Determinants of quality of advanced cancer care in Latin America. A look at five countries: Argentina, Brazil, Cuba, Mexico and Peru

The World Health Organization reports that nearly half a million people died of cancer in Latin America in 2001. As a growing public health problem, cancer is now either the first or second leading cause of death among adults in most Latin American nations. Despite these trends, information on the quality of care people with advanced cancer in Latin America receive has been limited. This study assessed the quality of advanced cancer care in diverse Latin American countries and institutions by surveying cancer care providers from: Argentina; Brazil; Cuba; Mexico; and Peru. This study also identified the most salient factors that influence the quality of this care at the national and institutional levels and compared these factors across countries. This study was based on the secondary analyses of data collected by the University of Texas M. D. Anderson's WHO/PAHO Collaborating Center in Supportive Cancer Care from March 2000 to November 2002. The sample for this survey was a convenience sample of physicians and nurses who treat cancer patients in these regions. Strategies for the dissemination of this survey included: mass mailings; distribution at professional meetings/conferences; collaboration with regional institutions, professional organizations and PAHO; and the posting of online surveys. The strongest predictor of providers' assessments of the quality of advanced cancer care was their ratings of access to care. This major finding reflects a shared equitable notion of quality care among providers from diverse countries and medical institutions that is highly interrelated with providing accessible care to those with advanced cancer. Higher ratings of the affordability of care, an increased reported availability of end-of-life services and opioid analgesics, practicing in either a private hospital or specialized cancer center, and practicing in Cuba were also associated with higher provider ratings of the quality of advanced cancer care. The findings of this study contribute towards the much needed body of knowledge that may guide the formulation of policies and interventions aimed at improving the care for people with advanced cancer in Latin America. ^

Medea(s)

Se trata de un 'Artículo-Recensión' sobre una extensísima Antología de trabajos acerca de la figura y el mito de Medea en las literaturas clásicas, y también en las modernas (con un énfasis especial en la española del Siglo de Oro), recopilados y editados por Aurora López y Andrés Pociña, catedráticos ambos de Literatura latina en la Universidad de Granada. Aunque el aspecto descriptivo predomina a lo largo del artículo, el autor de este articulo no ha renunciado a ofrecer una valoración personal de muchos trabajos. El volumen en cuestión es de una variedad extraordinaria; pero, según el presente comentarista, su hilo conductor hay que buscarlo en determinados rasgos de la Medea senequiana, mucho más que en su modelo euripideo. La obra maestra del griego nos resulta más compleja, pero quizás más lejana también. En cambio, Séneca es rico en virtualidades que todavía no han sido plenamente explotadas.

Imaginería del color en Petronio : De la Myrtea Gausapa (21-2) al Myrthus Florens (131.9)

El uso de imágenes ubica al Satiricón de Petronio como una obra de intersección (canón, cardo) entre la literatura antigua precedente griega y latina, y las composiciones posteriores de gran importancia en el surgimiento de la ficción en prosa moderna en el Renacimiento. Las imágenes visuales y de color en Petronio contribuyen notablemente a esa configuración, mientras que un estudio del léxico correspondiente, a partir en especial de las ediciones humanísticas de la obra, pueden sin duda arrojar luz sobre aspectos textuales aún no resueltos en esa obra maestra de la literatura latina

Imaginería del color en Petronio : De la Myrtea Gausapa (21-2) al Myrthus Florens (131.9)

El uso de imágenes ubica al Satiricón de Petronio como una obra de intersección (, cardo) entre la literatura antigua precedente griega y latina, y las composiciones posteriores de gran importancia en el surgimiento de la ficción en prosa moderna en el Renacimiento. Las imágenes visuales y de color en Petronio contribuyen notablemente a esa configuración, mientras que un estudio del léxico correspondiente, a partir en especial de las ediciones humanísticas de la obra, pueden sin duda arrojar luz sobre aspectos textuales aún no resueltos en esa obra maestra de la literatura latina

Medea(s)

Se trata de un 'Artículo-Recensión' sobre una extensísima Antología de trabajos acerca de la figura y el mito de Medea en las literaturas clásicas, y también en las modernas (con un énfasis especial en la española del Siglo de Oro), recopilados y editados por Aurora López y Andrés Pociña, catedráticos ambos de Literatura latina en la Universidad de Granada. Aunque el aspecto descriptivo predomina a lo largo del artículo, el autor de este articulo no ha renunciado a ofrecer una valoración personal de muchos trabajos. El volumen en cuestión es de una variedad extraordinaria; pero, según el presente comentarista, su hilo conductor hay que buscarlo en determinados rasgos de la Medea senequiana, mucho más que en su modelo euripideo. La obra maestra del griego nos resulta más compleja, pero quizás más lejana también. En cambio, Séneca es rico en virtualidades que todavía no han sido plenamente explotadas.

