8 research outputs found

    Identity inclusiveness and centrality: investigating identity correlates of attitudes toward immigrants and immigration policies

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    Social psychology highlights ingroup identity as an important determinant of intergroup attitudes and relations; however, research has demonstrated that its effects can be positive, negative, or nonexistent depending on how such identity is conceptualized. This research explores how national identity inclusiveness (Study 1) and centrality (Study 2) are associated with immigration related attitudes in school and countrywide settings, respectively. Study 1 showed that teachers’ inclusive (i.e., overlapping) identities regarding their immigrant students related to positive attitudes toward these students, but not to attitudes about immigrants in general or immigration policy preferences. Study 2 found that national identity centrality was related to negative attitudes toward the social impact of immigrants, and to higher support for policies inhibiting the social inclusion of immigrants in the receiving community. Combined, these studies highlight the importance of considering different conceptualizations of ingroup identity in identifying relations to immigration‐based attitudes. Moreover, the studies highlight the value of promoting inclusive identities when aiming to improve attitudes toward immigrants. We conclude by discussing a new approach for promoting inclusive identities by framing immigrants as indispensable to the receiving community.info:eu-repo/semantics/acceptedVersio

    Colorectal Cancer Stage at Diagnosis Before vs During the COVID-19 Pandemic in Italy

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    IMPORTANCE Delays in screening programs and the reluctance of patients to seek medical attention because of the outbreak of SARS-CoV-2 could be associated with the risk of more advanced colorectal cancers at diagnosis. OBJECTIVE To evaluate whether the SARS-CoV-2 pandemic was associated with more advanced oncologic stage and change in clinical presentation for patients with colorectal cancer. DESIGN, SETTING, AND PARTICIPANTS This retrospective, multicenter cohort study included all 17 938 adult patients who underwent surgery for colorectal cancer from March 1, 2020, to December 31, 2021 (pandemic period), and from January 1, 2018, to February 29, 2020 (prepandemic period), in 81 participating centers in Italy, including tertiary centers and community hospitals. Follow-up was 30 days from surgery. EXPOSURES Any type of surgical procedure for colorectal cancer, including explorative surgery, palliative procedures, and atypical or segmental resections. MAIN OUTCOMES AND MEASURES The primary outcome was advanced stage of colorectal cancer at diagnosis. Secondary outcomes were distant metastasis, T4 stage, aggressive biology (defined as cancer with at least 1 of the following characteristics: signet ring cells, mucinous tumor, budding, lymphovascular invasion, perineural invasion, and lymphangitis), stenotic lesion, emergency surgery, and palliative surgery. The independent association between the pandemic period and the outcomes was assessed using multivariate random-effects logistic regression, with hospital as the cluster variable. RESULTS A total of 17 938 patients (10 007 men [55.8%]; mean [SD] age, 70.6 [12.2] years) underwent surgery for colorectal cancer: 7796 (43.5%) during the pandemic period and 10 142 (56.5%) during the prepandemic period. Logistic regression indicated that the pandemic period was significantly associated with an increased rate of advanced-stage colorectal cancer (odds ratio [OR], 1.07; 95%CI, 1.01-1.13; P = .03), aggressive biology (OR, 1.32; 95%CI, 1.15-1.53; P < .001), and stenotic lesions (OR, 1.15; 95%CI, 1.01-1.31; P = .03). CONCLUSIONS AND RELEVANCE This cohort study suggests a significant association between the SARS-CoV-2 pandemic and the risk of a more advanced oncologic stage at diagnosis among patients undergoing surgery for colorectal cancer and might indicate a potential reduction of survival for these patients

    Teachers attitudes towards students of second generation: Kinds of contact and psychosocial aspects

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    The significant presence of second-generation ‘immigrants’ is an expression of stable migration dynamics and implicates issues related to integration processes. School plays a crucial role both as a ‘place’ of education and of Social Identity (Tajfel, 1981) definition and re-definition and as a ‘laboratory’ for transformational projects (Lewin, 1935). Inasmuch as the climate underlying human relationships is also a function of foreign students and immigration teachers social representations, it seems interesting to understand this specific issue better. This research was conducted to explore the attitudes of a group of teachers towards the migration process and second generation pupils. Specifically, it intends to test the hypothesis that simple contact is not sufficient to produce positive intergroup attitudes (Allport, 1954) . The techniques used are those of classical psychosocial research. In general, the data reveal a positive representational framework regarding immigrants and warm welcoming attitudes towards second-generation students. In particular, ‘direct’ contact does not appear sufficient to produce positive attitudes toward them, the ‘indirect contact’ (Wright et al, 1997, Cameron et al, 2006), empathy and the social representation of the second generation students seem generate more positive effects

    Training needs and life planning in the new educational and social landscape: An empirical study with adolescents living in south-eastern sicily

