This investigation addresses functions/impairments, abilities/disabilities and quality of life (QoL) in a consecutive series of non-hospitalised long-term survivors (2,5-12 years) of subarachnoid heamorrhage (SAH). The investigated parameters of functions/impairments were: motor, language, perceptual and memory functions. Abilities/disabilities studied were: activities of daily living (ADL) including both personal- and instrumental ADL, working and leisure capacities. Quality of life was assessed using a double visual analogue scale. Occurrence of depression was registered using a self-rating scale. A questionnaire focusing motor and language impairments, personal ADL, work and leisure activities was initially mailed to 324 subjects. The vast majority answered the questionnaire. Ten hospitalised subjects could not validly report their functions and abilities and were by that reason excluded. In a follow-up investigation up to 247 long-term non-hospitalised subjects were investigated by a physician and an occupational therapist. A total of 82% had at least one impairment. The majority (73%) had memory impairment and among these subjects equal proportions (about 50%) had impairments of long- and short-term memory. Forty-five percent were perceptually impaired, while motor impairment occurred for 25% and aphasia in 10%. Only a small minority (9%) were, according to self-reports, regarded as being to some extent disabled in personal ADL. The corresponding numbers of disabled in instrumental ADL, leisure and working- capacity were 52%, 48% and 40%. Depression was found in 22% - among whom the majority had minimal or mild depression. Overall QoL was judged to be unchanged or increased in 62% and, therefore, decreased in 38%. As expected impairments to a significant degree caused disabilities. None of the 5 different categories of impairments were associated with mood (depressed/not depressed) and QoL (decreased/not decreased). Occurrence of depression was significantly associated with different aspects of disabilities. In contrast among a series of instrumental ADL-variables, leisure and working capacity, QoL was influenced negatively only by decreased ability to act sociably and, to a minor extent, by depressed mood. Judging from the extent of decreased quality of life, it appears that nearly 40% of all non-hospitalised former victims of SAH have not coped successfully with the impact of the SAH. A follow-up program aiming at optimising the coping process of SAH-victims is, therefore, outlined. / <p>S. 1-58: sammanfattning, s. 59-128: 5 uppsatser</p> / digitalisering@umu

Problems related to mental health among young Swedish women, age 15-20, has increased in the past years and is seen as a problem in both on the national and the local levels. Growing up and becoming an adult is a turbulent period for many young people and the school is one area in which this comes to appear. The aim of this study was to identify the causes to lack of mental health related to appearance and achievement among women age 16-19 in senior high school. This study is an interview study with self-made questions, which took place in a medium-sized town in northern Sweden. The result showed that almost every young woman that was interviewed had high expectations on themselves in school-related matters and that stress was a recurrent topic in the interviews. There were also findings that some of the young woman felt stress in their leisure activities. Most of the respondents expressed that they had to put on makeup and fix their hair before they left home, they also wanted to have decent clothes. In the discussion it is said that, to improve problems with the mental health among young women, both the young women and previous recommendations needs to be taken in account.

