This thesis examines hospitalizations for ambulatory care sensitive conditions among persons with an intellectual disability living in Manitoba from 1999 to 2003. Hospitalizations for ambulatory care sensitive conditions are considered an indicator of access to, and the quality of, primary care. Intellectual disability can be defined as a disability originating before age 18 characterized by significant limitations both in intellectual functioning and in adaptive behaviour as expressed in conceptual, social, and practical adaptive skills. Between 1 and 3% of the population has an intellectual disability. This thesis addressed three objectives: 1) To identify ambulatory care sensitive conditions that are applicable to persons with an intellectual disability; 2) To compare hospitalization rates for ambulatory care sensitive conditions between persons with and without an intellectual disability in Manitoba; 3) To identify factors associated with hospitalizations for ambulatory care sensitive conditions among adults with an intellectual disability living in Manitoba. An online survey of primary care providers with experience working with persons with an intellectual disability found consensus on fifteen ambulatory care sensitive conditions applicable to persons with an intellectual disability. Large discrepancies in hospitalization rates for these conditions were found between persons with and without an intellectual disability. Controlling for age, year, sex, and region, persons with an intellectual disability were 6 times more likely to be hospitalized for an ambulatory care sensitive condition. Future research should investigate reasons for the large discrepancy in rates between persons with and without an intellectual disability. Among adults with an intellectual disability, living in a rural area (odds ratio 1.3; 95% CI=1.0, 1.8), living in an area with a high proportion of First Nations people (odds ratio 2.3; 95% CI=1.3, 4.1), and experiencing higher levels of comorbidity (odds ratio 25.2; 95% CI=11.9, 53.0) were all associated with a higher likelihood of being hospitalized for an ambulatory care sensitive condition. Dwelling in higher income areas had a protective effect (odds ratio 0.56; CI=0.37, 0.85). The results suggest that addressing the socioeconomic problems of poorer areas and specifically areas densely populated by First Nations people would likely have an impact on hospitalizations for ACS conditions for persons with an intellectual disability.

Globalisation and the quest for competitiveness in a global market represents a new era of connectedness within public-private networks of experts in an effort to pursue research objectives in advanced technology industries. Balancing the competing interests of public good and private gain, reducing the barriers in terms of access to knowledge and intellectual property and ensuring that efforts result in socially valuable outcomes in the form of new innovations can be difficult, to say the least. <p>Although widely advocated and implemented, collaborations have not, as yet, been fully examined nor have appropriate performance evaluation models been developed to evaluate them. This dissertation hypothesizes that a history of social relationships or collaborative activity amongst network actors is positively correlated with high performance in networks. Incorporating descriptive statistics with the social network analysis tool, this dissertation proposes and tests a novel framework and compares two distinct Genome Canada funded research networks. Other factors explored are the roles of proximity, institution and research focus in characterizing network structure and in affecting performance.

University of Macau / Faculty of Law

Jürgen Habermas is a preeminent European intellectual who was a German teenager during World War II. He was profoundly impacted by the devastation wrought by the Nazi regime and the social regression that it embodied. He dedicated his intellectual efforts to studying philosophy and developing a theoretical framework that demonstrates how collaboration and unimpeded dialogue are consistent with the promotion of human interest and how there exist quasi-transcendent protections against threats to modern social progress. This thesis explicates how the Third Reich, from Habermas's perspective, exemplifies violence to Habermas's model of communicative action and how we can learn to better protect it, thereby stimulating more healthy social development.

This thesis examines hospitalizations for ambulatory care sensitive conditions among persons with an intellectual disability living in Manitoba from 1999 to 2003. Hospitalizations for ambulatory care sensitive conditions are considered an indicator of access to, and the quality of, primary care. Intellectual disability can be defined as a disability originating before age 18 characterized by significant limitations both in intellectual functioning and in adaptive behaviour as expressed in conceptual, social, and practical adaptive skills. Between 1 and 3% of the population has an intellectual disability. This thesis addressed three objectives: 1) To identify ambulatory care sensitive conditions that are applicable to persons with an intellectual disability; 2) To compare hospitalization rates for ambulatory care sensitive conditions between persons with and without an intellectual disability in Manitoba; 3) To identify factors associated with hospitalizations for ambulatory care sensitive conditions among adults with an intellectual disability living in Manitoba. An online survey of primary care providers with experience working with persons with an intellectual disability found consensus on fifteen ambulatory care sensitive conditions applicable to persons with an intellectual disability. Large discrepancies in hospitalization rates for these conditions were found between persons with and without an intellectual disability. Controlling for age, year, sex, and region, persons with an intellectual disability were 6 times more likely to be hospitalized for an ambulatory care sensitive condition. Future research should investigate reasons for the large discrepancy in rates between persons with and without an intellectual disability. Among adults with an intellectual disability, living in a rural area (odds ratio 1.3; 95% CI=1.0, 1.8), living in an area with a high proportion of First Nations people (odds ratio 2.3; 95% CI=1.3, 4.1), and experiencing higher levels of comorbidity (odds ratio 25.2; 95% CI=11.9, 53.0) were all associated with a higher likelihood of being hospitalized for an ambulatory care sensitive condition. Dwelling in higher income areas had a protective effect (odds ratio 0.56; CI=0.37, 0.85). The results suggest that addressing the socioeconomic problems of poorer areas and specifically areas densely populated by First Nations people would likely have an impact on hospitalizations for ACS conditions for persons with an intellectual disability.

