Darbo tikslas – atskleisti jaunimo (iki 29 metų amžiaus) poreikius, siekiant integruotis į darbo rinką bei atskleisti kliūtis, trukdančias jų užimtumui. Darbo uždaviniai: išnagrinėti socialinio teisingumą; pateikti socialinės nelygybės sampratos teorinę interpretaciją; išanalizuoti jaunimo galimybes į socialinį teisingumą integruojantis į darbo rinką; atlikti sociologinį tyrimą, leidžiantį išsiaiškinti atskleisti jaunimo (iki 29 metų amžiaus) poreikius, siekiant integruotis į darbo rinką bei atskleisti kliūtis, trukdančias jų užimtumui. Tyrimo dalykas: jaunimo požiūris į nelygybę ir socialinį teisingumą integruojantis į darbo rinką. Darbo metodai: mokslinės, statistinės, publicistinės literatūros analizė; kokybinis tyrimas (interviu): dvi informantų grupės: 5 – studentai (akademinis jaunimas) ir 5 darbdaviai (įmonės vadovai). Tyrimu nustatyta, kad pagrindiniai reikalavimai, kuriuos darbdaviai kelia jauniems specialistams yra kvalifikacija, išsilavinimas bei pareigingumas. Darbuotojo, atitinkančio darbo keliamus reikalavimus, pasirinkimas yra svarbi sėkmingo darbo prielaida. Svarbu ir tai, kad naujai priimtas tinkamas žmogus dirbtų pakankamai ilgai. Darbuotojų keitimas įmonei gana brangiai kainuoja. Naujas darbuotojas pasiekia reikiamą darbo našumą, praeina maždaug metai, o kol pasiekia meistriškumą – gerokai ilgiau. Pažymėtina, kad jaunimas stodamas į aukštąsias mokyklas nepasveria, ar pasirinkta specialybė bus paklausi. Dažnas jaunas žmogus, įgijęs išsilavinimą universitete... [toliau žr. visą tekstą] / The aim of the Master‘s thesis is to disclose the needs of young people (up to their late-twenties) seeking integration into the labour market as well as to reveal the obstacles hindering them from being employed.The objectives – to analyse the issue of social justice; to present a theoretical interpretation of the concept of social inequality; to look into young people‘s opportunities for social justice in terms of integration into the labour market; to carry out a sociological survey which enables to clarify and reveal the needs of the youth (up to their late-twenties) in order to integrate themselves into the labour market and, in addition to this, to investigate the obstacles interfering with the process of employment of young people.The subject of research: the attitude of young people towards inequality and social justice while integrating themselves into the labour market. Methods of the Master‘s thesis: the analysis of academic and statistical literature as well as publications of social and political journalism; qualitative research (interviews); two groups of informants: five students (academic youth) and five employers (company executives). The research has established that the main requirements posed by employers for young specialists include qualifications, education and a sense of duty.The choice of an employee meeting the job requirements is an important prerequisite for successful work performance. It is also vital that a... [to full text]

