Linguistic and psychometric validation of the diabetes-specific quality-of-life scale in U. K. english for adults with type 1 diabetes

OBJECTIVE To develop a linguistically and psychometrically validated U.K. English (U.K./Ireland) version of the Diabetes-Specific Quality-of-Life Scale (DSQOLS) for adults with type 1 diabetes.

RESEARCH DESIGN AND METHODS We conducted independent forward and backward translation of the validated German DSQOLS. An iterative interview study with health professionals (n = 3) and adults with type 1 diabetes (n = 8) established linguistic validity. The DSQOLS was included in three Dose Adjustment for Normal Eating (DAFNE) studies (total N = 1,071). Exploratory factor analysis (EFA) was undertaken to examine questionnaire structure. Concurrent and discriminant validity, internal consistency, and reliability were assessed.

RESULTS EFA indicated a six-factor structure for the DSQOLS (social aspects, fear of hypoglycemia, dietary restrictions, physical complaints, anxiety about the future, and daily hassles). High internal consistency reliability was found for these factors and the weighted treatment satisfaction scale (α = 0.85–0.94). All subscales were moderately, positively correlated with the Audit of Diabetes-Dependent Quality-of-Life (ADDQoL) measure, demonstrating evidence of concurrent validity. Lower DSQOLS subscale scores [indicating impaired quality of life (QoL)] were associated with the presence of diabetes-related complications.

CONCLUSIONS The DSQOLS captures the impact of detailed aspects of modern type 1 diabetes management (e.g., carbohydrate counting and flexible insulin dose adjustment) that are now routine in many parts of the U.K. and Ireland. The U.K. English version of the DSQOLS offers a valuable tool for assessing the impact of treatment approaches on QoL in adults with type 1 diabetes.

Be aware of drinkaware

In 2006, Drinkaware was established as a charity in the United Kingdom following a memorandum of understanding between the Portman Group and various UK government agencies. This debate piece briefly reviews the international literature on industry social aspects organizations, examines the nature of Drinkaware's activities and considers how the public health community should respond. Although the British addiction field and the wider public health community have distanced themselves from the Portman Group, they have not done so from Drinkaware, even though Drinkaware was devised by the Portman Group to serve industry interests. Both long-standing and more recent developments indicate very high levels of industry influence on British alcohol policy, and Drinkaware provides one mechanism of influence. We suggest that working with, and for, industry bodies such as Drinkaware helps disguise fundamental conflicts of interest and serves only to legitimize corporate efforts to promote partnership as a means of averting evidence-based alcohol policies. We invite vigorous debate on these internationally significant issues and propose that similar industry bodies should be carefully studied in other countries.

Environmental perceptions as mediators of the relationship between the objective built environment and walking among socioeconomically disadvantaged women

Background
Women living in socio-economically disadvantaged neighbourhoods are at increased risk for physical inactivity and associated health outcomes and are difficult to reach through personally tailored interventions. Targeting the built environment may be an effective strategy in this population subgroup. The aim of this study was to examine the mediating role of environmental perceptions in the relationship between the objective environment and walking for transportation/recreation among women from socio-economically disadvantaged neighbourhoods.

Methods
Baseline data of the Resilience for Eating and Activity Despite Inequality (READI) study were used. In total, 4139 women (18–46 years) completed a postal survey assessing physical environmental perceptions (aesthetics, neighbourhood physical activity environment, personal safety, neighbourhood social cohesion), physical activity, and socio-demographics. Objectively-assessed data on street connectivity and density of destinations were collected using a Geographic Information System database and based on the objective z-scores, an objective destinations/connectivity score was calculated. This index was positively scored, with higher scores representing a more favourable environment. Two-level mixed models regression analyses were conducted and the MacKinnon product-of-coefficients test was used to examine the mediating effects.

Results
The destinations/connectivity score was positively associated with transport-related walking. The perceived physical activity environment mediated 6.1% of this positive association. The destinations/connectivity score was negatively associated with leisure-time walking. Negative perceptions of aesthetics, personal safety and social cohesion of the neighbourhood jointly mediated 24.1% of this negative association.

Conclusion
For women living in socio-economically disadvantaged neighbourhoods, environmental perceptions were important mediators of the relationship between the objective built environment and walking. To increase both transport-related and leisure-time walking, it is necessary to improve both objective walkability-related characteristics (street connectivity and proximity of destinations), and perceptions of personal safety, favourable aesthetics and neighbourhood social cohesion.

