MEDICAL SOCIOLOGY

Author: SERAPIONI MAURO.
Year: 2003.
University: BARCELONA.
Place of defense: CIENCIAS ECONOMICAS Y EMPRESARIALES.
Place of preparation: FACULTAD DE CIENCIAS ECONOMICAS.

Summary: The thesis is divided into five partes.En the first discusses some phenomena that have changed the relationship entresitemas semiterio and ciudadanos.En the second reviews contributions téoricas some, estudosso who have analyzed the forms of interconnection between possibles systems socíal and the world vida.La third part deals issues and methods consists of two parts: the first devoted analysis comperitivo and the second to the methods of gathering information. The fourth section discusses the rasultados, forgotten in two sub-partes: the outcome of the case iteliano and British case. In the fifth, supplementing the work done a competitive analysis of the experiences of paticipación stressing regularities and changes in releción the main cerecténistiacas study.

Author: SERAPIONI MAURO.
Year: 2003.
University: BARCELONA.
Place of preparation: FACULTAD DE CIENCIAS ECONÓMICAS.

Summary: The thesis is divided into five part. In the first, discusses some phenomena that have changed the relationship between the health system and citizens. The second reviews the theoretical contributions of some scholars who have examined possible ways of interconnection between social system and the world of gracious living. The third part deals issues and methods consists of other chapters: the first devoted to the comparative analysis and the second to the methods of gathering information. The fourth section discusses the results, forgotten in two sub-partes: The results of the Italian case and the British case. In the fifth, supplementing the work conducting a comparative analysis of the experiences of participation, stressing regularities and variations in relation to the main features of the study.

Author: NUÑEZ JUAREZ ESTHER.
Year: 2004.
University: BARCELONA.
Place of defense: FACULTAD DE CIÉNCIES ECONÓMIQUES I EMPRESARIALS.
Place of preparation: FACULTAT DE CIÈNCIES ECONÒMIQUES I EMPRESARIALS.

Summary: Rationale: The language / speech of patients to define their pain could allow deepen the peculiarities of pain and an understanding of the expectations and it could help make a more accurate diagnosis and thus improve treatment strategies. Assumptions: The words used to express the chronic low back pain are a valid tool to understand the disease and differentiate it from other chronic musculoskeletal diseases and the therapeutic approach to improve their social and demographic factors affect pain perception and expectations of treatment. Objectives: The main objective was to analyze the characteristics of lenguajeutilizado to describe the pain on the part of a group of patients with chronic low back pain (CLBP), using as a control group patients with other chronic musculoskeletal diseases (OEMC). Secondary objectives were: to meet expectations regarding the treatment of patients with CLBP, determining demographic and social factors that influence the perception of pain and expectations before treatment. Patients: 268 consecutive patients divided into two groups. 160 (71% female) with average age of 52 (lC 50.42-52.93) years affections DLC, grupol and 108 (92% female) with average age of 57 (CI 54.67-59.53) affections of OEMC, group 2 (17% rheumatoid arthritis, 49% osteoarthritis, 8% osteoporosis and 16% of carpal tunnel syndrome). Methods: A cross-analytic study cohort. Socio-demographic variables were identified and clinics. We designed a questionnaire that included four open-ended questions that patients should reply in writing. A description on the pain and three concerning expectations about treatment. The data were analyzed using textual analysis methodology defined by textual Lebart et al. Based on multivariate statistical methods descriptive. Main results: The sociodemographic characteristics and clinical psychopathology and functional ability had no effect on the language used by patients. However high intensity of pain was related to an increased use of emotional terms, evaluative and intensity. Patients with DLC and OEMC used different terms to describe their pain. The language of patients with nonspecific DLC was using evaluative descriptors and intensity, while the group of patients with OEMC used specific language containing a large number of descriptors sensory and emotional. The fi'ases more features were used for patients with CLBP "very strong continuing pain" and for the affections of OEMC "Throbbing pain is not constant decreases resting intense." Likewise were obtained and fi'ases different terms that characterized pathologies included in the OEMC. Expectations about the treatment also distinguished the two study groups. Patients with the DLC focused on the areas of work and family and patients with OEMC those focused on improvements to the process and functional ability. The factorial analysis showed the axes as opposed both groups of diseases. Conclusions: The words spoken by the sick to express their grief helped differentiate chronic low back pain from other chronic musculoskeletal diseases. Expectations about the treatment for the group of patients with CLBP focused on the areas of work and family while for patients in the group OEMC focused on improvements to the process and functional ability. The sociodemographic characteristics no effect on the language used. The language was not influenced by the psychological field.

