This research project studies the military exchanges between the United States and People's Republic of China. US-PRC relations have experienced uneven developments over the last decadeas the two major powers have grappled with the evolving post-Cold War international security Environment as well as shifting domestic agendas and foreign policy priorities. While the October 2002 Crawford summit between Presidents Bush and Jiang, and the resumption of the Defense Consultation Talks in December 2002 offer the prospect for restoring bilateral military exchanges. For a more stable bilateral military relationship to develop and be sustained, longer-term strategies must be formulated that emphasize engagement, exchanges, and better understanding of each other's common interests, priorities, and policy options. Among the key features of this relationship are high-level exchange visits of defense ministers and military leaders; confidence-building measures, including the Military Maritime Consultative Agreement, annual Defense Consultation Talks, and port visits; and regular contacts at the functional level between the two countries' national defense universities and military academies. The EP-3 incident raised the importance of China in the Bush Administration's immediate policy agenda. The resolution of the incident has pointed to the need for dialogue. The 11 September 2001 terrorist attacks provided additional impetuses for rebuilding the bilateral relationship, including efforts to restore military-to-military exchanges.

Depression is a common mental health problem in primary health care. One third of the Swedish population is expected to experience depression at some point in their lives. The understanding of depression has expanded, both from a lay and primary health care perspective. The number of persons considering themselves as depressed, receiving the diagnosis, and getting treatment for it has increased steadily over the last decades. Unchanged, however, is that depression is diagnosed twice as often in women as in men, while twice as many men as women commit suicide. These gender differences appear in adolescence. In earlier research biomedical, psychological, and social-cultural explanations of gender differences have been discussed. Patient’s own perspectives have more seldom stood in focus, and men’s narratives in particular are still scarce. In this thesis, gender, i.e. how to be a woman or a man, is considered as a construct, formed and negotiated in social interaction. The aim of the study is to explore the gendered face of depression from a patient perspective: How is depression expressed and explained by patients in primary health care, by women and men, adults and adolescents? How are depressed women and men portrayed in the media? How do patient and media accounts of depression compare with the perspective offered in medical research articles? Method and material The analyses are based on data from three different sources: patient narratives, newspaper portrayals and scientific medical articles. – 37 in-depth interviews were undertaken with primary health care patients diagnosed with depression. Informants were chosen to include both men and women, grown-ups (Studies I + II) and young adults (Study V) of varying occupational and social class backgrounds. Data were analyzed according to grounded theory. – 26 articles portraying lay informants with depression (Study III) were drawn from three major Swedish daily newspapers by a search of database Mediearkivet 2002. The articles were analyzed by qualitative content analysis. –82 scientific articles concerning depression in relation to gender were identified in a PubMed search 2002. The understanding of depression in these articles was explored and compared with findings in the grown-up patient narratives and in the media portrayals by means of discourse analysis (Study IV). Findings Study I captured women’s and men’s formulations of their experiences of depression. To be marked with demands constituted a central experience for both women and men, but the outward manifestations differed in relation to gender as well as to class. Home and work had different priority. Men talked more about physical distress (often chest pain) than about emotions. Women readily verbalized emotional distress – shame and guilt – while physical symptoms were vague and secondary (often about the stomach). Men dealt with insecurity by aggrandizing their previous competence, women by self-effacement. Study II disclosed gendered trajectories into depression. Four symbolic illness narratives were identified: struck by lightning, nagging darkness, blackout and slowly suffocating. Most of the men considered their bodies suddenly “struck” by external circumstances beyond their control. The stories of women in the study were more diverse, reflecting all four illness narratives. However, the women had a tendency to blame their own personality and to describe depression as insidious and originating from the inside. The women expressed feelings of guilt and shame but also conveyed a personal responsibility and concern with relationships. Study III identified four themes in media portrayals of depression: displaying a successful facade, experiencing a cracking facade, losing and regaining control and explaining the illness. The mediated image of depression both upheld and challenged traditional gender stereotypes. The women’s stories were more detailed, relational, emotionally oriented and embodied. The portrayal of men was less emotional and expressive, and described a more dramatic onset of depression. Study IV revealed gaps in how depression in relation to gender is understood by the patients, the media, and the medical research establishment. There were differences in recognition, in understanding of the reasons, and in contextualization of depression. Although women and men described different symptoms and reasons for falling ill, in scientific articles these gendered differences were conceptualized mainly in terms of hormones and other biological markers. Study V elucidated the impact of gender on adolescent depression. The young women and men were all striving to be normal, influenced by demanding media images, confronted by identity trouble, and overwhelmed by feelings. They had dreams of an ordinary family and described normative expectations. Getting a safety net of friends and other adults was a way out. Both the young women and men were eager to communicate their distress when given the opportunity. This seemed especially important to some of the young men, who in talking about their emotional problems transgressed gender norms. Conclusions Patient perspectives enrich the understanding of gendered expressions of depression by making visible transgressions of and breaks with stereotype gender norms. Gender awareness is an important key in clinical consultation. To recognize gendered narratives of illness might have a salutary potential, making depression more visible among men, and relieving self-blame among women. By re-evaluating restrictive gender patterns, the clinician might encourage development of healthier practices of how to be a man or a woman, a development especially important for adolescents. An integrated model for understanding biological, gender and cultural aspects of depression has yet to be developed. As general practitioners we have a unique possibility to see and to study the whole individual in her social and cultural context.

