Social and economically influenced factors associated with breast cancer treatment among blacks and whites. A qualitative study

Background: Despite the fact breast cancer mortality has declined in recent years, the mortality gap between African-American and white women continues to grow. A part of these disparities may be due to either inadequately following guideline recommended treatment or treatment delays. Although racial/ethnic disparities in breast cancer treatment and mortality have been extensively documented, the mechanisms by which these disparities occur remain largely unknown. Social and economically influenced factors such as choice of providers, distance of treatment facility, transportation, health insurance, and job related factors may also contribute to racial differences in breast cancer treatment; however, these have not been explored sufficiently in previous research. ^ Aim: The purpose of this study was to evaluate the role of social and economically influenced factors that may contribute to racial disparities in the receipt of guideline recommended treatment using the Health Disparities Model. ^ Methods: In this qualitative comparative case study, data from medical records, structured telephone interviews, and in-depth patient interviews explored the relationship between social and economically influenced factors and breast cancer treatment. Transcripts were analyzed using standard iterative process followed by immersion/crystallization approach. Participants were identified through rapid ascertainment from the New Jersey Cancer Registry and this study included 8 African-American and 8 white women aged 20-85 years old diagnosed with early stage breast cancer between 2003-2007, matched on age, race, and physician recommended treatment. ^ Results: We did not identify differences by race in factors that influenced the receipt of breast cancer treatment among the individual matched pairs. Four prominent themes emerged among women from both groups who experienced similar difficulties influenced by socioeconomic factors. Choice of providers, distance of facility, health insurance, and job related factors all contributed to breast cancer treatment experience among these women. Conclusions: We identified common issues influenced by socioeconomic factors and its relation with the receipt of breast cancer treatment, regardless of race. However, more research is needed to study the additional factors conveying racial differences affecting breast cancer treatment. ^

Enrique Pichon-Rivière : Los orígenes de la psicología social argentina

Enrique Pichon-Rivière (1907-1977) fue uno de los fundadores de la psicología social en Argentina. En este trabajo revisaremos su biografía y trayectoria institucional junto con sus aportes teóricos y epistemológicos. Sostenemos que Enrique Pichon-Rivière dio muestra de una actitud crítica con respecto a las divisiones disciplinares y a la distancia entre conocimiento académico y praxis social. Nuestro recorte privilegiará aquellos aspectos de su obra que consideramos de mayor relevancia para las ciencias sociales, incluyendo sus nociones de necesidad social, matrices de aprendizaje, esquema conceptual referencial operativo (E.C.R.O.) y epistemología convergente

Enrique Pichon-Rivière : Los orígenes de la psicología social argentina

Enrique Pichon-Rivière (1907-1977) fue uno de los fundadores de la psicología social en Argentina. En este trabajo revisaremos su biografía y trayectoria institucional junto con sus aportes teóricos y epistemológicos. Sostenemos que Enrique Pichon-Rivière dio muestra de una actitud crítica con respecto a las divisiones disciplinares y a la distancia entre conocimiento académico y praxis social. Nuestro recorte privilegiará aquellos aspectos de su obra que consideramos de mayor relevancia para las ciencias sociales, incluyendo sus nociones de necesidad social, matrices de aprendizaje, esquema conceptual referencial operativo (E.C.R.O.) y epistemología convergente

Enrique Pichon-Rivière : Los orígenes de la psicología social argentina

Enrique Pichon-Rivière (1907-1977) fue uno de los fundadores de la psicología social en Argentina. En este trabajo revisaremos su biografía y trayectoria institucional junto con sus aportes teóricos y epistemológicos. Sostenemos que Enrique Pichon-Rivière dio muestra de una actitud crítica con respecto a las divisiones disciplinares y a la distancia entre conocimiento académico y praxis social. Nuestro recorte privilegiará aquellos aspectos de su obra que consideramos de mayor relevancia para las ciencias sociales, incluyendo sus nociones de necesidad social, matrices de aprendizaje, esquema conceptual referencial operativo (E.C.R.O.) y epistemología convergente

Sight distance studies on roads: influence of digital elevation models and roadside elements

Sight distance plays an important role in road traffic safety. Two types of Digital Elevation Models (DEMs) are utilized for the estimation of available sight distance in roads: Digital Terrain Models (DTMs) and Digital Surface Models (DSMs). DTMs, which represent the bare ground surface, are commonly used to determine available sight distance at the design stage. Additionally, the use of DSMs provides further information about elements by the roadsides such as trees, buildings, walls or even traffic signals which may reduce available sight distance. This document analyses the influence of three classes of DEMs in available sight distance estimation. For this purpose, diverse roads within the Region of Madrid (Spain) have been studied using software based on geographic information systems. The study evidences the influence of using each DEM in the outcome as well as the pros and cons of using each model.

