Decision-making preferences of advanced cancer Hispanic patients from the United States and Latin America.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 9063-9063
Author(s):  
Henrique Afonseca Parsons ◽  
Sriram Yennurajalingam ◽  
Eva Rosina Duarte ◽  
Alejandra Palma ◽  
Sofia Bunge ◽  
...  
Keyword(s):  
Decision Making ◽  
Latin America ◽  
Advanced Cancer ◽  
Family Involvement ◽  
Assessment Tool ◽  
The United States ◽  
Demographic Variables ◽  
The Family ◽  
The Us ◽  
Hispanic Patients

9063 Background: To determine whether preferences in frequency of passive decision making differ between Hispanic patients from Latin America (HLA) and Hispanic-American (HA) patients. Methods: We conducted a survey of advanced cancer Hispanic patients referred to outpatient palliative care clinics in the U.S, Chile, Argentina, and Guatemala. Information on demographic variables, PS,andMarin Acculturation Assessment Tool (only U.S. patients) was collected. Decision-making preference was evaluated by the decision-making assessment tool. Results: A total of 387 patients with advanced cancer were surveyed: 91 (24%) in the US, 100 (26%) in Chile, 94 (25%) in Guatemala, and 99 (26%) in Argentina. Median age was 59 years, and 61% were female. HLA preferred passive decision-making strategies significantly more frequently with regard to involvement of the family (24% versus 10%, p=0.009) or the physician (35% versus 26%, p<0.001), even after controlling for age and education (OR 3.8, p<0.001 for physician and 2.4, p=0.03 for family) (Table 1). 76/91 HA (83.5%), and 242/293 HLA (82%) preferred family involvement in decision-making (p=NS). No differences were found in decision-making preferences between low- and highly acculturated U.S. Hispanics. Conclusions: HA prefer more active decision-making as compared to HLA. Among HA, acculturation did not seem to play a role in decision-making preference determination. Our findings in this study confirm the importance of family participation in decision making in both HA and HLA. However, HA patients were much less likely to want family members or physicians to make decisions on their behalf. [Table: see text] [Table: see text]

scholarly journals Decisional Control Preferences of Hispanic Patients With Advanced Cancer From the United States and Latin America

2013 ◽  
Vol 46 (3) ◽  
pp. 376-385 ◽  
Author(s):  
Sriram Yennurajalingam ◽  
Henrique A. Parsons ◽  
Eva Rossina Duarte ◽  
Alejandra Palma ◽  
Sofia Bunge ◽  
...  
Keyword(s):  
United States ◽  
Latin America ◽  
Advanced Cancer ◽  
The United States ◽  
Decisional Control ◽  
Hispanic Patients

The United States and the Iranian Nuclear Programme

2018 ◽  
Author(s):  
Steven Hurst
Keyword(s):  
United States ◽  
Decision Making ◽  
Domestic Politics ◽  
The United States ◽  
Nixon Administration ◽  
Comprehensive Plan ◽  
The Us ◽  
Nuclear Issue ◽  
The Relationship

The United States, Iran and the Bomb provides the first comprehensive analysis of the US-Iranian nuclear relationship from its origins through to the signing of the Joint Comprehensive Plan of Action (JCPOA) in 2015. Starting with the Nixon administration in the 1970s, it analyses the policies of successive US administrations toward the Iranian nuclear programme. Emphasizing the centrality of domestic politics to decision-making on both sides, it offers both an explanation of the evolution of the relationship and a critique of successive US administrations' efforts to halt the Iranian nuclear programme, with neither coercive measures nor inducements effectively applied. The book further argues that factional politics inside Iran played a crucial role in Iranian nuclear decision-making and that American policy tended to reinforce the position of Iranian hardliners and undermine that of those who were prepared to compromise on the nuclear issue. In the final chapter it demonstrates how President Obama's alterations to American strategy, accompanied by shifts in Iranian domestic politics, finally brought about the signing of the JCPOA in 2015.

