The present study investigated the electronic medical record system (EMR) of Zonguldak Karaelmas University Hospital which is used for six years now. The advantages and disadvantages of an EMR system in comparison with paper medical records were evaluated based on the user&amp / #146 / s opinion. The recommendations for the development of EMR and more efficient use of the system are principle goals of this study. The purposes of this thesis include promoting the implantation of EMR by introducing the advantages and disadvantages from the user&amp / #146 / s point of view. The main source of information used in this analysis is gathered from a questionnaire. Hundred and twenty six users of EMR selected voluntarily and randomly from the hospital staffs are included in this survey. The hospital staffs including physicians, nurses, clinicians, administrative clerks and technicians were included in this survey. Implementation for certain medical tasks and efficiency of using these tasks in EMR are evaluated. The advantages and disadvantages of the system were surveyed from the user&#039 / s point of view. In spite of the fact that health care professionals understand the benefits of electronic medical records, barriers to the use of EMR are also important for the current impediments in EMR introduction. While the successful applications of EMR systems are evident in western word, the implementation of EMR to a hospital information system is a new topic in Turkey. There are mainly attempts to convert the paper-based medical record systems to the fully automated electronic record systems. Our study is a pioneering attempt to analyze the users&amp / #146 / opinion for a fully integrated EMR system in a Turkish academic hospital. The suggestions such as restricting the the access, improving the hardware, integrating to the internet are made for the improvement of the system in future.

Noise, which is a noteworthy problem in the world of workers, influences the health, safety, productivity and efficiency of those working in heavy industries and especially those working in petroleum industry. The objective of this study is to reassess the protective measures, taken previously by the company, from the point of view of the negative effects of noise on the workers. For this purpose, two approaches are adopted. Firstly, through questionnaires (response rate: 86%) distributed to workers, their subjective rating of, the noise levels to which they are exposed, the factors affecting their working efficiency and, their working conditions are searched. Secondly, noise levels, in the buildings rated as highly and very highly noisy, are measured by sound level meter. Self-exposure of 28 workers is measured by dosimeter. The overall ambient noise level of the 11 buildings and effect of noise on the working efficiency of the workers working in these buildings were respectively found to be moderate and slightly affected. The workplace index was 3 (out of 5). The working conditions index was on the average 4 (out of 5). The Leq values measured in six of the buildings were found to be in the range of 66, 8 &ndash / 100, 0 dBA. 12 out of 28 workers were observed to be exposed to noise levels greater than 80 dBA. The objective (noise measurements) and subjective (questionnaire) results obtained at the end of the afore-mentioned approaches will be of help in the orientation of the workers while estimating their work efficiency and will also serve as a data base for the planning strategy of the interested company.

名古屋大学博士学位論文 学位の種類:博士(医療技術学) (課程) 学位授与年月日:平成20年3月25日

Inledning Triathlon är en uthållighetsidrott där momenten simning, cykel och löpning utförs i en följd. Svensk triathlon har vuxit beträffande antal utövare och tävlingar sedan år 2005. Syfte och frågeställningar Studiens syfte var att undersöka hur de tidigare outforskade svenska triathleter är fördelade beträffande kön, ålder och huvudsaklig tävlingsdistans, samt vilka skador som förekommer Hur ser fördelningen ut mellan män och kvinnor som tränar/tävlar mot viss distans? Hur ser fördelningen ut mellan olika kategorier av erfarenhet (år av idrottsutövande) mellan dem som tränar/tävlar mot viss distans? Hur är prevalensen för olika skador och hur ser skadepanoramat ut? Hur är prevalensen för skadeproblematik i förhållande till huvudsaklig tävlingsdistans? Metod En enkätundersökning baserad på tidigare internationell forskning bestående av tolv flervalsfrågor skapades beträffande den svenske triathletens bakgrund, erfarenheter, tränings- och/eller tävlingsdistans och skadeproblematik. Totalt inkom 614 varav 564 (92 %) kompletta svar. Studiens resultat visar på att triathleter som tränar och/eller tävlar i sprintdistans är de som är mest skadefria (30 %). Ökad distans ger ökad risk för skador och/eller överbelastningsproblematik, nästan 18 % av de som tränar/tävlar i längre distans än sprint har drabbats av akut muskelbristning. Flest andel (49,3 %) triathleter påträffas i olympisk och/eller halv Ironman-distans. Något fler kvinnor (24 %) än män (15 %) är aktiva inom sprint och färre kvinnor (27 %) än män (36 %) i ultradistans. Slutsats Svensk triathlon och triathleter är i denna studie snarlik fördelade likt tidigare internationell forskning. Manliga triathleter tränar och/eller tävlar i längre distans än sprint i större utsträckning (85 %) än kvinnliga (76 %). Det är marginellt fler triathleter som är 40 år eller äldre och flertalet av triathleterna (85 %) tränar och/eller tävlar i olympisk distans eller längre. Överbelastningsproblematik är det som svenska triathleter drabbas av i störst utsträckning (60 %), oavsett tävlingsdistans, och vanligen (64 %) drabbas de nedre extremiteterna. / Introduction Triathlon is the sport in which the athlete compete in the order swimming, cycling and running. Swedish triathlon has since year 2005 grown in numbers of practitioners and events. The aim of this study was to investigate how the previously non-examined Swedish triathlon have developed regarding numbers of events, practitioners, common injuries for the triathletes and at what distances the Swedish triathletes train and compete? The issues to be resolved were: How is the distribution between the sexes and race distance? How is the distribution between different categories of experiences (years as athlete) and different race distances? What is the prevalence for triathlon injuries and what injuries are there? What is the prevalence of injuries among the triathletes in different primary race distances? The method involved previous international research done in the field to serve as a basis for the creation of a questionnaire containing twelve multiple choice questions regarding the Swedish triathletes previous experiences within the sport and previous (if any) injuries sustained during either practice or race. 614 answers were collected of which 562 (92 %) were complete. Results from this study shows that the triathletes which are active at the sprint distance are those who have the highest rate (30 %) of answers with "no injury". Longer race distances means an increased risk for overuse injury, almost 18 % of the triathletes which train and/or compete at the longer distances have suffered from an acute muscle rupture. Most of the triathletes (49,3 %) in this study were active in the Olympic and/or half-Ironman distance. The conclusions of this study are that Swedish triathlon and triathletes are comparable to previous international studies. There is a slight difference between the sexes in race distance; there are slightly more (24 %) women active in sprint than men (15 %) and there are slightly less women (27 %) who are active in the Ironman distance than men (36 %). Among the Swedish triathletes there are marginally more of them who are 40 years of age or more and 85 % of all the triathletes train and/or race in Olympic distance or longer. The Swedish triathletes suffers commonly from overuse injury, regardless of race distance, in the lower extremities. This was the case for 64 % of the triathletes of which who completed the questionnaire.

