Submitted by Noeme Timbo (noeme.timbo@metodista.br) on 2017-05-30T16:58:57Z No. of bitstreams: 1 FernandRM.pdf: 1137422 bytes, checksum: 38f2c80a16247223b7be04502a17b2cc (MD5) / Made available in DSpace on 2017-05-30T16:58:57Z (GMT). No. of bitstreams: 1 FernandRM.pdf: 1137422 bytes, checksum: 38f2c80a16247223b7be04502a17b2cc (MD5) Previous issue date: 2017-03-21 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Organizational learning studies aim to describe and analyze forms and reasons of knowledge creation, development and using in companies, and how these processes help an organization to generate value and competitiveness in their markets. Emphasis was given to organizational learning practices in order to determine initiatives made by companies to generate an learning favorable ambience, while knowledge management practices acts to support and complement organizational learning practices, since they’re related to activities developed in consulting companies, who were focus of this study and composed the cases here described. Discussion contained in this dissertation taken as basis an qualitative and interview-based approach, using content analysis and document analysis, with two cases analyzed individually and in a cross-sectional way, and was conducted between November 2016 and January 2017 in two big consulting companies, based in São Paulo city. When comparing perceptions and statements to the companies’ public documents and to literature-based references, it concludes that the identified practices aim to give workers a set of capabilities suited to their acting in organizations, using previous experiences, best practices mapping and knowledge transferring. Clients’ diversity of profiles and acting areas demand from studied organizations a workforce who simultaneously shows certain quality standards and singularities that gives advantages to these consulting companies and, consequently, to their clients. / O estudo da aprendizagem organizacional visa descrever e analisar as formas e motivos pelos quais ocorre a geração, aprimoramento e utilização do conhecimento dentro das empresas, e como tais processos as ajudam a gerar valor e competitividade em seus mercados de atuação. Foram enfatizadas práticas de aprendizagem organizacional, para determinar as iniciativas adotadas pelas organizações na geração de ambiência propícia ao aprendizado, enquanto as práticas de gestão do conhecimento suportam e complementam aquelas de aprendizagem organizacional, por estarem relacionadas à atividade das empresas de consultoria, alvo deste estudo e que compuseram os casos descritos neste artigo. A discussão realizada utilizou uma abordagem qualitativa baseada em entrevistas, análise de conteúdo e análise documental, com dois casos analisados individualmente e de forma cruzada, sendo realizada entre novembro de 2016 e janeiro de 2017 em duas organizações de consultoria de grande porte, localizadas na cidade de São Paulo. Ao comparar percepções e depoimentos colhidos com documentos públicos das organizações estudadas e referências constantes na literatura, concluiu-se que as práticas identificadas buscam proporcionar aos colaboradores um conjunto de capacidades adequado à atuação destes nas empresas, com aproveitamento de experiências anteriores, mapeamento de melhores práticas e transferência de conhecimentos. Os múltiplos perfis de clientes e suas áreas de atuação exigem das organizações estudadas um quadro funcional que apresente simultaneamente perfis padronizados de conhecimentos por cargo ou nível hierárquico, e especialistas em determinadas vertentes do conhecimento, para atingir padrões de qualidade e singularidade e oferecer um diferencial a estas organizações de consultoria e, consequentemente, seus clientes.