Marine Parks are established to protect an area of the sea zoned as a sanctuary for the protection of its marine eco-systems, especially coral reefs and its associated fauna and flora, like sea grass beds, mangroves and the sea shores. In Malaysia, there are 6 marine parks to-date. Ironically, the establishment of marine parks also attracts more tourists to the areas. For example, the number of visitors to Payar Marine Park increased tremendously from 3,668 visitors in 1990 to 133,775 visitors in 2002. Environmentalists and scientists have voiced concern that too many tourists have adverse effects on the coral reefs. This study estimates how much visitors are willing to pay for two separate issues; first, to reduce the damages due to crowding effect and second, to reduce the damages due to inland development, of three marine parks in Malaysia; Payar, Redang and Tioman Marine Park. The willingness-to-pay estimates were obtained from the respondents using the Contingent Valuation Method. A total of 650 questionnaires were distributed to the respondents. Then, half of the total respondents were asked to answer the crowding effect issue, and the other half was asked the inland development issue. For the crowding effect issue the respondents were presented with a hypothetical situation in which the park authority wanted to reduce the damage to the corals by limiting the number of visitors to half the number who came in 2000. The reduction in the total number of visitors is to be achieved by imposing an increased entrance fee. For the inland development issue, an increase in the entrance fee is intended for the authority to hire more people to monitor and enforce rules, to treat sewage and to implement coastal zone management and planning. Estimation was done using the double-bounded dichotomous choice method. The willingness to pay (WTP) per person per visit to moderate the environmental impact of inland development is RM23.79, which is lower than the WTP to reduce crowding, RM31.59. In addition, when both data were combined to estimate the differences between the WTP of foreign and local visitors, we found that the WTP of foreign visitors was much higher than the WTP of locals at RM39.11 and RM19.52, respectively. Analyses using the Individual Travel Cost Method gave quite poor results since two thirds of the visitors were first-timers. Therefore, consumer surplus cannot be obtained due to the insignificant result of the respondent’s total spending on the number of trips. However, using the Zonal Travel Cost Method (ZTCM), the average consumer surplus was found to be the same, RM1,000 for each park. The ZTCM was also used to calculate the elasticity of demand. The results for the three marine parks were found not to vary much, ranging between 1.07 and 1.36.

American households spend over $30 billion on tourism and take over 177 million long-distance leisure trips each year. These trips, and the subsequent vehicle miles traveled, have a significant impact on the transportation systems at major destinations across the country, especially those destinations that are still improving their transportation systems. Surprisingly, not much is known related to this type of travel. This dissertation expands the current knowledge of tourism travel behavior, in terms of how people make decisions regarding long-distance leisure activities and time use. Specifically, this dissertation develops and comprehensively examines a behavioral framework for household tourism time use and activity patterns. This framework combines (and builds upon) theory and methods from both transportation and tourism research fields such that it can be used to improve tourism demand modeling. This framework takes an interdisciplinary approach to describe how long distance leisure travelers allocate and maximize their time use across various types of activities. It also considers the many levels of tourism time use and activity patterns, including the structuring the broad annual leisure activity and time budget, forming individual tourism trips within the defined budget, and selecting specific activities and timing during each distinct tourism trip. Subsequently, this dissertation will additionally apply the time use and activity participation behavioral framework to four critical tourism research topics to demonstrate how the tourism behavioral framework can effectively be used to provide behavioral insights into some of the most commonly studied critical tourism issues. These application topics include household participation in broad tourism travel activities, travel parties’ tourism destination and travel mode selection, individuals’ loyalty towards daily and tourism activities, and travel parties’ participation in combinations of specific tourism trip activities. These application studies incorporate a variety of data sources, decision makers, study scales, situation-appropriate modeling techniques, and economic/individual/environmental factors to capture all aspects of the decision and travel activity-making process. / text

