Undocumented Latino immigrants\u27 opinions on seeking counseling from non-Latino clinicians and their views of what would constitute culturally competent services

This study was undertaken to allow Latino immigrants who have lived undocumented in the U.S. and never received mental health services, describe their experiences in the U.S. and views of mental health services to an audience of mental health providers. Six men were interviewed individually. In addition to demographic questions, they were asked about their daily experience of being undocumented, how they related to non-Latinos, where they normally turned for emotional support, whether they would seek mental health services from a Latino or non-Latino clinician and what advice they would give the clinician regarding how to best help them. The findings were compared to guidelines for multi-cultural competency with Latinos, and the cultural concepts of familismo, personalismo and respeto emerged as important themes. The findings showed that the participants perceived life difficulties related to their immigration status, experienced both positive and negative relationships with non-Latinos, and tended to rely on community supports during difficult times. Most would seek counseling as a last resort and believed that a Spanish-speaking therapist, Latino or not, by virtue of being a trained professional, would be automatically helpful to them and interested in learning from them about their life circumstances as an immigrant

Kopista ulos - tutkijat käytäntöteoreettisen tajun jäljillä

Teos kertoo perehtymisestä käytäntöteoreettisiin tutkimussuuntauksiin, jotka ovat ajankohtaisia monilla tutkimusalueilla. Tekstit käsittelevät ja edistävät keskeneräisiä, henkilökohtaisia oppimisprosesseja, joista ei ole tapana kertoa julkaisuissa. Kirja antaa realistisen kuvan tutkijoiden arjesta. Tutkimuskäytännön kehittämisessä ei ole kyse vain uuden sanaston omaksumisesta. Kirjasta selviää mitä muuta se vaatii. Kirjasta voi olla iloa erityisesti niille, jotka haluavat perehtyä käytäntöteorioihin tai muuten joutuvat käsittelemään suhdettaan tarjolla oleviin tutkimuskäytännön muotoihin

Effects of Gender on Basic Numerical and Arithmetic Skills : Pilot Data From Third to Ninth Grade for a Large-Scale Online Dyscalculia Screener

In this study, we analyzed the development and effects of gender on basic number skills from third to ninth grade in Finland. Because the international comparison studies have shown slightly different developmental trends in mathematical attainment for different language groups in Finland, we added the language of education as a variable in our analysis. Participants were 4,265 students from third to ninth grade in Finland, representing students in two national languages (Finnish, n = 2,833, and Swedish, n = 1,432). Confirmatory factor analyses showed that the subtasks in the dyscalculia screener formed two separate factors, namely, number-processing skills and arithmetic fluency. We found a linear development trend across age cohorts in both the factors. Reliability and validity evidence of the measures supported the use of these tasks in the whole age group from 9 to15 years. In this sample, there was an increasing gender difference in favor of girls and Swedish-speaking students by grade levels in number-processing skills. At the same time, boys showed a better performance and a larger variance in tasks measuring arithmetic fluency. The results indicate that the gender ratio within the group with mathematical learning disabilities depends directly on tasks used to measure their basic number skills.Peer reviewe

Vaikuttavuustieto jalostuu havainnollistamalla

Terveystaloustiede

Kateenkorvan epiteelilähtöiset syövät

Vertaisarvioitu. English summaryKateenkorvan kasvaimet ovat monimuotoinen joukko harvinaisia syöpiä, jotka ovat yleensä parannet­ta vissa leikkauksella. Tietokonetomografia (TT) on perustutkimus arvioitaessa kateenkorvan syöpien levinneisyyttä. Erotusdiagnostiset vaihtoehdot on syytä huomioida ja asianmukaisesti diagnosoida ennen hoitopäätösten tekoa. Kateenkorvan syöpien hoitosuunnitelma tehdään moniammatillisessa hoitokokouksessa. Mikäli kasvain ei ole suoraan leikattavissa, voidaan säde­ ja solunsalpaajahoidolla pienentää kasvainmassaa ja mahdollistaa paranemista tavoitteleva leikkaus. Edenneen kateenkorvan syövän hoidossa solunsalpaajat pienentävät usein tautitaakkaa ja lievittävät syövän aiheuttamia oireita. Lisääntyvä kateenkorvan syöpien biologian tuntemus mahdollistanee tulevaisuudessa myös geeni­muutoksiin kohdennetut hoidot.Peer reviewe

Effects of Gender on Basic Numerical and Arithmetic Skills: Pilot Data From Third to Ninth Grade for a Large-Scale Online Dyscalculia Screener

In this study, we analyzed the development and effects of gender on basic number skills from third to ninth grade in Finland. Because the international comparison studies have shown slightly different developmental trends in mathematical attainment for different language groups in Finland, we added the language of education as a variable in our analysis. Participants were 4,265 students from third to ninth grade in Finland, representing students in two national languages (Finnish, n = 2,833, and Swedish, n = 1,432). Confirmatory factor analyses showed that the subtasks in the dyscalculia screener formed two separate factors, namely, number-processing skills and arithmetic fluency. We found a linear development trend across age cohorts in both the factors. Reliability and validity evidence of the measures supported the use of these tasks in the whole age group from 9 to15 years. In this sample, there was an increasing gender difference in favor of girls and Swedish-speaking students by grade levels in number-processing skills. At the same time, boys showed a better performance and a larger variance in tasks measuring arithmetic fluency. The results indicate that the gender ratio within the group with mathematical learning disabilities depends directly on tasks used to measure their basic number skills.</p

RVD induction and autologous stem cell transplantation followed by lenalidomide maintenance in newly diagnosed multiple myeloma: a phase 2 study of the Finnish Myeloma Group

Autologous stem cell transplantation (ASCT) combined with novel agents is the standard treatment for transplant-eligible, newly diagnosed myeloma (NDMM) patients. Lenalidomide is approved for maintenance after ASCT until progression, although the optimal duration of maintenance is unknown. In this trial, 80 patients with NDMM received three cycles of lenalidomide, bortezomib, and dexamethasone followed by ASCT and lenalidomide maintenance until progression or toxicity. The primary endpoint was the proportion of flow-negative patients. Molecular response was assessed if patients were flow-negative or in stringent complete response (sCR). By intention to treat, the overall response rate was 89%. Neither median progression-free survival nor overall survival (OS) has been reached. The OS at 3 years was 83%. Flow-negativity was reached in 53% and PCR-negativity in 28% of the patients. With a median follow-up of 27 months, 29 (36%) patients are still on lenalidomide and 66% of them have sustained flow-negativity. Lenalidomide maintenance phase was reached in 8/16 high-risk patients but seven of them have progressed after a median of only 6 months. In low- or standard-risk patients, the outcome was promising, but high-risk patients need more effective treatment approach. Flow-negativity with the conventional flow was an independent predictor for longer PFS