This dissertation develops and explores how a particular variety of virtue epistemology (VE) applies to the theory and practice of education. To this end, several key issues are addressed: knowledge and epistemology, knowledge in education, virtue and culture, and the application of a particular variety of VE to education. Furthermore, this dissertation employs a philosophical methodology based in theoretical work from two disciplines—philosophy and education. In Chapter I, I explicate the purpose of this dissertation and provide a rationale for pursuing this project. I also clarify some key terminology, discuss some delimiting factors, and offer chapter previews. In Chapter II, I discuss how Edmond Gettier challenged the standard definition of knowledge as justified true belief. This resulted in the development of virtue-based epistemologies. Having distinguished between several forms of VE, I conclude this chapter by advancing regulative virtue epistemology (RVE). In Chapter III, I provide a conceptual and historical overview of the concept of knowledge in the specific context of educational theory. This discussion provides important context for the application of RVE to educational matters. In Chapter IV, I consider how the concept of virtue is understood in several diverse cultural contexts. Here I ameliorate a potential worry—that virtue is a distinctly Western concept. Finally, in Chapter V, I apply RVE to the theory and practice of education. It is shown that RVE has important implications for the epistemic aims of education—that is, the ultimate knowledge-related purposes of education. Specifically, I find that understanding offers a more holistic account of educational theorizing, and places greater responsibility on teachers and students in their educational activities. I also conclude that RVE widens the aims of education to include other epistemic goods. I then demonstrate that communication—an important feature of education—is also regulated by intellectual virtue. Finally, I present two proposals for teaching from an RVE perspective, and find that each has particular strengths and weaknesses. I conclude with some areas for future research.

Overlaps of intellectual property rights are a phenomenon that is not yet fully understood and analyzed; yet it is an increasingly important issue due to development of new hybrid technologies that defy the established structure of the system. Despite the potential adverse effects this phenomenon can have on the integrity of the system, the problem of overlaps has been neglected in judicial and scholarly analyses. This research presents the thesis that all uses of intellectual property rights should be viewed in light of their purposes. In other words, the phenomenon of overlapping intellectual property rights is not a problem per se; instead, it is the use of the rights for incompatible purposes that may be considered objectionable. The analyses use the concept of balance of rights as the measuring rod for assessment of the consequences resulting from use of the overlapping rights. Thus, the dissertation investigates how use of intellectual property rights associated with one segment of the system can affect carefully crafted balance of rights of various stakeholders in an overlapping segment and whether effectiveness of this segment to advance its purposes will be impeded by such use. The analyses are also done with the aim to formulate a uniform answer to identified and potentially objectionable uses of overlapping rights in an attempt to provide the judiciary and law practitioners with analytical framework for resolving disputes involving overlaps in the intellectual property system. An adequate response to the challenge posed by improper use of overlapping intellectual property rights can be found in a properly construed doctrine of misuse of intellectual property rights. Because overlaps in the intellectual property system are a phenomenon that probably cannot be legislated in practical terms, this dissertation advocates adoption of a judicially created doctrine of misuse based on purposive analysis of intellectual property rights.

This study assessed marital quality, coparenting, and parenting stress over time for parents of children with intellectual disability by creating developmental trajectories from longitudinal data. Both mothers and fathers (N = 152 couples), with children ages 6-18 at the first wave, evaluated their relationship and parenting stress on up to 4 occasions over a 14-year period. The study provided separate models of change over time for mothers and fathers which showed that marital quality, coparenting, and parenting stress are dynamic relationship constructs that changed during the child’s development. Overall, marital quality was found to follow a curvilinear pattern, with declines when children were adolescents and increases as children entered young adulthood. Positive coparenting increased linearly over time for mothers and fathers, and negative coparenting declined linearly for mothers. With an emphasis on transition periods in the family life cycle, trajectories included indicators of the child’s development to allow for periods of discrete change in the trajectories based on the child’s entrance into adolescence and young adulthood. The child’s entrances into these developmental periods were associated with changes in levels of marital quality and coparenting for mothers only. Patterns for stress over time depended on the parent reporting, with mothers reporting decreases in parent and family problems over time and a quadratic trend for pessimism, with initial growth in reported pessimism followed by declines as the children exited adolescence. Fathers, however, did not report significant changes for parent and family problems and perceived increases in pessimism with time. The study also assessed how support in the marital and coparenting roles with time is associated with levels of parenting stress. Marital quality consistently predicted lower levels of parent and family problems for both parents, but findings for associations between marital quality and pessimism, and coparenting with both types of stress, varied depending on the parent reporting.

Literature to date suggests that child coping is often a direct result of coping assistance provided by parents. Findings have not considered aspects of the stressor that may impact what the parent suggests; specifically, the child’s role, and the controllability of the stressor particularly for children with intellectual disabilities. The current study examines how the child’s disability status and parental perceptions of the child’s control over a peer problem influence the type of coping suggestions parents offer and how specific types of coping assistance affect the outcome of the coping situation. Results indicated that mothers of children with mental retardation provided more passive coping assistance and perceived their children as having less control over peer problems. Coping assistance was not directly linked to problem outcomes which suggests future studies should incorporate measures of factors such as direct parent and teacher assistance and child’s willingness or ability to implement coping suggestions.

Siblings can serve as significant companions and caregivers for individuals with ID throughout the lifespan. Yet, the developmental course of sibling relationships for siblings of individuals with ID has not been well addressed in the current literature. Thus, the current study examined change over time in four dimensions of relationship quality (power, intimacy, conflict, and rivalry) as well as how the constellation variables of sex, birth order, and age differences affected the development of relationship quality. Sibling relationships were found to have a stable power structure, with the nondisabled sibling reporting higher levels of power in the relationship. Developmental trajectories indicated that these relationships grew in positive regard while levels of conflict decreased over time. Yet, behaviors characterizing intimate relationships did not show similar increases. Constellation variables were found to have effects on specific relationship dimensions, including conflict and intimate behaviors.