Despite the growing presence of trauma and abuse narratives in young adult literature (YAL), adolescent traumatic memory has largely been left out of the conversation. To better understand how contemporary memory scholarship is manifested in YAL, the following essay will offer a close reading of Staying Fat for Sarah Byrnes (1993) by Chris Crutcher and Speak (1999) by Laurie Halse Anderson in conjunction with adolescent memory research. The accuracy of traumatic memory representation in these novels confirms the value of YAL as a means for youth to interact with and learn about traumatic memory, its processes, and its effects.

Osteoporosis is a debilitating and costly disease of the skeleton characterized by low bone mass and structural deterioration of bone tissue leading to bone fragility and an increased susceptibility to fractures of the hip, spine, and wrist. Current data suggest that at present time, 7.8 and 21.8 million women have osteoporosis and osteopenia respectively. The development of osteoporosis and related fracture in later life depends not only on the rate of bone loss in adulthood, but also on the amount of bone present at skeletal maturity. Oral contraceptives (OC), because of their capacity to diminish concentrations of free testosterone and estrogen, have been purported to affect bone mass in young adult women, but results have proven inconsistent. Further, positive skeletal effects of exercise training are thought to be compromised by use of OCs in skeletally immature females. PURPOSE: To assess the independent and synergistic effects of OC use on bone mineral density (BMD) and long bone mechanical bending stiffness (EI) in college-aged females after unilateral isokinetic resistance training. METHODS: Forty six females (age 20 +/- 1.4 yr, height 163.8 +/- 6.2cm, weight 58.9 +/- 8.6kg, fat 27.9 +/- 4.8%) were categorized as OC users (OC, N=22) or non-users (NOC, N=24). Subjects participated in 32 weeks (3 d/wk) of unilateral arm and leg training at an angular velocity of 60 degrees/s using isokinetic dynamometers. BMD and EIMRTA were assessed using dual-energy x-ray absorptiometry (DXA) and mechanical response tissue analysis (MRTA), respectively. RESULTS: Total leg and arm muscular strength of the trained limb increased by 16% and 15%, respectively (p < 0.001), beyond changes observed in the control limbs. Total body BMD increased from baseline for NOC subjects (p < 0.05), but not for OC users. This difference failed to show significance (p = 0.069) when comparisons were run between NOC and OC groups. Increases in ulnar BMD (p < 0.01 for all limbs) and BMD of the trained total hip (OC, p < 0.001; NOC, p < 0.05) occurred irrespective of contraceptive status. Positive changes in EI were conflicting, occurring in the trained ulna for the NOC group (p < 0.05), and trained tibia for OC users (p < 0.05). Tibial BMD increased only for the untrained leg in NOC subjects (p < 0.01). No between group differences were found to be significant, nor were differences between trained vs. untrained, and weight bearing (tibia) vs. non-weight-bearing (ulna) limbs found to be significant. CONCLUSION: These results suggest that oral contraceptives may limit attainment of total body peak bone mass in young adult females. Skeletal maturation in the ulna appeared to be unaffected by exercise training and OC use. Positive effects of exercise training on the total hip were seen in both groups, irrespective of OC status. Conversely, exercise training and use of OCs use may limit the attainment of bone mass in the tibia. Further studies are needed to determine the interactive effects of OC use and isokinetic resistance training on measures of total body and site-specific bone status. / Master of Science

Chronic insomnia is a highly prevalent disorder in general and young adult populations, and contributes a significant economic burden on society. Previous studies have shown healthcare utilization (HCU) is significantly higher for people with insomnia than people without insomnia. One limitation with previous research is accurate measurement of HCU in people with insomnia is difficult due to a high co-morbidity of medical and mental health problems as well as varying operational definitions of insomnia. Assessing HCU in people with insomnia can be improved by applying research diagnostic criteria (RDC) for insomnia, using a population with low rates of co-morbid medical/mental health problems, and measuring HCU with subjective, objective, and predictive methods. The current study found young adults with chronic insomnia had greater HCU than normal sleepers, specifically on number of medications, and chronic disease score (CDS) estimates of total healthcare costs, outpatient costs, and predicted number of primary care visits. The presence of a medical and/or mental health problem acted as a moderating variable between chronic insomnia and HCU. Simple effects testing found young adults with chronic insomnia and a medical/mental health problem had the greatest HCU followed by normal sleepers with a medical/mental health problem, chronic insomnia, and normal sleepers. Exploratory analyses found young adults with chronic insomnia had a greater likelihood of emergency room visits and overnight hospital admissions. More efforts for early identification and intervention of insomnia are necessary to help reduce costs associated with chronic insomnia co-morbid with medical and/or mental health problems.