Over the past two decades, India has become an international hub of cross-border surrogacy. The extreme economic and cultural differences between international couples seeking surrogacy and the surrogates themselves, clinics compromising health of surrogates for profit, the stigmatisation of surrogacy in India, and the constant surveillance of these women living in a ‘surrogate house’, have raised concerns regarding the potentially negative psychological impact of surrogacy on Indian surrogates. The primary aims of the thesis were (i) to conduct a longitudinal assessment of surrogates’ psychological problems (anxiety, depression and stress) from pregnancy until several months after relinquishing the baby to the intended parents, (ii) to examine the nature of the bond formed between surrogates and the unborn baby and establish whether this prenatal bond contributes to their psychological problems, and (iii) to explore the experiences of surrogates during and post-surrogacy. Fifty surrogates were compared with a matched group of 69 expectant mothers during pregnancy. Of these, 45 surrogates and 49 compairson group of mothers were followed up 4-6 months after the birth. All surrogates were hosting pregnancies for international intended parents and had at least one child of their own. Data were obtained using standardised questionnaires and in-depth interviews and were analysed using quantitative and qualitative methods. Indian surrogates were found to be more depressed than the comparison group of mothers, both during pregnancy and after the birth. However, giving up the newborn did not appear to add to surrogates’ levels of depression. There were no differences between the surrogates and the expectant mothers in anxiety or stress during either phase of the study. The examination of risk factors for psychological problems among the surrogates showed that anticipation of stigma, experiences of social humiliation and receiving insufficient support during pregnancy were associated with higher levels of depression following the birth. With respect to bonding with the unborn child, surrogates experienced lower levels of emotional bonding (e.g. they interacted less, and wondered less about, the foetus), but exhibited higher levels of instrumental bonding (e.g. they adopted better eating habits and avoided unhealthy practices during pregnancy), than women who were carrying their own babies. Contrary to concerns, greater bonding with the unborn child was not associated with increased psychological problems post-relinquishment. All surrogates were able to give up the child. Meeting the intended parents after the birth positively contributed towards surrogates’ satisfaction with relinquishment whereas meeting the baby did not. The qualitative findings on surrogates’ experiences showed that the majority lacked basic medical information regarding surrogacy pregnancy; hid surrogacy from most people; felt positive and supported at the surrogate house; lived in uncertainty regarding whether or not they would be allowed to meet the intended parents and the baby; and did not actually get to meet them. These findings have important implications for policy and practice on surrogacy in the Global South.

Abstract Cardiovascular diseases are the leading cause of death worldwide and type 2 diabetes is reaching a global epidemic. Epidemiological studies have identified numerous risk factors and pharmacotherapies in relation to these cardiometabolic diseases. However, the detailed molecular mechanisms of these risk factors and drug therapies generally remain incompletely understood. Elucidating the underlying molecular effects would be essential for better understanding of the disease pathogenesis and also for discovering new therapeutic targets. Quantitative serum metabolomics, which allows for simultaneous quantification of multiple circulating metabolic measures, provides a hypothesis-free approach to systematically inspect the metabolic changes in response to endogenous and exogenous stimuli. Metabolomics thus presents a valuable tool to study the detailed molecular effects of disease risk factors and drug therapies. However, current metabolomics studies are mostly conducted in small cross-sectional studies and the causal relations of the risk factors on the metabolic measures are generally unclear, providing limited public health impact. The present thesis serves as a proof-of-concept to illustrate that well-designed observational studies can be used to infer causality. With the exemplars of assessing molecular effects of two risk factors (body mass index and sex hormone-binding globulin) and two drug therapies (statins and oral contraceptives), the thesis demonstrates