FÉ CRISTÃ E COMPROMISSO SOCIAL HOJE: UM DIÁLOGO COM O PENSAMENTO DE JOSÉ COMBLIN

Neste início de século percebemos que as implicações da ideologia neoliberal têm influenciado os mais variados setores da sociedade no mundo: social, econômico, cultural, político e também religioso, proporcionando aos mais ricos, sejam países ou pessoas, acúmulo de riquezas e privilégios e desprezo aos mais pobres e desfavorecidos, promovendo assim uma distância cada vez maior entre as classes e grupos sociais e formando uma mentalidade cada vez mais insensível e individualista nos cidadãos. Este trabalho efetuará uma pesquisa sobre a concepção de José Comblin em diálogo com alguns outros autores a respeito da fé cristã, que deve se expressar em uma efetiva práxis religiosa, também no âmbito público, o que significa que a fé cristã tem uma dimensão pública e que deve contribuir criticamente na transformação da nossa sociedade. Essa pesquisa se propõe a contribuir para uma maior compreensão e envolvimento da Igreja Cristã brasileira em comprometer-se junto a questões sociais mais abrangentes, como demonstração de seu entendimento sobre a fé por ela defendida e ensinada.(AU)

FÉ CRISTÃ E COMPROMISSO SOCIAL HOJE: UM DIÁLOGO COM O PENSAMENTO DE JOSÉ COMBLIN

Neste início de século percebemos que as implicações da ideologia neoliberal têm influenciado os mais variados setores da sociedade no mundo: social, econômico, cultural, político e também religioso, proporcionando aos mais ricos, sejam países ou pessoas, acúmulo de riquezas e privilégios e desprezo aos mais pobres e desfavorecidos, promovendo assim uma distância cada vez maior entre as classes e grupos sociais e formando uma mentalidade cada vez mais insensível e individualista nos cidadãos. Este trabalho efetuará uma pesquisa sobre a concepção de José Comblin em diálogo com alguns outros autores a respeito da fé cristã, que deve se expressar em uma efetiva práxis religiosa, também no âmbito público, o que significa que a fé cristã tem uma dimensão pública e que deve contribuir criticamente na transformação da nossa sociedade. Essa pesquisa se propõe a contribuir para uma maior compreensão e envolvimento da Igreja Cristã brasileira em comprometer-se junto a questões sociais mais abrangentes, como demonstração de seu entendimento sobre a fé por ela defendida e ensinada.(AU)

Discursive constructions of social and environmental accounting in Brazil: the case of Petrobras.

