Creencias y expectativas respecto de la consulta médica: Un análisis de diferencias culturales

Resumen

Se compararon 102 mujeres del área metropolitana de los Angeles divididas en tres grupos según su grado de aculturación (mejico-americanas vs. anglo-americanas). Las variables consideradas se refirieron a las expectativas respecto al médico en contextos terapéuticos. Se consideraron las puntuaciones de tres medidas: La puntuación total en expectativas respecto del médico, las puntuaciones respecto a las expectativas referentes al comportamiento afectivo del médico y las puntuaciones respecto a las expectativas de tratamiento concreto. Los análisis de los resultados y el control de diversas variables tales como edad, gravedad de la enfermedad, etc., muestran la ausencia de diferencias interculturales en lo que las mujeres de la muestra esperan del médico. Si estos resultados se confirman obligarían a identificar más claramente cuándo son importantes las diferencias de aculturación y cuándo no lo son.     

Impact of Combat on the Mental Health and Well‐Being of Soldiers and Marines

This presentation introduces a summary of leading edge research and recommendations for a number of changes regarding mental health needs and services for Veterans. Those Veterans who experienced combat exposure and those who have perceived their leadership negatively have greater risks for developing subsequent PTSD. Research data provide support for the use of Battlemind Training as a useful approach to prevent mental health issues at all phases of the deployment cycle. The author also challenges the current use of DSM–IVTR diagnoses with combat Veterans.     

Incidence, Depth and Severity of Children in Poverty

Recently, the first ever estimate of the number of children living poverty in developing countries was undertaken. The incidence of child poverty was estimated by establishing how many children suffer severe deprivation in at least one out of seven indicators which are internationally recognized as their rights as well as constitutive of poverty. This is a major step forward in the analysis of poverty. In this paper, we generalize these findings on the incidence of children living in poverty by exploring how to estimate the depth and severity of child poverty. Two countries can have the same proportion of children living in poverty, however, the actual plight of children could be very different depending on how many deprivations, on average, children suffer. In addition, even if they suffer from the same average number of deprivations, these deprivation could be the same for all children or be very unevenly distributed. We show how these considerations can be used to estimate the depth and severity of poverty. We use regional data to provide applied examples of this methodology. The method proposed in this paper is similar to the one used to estimate the incidence, depth and severity of income poverty. The paper also offers some possible generalizations and ways forward for future research.     

Modeling rare events through a pRARMAX process

7 and 8 introduce a power max-autoregressive process, in short pARMAX, as an alternative to heavy tailed ARMA when modeling rare events. In this paper, an extension of pARMAX is considered, by including a random component which makes the model more applicable to real data. We will see conditions under which this new model, here denoted as pRARMAX, has unique stationary distribution and we analyze its extremal behavior. Based on Bortot and Tawn (1998), we derive a threshold-dependent extremal index which is a functional of the coefficient of tail dependence of 14 and 15 which in turn relates with the pRARMAX parameter. In order to fit a pRARMAX model to an observed data series, we present a methodology based on minimizing the Bayes risk in classification theory and analyze this procedure through a simulation study. We illustrate with an application to financial data.     

Bayesian design in queues: An application to aeronautic maintenance

We exploit Bayesian criteria for designing M/M/c//r$M/M/c//r$ queueing systems with spares. For illustration of our approach we use a real problem from aeronautic maintenance, where the numbers of repair crews and spare planes must be sufficiently large to meet the necessary operational capacity. Bayesian guarantees for this to happen can be given using predictive or posterior distributions.     

Portions of paradise: aromatic landscapes in Chilean urban gardens (1671–1897)

ABSTRACT

The present essay identifies the smellscapes of colonial and early Republican Chile through the reconstruction of botanical aromas in private urban gardens. Using archival documents in the Chilean National Archives, the Franciscan Archives of Chile, the Judicial Archives of San Juan Province and the Historical Archives of Mendoza we identify the botanical contents of enclosed gardens and orchards in upper-class homes. In contrast to previous studies that have linked the bad odors of early modern Latin America to infirmity and poverty, our purpose is to consider the place of pleasant aromas as part of a garden typology in which the garden is a reconstruction of paradise. Through our analysis of inventories and appraisals we identify continuities in botanical contents and structure between private Chilean gardens and prototypes in Moorish Spain. Our data confirms that the aromas of roses, jasmine, and citrus were a feature of the elite Chilean garden alongside native plants, and the resulting pleasant sensorial experiences imparted a paradisiacal ideal adapted from Moorish-Spanish antecedents. Ultimately, we interpret the fragrances of such private gardens as performances of power that gave presence to the hidden sites where elite Chilean networks were forged, and thus served as ephemeral signals of social exclusivity.     

Delayed childbearing in contemporary Spain: trends and differentials

During the last decade, family formation patterns in Spain have undergone a process of substantial transformation. Younger cohorts are increasingly postponing marriage and, once they enter marriage, they tend to delay childbearing. Partly as a result of these timing shifts, period measures such as total fertility rates are likely to underestimate true fertility levels. This study focuses on the first stage of family formation: the transition to motherhood. Following a birth interval approach, the analysis depicts recent trends and differentials in the timing of first birth and explores the role of premarital pregnancies and contraceptive practice on first interval dynamics.Durant la dernière décennie en Espagne, les types de constitution de la famille ont connu de substantielles transformations. Les plus jeunes cohortes prolongent leur célibat et, une fois mariées, tendent à retarder leurs naissances. En partie comme un effet de ces changements temporels, les mesures transversales, telles que la fécondité cumulée, sous-estiment vraisemblablement les vrais niveaux de la fécondité. Cette étude concentre son attention sur la prémière étape de la formation des familles: la transition vers la maternité. En utilisant une approche longitudinale, on analyse les tendances et les différences dans le calendrier de la première naissance et l'on explore le rôle des grossesses prémaritales et des pratiques contraceptives sur la dynamique de l'intervalle entre mariage et première naissance.

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The views expressed in this article are those of the author and do not necessarily represent those of the United Nations.     

The Need to Establish the Organisation for the Prohibition of Biological Weapons: A Proposal for the Future

Biological weapons are considered, by the international community, as a weapon of mass destruction. When the Biological Weapons Convention (BWC) was negotiated during the 1960s and early 1970s, the negotiators considered unnecessary the establishment of an international organisation to supervise the implementation of the Convention’s provisions by the State parties. It is important to highlight that since the entry into force of the BWC, the international situation has significantly changed. For this reason perhaps the moment has arrived to consider again the proposal of settling down such an organisation in the framework of the strengthening the BWC.     

Technology selection in the absence of standardised materials and processes: a survey in the UK composite materials supply chain

Composite materials is an industry where technology selection has major consequences as there is not a standard manufacturing process, nor are there standardised materials with defined or proscribed properties for companies to select as multiple solutions are technically viable. This research aims to identify key factors for manufacturing technology selection in the UK composite materials supply chain. Literature review and managers’ opinions were used to identify 18 factors affecting manufacturing technology selection. This was followed by a survey comprising the multi-tier supply chain of the composite materials industry. The results of the survey show ‘on time deliveries/service level to customers’, ‘improve quality’ and ‘reduce cycle time’ received the highest average ratings. In this study a correlation analysis was performed to identify the underlying dependencies between the factors investigated. The identification and use of underlying dependencies rather than highest average provided a more comprehensive picture of the factors that affect technology selection in the composite materials industry. For this study, experts in composite materials were asked to comment on the findings of the survey and their value to the industry. The results presented may assist companies in the composite materials industry with technology selection decision-making processes.