M.Ed. / Drug abuse in secondary schools appears to be a major problem. Preliminary discussions with some learners and educators triggered the researcher to attempt making a research on this matter, since enormities of this problem has a negative impact towards the process of teaching and learning. This type of practice affects the behavioural pattern of individuals within educational institutions. For example learners bring their parents’ revolvers to school to harm their classmates, in class they laugh continuously with no apparent reason, they remain behind with their school work, dress indecently, become arrogant, use vulgar language, rape girls, become disorderly, provoke other learners and start unnecessary fights. The purpose of this study was to explore and investigate whether principals, educators, parents have the necessary knowledge and skills on how to detect the learner as being a drug abuser, how intervention takes place. Further, the research study also tries to determine whether the personnel and Learner Representative Council do check on the food that the vendors are selling to ascertain whether they don’t contain any harmful substances, that can cause a barrier in the learner’s mentality, of which at the end can encourage the learner to turn to crime as a means to survival. Data was collected through a number of methods. Various community members of educational institutions like, principals parents, educators learners and the Gauteng Department of Educators official member, dealing with drugs were interviewed to inquire about their perceptions, feelings and opinions as far as it concerned about intervention strategies for drug abuse in secondary schools. What they recommend should be done to facilitate change on causes of abusing drugs by learners, which strategies to be employed to curb this problem within secondary schools. A thorough literature review was made to determine what other researchers discovered on the same phenomena. Feelings, perceptions and opinions were read throughout the interviews. The participants proved to have a minimal knowledge about the practices of drugs within their schools and the society. By means of particular programmes designed by the school and the society, they can be empowered to open up, in order to provide assistance to the troubled children. / Prof. J.R. Debeila

