Objective: To explore and describe the current transition environment for young people with chronic pain in Canada. Quantitative study: An online survey of nurses working in the pediatric and adult chronic pain setting was conducted to describe the current clinical practices used in both settings to support transition of young people with chronic pain in Canada. Qualitative study: Semi-structured interviews were conducted with young people with chronic pain who had recently transitioned from the pediatric setting to the adult healthcare setting to explore their transition experiences. Conclusions: The findings from these studies suggest that young people with chronic pain have similar transition related needs to other young people with chronic conditions as well as unique challenges. Nurses can have a positive impact on transition outcomes by developing processes and forming networks of clinicians who work with young people with chronic pain in order to improve transition related outcomes.

Objetivo: compreender o significado da vivência do câncer de mama para mulheres jovens, com relação ao Trabalho, Maternidade e Imagem corporal. Método: estudo qualitativo; referencial metodológico: Discurso do Sujeito Coletivo; teórico: Interacionismo Simbólico. Desenvolvido em um Ambulatório de Mastologia e Núcleo de Reabilitação de Mastectomizadas. A coleta ocorreu de fevereiro/2014 a janeiro/2015. Participaram 12 mulheres selecionadas por prontuários, entre 18 e 40 anos, com até um ano do diagnóstico do câncer, sendo excluídas aquelas que não se expressavam individualmente e com metástase; responderam às questões norteadoras: \"Como é para você ser uma mulher jovem que teve diagnóstico do câncer de mama com relação ao trabalho? À maternidade? À sua imagem corporal?\". Resultados: emergiram as categorias: \"Fato de você ser jovem e ter que parar de trabalhar, às vezes eu me sinto meio inválida, sabe? E o fato de me tirar daquilo que eu mais gosto de fazer que era trabalhar, que é trabalhar, me apavorou um pouco\"; A importância do trabalho pelo fato de ser mulher e jovem: \"O Trabalho é a edificação da alma! Não tem frase melhor que defina trabalho, e como mulher jovem: Liberdade!\"; O afastamento da mulher jovem de sua atividade de trabalho e as relações sociais; A maternidade e o fato de ser mulher jovem com câncer de mama: \"A maternidade me mostrou um amor grande demais, mas abala (o câncer) porque nessa idade que eu estou a gente tem muitos sonhos ainda, entendeu\"; Dilema materno: ter ou não filhos após o câncer de mama?; A amamentação para a mulher jovem com câncer de mama; Dilema materno: a possível ausência para os filhos; Dilema materno como mulher jovem: a proteção com os filhos diante do diagnóstico do câncer de mama; Para a mulher jovem com câncer de mama a maternidade é o ponto de equilíbrio para o enfrentamento do câncer; Perda de cabelos, pelos e mudança na coloração da pele e unhas: \"Me fez sentir feia. Fica sem expressão. Me sinto debilitada como mulher\"; O fato de ser jovem e a falta da mama: \"Não quero ser mutilada. Perder um seio é muito difícil\"; Sentimento da mulher relacionado ao ganho de peso durante o tratamento: \"está me incomodando e fico com a autoestima lá embaixo\'\"; A mulher jovem se incomoda com os olhares curiosos por apresentar mudança corporal causada pelo câncer de mama: \"Quero passar despercebida, não quero que sintam pena \'coitada, tão nova\'\"; \"O pessoal jovem sofre demais. Você se olha no espelho e diz: \'puts eu não sou igual a todo mundo\'.\" A vivência do câncer de mama para as mulheres jovens, relacionado ao trabalho, maternidade e imagem corporal, significou viver com a dualidade de \"ter de se tratar\" e ter de \"passar pelas adversidades impostas pelo câncer de mama\"; lidar com dificuldades, quando necessitaram \"camuflar sofrimentos\" para que filhos/companheiros/familiares e amigos não sofressem \"pelas suas dores (das mulheres)\", e \"apoio\", quando conseguiram \"compartilhar o câncer de mama\" com eles. Conclusão: profissionais de saúde devem atuar diante dos comprometimentos causados pela doença / Objective: to understand the meaning of breast cancer experience for young women in relation to Work, Maternity and Body Image. Method: qualitative study; Methodological approach: Discourse of the Collective Subject; Theory: Symbolic Interactionism. Developed in a Mastology Ambulatory and Mastectomized Rehabilitation Nucleus. The data collect occurred from February / 2014 to January / 2015. Twelve women between 18 and 40 years were selected by medical records, with up to one year of diagnosis of cancer participated, and those with metastasis and who could not express themselves individually were excluded; they answered the guiding questions: \"How is for you to be a young woman diagnosed with breast cancer in relation to work? Motherhood? And body image?\" Results: The categories emerged: \"The fact that you are young and have to stop working, sometimes I feel kind invalid, you know?\"; The importance of work for being a woman and a young person: \"Work is the building up of the soul! There\'s no better phrase that defines work, and as a young woman: Freedom!\"; The removal of the young woman of his work activity and the social relations; Motherhood and the fact of being a young woman with breast cancer: \"Motherhood has shown me a great love, but it shakes (cancer) because at this age that I am we have many dreams yet, do you understand?\"; Maternal dilemma: have or not have children after breast cancer?; Breastfeeding for the young woman with breast cancer; Maternal dilemma: possible absence for the children; For the young woman with breast cancer, motherhood is the point of balance for coping with cancer; Loss of hair and change in the color of the skin and nails: \"It made me feel ugly. Without expression. I feel weak as a woman\"; The fact of being young and the breast\'s loss: \"I do not want to be mutilated. Losing a breast is very difficult\"; Woman\'s feeling associated to weight gain during treatment: \"it\'s bothering me and my self-esteem falls\"; The young woman is bothered by the curious looks due to the corporal change caused by breast cancer: \"I want to go unnoticed, I do not want them to feel \"poor, so young\'\"; \"Young people suffer a lot. You look at yourself in the mirror and say, \'Oh, I\'m not like everyone else.\' The experience of breast cancer for young women, in relation to work, maternity and body image, it meant living with the duality of \"having to treat\" and to have to \"go through the adversities imposed by breast cancer\"; deal with difficulties, especial when they needed to \"camouflage their suffering\", so their children / partner / relatives and friends would not suffer \"with their pains (of women)\", and \"support\" when they were able to \"share the experience of breast cancer\" with them. Conclusion: health professionals must act on the deficits caused by the disease