that an improved causal inference can be achieved in observational studies via the combination of multiple study designs, including cross-sectional, longitudinal and Mendelian randomization analysis. This robust study design approach together with metabolomics data can be also extended to study the molecular effects of other risk factors and drug therapies. With an improved molecular understanding of a wide range of risk factors and therapies, better understanding of disease pathogenesis is ensured. / Tiivistelmä Sydän- ja verisuonitaudit ovat johtava kuolinsyy maailmassa ja tyypin 2 diabetes on saavuttamassa globaalin epidemian mittasuhteet. Epidemiologiset tutkimukset ovat löytäneet useita riskitekijöitä ja lääkehoitoja edellä mainituille yleisille taudeille. Tyypin 2 diabetekseen ja sydän- ja verisuonitauteihin liittyvät yksityiskohtaiset molekylaariset mekanismit ymmärretään kuitenkin puutteellisesti. Molekylaaristen yksityiskohtien tarkempi ymmärtäminen olisi siten erittäin merkittävää sekä tautiprosessien ymmärtämiseksi että lääkehoitojen kehittämiseksi. Seerumin kvantitatiivinen metabolomiikka mahdollistaa useiden metabolisten suureiden samanaikaisen määrittämisen verenkierrosta ja tarjoaa siten hypoteesittoman lähestymistavan sekä sisäisten että ulkoisten ärsykkeiden aiheuttamien metabolisten muutosten systemaattiseen tutkimukseen. Metabolomiikka on siten arvokas työkalu yksityiskohtaisten molekylaaristen mekanismien tutkimuksessa, olipa kyseessä taudin riskitekijät tai lääkehoito. Metabolomiikkatutkimuksia on kuitenkin pääasiassa tehty pienissä poikittaistutkimuksissa ja riskitekijöihin liittyvien metabolisten suureiden syy- ja seuraussuhteet ovat yleisesti epäselviä, josta johtuen metabolisten suureiden kansanterveydellinen sovellettavuus on ollut heikkoa. Tämä väitöskirja esittelee tutkimuskonseptin hyvin suunniteltujen havaintotutkimuksien soveltamiseksi syy- ja seuraussuhteiden arvioinnissa. Työ sisältää esimerkit kahden riskitekijän (painoindeksi ja sukupuolihormoneja sitova globuliini) ja kahden lääkehoidon (statiinit ja ehkäisypillerit) molekylaaristen vaikutusten kausaalisista tutkimuksista. Tulokset havainnollistavat, että kausaalisten johtopäätösten luotettavuutta voidaan parantaa yhdistämällä useita tutkimusasetelmia, kuten poikittais- ja pitkittäistutkimuksia sekä Mendelististä satunnaistamista. Esitettyjä luotettavia tutkimusasetelmia, yhdessä metabolomiikkadatan kanssa, voidaan laajentaa muiden riskitekijöiden ja lääkehoitojen molekylaaristen vaikutusten tutkimuksiin. Parantunut molekyylitason ymmärrys useista riskitekijöistä ja lääkehoidoista johtaa myös parempaan tautiprosessien ymmärtämiseen.

<p>  </p> <p>My dissertation is composed of three independent chapters in the field of labor economics and international trade. </p> <p><br></p> <p>The first chapter studies marriage market signaling and women’s occupation choice. Despite the general closure of gender disparities in the labor market over the past half century, occupational segregation has been stubbornly persistent. I develop a new model that explains these occupational outcomes through marriage market signaling. Vertically differentiated men have preference over women’s unobservable caregiving ability. Heterogenous women choose caregiving occupations to signal their ability to be caregivers. My model generates unique predictions on the influence of marriage market conditions on women’s occupational choices. I find empirical support for these predictions using longitudinal data on marriage rates, policy shocks to divorce laws, and shocks to the marriage market sex ratio driven by waves of immigration. </p> <p><br></p> <p>The second chapter investigates Covid19 and consumer animus towards Chinese products. Covid19 has tremendously affected all areas of our lives and our online shopping behaviors have not been immune. China is the first country to report cases of Covid19 and suffers from rising animus in the U.S. In this paper, we study consumer animus towards Chinese products post Covid19 using Amazon data. We tracked all face masks sold on Amazon between Sep. 2019 to Sep. 2020, and collect product information that is available to a real consumer, including reviews. By analyzing both seller-generated (e.g., product name, description, features) and user-generated (e.g., reviews and customer Q&A) content, we collect information on the country-of-origin as well as consumer animus for the products. Under a fully-dynamic event study design, we find that the average rating drops significantly after a product is identified as made in China for the first time, while no such drop is found for products with other countries-of-origin. This negative impact is U-shaped, which