"The book details new rubrics to identify the process of growth and its evolution, new tools to monitor and gauge them, and new methods to synthesize them into a professional praxis that will be sutainable for the long term. Ortiz demonstrates how metropolises can be organized for a future that preserves the historic nucleus of the city and the environment, while providing for the necessary sustainable expansion of transportation, housing, and social and productive facilities."--
Occupying a vital position in the wide spectrum of state policy making in the Philippines is the issue of the American military facilities. Negotiations between the representatives of the USA and the Philippines on the current and future conditions surrounding the existence of the military bases have been thorny. The author attempts to explain the policy-making process in the Philippines in terms of internal and external factors affecting the state in coming up with "rational decisions" on the issue area of the U.S. military bases. (DÜI-Sen)
Two main challenges influence the design of regional policies carried out by European, National and Regional policy makers. The first is the shift towards a knowledge-based economy, where enterprise competitiveness is increasingly linked to intangible assets. The second is the enlargement of the European Union that means important changes in the European Union marketplace and the possibilities of intervention in some less favoured regions. Until today, Regional Policy in many European Union countries has principally been founded on incentives for the creation of employment and investment in tangible assets. In this context, Spanish Regional Policy has been formulated, on the one hand, to achieve decentralisation of the entities responsible for its promotion and, on the other, to foster co-ordination and integration of Community, National and Autonomous Region interventions. Moreover, the design of this policy has taken into consideration the classical conflict between equity and efficiency. The objective of this paper is to assess the results and the gradual changes in regional incentive policy applied in Spain over the last 15 years and to identify the elements in which public intervention could be improved in order to adapt this policy to the demands laid out within the new environment previously defined. This assessment includes: firstly, a brief analysis of the evolution of public intervention; secondly, a study of the spatial distribution of the incentives over the period considered; and thirdly, a comparison of the economic performance of the different areas depending on the awards received. The analysis of this policy is based on a database comprising over 16 000 items referring to award decisions to applications for Regional Investment Grants (Law 50/1985 of 22 December 1985) gathered from the Official State Bulletin (Boletín Oficial del Estado, BOE) during the period 1988-2003. KEY WORDS: Spain, Regional policy, Regional incentive, Employment, Investment, Policy assessment
AbstractDo attitudes toward and perceptions of infidelity depend on perceived relationship quality? A prediction was made that there should be a positive correlation between perceived relationship quality and negative attitudes and perceptions of infidelity, and that these correlations should be stronger for males than for females. These predictions were confirmed. More specifically, strongly negative evaluations of infidelity were reported by females regardless of relationship quality, and for males with high relationship quality. Negative attitudes toward infidelity increased for both males and females in high‐quality committed relationships, but males who reported lower relationship quality had the most favorable attitudes toward infidelity. These results are consistent with an evolutionary rationale, which suggests that males' attitudes and perceptions of infidelity depend on their perceived risk of cuckoldry.
OBJETIVO: Analisar o efeito do processo de estigmatização e discriminação no ambiente de trabalho sobre os cuidados cotidianos à saúde e o bem-estar de homens vivendo com HIV/Aids. MÉTODOS: Estudo qualitativo com 17 homens vivendo com HIV, realizado em 2002. Foram estudados os depoimentos em grupo para discutir as dificuldades sobre discriminação no ambiente de trabalho, utilizando análise das práticas discursivas. O grupo, proveniente de centro especializado em HIV/Aids da cidade de São Paulo, representou segmento de pesquisa anterior. RESULTADOS: O debate entre os participantes indicou que o tratamento anti-retroviral exige idas freqüentes aos serviços de assistência médica, que implicam em faltas ou atrasos no trabalho. A apresentação de atestados médicos para justificar ausência no trabalho, mesmo sem indicar Aids, pode resultar em demissão. Desempregados, muitos são barrados nos exames médicos e têm o direito ao sigilo de sua condição violado. Como último recurso, o pedido de aposentadoria implica em cenas de humilhação ou discriminação na perícia médica. CONCLUSÕES: A assistência planejada com o envolvimento dos pacientes consegue ampliar a atenção psicossocial e considerar as necessidades do paciente trabalhador ou desempregado, reconhecendo que o estigma limita o cuidado, afetando a saúde mental e a evolução da infecção. Mitigar o efeito do estigma e da discriminação requer articulação política intersetorial e contribuirá para atingir metas globalmente reconhecidas como fundamentais para o controle da epidemia. ; OBJECTIVE: To analyze the effect of the stigmatization and discrimination process in the work environment on the routine healthcare and well-being of men living with HIV/AIDS. METHODS: Qualitative study with 17 men living with HIV, conducted in 2002. Testimonies given in a group to discuss the difficulties concerning discrimination in the work environment were studied, by means of discursive practice analysis. The group, originating from a specialized center for HIV/AIDS treatment in the city of São Paulo, represented a segment of previous research. RESULTS: The discussion among participants pointed out the fact that antiretroviral treatment requires frequent visits to medical assistance services, resulting in absences and delays at work. To show medical certificates to justify absences at work, even without indicating AIDS, can lead to dismissal. Unemployed, many are barred during medical examinations and have their right to confidentiality violated. As a last resource, the request for retirement results in a humiliating or discriminatory scene during the medical inspection. CONCLUSIONS: Assistance planned with the patients' participation enables the broadening of psychosocial attention and the consideration of the needs of both employed and unemployed patients, acknowledging that the stigma limits care, affecting mental health and the evolution of infection. To reduce the effect of stigma and discrimination is something that requires intersectoral political articulation and will contribute to reach goals that are globally recognized as fundamental to control the epidemic.
Tuberculosis (TB) is one of the top 10 causes of death worldwide. Multidrug-resistant tuberculosis (MDR-TB) occurs when at the minimum there is resistance to isoniazid and rifampin. Prevention of new infections of Mycobacterium tuberculosis and progression to TB disease is critical to reduce the burden and mortality of this disease. We present the case of a 73-year-old human immunodeficiency virus (HIV)-negative female who presented with cervical lymphadenopathy and who was diagnosed with MDR-TB. LEARNING POINTS: Tuberculosis is one of the most important causes of morbidity and mortality worldwide and approximately a quarter of the world's population is estimated to be latently infected by Mycobacterium tuberculosis.Multidrug-resistant tuberculosis lymphadenitis is a rare manifestation of the disease in Portugal.With the advent of multidrug-resistant tuberculosis, disease surveillance by the government should be intensified, with the aim of national and global TB control, focusing on prevention. ; info:eu-repo/semantics/publishedVersion