This study investigates certified and non-certified teachers in Sweden and how they themselves view the status of their profession. Teacher certifications were introduced to Sweden in 2011, under the assumption that it would raise the status of qualified teachers. Recent results from international studies showed that Swedish students have fallen in rank compared to other countries around the world, and one of the proposed solutions proposed to this was to raise the status of teachers, as well as their pay. A higher status would then solve other issues, such as the low number of applications to university courses related to teaching. This study asked high school teachers, through an online questionnaire, what their views were on the status change the reform was supposed to create. The status changes were measured via questions regarding if they felt their students and their students parents viewed certified teachers differently than those without a teaching certificate, if the teachers felt that the certification had changed their status since it was introduced, and how important the teachers felt the certification was for the future. The teachers were sorted into groups based on what subjects they taught, how long they had worked as teachers, and what the focus of their high school was. Based on their answers the study showed that most teachers felt that students did not see a difference between teachers regarding certification while their parents did. It also showed that few teachers experienced their status had changed, but thought that the certification was important for the future of the profession even if a large number of teachers were disappointed with the implementation of the certifications. The study also showed that the teachers whom had worked for a long time in the profession had a more positive outlook on certifications as a whole but felt that it should only apply to younger teachers.

This thesis reports a study of the relationship of CAD use in designing and creativity through a Creative Behaviours Framework. This thesis provides a description of the establishment of a framework for gathering empirical evidence to support the analysis of links between CAD and creativity. The Creative Behaviours Framework consists of seven categories including novelty, appropriateness, motivation, fluency, flexibility, sensitivity, and insightfulness. The framework was developed from published literature largely relating to the area of cognitive psychology. The research reports findings concerning the use of this framework in analysing the use of CAD at Loughborough University and involved four postgraduates, two finalist undergraduates, and the researcher s own design project. Multiple data gathering methods including interviews, observations, protocol analysis, and design diaries have been used in this study to provide data reliability and validity. The results demonstrate the occurrence of creative behaviours in relation to the use of CAD when designing. Most of the categories had a significant number of occurrences observed and identified in the case studies using the data gathering methods (in particular protocol analysis and design diaries). However, novelty was only reported from the design diaries in Case studies 1 and 2. Some findings that linked the emergence of xvi creative characteristics of product outcomes with CAD usage were also established from data analysis of the design diaries. Hence, a key research output is the development of a framework which enabled researchers to observe and identify creative behaviours whilst CAD was used in designing. This framework has shown its reliability by also capturing creative behaviours in other than CAD activities such as 2D sketching and 3D sketch modelling. The findings from Case studies 1 and 2 indicated that creative behaviours were consistently identified during the observations of these design modelling activities. It shows that the Creative Behaviours Framework is not exclusively useful to observe creative behaviours during CAD use, but can also be applied in identifying these behaviours in other designing activities. An online questionnaire explored whether this framework could also be useful in wider application such as in supporting teachers in developing effective classroom and studio practice to encourage the emergence of creative behaviours by their students. The research study (using case studies and paper questionnaires) was undertaken with students of the Design and Technology Department, Loughborough University and the findings could be biased to this particular population. Hence, the online questionnaire was carried out with Malaysian CAD users to provide broader feedback. Although there was a small number of responses received from Malaysia, the data still provided a useful foundation to make the comparison between the UK and Malaysian CAD users perceptions about the relationship between creativity, in particular creative behaviours and the use of CAD in designing.