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    Adolescence is a period of physical and psychological changes, it is the potential background to develop a life planning coherent with their own values and aspirations. The reality of today, basically characterized by a strong discontinuity, a source of instability and insecurity, implies the need for flexibility characteristics that appear essential for the future of young people and for society. Uncertainty, typical of current realities, involves young people's identities, especially as regards the dimensions of the Self, Present and Future, "what I am" and "what will I be", or "what I fear to become ", those that Markus (Markus et al, 1986, 1990) has described as Possible Selves and which play an active role (Working Self), also in building the relationship with one’s own context life and future. This study explores the social representational framework in a sample of 360 adolescents living in South-Eastern Sicily in relation to: need of Education, Self, Work, Territory, Values systems, and Possible Selves articulation, in order to test the hypothesis that these dimensions are closely related. The Likert Scale, Values Schwartz Scale (2003) and Semantic Differentials were used. The data seem to confirm the hypothesis and underline the need for a better correspondence between the education received, personal expectations and the demands of the job market, as well as the learning of meta-skills useful to address the social background, characterized by an increasing flexibility, insecurity and instability. Attitudes of psychological distance emerge in relation to their own territory, both with regard to work and the present and the future social success

    Effect of centre volume on pathological outcomes and postoperative complications after surgery for colorectal cancer: results of a multicentre national study

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    Background: The association between volume, complications and pathological outcomes is still under debate regarding colorectal cancer surgery. The aim of the study was to assess the association between centre volume and severe complications, mortality, less-than-radical oncologic surgery, and indications for neoadjuvant therapy. Methods: Retrospective analysis of 16,883 colorectal cancer cases from 80 centres (2018-2021). Outcomes: 30-day mortality; Clavien-Dindo grade >2 complications; removal of ≄ 12 lymph nodes; non-radical resection; neoadjuvant therapy. Quartiles of hospital volumes were classified as LOW, MEDIUM, HIGH, and VERY HIGH. Independent predictors, both overall and for rectal cancer, were evaluated using logistic regression including age, gender, AJCC stage and cancer site. Results: LOW-volume centres reported a higher rate of severe postoperative complications (OR 1.50, 95% c.i. 1.15-1.096, P = 0.003). The rate of ≄ 12 lymph nodes removed in LOW-volume (OR 0.68, 95% c.i. 0.56-0.85, P < 0.001) and MEDIUM-volume (OR 0.72, 95% c.i. 0.62-0.83, P < 0.001) centres was lower than in VERY HIGH-volume centres. Of the 4676 rectal cancer patients, the rate of ≄ 12 lymph nodes removed was lower in LOW-volume than in VERY HIGH-volume centres (OR 0.57, 95% c.i. 0.41-0.80, P = 0.001). A lower rate of neoadjuvant chemoradiation was associated with HIGH (OR 0.66, 95% c.i. 0.56-0.77, P < 0.001), MEDIUM (OR 0.75, 95% c.i. 0.60-0.92, P = 0.006), and LOW (OR 0.70, 95% c.i. 0.52-0.94, P = 0.019) volume centres (vs. VERY HIGH). Conclusion: Colorectal cancer surgery in low-volume centres is at higher risk of suboptimal management, poor postoperative outcomes, and less-than-adequate oncologic resections. Centralisation of rectal cancer cases should be taken into consideration to optimise the outcomes

    Effect of centre volume on pathological outcomes and postoperative complications after surgery for colorectal cancer: results of a multicentre national study

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    Background: The association between volume, complications and pathological outcomes is still under debate regarding colorectal cancer surgery. The aim of the study was to assess the association between centre volume and severe complications, mortality, less-than-radical oncologic surgery, and indications for neoadjuvant therapy.Methods: Retrospective analysis of 16,883 colorectal cancer cases from 80 centres (2018-2021). Outcomes: 30-day mortality; Clavien-Dindo grade >2 complications; removal of >= 12 lymph nodes; non-radical resection; neoadjuvant therapy. Quartiles of hospital volumes were classified as LOW, MEDIUM, HIGH, and VERY HIGH. Independent predictors, both overall and for rectal cancer, were evaluated using logistic regression including age, gender, AJCC stage and cancer site.Results: LOW-volume centres reported a higher rate of severe postoperative complications (OR 1.50, 95% c.i. 1.15-1.096, P = 0.003). The rate of >= 12 lymph nodes removed in LOW-volume (OR 0.68, 95% c.i. 0.56-0.85, P = 12 lymph nodes removed was lower in LOW-volume than in VERY HIGH-volume centres (OR 0.57, 95% c.i. 0.41-0.80, P = 0.001). A lower rate of neoadjuvant chemoradiation was associated with HIGH (OR 0.66, 95% c.i. 0.56-0.77, P < 0.001), MEDIUM (OR 0.75, 95% c.i. 0.60-0.92, P = 0.006), and LOW (OR 0.70, 95% c.i. 0.52-0.94, P = 0.019) volume centres (vs. VERY HIGH).Conclusion: Colorectal cancer surgery in low-volume centres is at higher risk of suboptimal management, poor postoperative outcomes, and less-than-adequate oncologic resections. Centralisation of rectal cancer cases should be taken into consideration to optimise the outcomes
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