The purpose of this study was to describe the experience of using sports supplements, from a risk theory perspective. Thematic analysis was used to conduct a secondary data analysis on 18 interviews done with young men who were interested in supplements. Participants were recruited from Guelph area commercial gyms and campus athletic centres. Participants used supplements because they worked out and wanted to gain muscle. Supplements, and especially protein, were part of a common knowledge among people who worked out. Participants evaluated whether supplements were ‘worth it’ by evaluating the cost, efficacy, and safety of supplements. Participants altered their behaviour in response to their perception of the riskiness of supplements, in order to feel safe. Many participants valued information from health professionals but found it lacking. Most information was available from sources that participants did not feel were credible.

To date, research delving into the narratives of living with dementia during mealtimes is limited. The methodology used is thematic narrative analysis, following the elements of a 3D narrative inquiry space proposed by Clandinin and Connelly (2000). The purpose was to develop stories by reconstructing participants’ experiences to capture insight into how mealtimes change overtime and how adaptations reflect resilience. Two themes and several subthemes were revealed. The first major theme is ‘Developing strategies for positive adaptation’, with four subthemes including reminiscing, incorporating humour, establishing social support, and having hope and optimism. The second major theme is ‘Continuing to learn and adapt’, with three subthemes including focusing on the positive gains and personal growth, balancing past pleasures while adapting to the new normal, and accumulating life experiences. This work serves as a basis for future studies examining into the concept of resilience among families living with dementia in greater depth. / SSHRC

This thesis is an analysis of existing approaches to multicultural curriculums and an original curriculum unit developed based on them. The study explores McFee and Degge’s (1977) Universal Institutions of an Evolving Culture and Related Curricular Themes in correlation with Banks’s (2009) Levels of Integration of Ethnic Content. The purpose of the study is to help educators make effective multicultural curricular choices when constructing unit lessons to give students a more comprehensive multicultural experience in art class. The goal is to understand that “culture can be a tool and a more powerful concept than language because it can be used to organize and teach more information” (Banks, p. 55).

In the aftermath of armed conflict, peace and justice are no longer perceived as contradictory. Scholars and practitioners alike have increasingly argued that societies emerging from periods of conflict or repression need to address legacies of past mass violence and human rights abuses in order to sustain peace. This is the rationale behind the evolving field of transitional justice. While it is stated that transitional justice also makes headway in contemporary peace agreements, existing literature tends to remain unspecific. Albeit being the most victim-centred among the range of transitional justice mechanisms, the incorporation of reparation for victims of mass violence into peace agreements is particularly under-researched. This research gap is even more puzzling as it is a “basic maxim of law that harms should be remedied” (Roht-Arriaza 2004: 121). In response to this, this thesis establishes that only around a third of intra-state peace agreements signed from 2000 to 2009 have addressed reparation. Further, by means of an analytical framework that embeds thematic analysis within the structure of framing theory’s model of meaning-making, it maps how the studied peace agreements assign meaning to reparation in their texts. As a result, two themes labelled ‘reparation as the fulfilment of basic needs’ and ‘reparation as an act of justice’ are identified as constituting the broader patterns of meaning held within peace agreements’ reparation provisions. While the language of the latter equips harmed individuals with rights as victims, the former theme focuses instead on individual vulnerability and collective development needs. It deemphasises the link between harm experienced and violation committed. As it is suggested that the employment of particular themes and terminology lifts certain issues up the agenda while marginalising others, peace agreements’ authoritative meaning-making directly impacts on the lives of those victimised during conflict. Hence, this thesis highlights the need for more systematic research in this area to strengthen evidence-based reparation advocacy during peace processes.

