Search

This paper provides a narrative review of the existing literature on differences in demographic and biological features of breast cancer at time of diagnosis between Black and White women in Canada, the United Kingdom and the United States. Electronic database searches for published peer-reviewed articles on this topic were conducted, and 78 articles were included in the final narrative review. Differences between Black and White women were compared for eight categories including age, tumour stage, size, grade, lymph node involvement, and hormone status. Black women were significantly more likely to present with less favourable tumour features at the time of diagnosis than White women. Significant differences were reported in age at diagnosis, tumour stage, size, grade and hormone status, particularly triple negative breast cancer. Limitations on the generalizability of the review findings are discussed, as well as the implications of these findings on future research, especially within the Canadian context. [ABSTRACT FROM AUTHOR]

Almost 80 million people globally are forcibly displaced. A small number reach wealthy western countries and seek asylum. Over half are children. Wealthy reception countries have increasingly adopted restrictive reception practices including immigration detention. There is an expanding literature on the mental health impacts of immigration detention for adults, but less about children. This scoping review identified 22 studies of children detained by 6 countries (Australia, Canada, Hong Kong, Netherlands, the UK and the US) through searches of Medline, PsychINFO, Emcare, CINAHL and Scopus data bases for the period January 1992–May 2019. The results are presented thematically. There is quantitative data about the mental health of children and parents who are detained and qualitative evidence includes the words and drawings of detained children. The papers are predominantly small cross-sectional studies using mixed methodologies with convenience samples. Despite weaknesses in individual studies the review provides a rich and consistent picture of the experience and impact of immigration detention on children's wellbeing, parental mental health and parenting. Displaced children are exposed to peri-migration trauma and loss compounded by further adversity while held detained. There are high rates of distress, mental disorder, physical health and developmental problems in children aged from infancy to adolescence which persist after resettlement. Restrictive detention is a particularly adverse reception experience and children and parents should not be detained or separated for immigration purposes. The findings have implications for policy and practice. Clinicians and researchers have a role in advocacy for reception polices that support the wellbeing of accompanied and unaccompanied children who seek asylum. [ABSTRACT FROM AUTHOR]

In this paper we present the current state of cultural diversity education for undergraduate medical students in three English-speaking countries: the United Kingdom (U.K.), United States (U.S.) and Canada. We review key documents that have shaped cultural diversity education in each country and compare and contrast current issues. It is beyond the scope of this paper to discuss the varied terminology that is immediately evident. Suffice it to say that there are many terms (e.g. cultural awareness, competence, sensitivity, sensibility, diversity and critical cultural diversity) used in different contexts with different meanings. The major issues that all three countries face include a lack of conceptual clarity, and fragmented and variable programs to teach cultural diversity. Faculty and staff support and development, and ambivalence from both staff and students continue to be a challenge. We suggest that greater international collaboration may help provide some solutions. [ABSTRACT FROM AUTHOR]

In this paper, we consider whether certain countries are particularly adept (or particularly poor) at getting children from disadvantaged homes to study for a bachelor's degree. A series of university access models are estimated for four English-speaking countries (England, Canada, Australia and the USA), which include controls for comparable measures of academic achievement at age 15. Our results suggest that socioeconomic differences in university access are more pronounced in England and Canada than Australia and the USA and that cross-national variation in the socioeconomic gap remains even once we take account of differences in academic achievement. We discuss the implications of our findings for the creation of more socially mobile societies. [ABSTRACT FROM AUTHOR]

On the basis of a study of American, British and Canadian records, this article examines the relationship of France to the negotiation of the North Atlantic Treaty from the perspective of the ‘ABC’ countries, particularly Canada. How did the perceived vulnerability of France influence the approach of the members of the ‘North Atlantic Triangle’ to the justification, timing and contents of the proposed pact? How did France's inclusion in Western Union and its exclusion from the preliminary talks in the Pentagon affect American, British and Canadian attitudes to the development of the draft alternatively known as the ‘Pentagon Paper’ or the ‘State Department Draft’? These questions are addressed, as well as the impact on the later ambassadorial talks of France's priority to immediate rearmament and its determination to include the departments of Algeria within the defensive perimeter of the North Atlantic Treaty Organisation. Finally, the article assesses the extent to which France and its requirements influenced the policies and actions of the Canadian government throughout the negotiation of the North Atlantic Treaty. [ABSTRACT FROM PUBLISHER]

The global expansion of access to higher education has increased demand for information on academic quality and has led to the development of university ranking systems or league tables in many countries of the world. A recent UNESCO/CEPES conference on higher education indicators concluded that cross-national research on these ranking systems could make an important contribution to improving the international market for higher education. The comparison and analysis of national university ranking systems can help address a number of important policy questions. First, is there an emerging international consensus on the measurement of academic quality as reflected in these ranking systems? Second, what impact are the different ranking systems having on university and academic behavior in their respective countries? Finally, are there important public interests that are thus far not reflected in these rankings? If so, is there a needed and appropriate role for public policy in the development and distribution of university ranking systems and what might that role be? This paper explores these questions through a comparative analysis of university rankings in Australia, Canada, the UK, and the US. [ABSTRACT FROM AUTHOR]

Official science and technology statistics are fifty years old. Among industrial countries, the forerunners were the United States, Canada and Great Britain. This paper traces the development and the construction of S&T statistics in these three countries, and their subsequent standardization, mainly by the OECD, in the 1960s. It shows how military and science policy needs drove the construction of statistics, until economic considerations came to dominate their development. It also discusses how statistics interacted with politics by way of studies that documented gaps between OECD Member countries and between the OECD and the USSR. [ABSTRACT FROM AUTHOR]

This article presents a commentary on a paper by Robert A. Stebbins in a previous issue of The American Sociologist which provided an account of professional and amateur sociology in the U.S. The British organization, Mass Observation existed in a relatively nonintrusive society with (as compared to the U.S.) greater concern for one's own and other people's privacy. Canada and Great Britain may in this respect have more built-in defenses against the risks of some kinds of amateur sociology that the U.S. would have. However, according to the commenter, Stebbins already anticipates this objection by requiring amateurs to be supervised and to start with a certain amount of instruction and proper cautionary comments. By engaging primarily in the use of unobtrusive measures and observations, the amateur will avoid the risks of harm to which Stebbins is already sensitive. The commenter relates that one of the public areas in which he has encouraged such unobtrusive observations is in churches, where the observer in outward appearance is similar to the congregation and hence not seen as an intruder. According to him, he has had a fair amount of experience with undergraduate amateurs of the sort described.