Desde o final da década de 70 vem se falando em crise e reforma do Estado. A contenção dos gastos e a reforma fiscal dirigem-se especialmente à redução das políticas sociais e à diminuição do setor de serviços, incluindo aí serviços governamentais destinados à infância e adolescência em situação de risco pessoal e social, que consiste em uma das populações mais fragilizadas da sociedade. Estudos recentes têm indicado que não há uma diminuição tão grande dos investimentos na área social, mas um realocamento desses recursos entre as diversas políticas públicas; bem como indicam a influência da ideologia político-partidária daqueles que estão no governo como sustentáculo do investimento público na área social. Objetivamos com esse trabalho, avaliar o impacto da mudança na administração municipal na cidade de Ribeirão Preto, em virtude da eleição de 1996, no atendimento a crianças e adolescentes em situação de risco, verificando como a ideologia político-partidária influenciou na atenção à infância e na definição das políticas sociais. Para isto, optamos por uma pesquisa de cunho qualitativo, utilizando como instrumento de coleta de dados a análise documental, e como método de análise, a Análise Conteúdo, tendo como unidade de análise o tema. Estão sendo analisados os Programas e Estatutos dos Partidos que encabeçavam as coligações eleitas nos pleitos de 1992 e 1996, respectivamente PT e PSDB; os Programas de Governo das duas gestões e documentos e relatórios produzidos por essas gestões. A análise dos dados revela uma diferença de ênfase nos dois Programas de Governo, com o Programa do governo eleito em 1992 dando um acento maior em sua atuação à área social, enquanto o eleito em 1996 dá uma maior ênfase ao desenvolvimento econômico, indo ao encontro da tendência observada na análise dos Programas Partidários. Também se observa uma ruptura e descontinuidade entre as políticas para a infância e adolescência adotadas; com ambas as gestões reorganizando a estrutura dos serviços dentro da Secretaria de Bem Estar Social/Cidadania e Desenvolvimento Social, ficando o conjunto dos programas configurados de uma forma muito diferente da anterior. Os gastos com assistência social na gestão 1997-2000, indo na direção do encontrado na literatura, foram maiores que na gestão anterior, enquanto o número de atendimentos realizados pelo serviço público diminuiu, tendo havido um direcionamento desses gastos para o setor privado de assistência à infância em situação de risco, o que se configura enquanto um padrão de atendimento aos usuários semelhante ao que existia nos primórdios da assistência social no Brasil e no município. / Since the end of the decade of 70 it comes saying in crisis and reform of the State. The containment of the expenses and the fiscal reform are especially drive to reduction of the social politics and of the sector of services, including there governmental services destined to infancy and adolescence in situation of personal and social risk, that consists one of the more fragile populations of the society. Recent studies have indicated that it does not have a so great reduction of the investments in the social area, but a realocation of these resources between the diverse public politics; as well as they indicate that politician-partisan ideology of that they are in the government influence the bases the public investment in the social area. We objectify with this work, to evaluate the impact of the change in the municipal administration in the city of Ribeirão Preto, in virtue of the 1996 election, in the attendance the children and adolescents in risk situation, verifying as the ideology politician-partisan influenced in the attention to infancy and the definition of the social politics. For this, we opt to a research of qualitative matrix, using as instrument of collection of data the documentary analysis, and as analysis method, the Analysis Content, having as unit of analysis the subject. They are being analyzed the Programs and Statutes of the Parties that headed coalition elect in the lawsuits of 1992 and 1996, respectively PT and PSDB; the Programs of Government of the two managements and documents and reports produced for these managements. The analysis of the data discloses a difference of emphasis in the two Programs of Government, with the Program of the elect government in 1992 giving a bigger accent in its performance to the social area, while the elect one in 1996 gives a bigger emphasis to the economic development, going to the meeting of the trend observed in the analysis of the Partisan Programs. Also a rupture is observed and discontinuity enters the politics for adopted infancy and adolescence; with both the managements reorganizing the structure of the services inside of the Secretariat of Social Welfare /Citizenship and Social Developement, being the set of the configured programs of a very different form of the previous one. The expenses with social assistance in management 1997-2000, going in the direction of the found in literature, had been greaters that in the previous management, while the number of attendence carried through for the public service diminished, having had an aiming of these expenses for the private sector of assistance to infancy in risk situation, what it is configured while a standard of customer service similar to whom existed in the beggining of the social assistance in Brazil and in the city.

