Modelo de arquitectura para gestión cooperativa de sistemas y servicios distribuidos basado en agentes autónomos

La creciente complejidad, heterogeneidad y dinamismo inherente a las redes de telecomunicaciones, los sistemas distribuidos y los servicios avanzados de información y comunicación emergentes, así como el incremento de su criticidad e importancia estratégica, requieren la adopción de tecnologías cada vez más sofisticadas para su gestión, su coordinación y su integración por parte de los operadores de red, los proveedores de servicio y las empresas, como usuarios finales de los mismos, con el fin de garantizar niveles adecuados de funcionalidad, rendimiento y fiabilidad. Las estrategias de gestión adoptadas tradicionalmente adolecen de seguir modelos excesivamente estáticos y centralizados, con un elevado componente de supervisión y difícilmente escalables. La acuciante necesidad por flexibilizar esta gestión y hacerla a la vez más escalable y robusta, ha provocado en los últimos años un considerable interés por desarrollar nuevos paradigmas basados en modelos jerárquicos y distribuidos, como evolución natural de los primeros modelos jerárquicos débilmente distribuidos que sucedieron al paradigma centralizado. Se crean así nuevos modelos como son los basados en Gestión por Delegación, en el paradigma de código móvil, en las tecnologías de objetos distribuidos y en los servicios web. Estas alternativas se han mostrado enormemente robustas, flexibles y escalables frente a las estrategias tradicionales de gestión, pero continúan sin resolver aún muchos problemas. Las líneas actuales de investigación parten del hecho de que muchos problemas de robustez, escalabilidad y flexibilidad continúan sin ser resueltos por el paradigma jerárquico-distribuido, y abogan por la migración hacia un paradigma cooperativo fuertemente distribuido. Estas líneas tienen su germen en la Inteligencia Artificial Distribuida (DAI) y, más concretamente, en el paradigma de agentes autónomos y en los Sistemas Multi-agente (MAS). Todas ellas se perfilan en torno a un conjunto de objetivos que pueden resumirse en alcanzar un mayor grado de autonomía en la funcionalidad de la gestión y una mayor capacidad de autoconfiguración que resuelva los problemas de escalabilidad y la necesidad de supervisión presentes en los sistemas actuales, evolucionar hacia técnicas de control fuertemente distribuido y cooperativo guiado por la meta y dotar de una mayor riqueza semántica a los modelos de información. Cada vez más investigadores están empezando a utilizar agentes para la gestión de redes y sistemas distribuidos. Sin embargo, los límites establecidos en sus trabajos entre agentes móviles (que siguen el paradigma de código móvil) y agentes autónomos (que realmente siguen el paradigma cooperativo) resultan difusos. Muchos de estos trabajos se centran en la utilización de agentes móviles, lo cual, al igual que ocurría con las técnicas de código móvil comentadas anteriormente, les permite dotar de un mayor componente dinámico al concepto tradicional de Gestión por Delegación. Con ello se consigue flexibilizar la gestión, distribuir la lógica de gestión cerca de los datos y distribuir el control. Sin embargo se permanece en el paradigma jerárquico distribuido. Si bien continúa sin definirse aún una arquitectura de gestión fiel al paradigma cooperativo fuertemente distribuido, estas líneas de investigación han puesto de manifiesto serios problemas de adecuación en los modelos de información, comunicación y organizativo de las arquitecturas de gestión existentes. En este contexto, la tesis presenta un modelo de arquitectura para gestión holónica de sistemas y servicios distribuidos mediante sociedades de agentes autónomos, cuyos objetivos fundamentales son el incremento del grado de automatización asociado a las tareas de gestión, el aumento de la escalabilidad de las soluciones de gestión, soporte para delegación tanto por dominios como por macro-tareas, y un alto grado de interoperabilidad en entornos abiertos. A partir de estos objetivos se ha desarrollado un modelo de información formal de tipo semántico, basado en lógica descriptiva que permite un mayor grado de automatización en la gestión en base a la utilización de agentes autónomos racionales, capaces de razonar, inferir e integrar de forma dinámica conocimiento y servicios conceptualizados mediante el modelo CIM y formalizados a nivel semántico mediante lógica descriptiva. El modelo de información incluye además un “mapping” a nivel de meta-modelo de CIM al lenguaje de especificación de ontologías OWL, que supone un significativo avance en el área de la representación y el intercambio basado en XML de modelos y meta-información. A nivel de interacción, el modelo aporta un lenguaje de especificación formal de conversaciones entre agentes basado en la teoría de actos ilocucionales y aporta una semántica operacional para dicho lenguaje que facilita la labor de verificación de propiedades formales asociadas al protocolo de interacción. Se ha desarrollado también un modelo de organización holónico y orientado a roles cuyas principales características están alineadas con las demandadas por los servicios distribuidos emergentes e incluyen la ausencia de control central, capacidades de reestructuración dinámica, capacidades de cooperación, y facilidades de adaptación a diferentes culturas organizativas. El modelo incluye un submodelo normativo adecuado al carácter autónomo de los holones de gestión y basado en las lógicas modales deontológica y de acción.