Author: ZAPICO YÁÑEZ FLORENTINA.
Year: 2005.
University: BARCELONA.
Place of defense: CIENCIAS ECONÓMICAS Y EMPRESARIALES.
Place of preparation: F. CIENCIAS ECONÓMICAS Y EMPRESARIALES.

Summary: This study aims to review progress in the practice of diseases through analysis of the tasks, the vision they have professionals and the elite of the profession and finally examine whether there are future strategies relevant to the emerging trends that will allow us to move forward in a new approach to the profession. These new trends are framed by changes in the social structure, an aging population, economic crisis, migration, health concerns, changes in the health systems with the resulting containment in health spending. Progress in science and technology and their influence in the professions, and finally the construction of the nurse profession and their coexistence with the work of other professionals. In this scenario where the nurse is facing its greatest challenge, grow or disappear as a profession as such. According to the literature review conducted, political, social, professional elites, it augured well for the future, which is not the case with professionals who call themselves base. They have a pessimistic view on their training, practice and its future. The construction of a professional culture can be done using several directions, from the importance of theoretical models and advanced technology from other experiences such as in this case nursing models of the USA and Canada, Buxó i King (1994) suggests that not enough emulate new ideas, but also to develop innovative adoptions. Adopting innovative is built based on the combination of logic and intuition, knowledge and action, reason and passion, ethics and aesthetics, ie on a better knowledge of our thoughts and actions. An analysis of research might suggest as Torra i Bou (1995) that nursing is a discipline that is going to build its own body of knowledge based on the interpretation of the reality that surrounds it. The analysis of the tasks, their evolution, we guide on the skills and capabilities of the collective to meet the challenges of the twenty-first century. With the results of this work aims to contribute in defining the tasks ahead of their leaders thinking about training strategies and integration into systems professionals.

Author: SOBREMONTE DE MENDICUTI MARIA EMMA.
Year: 2005.
University: DEUSTO.
Place of defense: FACULTAD DE CIENCIAS POLÍTICAS Y SOCIOLOGÍA.
Place of preparation: SOCIOLOGÍA.

