Breast cancer incidence and overdiagnosis in Catalonia (Spain)

Early detection of breast cancer (BC) with mammography may cause overdiagnosis and overtreatment, detecting tumors which would remain undiagnosed during a lifetime. The aims of this study were: first, to model invasive BC incidence trends in Catalonia (Spain) taking into account reproductive and screening data; and second, to quantify the extent of BC overdiagnosis. We modeled the incidence of invasive BC using a Poisson regression model. Explanatory variables were: age at diagnosis and cohort characteristics (completed fertility rate, percentage of women that use mammography at age 50, and year of birth). This model also was used to estimate the background incidence in the absence of screening. We used a probabilistic model to estimate the expected BC incidence if women in the population used mammography as reported in health surveys. The difference between the observed and expected cumulative incidences provided an estimate of overdiagnosis.Incidence of invasive BC increased, especially in cohorts born from 1940 to 1955. The biggest increase was observed in these cohorts between the ages of 50 to 65 years, where the final BC incidence rates more than doubled the initial ones. Dissemination of mammography was significantly associated with BC incidence and overdiagnosis. Our estimates of overdiagnosis ranged from 0.4% to 46.6%, for women born around 1935 and 1950, respectively.Our results support the existence of overdiagnosis in Catalonia attributed to mammography usage, and the limited malignant potential of some tumors may play an important role. Women should be better informed about this risk. Research should be oriented towards personalized screening and risk assessment tools

Solució mental i solució motriu en la iniciació als esports col·lectius en l'Educació Primària

The adjustment of the teaching learning contents in Physical Education, requires of a rigorous analysis that permits to adjust them to the maximum with the educational needs of the student body. It has been approached an investigation study in the one which have intervened pupils, boys and girls, of two different populations, Girona and Madrid in order to prove and analyse the motor and mental components of the student body in the real situation of the game. The hypothesis that we have treated are:if it exists differences between the boys and girls of the educational levels studied in the motor and mental solution in the sports initiation, additionally, the differences that they can exist between the courses and what distance is verified between the study ages to approach a physical activity that implies an initial step to the hour of teaching the collective sports in the classes of Physical education. They have been employed three measure instruments: the first permits to analyse the mental solution without need of practice employing situation photographs of the real game with those which the pupils must choose to who to happen; the second is a pass test that permits to prove the technical dominance to use in a collective sport and the third is a real game situation that permits to put in manifesto the relationship between the mental behaviour and the motor of the pupil. This real game situation is ‘the game of ten pass’ (Blázquez,1986; Torres,1993). The results demonstrate that it do not exist differences between the two sexes in the study ages. In the case of the technical execution level, there is a considerable increase with the age and it is slightly greater in the kids that in the girls. In the case of the real game, we find ourselves with a great variability in the results and we cannot conclude that there are relative differences to the sex in none of the three courses. Respect at participation level during the game is confirmed that the pupils that more participate are not the pupils than more balls lose, what permits to guarantee the idea of the fact that it is convenient to use the real game practice as direct learning element. Finally, there is no a high correlation between the execution level measured in the test of technical execution and the decision execution during the game

Inici de curs

Editorial que fa referència a la situació actual donant una especial rellevància a dues circumstàncies que afecten de manera directa el present i l’esdevenidor de la UdG ,a través de sengles entrevistes a la persona que inaugura el curs 2011-2012 i al nou alcalde de Girona.També es fa un breu resum del contingut de la revista

Un projecte didàctic que ensenya a mirar: 'Ciutat, territori i paisatge' s'ha experimentat en onze instituts de Catalunya

‘Ciutat, territori i paisatge’ consta d’uns materials didàctics, formats per unes làmines de paisatges, un conjunt d’activitats didàctiques i un web interactiu, elaborats pel Departament de Política Territorial i Obres Públiques conjuntament amb el Departament d’ Educació i l’ Observatori del Paisatge i adreçat a estudiants d’educació secundària. Aquests materials poden tenir interès, també, per als educadors en el lleure i per a totes les persones preocupades pel deteriorament que estan patint alguns paisatges que considerem tradicionals i emblemàtics, especialment els dels entorns de les ciutats o els propers a les grans infraestructures