In the 29 years following \"Our Common Future\" by the United Nations, there is considerable debate among governments, civil society, interest groups and business organisations about what constitutes sustainable development, which constitutes evidence for a contested discourse concerning sustainability. The purpose of this study is to understand this debate in the developing economic context of Brazil, and in particular, to understand and critique the social and environmental accounting [SEA] discursive constructions relating to the State-owned, Petrobras as well as to understand the Brazilian literature on SEA. The discourse theory [DT]-based analysis employs rhetorical redescription to analyse twenty-two reports from Petrobras from 2004-2013. I investigate the political notions by employing the methodological framework of the Logics of Critical Explanation [LCE]. LCE engenders five methodological steps: problematisation, retroduction, logics (social, political and fantasmatic), articulation and critique. The empirical discussion suggests that the hegemony of economic development operates to obfuscate, rhetorically, the development of sustainability, so as to maintain the core business of Petrobras conceived as capital accumulation. Equally, these articulations also illustrate how the constructions of SEA operate to serve the company\'s purpose with few (none) profound changes in integration of sustainability. The Brazilian literature on SEA sustains the status quo of neo-liberal market policies that operate to protect the dominant business case approach to maintain an agenda of wealth-creation in relation to social and environmental needs. The articulations of the case manifested in policies regarding, for example, corruption, which involved over-payments for contracts and unsustainable practices relating to the use of fossil fuels and demonstrated that there was antagonism between action and disclosure. The corruption scandal that emerged after SEA disclosures highlighted the rhetorical nature of disclosure when financial resources were subtracted from the company for political parties and engineering contractors hid facts through incomplete disclosures. The articulations of SEA misrepresent a broader context of the meanings associated with sustainability, which restricted the constructions of SEA to principally serve and represent the intention of the most powerful groups. The significance of SEA, then is narrowed to represent particular interests. The study argues for more critical studies as limited Brazilian literature concerning SEA kept a \'safe distance\' from substantively critiquing the constructions of SEA and its articulations in the Brazilian context. The literature review and the Petrobras\' case illustrate a variety of naming, instituting and articulatory practices that endeavour to maintain the current hegemony of development in an emerging economy, which allows Petrobras to continue to exercise significant profit at the expense of the social and environmental. The constructed idea of development in Petrobras\' discourses emphasises a rhetoric of wider development, but, in reality, these discourses were the antithesis of political, social and ethical developmental issues. These constructions aim to hide struggles between social inequalities and exploitation of natural resources and constitute excuses about a fanciful notion of rhetorical and hegemonic neo-liberal development. In summary, this thesis contributes to the prior literature in five ways: (i) the addition of DT to the analysis of SEA enhances the discussion of political elements such as hegemony, antagonism, logic of equivalence/difference, ideology and articulation; (ii) the analysis of an emerging economy such as Brazil incorporates a new perspective of the discussion of the discourses of SEA and development; (iii) this thesis includes a focus on rhetoric to discuss the maintenance of the status quo; (iv) the holistic structure of the LCE approach enlarges the understanding of the social, political and fantasmatic logics of SEA studies and; (v) this thesis combines an analysis of the literature and the case of Petrobras to characterise and critique the state of the Brazilian academy and its impacts and reflections on the significance of SEA. This thesis, therefore, argues for more critical studies in the Brazilian academy due to the persistence of idea of SEA and development that takes-for-granted deep exclusions and contradictions and provide little space for critiques.

Estudo da influência do relacionamento entre a égua e o potro no comportamento social e no temperamento de potros da raça Mangalarga Marchador

O trabalho teve como objetivo compreender o relacionamento entre a égua e o potro e a influência deste sobre o comportamento social e temperamento do potro, a partir do décimo primeiro dia de vida até após o processo de desmama do potro. Oito díades de éguas e potros da raça Mangalarga Marchador provenientes de um criatório situado na cidade de Amparo/SP foram avaliadas durante três etapas distintas. A primeira foi realizada para caracterizar o comportamento social do grupo de equinos e o relacionamento entre égua e potro durante os três períodos de desenvolvimento do potro (dependência, socialização e independência). Nessa etapa foram registradas: as interações agonísticas das éguas; episódios de mamada dos potros (tentativas e mamadas) e para o par égua e potro foram anotados os comportamentos afiliativos e a relação espacial. Ao final dessa etapa os potros foram classificados em dependentes e independentes e as éguas foram divididas de acordo com sua hierarquia. A segunda etapa constitui-se da avaliação das atividades e relação espacial dos potros durante o processo de desmama, para a caracterização do estresse dos potros. Na terceira etapa a relação social dos potros foi observada na ausência de suas mães, através do registro das interações e da relação espacial dos potros. Durante as três etapas foram aplicados quatro testes de avaliação dos aspectos do temperamento dos animais: teste de reatividade durante o manejo de escovação para a avaliação da reatividade ao manejo; teste de arena para avaliar a emotividade ao isolamento; teste de reatividade perante humano desconhecido e ativo para avaliar a reatividade ao humano; e teste da presença de estímulo sonoro desconhecido para avaliação da emotividade ao estímulo desconhecido. A hierarquia e a experiência da mãe interferiam no cuidado materno de aleitamento (P<0,05), entretanto, não influenciaram o cuidado de proteção (P>0,05). A frequência de permanência dos potros com sua mãe na distância de até 1 metro diminuiu ao longo dos períodos (P<0,05). As éguas não modificaram a frequência dos comportamentos afiliativos com seus potros ao longo dos períodos (P>0,05). As maiores frequências de comportamentos afiliativos dos potros com suas mães foram durante os períodos iniciais do desenvolvimento do potro (dependência e socialização, P<0,05). Potros dependentes apresentaram maior frequência e menor duração das mamadas quando comparado à frequência e duração dos potros independentes (P<0,05). A reatividade ao manejo e a emotividade ao isolamento dos potros foram maiores nos períodos da dependência, da socialização e durante a desmama (P<0,05). A reatividade ao humano e emotividade ao desconhecido apresentaram a tendência de diminuir ao longo dos períodos observados (P<0,05). Os potros dependentes apresentaram maior emotividade ao desconhecido e ao isolamento (P<0,05), além de maior estresse durante a desmama, quando comparado aos potros independentes. Todos os potros normalizaram suas atividades no decorrer do processo da desmama. Na ausência das mães os potros independentes foram os que iniciaram a maioria das interações entre os animais (P<0,05). O relacionamento entre a égua e o potro foi modificado devido às características maternas de hierarquia e experiência, além do nível de independência do potro e do seu temperamento.