---ABSTRACT---The growing complexity, heterogeneity and dynamism inherent in telecommunications networks, distributed systems and the emerging advanced information and communication services, as well as their increased criticality and strategic importance, calls for the adoption of increasingly more sophisticated technologies for their management, coordination and integration by network operators, service providers and end-user companies to assure adequate levels of functionality, performance and reliability. The management strategies adopted traditionally follow models that are too static and centralised, have a high supervision component and are difficult to scale. The pressing need to flexibilise management and, at the same time, make it more scalable and robust recently led to a lot of interest in developing new paradigms based on hierarchical and distributed models, as a natural evolution from the first weakly distributed hierarchical models that succeeded the centralised paradigm. Thus new models based on management by delegation, the mobile code paradigm, distributed objects and web services came into being. These alternatives have turned out to be enormously robust, flexible and scalable as compared with the traditional management strategies. However, many problems still remain to be solved. Current research lines assume that the distributed hierarchical paradigm has as yet failed to solve many of the problems related to robustness, scalability and flexibility and advocate migration towards a strongly distributed cooperative paradigm. These lines of research were spawned by Distributed Artificial Intelligence (DAI) and, specifically, the autonomous agent paradigm and Multi-Agent Systems (MAS). They all revolve around a series of objectives, which can be summarised as achieving greater management functionality autonomy and a greater self-configuration capability, which solves the problems of scalability and the need for supervision that plague current systems, evolving towards strongly distributed and goal-driven cooperative control techniques and semantically enhancing information models. More and more researchers are starting to use agents for network and distributed systems management. However, the boundaries established in their work between mobile agents (that follow the mobile code paradigm) and autonomous agents (that really follow the cooperative paradigm) are fuzzy. Many of these approximations focus on the use of mobile agents, which, as was the case with the above-mentioned mobile code techniques, means that they can inject more dynamism into the traditional concept of management by delegation. Accordingly, they are able to flexibilise management, distribute management logic about data and distribute control. However, they remain within the distributed hierarchical paradigm. While a management architecture faithful to the strongly distributed cooperative paradigm has yet to be defined, these lines of research have revealed that the information, communication and organisation models of existing management architectures are far from adequate. In this context, this dissertation presents an architectural model for the holonic management of distributed systems and services through autonomous agent societies. The main objectives of this model are to raise the level of management task automation, increase the scalability of management solutions, provide support for delegation by both domains and macro-tasks and achieve a high level of interoperability in open environments. Bearing in mind these objectives, a descriptive logic-based formal semantic information model has been developed, which increases management automation by using rational autonomous agents capable of reasoning, inferring and dynamically integrating knowledge and services conceptualised by means of the CIM model and formalised at the semantic level by means of descriptive logic. The information model also includes a mapping, at the CIM metamodel level, to the OWL ontology specification language, which amounts to a significant advance in the field of XML-based model and metainformation representation and exchange. At the interaction level, the model introduces a formal specification language (ACSL) of conversations between agents based on speech act theory and contributes an operational semantics for this language that eases the task of verifying formal properties associated with the interaction protocol. A role-oriented holonic organisational model has also been developed, whose main features meet the requirements demanded by emerging distributed services, including no centralised control, dynamic restructuring capabilities, cooperative skills and facilities for adaptation to different organisational cultures. The model includes a normative submodel adapted to management holon autonomy and based on the deontic and action modal logics.