Generació i correcció de problemes combinats

Aquest projecte forma part de la Plataforma ACME (Avaluació Continuada i Millora de l’ensenyament), un entorn virtual de resolució i correcció de problemes amb la finalitat de donar suport a les classes presencials i poder portar a terme una avaluació continuada dels alumnes. El sistema ofereix a l’alumne, a través d’Internet, una col•lecció personalitzada de problemes per assignatura, que a mida que l’alumne els resol, el sistema els corregeix automàticament, proporcionant a l’alumne un sistema de treball continu que l’ajudarà a portar l’assignatura al dia. I al professor li dóna la facilitat de fer el seguiment individualitzat de l’alumne coneixent d’aquesta manera quines són les principals dificultats que troben els alumnes, tant de manera individual com col•lectiva. L’objectiu d’aquest projecte és implementar un nou tipus de problema que ha de permetre al professor elaborar problemes que combinin diferents qüestions de igual o diferent tipologia i que quan l’alumne hagi resolt totes les qüestions, enviï les solucions juntes al sistema perquè aquest retorni el resultat global de la correcció

ACME - Mòdul d'usuaris convidats

El projecte ACME va néixer, l’any 1998, amb la finalitat de millorar la docència de les matemàtiques en els estudis d’Enginyeria Industrial i Enginyeries Tècniques de l’Escola Politècnica de la Universitat de Girona, amb la intenció de buscar la manera de que els alumnes s’impliquessin i participessin més activament en aquesta matèria fent ús de la xarxa com a via de comunicació. El projecte ACME, Avaluació Continuada i Millora de l’Ensenyament, és una eina d’e-learning que té com a objectiu fer una avaluació continuada dels alumnes a través d’uns dossiers personalitzats de problemes que el professor proposa. El sistema permet fer el seguiment, per part del professor, del progrés del conjunt de la classe, o d’un alumne individual, en una assignatura concreta. Això fa que l’ACME tingui un gran valor pedagògic. Els objectius d’aquest projecte final de carrera són els següents: • Desenvolupar un sistema de gestió d’usuaris convidats que ens permeti acceptar o denegar l’accés a usuaris que prèviament han fet una petició per poder utilitzar l’ACME. • Crear un sistema que faciliti la tasca d’assignar als usuaris els temes i els problemes més adients pel seu perfil. • Desenvolupar tot un seguit de millores i ampliacions amb la intenció d’integrar el nou mòdul dins les interfícies existents: Ampliar la interfície d’administració en l’apartat d’usuari amb la opció per gestionar els usuaris convidats. Ampliar la interfície d’administració en l’apartat del quadern de problemes amb les opcions adients per tal de gestionar les assignatures dels convidats.

The local population and museums. An analysis based on the use of museums in the Alt Pirineu and Aran Region (Catalonia, Spain)

His paper is based on a study of visitors to the museums in the Alt Pirineu and Aran region (Catalonia, Spain). We describe the characteristics of the museums’ users and analyse the relationship between the museums and the local community. We highlight the importance of these facilities for local development, and the need to consider and prioritize their role as culture centres for the region’s population.

An effective course of study for teaching hearing-impaired children TTY/TDD skills

This paper includes a course of study for teaching hearing impaired children about the use of TTY/TDD.

An effective course of study for teaching hearing-impaired children TTY/TDD skills

This paper includes a course of study for teaching hearing impaired children about the use of TTY/TDD.

Retrieval of effective ice crystal size in the infrared: sensitivity study and global measurements from TIROS-N Operational Vertical Sounder

The difference between cirrus emissivities at 8 and 11 μm is sensitive to the mean effective ice crystal size of the cirrus cloud, De. By using single scattering properties of ice crystals shaped as planar polycrystals, diameters of up to about 70 μm can be retrieved, instead of up to 45 μm assuming spheres or hexagonal columns. The method described in this article is used for a global determination of mean effective ice crystal sizes of cirrus clouds from TOVS satellite observations. A sensitivity study of the De retrieval to uncertainties in hypotheses on ice crystal shape, size distributions, and temperature profiles, as well as in vertical and horizontal cloud heterogeneities shows that uncertainties can be as large as 30%. However, the TOVS data set is one of few data sets which provides global and long-term coverage. Having analyzed the years 1987–1991, it was found that measured effective ice crystal diameters De are stable from year to year. For 1990 a global median De of 53.5 μm was determined. Averages distinguishing ocean/land, season, and latitude lie between 23 μm in winter over Northern Hemisphere midlatitude land and 64 μm in the tropics. In general, larger Des are found in regions with higher atmospheric water vapor and for cirrus with a smaller effective emissivity.