Mediatization and education: a sociological account

This chapter presents an account of the mediatization of education policy through a focus on the development and uptake of the knowledge economy discourse in national education policy and research settings. During the late 20th and early part of the 21st century, Australia, like other nation states around the globe, came to adopt the knowledge economy discourse as a kind of meta-policy that would help connect a variety of statistical indicators and provide direction for a number of policy areas, including education, science, and research funding. In Australia the adoption of a knowledge economy discourse was preceded by coverage from specialized sections of the quality print media, discussed broadly as a debate about the social contract that was afforded to fields charged with developing and producing national capacities for knowledge production. Such a debate mirrored similar claims by Michael Gibbons in the late 1990s, where he argued for a new social contract between science and society. Given the media coverage surrounding the uptake of the knowledge economy discourse and the promotion of the concept by the OECD, this chapter presents an account of the emergence of the knowledge economy discourse through a focus on the mediatization of the concept. The broad argument presented in this account is that what could be called “mediatization effects”, related to the promotion and adoption of policy concepts, are variable, and reach the broader public in inconsistent, time-bound, and sporadic patterns. In order to understand mediatization effects in respect of policy, the paper draws on a broad Bourdieuian informed conceptual framework to understand different kinds of fields, their logics of practice, and importantly here, cross-field effects. Specifically, the focus is on those cross-field effects related to the impact of practices within both national and global fields of journalism on national and global fields of education policy. While the case is an Australian one, the account explores general and more broadly applicable ways to understand links between the globalization and the mediatization of policy.

Organisational learning as an emerging process: the generative role of digital tools in informal learning practices

 Increasing attention is paid to organisational learning, with the success of contemporary organisations strongly contingent on their ability to learn and grow. Importantly, informal learning is argued to be even more significant than formal learning initiatives. Given the widespread use of digital technologies in the workplace, what requires further attention is how digital technologies (eg, massive open online courses—MOOC) enable informal learning processes. Drawing from Complex Adaptive Systems (CAS) theory, in this paper we advance a conceptual model for examining this important topic. The two dimensional matrix and the micro-level description of informal learning activities presented provide a framework for both further research on technology-mediated practices for informal learning, as well as the design of formative contexts for learning to occur.

The relationship between ethical leadership and unethical pro-organizational behavior: linear or curvilinear effects?

In this study, we examine the nature of the relationship between ethical leadership and unethical pro-organizational behavior (UPB), defined as unethical behavior conducted by employees with the aim of benefiting their organization, and whether the strength of the relationship differs between subordinates experiencing high and low identification with supervisor. Based on three-wave survey data obtained from 239 public sector employees in China, we find that ethical leadership has an inverted u-shaped (curvilinear) relationship with UPB. As the level of ethical leadership increases from low to moderate, UPB increases; as the level of ethical leadership increases from moderate to high, UPB decreases. Further, we find that the strength of this inverted u-curve relationship differs between subordinates with high and low identification with supervisor. That is to say, the inverted u-shaped relationship between ethical leadership and UPB was stronger when subordinates experienced high levels of identification with supervisor. The theoretical and managerial implications of our findings for understanding how to manage UPB in an organizational context are discussed. © 2012 Springer Science+Business Media Dordrecht.

Teacher knowledge, child interest and parent expectation: Factors influencing multicultural programs in an early childhood setting

© 2015, Early Childhood Australia Inc. All rights reserved. MULTICULTURAL CURRICULA/PROGRAMS assume an important role within a cultural approach to learning and teaching in early childhood education in New Zealand. Te Whariki, the national early childhood curriculum framework of New Zealand, is an emancipatory and socially constructive document that emphasises equity, social justice and the important position of culture in children's learning and development. In practice this means developing early childhood programs that are sensitive and responsive to the needs and interests of children and families of minority cultures. Drawing on a critical social constructivist framework, this study of one early childhood centre in New Zealand identifies the features of its multicultural curriculum. The paper argues that a devotion to supporting children of minority cultures has persisted in the curriculum, but there is a reliance on mainstream pedagogy focused on children's learning within the centre environment and teachers' subjective knowledge about children's needs.

Transtornos de aprendizagem : aspectos neuropsicossociais de uma população encaminhada à Secretaria Municipal da Saúde da cidade de São Leopoldo

Foram estudados 125 pacientes em idade escolar que procuraram o Posto de Atendimento Médico Especializado (PAME) da cidade de São Leopoldo, Rio Grande do Sul, Brasil, nos anos de 2003 e 2004, encaminhados pela escola, pelo pediatra ou Conselho Tutelar, por estarem apresentando dificuldades na escolarização. Realizaram-se entrevistas com os pais ou responsáveis, exame neurológico tradicional, exame neurológico evolutivo, eletroencefalograma em sono e vigília em todas as crianças e tomografia cerebral e ressonância magnética, quando necessário. Foram estudados aspectos neuropsicossociais dos indivíduos e de suas respectivas famílias. Encontraram-se famílias comprometidas em sua história prévia e atual: 29,30% com dificuldades escolares, 27,20% com doenças psiquiátricas, 26,10% com epilepsia, 21,70% com alcoolismo e 10,90% com deficiência mental. As comorbidades tiveram um papel relevante no desempenho escolar: 50,50% com hiperatividade, 17,20% com distúrbio de conduta e 17,20% com problemas emocionais (listados como queixa principal por ocasião do encaminhamento para a triagem).