This quasi-experimental study (N = 139) measured the effect of a reader response based instructional unit of the novel Speak on adolescents’ rape myth acceptance. Participants were eighth grade language arts students at a Title I middle school in a major metropolitan school district. Seven classes were randomly assigned to treatment (n = 4) or control (n = 3) condition. Two teachers participated in the study and both taught both treatment and control classes. The study lasted a period of five weeks. Participants were pretested using the Rape Myth Acceptance Scale (Burt, 1980) and a researcher created scale, the Adolescent Date Rape Scale (ADRMS). Analysis of pretests showed the ADRMS to be a reliable and valid measure of rape myth acceptance in adolescents. Factor analysis revealed it to have two major components: “She Wanted It” and “She Lied.” Pretests supported previous studies which found girls to have significantly lower initial levels of rape myth acceptance than boys (p < .001). A 2 (group) x 2 (instructor) x 2 (sex) ANCOVA using ADRMS pretest as a covariate and ADRMS posttest as a dependent variable found that treatment was effective in reducing rape myth acceptance (p < .001, ή2 = .15). Boys with high rape myth acceptance as demonstrated by pretest scores of 1 standard deviation above the mean on ADRMS did not have a backlash to treatment. Extended analysis revealed that participants had significantly lower scores posttest on Factor 1, “She Wanted It” (p < .001, ή2 = .27), while scores on Factor 2, “She Lied” were not significantly lower (p = .07). This may be because the content of the novel primarily deals with issues questioning whether the main characters assault was a rape rather than a false accusation. Attrition rates were low (N = 15) and attrition analysis showed that drop outs did not significantly alter the treatment or control groups. Implications for reader response instruction of young adult literature, for research on rape myth acceptance in secondary schools, and for statistical analysis of effect size using pretests as filters are discussed.

Patterns of masculine and feminine portrayals can be found everywhere, yet one place sociologists tend not to look is in novels. Young adult novels have generated 27 million dollars in e-books alone in 2011, with paranormal romances and dystopian genres making up the majority of the sales (Scott, 2013). Understanding these novels is sociologically important because they are reaching wider audiences with their adaptation into Hollywood blockbusters. While the novels demonstrate stronger characteristics given to women, the messages about the ideal male in the novel often reflects one who is putting the female in danger. A content analysis of ten popular paranormal young adult novels demonstrates patterns of the construction of gender. Drawing on Radway’s (1984) analysis of romance novels and Connell’s, (2005) and hook’s (2004) theories of masculinities, this paper explores the messages in paranormal fiction geared to a mainly young adult female reading audience. My preliminary findings demonstrate thus far that these books reflect unhealthy ideas about relationships, violence, the body, and sexuality. The novels portray masculine bodies as hard, dangerous, and seductive. They also share a storyline consisting of the fear of getting killed by someone they are in love with.

Dans cette étude, nous avons cherché à comprendre pourquoi les lecteurs de romans, et plus particulièrement de romans pour jeunes adultes (tels que Twilight, Hunger Games, Divergent, etc.), décident de se joindre à des communautés virtuelles et d'y participer activement. Pour ce faire, nous nous sommes appuyés sur la théorie des usages et gratifications ainsi que sur les fan studies, c'est-à-dire le courant d'études réalisées sur des fans. Afin de répondre à notre question de recherche, nous avons effectué des entrevues qualitatives semi-dirigées. Les résultats de notre recherche indiquent que nos participantes ont joint les communautés virtuelles de fans pour répondre à des besoins non-comblés dans leur vie quotidienne, et y sont toujours actives car leurs interactions en ligne continuent de répondre à ce besoin ainsi qu'à d'autres encore.