The 1990's saw a rapid growth in the use of Enterprise Systems by organisations to undertake quick and strategic decisions. Significant to the use of Enterprise systems, is their implementation in the organisation. The increased use of paper documents in government organisations and the augmented implementation rate of Electronic Document Management Systems within government organisations in New Zealand, is what triggered this research and subsequently the framing of the research objectives and thereby the research question. This research encompasses the factors which affect the implementation process of an Enterprise Document Management System and thereby render it a success or a failure. The study used an ethnographic approach in order to introduce rigour in the research. The data was collected by conducting eight semi-structured interviews at the client organisation. The interviews were transcribed and later coded using an open - coding methodology. A thematic analysis based schema was developed to later analyse the coded data.The research found that, factors such as change management, behaviour management / emotions, communication, implementation process approach and system functionality had profound effects on the implementation success of the Electronic Document Management System in the research organisation. The thesis has been mostly written in the first person to represent the author's interpretation of the implementation process and its related factors.

Thesis (M. Ed.(Opvoedkundige sielkunde))-University of Pretoria, 2006. / Includes bibliographical references. Available on the Internet via the World Wide Web.

Paper one is a metasynthesis of studies exploring mothers' experiences of recovery from postnatal mental illness. Four databases were systematically searched using key words and index terms to identify the qualitative literature exploring mothers' experiences of recovery from postnatal mental illness. Fourteen studies met the inclusion criteria and were critically appraised and synthesised. These papers reported the views of 395 women's experiences of recovery from postnatal mental illness. Five core themes emerged from the synthesis to describe four key processes that facilitate recovery. This experience begins with recognising the problem through crisis and relational distress. Women then go through the process of seeking help which consists of subthemes of accepting help and help to access help. The next process in the in the journey is achieving recovery which includes subthemes of sharing with others like me, coping strategies and noticing recovery. The final process of maintaining recovery consists of incorporating coping strategies into daily life; acquiring a different model of motherhood and processing the experience. The role of the family was interwoven through each stage of recovery. Recommendations were made for professionals who come into contact with this group of women and their families. The review highlighted gaps in the existing evidence and made recommendations for future research. The findings and limitations were discussed with reference to the existing literature. Paper two explored the role of the baby in 12 mothers' experiences of recovery from psychosis after childbirth. A thematic analysis of the data identified three core themes that described the role of the baby in the mothers' recovery. Findings revealed that the baby was central to women's recovery and could be experienced as both helpful and unhelpful. The baby interacted with the mother; increasing self efficacy and reducing emotional distress. The baby could act as a barrier to recovery by increasing the women's emotional distress and hindering access to help and self care. The findings recommended that women receive specialist treatment in mother and baby units where they can access interventions that support parent-infant interactions. The findings of the study add to the existing evidence base on recovery from psychosis after childbirth and highlighted areas for future research. Paper three is a critique of the research carried out in Papers one and two. This paper discussed the rationale for the research design in both papers. Approaches to data sampling and data analysis are reviewed with reference to researcher reflexivity. The search strategy and critical appraisal of techniques of the metasynthesis are also critiqued. Paper three closes with personal reflections and conclusions drawn from both papers.

Studies of attachment in the community suggest that most people have secure attachment styles, but as many as 40% may have an insecure attachment style (Bakermans-Kranenburg & van Ijzendoorn 2009). Frightening parental behaviour has been found to predict disorganised attachment in infants, which in turn is associated with clinical disturbance in adolescence (Van Ijzendoorn, Schuengel & Bakermans-Kranenburg, 1999). Insecure attachment has been found to be disproportionately more common in many psychiatric disorders than the general population: including substance misuse, eating disorders, and Personality Disorder (PD). Transgenerational transmission of attachment has become widely researched over recent years and evidence has shown that a mother's attachment style can predict the attachment style of her infant (Ward, Ramsay, Turnbull, Steele, Steele, & Treasure, 2001). Research has found that a mothers' ability to mentalize about her own early attachment relationships has important implications in her transition to becoming a mother. Motherhood can be challenging for mothers who have good mental health, therefore women with poor mental health may find the transition to motherhood especially stressful. The aim of the current study was to give voice to mothers who have been silenced in many ways, to learn from their struggles and to help services develop more effective ways to reach 'hard to reach' vulnerable mothers. The Adult Attachment Interview (AAI; George, Kaplan, & Main, 1984) was conducted with eight mothers who were attending a Mentalization-Based Treatment (MBT; Bateman & Fonagy, 2004) group designed for mothers who had caused harm to their children and had subsequently had them removed from their care. Thematic Analysis was used to analyse the AAI transcripts and five main themes emerged: 'Love and loss', 'Change and confusion', 'Families and normality', 'Safety and boundaries' and 'Strength and vulnerability'. The findings contribute to the field of maternal mental health research and clinical implications are discussed at an individual, organisational and societal level.

