Recent research and popular discourse offers evidence of a significant number of people in the U.S. and elsewhere in the world that self-identify as both "spiritual" and "not religious." Based on the conventional religious paradigm that has previously been supported by western scholarship, spirituality is a factor of religious involvement and such an identity combination should be rare in societies where people overwhelmingly participate in church activities. However, these new empirical data challenge this supposition. This quandary has renewed an interest among academics in understanding the relationship between spirituality and religion and in identifying mechanisms that have an impact on variance on particular combinations of the two. This dissertation explores the antecedent nature of certain combinations of structural conditions across nation states in association with substantial aggregations of "spiritual but not religious" populations in an effort to offer empirical evidence that can be used to support theoretical arguments about the cross-national variation of this population. Using fuzzy set qualitative comparative methods and data from 32 nation states, this analysis explores the necessity and sufficiency of individual demographic and economic conditions, church and state relations, and popular attitudes about church involvement in politics while examining the consistency of their presence in paths that lead to "spiritual non-religious" identification. The results suggest that in the midst of an atmosphere of attitudes that oppose the involvement of religious organizations in politics that is related to the size of the institutional religious canopy, a nation's structural economic forces may be driving the variance in religious identification that is associated with spiritual identification. However, a full understanding of this relationship can only be gained through combining tests offered in this work with future qualitative cross-national studies that also consider subjective meaning.

The thesis contributes a more lucid understanding of the potential for interaction amongst different facets of sustainability in the context of building design, providing evidence that the assimilation of diverse and often seemingly unconnected aspects of sustainability is not the unassuming process implicit in the current sustainability discourse. Working inductively and with a focus on two sustainable principles (the current UK government sponsored sustainability agenda, low carbon design, and an alternative interpretation, adaptable design, whose literature is framed in a sometimes complementary, at others antagonistic fashion to the former), this thesis develops an understanding of interaction in building design processes, using publically available documentary evidence and a comparative case-study approach. The thesis describes and categorises instances of interaction arising in the twenty-three case study building design processes, demonstrating both the empirical existence of interaction and improving the theoretical conceptualisation beyond basic ideas of synergy and conflict. Interaction is noted as arising from both technical incompatibilities and project actors interpretation of the agendas themselves: a socio-technical issue. The thesis distinguishes multiple approaches adopted by design teams to managing the entanglement encountered. Interpreting these interaction strategies in their case context, factors driving the selection of a particular approach are inductively derived and combined to form a tentative conceptual framework. This framework aides a systematic comparison across project cases, facilitated by the crisp set qualitative comparative analysis (csQCA) technique. Projects are described as configurations of the identified conditions and, by operationalizing interaction in a manner consistent with case study observation and the existing literatures of adaptable and low carbon design, assessed for successfulness in reconciling the agendas. The technique identifies three causal pathways to successful reconciliations of adaptable and low carbon design. Finally, the thesis makes a methodological contribution, through an evaluation of the application of QCA to a novel problem space (socio-technical, project-orientated problems of the built environment). Through the richness of documentary data obtained for study, it also demonstrates the potential effectiveness of documents as primary sources in the field of building design, where they are often relegated to a supporting role.

In the late 20th century, the proportions of women and men elected into European national parliaments became increasingly equal. Political parties shape these outcomes by selecting and fielding candidates in elections. Scholars recognise that parties' actions do not occur in isolation; yet there is little systematically comparative research about the configurations of conditions in which these actions occur. Previous research also often relies on studies of West European parties. This doctoral thesis investigates how conditions inside and outside parties combine to create gender-equal parliamentary presence. The thesis examines the extent to which Western European experiences apply to Central and East European parties, and explores the conditions that stand in the way of progress towards gender balance. It presents three empirical studies. The first is a qualitative comparative analysis of 57 West European parties during the late 1980s, a period in which the trend towards equality accelerated. The second study applies the knowledge produced in the first analysis to cases in Central and Eastern Europe. It uses an original dataset covering six parties in four EU member states in a structured focused comparison. Finally, the thesis presents an in-depth case study of an unexpectedly gender-balanced Latvian party. The analyses show that gender-equal parliamentary presence is achieved when conditions inside and outside parties combine, and that no condition is necessary or singularly sufficient. The absence of gender-equal parliaments is sustained by combinations other than the absence of those that lead to gender-balance. Operationalisations from Western Europe turn out to be largely applicable to cases in Central and Eastern Europe. These latter cases also demonstrate that organisational instability need not impede women’s presence in elected office. / Under sent 1900-tal har andelen kvinnor och män i nationella demokratiska parlament i Europa blivit alltmer jämstora. Politiska partier formar politisk representation genom att välja egna kandidater till val. Forskare har visat att partiers beteende på den punkten inte sker i isolering, men det finns ändå en brist på systematiskt jämförande studier om vilka kombinationer av villkor som leder till jämn könsrepresentation i nationella parlament. Dessutom vilar tidigare studier ofta på kunskap om situationen i Västeuropa. Den här doktorsavhandlingen undersöker hur villkor i och utanför politiska partier kombineras för att uppnå jämställd parlamentarisk representation. Den utforskar i vilken grad de västeuropeiska erfarenheterna är användbara i Öst- och Centraleuropa, och studerar villkoren som upprätthåller manlig dominans i parlamentariska partier. Den presenterar tre empiriska studier. Den första är en kvalitativt jämförande studie (fsQCA) av 57 Västeuropeiska partier under sent 1980-tal, en period då andelen kvinnor i nationella parlament ökade. Den andra studien tillämpar kunskapen från den första studien på fall i Öst- och Centraleuropa. Studien bygger på ett unikt dataset med sex partier från fyra EU-stater, i en strukturerad fokuserad jämförelse. Slutligen presenteras en fallstudie av ett ovanligt jämställt parti i Lettland. Analyserna visar att lika andelar kvinnor och män i nationella parlament åstadkoms när villkor i och utanför partier kombineras, och att inget villkor är nödvändigt eller ensamt tillräckligt. Frånvaro av jämn representation upprätthålls av andra kombinationer än de som leder till jämn representation. Operationaliseringarna som utvecklades för Västeuropa är applicerbara i Öst- och Centraleuropa. De senare fallen visar också att organisatorisk instabilitet inte behöver hindra en jämställd parlamentarisk närvaro.