quickly expands in the first five weeks, and then gradually fades out within six months. An informative-animus review affects the average rating of a Chinese product both directly (through its own rating) and indirectly (through other future ratings), with both mechanisms supported in data. We also provide strong evidence that the drop in average rating is driven by consumer animus instead of product quality. </p> <p><br></p> <p>The third chapter explores how cultural transmission through international trade affects gender discrimination. In this paper, I propose that international trade helps alleviate gender discrimination. With imperfect information on workers’ ability, there is statistical discrimination towards female workers. Through international trade, culture transmits asymmetrically between firms located in countries with different gender cultures. This cultural transmission benefits women because it transmits only in one direction from more gender-equal cultures to less gender-equal cultures. I prove this by linking the Customs data to the Industrial Firms data of China in 2004, and find that Chinese firms trading with more gender-equal cultures hire a higher fraction of female workers and enjoy higher profits. Similar patterns are not found in Chinese firms trading with less gender-equal cultures. The impact of cultural transmission goes beyond the firms engaged in international trade to have spillover effects onto purely domestic firms. Comparing across skill groups, cultural transmission benefits high-skill female workers more.</p>

<p>Platforms are now everywhere in our society. Some platforms share real-time information such that people can refer to many aspects, i.e., transportation, weather, news, etc. For example, online learning platforms can play a significant role in accelerating learning through things like providing more real-time feedback loops. Due to the recent innovation in mobile devices as well as faster networks, live streaming platforms become a new trend. Several usages of live streaming platforms are gaming experience sharing such as Twitch, or shopping experience like Amazon Live. My dissertation studies the strategic designs of different online platforms, especially how information affects users’ strategic behaviors and how it creates<br> different market outcomes.</p>

Mechanics of structure genome (MSG) is a unified homogenization theory that provides constitutive modeling of three-dimensional (3D) continua, beams and plates. In present work, the author extends the MSG to study the buckling of structures such as stiffened and sandwich panels. Such structures are usually slender or flat and easily buckle under compressive loads or bending moments which may result in catastrophic failure.<div><br><div>Buckling studies of stiffened and sandwich panels are found to be scattered. Most of the existed theories employ unnecessary assumptions or only apply to certain types of structures. There are few unified approaches that are capable of studying the buckling of different kinds of structures altogether. The main improvements of current approach compared with other methods in the literature are avoiding unnecessary assumptions, the capability of predicting all possible buckling modes including the global and local buckling modes, and the potential in studying the buckling of various types of structures.<br></div><div><br></div><div>For global buckling that features small local rotations, MSG mathematically decouples the 3D geometrical nonlinear problem into a linear constitutive modeling using structure genome (SG) and a geometrical nonlinear problem defined in a macroscopic structure. As a result, the original structures are simplified as macroscopic structures such as beams, plates or continua with effective properties, and the global buckling modes are predicted on macroscopic structures. For local buckling that features finite local rotations, Green strain is introduced into the MSG theory to achieve geometrically nonlinear constitutive modeling. Newton’s method is used to solve the nonlinear equilibrium equations for fluctuating functions. To find the bifurcated fluctuating functions, the fluctuating functions are then perturbed under the Bloch-periodic boundary conditions. The bifurcation is found when the tangent stiffness associated with the perturbed fluctuating functions becomes singular. Moreover, the arc-length method is introduced to solve the nonlinear equilibrium equations for post-local-buckling predictions because of its robustness. The imperfection is included in the form of geometrical imperfection by superimposing the scaled buckling modes in linear perturbation analysis on mesh.