Confidence: dependencies and their critical role in fostering user acceptance in pervasive applications

Pervasive computing offers new scenarios where users are surrounded by invisible and proactive technology making smart spaces. Although the utility and power of solutions developed using this computer paradigm are proved, there are unresolved problems that hinder their acceptance and inclusion in our private life. Users have problems understanding the operations of a pervasive computing solution, and therefore they should trust that the solution works properly and according to their expectations. Nevertheless, the concept of trust is already framed in a specific use within the ecosystem of applications that can populate a smart space. To take this concept of trust to the whole space, we propose to study and define the concept of confidence. In contrast to the concept of trust, confidence has deeper psychological implications.

The educational learning lifecycle and the cloud computing

Currently, student dropout rates are a matter of concern among universities. Many research studies, aimed at discovering the causes, have been carried out. However, few solutions, that could serve all students and related problems, have been proposed so far. One such problem is caused by the lack of the "knowledge chain educational links" that occurs when students move onto higher studies without mastering their basic studies. Most regulated studies imparted at universities are designed so that some basic subjects serve as support for other, more complicated, subjects, thus forming a complicated knowledge network. When a link in this chain fails, student frustration occurs as it prevents him from fully understanding the following educational links. In this proposal we try to mitigate these disasters that stem, for the most part, the student?s frustration beyond his college stay. On one hand, we make a dissertation on the student?s learning process, which we divide into a series of phases that amount to what we call the "learning lifecycle." Also, we analyze at what stage the action by the stakeholders involved in this scenario: teachers and students; is most important. On the other hand, we consider that Information and Communication Technologies ICT, such as Cloud Computing, can help develop new ways, allowing for the teaching of higher education, while easing and facilitating the student?s learning process. But, methods and processes need to be defined as to direct the use of such technologies; in the teaching process in general, and within higher education in particular; in order to achieve optimum results. Our methodology integrates, as another actor, the ICT into the "Learning Lifecycle". We stimulate students to stop being merely spectators of their own education, and encourage them to take an active part in their training process. To do this, we offer a set of useful tools to determine not only academic failure causes, (for self assessment), but also to remedy these failures (with corrective actions); "discovered the causes it is easier to determine solutions?. We believe this study will be useful for both students and teachers. Students learn from their own experience and improve their learning process, while obtaining all of the "knowledge chain educational links? required in their studies. We stand by the motto "Studying to learn instead of studying to pass". Teachers will also be benefited by detecting where and how to strengthen their teaching proposals. All of this will also result in decreasing dropout rates.

Contribution towards intelligent service management in wearable and ubiquitous devices