Battlefield sites are some of the most iconic locations in any nation’s store of heritage attractions and continue to capture the imagination of visitors. They have strong historic, cultural, nationalistic and moral resonances and speak to people on a national as well as a local scale. They have the power to provoke contention but at the same time foster understanding and respect through the consideration of deep moral questions. Battlefields are suffused with powerful stories of courage, sacrifice, betrayal and even cowardice. They have a strong sense of place and can provoke a range of cognitive and emotional reactions. But as sites they are inherently unremarkable and rely on the incarnative powers of interpretation to inform and enliven otherwise empty landscapes. This thesis is a wide ranging analysis of what battlefields mean to tourists and the effect interpretation has on battlefield sites. In order to further understand these aspects the development of the sites is also investigated including the historical and cultural forces which have been at play in creating such ‘attractions’. This makes use of the semiotic interpretation of tourist sites and the ‘site sacralisation’ model of Dean MacCannell in addressing the important question of what factors are present in the creation of an attraction. The study uses the four main ‘managed’ battlefield sites in the UK – Hastings (1066), Bannockburn (1314) , Bosworth (1485) and Culloden (1746) – to illustrate these objectives and comparisons are also made with a more recent conflict, that of the First World War (1914-18) at the Western Front in France and Belgium. Using an array of qualitative and quantitative methods the study addresses a hitherto relatively understudied area of tourism in exploring the meanings attached to the more historic sites and how they compare and contrast with visitor experiences at sites of more modern conflict. Interviews with experts/stakeholders involved with battlefield sites as well as both visitors at conventional times and at a re-enactment event were made and a large corpus of material was gathered from which conclusions were drawn. Although not statistically generalisable because of methodological constraints the results from the study add an important dimension to our understanding of battlefield tourism and what conflict sites mean to people. The study demonstrates how there is a very dynamic relationship between site and visitor and this is manifested in deep and wide ranging discourses which are reflected by the visitor comments. This is complemented by the views of experts/stakeholders. The study addresses some of the salient points surrounding the nature of visitor experience using the theory of the tourist ‘gaze’ propounded by John Urry. It asserts that a broader appreciation of the visitor interaction needs to be adopted utilizing a multi-sensory approach and not restricted to the dominance of the visual in interpreting the battlefield site. Interpretation is seen as critical in endowing relatively unremarkable sites with meaning and the existing approaches taken by the agencies managing the case study sites are found to be particularly effective in educational terms. The study examined the deeper meanings thought to be attached to places of suffering and death (the numen) but found a very weak response suggesting that the commercialisation of such sites results in a diminution of any visceral type of experience. For the Western Front the deeper meanings were eclipsed by grief and the study thus concluded that the numen can be subsumed into more complex reactions to places of death and suffering. With regard to the development of the historical sites the study challenges the stages of sacralisation in that more contemporary forces involved in attraction creation are neglected. A further commercialisation stage is added to update the model. Battlefield sites have much to inform us about how heritage is received and understood by the public. This is even more instructive in the case of a conflict site where the nature of the attraction might sit uncomfortably with public perception. This study aims to shed light on the meanings of such ‘dark’ sites within society and in doing so can in turn provide vivid reflections on our own culture milieu.

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The overall aim with this study is to elucidate outdoor education as an education method and on the basis of that illustration to examine active educators vision on it as a way to motivate students' learning. This study is based on a literature component and a qualitative study through interviews five teachers.The results of the interviews show how to interpret the motivation and how to work with students' motivation. As well as outdoor education as part of the activity.  The interviews show the importance of outdoor education can be to increase students'motivation for learning. They also show the importance of outdoor education is for student learning and test scores have shown the effectiveness of student learning through outdoor education. It's about finding a balance between indoor and outdoor education pedagogy in order to find the motivation factor in its students. / Det övergripande syftet med denna studie är att belysa utomhuspedagogik som en undervisningsmetod och utifrån den belysningen undersöka verksamma pedagogers syn på den som ett sätt att motivera elevers lärande. Denna studie bygger på en litteratur del samt en kvalitativ studie i form av intervjuer med 5 pedagoger.  Resultatet av intervjuerna visar hur man tolkar motivation och hur man arbetar med elevers motivation. Samt utomhuspedagogik som en del i verksamheten. Intervjuerna visar på hur viktig utomhuspedagogiken kan vara för att öka elevers motivation till eget lärande. De visar även hur viktig utomhuspedagogiken är för elevers inlärning och provresultat har visat på effektiviteten av elevernas inlärning med hjälp av utomhuspedagogik. Det handlar om att finna en balans mellan inomhuspedagogik och utomhuspedagogik för att kunna finna motivationsfaktorn hos sina elever.

Uganda’s tourism industry is a major source of foreign exchange income, creating much-needed employment and development opportunities. This study provided an overview of motivations and characteristics of non-resident visitors to Uganda. This exploratory research was conducted in Uganda during July and August 2011. Information obtained includes the popular activities and places visited, visitor expenditures, demographic information, motivation for visiting Uganda, and motivation for traveling and volunteering in general. This study concluded that the majority of non-resident visitors leaving Uganda were volunteers, with a majority being religious volunteers who did not represent a sustainable tourism market within Uganda. Data provided in this study can allow tourism stakeholders to draw conclusions on what is needed in Uganda to help the tourism sector to continue growing more sustainably and to remain competitive amongst other East African tourist destinations.