Comparison of Couples' Normal Life Cycle Development and Intimacy Distance Regulation

When conceptualizing healthy couple relationships, it is tempting to use a simple framework as a panacea. Unfortunately, this desire for simplicity can lead to a narrow and naive perspective. Individuals interact and are influenced by a variety of factors (i.e., various social systems, multiple context memberships, complex interconnecting exchanges, etc.); consequently, it is necessary to guard against an overly narrow interpretation when examining healthy couple interactions. It is the purpose of this paper to develop one aspect of a complex perspective for healthy couple relationships by comparing couple life cycle development with couple intimacy-distance regulation.

Evaluation of hybrid and distance education learning environments in Spain

This article describes the adaptation and validation of the Distance Education Learning Environments Survey (DELES) for use in investigating the qualities found in distance and hybrid education psycho-social learning environments in Spain. As Europe moves toward post-secondary student mobility, equanimity in access to higher education, and more standardised degree programs across the European Higher Education Area (EHEA) the need for a high quality method for continually assessing the excellence of distance and hybrid learning environments has arisen. This study outlines how the English language DELES was adapted into the new Spanish-Distance Education Learning Environments Survey (S-DELES) for use with a Bachelor of Psychology and Criminology degree program offering both distance and hybrid education classes. We present the relationships between psycho-social learning environment perceptions and those of student affect. We also present the asynchronous aspects of the environment, scale means, and a comparison between the perceptions of distance education students and their hybrid education counterparts that inform the university about the baseline health of the information and communication technologies (ICT) environment within which the study was conducted.

Satisfacción en la provisión de redes de apoyo social en grupos de acompañamiento a la maternidad

Objetivos: Conocer la percepción del grado de satisfacción que tienen las madres, con hijos menores de un año y que participan en las dinámicas grupales que los CAP ofrecen, en relación al contenido y redes de provisión del Apoyo Social (AS) así como las causas que disminuyen la satisfacción en el receptor de este apoyo. Material y métodos: Estudio con diseño cualitativo y enfoque fenomenológico. La población objeto de estudio estaba constituida por madres participantes en dinámicas grupales de cinco CAP de la provincia de Barcelona. Como instrumento de recogida de datos se empleó la entrevista semiestructurada, entre julio de 2011 y julio de 2012; todas fueron grabadas, transcritas y analizadas. Resultados: AS informal: la mayoría de las madres están muy satisfechas-completamente satisfechas con el AS informativo, emocional y evaluativo procedente de las enfermeras; identificándose 4 categorías que contribuyen en esta percepción: contacto profesional/accesibilidad, disparidad y/o actualización, confianza y no procede. AS formal, la mayoría de las madres están muy satisfechas-completamente satisfechas con el AS informativo, emocional, evaluativo y técnico procedente de la pareja y madre (abuela materna); identificándose 8 categorías en esta percepción: disparidad y/o actualización en los consejos, exigencia, empatía, confianza, inseguridades, tiempo, distancia y no procede. Conclusiones: Los factores identificados deberían considerarse en los planes de mejora de la satisfacción y acompañamiento de las madres en este momento de profundos cambios en su vida; dado que aportar un AS satisfactorio repercute en la promoción de la salud y prevención de la enfermedad.