This paper aims to demystify, empirically, a statement widely shared in the political imaginary of the citizens of Santiago de Cali: candidates, who predominate in the popular sectors of the population, are the ones who win the elections for mayor («Aguablanca elects the mayor»). From an analysis with Qualitative Comparative Analysis (QCA) in their mode of fuzzy sets, it is shown that there are more complex scenarios of the electoral behavior in the elections for the municipal mayor in 2003, 2007 and 2011. Starting from this premise, from a«sociological perspective» it is proposed a classification of the strata of the city according to the pooled weighted average and candidate as elite/non elite, to analyze the electoral trends in terms of political preferences of each stratum. It also seeks to identify causal combinations that consents the election of a mayor, taking into account variables such as the profil elite/non elite of the candidates, levels of fragmentation in both segments of candidatures and finally, the dominance that each achieved in the different communes of the city. / El presente trabajo se propone desmitificar, empíricamente, un enunciado ampliamente compartido en el imaginario político de los ciudadanos de Santiago de Cali: los candidatos predominantes en los sectores populares son quienes ganarán las elecciones a la alcaldía («Aguablanca elige al alcalde»). A partir de un análisis realizado con Qualitative Comparative Analysis (QCA), en su modalidad de conjuntos difusos, se muestra que existen escenarios sensiblemente más complejos del comportamiento electoral en los comicios para la alcaldía municipal en 2003, 2007 y 2011. Partiendo de esta premisa, desde una «perspectiva sociológica» del análisis electoral, se propone una clasificación de los estratos de la ciudad acorde a la media ponderada agrupada y de los candidatos como élite/no élite, para analizar las tendencias electorales en términos de expresión de preferencias políticas por parte de cada estrato. Asimismo, se busca identificar cuáles son las combinaciones causales que consienten la elección de un alcalde, teniendo en cuenta variables como: el perfil élite/no élite de los candidatos, los niveles de fragmentación existentes en ambos segmentos de candidaturas y, finalmente, el predominio que cada uno de ellos logran en las diferentes comunas de la ciudad.

Lynch syndrome (LS) is the most prevalent cause of hereditary colorectal cancer (CRC) and confers high risks for several other types of cancer. Universal tumor screening (UTS) of all newly diagnosed patients with CRC can improve LS identification and decrease associated morbidity and mortality among patients and family members. However, for UTS to be effective, patients who screen positive must pursue genetic counseling and confirmatory germline testing (i.e., high patient reach). The purposes of this study were to characterize UTS programs, identify barriers and facilitators to implementation, document whether there have been negative outcomes, and determine institutional and implementation conditions that are associated with high and low patient reach. Using two conceptual frameworks, RE-AIM and Consolidated Framework for Implementation Research, a baseline survey was conducted of 25 representatives from different institutions performing UTS. Descriptive statistics were used to illustrate similarities and differences among programs. A multiple-case study was then conducted by extracting data from surveys and interviews of representatives from 15 different institutions where UTS programs had been operational for over 6 months and where aggregated patient outcome data were available. Qualitative comparative analysis was performed to make systematic cross-case comparisons and identify conditions uniquely associated with high or low patient reach. Data were triangulated to create models explaining how UTS implementation and system-level factors influence patient reach. Few patient concerns or negative outcomes were reported. UTS procedures and patient reach were highly variable. All 5 high-reach (H-R) centers have genetics professionals disclose positive screening results and either do not require a referral from another health care provider or have streamlined the referral process. Although 2 of the 5 mid-reach (M-R) centers also share these conditions, they have a less automated follow-up procedure and report difficulty contacting patients as a barrier. Both of the academic institutions with low patient reach (L-R) did not receive patient information that would allow them to follow-up on positive screening results. The three non-academic L-R institutions reported a high proportion of challenges to facilitators during implementation and did not have genetic professionals disclose positive screening results to patients. Implementing a combination of procedures to streamline UTS protocols and procedures, eliminate barriers to patient follow-through after a positive tumor screen, and incorporate a high level of involvement of genetic professionals in contacting patients and disclosing screening results are expected to lead to improvement in patient reach