Hoy en día asistimos a un creciente interés por parte de la sociedad hacia el cuidado de la salud. Esta afirmación viene apoyada por dos realidades. Por una parte, el aumento de las prácticas saludables (actividad deportiva, cuidado de la alimentación, etc.). De igual manera, el auge de los dispositivos inteligentes (relojes, móviles o pulseras) capaces de medir distintos parámetros físicos como el pulso cardíaco, el ritmo respiratorio, la distancia recorrida, las calorías consumidas, etc. Combinando ambos factores (interés por el estado de salud y disponibilidad comercial de dispositivos inteligentes) están surgiendo multitud de aplicaciones capaces no solo de controlar el estado actual de salud, también de recomendar al usuario cambios de hábitos que lleven hacia una mejora en su condición física. En este contexto, los llamados dispositivos llevables (weareables) unidos al paradigma de Internet de las cosas (IoT, del inglés Internet of Things) permiten la aparición de nuevos nichos de mercado para aplicaciones que no solo se centran en la mejora de la condición física, ya que van más allá proponiendo soluciones para el cuidado de pacientes enfermos, la vigilancia de niños o ancianos, la defensa y la seguridad, la monitorización de agentes de riesgo (como bomberos o policías) y un largo etcétera de aplicaciones por llegar. El paradigma de IoT se puede desarrollar basándose en las existentes redes de sensores inalámbricos (WSN, del inglés Wireless Sensor Network). La conexión de los ya mencionados dispositivos llevables a estas redes puede facilitar la transición de nuevos usuarios hacia aplicaciones IoT. Pero uno de los problemas intrínsecos a estas redes es su heterogeneidad. En efecto, existen multitud de sistemas operativos, protocolos de comunicación, plataformas de desarrollo, soluciones propietarias, etc. El principal objetivo de esta tesis es realizar aportaciones significativas para solucionar no solo el problema de la heterogeneidad, sino también de dotar de mecanismos de seguridad suficientes para salvaguardad la integridad de los datos intercambiados en este tipo de aplicaciones. Algo de suma importancia ya que los datos médicos y biométricos de los usuarios están protegidos por leyes nacionales y comunitarias. Para lograr dichos objetivos, se comenzó con la realización de un completo estudio del estado del arte en tecnologías relacionadas con el marco de investigación (plataformas y estándares para WSNs e IoT, plataformas de implementación distribuidas, dispositivos llevables y sistemas operativos y lenguajes de programación). Este estudio sirvió para tomar decisiones de diseño fundamentadas en las tres contribuciones principales de esta tesis: un bus de servicios para dispositivos llevables (WDSB, Wearable Device Service Bus) basado en tecnologías ya existentes tales como ESB, WWBAN, WSN e IoT); un protocolo de comunicaciones inter-dominio para dispositivos llevables (WIDP, Wearable Inter-Domain communication Protocol) que integra en una misma solución protocolos capaces de ser implementados en dispositivos de bajas capacidades (como lo son los dispositivos llevables y los que forman parte de WSNs); y finalmente, la tercera contribución relevante es una propuesta de seguridad para WSN basada en la aplicación de dominios de confianza. Aunque las contribuciones aquí recogidas son de aplicación genérica, para su validación se utilizó un escenario concreto de aplicación: una solución para control de parámetros físicos en entornos deportivos, desarrollada dentro del proyecto europeo de investigación “LifeWear”. En este escenario se desplegaron todos los elementos necesarios para validar las contribuciones principales de esta tesis y, además, se realizó una aplicación para dispositivos móviles por parte de uno de los socios del proyecto (lo que contribuyó con una validación externa de la solución). En este escenario se usaron dispositivos llevables tales como un reloj inteligente, un teléfono móvil con sistema operativo Android y un medidor del ritmo cardíaco inalámbrico capaz de obtener distintos parámetros fisiológicos del deportista. Sobre este escenario se realizaron diversas pruebas de validación mediante las cuales se obtuvieron resultados satisfactorios. ABSTRACT Nowadays, society is shifting towards a growing interest and concern on health care. This phenomenon can be acknowledged by two facts: first, the increasing number of people practising some kind of healthy activity (sports, balanced diet, etc.). Secondly, the growing number of commercial wearable smart devices (smartwatches or bands) able to measure physiological parameters such as heart rate, breathing rate, distance or consumed calories. A large number of applications combining both facts are appearing. These applications are not only able to monitor the health status of the user, but also to provide recommendations about routines in order to improve the mentioned health status. In this context, wearable devices merged with the Internet of Things (IoT) paradigm enable the proliferation of new market segments for these health wearablebased applications. Furthermore, these applications can provide solutions for the elderly or baby care, in-hospital or in-home patient monitoring, security and defence fields or an unforeseen number of future applications. The introduced IoT paradigm can be developed with the usage of existing Wireless Sensor Networks (WSNs) by connecting the novel wearable devices to them. In this way, the migration of new users and actors to the IoT environment will be eased. However, a major issue appears in this environment: heterogeneity. In fact, there is a large number of operating systems, hardware platforms, communication and application protocols or programming languages, each of them with unique features. The main objective of this thesis is defining and implementing a solution for the intelligent service management in wearable and ubiquitous devices so as to solve the heterogeneity issues that are presented when dealing with interoperability and interconnectivity of devices and software of different nature. Additionally, a security schema based on trust domains is proposed as a solution to the privacy problems arising when private data (e.g., biomedical parameters or user identification) is broadcasted in a wireless network. The proposal has been made after a comprehensive state-of-the-art analysis, and includes the design of a Wearable Device Service Bus (WDSB) including the technologies collected in the requirement analysis (ESB, WWBAN, WSN and IoT). Applications are able to access the WSN services regardless of the platform and operating system where they are running. Besides, this proposal also includes the design of a Wearable Inter-Domain communication Protocols set (WIDP) which integrates lightweight protocols suitable to be used in low-capacities devices (REST, JSON, AMQP, CoAP, etc...). Furthermore, a security solution for service management based on a trustworthy domains model to deploy security services in WSNs has been designed. Although the proposal is a generic framework for applications based on services provided by wearable devices, an application scenario for testing purposes has been included. In this validation scenario it has been presented an autonomous physical condition performance system, based on a WSN, bringing the possibility to include several elements in an IoT scenario: a smartwatch, a physiological monitoring device and a smartphone. In summary, the general objective of this thesis is solving the heterogeneity and security challenges arising when developing applications for WSNs and wearable devices. As it has been presented in the thesis, the solution proposed has been successfully validated in a real scenario and the obtained results were satisfactory.