The American War in Afghanistan

2021 ◽  
Author(s):  
Carter Malkasian
Keyword(s):  
United States ◽  
Decision Making ◽  
The United States ◽  
State Building ◽  
The State ◽  
The Us ◽  
History Of ◽  
Narrative Format

The American War in Afghanistan is a full history of the war in Afghanistan between 2001 and 2020. It covers political, cultural, strategic, and tactical aspects of the war and details the actions and decision-making of the United States, Afghan government, and Taliban. The work follows a narrative format to go through the 2001 US invasion, the state-building of 2002–2005, the Taliban offensive of 2006, the US surge of 2009–2011, the subsequent drawdown, and the peace talks of 2019–2020. The focus is on the overarching questions of the war: Why did the United States fail? What opportunities existed to reach a better outcome? Why did the United States not withdraw from the war?

United States Strategic Interests in Latin America: An Assessment

1997 ◽  
Vol 39 (1) ◽  
pp. 45-57 ◽  
Author(s):  
Albert R. Coll
Keyword(s):  
United States ◽  
Latin America ◽  
The United States ◽  
Second World War ◽  
Economic Prosperity ◽  
World War ◽  
Long Run ◽  
The Us ◽  
Areas Of Concern ◽  
Second World

As of 1997, the United States faces an unprecedented degree of security, stability, and economic prosperity in its relations with Latin America. Never before have US strategic interests in Latin America been as well-protected or have its prospects seemed, at least on the surface, so promising. Yet while the US strategic interests are in better shape — militarily, politically, and economically — this decade than at any time since the end of the Second World War, some problems remain. Over the long run, there is also the risk that old problems, which today seem to have ebbed away, will return. Thus, the positive tone of any contemporary assessment must be tempered with an awareness of remaining areas of concern as well as of possible future crises.

Iraq versus the United States

Tempting Fate ◽  
2019 ◽  
pp. 40-62
Author(s):  
Paul C. Avey
Keyword(s):  
United States ◽  
Decision Making ◽  
Nuclear Weapons ◽  
Regime Change ◽  
The United States ◽  
Civil Defense ◽  
Military Action ◽  
The Us ◽  
Saddam Hussein ◽  
Political Dispute

This chapter provides a background for Iraqi behavior during the period of American nuclear monopoly beginning in 1979 when Saddam Hussein was officially Iraqi president, focusing most heavily on events in 1989–1991. In an intense political dispute, Iraqi leadership took actions they believed would fall below the threshold of nuclear use. Most of the limitations that Iraq exhibited were due to its own weakness; it could do little more. For Iraq as a weak actor, war with the United States was possible precisely because it would pose such a low danger to the United States. Even then, Iraqi leadership incorporated the US nuclear arsenal into their decision making in 1990–1991. That confrontation is the most important to examine because it involved Iraqi military action that Iraqi leaders believed would invite some form of US response, and US compellent demands did not center on Iraqi regime change. In 1990, Saddam and his lieutenants held their own unconventional weapons in reserve and discounted an American nuclear strike because of the high strategic costs that such a strike would impose on the United States. They also undertook various civil defense measures to minimize losses from nuclear strikes. Fortunately, the Americans had little intention of using nuclear weapons and did not face a need to resort to nuclear use.

6. Maintaining the Spheres of Influence

2020 ◽  
pp. 159-177
Author(s):  
John W. Young ◽  
John Kent
Keyword(s):  
Latin America ◽  
Soviet Union ◽  
Western Europe ◽  
The United States ◽  
Spheres Of Influence ◽  
Nikita Khrushchev ◽  
The Soviet Union ◽  
The Us ◽  
The Cold War ◽  
East West

This chapter examines how the United States and the Soviet Union tried to maintain their respective spheres of influence during the Cold War, especially in three regions: Eastern Europe, Western Europe, and Latin America. The death of Joseph Stalin and the assumption of power by the triumvirate of Lavrenti Beria, Nikita Khrushchev, and Georgi Malenkov resulted in a fresh approach to domestic issues and to the nature of Soviet control over its European satellites. The apparent change produced a new Soviet approach to East–West relations. The chapter first considers how the new Soviet leadership addressed the crisis in East Germany before analysing American influence in Western Europe and US relations with Latin America. The discussion covers themes and events such as the Soviet policy on Hungary and Poland, the Messina Conference and the Spaak Committee, nuclear cooperation and multilateral force, and the US response to the Cuban Revolution.

scholarly journals Investigating academic library responses to predatory publishing in the United States, Canada and Spanish-speaking Latin America