長久以來，社會科學家在西方社會及香港曾作出多項與濫藥有關的研究，從不同層面，就不同犯罪學理論展開探討。然而，很少的研究會聚焦濫藥行為中男女的差異。正如一直存在的爭議，圍繞在近年的濫藥行為上，性別的差異是否減少了，是的話，原因何在。很多學者都提出關注，女性濫藥情況加劇，可能歸咎於女權開放、更大壓力、青年人的次文化或現今社會執法者的偏見。 / 這研究有系統地探究及解釋過去二十四年香港女性濫藥的趨勢及性別差距，是否女性濫藥加劇情況比男性快。我查看了香港警隊的拘捕記錄、藥物濫用資料中央檔案室記錄及禁毒處六次對學生服用藥物情況調查。再用「單根檢定法」分析數據，確認有關數據在反映性別差距的可靠性。 / 有些學者及傳媒都留意到近年女性濫藥增加趨勢比男性快，但原因仍待討論，因為此現象可能由警方加強打擊導致。當今有兩個相爭的說法，「規範性方法」相信增加是事實的，其中的「自由女權主義」相信性別平等會導致女性獲得更大自由和機會，所以濫藥也增多，「社會女性主義」提出現今女性要兼顧工作與家庭，壓力大時需要濫藥減壓。更有學者相信近年濫藥是娛樂活動的一部份，故被「正常化」。「社會建構方法」提出罪案率的上升並非真實，只是刑事司法體制制度化所致，因為當警隊加強執法，對輕微案件都不放過時，更多人會被拘捕。我今次的研究，運用了時間序列迴歸的分析法驗証這兩個相爭說法。 / 根據警方及藥物濫用資料中央檔案室的記錄，我發覺女性濫藥確有上升，性别差距亦收窄。雖然男女在吸食精神毒品的增加步伐相同，但女性吸用海洛英的下降比男性慢。警方記錄的濫用藥物性別差距，沒有像對學生服用藥物情況所發現的收窄。這顯示警方的拘捕行動，可能受多個因素影響。 / 理論上，我的研究沒有發現強烈証據支持男女平等會增加女性濫藥。反之，我發現女性承受的社會壓力愈大，濫藥愈多。我的研究亦間接上支持「正常化」的論點，因為青少年濫用精神科藥物確屬一個次文化。另外，我亦發現當刑事司法體制愈制度化，濫藥的性別差異相應減少。 / 這是在香港首個用量性研究方法進行的相關研究，當中使用高等定量時間序列迴歸方法分析，集中研究女性濫藥情況及性別差距，測試西方的「規範性方法」及「社會建構方法」在不同文化的套用性，結果指出這兩個相爭的說法事實上是相輔相成。實際上，我提出了當今女性面對的問題，她們的需要及應該得到的支持。最後我亦討論了此研究的不足之處，主要我全依賴官方數字，未有實地研究。日後的研究，應結合質性研究，加強對個別濫藥者的了解，包括他們的個人背景及濫藥的原因。 / Drug use is of longstanding research interest in sociology. Many studies of the subject have been conducted in Western contexts and in Hong Kong from social and economic perspectives, at the macro and micro levels, and in connection with numerous criminological theories. However, relatively few studies of drug use have focused on gender differences or on the changing patterns of abuse in relation to gender over time. There is ongoing debate over the issue, including the question of whether the gender gap in drug use has changed over time and, if so, in what ways and why. Currently, there is increased concern about the behavior of female drug users, with many scholars arguing that female drug use may increase or become more visible in modern societies due to women's liberation, heightened strain, the spread of youth subcultures, and/or biased law enforcement. / This study systematically examines and explains the trends in female drug use, and the gender gap in that use, in Hong Kong in the past two and a half decades to determine whether drug use among female has increased at a faster pace than that among male, meaning the gender gap is narrowing, or whether the two groups are undergoing parallel trends, meaning the gender gap is stable. The study's methods were as follows. I reviewed and compared Hong Kong Police (Police) arrest records, the records maintained by the Central Registry of Drug Abuse (CRDA), and the results of six self-report surveys. I then used the Augmented Dickey-Fuller Test, a time series technique, to test the statistical reliability of the patterns identified in the gender gap in drug use. / Some scholars and the media in Hong Kong have noticed that drug use among females is on the rise and that the rate of the increase in their drug use has exceeded that of males in recent decades. However, the question of whether there has been a real change in the rate of female drug use needs to be addressed, as the figures they cite may reflect the more proactive policing of minor offences. Two competing approaches offer different views. The "normative approach" posits that there has been a real increase in female drug use. Liberal Feminism sees this rise as resulting from greater gender equality, as females now enjoy greater freedom and more opportunities. Socialist Feminism takes the view that more females are now using drugs to cope with the social strain and stress they suffer from the need to both work and take care of their families. Furthermore, some scholars posit that drug use is a result of "normalization," that is, it is now more accepted as part of leisure and recreation. The "social constructionist" approach posits that changes in crime rates do not reflect real rises in crime, but are the result of the formalization of the criminal justice system. In the case of female drug use, this approach suggests that the police are now less tolerant toward female drug use, and increased enforcement renders their drug use more visible. In this study, I employed advanced quantitative time series regressions to test these competing theoretical explanations. / The Police and CRDA records indicate that female drug use has been increasing, with females now taking more psychotropic drugs. The gender gap in drug use appears to be narrowing. Both males and females have seen an increase in psychotropic drug use, but female use of heroin has not declined as much as male. The self-report surveys show that girls' use of psychotropic drugs has increased two times more than boys', but the gender gap trend shows instability. The Police and CRDA records show girl drug use to be increasing at a faster rate than the self-report survey data do, but the Police records do not show the gender gap in drug use to be narrowing to the extent that the self-report survey data do, suggesting that arrests may be