Comunicación y seguridad aérea: incidentes y accidentes causados por el uso incorrecto de la lengua inglesa

Este proyecto consiste en el análisis de accidentes e incidentes aéreos causados por problemas en el lenguaje. Se realiza un estudio acerca de la elección del inglés para las comunicaciones en la aviación comercial. Se analiza la reglamentación actual sobre las competencias lingüísticas aplicadas a pilotos y controladores aéreos en la aviación comercial. Además se estudian los problemas lingüísticos causantes de malentendidos en las comunicaciones entre pilotos y controladores aéreos. Finalmente, se analizan en detalle los accidentes e incidentes de mayor importancia causados por problemas lingüísticos, y en los que estos eran un factor relevante en el accidente. Se explican las soluciones aplicadas para minimizar los malentendidos en las comunicaciones, y además se encuesta a un total de trece pilotos españoles con la finalidad de averiguar cuáles son los acentos que más problemas causan, en qué países es donde se tiene más dificultad para entender las comunicaciones aéreas y con mayor frecuencia se emplea una fraseología incorrecta. ABSTRACT. This project consists in the analysis of aviation accidents and incidents caused by language problems. I study why English was chosen as the language of communications in commercial aviation. I analyze the current rules applied for regulating the communication between pilots and controllers. I also study the main linguistic problems that cause misunderstandings in the communications. A detailed study of the most important accidents and incidents caused by misunderstandings is also carried out. I explain the main solutions applied to eradicate or minimize the misunderstandings that could cause an accident, and I also survey a total of thirteen Spanish pilots to directly know what accents are the most difficult ones to understand, which countries tend to modify the standard phraseology, and in which countries Spanish pilots have more problems when communicating with the controllers.

Work-related health problems among resident immigrant workers in Italy and Spain

Background: in both Spain and Italy the number of immigrants has strongly increased in the last 20 years, currently representing more than the 10% of workforce in each country. The segregation of immigrants into unskilled or risky jobs brings negative consequences for their health. The objective of this study is to compare prevalence of work-related health problems between immigrants and native workers in Italy and Spain. Methods: data come from the Italian Labour Force Survey (n=65 779) and Spanish Working Conditions Survey (n=11 019), both conducted in 2007. We analyzed merged datasets to evaluate whether interviewees, both natives and migrants, judge their health being affected by their work conditions and, if so, which specific diseases. For migrants, we considered those coming from countries with a value of the Human Development Index lower than 0.85. Logistic regression models were used, including gender, age, and education as adjusting factors. Results: migrants reported skin diseases (Mantel-Haenszel pooled OR=1.49; 95%CI: 0.59-3.74) and musculoskeletal problems among those employed in agricultural sector (Mantel-Haenszel pooled OR=1.16; 95%CI: 0.69-1.96) more frequently than natives; country-specific analysis showed higher risks of musculoskeletal problems among migrants compared to the non-migrant population in Italy (OR=1.17; 95% CI: 0.48-1.59) and of respiratory problems in Spain (OR=2.02; 95%CI: 1.02-4.0). In both countries the risk of psychological stress was predominant among national workers. Conclusions: this collaborative study allows to strength the evidence concerning the health of migrant workers in Southern European countries.