2020 ◽  
Vol 72 (4) ◽  
pp. 625-652 ◽  
Author(s):  
Jairo Buitrago Ciro ◽  
Lynne Bowker
Keyword(s):  
United States ◽  
Latin America ◽  
Academic Library ◽  
Scholarly Communication ◽  
The United States ◽  
Comparative Investigation ◽  
Content Type ◽  
Spanish Speaking ◽  
The Us ◽  
Predatory Publishing

PurposeThis is a comparative investigation of how university libraries in the United States, Canada and Spanish-speaking Latin America are responding to predatory publishing.Design/methodology/approachThe Times Higher Education World University Rankings was used to identify the top ten universities from each of the US and Canada, as well as the top 20 Spanish-language universities in Latin America. Each university library's website was scrutinized to discover whether the libraries employed scholarly communication librarians, whether they offered scholarly communication workshops, or whether they shared information about scholarly communication on their websites. This information was further examined to determine if it discussed predatory publishing specifically.FindingsMost libraries in the US/Canada sample employ scholarly communication librarians and nearly half offer workshops on predatory publishing. No library in the Latin America sample employed a scholarly communication specialist and just one offered a workshop addressing predatory publishing. The websites of the libraries in the US and Canada addressed predatory publishing both indirectly and directly, with US libraries favoring the former approach and Canadian libraries tending towards the latter. Predatory publishing was rarely addressed directly by the libraries in the Latin America sample; however, all discussed self-archiving and/or Open Access.Research limitations/implicationsBrazilian universities were excluded owing to the researchers' language limitations. Data were collected between September 15 and 30, 2019, so it represents a snapshot of information available at that time. The study was limited to an analysis of library websites using a fixed set of keywords, and it did not investigate whether other campus units were involved or whether other methods of informing researchers about predatory publishing were being used.Originality/valueThe study reveals some best practices leading to recommendations to help academic libraries combat predatory publishing and improve scholarly publishing literacy among researchers.

The US and Latin America Through the Lens of Empire

2004 ◽  
Vol 103 (670) ◽  
pp. 61-67
Author(s):  
Michael Shifter
Keyword(s):  
United States ◽  
Latin America ◽  
The United States ◽  
Latin Americans ◽  
The Us

An unvarnished sense of superiority, displayed proudly on the regional and global stage, has revived the resentment and distrust of Latin Americans toward the United States that had recently shown signs of receding.

Sectionalism and Policy Formation in the United States: President Carter's Welfare Initiatives

1996 ◽  
Vol 26 (3) ◽  
pp. 337-367 ◽  
Author(s):  
Desmond King
Keyword(s):  
Family Support ◽  
The United States ◽  
Policy Formation ◽  
Jimmy Carter ◽  
Archival Material ◽  
The North ◽  
Family Support Act ◽  
The Family ◽  
The Us ◽  
North And South

President Jimmy Carter twice attempted to enact major reforms of the US welfare system. Using archival material from the Carter Presidential Library, this article argues that one major reason for the failure of both initiatives was the persistence of regional divisions between representatives from the north and south in the Congress. This factor is as germane to the welfare failure as poor presidential-congressional relations and changes to the committee seniority system in the Congress. American welfare programmes were institutionalized in such a way that, from the 1930s, building a coalition across sectional interests (as represented by members of the Congress) was nearly impossible: gains to one region constituted losses to the other. The consequence of the way Carter pursued and failed to achieve welfare reform was to enhance the priorities, particularly ‘working for welfare’, exploited by Reagan in the final year of his administration when the Family Support Act was enacted.

Family involvement in the end-of-life decisions of competent intensive care patients

2012 ◽  
Vol 20 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Ranveig Lind ◽  
Per Nortvedt ◽  
Geir Lorem ◽  
Olav Hevrøy
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
End Of Life ◽  
Family Involvement ◽  
Decision Making Process ◽  
Primary Role ◽  
Her Family ◽  
Intensive Care Patients ◽  
The Family ◽  
End Of Life Decision

In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that relatives narrate about a strong intertwinement with the patient. They experienced the patients’ personal individuality as a fragile achievement. Therefore, they viewed their presence as crucial with their primary role to support and protect the patient, thereby safeguarding his values and interests. However, their inclusion in decision making varied from active participation in the decision-making process to acceptance of the physicians’ decision or just receiving information. We conclude that models of informed shared decision making should be utilised and optimised in intensive care, where nurses and physicians work with both the patient and his or her family and regard the family as partners in the process.

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