<br></div><div><br></div><div>Extensive validation case studies are carried out to assess the accuracy of the MSG theory in global buckling analysis and post-global-buckling analysis, and assess the accuracy of the extended MSG theory in local buckling and post-local-buckling analysis. Results using MSG theory and extended MSG theory in buckling analysis are compared with direct numerical solutions such as 3D FEA results and results in literature. Parametric studies are performed to reveal the relative influence of selective geometric parameters on buckling behaviors. The extended MSG theory is also compared with representative volume element (RVE) analysis with Bloch-periodic boundary conditions using commercial finite element packages such as Abaqus to assess the efficiency and accuracy of the present approach.<br></div></div>

Introdução: Os transtornos mentais que ocorrem na comunidade e em culturas diversas são temas de grande interesse frente às constantes transformações sociais no mundo. A mudança do foco de pesquisa para os transtornos freqüentes na comunidade possibilitou aperfeiçoamentos metodológicos e desenvolvimento de instrumentos sensíveis para a sua detecção. A inclusão da variável cultural no estudo da psiquiatria, por sua vez, questiona o universalismo psicopatológico, a taxonomia ocidental e o diagnóstico de síndromes culturalmente específicas. Uma amostra desta visão psiquiátrica, ancorada na questão cultural e de transtornos da comunidade, são as pesquisas envolvendo neurastenia, um transtorno neurótico comum entre os chineses. O presente trabalho é um estudo observacional e transversal dos transtornos mentais comuns entre os indivíduos chineses da comunidade. Objetivo: Avaliar a psicopatologia não-psicótica dos chineses residentes na cidade de São Paulo, através de instrumentos padronizados. Material e Método: Os sujeitos da comunidade (n = 211), chineses e seus descendentes, preencheram um questionário de auto-avaliação e foram entrevistados por pesquisadores treinados. Os instrumentos utilizados foram: Chinese Health Questionnaire (CHQ-12), Escala de Sintomas Físicos, Escala de Eventos Vitais, Inventário de Depressão de Beck (BDI), Inventário de Ansiedade Traço-Estado (IDATE) e Schedule for Clinical Assessment in Neuropsychiatry (SCAN). Os dados foram analisados através de estatística descritiva, análise univariada (testes de qui-quadrado, Fisher e t de Student), análise multivariada (regressão logística), análise da curva ROC, análise fatorial exploratória (CHQ-12) e análise de correlação. Resultados: A probabilidade dos indivíduos pontuar alto no CHQ-12 ou ser casos prováveis de transtornos mentais comuns associou ao fato de ser do sexo feminino (OR = 2,31; IC95%: 1,12–4,75) e fluentes em chinês mandarim (OR = 3,37; IC95%: 1,68–6,78). Além disso, aqueles sujeitos com queixas físicas (OR = 4,20; IC95%: 1,70–10,40), relato de eventos-vitais no último ano (OR = 4,91; IC95%: 1,51–16,00) e pontuação alta no BDI (OR = 1,29; IC95%: 1,20–1,41) também tiveram maior chance de apresentar transtornos. O coeficiente de consistência interna &#61537; de Cronbach do CHQ-12 foi de 0,71 e a correlação item-total variou de 0,25 a 0,55, mostrando boa fidedignidade e homogeneidade deste instrumento. Adotando SCAN como critério-padrão, o melhor ponto de corte de CHQ-12 foi 2/3. Os seguintes indicadores de validade foram calculados a partir deste critério: sensibilidade 75%, especificidade 71%, valor preditivo positivo 55%, valor preditivo negativo 86% e taxa de classificação incorreta 28%. A curva ROC foi utilizada para avaliar a capacidade discriminante do instrumento, tendo uma área sob a curva de 0,728. O questionário CHQ-12 também se correlacionou significativamente com Escala de Sintomas Físicos (p < 0,005), Escala de Eventos Vitais (p < 0,005), BDI (p < 0,0005) e IDATE (p < 0,05). Na análise fatorial exploratória, três dimensões psicopatológicas explicaram 47,8% da variância total do CHQ-12. O conteúdo sintomatológico avaliado por este instrumento pode ser descrito como tridimensional, contendo fator somático, depressivo e de preocupação. As entrevistas do SCAN (n = 25) geraram diagnósticos de distimia, depressão e insônia não orgânica (CID-10). Os item-grupos “mau funcionamento subjetivo" (p < 0,005) e “características especiais de depressão" (p < 0,005) predominaram no perfil sintomatológico dos casos positivos de SCAN. Conclusão: Os transtornos mentais comuns predominantes na comunidade chinesa de São Paulo são os transtornos neuróticos, muito sugestivos de neurastenia. Os sujeitos chineses da comunidade apresentam uma psicopatologia própria, semelhante àquela dos indivíduos do seu país de origem. O CHQ-12 é um instrumento de rastreamento culturalmente