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Utilization of Prenatal Services by Survivors of Childhood and Adolescent/Young Adult CancersLee Chong, Amy 15 November 2013 (has links)
Objectives: To describe utilization of specialised prenatal care by high-risk survivors and evaluate echocardiogram use in echocardiogram-need survivors, as per survivorship guideline recommendations.
Methods: Retrospective population-based matched survivor:control study utilizing Ontario health administrative data. Survivors were classified as high-risk/low-risk for obstetrical outcomes, and as echocardiogram-need (yes/no) for echocardiogram outcomes. Associations were tested using logistic regression.
Results: 11% (n=363) of 3,204 pregnant survivors were classified as high-risk. Over 90% received specialized prenatal care. Living in a rural area was associated with lower use. (AOR 0.51; 95% CI 0.44-0.59). Since 2003, 32% (560/1,737) of survivors had an echocardiogram-need. Only 14% (77/560) had ≥1 echocardiogram, this was not associated with rurality nor neighbourhood income quintile.
Conclusions: Although the majority of high-risk survivors receive specialized prenatal care, geographic inequality in care persists. Despite survivorship guidelines, >85% of echocardiogram-need pregnant survivors do not have an echocardiogram performed; future work should address this gap in care.
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Everyday life music information-seeking behaviour of young adults: an exploratory studyLaplante, Audrey January 2008 (has links)
The aim of this qualitative research was to contribute to a richer understanding of the everyday life music information-seeking behaviour of young adults. The objectives were (1) to uncover the strategies and sources young adults use to discover new music artists or genres, (2) to understand what motivates young adults to engage in information-seeking activities, and (3) to explore what clues young adults look for in music items to make inferences about the relevance or utility of these items.Fifteen young adults (18 to 29 years old) of the French-speaking Montreal Metropolitan community participated in this study. The data were collected through in-depth semi-structured interviews. Drawing on the research on shopping behaviour and music behaviour, Wilson's 1996 model of information behaviour has been revised and used to guide data collection and analysis. The data were analyzed inductively, using the constant comparative method.The analysis revealed that the participants had a strong penchant for informal channels (i.e., friends, colleagues, relatives) and low trust of experts (i.e., librarians, reviewers, music store staff). It also emerged that music discoveries were often the result of passive behaviour. When music was actively sought, it was rarely a goal-oriented activity. Indeed, it was mostly the pleasure they took in the activity itself – the hedonic outcome – that motivated them to look for music rather than an actual information need. Related to that, browsing, which is best suited for non-goal oriented information seeking, was a very common strategy among participants.The study also revealed that rich metadata, such as bibliographic information, associative metadata, recommendations, and reviews, were highly valued by the participants. In addition to allowing people to browse music in different ways, these metadata represent valuable information that is used to make inferences about the type of experience a music item proposes. Participa / Le but de cette recherche qualitative est de contribuer à une meilleure compréhension du comportement dans la recherche de musique des jeunes adultes dans la vie de tous les jours. Les objectifs étaient de comprendre (1) les stratégies et les sources que les jeunes adultes utilisent pour découvrir de nouvelles musiques; (2) ce qui les motive à entreprendre des recherches afin de découvrir de nouvelles musiques; et (3) la façon dont ils s'y prennent pour évaluer la pertinence ou l'utilité d'enregistrements musicaux.Quinze jeunes adultes (âgés entre 18 et 29 ans) francophones de la région du Montréal métropolitain ont participé à cette étude. Les données ont été collectées au moyen d'entretiens semi-structurés en profondeur. En s'appuyant sur la recherche sur les habitudes de magasinage et sur le comportement musical, le modèle de comportement informationnel développé par Wilson en 1996 a été modifié. C'est ce modèle qui a guidé la collecte et l'analyse des données. Les données ont été analysées de façon inductive, en utilisant la méthode d'analyse par comparaison constante.L'analyse a montré que les participants avaient une préférence marquée pour les sources d'information informelles (amis, collègues, famille) et une confiance limitée envers les experts (bibliothécaires, critiques, disquaires). Il est également apparu que leurs découvertes musicales étaient souvent le résultat d'un comportement passif. De plus, quand ils recherchaient activement de la musique, il s'agissait rarement d'une activité orientée vers un but précis. En effet, il s'est avéré que c'était davantage le plaisir qu'ils prenaient dans l'activité – le résultat hédonique – qui les motivait à entreprendre des recherches plutôt qu'un véritable besoin d'information. De la même façon, le bouquinage, qui constitue une méthode particulièrement appropriée pour rechercher de l'information sans but précis, était très populaire chez