Orçamento participativo: a experiência de Ribeirão Pires

Este estudo de caso tem o objetivo de analisar o procedimento do orçamento participativo na viabilização da nova política de desenvolvimento adotada pelo Município de Ribeirão Pires. Esta política baseia-se na sustentabilidade econômica, incorporando os aspectos sociais e resgatando a questão ambiental. A sua implementação nesse Município está muito vinculada à institucionalização do Orçamento Participativo, que possibilita uma maior participação dos cidadãos na definição das prioridades de investimento dos recursos disponíveis e, por essa razão, tem grande potencial para tornar-se um valioso instrumento para a concretização da política de desenvolvimento sustentável.

Aspectos sociais: códigos de conduta do setor de gás e petróleo

A presença de uma empresa internacionalmente significa também a disseminação mundial de seu Código de Conduta de Responsabilidade Social (Código de CRS). É portanto necessário um certo controle do conteúdo desses Códigos. As regras e padrões internacionais podem desempenhar este papel. O setor de gás e petróleo causa grande impacto nas comunidades em que as empresas exercem suas atividades. O mesmo se pode afirmar em relação aos seus Códigos de CRS. Este estudo examina, então, duas vertentes distintas mas convergentes. De um lado, o estudo comparativo de como os Códigos de CRS das empresas do setor de gás e petróleo tratam dos aspectos sociais. De outro, examina-se a conformidade ou falta de conformidade dos Códigos de CRS com os tratados, convenções, normas e padrões internacionais. Estratégias podem então ser propostas ao setor de gás e petróleo, para a melhoria dos padrões sociais de seus Códigos de CRS. Com isso atende-se às necessidades das comunidades envolvidas e, também, cria-se valor para as empresas do setor de gás e petróleo.

Análise da segurança no trabalho no setor de mármore e granito do Espírito Santo: proposição de ação para reunião do índice de acidentes no trabalho

O setor de mármore e granito do Espírito Santo constitui-se no maior pala industrial brasileiro do setor, sendo líder na comercialização dos produtos dele derivados, tanto no mercado interno como externo. Apesar do crescimento significativo observado nas exportações nos últimos anos, em peso e valor, bem como de estar comercializando a cada ano, produtos com maior valor agregado, convive com problemas de naturezas diversas, os quais se solucionados, proporcionarão maior participação nos mercados em que atua. Em termos sociais o reflexo será imediato, pois com os investimentos decorrentes, haverá geração de quantidade considerável de novos postos de trabalho, visto que trata-se de atividade altamente geradora de empregos. Por outro lado, os benefícios decorrentes do aumento de produção, proporcionarão a geração de renda e divisas para o país. Entre os problemas a serem solucionados encontra-se o alto índice de acidentes ocorridos no setor, conforme mostram as estatísticas apresentadas na presente dissertação. O estabelecimento de ações que visem a redução desses índices constitui o objetivo deste trabalho, tendo como meta principal, proporcionar a preservação da saú- de e segurança do trabalhador, e a implementação das mesmas, trarão como conseqüência natural, ganhos de produtividade e redução de custos, na medida que os acidentes implicam no surgimento de custos adicionais. A globalização da economia e a política econômica vigente no país, impuseram aos setores econô- micos uma competição cada vez mais acirrada, obrigando-os a buscarem alternativas que os viabilizem. A redução de custos por meio da prevenção de acidentes Vll no trabalho se constitui numa das alternativas. Esta dissertação, apresenta a partir de diagnóstico realizado nas diversas atividades do setor, ou seja, extração, serragem e beneficiamento, as tendências das ocorrências dos acidentes, caso não haja no futuro, nenhum tipo de intervenção. É estabelecida uma comparação com os demais setores da economia capixaba, através das respectivas curvas de tendências, na qual fica caracterizada a gravidade da situação e a importância da redução dos acidentes no setor de mármore e granito do Espírito Santo. Em fun- ção da dimensão com que o problema se apresenta, surge a necessidade de intervenções, as quais são classificadas como imediatas e de médio prazo. A observância à legislação vigente, representada pelas Normas Regulamentadoras, proporcionará maior segurança aos trabalhadores, possibilitando a esses, exercer suas atividades em ambiente onde os riscos referentes a lesões, com ou sem afastamentos, e morte, sejam minimizados, na medida que eles são inerentes ao setor e sempre existirão. Como metodologia é utilizado pesquisa de campo, através de entrevistas com empresários, trabalhadores, sindicatos patronal e dos trabalhadores, representantes da DRT e INSS, com as quais é possível o levantamento estatístico, consultas a revistas especializadas, jornais, Internet, disserta- ções e Normas Regulamentadoras. É ainda utilizado referencial teórico de diversos autores, na busca de dar sustentação conceitual ao tema abordado. Como resultado, é apresentado proposta que se constitui em uma série de ações a serem implementadas, para o atingimento do objetivo procurado.