abstract: For the death penalty to be justified, it must be reserved for the worst of the worst. In his 2011 study of Connecticut's death penalty system, however, John Donohue found that arbitrariness and discrimination are defining features. Donohue's finding that non-white defendants whose victims were white are six times more likely to receive the death penalty indicates that race is more a predictor of a death sentence than the egregiousness of the crime. An analysis of capital sentencing outcomes in Maricopa County, Arizona reveals that the race of the victim is not related to the likelihood of receiving a death sentence, but the race of the defendant is. Use of Qualitative Comparative Analysis (QCA), logistic regression, and an egregiousness calculation are employed to analyze capital sentencing trial outcomes in Maricopa County from 2009 through 2011. This triangulated approach is applied to test three theoretically-derived models - the Donohue model, the Illinois Commission model, and the Functional model. The findings indicate that during the given time period in Maricopa County, the race of the defendant was statistically significant in cases with low to mid-levels of egregiousness, but was no longer significant in the most egregious cases. The results also reveal that the most egregious cases, typically indicated by the presence of a prior conviction and multiple victims, are nearly five times more likely to result in an outcome of death. While the results of this study are suggestive only, because of the small sample size and the relatively brief duration of time studied, the conclusions presented aim to provoke further inquiry into states' death penalty systems to address Donohue's allegation of unconstitutional application nationwide. Through a drastic reduction of death-eligibility factors, implementation of a transparent plea bargaining protocol in which the presence of certain aggravating factors preempts the possibility of a plea, and equal funding for prosecutor and defense offices, the death penalty in this country could begin to target the worst of the worst. / Dissertation/Thesis / M.S. Justice Studies 2012

Study Purpose: Ovarian cancer, the most lethal gynecologic cancer, has had a relatively stable mortality rate since 1975, despite a decrease in mortality for all gynecologic cancers combined. Standard-of-care advances are needed to reduce ovarian cancer morbidity and mortality. Advances must, however, undergo a long, rigorously controlled research process that can take more than ten years before becoming available to the public. Further, few women with persistent or recurrent ovarian cancer are offered or enrolled in the clinical trials that do exist at select sites throughout the nation. The purpose of this multiple-case study is to identify necessary and/or sufficient factors associated with enrollment in ovarian cancer clinical trials, and to identify facilitators and barriers within the practice setting that, in the longer term, can be used to inform targeted interventions to improve trial access and accrual. The multilevel factors that were explored were aligned with the Consolidated Framework for Intervention Research (CFIR). The study sought to answer two research questions. (1) Based on Qualitative Comparative Analysis [QCA (Ragin, 1989)], what necessary and/or sufficient factors would enable a woman with recurrent or persistent ovarian cancer to enroll in a clinical trial in Florida? (2) What barriers and facilitators, practitioner and patient-specific, exist with regard to enrolling women with ovarian cancer in clinical trials? Materials and Methods: This multiple case study used online surveys to obtain quantitative and qualitative data from two populations: women with ovarian cancer and nurses at various referring practice sites. Data from Moffitt Cancer Center’s Total Cancer Care protocol was requested to conduct chart reviews that would identify prospective participants. Qualitative comparative analysis (QCA), which is useful for determining causality in small sample sizes, was used to determine necessary and/or sufficient factors associated with enrollment by women with ovarian cancer in clinical trials, as well as barriers and facilitators related to clinical trial enrollment. Results: Women with ovarian cancer who participated in clinical trials were stage III/IV, wanted information, and engaged in discussion about clinical trials, making those factors necessary for enrollment in a study. Facilitators for participation were discussion with the provider of care, to some extent the existence of patient-accessible clinical trial literature in the practice, knowledge that health insurance covers standard of care costs, and having a provider who offers clinical trials. Absence of those factors thus constitutes a barrier. For nurses, the impact of having a practice team plan was related to enrolling women with ovarian cancer in clinical trials, and feeling informed and comfortable with questions women might ask about trials. Conclusion: Clinical trials are an underutilized priority for improving the standard of care and reducing the high rate of morbidity and mortality associated with ovarian cancer. The data show deficits and needs within two key interrelated populations: medical oncology practice nurses and women with ovarian cancer. Opportunities exist within each level of the Consolidated Framework for Implementation Research (CFIR); interviews should be used to confirm the findings, which can be used to establish an interventional protocol to increase clinical trial enrollment by women with ovarian cancer.