Social interaction deficits and conversational inadequacy in Williams syndrome

Research on social communication skills in individuals with Williams syndrome has been inconclusive, with some arguing that these skills are a relative strength and others that they are a weakness. The aim of the present study was to investigate social interaction abilities in a group of children with WS, and to compare them to a group of children with specific language impairment and a group of typically developing children. Semi-structured conversations were conducted and 100-150 utterances were selected for analysis in terms of exchange structure, turn taking, information transfer and conversational inadequacy. The statistical analyses showed that the children with WS had difficulties with exchange structure and responding appropriately to the interlocutor's requests for information and clarification. They also had significant difficulties with interpreting meaning and providing enough information for the conversational partner. Despite similar language abilities with a group of children with specific language impairment, the children with WS had different social interaction skills, which suggests that they follow an atypical trajectory of development and their neurolinguistic profile does not directly support innate modularity. (c) 2005 Elsevier Ltd. All rights reserved.

Built environment education, research and practice: integrating diverse interests to make an impact

The role of the academic in the built environment seems generally to be not well understood or articulated. While this problem is not unique to our field, there are plenty of examples in a wide range of academic disciplines where the academic role has been fully articulated. But built environment academics have tended not to look beyond their own literature and their own vocational context in trying to give meaning to their academic work. The purpose of this keynote presentation is to explore the context of academic work generally and the connections between education, research and practice in the built environment, specifically. By drawing on ideas from the sociology of the professions, the role of universities, and the fundamentals of social science research, a case is made that helps to explain the kind of problems that routinely obstruct academic progress in our field. This discussion reveals that while there are likely to be great weaknesses in much of what is published and taught in the built environment, it is not too great a stretch to provide a more robust understanding and a good basis for developing our field in a way that would enable us collectively to make a major contribution to theory-building, theory-testing and to make a good stab at tackling some of the problems facing society at large. There is no reason to disregard the fundamental academic disciplines that underpin our knowledge of the built environment. If we contextualise our work in these more fundamental disciplines, there is every reason to think that we can have a much greater impact that we have experienced to date.

Social networks, migration, and care in Tanzania

This paper explores the impacts of the HIV/AIDS epidemic on children and families in northern Tanzania using the concept of social resilience.1 The study is based on the findings of childfocused research with street children and children and families from HIV/AIDS-affected households. The paper illustrates the coping strategies that children and young people, and parents and caregivers adopt at the household level. In particular, it examines how the burden of care affects different generations of women and highlights their resilience, together with the importance of social networks and the fluidity of movement between rural and urban areas. The research suggests that migrating to urban areas to seek a living in the informal sector represents a survival strategy adopted by some children and young people orphaned by AIDS when their families and communities are unable or unwilling to support them. The paper concludes by exploring parents’, caregivers’, children’s, and young people’s views on the forms of social support that would promote their resilience and thereby help to mitigate the impacts of the epidemic at the household level.

Entertainment education theory and practice in HIV/AIDS communication: a South Africa / United Kingdom comparison

Within development communication, gaps remain in theory and practice: communication innovations are taking place which either do not incorporate theory or fail to challenge the assumptions of development communication and HIV/AIDS theory. This can lead to the implementation of unsuccessful interventions that lack theoretical frameworks or to uninformed practice, making it difficult to replicate. Further, research has demonstrated that Entertainment Education (EE) interventions have a measurable impact on behaviour in areas such as HIV/AIDS prevention. Given the transitions in EE practice and evidence of its impact, EE theory and practice can contribute insight into these challenges. A pilot study investigated these dilemmas within the context of the monitoring and evaluation of development communication. Framing this discussion is the concept of South-North dialogue, using comparative analysis of EE interventions to distil lessons through contrasting experiences in two diverse settings. It holds as a principle that lessons from the experience of EE in the Southern context can inform lessons for the North. Further, comparison of the case studies can generate insights for the broader development communication field. We present four case studies, informed by key informant interviews, of EE interventions in the UK and South Africa. We address how communication is defined in planning, implementation and evaluation, highlighting how it often misses the importance of 'listening'. The case studies show that HIV/AIDS communication, and development communication more broadly, has not internalised ideas of evaluation and listening in communication. Successes in the case studies can be partially attributed to responsiveness and context-specificity rather than following rigid planning templates, such as those found in some development communication literature. This indicates the importance of flexibility and responsiveness to context for both development communication and HIV/AIDS communication.