This study is based on an adaptation of the Strategic Démarche Approach applied to the Evandro Chagas Institute of Clinical Research (IPEC) in Brazil, from April to July 2009. The results are related to the experience of the Leishmaniasis Laboratory. A strategic analysis of four homogeneous segments was performed, considering the administration of care and specific teaching and research indicat...

The expert patient: a new approach to chronic disease management for the twenty-first century, produced by the Department of Health, recommends the introduction of 'user-led self management' for chronic diseases to all areas of the NHS by 2007. The premise is that many patients are expert in managing their disease, and this could be used to encourage others to become 'key decision makers in the...

Human language has unusual structural properties that enable open-ended communication. In recent years, researchers have begun to appeal to cultural evolution to explain the emergence of these structural properties. A particularly fruitful approach to this kind of explanation has been the use of laboratory experiments. These typically involve participants learning and interacting using artifici...

Although genetic information is acquired only once, cultural information can be both abandoned and reacquired during an individual's lifetime. Therefore, cultural evolution will be determined not only by cultural traits' ability to spread but also by how good they are at sticking with an individual; however, the evolutionary consequences of this aspect of culture have not previously been explor...

Histories of evolutionary thought are dominated by organic evolution. The colossus in our midst that is evolutionary biology casts its shadow over history, making it appear that what is so widespread and important today was always the primary subject of evolutionary speculation. Thus many histories assume that the core meaning of evolution is the change of organic life and that other forms of e...

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OBJECTIVES to determine how the immigration phenomenon influences the response to informal care in the domestic level through the caregiver activity, and to analyze the cultural dialogue established in the residential area of Murcia (Spain). METHOD This is an ethnographic study, conducted in 26 informal immigrant caregivers. As data collection instruments, semi-structured interviews and parti...

The cultural psychology of African Americans involves the evolution of African patterns of thought, feeling and behavior and their utilization as adaptive mechanisms in a context of racism and oppression. Assumptions about cultural psychology as the intersection of psyche and culture, and African American psychology as the multidimensional response to dehumanization and psychic conflict are dis...

The human amygdala robustly activates to fear faces. Heightened response to fear faces is thought to reflect the amygdala's adaptive function as an early warning mechanism. Although culture shapes several facets of emotional and social experience, including how fear is perceived and expressed to others, very little is known about how culture influences neural responses to fear stimuli. Here we ...

Human-Computer interaction may be correlated with social interaction and cultural norms. We examined how Japanese and American people respond to a computer as a social entity and how cultural di erences between Japanese and American behavioral norms in reciprocal social interaction play a role in this response. Reciprocity is the most powerful and universal factor governing social interaction b...