This thesis examines how the agency of working children relates to the nature of their work and the harm caused by it. Theorists and practitioners specialised in children’s work have argued that its harms should be understood from the perspectives of working children and that efforts to improve their situation should involve them and meet the interests they express. Their approach is premised on children’s capacity for autonomous and rational decision making. The thesis develops an alternative approach, by examining harm in children’s work and children’s responses to it with an understanding of agency as being conditioned by material and social contexts. Its theoretical purpose is to use Bourdieu’s theory to examine children’s work. Its methodological contribution is that it studies children’s work as a practice, rather than children’s individual experiences and perspectives on their work. This involved investigation of patterns characterising forms of children’s work, and exploration of why these patterns exist and how they might be changing which focuses on how children are involved and affected. The thesis is based on empirical study of children’s work in cement block construction in peri-urban localities, as apprentices in Calavi, Benin, and as unskilled workers in northern Bengaluru, in the state of Karnataka, India. Construction is recognised as a worst form of children’s work by the ILO, but the work studied was locally condoned. In Calavi, apprenticeship was considered as professional training, and in Bengaluru, children’s construction work contributed to family livelihoods. These are the kind of work situations that social scientists who stress children’s agency have suggested are likely to be beneficial. Main sources of data were observations of construction work and interviews with workers, mostly children, as well as their direct employers. Interviewed children did not see their work as seriously harmful, although it was found to risk impairing their physical integrity and to confirm their inequality. In Calavi, children were much more oppressed in their work than children in Bengaluru, but in both sites children acted with reasons and interests. They did not however act to change harmful work conditions. Analysis shows how their age, gender and class positions might have shaped their perspectives in ways which explain why they largely accepted them. The children’s shared hope that their own children would not work as they had indicated their involvement in social change which might be undermining their work practices. The findings confirm the importance of examining children’s perspectives in attempt to understand the causes and consequences of their work. Yet they suggest that children may not always be able to identify harm, and thus the relevance of pursued efforts to develop ways of studying harm in children’s work which do not assume their capacity for autonomous and rational decision making or rely primarily on their perspectives.

Traumatic brain injury (TBI) and its associated neural and cognitive sequelae are of increasing interest in military populations. Blast-related TBI is becoming more commonplace in military Service Members and Veterans since Operation Iraqi Freedom/Operation Enduring Freedom/Operation New Dawn and their following conflicts. It is currently unclear whether blast-related injuries cause unique neural and cognitive deficits. The present investigation, in Study 1, aims to investigate the differences in blast-related and non-blast related TBI using traditional statistical techniques. In Study 2, this study will demonstrate the use of Qualitative Comparative Analysis (QCA) in diffusion tensor imaging data. QCA is a relatively new technique that examines configurations of variables that lead to a predefined outcome. QCA has the ability to uncover configurations of variables not yet considered in empirical literature, which may contribute new perspectives on the many different variables often associated with brain injury. Study 1 demonstrated no significant differences between uninjured and injured subjects in white matter integrity, and no differences between blast-related and non-blast related mechanisms. Study 2 demonstrated limited support for the use of QCA in diffusion tensor imaging. Evidence for the use of this method in other neuroimaging modalities is reviewed

Under what configuration of conditions do ethno-territorial conflicts escalate, and under what configurations of conditions is conflict avoided between a minority and the centre in multi- ethnic states? This dissertation employs qualitative comparative analysis (QCA) in order to capture the causal patterns of conflict escalation and peace preservation. By simultaneously analysing the causes of conflict and the conditions of peace, this dissertation bridges a significant gap in the existing literature that assumes causal linearity and unifinality. The QCA analysis this dissertation conducts is grounded in empirical evidence from the South Caucasus where, after the disintegration of the Soviet Union, three newly independent states emerged and grappled with the accommodation of ethnic-minorities and their evolving identities. The QCA analysis reveals that, contrary to the popular premise that regional autonomy is "an effective antidote" for ethno-territorial wars, autonomy in the South Caucasus was conducive to conflict and the lack of autonomy was conducive to peace. Nevertheless, this dissertation does not suggest that autonomy on its own can explain the complexity of inter-ethnic relations. Rather, it argues that there were multiple configurations of conditions that interacted to produce...