The purpose of the study was to explore and describe the perceptions of adolescents about sexuality and sexually transmitted infections, which probably contribute towards the high incidence of sexually transmitted infections amongst this group.The study was designed as a qualitative, exploratory and descriptive research. A focus group interview and unstructured observation were used to collect data, using a nonprobability snowball sample. The group consisted of 12 male and female adolescents residing in a specific geographical area in Pretoria and attending different high schools. Recommendations made focus on: the approach to sex education programmes factors that need to be addressed in order to improve adolescent sexual health empowerment strategies of teachers, parents and community leaders on adolescent sexuality and sexually transmitted infections so that in turn, they should be able to empower adolescents on their sexual roles and thus make informed choices The impact of implementing the recommendations will benefit individuals, families and communities. / Health Studies / M.A.(Health Studies)

This study evaluates a sex education programme administered in an Indian high school. To this end, a literature search, empirical study and qualitative data were used to measure the effectiveness of the Education for Living programme. Adolescents are blamed for having pennissive attitudes, or for indulging in amoral sexual behaviour without considering the consequences. The fact is, sexual development of young people is affected in a fundamental sense by what is taking place around them. Many of the taboos, which operated in society years ago, have disappeared. This study looks into the history of the South African Indian community. In particular, this study focuses on the community's values, attitudes and traditional practices toward sexuality, sex and marriage. It further highlights how the processes of westemisation and modernisation have eroded many of these aspects of traditional Indian culture. The study concludes by examining the emergence of new-found patterns of behaviour and attitudes. It is not the intention of this study to provide any conclusive documentation on the subject of the Indian adolescent. However the major findings of this study have been fommlated as recommendations and implications for further research. Since sexuality is an ever-changing, life-long experience, there is a need for continuous acquisition of accurate sexual knowledge. Carefully designed programmes may serve to allay fears, dispel myths, diminish confusion, enhance communication within families and promote health and wellbeing across generations. / Social Work / M.A. (SS) (Mental Health)

Text in Afrikaans / Hierdie studie het ten doel gehad om die effek van gesinsgeweld op die Suid-Afrikaanse kind te bepaal. Die Opvoedkundig-Sielkundige Relasieteorie is gebruik in die identifisering van die effek van gesinsgeweld op die kind. Die volgende is in die studie bevind: Die geweldsvraelys kan gebruik word om die effek van gesinsgeweld by die kind te identifiseer en ook as hulpmiddel dien vir die terapeut in die verband. Die Opvoedkundig-Sielkundige Relasieteorie kan gebruik word om die effek van gesinsgeweld by die kind te identifiseer. Kinders wat geaffekteer word deur gesinsgeweld toon sterker deursettingsvermoe en wilskrag ten einde 'n sukses te maak van hulle toekoms en om nie in dieselfde omstandighede te beland nie. Seuns en dogters se emosionele ervarings toon weinig verskille. Relasie met ouers in gesinsverband word negatief be"invloed, terwyl relasie buite gesinsverband positief voorkom. Kinders wat geaffekteer word deur gesinsgeweld kan gehelp word, al is dit om die kind te verwyder uit die omgewing asook met terapie, gesinsterapie, ensovoorts. / The study was conducted to determine the effect of family violence on South-African children. The Education-Psychological Relation theory was used to identify these effects. In the literature, the following was concentrated on: The questionnaire can determine the effects of family violence on a child and assist a psychologist in this regard. Education-Psychological Relation theory can determine the effects of family violence on a child. Children affected by family violence show a stronger determination and willpower to succeed in their future and not to stay in similar situations. The emotional experiences of boys and girls show little difference. Relationships with parents are negatively affected, but relationships outside the family circle tend to be positive, Finally, children affected by family violence can be helped, albeit to remove the child from the enviroment and to use psychological therapy, family therapy, ectera. / Educational Studies / M. Ed. (Guidance and Counselling)