Interpersonal relations and nurses' job satisfaction through knowledge and usage of relational skills

Background/rationale: Many interpersonal labor disputes stem from the lack of communication skills and the relational problems in the interactions between health professionals. Aims/methods: A qualitative study was conducted in a Spanish hospital in order to get to know how the communicative interaction between hospital nurses is like in relation to the nurses' interpersonal interaction and communication skills developed in their working relationships. Twenty-one hospital nurses between 29 and 55 years old, working in different wards, were interviewed. Open-ended interview discourses were transcribed verbatim and analyzed using qualitative content analysis. Results: The following four key themes were analyzed: communication and sender; communication and awareness of who has the problem; non-verbal communication; communication and recipient. Conclusion: The results of this study highlight the need to broaden nurses' relational–communication skills in order to increase job satisfaction.

La representación de las mujeres inmigrantes en una muestra de la prensa española: deconstruyendo la invisibilidad

Esta investigación tiene como objetivo principal estudiar la representación de las mujeres inmigrantes en una muestra de la prensa española. Para ello, se recopiló un corpus de noticias sobre mujeres inmigrantes desde febrero de 2012 hasta julio de 2014, lo que suma un total de dos años y medio, de los tres principales periódicos españoles: El País, El Mundo y ABC. El número total de noticias recopiladas es de 56. En este estudio se analizarán los principales temas que se tratan en las noticias seleccionadas y las principales características lingüísticas y visuales empleadas para hablar sobre las mujeres inmigrantes. El análisis crítico del discurso (ACD) se empleará en este trabajo por su interés en la dimensión social del discurso al estudiar la lengua unida a temas sociales y por permitir profundizar en la ideología. En este sentido, el ACD puede ayudar a desentrañar problemas relacionados con las desigualdades de género al observar el modo en que las mujeres inmigrantes aparecen representadas en los textos objeto de estudio. Además, se empleará el modelo de gramática visual propuesto por Kress y van Leeuwen (2006) con el fin de analizar las principales características de las fotografías. Los principales resultados obtenidos del estudio señalan que la representación de las mujeres inmigrantes en la prensa española es escasa y que cuando éstas aparecen como protagonistas de noticias suelen representarse como víctima y se las relaciona fundamentalmente con la prostitución.

Reciprocal Prospective Associations Between Depressive Symptoms and Perceived Relationship With Parents in Early Adolescence

Objective: Adolescent depressive symptoms are associated with difficult family relationships. Family systems and interpersonal theories of depression suggest that this association could reflect a circular process in which symptoms and family functioning affect each other over time. Few longitudinal studies have tested this hypothesis, and the results of these studies have been equivocal. In this study, we examine reciprocal prospective associations in early adolescence between depressive symptoms and 2 important aspects of parent–child relationships: communication and conflict. Methods: Participants were 3862 students who annually filled out self-reports. Path analysis was used to examine prospective associations between depressive symptoms and perceived communication and conflict with parents from the age of 12 to 13 and 14 to 15 years. Independence of these associations was assessed by controlling for family context (parental separation and family socioeconomic status) and adolescent behaviour problems (delinquent behaviours and substance use). Sex differences were evaluated with multiple group analysis. Results: Reciprocal prospective associations were found between depressive symptoms and perceived conflict with parents, but not between depressive symptoms and communication with parents. Depressive symptoms were found to predict poorer communication with parents over time, but communication was not predictive of lower depressive symptoms in subsequent years. All paths were sex-invariant and independent from family context and behaviour problems. Conclusion: This study highlights the importance of considering the potential impact of adolescent symptomatology on parent–child relationships and suggests that reciprocity may characterize the association between depressive symptoms and negative aspects of parent–child relationships. The role of adolescent perceptions in the interplay between depressive symptoms and family relationships remains to be clarified.