Imaginería del color en Petronio : De la Myrtea Gausapa (21-2) al Myrthus Florens (131.9)

El uso de imágenes ubica al Satiricón de Petronio como una obra de intersección (canón, cardo) entre la literatura antigua precedente griega y latina, y las composiciones posteriores de gran importancia en el surgimiento de la ficción en prosa moderna en el Renacimiento. Las imágenes visuales y de color en Petronio contribuyen notablemente a esa configuración, mientras que un estudio del léxico correspondiente, a partir en especial de las ediciones humanísticas de la obra, pueden sin duda arrojar luz sobre aspectos textuales aún no resueltos en esa obra maestra de la literatura latina

Medea(s)

Se trata de un 'Artículo-Recensión' sobre una extensísima Antología de trabajos acerca de la figura y el mito de Medea en las literaturas clásicas, y también en las modernas (con un énfasis especial en la española del Siglo de Oro), recopilados y editados por Aurora López y Andrés Pociña, catedráticos ambos de Literatura latina en la Universidad de Granada. Aunque el aspecto descriptivo predomina a lo largo del artículo, el autor de este articulo no ha renunciado a ofrecer una valoración personal de muchos trabajos. El volumen en cuestión es de una variedad extraordinaria; pero, según el presente comentarista, su hilo conductor hay que buscarlo en determinados rasgos de la Medea senequiana, mucho más que en su modelo euripideo. La obra maestra del griego nos resulta más compleja, pero quizás más lejana también. En cambio, Séneca es rico en virtualidades que todavía no han sido plenamente explotadas.

Imaginería del color en Petronio : De la Myrtea Gausapa (21-2) al Myrthus Florens (131.9)

El uso de imágenes ubica al Satiricón de Petronio como una obra de intersección (canón, cardo) entre la literatura antigua precedente griega y latina, y las composiciones posteriores de gran importancia en el surgimiento de la ficción en prosa moderna en el Renacimiento. Las imágenes visuales y de color en Petronio contribuyen notablemente a esa configuración, mientras que un estudio del léxico correspondiente, a partir en especial de las ediciones humanísticas de la obra, pueden sin duda arrojar luz sobre aspectos textuales aún no resueltos en esa obra maestra de la literatura latina

Isotopic composition of modern ice wedges and winter precipitation in the Laptev Sea region (Table 2)

The first step for the application of stable isotope analyses of ice wedges for the correct paleoclimatic reconstruction supposes the study of the isotopic composition of modern ice wedges and their relationship with the isotopic composition of modern precipitation. The purpose of this research is to present, to analyze and to discuss new data on isotopic composition (d18O, dD, 3H) of modern ice wedges obtained in the Laptev Sea region in 1998-99. Investigations were carried out at two sites: on Bykovsky Peninsula in 1998 and on Bol'shoy Lyakhovsky Island in 1999 and were based on the combined application of both tritium CH) and stable isotope (d18O, dD) analyses. Tritium analyses of the atmospheric precipitation collected during two field seasons show seasonal variations: high tritium concentration in snow (to a maximum of 207 TU) and low values of tritium concentration (<20 TU) in rain. High tritium concentrations are also observed in the surface water, in suprapermafrost ground waters, and in the upper part of permafrost. High tritium concentrations range between 30-40 TU and 750 TU in the studied modern ice wedges (active ice wedges), which let us believe that they are of modern growth. Such high tritium concentrations in ice wedges can not be associated with old thermonuclear tritium because of the radioactive decay. High tritium concentrations found in the snow cover in 1998/99, in the active layer and in the upper part of permafrost give evidence of modern (probably the last decade) technogenic tritium arrival from the atmosphere on to the Earth surface in the region. The comparison of the isotopic composition (d18O, dD and d-excess) of active ice wedges and modern winter precipitation in both sites shows: 1) the isotopic composition of snow correlates linearly with a slope close to 8.0 and parallel to the GMWL at both sites; 2) the mean isotopic composition of active ice wedges on Bykovsky Peninsula is in good agreement with the mean isotopic composition of modern snow; 3) the isotopic composition of active ice wedges and snow on Bol'shoy Lyakhovsky Island are considerably different. There are low values of d-excess in all studied active ice wedges (mean value is about 4.8 per mil), while in snow, the mean value of d-excess is about 9.5 per mil. Possible reasons for this gap are the following: 1) the modification of the isotopic composition in snow during the spring period; 2) changes in the isotopic composition of ice wedges due to the process of ice sublimation in open frost cracks during the cold period; 3) mixing of snowmelt water with different types of surface water during the spring period; 4) different moisture source regions.

A New Method to Retrieve, Cluster And Annotate Clinical Literature Related To Electronic Health Records

The access to medical literature collections such as PubMed, MedScape or Cochrane has been increased notably in the last years by the web-based tools that provide instant access to the information. However, more sophisticated methodologies are needed to exploit efficiently all that information. The lack of advanced search methods in clinical domain produce that even using well-defined questions for a particular disease, clinicians receive too many results. Since no information analysis is applied afterwards, some relevant results which are not presented in the top of the resultant collection could be ignored by the expert causing an important loose of information. In this work we present a new method to improve scientific article search using patient information for query generation. Using federated search strategy, it is able to simultaneously search in different resources and present a unique relevant literature collection. And applying NLP techniques it presents semantically similar publications together, facilitating the identification of relevant information to clinicians. This method aims to be the foundation of a collaborative environment for sharing clinical knowledge related to patients and scientific publications.