Atitude socialmente responsável ou estratégia comercial: o caso do pacto global

The discussion about corporate obligations toward the various stakeholders began in the postindustrial era and developed to culminate in the creation of rules, regulations, programs and projects focusing on the dissemination and promotion of what we know today as corporate social responsibility (CSR). In this context, satisfying this new demand and adopting social policies emerge as a determining factor in defining organizational strategies. Nevertheless, some questions are raised when we examine the subject, such as: To what extent should organizations intervene in society? Is the decision for the organizations to adopt a socially responsible attitude really linked to promoting social well being, or is it only a commercial strategy? How does social marketing relate to CSR projects? The study herein, based on the concept and understanding of CSR theories, stakeholders and social marketing, has sought to find evidence of this relationship, in the light of the Global Compact (GC). It was decided to use the multi-case study methodology, considering the possibility of explaining the reasons why the decisions were taken, how they were implemented and what was the outcome. Interviews, supported by previously prepared scripts, were held with CSR managers, employees from other areas of the organizations, and specialists on the subject. Complementary research studies were made in various sources, such as the website of companies under analysis, their sustainability reports, and the GC websites in Brazil and the United Nations (UN). The results obtained show that the organizations have worked increasingly with CSR projects, but the efforts have not been focused. Special mention is given to the programs that create major impact on the company¿s image and reputation, such as projects competing for prizes and participating in the formation of rankings or socially responsible organizations. From the view of Carroll¿s Pyramid (1991) for CSR, it is found that the projects are predominantly focusing on ethical and philanthropic issues. The driving power of the GC, action based on learning, dialogue and partnership, is not to be found. This factor contributes to the statement that social marketing tools are used to build an ethical and socially responsible image, in detriment to effective action by the organizations to meet the social requirements of their stakeholders. The social marketing has as an objective to transform the way a specific public sees a social question and promotes behavior changes, but what has been seen is the use of marketing tools exclusively to promote the company's image.

Media piracy in emerging economies

Media Piracy in Emerging Economies is the first independent, large-scale study of music, film and software piracy in the developing world, with a focus on Brazil, India, Russia, South Africa, Mexico and Bolivia. Based on three years of work by some thirty-five researchers, the study tells two overarching stories: one tracing the explosive growth of piracy as digital technologies became cheap and ubiquitous around the world, and another following the growth of industry lobbies that have reshaped laws and law enforcement around copyright protection. The report argues that enforcement efforts have largely failed, and that the problem of piracy is better addressed as a failure of affordable access to media in legal markets.

A produção orgânica de citros no Vale do Rio Caí/RS

Há uma preocupação crescente sobre a necessidade de produção e consumo de alimentos mais saudáveis, sem uso de agrotóxicos nem fertilizantes químicos. Neste contexto se insere a prática da agricultura orgânica que, contudo, apresenta resultados ainda pouco avaliados. Assim, pretendeu-se, nesta pesquisa diagnosticar a produção orgânica na região citrícola do Vale do Rio Caí, no Rio Grande do Sul. Inicialmente foram selecionadas propriedades de oito agricultores, todas já convertidas ao sistema orgânico de produção há pelo menos cinco anos. Para tanto foram aplicadas entrevistas semi-estruturadas junto às unidades familiares, visando diagnosticar os aspectos sociais, econômicos e técnicoambientais. Os agricultores orgânicos mostram-se satisfeitos com o sistema orgânico de produção, que de maneira geral proporciona boas produtividades com custos de produção menores do que no sistema convencional de cultivo. Os agricultores que se dedicam ao sistema orgânico de produção revelam bom conhecimento sobre o meio ambiente, plantas, solos e processos agroecológicos, aspectos políticos, econômicos e sociais, adquiridos através da participação em cursos, palestras, congressos, dias de campo, treinamentos, e através das reuniões e assembléias da Cooperativa ECOCITRUS. A constante troca de experiências entre os agricultores orgânicos tem contribuído na melhoria da qualificação técnica dos produtores, além de melhor conscientizá-los nos aspectos políticos, econômicos e sociais. A participação dos produtores na ECOCITRUS tem proporcionado melhor organização dos mesmos, contribuindo na viabilização da produção orgânica, inclusive com vantagens econômicocomerciais, pela obtenção de insumos orgânicos, venda da produção e estímulo ao beneficiamento da produção, visando agregar renda à propriedade.