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Syftet med denna studie var att undersöka sambanden samt eventuella könsskillnader mellan Social Jämförelse, Självkänsla och användande av Sociala  Medier hos gymnasieelever . Enkäter delades ut till 127  elever på en skola i södra Sverige. Eleverna ombads besvara frågor om användningen av Sociala Medier samt uppskatta deras Självkänsla som bygger på Rosenberg self-esteem scale och deras upplevda grad av Social Jämförelse som baserades på en förkortad version (Schneider & Schupp, 2013) av the Iowa-Netherlands Comparison Orientation Measure (Buunk & Gibbons, 1999). Resultatet visade signifikanta samband samt könsskillnader mellan användning av Sociala Medier, Social Jämförelse och Självkänsla. Det visade sig att elever som spenderade mer tid på Sociala Medier och hade högre grad av Social Jämförelse tenderade att ha lägre Självkänsla. Kvinnor tenderade även spendera mer tid på Sociala Medier, ha högre grad av Social Jämförelse och lägre grad av Självkänsla än männen. I linje med Findahl och Davidsson (2015) studie fanns det tendenser till att Sociala Medier ökat men att aktiviteten minskar. I vår studie tenderade eleverna att lägga ut uppdateringar när positiva händelser hade skett eller bilder på Selfies och vänner samt bilder som redigerats. Detta skulle kunna bidra till en allvarligt skev bild av verkligheten som kan leda till negativa effekter (som lägre självskänsla). Mot bakgrund av resultaten bör fördjupade undersökningar kring Sociala Mediers och Social Jämförelses inverkan på vårt välmående utredas. / The purpose of this study was to investigate the association between Social Media use, Self-esteem and Social Comparison. Questionnaires were distributed to 127 pupils at a school in southern Sweden. Students were asked to answer questions about the use of social media and assess their self-esteem based on Rosenberg self-esteem scale and their perceived level of social comparison that was based on a shortened version (Schneider & Schupp, 2013) of the Iowa-Netherlands Comparison Orientation Measure (Buunk & Gibbons, 1999 ). The results showed significant relationships, and also gender differences in the use of social media, social comparison and self-esteem. The study showed that students who spent more time on social media and had greater social comparison tended to have lower self-esteem. Women also tended to spend more time on social media, have greater social comparison and lower levels of self-esteem than men. The study confirmed Findahl och Davidsson (2015), showing that social media is increasing, but that the activity decreases. Students tended to only post positive events or images on Selfies and friends as well as images edited. This could contribute to a serious distortion that can lead to negative effects (such as lower self-esteem). Given the results, we propose that future studies focus on in-depth research about social media impact on our wellbeing and how modern social comparison works.

Thesis (PhD)--Stellenbosch University, 2012. / Includes bibliography / ENGLISH ABSTRACT: Introduction: The increased prevalence of adolescent upper quadrant musculoskeletal pain (UQMP) is becoming a great concern to health professionals. The risk factors associated with adolescent UQMP are complex and multifactorial, including, among others sitting as a physical risk factor. However, no evidence exists to support sitting postural angles as a potential predictive factor for adolescent UQMP in computing high school students. Thus, the current project aimed to describe the three-dimensional (3D) sitting postural angles of computing South African high school students in a real-life setting, using a well-tested and documented posture measurement instrument. Methodology: This research project is comprised of seven related studies. Part I of the dissertation presents a systematic review describing the reliability and validity testing of posture measurement instruments. This is followed by three primary correlation and repeated measures observational studies aimed at ascertaining the reliability and validity of a newly developed 3D Posture Analysis Tool (3D-PAT) in the measurement of nine sitting postural angles of computing high school students. Part II of the dissertation presents a systematic review, that evaluates the latest published research evidence of whether sitting is related to UQMP, and, if so, to identify the elements of sitting that significantly contribute to UQMP. This review is followed by a description of a cohort study, with a prospective period of one year. The 3D-PAT was implemented in a clinical research setting in order to measure the 3D sitting posture of a cohort of asymptomatic computing high school students and in order to assess the outcome, seated-related UQMP, prospectively. The prospective study design enabled the research project to contribute to an understanding of any causative relationship between the exposure (sitting postural angles) and the outcome (seated-related UQMP) in a subgroup of adolescents (computer users). Results: After the first phase of psychometric testing of the 3D-PAT using high school students, the findings indicated that the instrument required modifications prior to further psychometric testing. The second phase of testing revealed that the 3D-PAT compared very well with the reference standard for measurement of the X-, Y- and Z-coordinates of the reflective markers on a mannequin. The findings from the phase three study, again using high school students, indicated that the 3D-PAT compared very well with the reference standard and justified its use for the measurement of six sitting postural angles