Purpose: This thesis addresses feasibility issues of conducting a descriptive study of pain and health-related quality of life (HRQOL) in women after Cesarean section (c-section). Objectives: Feasibility issues surrounding population access, chart completeness for review, and preference for online data collection were investigated. Prevalence and prediction of postoperative pain and HRQOL at six-weeks was addressed to generate hypotheses for future study. Methods: A descriptive pilot design was used, collecting a convenience sample of 41 women recruited two hours prior to a planned c-section at Kingston General Hospital. Consenting women completed preoperative questionnaires via computerized tablet or paper and pen. Preoperative data included pain, HRQOL, anxiety, depression, somatization, HCU, and demographics. Six weeks postoperatively, women completed pain, HRQOL, and HCU questionnaires through the internet, postal mail, or telephone. A chart review was used to collect health and obstetrical history, and acute postoperative pain. Results: An average of two participants per week were recruited, with a participation rate of 83.7%. Online questionnaires were preferred by 34 women (83%) preoperatively, and 15 women (48.4%) postoperatively. Almost 40% of patient charts were incomplete, missing symptoms reported in the immediate postoperative period. Twenty-four percent of the sample was lost to follow-up. Mild postoperative pain was reported by seven women (23) within 24 hours of completing the questionnaire. Bodily pain and the physical component of HRQOL were worse both pre- and post-operatively than age- and sex-matched norms. Postoperative pain at six weeks was predicted by tubal ligation, pain expectancy, and severe postoperative acute pain. Postoperative HRQOL scores were correlated with preoperative HRQOL score, depression, somatization, and preoperative pain. HRQOL physical composite score, bodily pain scores, and trait anxiety were predictive of healthcare use. Conclusion: The planned c-section population is accessible for research purposes, however timing and mode of follow-up should be carefully considered due to the demands of newborn care. A larger study evaluating the prevalence of chronic pain after c-section is needed, in which the role of depression, anxiety, somatization, and pain expectancy in pain outcomes and the impact on healthcare use is investigated. / Thesis (Master, Nursing) -- Queen's University, 2007-10-01 13:12:33.096

Increasing obesity rates in Canadian women are at an all time high with more than 50% of Canadian women falling into one of the four overweight to obese categories. Further to this 11-21% of Canadian women who are of child-bearing age are being described as overweight or obese. Along with the increasing rates of obesity is an increase in the number of operative deliveries experienced by pregnant women in Canada. Canadian women experience cesarean section (CS) approximately 21% of the time while women in Ontario experience an even higher rate of CS (26%). While currently there are several studies examining the relationship between pre-pregnancy overweight and obesity and its association with CS, there is little research examining the relationship between excess weight gain in pregnancy and operative delivery methods. Data were collected through a retrospective chart review to examine the relationship between excess weight gain in pregnancy and operative delivery methods. Mean weight gain throughout pregnancy was measured. Data analysis was conducted using t-tests, Chi-Squared analyses and Fisher’s Exact test of significance, accepting a significance level of alpha = 0.05 with a 95% Confidence Interval of difference. The analysis conducted demonstrated no significant relationship between weight gain in pregnancy and operative delivery methods. When examining maternal weight and labour type, statistical significance was reached (p = 0.04) demonstrating increased likelihood of induction with excess weight gain in pregnancy; statistical significance was also reached with maternal age greater than 35 years and increased risk for operative delivery(p = 0.04). Further analysis demonstrated statistically significant results when examining one minute Apgar scores between the group of women with recorded weights in comparison to those women whose charts did not contain weights. The lack of findings in this study may be largely attributed to the small sample size.Important practice issues were identified. It is important that pre-pregnancy or early pregnancy weight and height be recorded on all women in hospital databases as well paper charts. Consistency in recording weight units in either pounds or kilograms is imperative. Dietary consultation is an important component of prenatal care and women who enter pregnancy overweight or obese should have immediate access to nutritional counseling. / Thesis (Master, Nursing) -- Queen's University, 2010-09-22 09:00:57.695

No description available.

This study explores the ways in which Indigenous and non-Indigenous educators have experienced working together as allies for social and racial justice. The study is grounded in anti-oppressive, decolonizing, and participatory action research paradigms. Theoretically, it is framed by anti-racism and anti-oppressive approaches that highlight oppression, exploitation, and power. Within the theoretical field of antiracism, there is a tendency to ignore Indigeneity, and the ongoing oppression and racialization of Indigenous peoples (Lawrence & Dua, 2005; St. Denis, 2007). This study puts Indigeneity and oppression at the forefront of ally development research. The research was modeled upon an action research method called co-operative inquiry (Heron, 1996). The inquiry group involved seven group members, including the researcher. These group members came from diverse racial and social backgrounds. They were all women who work in diverse educational capacities (adult educators, nurse educator, counselor, teacher, lawyer). The inquiry spanned 11 weeks, with 18 hours spent together over six group sessions. Two Indigenous leaders joined the group in two sessions, to lend their experiences and insights on the role of allies. Group members retained a high level of commitment throughout the study. The study was a success in terms of analyzing many of the issues Indigenous and non-Indigenous educators face when working together. It also highlighted the roles of allies and useful strategies for allies to use. The study was shown to have a high level of catalytic validity (Herr & Anderson, 2005) as many group members reported a high degree of both epistemological (what they know) and ontological (how they become) learning. The results of this study lead to new insights on how allies have traditionally been conceptualized and the role that ontology plays in learning. The study also discusses how the congruence between topic and method was navigated, and how that in turn led to the creation of an allied space. / Graduate

No description available.

Master of Engineering (Research) / In many multi-objective missions there are situations when actions based on maximum information gain may not be the `best' given the overall mission objectives. In addition to properties such as entropy, information also has value, which is situationally dependent. This thesis examines the concept of information value in a multi-objective mission from an information theory perspective. A derivation of information value is presented that considers both the context of information, via a fused world belief state, and a system mission. The derived information value is used as part of the objective function for control of autonomous platforms within a framework developed for human robot cooperative control. A simulated security operation in a structured environment is implemented to test both the framework, and information value based control. The simulation involves a system of heterogeneous, sensor equipped Unmanned Aerial Vehicles (UAVs), tasked with gathering information regarding ground vehicles. The UAVs support an e ort to protect a number of important buildings in the area of operation. Thus, the purpose of the information is to aid the security operation by ensuring that security forces can deploy e ciently to counter any threat. A number of di erent local controllers using information based control are implemented and compared to a task based control scheme. The relative performance of each is examined with respect to a number of performance metrics with conclusions drawn regarding the performance and exibility of information value based control.

Thesis (M.D.S.)--University of Adelaide, Dept. of Dentistry, 1991. / Typescript (Photocopy). Errata slip inserted. Includes bibliographical references (leaves 96-102).

Thesis (M.D.S.)--University of Adelaide, Dept. of Dentistry, 1999. / Bibliography: leaves 284-317.

Thesis (M.D.S.)--University of Sydney, 1993. / Title from title screen (viewed Apr. 23, 2009) Degree awarded 1993; thesis submitted 1992. Submitted in fulfilment of the requirements for the degree of Master of Dental Surgery to the Faculty of Dentistry. Includes bibliography. Also available in print form.

Thèses (M.Admin.)--Université de Sherbrooke (Canada), 1999. / Titre de l'écran-titre (visionné le 20 juillet 2006). Publié aussi en version papier.