Cardiovascular disease in Switzerland - health care, mortality and geographical pattern

SUMMARY Switzerland is facing an aging population and a growing amount of patients with chronic diseases. It is crucial to display health care processes and pathways, to identify inequalities and obstacles, and to point out possibilities for improvements of the Swiss health care system (e.g. increase efficiency). The introductory part of the thesis presents a brief description of the Swiss health care system, health services research and regional variation as well as an introduction of CVD and its epidemiological key figures, aetiology and treatments. This is followed by the description of the utilized methods and data, and the objectives of this thesis. The subsequent sections present the four articles included in this thesis. The first article focuses on a small area analysis on regional variation of avoidable hospitalisations in Switzerland including density of primary care physicians and specialists, rurality and hospital supply factors as explanatory variables in the analysis. Lower rates of avoidable hospitalisations were found in areas with very high supply of primary care physicians, increased avoidable hospitalisation rates in areas with more specialists and in areas with higher proportion of rural residents. The second article aims to examine whether emergency patients with acute ST-segment elevation myocardial infarction were adequately treated, i.e. according to the treatment guidelines, in Switzerland. Results show that older and female patients were less likely to receive revascularization which suggests that the treatment guidelines may not be uniformly applied in Switzerland. Similar to the first article, also in the third article a small area analysis was performed but this time investigating regional variation in costs at the end of life. Strongest associations of cost was found with cause of death, age and language region of the decedents. The strong spatial variation of costs could only partly be explained by the included covariates. Article four aims to examine the relationship of distance to different hospital types and mortality from AMI or stroke. We found that AMI mortality in the Swiss population 30 and older and stroke mortality in those 65 and above increased with distance to central and university hospitals, while adjusting for sociodemographic and economic characteristics of the population. The presentation of the four articles is followed by a discussion, which summarizes the main findings and the strengths and limitations of the presented articles. The thesis concludes with a discussion about the challenges for policy, practice and future research.

Reciprocal Prospective Associations Between Depressive Symptoms and Perceived Relationship With Parents in Early Adolescence

Objective: Adolescent depressive symptoms are associated with difficult family relationships. Family systems and interpersonal theories of depression suggest that this association could reflect a circular process in which symptoms and family functioning affect each other over time. Few longitudinal studies have tested this hypothesis, and the results of these studies have been equivocal. In this study, we examine reciprocal prospective associations in early adolescence between depressive symptoms and 2 important aspects of parent–child relationships: communication and conflict. Methods: Participants were 3862 students who annually filled out self-reports. Path analysis was used to examine prospective associations between depressive symptoms and perceived communication and conflict with parents from the age of 12 to 13 and 14 to 15 years. Independence of these associations was assessed by controlling for family context (parental separation and family socioeconomic status) and adolescent behaviour problems (delinquent behaviours and substance use). Sex differences were evaluated with multiple group analysis. Results: Reciprocal prospective associations were found between depressive symptoms and perceived conflict with parents, but not between depressive symptoms and communication with parents. Depressive symptoms were found to predict poorer communication with parents over time, but communication was not predictive of lower depressive symptoms in subsequent years. All paths were sex-invariant and independent from family context and behaviour problems. Conclusion: This study highlights the importance of considering the potential impact of adolescent symptomatology on parent–child relationships and suggests that reciprocity may characterize the association between depressive symptoms and negative aspects of parent–child relationships. The role of adolescent perceptions in the interplay between depressive symptoms and family relationships remains to be clarified.

Transport and communication:

At head of title, no. 1- : Official statistics, commonwealth of Australia. Commonwealth Bureau of census and statistics, Melbourne.

Problems of state life. A sermon delivered before His Excellency John D. Long, His Honor Byron Weston, the honorable Council, and the legislature of Massachusetts, at the annual election, King's chapel, Boston, Wednesday, January 3, 1883.

Printed by order of the Massachusetts General Court.

The language of the classroom; meanings communicated in high school teaching.

Bibliography: v. 1, p. [169]; v. 2, p. [189]-190.

Source materials on transportation and communication; the report of the Committee on source materials for the problem of transportation of persons and commodities and communication of ideas, Georgia program for the improvement of instruction.

Mode of access: Internet.