of the upper quadrant in computing high school students. For the cohort study, a 60% response rate for participation was achieved at baseline, with 98% of the students participating at six-month and 80% at one-year follow up. Of the students, 33.5% complained of seated-related UQMP during the follow-up period. Exposure to increased head flexion (>80°) (ρ=0.0001) and the combination of increased head flexion and decreased cranio-cervical angles (ρ=0.007) were significant predictors of seated-related UQMP for those computing high school students complaining of pain greater than the 90th percentile for such. Conclusion: The project described in the current dissertation is the first research project to assess sitting postural angles in asymptomatic high school students, while they worked on desktop computers in a school computer classroom and to assess UQMP prospectively. The research project reports a causal relationship between increased head flexion and seated-related UQMP as increased head flexion was found to be a predictor of seated-related UQMP developing within six to 12 months for computing high school students with a pain score equal or greater than the 90th percentile for pain. The research project emphasises that further research is warranted to investigate the causal pathway between sitting posture and adolescents’ UQMP. / AFRIKAANSE OPSOMMING: Inleiding: Die stygende voorkoms van boonste-kwadrant muskuloskeletale-pyn (BKMP) onder adolessente is besig om ’n groot bron van kommer vir professionele gesondheidswerkers te word. Die risiko-faktore waarmee adolessente BKMP gepaard gaan, is kompleks en multifaktories. Dit sluit onder andere sit as ’n fisiese risiko-faktor in. Daar is egter nog geen bewyse om sittende posturale hoeke as potensiële voorspeller van adolessente BKMP te ondersteun nie. Dus beoog hierdie projek om die drie-dimensionele (3D) sittende posturale hoeke van Suid-Afrikaanse hoërskoolleerders wat ook rekenaargebruikers is, in ’n werklike omgewing te beskryf, deur gebruik te maak van ’n instrument wat postuur meet en wat goed getoets en gedokumenteerd is. Metodiek: Hierdie navorsingsprojek is saamgestel uit sewe studies. Gedeelte I van die proefskrif bied ’n sistematiese oorsig van betroubaarheids- en geldigheidstoetsing van instrumente wat postuur meet. Dit word gevolg deur drie primêre korrelasie studies en studies vir die waarneming van herhaalde meting wat die betroubaarheid en geldigheid van n nuut-ontwikkelde 3D instrument vir posturale analise (3D-PAT) bepaal, wanneer nege sittende posturale hoeke van hoërskoolleerders wat rekenaars gebruik, gemeet word. Gedeelte II van die proefskrif bied ’n sistematiese oorsig van die jongste gepubliseerde navorsing om te evalueer of daar bewyse is dat sit verband hou met BKMP, en, indien wel, om die elemente van sit wat betekenisvol bydra tot BKMP, te identifiseer. Die sistematiese oorsig word deur ’n beskrywing van ‘n jaarlange kohortstudie gevolg. Die 3D-PAT is gebruik in ’n kliniese-navorsingsraamwerk om die 3D-sitpostuur van ’n kohort simptoomvrye hoërskoolleerders wat rekenaargebruikers is, te meet en sitverwante BKMP as uitkoms in die vooruitsig te stel. Die studie ontwerp het dit vir die navorsingsprojek moontlik gemaak om ’n insiggewende bydrae te lewer tot begrip vir enige oorsaaklikheidsverwantskap tussen die blootstelling (sittende posturale hoeke) en die uitkoms (sitverwante BKMP) in ’n subgroup van adolessente (rekenaargebruikers). Resultate: Na afloop van die eerste psigometriese toesting van die 3D-PAT, waarin hoërskoolleerders gebruik is, het bevindings daarop gedui dat die instrument verander moet word voordat toetsing kan voortgaan. Die tweede fase van toetsing het getoon dat die 3D-PAT baie goed vergelyk met die verwysingstandaard vir die meet van die X-, Y- en Z-koördinate van die reflektiewe merkers op ’n mannekyn. Die bevindings van die derde fase van die studie, waartydens hoërskoolleerders weer gebruik is, het aangedui dat die 3D-PAT baie goed vergelyk met die verwysingstandaard. Dit het die gebruik van die instrument om ses sittende posturale hoeke van die boonste kwadrant van hoërskoolleerders wat rekenaars gebruik te meet, bevestig. Die kohortstudie het ’n 60%-reaksiesyfer vir deelname behaal tydens die basislynmetings, waarvan 98% leerders deelgeneem het aan die sesmaande-opvolgmetings en 80% aan die eenjaaropvolgmetings. ’n Totaal van 33.5% van die leerders het gekla van sitverwante BKMP gedurende die eenjaar opvolgperiode. Blootstelling aan ’n vergrootte kopfleksie-hoek (>80°) (ρ = 0.0001) en die kombinasie van ’n vergrootte kopfleksie- en verminderde kranio-servikale hoek (ρ = 0.007) was betekenisvolle voorspellers van sitverwante BKMP vir die hoërskoolleerders wat rekenaars gebruik en kla van groter pyn as die 90ste persentiel daarvan. Gevolgtrekking: Hierdie projek is die eerste navorsing wat sittende posturale hoeke van simptoomvrye hoërskoolleerders wat op tafelrekenaars in die skool se rekenaarklaskamer werk, meet en BKMP voorspel. Die navorsingsprojek rapporteer ‘n oorsaaklikheidsverwantskap tussen ‘n vergrootte kopfleksie-hoek en sitverwante BKMP omdat vergrootte kopfleksie ‘n voorspeller is van sitverwante BKMP wat binne ses tot 12 maande by hoërskoolleerders wat rekenaars gebruik, met ‘n pyntelling gelyk of groter as die 90ste persentiel van pyn, ontwikkel. Die navorsingsprojek beklemtoon dat verdere navorsing om die oorsaaklikheidsroete tussen sitpostuur en adolessente BKMP te ondersoek, geregverdig is. / Medical Research Council of South Africa / National Research Fund / Division of Research Development and Support of Stellenbosch University

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