No description available.

I prodotti fitosanitari sono considerati uno dei principali strumenti di difesa contro le più rilevanti avversità che colpiscono la produzione agricola. Per garantire che il loro utilizzo sia realmente basato su principi di sostenibilità, nel 2009 l’Unione Europea ha introdotto la cosiddetta direttiva sull’Uso Sostenibile dei Pesticidi (EU 128/2009/EC) dove lo sviluppo di appropriati indicatori di rischio insieme all’implementazione di una corretta attività di formazione e sensibilizzazione sono da considerare fondamentali per ridurre l’esposizione. Per contribuire in questa direzione, in questo studio sono stati prodotti: a) un toolbox di pratici indicatori di rischio indiretti per essere utilizzati da parte delle autorità nazionali per monitorare le performance; b) un nuovo strumento e-learning (OpenTEA) di formazione e sensibilizzazione per raccogliere e condividere i più efficienti e consistenti materiali a disposizione. Questi contributi sono stati sviluppati utilizzando un approccio pragmatico basato sia su una consultazione degli stakeholders sia su un’analisi completa del rischio (usando dei modelli previsionali di esposizione e svolgendo un’indagine sistematica “sul campo”). Tutto è stato reso possibile grazie al coinvolgimento nelle attività nel centro di ricerca OPERA, un “think tank” che attraverso il suo approccio innovativo basato su costruire reti con gli stakeholders e ponti tra scienza e politica, permette il raggiungimento di soluzioni pragmatiche condivise. / Pesticides are considered one of the principle tools of defence against the most relevant adversity affecting the agricultural production. To ensure that their use is really based on sustainability principle, in 2009 the European Union introduced the so called Directive on Sustainable Use of Pesticides (EU 128/2009/EC) where the establishment of appropriate risk indicators to monitor the performances together with the implementation of appropriate training and awareness raising to improve behaviours are considered fundamentals. To contribute in this direction, in this study were produced: a) a toolbox of practical indirect risk indicators to be used by EU Member States to monitor the performances; b) a new e-learning tool (OpenTEA) for training and awareness raising to collect and share the most efficient and scientifically sound training and communication material. These contributions were developed using a pragmatic approach focusing either on a complete stakeholder consultation process either on a comprehensive analysis of risk (looking at some exposure models and performing a systematic surveys “on the field”). All the process was possible getting involved in the OPERA research centre, a “think tank” that through its innovative approach based on building network among stakeholders and bridges between science and policy, allow the achievement of pragmatic and agreed solutions.

First Nations in Canada have long struggled to participate effectively in resource development decisions. In 2004, the Supreme Court established that the federal and provincial governments of Canada have a duty to consult First Nations in cases where their treaty rights, land claims, or traditions may be adversely affected by government decision-making or third-party development. To determine whether the duty to consult has made an impact on the empowerment of First Nations in these decisions, I assess three case studies using four criteria. This research finds that, while the duty to consult has made a positive impact on the empowerment of First Nations, it still does not go far enough in truly empowering communities to achieve sustainable development on their own terms. This study concludes that the duty to consult may be supplemented with Aboriginal self-government – signaling the potential for positive change in the empowerment of communities seeking environmental justice.

No description available.

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal

Sailivik is a story about the evolutionary process of planning a mental healing retreat for the Inuit of Pangnirtung, Nunavut. The story is created through community consultation related to site selection, development of program and facility lists, initial site planning, and the building of a qammaq. It offers insights to methods of community work, Inuit landscape preferences, contemporary Inuit culture, and the land-based nature of sociological and psychological healing in an Inuit context. Further, any ideas of a finite outcome are challenged as the project continues to evolve and grow with further community efforts.

Referrals to the Halifax Infirmary Neurosurgery Department are submitted with regards to spinal conditions with different degrees of complications. Although there exists a Spinal Condition Consultation Protocol to standardize spinal referrals, the information provided from referring physicians is frequently inadequate to accurately triage the patient's condition, partly due to missing diagnostic therapies. The Neurosurgery Department receives a high volume of referrals each year, which imposes a significant administrative workload on the staff. We propose to develop a protocol-driven decision support system to: 1) Provide primary care physicians with timely access to condition specific consultation treatment protocols; and 2) Automate the referral assessment process to eliminate processing delays and administration burden. To this aim, we transformed the Consultation Protocol into a semantic knowledgebase. The decision support services are integrated within a standardized electronic referral system. We believe this system can significantly improve the referral process at the Neurosurgery Division.

Sailivik is a story about the evolutionary process of planning a mental healing retreat for the Inuit of Pangnirtung, Nunavut. The story is created through community consultation related to site selection, development of program and facility lists, initial site planning, and the building of a qammaq. It offers insights to methods of community work, Inuit landscape preferences, contemporary Inuit culture, and the land-based nature of sociological and psychological healing in an Inuit context. Further, any ideas of a finite outcome are challenged as the project continues to evolve and grow with further community efforts.