sensível, que apresenta evidências de confiabilidade e validade para ser aplicado em outras populações de chineses. / Introduction: Community and culturally specific mental disorders have attracted much interest lately as a consequence of the constant social changes in the world. The shift of research focus to community-specific disorders has permitted methodological improvements and the development of tools for their detection. The inclusion of the cultural variable in the study of psychiatry questions psychopathological universality, Western taxonomy, and the diagnosis of culturally specific syndromes. The research of neurasthenia, a common neurotic disorder among the Chinese, is an example of the psychiatric approach based on cultural issues and on community disorders. This is an observational and transversal study of the common mental disorders among Chinese individuals in the community. Objective: to assess the non-psychotic psychopathology of the Chinese who live in the city of São Paulo, using standardized instruments. Materials and Methods: Individuals of the community (n = 211), Chinese and their descendants, filled out a self-evaluation questionnaire and were interviewed by trained researchers. The instruments used were: Chinese Health Questionnaire (CHQ-12), Physical Symptom Scale, Life Event Scale, Beck Depression Inventory (BDI), Trait-State Anxiety Inventory (STAI), and Schedule for Clinical Assessment in Neuropsychiatry (SCAN). The data were analyzed with descriptive statistics, univariate analysis (chi-square, Fisher and Student’s t tests), multivariate analysis (logistic regression), ROC curve analysis, exploratory factor analysis (CHQ-12), and correlation analysis. Results: The likelihood of an individual scoring high in CHQ-12 or having a probable common mental disorder is associated to the fact of being female (OR = 2.31; 95% CI: 1.12–4.75) and fluent in Mandarin Chinese (OR = 3.37; 95% CI: 1.68–6.78). Moreover, those with physical complaints (OR = 4.20; 95% CI: 1.70–10.40), reporting life events in the previous year (OR = 4.91; 95% CI: 1.51–16.00) and scoring high in BDI (OR = 1.29; 95% CI: 1.20–1.41) also had a greater likelihood of presenting disorders. CHQ-12’s Cronbach’s &#61537; coefficient of internal consistency was 0.71 and the item-total correlation ranged from 0.25 to 0.55, showing that this instrument is reliable and homogeneous. Using SCAN as a standard criterion, the best cut-off point for CHQ-12 was 2/3. The other validity indicators were calculated based on that criterion: sensitivity 75%, specificity 71%, positive predictive value 55%, negative predictive value 86%, and misclassification rate 28%. ROC curve was used to evaluate the discriminating capacity of the instrument, having an area under the curve of 0.728. CHQ-12 questionnaire also correlated significantly with the Physical Symptom Scale (p < 0.005), Life Event Scale (p < 0.005), BDI (p < 0.0005), and STAI (p < 0.05). In the exploratory factor analysis, three psychopathologic dimensions explained 47.8% of the total variance of CHQ-12. The symptomatological content evaluated by this instrument may be described as three-dimensional, including somatic, depressive and preoccupation factors. SCAN interviews (n = 25) led to diagnoses of dysthymia, depression and non-organic insomnia (ICD-10). The item-groups “poor subjective functioning" (p < 0.005) and “special features of depression" (p < 0.005) prevailed on the symptomatological profile of SCAN-positive cases. Conclusion: the most common mental disorders in São Paulo’s Chinese community are the neurasthenia-like neurotic disorders. The individuals of the Chinese community presented a unique psychopathology, resembling that of their country of origin. CHQ-12 is a culturally sensitive screening instrument, which seems to be reliable and valid enough to be used in other Chinese populations.

Introdução: Os transtornos mentais que ocorrem na comunidade e em culturas diversas são temas de grande interesse frente às constantes transformações sociais no mundo. A mudança do foco de pesquisa para os transtornos freqüentes na comunidade possibilitou aperfeiçoamentos metodológicos e desenvolvimento de instrumentos sensíveis para a sua detecção. A inclusão da variável cultural no estudo da psiquiatria, por sua vez, questiona o universalismo psicopatológico, a taxonomia ocidental e o diagnóstico de síndromes culturalmente específicas. Uma amostra desta visão psiquiátrica, ancorada na questão cultural e de transtornos da comunidade, são as pesquisas envolvendo neurastenia, um transtorno neurótico comum entre os chineses. O presente trabalho é um estudo observacional e transversal dos transtornos mentais comuns entre os