The level of university students' financial literacy has been discussed in Congress, opinion pieces in the media and the increasing level of student debt has been used to suggest their financial illiteracy. This study investigated the financial literacy of graduating university seniors by comparing their financial literacy level with their debt level. The difference in financial literacy levels of business majors, minors and non-business majors was assessed. The relationship between graduating university seniors' financial literacy level and their credit card and student loan debt was also reviewed. Gender, employment status, ethnicity, family income and college major were similarly examined to see if they were predictors of financial literacy levels and debt levels. Although financial literacy is frequently discussed in the national arena there is no clear definition of financial literacy; this ambiguity has led to multiple definitions. In this study, financial literacy was defined as "an individual's ability to obtain, understand, and evaluate the relevant information necessary to make decisions with an awareness of the likely financial consequences" (Mason & Wilson, 2000). The Jump$tart questionnaire (Mandell, 2004) was used to calculate participants' financial literacy level. The study found that the majority of the students had a high level of financial literacy with an average financial literacy score of 72.56% and with students majoring in business performing significantly better than non-business students. The use of debt level as an indicator of financial literacy level was found to be incorrect. No relationship was identified between financial literacy level and credit card debt or student loan debt. The study also found that demographic factors could not be used to predict financial literacy level and debt level. It was found that the majority of participants learned about managing money either on their own or at home from family members. More than half of the participants expressed an interest in taking a personal finance class but less than 20% were aware that this course was offered at their university. More effective methods are recommended to ensure that students become more aware such courses being offered on campus.

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Previous studies of the influence of personality on behaviour in experimental games have provided conflicting and inconclusive results. The present investigation was designed to search on a broad front for personality correlates of behaviour in a two-person bargaining game, the one used being a derivation of the Deutsch and Krauss Trucking Game. Five personality tests, covering fifty-three personality traits, were administered to 192 undergraduate students attending courses at The University of Stirling, and from these the experimental groups were randomly chosen, the only constraint being the sex of the subjects. The tests were The Sixteen Personality Factor Questionnaire, The Guilford/Zimmerman Temperament Survey, The Study of Values Test, The Edwards Personal Preference Schedule, and The Test of Social Insight. The trucking game was played for 30 trials by two groups of subjects, each containing 24 male dyads and 24 female dyads, under two experimental conditions: Condition I, where subjects had access to full information regarding the other's payoffs, and Condition II, where only incomplete information of the other's payoffs was available. It was hypothesized that behaviour in the game would be influenced by (i) amount of information available about the payoffs of the other; (ii) sex of the players (comparing single-sexed dyads); and (iii) players' personality. No differences due to either amount of information available about the other's payoffs, or sex of the players, were found. An analysis of the data provided by the combined experimental groups, however, successfully located indications of personality effects on behaviour in the game, as measured by total joint payoff summed over 30 trials, total time taken, the number of concessions made to the other player, and first strategy-choice on individual trials. The personality variables concerned were Emotional Stability and Radicalism/Conservatism, (Factors C and Ql of The Sixteen Personality Factor Questionnaire); Personal Relations, (Factor P of The Guilford/Zimmerman Temperament Survey); Theoretical Value, (T scale of The Study of Values Test); Exhibition, ('exh' variable of The Edwards Personal Preference Schedule); and Cooperativeness, (Scale III of The Test of Social Insight). It is suggested that the relationship of these personality variables to game-playing behaviour should be the subject of further investigation.

Although experiential prescribing maxims are quoted in some optometric textbooks their content varies significantly and no direct research evidence was available to support their use. Accordingly in chapters 2 and 3, the uses of several potential prescribing rules were investigated in the UK optometric profession. Our results indicated that the subjective refraction result exerted a strong hold on the prescribing outcome with 40-85% of optometrists prescribing the subjective result in a variety of scenarios. The finding that after 40 years qualified, experienced optometrists were three times more likely to suggest a partial prescription was an important discovery that provides significant support for the prescribing rules suggested by various authors. It would also appear from the results of the retrospective evaluation of the 'if it ain't broke, don't fix it' clinical maxim in Chapter 4 that spectacle dissatisfaction rates could be reduced by between 22 to 42% depending on how strictly the maxim is interpreted by the practitioner. Certainly an 'if it ain't broke, don't fix it much' maxim was suggested as being particularly appropriate. Chapter 5 included a reanalysis of previously published data that found no change in falls rate after cataract surgery to investigate any influence of refractive correction change and /or visual acuity change on falls rate. Unfortunately these data were not sufficiently powered to provide significant results. In chapter 6, a spectacle adaptation questionnaire (SAQ) was developed and validated using Rasch analysis. Initial studies found no differences in SAQ with gender or age.