guided by different policing factors and priorities. / With regard to theoretical explanations, my analysis does not produce strong support for the view that greater gender equality has caused the rise in female drug use. Rather, I find strong support for the theory that increased social strain and stress may be the main factor in this rise. To some extent, this study also offers indirect support for the normalization thesis, revealing that young people's use of psychotropic drugs is more related to youth subculture, in which psychotropic drug use is prevalent and acceptable. I also find the greater formalization of the criminal justice system to have contributed to the narrowing of the gender gap in drug use. / The findings of this study have important theoretical implications, as this is the first quantitative research conducted in Hong Kong using advanced times series analysis and focusing on female drug use and the gender gap in drug use to test the competing normative and social constructionist perspectives, thereby extending these Western theories to another culture. The findings illustrate that these perspectives are not actually mutually exclusive, but can be complementary. Practically, the findings shed light on the need to better understand female drug use and to determine what can be done to support them. Finally, the study does have a number of limitations, which are recognized and discussed. Its main limitation is that I relied fully on official data and self-report surveys without conducting field research. Future research incorporating a qualitative approach would enhance our understanding of individual drug users, such as their personal background and reasons of taking drugs. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Ng, Ka Sing David. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2012. / Includes bibliographical references (leaves 227-237). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese. / ABSTRACT --- p.i / ACKNOWLEDGEMENTS --- p.ii / LIST OF TABLES --- p.ii / LIST OF FIGURES --- p.ii / Chapter CHAPTER ONE --- THE RESEARCH PROBLEM --- p.17 / Chapter 1.1 --- Introduction --- p.17 / Chapter 1.2 --- Background of the Study in the Western Societies --- p.18 / Chapter 1.3 --- Background of the Study in Hong Kong --- p.21 / Chapter 1.4 --- Research Objectives and Significance of Study --- p.25 / Chapter 1.5 --- Organization of the Thesis --- p.31 / Chapter CHAPTER TWO --- LITERATURE REVIEW AND HYPOTHESES --- p.34 / Chapter 2.1 --- A Theoretical Overview of the Convergence Hypothesis --- p.34 / Chapter 2.2 --- Explaining Convergence: The Normative Perspective --- p.38 / Chapter 2.3 --- A Competing Explanation of Convergence: The Social Constructionist Perspective --- p.58 / Chapter CHAPTER THREE --- RESEARCH DESIGN AND METHODOLOGY --- p.66 / Chapter 3.1 --- Hypotheses --- p.66 / Chapter 3.2 --- Sources of Data --- p.68 / Chapter 3.3 --- Measures--The Dependent Variables and Independent Variables --- p.79 / Chapter 3.4 --- Analytic Strategies --- p.87 / Chapter CHAPTER FOUR --- FINDINGS (HYPOTHESES 1 TO 6) --- p.97 / Chapter 4.1 --- Hypothesis 1: The rate of female drug use has been rising according to official data. --- p.97 / Chapter 4.2 --- Hypothesis 2: The gender gap in the rate of drug use has been narrowing according to official data. --- p.104 / Chapter 4.3 --- Hypothesis 3: The rate of female drug use has been increasing according to self-report survey data. --- p.115 / Chapter 4.4 --- Hypothesis 4: The gender gap in the rate of drug use has been narrowing according to self-report survey data. --- p.116 / Chapter 4.5 --- Hypothesis 5: The rate of female drug use has been increasing faster in official data than in self-report survey data. --- p.117 / Chapter 4.6 --- Hypothesis 6: The gender gap in the rate of drug use has been narrowing faster in official data than in self-report survey data. --- p.118 / Chapter CHAPTER FIVE --- FINDINGS (HYPOTHESES 7 TO 9) --- p.135 / Chapter 5.1 --- Descriptive Statistics Regarding Hypotheses 7-9 --- p.135 / Chapter 5.2 --- Regression Results for Hypothesis 7-9 --- p.141 / Chapter 5.3 --- Summary of Findings --- p.151 / Chapter CHAPTER SIX --- PSYCHOTROPIC DRUG USE AMONG GIRLS AND BOYS --- p.163 / Chapter 6.1 --- Descriptive Statistics --- p.164 / Chapter 6.2 --- Evidence from a Time-series Regression Analysis --- p.167 / Chapter 6.3 --- Summary of Findings --- p.169 / Chapter CHAPTER SEVEN --- SUMMARY AND DISCUSSION --- p.173 / Chapter 7.1 --- The Study --- p.176 / Chapter 7.2 --- Summary of Descriptive Findings --- p.178 / Chapter 7.3 --- Summary of the Findings Relating to the Theoretical Explanations --- p.184 / Chapter 7.4 --- Theoretical Implications --- p.190 / Chapter 7.5 --- Practical Implications --- p.195 / Chapter 7.6 --- Limitations of the Study and Suggestions for Future Research --- p.198 / APPENDIX I --- p.202 / References --- p.227