Summary: The thesis is presented that focuses on the analysis of the Social Inequalities in Health in CAE, in order to clarify what social factors are associated with ecological distribution. Interest in this issue comes from the fact that although the health of the population has improved dramatically, the presence of inequalities both territorial and social class remains a recurrent phenomenon in the world. Taking into account these differences are unjust, the investigation of social and cultural factors are at their genesis has become a political priority in trying to reduce them. This was stated by the World Health Organization to establish as a priority objective for the twenty-first century achieving equity in health, whose objective assumption, in the case of the Basque Country, is reflected in the latest Health Plan of the Department of Health Basque government. Since social inequalities in health is one of the manifestations of social inequality, and their presence is a problem of great social importance, this theory is introduced in the analysis of this phenomenon in the CAE From the sociological perspective trying to highlight the relationship between factors of inequality and the state of health of the population. It is no secret that in the investigation of this phenomenon has a sociocultural perspective unique role in the field of public health at the time to clarify the role of social determinants of health / disease and their differential distribution between social groups. In this regard the current investigation is based on the assumption that the state of health of the population is closely connected to the social variables most closely associated with a greater or lesser degree of inequality within a given society, it infers that the lower the degree of inequality, the better the health status of the population as a whole. In line with the objectives set, after tackle in the first two parts of this thesis concerning the study of epistemological and after making a thorough review of the empirical approaches to realize the current status of the item in the research community, Part III dedicated to the empirical work done in the CAE Presenting the results of the analysis carried out. Although the purpose of the research is the analysis ecológico-territorial social inequalities in health, work also introduces the analysis of social inequalities in health seen as social class, gender, age ... The introduction of both perspectives of analysis in the same paper aims to understand more deeply the patterns of social inequality in health in CAE Given the scarcity of ecological studies that take as a reference small geographic areas, this work has been taken as the unit of analysis the region in an attempt to capture more precisely the factors that affect the social inequalities in health. This part is presented in the first instance changes in the perceived health in the CAEdurante the period 1997-2002, both from the environmental perspective and from the individual to show the differences and inequalities by county social class, age taking ... as a reference to all the subjects surveyed in the Basque Survey of Health 2002. Following is the evolution of mortality rates in the Basque Country and county differences between men and women as environmental variables. Finally, it conducts an analysis of the explanatory factors. The conclusion of the analysis is that ecological there were virtually no differences in either territorial or perceived health in mortality rates due to the relatively high degree of social and economic homogeneity that exists in the CAE, which accepts the null hypothesis states that the non-existence significant differences by region. If confirmed significant differences according to gender and social class.

Author: SIERRA HERNANDO CARLOS HUGO.
Year: 2005.
University: PAÍS VASCO.
Place of defense: FACULTAD DE CIENCIAS SOCIALES Y DE LA COMUNICACIÓN.
Place of preparation: FACULTAD DE CC. SOCIALES Y DE LA COMUNICACIÓN.

Summary: First, the work weighs the inadvertent complicity ideological and teoréticas linking sociology with medical science, to the extent that this circumstance contributed to the proliferation of epistemic a regime in which the human body was referred to as a biological reality - natural. Under these cognitive computing depreciation, research assumes the effort to retake the binding dimension in which the material is carnal, outlining a trail hermeneutic of the human body from genetic traits that are themselves: complexity, liminalidad and imaginalidad. In that sense, the regime fertile symbolic nature of corporeal evidence actually facinante contingency when it undertakes what could well qualify as a brief historical retrospection of the medical practice, taking into account the impact that had, for the formation of a sensibility the body specifically West, this scientific discipline. Thus, it is necessary to outline in some detail a synthesis of medicine proto about an axis epistémico trifronte: alienation, opacity and fronterización because, far from being a phenomenon epistémico premoderno, this triple axis has prolongaod in time, vertebrando the future of biomedicine today, and has been lifted by alambicadas strategies projection rhetorical / technology, as a reference point in the hermeneusis of nuclear me. Once taken these precautions theoretical, work will be in the architectural sense of the sick, because the disease, as already noted, put on hold our ser-mundo at inhbir that visibility entertainment that we are, it puts stress on the system as a significant matters carnal. Finally, with an eye on these processes penetrating the dense thicket of the body, research conducted by the analysis of a medical epistemologia alternative, such as China, to the extent that no part of the patterns of thought dominant in the West . The idea is to consider specific frames visibility of the body are projected onto the cognitive content of acupuncture, making it impossible to conceptualize the body from an absolute and universal.

Author: LORIENTE ZAMORA CRISTOBAL.
Year: 2005.
University: NACIONAL DE EDUCACIÓN A DISTANCIA.
Place of defense: CC. POLÍTICAS Y SOCIOLOGÍA.
Place of preparation: CC. POLÍTICAS Y SOCIOLOGÍA.