OBJECTIVE: This study investigated how upper limb post-operative patients defined quality care. We specifically assessed the following three aims: (1) determining patient expectations following upper limb surgery, (2) identifying patient recognized barriers to receiving quality care, and (3) analyzing patient identified areas of improvement in patient education. METHOD: In total, 52 patients, aged 19 – 89 years (mean age: 48 years) who received upper limb surgery were surveyed with an open-ended questionnaire during their six to eight week post-operative visit at Stanford Medicine Outpatient Center in Redwood City or Stanford Orthopaedic Surgery Clinic in Los Gatos. Responses were electronically transcribed to REDcap, Research Electronic Data Capture System, for analysis of responses to demographic questions. Open-ended questions were evaluated by thematic analysis until data saturation was reached. RESULTS: Thematic analysis of open-ended responses revealed three main themes: (1) Pain, (2) Function; and (3) Patient Unpreparedness. Both pain and function involved pre- and post-operative factors. Of our three identified themes, elimination of pain and regaining function were the two main health-outcomes that upper limb patients identified as successful treatments of their condition. Patient unpreparedness was recognized as a main barrier in patients receiving quality care and an important area to improve patient education about their problem and treatment. CONCLUSION: By understanding the desired health outcomes and limitations in achieving those outcomes for post-operative upper limb patients, we can improve how medical care is practiced. Our results highlighted that both process and outcome domains of care are important elements in patients’ definition of quality care when seeking medical treatment for their upper limb problems. Specifically, patients identified that elimination of pain and regaining function were important health outcomes during their care. In order to achieve those desired health-outcomes, we recognized that improvements need to be made with regard to patient education about their health condition and treatment process, in order to foster better physician-patient communication. Overall, our findings support the need for continued focus on patient-centered care to ensure the delivery of quality healthcare to all patients.

Submitted by Isac Macêdo (isac@ioc.fiocruz.br) on 2013-09-22T15:17:54Z No. of bitstreams: 1 MP 2007 - Carlos Alberto Vasconcelos Freitas.pdf: 1224964 bytes, checksum: 614670425df90d55d8b4e4e92bb00f4d (MD5) / Made available in DSpace on 2013-09-22T15:17:54Z (GMT). No. of bitstreams: 1 MP 2007 - Carlos Alberto Vasconcelos Freitas.pdf: 1224964 bytes, checksum: 614670425df90d55d8b4e4e92bb00f4d (MD5) / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil. / Esta dissertação analisa uma proposta de um plano de ensino para o tema complementar ‘Doença: decifrando este enigma’, que busca introduzir os conhecimentos dos processos patológicos gerais no ensino médio. Inicialmente identificamos as percepções dos estudantes sobre os eventos biológicos que ocorrem no organismo humano em decorrência das doenças. Em seguida desenvolvemos o plano de ensino proposto. Por fim verificamos as percepções resultantes a partir desse processo didático. O corpus analisado consiste das falas iniciais e finais dos alunos. / This dissertation analyzes a proposal of a teaching plan about the complementary theme ‘Disease: deciphering this enigma’, we introduce the knowledge of general pathological processes students about the biological events occurring in the human organism as a result of disease. Then we develop the teaching plan. We verify the perceptions resulting from this learning process. The corpus analyzed consist of initial students.