indivíduos chineses da comunidade. Objetivo: Avaliar a psicopatologia não-psicótica dos chineses residentes na cidade de São Paulo, através de instrumentos padronizados. Material e Método: Os sujeitos da comunidade (n = 211), chineses e seus descendentes, preencheram um questionário de auto-avaliação e foram entrevistados por pesquisadores treinados. Os instrumentos utilizados foram: Chinese Health Questionnaire (CHQ-12), Escala de Sintomas Físicos, Escala de Eventos Vitais, Inventário de Depressão de Beck (BDI), Inventário de Ansiedade Traço-Estado (IDATE) e Schedule for Clinical Assessment in Neuropsychiatry (SCAN). Os dados foram analisados através de estatística descritiva, análise univariada (testes de qui-quadrado, Fisher e t de Student), análise multivariada (regressão logística), análise da curva ROC, análise fatorial exploratória (CHQ-12) e análise de correlação. Resultados: A probabilidade dos indivíduos pontuar alto no CHQ-12 ou ser casos prováveis de transtornos mentais comuns associou ao fato de ser do sexo feminino (OR = 2,31; IC95%: 1,12–4,75) e fluentes em chinês mandarim (OR = 3,37; IC95%: 1,68–6,78). Além disso, aqueles sujeitos com queixas físicas (OR = 4,20; IC95%: 1,70–10,40), relato de eventos-vitais no último ano (OR = 4,91; IC95%: 1,51–16,00) e pontuação alta no BDI (OR = 1,29; IC95%: 1,20–1,41) também tiveram maior chance de apresentar transtornos. O coeficiente de consistência interna &#61537; de Cronbach do CHQ-12 foi de 0,71 e a correlação item-total variou de 0,25 a 0,55, mostrando boa fidedignidade e homogeneidade deste instrumento. Adotando SCAN como critério-padrão, o melhor ponto de corte de CHQ-12 foi 2/3. Os seguintes indicadores de validade foram calculados a partir deste critério: sensibilidade 75%, especificidade 71%, valor preditivo positivo 55%, valor preditivo negativo 86% e taxa de classificação incorreta 28%. A curva ROC foi utilizada para avaliar a capacidade discriminante do instrumento, tendo uma área sob a curva de 0,728. O questionário CHQ-12 também se correlacionou significativamente com Escala de Sintomas Físicos (p < 0,005), Escala de Eventos Vitais (p < 0,005), BDI (p < 0,0005) e IDATE (p < 0,05). Na análise fatorial exploratória, três dimensões psicopatológicas explicaram 47,8% da variância total do CHQ-12. O conteúdo sintomatológico avaliado por este instrumento pode ser descrito como tridimensional, contendo fator somático, depressivo e de preocupação. As entrevistas do SCAN (n = 25) geraram diagnósticos de distimia, depressão e insônia não orgânica (CID-10). Os item-grupos “mau funcionamento subjetivo” (p < 0,005) e “características especiais de depressão” (p < 0,005) predominaram no perfil sintomatológico dos casos positivos de SCAN. Conclusão: Os transtornos mentais comuns predominantes na comunidade chinesa de São Paulo são os transtornos neuróticos, muito sugestivos de neurastenia. Os sujeitos chineses da comunidade apresentam uma psicopatologia própria, semelhante àquela dos indivíduos do seu país de origem. O CHQ-12 é um instrumento de rastreamento culturalmente sensível, que apresenta evidências de confiabilidade e validade para ser aplicado em outras populações de chineses. / Introduction: Community and culturally specific mental disorders have attracted much interest lately as a consequence of the constant social changes in the world. The shift of research focus to community-specific disorders has permitted methodological improvements and the development of tools for their detection. The inclusion of the cultural variable in the study of psychiatry questions psychopathological universality, Western taxonomy, and the diagnosis of culturally specific syndromes. The research of neurasthenia, a common neurotic disorder among the Chinese, is an example of the psychiatric approach based on cultural issues and on community disorders. This is an observational and transversal study of the common mental disorders among Chinese individuals in the community. Objective: to assess the non-psychotic psychopathology of the Chinese who live in the city of São Paulo, using standardized instruments. Materials and Methods: Individuals of the community (n = 211), Chinese and their descendants, filled out a self-evaluation questionnaire and were interviewed by trained researchers. The instruments used were: Chinese Health Questionnaire (CHQ-12), Physical Symptom Scale, Life Event Scale, Beck Depression Inventory (BDI), Trait-State Anxiety Inventory (STAI), and Schedule for Clinical Assessment in Neuropsychiatry (SCAN). The data were analyzed with descriptive statistics, univariate analysis (chi-square, Fisher and Student’s t tests), multivariate analysis (logistic regression), ROC curve analysis, exploratory