Summary: Two main goals are this investigation: the description and analysis of ethnographic community tartamuda participating in self-help groups and virtual forums, and the construction of a model desmedicalizado of tartamudez (Transritmo). Regarding the first objective, we participated in two forums virtual Internet devoted to the discussion and understanding of the tartamudez (Ttm-ly Ttm-e); coordinate for more than two years, a self-help group and a group of toastmaster for tartamudos. And finally participate as a member in the GATA (Group self-help Tartamudos of Asturias). The field work consists of 1500 messages virtual 29 interviews tartamudos (and relatives), annotations and a field survey conducted nationwide to all participants of self-help groups (protected by the Foundation). We obtained the following conclusions regarding participation in self-help groups: the subjective reality of tartamudos is transida pain because socialization primary and secondary interiority affected the social consequences of behavior mediated and stigmatized. Participation in self-help groups is a reasonable option for tartamudos seeking to alleviate their subjective reality and establish lasting ties with other tartamudos. The reason that animates the tartamudos to participate in these groups is responding to his identity; while his daily coexistence with the community fluid is conflicting (intergrupal conflict), produced by stigma, medicalization and the stereotype medicalized, the identity rebuilt in the group, reducing the suffering resulting from tartamudear. On the second goal, part of the paradigm of the complexity of Morin, who advises interdisciplinarity for methodological and theoretical understanding of the complex phenomena, such as tartamudez, our theoretical framework consists of an amalgam of concepts (self, identity, diversion) , theories (Interactionism symbolic, the theory of social construction of reality. theory of dramaturgy Goffman, a concept of culture Geertz, etc..) from three social science: social psychology, sociology and anthropology. While biomedical sciences conceive man as a unit biopsicosocio invested Triad and we believe that the man (or any other reality) is a unit sociopsicobio, where social elements determine the rest of triad. Thus, we think the tartamudez a social construct determined by the context you build, closely linked to the diversion social anomie and disease. On the second goal, we get the following conclusions: 1-We conclude that medizalización of tartamudez deteriorating social and personal identity of tartamudos therefore propose desmedicalización of this phenomenon, introducing a construct called Transritmo designating rhythms emission speaking rare and discontinuous. 2-Transritmo despatologiza patterns lingüsticos rare for any -taquifemia, bradilalia or tartamudez- and identity clinic biomedicine clear from the broadcast alternating pattern lingüsticos rare should not be a pathological symptom (desmedicalización) and should not deteriorating lead to a social identity, stereotype associated with a social afrentoso (desestigmatización). 3-Transritmo believes that people tartamudean are tartamudas and fluid at the same time (theory of mixed identity), which rejects the status tartamuda articulate the identity of the subject, suggesting that is a characteristic peripheral and accidental, which is not coligen social consequences, obligations clinics or disability.

Author: ÁNGEL BASTERRA PÉREZ.
Year: 2006.
University: ALICANTE.
Place of defense: FACULTAD CIENCIAS ECONÓMICAS Y EMPRESARIALES.
Place of preparation: UNIVERSIDAD DE ALICANTE.

Summary: This research part of the theory of social denial of death in contemporary societies. The exaltation of postmodern values of individualism at the expense of groups involves the elimination of everything that relativizes the individual: death. As a result, it must be denied. However, despite their initial application as taboo in contemporary societies, the gradual conversion of the death in order to study restricted in science and the arts, obliges its reformulation. At present, the social denial of death involves its place outside the institutional level public and retention of the pre-eminent in private, particularly in the hospital. Therefore, the hospital becomes the center ideal from a methodological point of view to the study of death. In this area, the central role of health personnel makes this group better placed to consider the death. The ultimate goal of this research is to study the collective representations of health personnel about death. Although the prospect of this group is partial, however, represents the most central vision with respect to other social groups involved in the death. Only a joint vision of all these groups provide an authentic vision of the multidimensionality of death. To begin with, this research is a first step in this ambitious project for the future. As representations are collective sense structures require interpretation, never its quantification. This puts this research in the area of qualitative methodology. As the objective is the collective performances, the best technique of social research for acometerlo is the interview in depth. Through interviews in the selection of those most hospital departments in daily contact with death, you get your address by the medical staff on the death. His subsequent analysis will provide an understanding of the collective representations of health personnel about death. Finally, this research focuses spatially and concrete in Alicante.