No / Union Learn and Unison

Yes / Purpose: This study analyzes the effects of a 3-month vigorous physical activity (VPA) intervention on eating behavior and body composition in overweight and obese children and adolescents. Methods: Forty-seven participants (7-16 years) took part in the study: 28 were assigned to the intervention group (IG) (10 boys and 18 girls) and 19 in a control group (CG) (8 boys and 11 girls). Body composition (dual-energy X-ray absorptiometry), anthropometrics (body mass, height, and body mass index [BMI]), and eating behavior traits (Three Factor Eating Questionnaire-R21C) were determined before and after the VPA intervention. Results: A decrease in the percentage of body fat and BMI (−2.8% and −1.8%, respectively), and an increase in lean mass variables were found in the IG (all p ≤ 0.05). In relation to the eating behavior traits, IG subjects showed a 14% reduction in the Emotional Eating score (p = 0.04), while Cognitive Restraint score did not change after the VPA intervention. The baseline factors of the questionnaire predicted changes in body mass and fat mass variables only in the CG. Conclusion: A 3-month VPA intervention influenced eating behaviors of overweight or obese young, especially the Emotional Eating factor, in the presence of favorable body composition changes. / Shanghai University of Sport

No

Yes / Social care is vital to quality of life for people with young onset dementia and their families. Yet care is hugely variable, frequently lacking and poorly coordinated. We aim to establish current practice in English social care for people with young onset dementia and co-produce evidence-based recommendations and resources for improvement. In Work-Package 1, we will gather qualitative data from 25 people with young onset dementia and/or main supporters residing in England. We will ask them about their experiences of social care (broadly defined, including independent and voluntary sector provision) and suggestions for improvement. In Work-Package 2, we will conduct a short on-line survey with a wide range of staff with a role in adult social care in England. We will find out about current awareness, knowledge and practice and suggestions for improvements. Quantitative and qualitative analysis will provide a picture of current practice. In Work-Package 3, we will use convergence analysis to synthesise the findings from Work-Packages 1 and 2 and present the findings to a stakeholder workshop, to identify feasible priorities for improvement. We will establish what is already known about good practice relating to these key priorities using a scoping review and interviews with professionals. This knowledge will then feed into the co-production of resources and recommendations with key stakeholders to improve social care for people with young onset dementia and their families. This study seeks to address a gap in our understanding of social care provision for people with young onset dementia and develop recommendations and practical resources for improvements. The findings will help people with young onset dementia and supporters to receive higher quality social care. Study registration number: ISRCTN10653250. / This study is funded by the National Institute for Health and Care Research (NIHR) Research for Social Care (RfSC) Programme through grant NIHR204266. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

yes / It is argued that “individuals do not automatically become free and responsible citizens but must be educated for citizenship” (The Center for Information and Research on Civic Learning and Engagement, 2003, cited in Leisha, 2012:55). Hence adults’ promotion of young people’s civic engagement is intended to educate young people to become active citizens. This assumes a deficit, or lack of caring by young people about issues in their country or community. However, young people’s sense of belonging and motivations to participate in civic activities are different from that of adults. This paper discusses research with young people involved in two participatory initiatives in Ghana, to examine their motivations for engaging in the projects. The study found that in addition to demonstrating that they are active citizens by engaging in the projects, the young people were also motivated by other self-interest reasons. There was however a marked gender difference in their reasons for participating in the projects. It was observed that the motivations given by the young people reflected gender stereotype of masculinity and femininity. The paper concludes that by understanding what motivates young people to engage in civic activities and other decision-making forums, participatory opportunities that emphasise young people’s interests and motivations could be created in order to sustain their participation.

This dissertation examines the evolution of adulthood transition in the US. It focuses on adult role transitions and individualistic achievements within the context of adulthood transition. At the outset, the possible connections these viewpoints may have with young adults’ self-perception about being an adult and how they relate with beliefs about the American Dream are examined. Subsequently, it focuses on the phenomenon of boomeranging which is one of the new patterns of behavior that has emerged among young adults because of the growing complexity of achieving adult role changes. In particular, it examines how certain turning points in a young adults’ life such as lessening financial help from parents, unemployment, and returning to school are associated with the phenomenon of boomeranging. It further investigates whether there is a correlation between the types of parental financial help young adults receive and boomeranging for those who have already boomeranged for financial reasons. It was found that both adult role changes and individualistic achievements can influence young adult’s self-perception about being an adult. Additionally, both perspectives hold importance for young adults when thinking of the achievability of the American Dream. Furthermore, the turning points of lessening financial help from parents and unemployment were found to influence the possibility of boomeranging among young adults. It was also observed that young adults who have already boomeranged receive parental help with basic needs as opposed to a broader range of support across different financial domains.

This thesis examines the extent to which, and the reasons why, the government of Malaysia provides educational opportunities for children and young people who are being detained in the closed (penal) institutions on orders under section 91 (1) (f) and section 97 of the Child Act, 2001. This thesis presents a detailed analysis of the driving factor(s) that motivate the government of Malaysia in formulating and implementing policy and law in regards to providing educational opportunities for such young people. The thesis, therefore, examines the conceptualization by the Malaysia Prisons Department of children‟s rights, particularly their rights to education and offender rehabilitation. Analysis reveals that, educational rights in Malaysia have such priority because education is seen generally as the way to socialize (all) young people and to improve human capital and economic potential in Malaysia. Consequently, rehabilitation in Malaysian penal institutions is conceptualized almost entirely as education. The thesis argues that the Malaysian government has been using children‟s rights to education and also offender rehabilitation to improve the process of socialization of young people in prisons institutions to enable them to contribute to the achievement of the national goals.