This study explores youth's perceptions and understanding of the social phenomenon of drugs in our society. Sixty-four students (32 fourth graders and 32 eleventh graders), selected from schools in the Portland Public School District participated individually in a one hour interview where they responded to open ended questions that probed for their perceptions of drug use. Participants were also asked to describe their feelings regarding anti-drug messages they view in the media and their comments regarding the "Just Say NO" program. The tape-recorded interviews were transcribed and half were used to develop a code that captured recurring themes in the data. Using the code book, five trained individuals coded the 64 transcripts. Reliability, assessed by computing Cohen's Kappa on half the interviews, ranged from .62 to .75, with an average reliability of .69. Seventeen themes derived from the content analysis were discussed which confirm the dramatic impact the peer group has on drug use as well as demonstrate age differences associated with perceptions of anti-drug messages. One hundred percent of the participants noted that there are peer influences promoting drug use. Eleventh graders were more likely than fourth graders to note that drugs are used as a means to escape, overcome constraints or for pleasurable stimulation. Fourth graders were more positive in their responses to the anti-drug commercials and the "Just Say NO" campaign. This research provides information regarding the perceptions of young people that can potentially broaden the dialogue of program planners as well as increase the effectiveness of anti-drug programs and messages.

published_or_final_version / Criminology / Master / Master of Social Sciences

Neracionalus antimikrobinių vaistų (AMV) vartojimas didina mikroorganizmų atsparumą, gydymo kaštus ir hospitalizacijos trukmę. Didėjantis atsparumas AMV yra svarbi visuomenės sveikatos problema. Magistro darbo tikslas - kokybiškai ir kiekybiškai įvertinti AMV skyrimo KMU klinikose paplitimą bei jo pokyčius ir atitikimo racionalaus AMV vartojimo rekomendacijoms ypatumus ir dėsningumus. Tyrimas atliktas naudojant „skersinio pjūvio“ metodiką. 2007 m. kovo mėnesį vienmomentinio apžvalginio tyrimo metu (2 savaičių laikotarpyje) atrinktos ir išanalizuotos pacientų, kurie gauna AMV, ligos istorijos ir paskyrimai 32-iuose KMU klinikų skyriuose. AMV vartojimas yra racionalus, jei jų skyrimas atitinka racionalaus AMV vartojimo rekomendacijoms. Peržiūrėta 1213 paskyrimų, AMV buvo skirti 265 pacientams. Rekomendacijų neatitiko pusė (54 proc.) visų AMV paskyrimų. Daugiau kaip pusė (58 proc.) gydymo tikslu skirtų empirinių AMV paskyrimų vertinti kaip neatitinkantys racionalaus AMV rekomendacijų. Vertinant AMV skyrimo atitikimą rekomendacijoms atskiruose skirtingo profilio skyriuose daugiausia neatitikusių paskyrimų nustatyta chirurginio (74 proc.) ir terapinio (55 proc.) profilio skyriuose, atitikusių – pediatrinio (71proc.) ir intensyvios terapijos (60 proc.) profilių skyriuose. Ryšio tarp skyriaus profilio ir atitikimo rekomendacijoms nenustatyta. (r = 0,5387 , p = 0,4613, Spearmano koreliacija). Didžiąją dalį neatitinkančių rekomendacijų paskyrimų atvejų (56,86 proc.) sudarė... [toliau žr. visą tekstą] / Irrational and excessive use of antibiotics increases resistance to these preparations. Antimicrobial resistance is a serious public health problem worldwide. The main goal of our study was to evaluate and to compare the non-adherence (NA) to guidelines (NfG) on rational antibiotic therapy and prophylaxis (ABT/P) in tertiary hospital setting among two years (2006 and 2007). A cross-sectional study was performed in order to collect the data for patients receiving prescriptions for antimicrobial agents in March, 2007. Descriptive and comparative data were processed and evaluated using Graph Pad Prism 4 statistics program. Rationality of antibiotic therapy was evaluated according for adherence to published guidelines. A total of 265 (21%) patients recieved antibiotic therapy. 54% of all events were considered as non-adherent.The majority of NA cases was determined in the departments of therapeutic profile (55%) and in surgical profile (74%). The adherent events - in paediatric profile(71%) and in the intensive therapy profile (60%). No dependence between the type of profile and adherence to guidelines was determined (r = 0,5387, p = 0,4613, Spearman correlation). The main reasons of NA were inapropriate dosage (57%) and choice of drug (43% ). NA case analysis revealed too high dose prescribed in 40/87 (46%) cases, too low dose 47/87 (54%)cases; too broad spectrum in 28/61 (46%) cases, too narrow - in 9/61(15%), 2/61 ( 3 %) case as unsafe and 22/61 (36%) cases... [to full text]

Many studies have reported that women consume approximately twice the amount of psychotropic drugs as men. In an attempt to explain this ratio, a conceptual model of psychotropic drug was developed, focusing on questions of initial problem recognition and definition; problem-solving ability; and the perception of control. These factors were explored with 179 women chosen to reflect varying frequencies of drug use. In addition, patient-physician interaction was evaluated by psychiatrists' diagnostic and prescriptive reactions to differing patient attributes. / Multidimensional scaling interpretations across drug frequency groups indicated that external causal attribution and lack of control were concomitants of drug use. Deficient problem-solving, particularly at the definitional stage, accounted for 21% of drug use variance, discriminating 73% of drug users. Physicians were found to prescribe according to factors additional to diagnosis and symptomatology. This research was seen as providing theoretical coherence to the increasingly complex gestalt of drug use.