Summaries in Engish and Afrikaans / The goal of this research is to evaluate whether a personal and social skills program can effectively be implemented by social workers in a prison. A control- and experimental group were used in a quasiexperimental design. The respondents were twenty-four white, male, sentenced prisoners in Pretoria Central Prison. The Heimler scale for social functioning and the Hudson-scale for family relations are the standard questionnaires, which were utilised to measure results during the pre-testing and post-testing phase. All twenty-four respondents completed the scales during the pre- and post-testing phase. The Wilcoxon t-test and Mann-Whitney U-test were used for statistical purposes. A computer was used to process data. Both measurement scales confirmed positive results. The independent variable, that is, the personal and social skills program had an effect in the desired direction on respondents in the experimental group. The Hudson-scale for interpersonal relationships, however, showed more dramatic results. The results for the control group, showed noticeable decline in both social functioning of the respondents as well as experience of family relationships. / Die doel van hierdie navorsing is om te bepaal of maatskaplike werkers in 'n gevangenis 'n persoonlike en sosiale vaardigheidsprogram effektief kan implementeer. 'n Kontrole- en eksperimentele groep was benut in die uitvoering van 'n kwasi-eksperimentele ontwerp. Die proefpersone was vier-entwintig Blanke, manlike gevangenes te Pretoria-Sentraal Gevangenis. Die Heimler-skaal vir maatskaplike funksionering en die Hudsonskaal vir gesinsverhoudinge was die gestandardiseerde vraelyste, wat gebruik is om die resultate tydens voor- en na-toetsing. Die meetinstrumente is deur al vier-en-twintig respondente voltooi. Die Wilcoxon t-toets en Mann-Whitney U-toets is benut vir statistiese doeleindes. 'n Rekenaar is gebruik om data te verwerk. Beide metingskale het positiewe resultate getoon. Die onafhanklike veranderlike, die persoonlike- en sosialevaardigheidsprogram, het 'n effek in die gewenste rigtings gehad op die proefpersone in die ksperimentele groep, hoewel die Hudson-skaal vir gesinsverhoudinge, meer dramatiese resultate getoon het. Die resultate van die proefpersone in die kontrole groep, het merkbare agteruitgang getoon op beide skale. / Social Sciences / M.A. (Social Work)

The need for an Anthropocentric Development Evaluation stems from the inability of development theory and praxis, which has informed the past Development Decades, to ameliorate abject poverty experienced by most people throughout the world. Emanating from a hermeneutical-interpretist epistemology the fundamental argument of an Anthropocentric Development Evaluation is that people and the crucial aspects of their humanity should be the central focus in development and evaluation processes. Thus, taking the people-centred approach to development as its starting point, an Anthropocentric Development Evaluation draws attention to the marginalised, particularly the poor, the rural poor, resource-poor primary producers, women and their households. An Anthropocentric Development Evaluation also argues for an actor-orientation to Development Evaluation to emphasise the situational, yet individual behaviour, of people. Alongside such an approach, lies the significance of culture and people's knowledge for development, as well as the limitations, risks, uncertainties and vulnerabilities people face as a consequence of their humanity. These may influence the extent to which they participate in spontaneous or imposed development initiatives. An Anthropocentric Development Evaluation then comparatively assesses three sets of similar, yet different, methodologies using people and aspects of their humanity described above as the focus for that assessment. The methodologies assessed include Action Research, Social Impact Assessment and the Complementary Rural Development Field Tools. The purpose of doing so is to obtain a suitable medium through which to test the focus of an Anthropocentric Development Evaluation in a development setting. The testing of an Anthropocentric Development Evaluation in a development setting is done first by providing an Anthropocentric Development Evaluation of aspects of life of people living in the community of Nyanyadu in KwaZulu-Natal. Social Impact Assessments using the focus of an Anthropocentric Development Evaluation are then made of two development initiatives in respect of the people of Nyanyadu. These two initiatives are a nutrition and social development programme and the national land reforms. The purpose of all these evaluations is to examine the extent to which people and their humanity are seen to be crucial in development processes. / Development Administration / D.Litt. et Phil. (Development Administration)

Univerzita Karlova v Praze Filozofická fakulta Ústav informačních studií a knihovnictví Informační věda PhDr. Zuzana Šidlichovská Význam a design evaluačního výzkumu v oblasti managementu informačních služeb řízení informačních aktivit a toků v organizacích ze sektoru soukromých bezpečnostních služeb The importance and the design of evaluation research on information management management of information activities and flows in private security service organization Abstrakt dizertační práce v angličtině Vedoucí práce: Prof. Ing. Josef Basl, CSc. Praha 2015 3 Abstrakt dizertační práce v angličtině In the first part, the dissertation describes the importance and the design of evaluation research on information management at small and medium-sized enterprises in the area of private security services. Secondly, it provides a general mapping of current evaluation practices trends from all over the world as well as from the Czech Republic. Thirdly, the dissertation depicts the main characteristics of evaluation and evaluation research methodology focused on the target group of small and medium-sized enterprises in private security service sector. The main goal of the dissertation project is to map and discuss the current importance of evaluation research on information management. Its main output is to explore an...