Sixteen-year-old Drea Grimm’s mother walked out of their family home at midnight seven years ago. All she left behind were notebooks full of made up stories and a family that Drea, being the oldest, was now in charge of. One day, Drea finds a mysterious letter with her name on it written in her mother’s handwriting and everything she thought was true is destroyed. With the help of her partner on a school project, Ian, Drea uses her mom’s stories and clues from her last moments to heal her family and maybe bring her mother home. But there is someone who wants Drea and they will do anything to draw her closer to the truth, and in turn, closer to supernatural danger.

京都大学 / 0048 / 新制・課程博士 / 博士(社会健康医学) / 甲第22383号 / 社医博第105号 / 新制||社||医11(附属図書館) / 京都大学大学院医学研究科社会健康医学系専攻 / (主査)教授 古川 壽亮, 教授 川上 浩司, 教授 滝田 順子 / 学位規則第4条第1項該当 / Doctor of Public Health / Kyoto University / DFAM

Many local and national teaching associations and teacher preparation programs have called for the integration of LGBTQ+ Young Adult literature in the secondary English language arts classroom. However, in practice, classroom teachers continue to rely on classic, canonical works which often represent a white, cisgender male, heterosexual point of view. In choosing these canonical texts, the identities and experiences of the spectrum of LGBTQ+ students are excluded. The effects of this exclusion are harmful to both LGBTQ+ students and their peers. The purpose of this thesis is twofold: 1) explore how LGBTQ+ YA literature is currently being used in secondary English Language Arts classrooms and 2) provide a list of exemplary LGBTQ+ texts that teachers can integrate into their curriculum. In exploring these topics, I discuss various teacher hesitations in using LGBTQ+ texts in their classroom as well as successful ways teachers are currently integrating these texts into their curriculum. At the conclusion, I provide recommendations for novel selections and classroom appropriacy.

Children’s literature might be considered the “holy well” providing healing refreshment and a direct path forward for the soul of every child: a troubled youngster, a young person experiencing a life trial, or a student seeking enlightenment. Whether folklore depicting animals congregating at the water hole at their time of need, learning to share and care; or realistic fiction presenting varying “time of drought” scenarios, and the resolution or healing necessary thereto; or even non-fiction revealing humanity’s dependence on clean water, and the knowledge necessary to help budding scientists, one-day, protect water sheds, these literary genres sustain children during their formative years and beyond. Without these literary selections, children founder and do not appropriately climb developmental ladders, in fact regress into unhealthy social, emotional or intellectual states of mind. This paper contemplates three categories of children’s literature carrying the theme of spiritual development /healing and/or intellectual enlightenment: folklore, realistic fiction, and non-fiction. Books carrying themes, images, and symbols associated with the healing and life-sustaining qualities of water will especially be highlighted within these categories to reveal how each title selected for interpretation either: 1) quenches a child’s thirst for the internationalization of a life lesson or moral; 2) provides a means of resolving a problem or healing a wound; or 3) delivers knowledge necessary to the perpetuation of safe drinking water on our planet. Titles selected for examination based in this theory of sustainability, this allusion to the Irish concept of a “holy well,” will be analyzed with regard to their ability to assist children on spiritual and intellectual levels, in a lasting, long-term fashion, providing wisdom, healing, and learning for the well-being of past, present, and future generations.

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. / Background: Previous research has reported an association between texting messages sent and De Quervain's tenosynovitis (DQT) symptomatology. However, these studies do not report smartphone dependence and DQT symptomatology. Objective: We aimed to evaluate the association between problematic smartphone use (PSU) and DQT symptomatology among young adults. Design: Analytical cross-sectional study. Methods: We included adults between 18 and 25 years and evaluated DQT symptomatology's presence using the Finkelstein test. We used Experiences Related to Mobile Phone Use Questionnaire to measure the PSU. We carried out a generalized linear model from the Poisson family. We calculated the crude and adjusted prevalence ratios (PR) with their 95% confidence interval (CI). Results: In total, we analyzed 491 subjects, the majority were women (52%), and the median age was 20 years. Of the total study population, 53% had positive results in the Finkelstein test, while 53% of the population had PSU. After adjusting our generalized linear model for confounders variables, we found that there is a higher prevalence of DQT symptomatology in those participants with occasional PSU and frequent PSU compared with participants without PSU, (aPR = 1.73, 95% CI: 1.47–2.05) and (aPR = 1.61; 95% CI: 1.29–2.00); respectively. We also found a higher prevalence of DQT symptomatology related to the number of hours per day in smartphones, pain with smartphones in the last week and using WhatsApp. Conclusion: We found a higher prevalence of De Quervain's tenosynovitis symptomatology in the people with problematic smartphone use. / Revisión por pares