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"Ett jobb som vi gör tillsammans": Psykologers beskrivningar av alliansarbete med ungdomar och unga vuxnaFlemming Björkland, Ylva, Wågberg, Malin January 2013 (has links)
Psykisk ohälsa är vanligt bland ungdomar och unga vuxna, och mycket forskning stöder alliansens betydelse för utfallet av terapi (Shirk et al. 2011). Dock saknas en del kunskap om hur allians skapas i terapi med gruppen ungdomar och unga vuxna (Karver et al. 2008). Syftet med denna kvalitativa studie var därför att undersöka hur psykologer beskriver att de går tillväga för att skapa och återskapa allians i psykoterapi med ungdomar och unga vuxna. Sju semistrukturerade intervjuer genomfördes och analyserades med hjälp av tematisk analys. Studien baserades på en tidigare studie av Binder et al. (2008a; 2008b) där terapeuter intervjuats om alliansarbete med tonåringar. Resultatet indelades i fem huvudteman utifrån resultatet i Binder et al.: Förstå problemet, trygg och förstådd, auktoritet och förtroende, motivation samt ambivalens. Att metakommunicera beskrevs som centralt både för att ungdomen ska känna sig trygg och förstådd och för att reparera alliansbrott. Psykologerna beskrev även hur de arbetar med motivation på flera sätt än vad de själva benämner som motivationsarbete. Dessutom beskrivs personkemi som betydelsefullt för att skapa allians. Svårigheten att konkretisera alliansarbete diskuteras, liksom hur resultaten kan förstås utifrån utvecklingspsykologiska teorier. / Mental health problems is common among adolescents and young adults. A lot of research supports the alliance's importance for outcome (Shirk et al. 2011) but there is a lack of knowledge about how alliance in therapy is created with adolescents and young adults (Karver et al. 2008). The purpose of this qualitative study was to investigate psychologists’ descriptions of how they create and re-establish alliance in psychotherapy with adolescents and young adults. Seven semi-structured interviews were executed and analyzed using thematic analysis. The study was based on a previous study by Binder et al. (2008a; 2008b) where therapists were interviewed about working with alliance in therapy with adolescents. The result was divided into five main themes based on the result from Binder et al.: Understanding the problem, secure and understood, authority and trust, motivation and ambivalence. It was described that 'meta-communication' was central for youths to feel both secure and understood, and to re-establish alliance. The psychologists described how they worked with motivation in several ways that they themselves wouldn’t define as motivational work. Furthermore personal chemistry is mentioned as important for creating alliance. The difficulty to find concrete descriptions of alliance work is discussed, as well as how the results can be understood from the perspective of developmental psychology theories.
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"Periodare" hos socialtjänsten? : En undersökning om unga vuxnas behov av försörjningsstöd / At social services in periods? : A study about young adults' need of income supportHummel, Jessica, Jansson, Sophia January 2015 (has links)
The purpose of this study is to find out how social workers in one medium and one small municipality in central Sweden perceive the need of financial support for young adults for more than one year and what the causes might be. To answer our research questions a qualitative research method was used and four social workers were interviewed. The result has been analyzed based of social exclusion, stigma, as well as on structural and individual level and linked to previous research. Our results show that although young adults are an exception for long duration for financial support, there are those who lack other means of support for a long time. The results also show that young adults often are recurring in the social services, and they are long-lasting. The reasons for the need have been shown to be similar in the medium and the smaller municipality, even if it appears differences seen to affect the clients. The result shows that the absence of school results, mental illness, security and organization of social services are causes of long- term need for income support. The study shows that the long-standing young adults often lack a secure social network and social workers perceive that they are often a security, a stable contact in the young adults' lives that may be difficult for these young adults to leave.