factor analysis (CHQ-12), and correlation analysis. Results: The likelihood of an individual scoring high in CHQ-12 or having a probable common mental disorder is associated to the fact of being female (OR = 2.31; 95% CI: 1.12–4.75) and fluent in Mandarin Chinese (OR = 3.37; 95% CI: 1.68–6.78). Moreover, those with physical complaints (OR = 4.20; 95% CI: 1.70–10.40), reporting life events in the previous year (OR = 4.91; 95% CI: 1.51–16.00) and scoring high in BDI (OR = 1.29; 95% CI: 1.20–1.41) also had a greater likelihood of presenting disorders. CHQ-12’s Cronbach’s &#61537; coefficient of internal consistency was 0.71 and the item-total correlation ranged from 0.25 to 0.55, showing that this instrument is reliable and homogeneous. Using SCAN as a standard criterion, the best cut-off point for CHQ-12 was 2/3. The other validity indicators were calculated based on that criterion: sensitivity 75%, specificity 71%, positive predictive value 55%, negative predictive value 86%, and misclassification rate 28%. ROC curve was used to evaluate the discriminating capacity of the instrument, having an area under the curve of 0.728. CHQ-12 questionnaire also correlated significantly with the Physical Symptom Scale (p < 0.005), Life Event Scale (p < 0.005), BDI (p < 0.0005), and STAI (p < 0.05). In the exploratory factor analysis, three psychopathologic dimensions explained 47.8% of the total variance of CHQ-12. The symptomatological content evaluated by this instrument may be described as three-dimensional, including somatic, depressive and preoccupation factors. SCAN interviews (n = 25) led to diagnoses of dysthymia, depression and non-organic insomnia (ICD-10). The item-groups “poor subjective functioning” (p < 0.005) and “special features of depression” (p < 0.005) prevailed on the symptomatological profile of SCAN-positive cases. Conclusion: the most common mental disorders in São Paulo’s Chinese community are the neurasthenia-like neurotic disorders. The individuals of the Chinese community presented a unique psychopathology, resembling that of their country of origin. CHQ-12 is a culturally sensitive screening instrument, which seems to be reliable and valid enough to be used in other Chinese populations.

Network screening and countermeasure selection are two crucial steps in the highway improvement process. In network screening, potential improvement locations are ranked and prioritized based on a specific method with a set of criteria. The most common practice by transportation agencies has been to use a simple scoring method, which, in general, weighs and scores each criterion and then ranks the locations based on their relative overall scoring. The method does not deal well with criteria that are qualitative in nature, nor does it account for the impacts of correlation among the criteria. The introduction of Analytic Hierarchy Process (AHP) provides agencies with a method to include both quantitative and qualitative criteria. However, it does not address the issue on correlation. This dissertation explores the use of both Analytic Network Process (ANP) and Fuzzy Analytic Network Process (FANP) for their potential capabilities to address both issues. Using urban four-lane divided highways in Florida for bicycle safety improvements, both ANP and FANP were shown to provide more reasonable rankings than AHP, with FANP providing the best results among the methods. After the locations are ranked and prioritized for improvements, the next step is to evaluate the potential countermeasures for improvements at the selected top-ranked locations. In this step, the standard practice has been to use Crash Modification Factors (CMFs) to quantify the potential impacts from implementing specific countermeasures. In this research, CMFs for bicycle crashes on urban facilities in Florida were developed using the Generalized Linear Model approach with a Zero-Inflated Negative Binomial (ZINB) distribution. The CMFs were tested for their spatial and temporal transferability and the results show only limited transferability both spatially and temporally. The CMFs show that, in general, wider lanes, lower speed limits, and presence of vegetation in the median reduce bicycle crashes, while presence of sidewalk and sidewalk barrier increase bicycle crashes. The research further considered bicycle exposure using the bicycle activity data from the Strava smartphone application. It was found that increased bicycle activity reduces bicycle crash probabilities on segments but increases bicycle crash probabilities at signalized intersections. Also, presence of bus stops and use of permissive signal phasing at intersections were found to increase bicycle crash probabilities.