A Bayesian approach to imposing curvature on distance functions

The estimated parameters of output distance functions frequently violate the monotonicity, quasi-convexity and convexity constraints implied by economic theory, leading to estimated elasticities and shadow prices that are incorrectly signed, and ultimately to perverse conclusions concerning the effects of input and output changes on productivity growth and relative efficiency levels. We show how a Bayesian approach can be used to impose these constraints on the parameters of a translog output distance function. Implementing the approach involves the use of a Gibbs sampler with data augmentation. A Metropolis-Hastings algorithm is also used within the Gibbs to simulate observations from truncated pdfs. Our methods are developed for the case where panel data is available and technical inefficiency effects are assumed to be time-invariant. Two models-a fixed effects model and a random effects model-are developed and applied to panel data on 17 European railways. We observe significant changes in estimated elasticities and shadow price ratios when regularity restrictions are imposed. (c) 2004 Elsevier B.V. All rights reserved.

FÉ CRISTÃ E COMPROMISSO SOCIAL HOJE: UM DIÁLOGO COM O PENSAMENTO DE JOSÉ COMBLIN

Neste início de século percebemos que as implicações da ideologia neoliberal têm influenciado os mais variados setores da sociedade no mundo: social, econômico, cultural, político e também religioso, proporcionando aos mais ricos, sejam países ou pessoas, acúmulo de riquezas e privilégios e desprezo aos mais pobres e desfavorecidos, promovendo assim uma distância cada vez maior entre as classes e grupos sociais e formando uma mentalidade cada vez mais insensível e individualista nos cidadãos. Este trabalho efetuará uma pesquisa sobre a concepção de José Comblin em diálogo com alguns outros autores a respeito da fé cristã, que deve se expressar em uma efetiva práxis religiosa, também no âmbito público, o que significa que a fé cristã tem uma dimensão pública e que deve contribuir criticamente na transformação da nossa sociedade. Essa pesquisa se propõe a contribuir para uma maior compreensão e envolvimento da Igreja Cristã brasileira em comprometer-se junto a questões sociais mais abrangentes, como demonstração de seu entendimento sobre a fé por ela defendida e ensinada.(AU)

Personal uses and perceived social and economic effects of advertising in Bulgaria and Romania

Purpose - The objective of this paper is to uncover the underlying dimensions of, and examine the similarities and differences in, personal uses of advertising, perceived socio-economic effects of advertising, and consumer beliefs and attitudes toward advertising in Bulgaria and Romania. Moreover, it aims to identify the relative importance of the predictors of attitudes toward advertising in the two countries. Design/methodology/approach - The paper draws upon findings of previous research and theoretical developments by Bauer and Greyser, Sandage and Leckenby, and Pollay and Mittal. The study uses a stratified random sample of 947 face-to-face interviews with adult respondents from major urban areas in Bulgaria (507) and Romania (440). Variables are measured on multi-item scales as a typical application of the reflective indicator model. Findings - Results show that there are significant differences between Romanian and Bulgarian respondents in terms of their attitudes toward advertising. Romanians are more positive about advertising as an institution than the instruments of advertising. Romanians seem to accept the role of advertising in a free market economy, but have less confidence in advertising claims and techniques. Bulgarian respondents seem more sceptical toward advertising in general and are less enthusiastic about embracing the role of advertising as an institution. Moreover, Bulgarians are highly negative towards the instruments advertising uses to convey its messages to consumers. Research limitations/implications - The research findings reflect the views of urban dwellers and may not be generalisable to the wider population of the two countries. Interviewer bias was reduced by eliminating verbal or non-verbal cues to the respondents, and by the use of stratified random sampling. Practical implications - The paper suggests that the regulatory role of codes of advertising practice and industry regulating bodies should be enhanced, and their ability to protect consumers enforced. Marketing campaigns should be more inclusive to involve diverse social groups and reflect generally-accepted social norms. Originality/value - This study reveals that, while general attitudes toward advertising may be similar, attitudes toward the institution and instruments of advertising may differ even in countries with geographic proximity and low cultural distance. © Emerald Group Publishing Limited.