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Gender and ethnic differences in migration of young adults in contemporary KyrgyzstanAitieva, Medina January 2003 (has links)
This study uses two survey data - one conducted in Kyrgyzstan and another in the United States - to examine the effect of familial responsibilities, cultural expectations and tradition in Kyrgyzstan on young adults' decision to marry a foreigner. It predicted there would be certain gender and ethnic differences in migration of 18 to 30 years old young adults, citizens of Kyrgyzstan. Two assumptions were explored: 1) females, more than males, would like to marry a foreigner and stay in a foreign country and 2) Russian, more than Turkic respondents would like to stay in a foreign country if they found a mate who was a foreigner. These differences were expected due to contrasting familial responsibilities of females versus males and Russian versus Turkic young people. Familial responsibilities did not explain the gender and ethnic differences in marriage migration. The gender variable suggests further investigation whereas the ethnic differences show a stronger effect on the marriage migration. Russians, more than Turkic young adults, wanted to marry a foreigner since they wanted to emigrate from Kyrgyzstan eventually and did not want to return. / Department of Sociology
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Effect of perceived family functioning on social self-esteem in early adulthoodGruner, Kelly L. January 2003 (has links)
This study was designed to examine the effect of perceived family functioning on social self-esteem in early adulthood. It was hypothesized that 1) there would be significant differences in level of social self-esteem based on categories of family functioning (as indicated by FACES-III scores), A) subjects with both moderate cohesion and moderate adaptability will report the highest social self-esteem, B) subjects with mixed levels of cohesion and adaptability, e.g. moderate cohesion/extreme adaptability and extreme cohesion/moderate adaptability, will report mid-level social self-esteem, and C) subjects with both extreme cohesion and adaptability will report the lowest social self-esteem. Data were analyzed by conducting a one-way ANOVA. Results did not provide support for the hypotheses. Implications of these findings and future directions for research are discussed. / Department of Counseling Psychology and Guidance Services
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Repression in the young and elderly : impression management or self-deception?Ashley, Aaron L. January 2000 (has links)
The construct of repression has received a resurgence of experimental attention in the past 20 years, due in large part to the development of the typology method of classification (Weinberger, Schwartz, and Davidson, 1979). According to the typology method, individuals are classified as repressors if they self-report low anxiety and high social desirability. Since the typology method of classification does not differentiate between the two factors comprising social desirability (impression management and self-deception), it is important to determine which component is actually characterizing repressors, or whether it is a combination of the two. The present study examined two questions; (1) are repressors engaging in self-deception, impression management, or both and (2) does the construct of repression change as a function of age? Results suggest that in a college age population self-deception characterized the repressor memory; in an elderly population present negative mood state was the only variable predicting repressive memory. / Department of Psychological Science
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Röster från långtidsarbetslösa: en kvalitativ studie av unga vuxnas upplevelser och hantering kring sin livssituationAnnas, Katja, Håkansson, Per Ranil January 2014 (has links)
Under vårterminen 2014 har vi arbetat kontinuerligt med ämnet långtidsarbetslösa unga vuxna. Detta forskningsområde är en aktuell debatterad fråga i dagens samhälle, och har varit intressant som fenomen att undersöka. Härmed vill vi tacka och rikta vår uppskattning till er som har bistått oss under studiens gång och gjort det möjligt för oss att genomföra samt färdigställa denna kandidatuppsats. Ett stort tack till Arbetsförmedlingen i Trollhättan, som stod för ett varmt mottagande och ett gott samarbete. Vi vill här särskilt rikta ett stort Tack till samtliga intervjudeltagare som så fint ställt upp och berätta om deras personliga erfarenheter gällande långtidsarbetslöshet. Vi anser att utan er hjälp, hade inte denna uppsats blivit av. Sist, men inte minst, ett varmt tack till vår handledare Yngve Mohlin, för hans positiva inställning och inspiration, samt för all konstruktiv kritik och pedagogiskt vägledande under hela processen. Vi har noggrant övervägt för- och nackdelar med att skriva denna studie tillsammans. Det framkom att vi tänker lika varandra, utifrån att båda vill ha en hållbar struktur och en given framförhållning. De olika delarna har gemensamt utarbetats och korrigerats. Studiens intervjuer delades dock upp mellan oss och transkriberades av den motsatta kollegan, för att kunna ta del av informationen i respektive intervjuer. Vi satte upp delmål innehållande slutdatum för att kunna få bra flyt i skriv- och materialinsamlandet. Vår utgångspunkt har varit att vi sätter oss ned och utför samtliga delar tillsammans, då vi har diskuterat och sammanställt materialet till en helhet. Vi känner också att det totala arbetet har varit ömsesidigt och där båda har tagit ansvar för samtliga moment i studien.