Indiana University-Purdue University Indianapolis (IUPUI) / Phytoestrogens that abound in soy products, legumes, and chickpeas can induce biologic responses in animals and humans due to structural similarity to 17β-estradiol. Although experimental studies suggest that phytoestrogen intake may alter the risk of cancer and cardiovascular disease, few epidemiologic studies have investigated this research question. This dissertation investigated the associations of intake of total and individual phytoestrogens and their urinary biomarkers with these chronic conditions using data previously collected from two US national cohort studies (NHANES and PLCO). Utilizing NHANES data with urinary phytoestrogen concentrations and follow-up mortality, Cox proportional hazards regression (HR; 95% CI) were performed to evaluate the association between total cancer, cardiovascular disease, and all-cause mortality and urinary phytoestrogens. After adjustment for confounders, it was found that higher concentrations of lignans were associated with a reduced risk of death from cardiovascular disease (0.48; 0.24-0.97), whereas higher concentrations of isoflavones (2.14; 1.03-4.47) and daidzein (2.05; 1.02-4.11) were associated with an increased risk. A reduction in all-cause mortality was observed for elevated concentrations of lignans (0.65; 0.43-0.96) and enterolactone (0.65; 0.44-0.97). Utilizing PLCO data and dietary phytoestrogens, Cox proportional hazards regression examined the associations between dietary phytoestrogens and the risk of prostate cancer incidence. After adjustment for confounders, a positive association was found between dietary intake of isoflavones (1.58; 1.11-2.24), genistein (1.42; 1.02-1.98), daidzein (1.62; 1.13-2.32), and glycitein (1.53; 1.09-2.15) and the risk of advanced prostate cancer. Conversely, an inverse association existed between dietary intake of genistein and the risk of non-advanced prostate cancer (0.88; 0.78-0.99) and total prostate cancer (0.90; 0.81-1.00). C-reactive protein (CRP) concentration levels rise in response to inflammation and higher levels are a risk factor for some cancers and cardiovascular disease reported in epidemiologic studies. Logistic regression performed on NHANES data evaluated the association between CRP and urinary phytoestrogen concentrations. Higher concentrations of total and individual phytoestrogens were associated with lower concentrations of CRP. In summary, dietary intake of some phytoestrogens significantly modulates prostate cancer risk and cardiovascular disease mortality. It is possible that these associations may be in part mediated through the influence of phytoestrogen intake on circulating levels of C-reactive protein.

Indiana University-Purdue University Indianapolis (IUPUI) / Reducing medical error remains in the forefront of healthcare reform. The use of health information technology, specifically the electronic health record (EHR) is one attempt to improve patient safety. The implementation of the EHR in the Emergency Department changes physician workflow, which can have negative, unintended consequences for patient safety. Inaccuracies in clinical documentation can contribute, for example, to medical error during transitions of care. In this quasi-experimental comparison study, we sought to determine whether there is a difference in document quality, error rate, error type, cognitive load and time when Emergency Medicine (EM) residents use paper charts versus the EHR to complete physician documentation of clinical encounters. Simulated patient encounters provided a unique and innovative environment to evaluate EM physician documentation. Analysis focused on examining documentation quality and real-time observation of the simulated encounter. Results demonstrate no change in document quality, no change in cognitive load, and no change in error rate between electronic and paper charts. There was a 46% increase in the time required to complete the charting task when using the EHR. Physician workflow changes from partial documentation during the patient encounter with paper charts to complete documentation after the encounter with electronic charts. Documentation quality overall was poor with an average of 36% of required elements missing which did not improve during residency training. The extra time required for the charting task using the EHR potentially increases patient waiting times as well as clinician dissatisfaction and burnout, yet it has little impact on the quality of physician documentation. Better strategies and support for documentation are needed as providers adopt and use EHR systems to change the practice of medicine.

本論文では、ヒューマン・サービス分野における動物介在プログラムの組織的機能を多角的に評価し、動物介在プログラムを導入することの意義について論じている。 / This paper discusses the significance of introducing Animal Assisted Program by multilaterally evaluating the organizational function of Animal Assisted Program at the field of Human Service. / 博士(政策科学) / Doctor of Philosophy in Policy and Management / 同志社大学 / Doshisha University

This is a descriptive study with a quantitative, non-experimental and contextual design, with the objective of describing the knowledge of female adolescents with regards to the implications of pregnancy. The study took place in the Bengo Province, more specifically in the school of the suburb Bairro da Açúcareira and the sample was constituted by 100 female adolescents, within the age group 13 to 19 years. Simple random sampling was used for the selection of the sample. For the collection of data a structured questionnaire with closed questions was used. Based on the data obtained the researcher draws the following conclusion: there is a need to develop educational programmes pertaining to the consequences of pregnancy, not only for adolescents but also for the teachers and parents, as the respondents indicated that teachers and parents would be the ideal people for this type of discussion; on the other hand, and of extreme importance, there is a need for specific assistance to adolescents at health centers and hospitals of the province with regard to the lack of entertainment for adolescents in the province is also an aspect that deserves attention on the part of the government of the Province of Bengo. / Health Studies / M.A (Health Studies))