“O CRISTO AFOGADO: UMA NÃO-CRISTOLOGIA” RELIGIÃO, LITERATURA E PÓS-COLONIALISMO

O objetivo dessa tese é aprofundar, a partir do discurso pós-colonial, uma crise na perspectiva teológica da libertação. Esta promoveu, na década de 1970, uma reviravolta nos estudos teológicos no terceiro mundo. Para tanto, leremos um conto de Gabriel García Márquez chamado “El ahogado más hermosodel mundo” (1968) analizando e avaliando as estratégias políticas e culturais ali inscritas. Para levar a frente tal avaliação é preciso ampliar o escopo de uma visão que divide o mundo em secular/religioso, ou em ideias/práticas religiosas e não religiosas, para dar passo a uma visão unificada que compreende a mundanalidade, tanto do que é catalogado como ‘religioso’ quanto do que se pretende ‘não religioso’. A teologia/ciências da religião, como discurso científico sobre a economia das trocas que lidam com visões, compreensões e práticas de mundo marcadas pelo reconhecimento do mistério que lhes é inerente, possuem um papel fundamental na compreensão, explicitação, articulação e disponibilização de tais forças culturais. A percepção de existirem elementos no conto que se relacionam com os símbolos sobre Jesus/Cristo nos ofereceu um vetor de análise; entretanto, não nos deixamos limitar pelos grilhões disciplinares que essa simbologia implica. Ao mesmo tempo, esse vínculo, compreendido desde a relação imperial/colonial inerente aos discursos e imagens sobre Jesus-Cristo, embora sem centralizar a análise, não poderia ficar intocado. Partimos para a construção de uma estrutura teórica que explicitasse os valores, gestos, e horizontes mundanos do conto, cristológicos e não-cristológicos, contribuindo assim para uma desestabilização dos quadros tradicionais a partir dos quais se concebem a teologia e as ciências da religião, a obra de García Márquez como literatura, e a geografia imperial/colonial que postula o realismo ficcional de territórios como “América Latina”. Abrimos, assim, um espaço de significação que lê o conto como uma “não-cristologia”, deslocando o aprisionamento disciplinar e classificatório dos elementos envolvidos na análise. O discurso crítico de Edward Said, Homi Bhabha e GayatriSpivak soma-se à prática teórica de teólogas críticas feministas da Ásia, da África e da América Latina para formular o cenário político emancipatório que denominaremos teologia crítica secular.

Benefits of the ISO 9001 and ISO 14001 standards: a literature review

Purpose: The purpose of this paper is to determine the similarities and differences between the benefits derived from implementing the ISO 9001 and the ISO 14001 standards. Methodology/Approach: The paper reviews the literature using an electronic search in the ScienceDirect, ABI/Inform, Emerald databases to identify papers focusing on the adoption of the ISO 9001 and 14001 standards and the benefits derived from implementing them. Findings: The paper identifies 82 articles about ISO 9001 and 29 about ISO 14001. Although some differences can be observed between the benefits considered by ISO 9001 and 14001, there is a great degree of coincidence in the benefits studied. The review suggests 13 benefits as the most usually analyzed (including environmental performance for the case of the ISO 14001 standard) by scholars. It is suggested that both standards have clear benefits on operational, people and customer results and that the effects on financial performance are inconclusive. Limitations/implications: One limitation of this paper is that the works identified are conditioned by the search strategy used. In addition, other key words could be included in future studies such as operational, market, quality, financial performance, and customer satisfaction in order to expand this search. Originality/Value: The main contribution is that the paper identifies the literature gap and future research proposals with regard to the benefits of the ISO 9001 and ISO 14001 standards.

Research and teaching the European Union in Latin America. Jean Monnet/Robert Schuman Paper Series Special, December 2012

NOTE: there is an appendix to this document on the Archive at ei.pitt.edu/29784/ From the Introduction. The tasks of research, teaching and public opinion outreach activities on the European Union in the Latin American subcontinent2 are propelled by two principal motivations. In the first place, interest on the EU originates from the historical proximity between Europe and Latin America. There are no other two regions in the world with a deeper mutual affinity than the one existing between Europe and the conglomerate composed by Latin America and the Caribbean. Only the intimate relationship forged by the United States with the Europe continent is perhaps stronger, and even more special with the United Kingdom.

Latin America timber trends and prospects [by] Economic Commission for Latin America [and] Food and Agriculture Organization of the United Nations.

"Errata": 1 leaf inserted.

Texts and studies in Jewish history and literature,

Errata slip inserted between p. [vii] and viii of v. 1 and p. [iv] and v of v. 2.