The formulation of the scientific problem Community areas are the places where children can spend their leisure time and play. However, the proper purpose of them has not been clearly defined in Lithuania yet. The reports of the municipalities of Lithuanian Republic for the Children’s Rights Protection Service 2004-2005 „On the condition of the playgrounds“ state that the majority of the reported playgrounds is situated next to the blocks of flats. The condition of them is defined as satisfactory or very poor, sometimes even threatening for the children’s health. As far as the equipment of the playgrounds goes the most popular mentioned in the reports are the following: swings, structures for climbing and sandboxes. It is important to mention that often the equipment on the playgrounds does not correspond to the requirements of hygiene, especially this can be said about the sandboxes. Other pieces of equipment are dated and only occasionally are fixed, painted or refilled with sand. In some municipalities there are no playgrounds left due to the fact that the constructions which had threatened for the children’s health were dismantled. The general tendency shows that the existing sport areas in the school yards and the remaining playgrounds do not meet the children’s need for playing which is foreseen by the United Nations Convention of the Right of the Child. The 1st part of the 31st article of this Convention states that children have the right „to rest and leisure, to... [to full text]

The interaction between culture and consumption of immigrants is an important research area in a number of fields including consumer behaviour, marketing, and ethnic studies. This article offers a specific look at issues related to the impact of acculturation on dining-out behaviour of Chinese immigrants living in the Greater Toronto Area in Canada, and the influence of individual factor of acculturation process (i.e., ethnic identification, length of residence, and age at immigration). This study focused on the similarities and comparisons between recent Chinese immigrants who have been in Canada for ten years or less and established Chinese immigrants who have been in Canada for more than ten years, in terms of their dining-out behaviour in the Greater Toronto Area. There were two samples, the recent Chinese immigrants and the established Chinese immigrants in this study. Snowball sampling was applied to recruit the total 30 participants (15 of each sample). The author started to recruit from two participants of each sample among her friends and relatives and asked the interviewers to recommend another two qualified participants. Semi-structures, in-depth interviews were employed in this study to explore the impact of culture, levels of acculturation, ethnic identity, situational factors of ethnic identification and dining-out behaviour. The interviews were audio-recorded by permission and conducted in the participant’s preferable language (in English or in Mandarin Chinese). Data analysis was guided by several previous conclusions and model in the literatures and conducted in both qualitative (coding) and quantitative (SPSS) methods. The findings resulted in some major conclusions. In terms of similarities, it is found that recent Chinese immigrants and established Chinese immigrants obtained restaurants information mostly from friends and relatives. They also searched on internet for other’s reviews, menus, and printable coupons. Secondly, result showed that Chinese immigrants perceived that because they have a long history of food, Chinese people are more willing to try different types of food when immigrated to Canada. Thirdly, situational factors such as peer influences played more significant role on dining-out decision making and self ethnic identifications than parental influences. In terms of differences, data indicated that among Chinese immigrants living in the Greater Toronto Area, recent Chinese immigrants had stronger ethnic identity to their original culture, and dined out more frequently than the established Chinese immigrants. Future, the result suggested that the highest level of Chinese ethnic food purchasing behaviour were reported by highest ethnic identifiers (ones who identified themselves as more Chinese). However, there was another important factor that influenced the levels of acculturation in dining-out behaviour more greatly than the length of immigration: the age at immigration. The study found that Chinese immigrants who immigrated at early age had the highest level of acculturation and identified themselves as more Canadian, while ones who immigrated at late life had the lowest level of acculturation and identifies themselves as more Chinese. The findings reflected the impact of culture and consumer acculturation in dining-out among Chinese immigrants in the Greater Toronto Area and could potentially contribute to the marketing implications to both ethnic and mainstream restaurant marketers. This study also gives some future thoughts on the exploration of more variables at individual differences, as well as other perspectives of research conducting such as from psychological or economic perspective.