abstract: Social Carrying Capacity (SCC) has been used commonly in the past to study the impact of increasing numbers of tourists on tourists’ satisfaction with a destination. However, it has been used less commonly to research the impact of increasing levels of tourism on residents of tourism destinations. As definitions of sustainable tourism shift to be more inclusive of residents, commonly used constructs should also be refined or modified to reflect this ontological shift. Current operational definitions of SCC tend to focus on crowding as the major indicator SCC has been reached. Even the theories commonly used to study SCC, stimulus-overload and expectancy theories, relate directly to crowding. This Master’s thesis aimed to expand the concept of SCC to be more representative of the manifold impacts experienced by residents of tourism destinations as tourism increases. This aim was accomplished through an exploratory mixed methods study ultimately resulting in the creation of a new SCC measurement tool. The qualitative phase of this research consisted of four focus groups in three sites with varying levels of tourism development. The data from the focus groups were used to inform item writing of a measurement tool that represented a greater number of SCC indicators than crowding to confirm the validity of the indicators in the quantitative phase of the research. After the instrument was distributed via a statewide poll, two structural equation models were fit to compare the operational definitions. A better understanding of the relationship between one of the supporting theories, stimulus-overload theory, and SCC was uncovered with evidence of an emergent connection between SCC and tourism-related stressors. The results of the research indicate that there are multiple indicators of SCC experienced by residents of tourism destinations which can change in degree and expression as tourism development in a community increases. The operational definition including these indicators explained more variance in support for tourism development than overcrowding alone. A greater awareness of these indicators and their evolution can strengthen the theoretical foundation of SCC and enable practitioners to make multi-faceted, proactive decisions when managing a destination. / Dissertation/Thesis / Masters Thesis Community Resources and Development 2020

The diploma project topic is development of the area "V Aleji" in Brno. The project designs housing in city, which should reflex current needs of city residents.

L’utilisation des pesticides peut être à l’origine de graves nuisances pour la santé humaine,comme l’ont montré les études en milieu professionnel agricole.L’objectif de cette thèse était d’étudier les manifestations, principalement respiratoires etsurvenant à court terme, dans la population générale exposée aux pesticides utilisés enagriculture.Les résultats de deux études épidémiologiques, Phytoriv, menée en Gironde et Phytoniger, plusexploratoire, sont présentés, toutes deux menées au sein de population d’adultes et d’enfantsvivant en milieu rural.L’étude Phytoriv a mis en évidence la présence de concentrations faibles mais plus élevées depesticides dans l’air ambiant à proximité de zones viticoles traitées et a permis de recueillir surune période de une à trois semaines les symptômes ressentis par les riverains de manièrejournalière. L’absence d’effet majeur de l’exposition sur la santé respiratoire chez les riverainsobservée dans cette étude demande à être confirmée, en améliorant notamment l’estimationtemporelle et spatiale de l’exposition.L’étude Phytoniger a permis de démontrer la faisabilité d’une étude de santé environnementaledans un pays en développement. L’utilisation de pesticides non autorisés et potentiellementdangereux, pour des usages agricoles mais également domestiques, est importante au Niger etpose la question de leur impact sur la santé des populations. Certains symptômes respiratoiresétaient plus fréquemment observés en zone agricole humide, où les usages de pesticides, maiségalement les feux de démoustication, sont plus importants qu’en zone sahélienne agropastorale.Enfin, dans les deux études Phytoriv et Phytoniger, des risques plus élevés de symptômesrespiratoires étaient observés, notamment chez les enfants, en lien avec l’utilisation domestiquede pesticides.A l’avenir, une caractérisation plus précise des sources, niveaux et déterminants d’exposition dela population générale permettrait d’améliorer les connaissances sur le lien avec la survenue desymptômes et pathologies respiratoires et d’identifier les axes d’intervention les plus pertinents. / Pesticides are widely used in agriculture worldwide. However, it is now recognised thatoccupational pesticide exposure, especially in agriculture, can pose serious health concerns. Weaimed to study short term respiratory symptoms in general populations exposed to pesticidesused in agriculture.Here we present results of two epidemiological studies, Phytoriv, performed in Bordeaux area,France, and Phytoniger, performed in a Sahelian African country, both among rural adult andchildren populations.Higher pesticide levels in ambient air were observed in the surrounding of vineyards in Phytoriv.However, no major effect was observed on resident’s respiratory health. This need to beconfirmed by studies with improved temporal and spatial exposure assessment.Phytoniger allowed us to show the feasibility of environmental health studies in a developingcountry. Unauthorized and hazardous pesticides are widely used in Niger, for agricultural as wellas for residential purposes, and concerns are growing on their potential health effects. Some ofthe short term respiratory symptoms were more frequent in the agricultural wetland area,compared to the Sahelian agro-pastoral area. Pesticides are more susceptible to be used in thefirst area, but it is also more subject to mosquito control fires.Finally in both surveys, higher risks of respiratory symptoms have been observed for peopleliving in houses treated with indoor pesticides, and especially in children.All these results warrants further studies to improve assessment of sources, exposure levels anddeterminants of pesticide exposure in the general population, in order to improve knowledge onits respiratory and short term health effects. Thus, relevant public health interventions could beperformed.