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Young adults' relationship intentions towards their cell phone network providers / by Liezl-Marié KrugerKruger, Liezl-Marie January 2010 (has links)
Marketers use relationship marketing in order to establish mutually beneficial long-term
relationships with their customers as a means to retain these customers in the
competitive market environment. Relationship marketing should, however, not be used
to target each and every customer as not all customers want to build long-term
relationships with organisations. In order to identify the most profitable customers to
target through relationship marketing, organisations should consider their customers'
relationship intentions to form long-term relationships with them.
The primary objective of this study was to determine young adults' (aged 18 to 25)
relationship intentions towards the South African cell phone network providers they use,
namely Vodacom, MTN or Cell C. This was done by considering the five constructs
used to measure relationship intention, namely involvement, expectations, forgiveness,
feedback and fear of relationship loss. A focus group was used to determine which
features related to cell phone network providers young adults consider when selecting a
cell phone network provider. This data was used to develop a self-administered
questionnaire, which was distributed among respondents studying at the Potchefstroom
Campus of the North-West University in the North-West Provirice. A convenience (non
probability) sampling method was used and a total of 315 respondents participated in
this study. The distribution between the cell phone network providers was Vodacom
(115), MTN (101) and Cell C (99). Initial data analysis revealed that 73% of respondents
had high relationship intentions, while the remainder (26%) had low relationship
intentions of forming long-term relationships with their respective cell phone network
providers.
By means of a factor analysis it was determined that the five relationship intention
factors, namely involvement, expectations, forgiveness, feedback and fear of
relationship loss, were valid and reliable to measure the relationship intentions of
respondents. The results further indicated that respondents with a t"iigh relationship
intention are more involved with thei r cell phone network providers and feared losing
thei r relationships with their cell phone network providers more than those respondents
with a low relationship intention. Furthermore, respondents from the different cell phone
network providers do not view the five factors comprising relationship intention
differently, but they do differ with regards to other factors related to cell phone network providers. It was found that the majority of respondents regard Vodacom (not
necessarily the respondent's cell phone network provider) as the cell phone network
provider with the latest technology, as being the quickest, having the best coverage,
best handsets, coolest image and best service. The majority of respondents regard Cell
C as being the cheapest and MTN as being the most expensive. Results also indicate
that respondents' parents play an important role with regard to the choice of their cell
phone network providers as the majority of respondents' parents initially chose the cell
phone network providers and pay their cellular expenses.
It is recommended that cell phone network providers should target young adults'
parents with a view to gain a foothold in the young adult market. Furthermore, it is
recommended that cell phone network providers should determine how their customers
perceive them as compared with competitors in order to better position themselves and
to improve communication with young adults. Most importantly, it is recommended that
cell phone network providers should identify those young adults with high relationship
intentions (those young adults who are more involved with and fear losing their
relationship with the cell phone network provider more) in order to retain them by
attempting to build long-term relationships with these young adults through dedicated
relationship marketing efforts.
Recommendations for future research include examining relationship intention with
regards to other age groups (such as scholars and adults), other service industries and
other geographical areas. Furthermore, the influence which young adults exert on
decisions concerning cell phone network providers and the influence of parents on
young adults' product and service choices, can be explored in future research by means
of the family decision roles. / Thesis (M.Com. (Marketing Management))--North-West University, Potchefstroom Campus, 2010.
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The interacting effect of increasing cognitive and motor task demands on performance of gait, balance and cognition in young adults.Maharjan, Pramila 15 April 2011 (has links)
The purposes of this study were to: 1) evaluate the effect of walking speed on gait, balance and cognitive task performance and 2) examine the effect of dual task (cognitive load) on gait balance and cognitive task performance. Twenty young healthy adults (24+6 years of age) were recruited and each participant walked on a motorised treadmill at two speeds(0.5m/s and 0.8m/s), first without performing cognitive tasks, then while performing three types of cognitive loaded tasks. The speed had a significant effect on average and coefficient of variation of temporal gait parameters (P<0.001), cognitive task performance (P<0.001) and center of pressure excursion (P<0.001). No statistically significant effect of speed was found ML trunk displacement. However, dual task (cognitive load) had significant effect on COV of temporal gait (P<0.001), cognition (P<0.001) and trunk motion (P<0.001). In conclusion, the speed and dual task had significant effect on locomotors rhythm, balance, and cognitive performances.
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