresas, no município de SCSul. Entende-se, que na atualidade esses instrumentos devem ser alinhados com a realidade dessas organizações e as informações extraídas por estas devem ser a base para a tomada de decisão que perpetuem a riqueza dos investidores. O procedimento metodológico aplicado na escolha das empresas pesquisadas foi o critério de conveniência, utilizando o método de raciocínio dedutivo, através de aplicação de um questionário em 296 empresas, pelo a qual 18,6% destas se depuseram a responder o questionário. As empresas foram classificadas de acordo com o faturamento bruto anual estabelecido pela Receita Federal. Após a análise dos resultados, foi possível detectar que cerca de 41% dessas organizações estão a mais de 20 anos no mercado, o que demonstra uma boa consolidação no mercado. Detecta-se, também, que estes empresários-gerentes possuem uma forte formação superior: 31,27% pós-graduados e 22,22% graduados, o que pode ser um diferencial na gestão desses negócios. Como o pressuposto dessa pesquisa foi de analisar: se as MPME s industriais no município de SCSul estão utilizando as ferramentas de controle gerencial em seu processo de gestão para tomada de decisão, diante das análises efetuadas, tanto pelo o estudo de campo com bibliográfica, conclui-se que a tomada de decisão nessas empresas está baseada nas ferramentas de controle e que estas possuem um bom controle dos seus negócios contrariando o que se esperava.

UM ESTUDO SOBRE A IMPORTÂNCIA DO USO DAS FERRAMENTAS DE CONTROLE GERENCIAL NAS MICRO, PEQUENAS E MÉDIAS EMPRESAS INDUSTRIAIS NO MUNICÍPIO DE SÃO CAETANO DO SUL

O objetivo desse estudo foi evidenciar o uso das ferramentas de controle gerencial que auxiliam no processo de tomada de decisão nas Micros, Pequenas e Médias Empresas, no município de SCSul. Entende-se, que na atualidade esses instrumentos devem ser alinhados com a realidade dessas organizações e as informações extraídas por estas devem ser a base para a tomada de decisão que perpetuem a riqueza dos investidores. O procedimento metodológico aplicado na escolha das empresas pesquisadas foi o critério de conveniência, utilizando o método de raciocínio dedutivo, através de aplicação de um questionário em 296 empresas, pelo a qual 18,6% destas se depuseram a responder o questionário. As empresas foram classificadas de acordo com o faturamento bruto anual estabelecido pela Receita Federal. Após a análise dos resultados, foi possível detectar que cerca de 41% dessas organizações estão a mais de 20 anos no mercado, o que demonstra uma boa consolidação no mercado. Detecta-se, também, que estes empresários-gerentes possuem uma forte formação superior: 31,27% pós-graduados e 22,22% graduados, o que pode ser um diferencial na gestão desses negócios. Como o pressuposto dessa pesquisa foi de analisar: se as MPME s industriais no município de SCSul estão utilizando as ferramentas de controle gerencial em seu processo de gestão para tomada de decisão, diante das análises efetuadas, tanto pelo o estudo de campo com bibliográfica, conclui-se que a tomada de decisão nessas empresas está baseada nas ferramentas de controle e que estas possuem um bom controle dos seus negócios contrariando o que se esperava.

Metodologia para reconhecimento de perfil cognitivo: uma abordagem computacional pautada pela teoria das inteligências múltiplas.

A área da Tecnologia da Informação no Brasil sofre um problema latente com a falta de planejamento e atrasos constantes em projetos, determinando para os profissionais vinculados a ela um ambiente altamente desmotivador para a condução de seus trabalhos. Supõe-se que o que possa corroborar para tal problema seja a formação educacional deficitária dos indivíduos que atuam neste segmento, principalmente aqueles relacionados a cargos executivos e que estejam exercendo atividades de gestão. De acordo com teóricos como Edgard Morin (2004), em se tratando de educação fundamental, média ou superior os aspectos educacionais podem ser considerados deficitários justamente porque, ao segmentar o conhecimento, eles promovem uma alienação do indivíduo, eliminando sua capacidade criativa e reflexiva. Seria interessante, portanto, que ao avaliar a capacidade cognitiva de uma pessoa, a inteligência a ser mensurada não seja abordada através de um único espectro de conhecimento, mas através de muitos deles. A teoria das Inteligências Múltiplas, desenvolvida por Howard Gardner vem de encontro a essa necessidade, pois de acordo com o autor, a inteligência de um indivíduo deve ser mensurada através de uma gama de nove espectros: Linguística, Musical, Lógico-Matemática, Espacial, Corporal Cinestésica, Interpessoal, Intrapessoal, Naturalista e Existencial. Isto posto, este trabalho aborda uma metodologia computacional para classificação e descoberta de padrões em indivíduos, sejam esses alunos ou profissionais graduados, de uma determinada área. Além da metodologia, foi proposto um estudo de caso, considerando cursos superiores relacionados à área de Computação no Brasil.

UM ESTUDO SOBRE A IMPORTÂNCIA DO USO DAS FERRAMENTAS DE CONTROLE GERENCIAL NAS MICRO, PEQUENAS E MÉDIAS EMPRESAS INDUSTRIAIS NO MUNICÍPIO DE SÃO CAETANO DO SUL

O objetivo desse estudo foi evidenciar o uso das ferramentas de controle gerencial que auxiliam no processo de tomada de decisão nas Micros, Pequenas e Médias Empresas, no município de SCSul. Entende-se, que na atualidade esses instrumentos devem ser alinhados com a realidade dessas organizações e as informações extraídas por estas devem ser a base para a tomada de decisão que perpetuem a riqueza dos investidores. O procedimento metodológico aplicado na escolha das empresas pesquisadas foi o critério de conveniência, utilizando o método de raciocínio dedutivo, através de aplicação de um questionário em 296 empresas, pelo a qual 18,6% destas se depuseram a responder o questionário. As empresas foram classificadas de acordo com o faturamento bruto anual estabelecido pela Receita Federal. Após a análise dos resultados, foi possível detectar que cerca de 41% dessas organizações estão a mais de 20 anos no mercado, o que demonstra uma boa consolidação no mercado. Detecta-se, também, que estes empresários-gerentes possuem uma forte formação superior: 31,27% pós-graduados e 22,22% graduados, o que pode ser um diferencial na gestão desses negócios. Como o pressuposto dessa pesquisa foi de analisar: se as MPME s industriais no município de SCSul estão utilizando as ferramentas de controle gerencial em seu processo de gestão para tomada de decisão, diante das análises efetuadas, tanto pelo o estudo de campo com bibliográfica, conclui-se que a tomada de decisão nessas empresas está baseada nas ferramentas de controle e que estas possuem um bom controle dos seus negócios contrariando o que se esperava.