This research seeks to examine the process of displacement and resettlement of residents who had been affected by regularization process within Manzese and Buguruni wards in Dar es Salaam City, Tanzania. It aimed at analyzing the issues and opportunities faced by the affected residents during regularization. The regularization which involves two processes, tenure and physical upgrading has been extensively used in solving problems associated with unplanned and informal settlements within developing countries in Africa, Asia and Latin America. It’s a process used to bring informal and unauthorized settlements into the legal, official and administrative structures of land management as well as improving the living conditions of its dwellers. In Tanzania, whereby more than 80 per cent of its urban residents live in informal settlement, the process had been practiced in order to provide basic services such as access roads, storm water drainages, street lights, water supply and public toilets within informal and unplanned settlements. Compared to previous strategies for upgrading such as slum clearance and site and services and squatter upgrading, regularization had been considered to bring positive results.  The main concern of this research is physical regularization which was implemented through Community Infrastructure Upgrading Project (CIUP) within sixteen settlements in Dar es Salaam city. During its implementation, about twenty households of tenants and house owners were displaced. This research being explorative focused on understanding the process of displacement and resettlement by using qualitative method. This was done through narrations of traced and found six tenants and four house owners within the affected settlements of Mnazi Mmoja, Mnyamani and Madenge settlements. It applied case study strategy whereby the settlements made the main case study areas and the individual displaced residents became sub cases. Experiences before, during and after displacement and resettlement were narrated by using in-depth interviews. The selected settlements were obtained through criteria sampling whereby the individual displaced residents were found by using snow balling approach. Also resettlement issues and opportunities faced by displaced tenants and house owners were analyzed and the emerging patterns of issues and opportunities were identified. The issues include loss of access to common facilities, homelessness, marginalization and social disarticulation, family disintegration and joblessness. The opportunities include improved facilities, expansion of human competence and social opportunities, enhanced capabilities and improved social services. It was also realized that the issues suffered and opportunities accrued by house owners were different from that of tenants. The research examined the process of displacement and resettlement through policy and legal frameworks which guided the regularization. It also used the justice and collaborative theories in formulating concepts for data collection, analysis and discussing the results. During the discussions it was realized that there were emerging gaps in the process as it was indicated within the experiences of individual cases. These gaps include that of lack of real participation and democracy, insufficient knowledge on compensation level, insufficient community participation especially with the affected tenants.  The research provides an indicative knowledge on regularization process which can further be used in improving the planning process. / QC 20111123

This diploma thesis is about residents who live in the Lesser Town, the historic center of Prague. It focuses on the changes perceived by residents that took place during their lifetime. Work is based on literature and qualitative research in the form of biographical interviews. The theoretical part deals with the concepts of identity, tourism, gentrification, genius loci and ageing which are essential for understanding the changes identified in the analytical part. The analytical part is divided into seven units: changes of the atmosphere of the Lesser Town, its inhabitants, living environment, housing stock, changes of people who have shared their stories with me and more global changes that had influenced the Lesser Town. The work also describes which problems and benefits related to life in the Lesser Town do communication partners perceive.