The primary purpose of this study was to perform a follow-up quantitative investigation of foodservice employees’ illicit drug use behaviors, experiences with illicit drug use prevention efforts, and perceived negative outcomes associated with illicit drug use as compared to the non-foodservice labor force. An online survey was designed for this study to collect data and independent t-tests were conducted to analyze the data and test the hypotheses. Results indicated foodservice employees are more likely to use illicit drugs and are more concerned with short-term negative outcomes as a result of illicit drug use than the non-foodservice labor force. Furthermore, illicit drug use prevention efforts are less prominent in the foodservice industry than in other workplaces. This study provides foodservice industry professionals with further insight regarding illicit drug use, and offers practical implications that may help mitigate this phenomenon.

School drug use has been attributed to the annual suspension of thousands of secondary adolescents, subsequently contributing to poor academics, low graduation rates, and continued school drug use. The purpose of this qualitative study was to examine the experiences of former adolescents who engaged in school drug use. Social learning theory suggests that behaviors observed from within the environment may later be modeled. Using Bandura's social learning theory, 10 participants, 18 years old and older responded to open-ended questions about how they processed school drug use. Using interpretative phenomenological analysis, the responses to the open-ended questions were coded and analyzed. Bandura's social learning theory supports the key findings. Findings indicated that former students reported being influenced by their environment and others around them, such as friends. Additional findings from the study suggest that boredom was another reason students engaged in school drug use. While a few students enrolled in a new school after being suspended for school drug use, the findings suggest that out-of-school suspensions are not meaningful to students. After returning to school from their suspension, students felt behind in their school work. Implications for social change include understanding potential influences of school drug use on students and their environment. This understanding can benefit schools, parents, and the community through interventions and proactive measures that target school drug use among adolescents.

No description available.

Darbo tikslas. Įvertinti vyresnio amžiaus pacientų vaistų vartojimo valdymą. Uždaviniai: išanalizuoti vaistų vartojimo ypatumus vyresniame amžiuje; nustatyti gaunamos informacijos, susijusios su saugiu vaistų vartojimu, įtaką pagyvenusiems pacientams; įvertinti pagalbinių technologijų reikšmę vyresnių pacientų vaistų vartojimo valdymui. Tyrimo metodika. Tiriamųjų apklausa, dokumentacijos analizė, statistinė analizė. Anketavimo bei struktūrizuoto interviu metu buvo naudojamas klausimynai, skirti pacientams bei slaugytojoms, sudaryti pačios tyrėjos, remiantis literatūra. Tiriamųjų grupę sudarė 178 respondentai, besigydantys VšĮ II Kauno klinikinės ligoninės vidaus ligų skyriuje nuo 2009 metų rugsėjo mėn. iki 2010 vasario mėn. bei 14 bendrosios praktikos slaugytojų, dirbančių tame pačiame skyriuje. Statistinė duomenų analizė atlikta naudojant statistinės analizės programą "SPSS for Windows 15.0". Rezultatai statistiškai reikšmingi, jei paklaidos tikimybės reikšmė p<0,05. Kokybinių požymių pasiskirstymas buvo skaičiuojamas absoliučiu skaičiumi bei procentais, kiekybiniams požymiams skaičiuotas vidurkis ir standartinis nuokrypis, standartinė vidurkio paklaida. Ryšiai tarp požymių buvo vertinami chi kvadrato (χ²) kriterijumi bei laisvės laipsnių skaičiumi (lls). Rezultatai. Lietuvoje kaip ir visame pasaulyje vis didėja vyresnio amžiaus žmonių skaičius. Tai sąlygoja didesnį sergamumą ir su juo susijusį saugų vaistų vartojimą. Dažniausios problemos yra: širdies ir kraujagyslių ligos... [toliau žr. visą tekstą] / Aim of the study. To evaluate the managament of older patients medicines consumption. Objectives. To assess the pecularities of drug use by older patients; to identify the influence of available information of safe medicines consumption on senior patients behaviour; to evaluate the importance of supporting technologies to the management of senior patients medicines consumption. Research methods. Questionnaires for patients and nurses were created by researcher using literature. The study groups consisted of 178 respondents, which were hospitalized in 2nd Kaunas Clinical Hospital Internal Medicine Department since September, 2009, till February , 2010, and 14 general practice nurses, which are working in this department. Statistical data analyse was performed by using statistical analyse programme “SPSS for Windows 15.0“. The distribution of qualitative indicators was calculated in absolute number and percentage. For quantitative indicators an average and standard deviation were calculated. Relations between features were valued by chi square criterion ((χ²). Results. The most frequent conditions of older patients were cardiovascular diseases and respiratory diseases. Patients for a variety of problems could not use medicines on their own. Side effects of medications were frequent. From side effects more common were: dizziness (33,7 %), palpitations (30,3 %), general weakness (29,2 %), constipation (26,4 %). Aged patients used frequently over-the-counter medications, they... [to full text]