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PURPOSE: This study aimed to investigate how physical therapy mentors instill clinical judgment and competence during residency training. The researcher investigated effective mentoring behaviors and techniques in physical therapy residency training. SUBJECTS: Participants included physical therapy residency faculty, physical therapy residents currently enrolled in U.S. residency programs credentialed by the American Physical Therapy Association (APTA), and resident graduates (ie, within the past 2 years) from APTA programs. METHOD: A quantitative survey design was used to gain information about effective mentoring behaviors and techniques of physical therapy residency faculty who foster clinical expertise in physical therapy residents. Two online surveys were created: one for residency program faculty and one for current and past residents. RESULTS: Findings revealed that most mentors felt confident to mentor residents based on their past experiences instructing students and mentoring residents in physical therapy. Most mentor respondents had not taken APTA's Credentialed Clinical Instructor Program (CCIP), and fewer had taken Advanced CCIP (ACCIP). Mentor respondents who had taken both courses felt that CCIP was less helpful in mentoring residents than was ACCIP. Findings indicated important resident benefits, mentor behaviors, and characteristics of mentor-mentee relationships in residency programs. Results revealed mentoring and teaching strategies that were most effective for different stages of residency programs. CONCLUSIONS: These findings will help guide residency program faculty in effective mentoring practices and have added to the literature about how mentoring methods impact development of clinical expertise in physical therapy residents. These results (a) revealed a need for advanced training specific to mentoring residents, (b) can be used to determine what mentoring behaviors and techniques work best with residents, and (c) can serve as a basis for further developing residency training curricula. RECOMMENDATIONS: Further investigation is needed to determine which components of mentoring help residency faculty feel prepared to mentor residents. Further development and testing of mentor training programs are warranted. Additional research using qualitative methodology and this study's findings related to important resident benefits, mentor behaviors, and characteristics of mentor-mentee relationships in residency programs is necessary. Further research is also needed to investigate how reflection is used in mentoring in residency programs.

Indiana University-Purdue University Indianapolis (IUPUI) / High-fidelity patient simulation (HFPS) recreates clinical scenarios by combining mock patients and realistic environments to prepare learners with practical experience to meet the demands of modern clinical practice while ensuring patient safety. This research investigated the efficacy of HFPS in medical education through a case study of the Indiana University Bloomington Interprofessional Simulation Center. The goal of this research was to understand the role of simulated learning for attaining clinical selfefficacy and how HFPS training impacts performance. Three research questions were addressed to investigate HFPS in medical education using a mixed methods study design. Clinical competence and self-efficacy were quantified among medical students at IUSMBloomington utilizing HFPS compared to two IUSM campuses that did not incorporate this instructional intervention. Clinical competence was measured as performance on the Objective Structured Clinical Examination (OSCE), while self-efficacy of medical students was measured through a validated questionnaire. Although the effect of HFPS on quantitative results was not definitive, general trends allude to the ability of HFPS to recalibrate learners’ perceived and actual performance. Additionally, perceptual data regarding HFPS from both medical students and medical residents was analyzed. Qualitative results discovered the utility of HFPS for obtaining the clinical mental framework of a physician, fundamental psychomotor skills, and essential practice communicating and functioning as a healthcare team during interprofessional education simulations. Continued studies of HFPS are necessary to fully elucidate the value of this instructional adjunct, however positive outcomes of simulated learning on both medical students and medical residents were discovered in this study contributing to the existing HFPS literature.

京都大学 / 0048 / 新制・課程博士 / 博士(社会健康医学) / 甲第20085号 / 社医博第76号 / 新制||社医||9(附属図書館) / 33201 / 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 福原 俊一, 教授 佐藤 俊哉, 教授 古川 壽亮 / 学位規則第4条第1項該当 / Doctor of Public Health / Kyoto University / DFAM

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