Emerging conversations within oncology have drawn more attention to cancer among young adults (ages 18-45). Recent research has illuminated many of the psychosocial difficulties young adults face as they go through the many trials and tribulations of chronic illness. However, a subject still understudied, much is unclear about the personal as well as the cultural implications of being diagnosed during this period of time. In a book of cancer stories, performer and young adult cancer patient Kairol Rosenthal (2009) expressed her frustration with what she saw as “stereotypes” promulgated by the limited public discourses that exist on the subject (p. 7). She sought to counterbalance these representations with stories capturing the “complexities of our real daily lives” (p. 7). Indeed, in oncological discourses young adults tend to be cast in oversimplified terms, based upon cultural expectations about what young adulthood should be and pressures to conform to those standards. Intersecting with dominant discourses within narrative identity development, two imperatives are placed upon young adults’ stories: integration of different life experiences and selves into a coherent narrative and developing a sense of self-authorship in the direction of one’s life. What seems to be lost in these imperatives within the existing research is what is at stake for individual lives (a phenomenological perspective) and how those stakes are negotiated or contested with hegemonic trajectories of life (a critical perspective). Receptive to Rosenthal’s critique of dominant discourses around cancer and young adulthood, the purpose of this thesis was to explore the complexity and diversity of young adults living with cancer. More specifically, I intended to interrogate some of their existential and biographical challenges as expressed in their narratives of cancer, as well as their engagements with ideological constructions of young adulthood, namely, the expectations of narrative coherence and self-authorship. This research marked a departure from most studies on the subject in its qualitative methodology (i.e., narrative analysis) and in its explicit evaluation of the effects of cultural discourses on young adults’ attempts to make meaning. More generally, this research shows the importance of language—in discourses, narratives, and metaphors—in constructing and communicating illness experiences. For this project, I gathered a mix of written and oral narratives (through semi-structured interviews) from 21 participants from across Canada. The foci of analyses were on what could be called narrative ‘moments of meaning’ and ‘moments of being,’ that is, situated expressions of how they made sense of their worlds and themselves. Many of these were critical moments in the sense of questioning and resisting dominant discourses of cancer and young adulthood. Their moments of meaning often expressed negotiation of personal desires and innovative intentions with familiar cultural narratives or “prototypical plots” (Good, 1994)—including stories of battling cancer, embarking on a life journey, nearing recovery, encountering unpredictability and mystery, and living with chaos. These moments of meaning served an array of purposes well beyond the expected function of constructing a coherent narrative. When telling of identity disruptions and the liminality of cancer, participants produced both more orderly moments of being (e.g., survivor, patient, or warrior identities) and more liminal moments of non-being (e.g., victim, phoenix, or trickster identities). Self-authorship seemed to be present among the former, while the latter expressed less control and certainty of being—which was not always seen as a problem. These moments of being and non-being were collaborated and contested within the intersubjective spaces of their clinical relationships, local worlds, and cancer patient communities. More specific to their age group, their moments of being and non-being often related to what may be understood as developmental identities, including the ‘traditional milestones’ such as individual autonomy, family (i.e., marriage and parenthood), and vocation (i.e., getting an education and building a career). In their struggles they sometimes reaffirmed these cultural ideals toward identity integration and other times resisted them as “normalizing ideologies” (Becker, 1997) of young adulthood. As part of these larger negotiations of meaning and being, the participants expressed struggles to understand the moral significance of their illnesses. Confronted with what may be called “causal ontologies” of suffering (Shweder, 1997), they spoke of different etiological models of cancer’s origins as well as reconciliatory models for living with cancer in the future. Their narratives sometimes led toward “remoralization” (Kleinman, 1988)—couching experiences of suffering in terms of a moral order (narrative coherence) and personal responsibility (self-authorship)—and sometimes led away from it, depending on whether they believed their illnesses originated from events in their personal and social lives. Overall, the participants in this study communicated complex and potentially chronic existential challenges. In many ways their narratives resisted dominant representations of young adults with cancer—and of cancer patients in general—suggesting that such representations need to be rethought. Their critical moments of meaning and being may serve as counternarratives to the stereotypes of concern to Rosenthal and many other cancer patients. Specifically, their narratives revealed the merits and limits of the ideological construction of young adulthood as a time of narrative coherence and self-authorship. This study has important implications for future health research and psychosocial support in the field of oncology; building upon a “narrative medicine” (Charon, 2006), sensitivity to how language is used among young adult cancer patients may lead toward more inclusive clinical practices.

Although young adult (YA) survivors of child cancer comprise a unique group from a developmental standpoint, in most treatment and research settings either child or general adult measures of quality of life (QL) are used to measure adjustment and functioning. Studies have relied heavily on survey methods, and though many hint at a variety of specific problems that a subset of YAs may experience, most identify YA survivors as relatively well adjusted. Interview studies with survivors and care-providers and interactions in survivor support venues paint a more complex and problematic picture of adjustment. To better understand the QL concerns unique to YAs this study employed grounded theory methodology to build a model of survivorship from participant perceptions. Four focus groups were conducted (N=15) with survivors between the ages of 18 and 30 years recruited from in-person and online support group settings. Themes emerged describing a larger extent of struggles than prior studies have identified. The grounded theory model detailed that having cancer can fundamentally change an individual, and these changes and resulting struggles do not end with remission. Survivors described constantly pursuing normalcy in the context of being fundamentally different, while balancing the dual roles of young adult and survivor. Survivors revealed difficulties in essentially every area of their lives (school, work, friendships, family, romance, self-esteem, outlook and attitudes, etc.), and though many could identify strategies for addressing these problems, maladaptive coping techniques dominated and survivors were left feeling overwhelmed, under-supported, and misunderstood. Results suggest that YAs could benefit from QL measures developed specifically with their unique concerns in mind. While progress has been made in developing YA-specific measures, such measures have not become widespread practice in clinical and research settings. Furthermore, this study suggests that collecting such information in a conversational, semi-structured interview format may elicit a fuller scope of survivors’ concerns than pencil and paper methods, though further research is recommended in this area.

Introduction: Women possess characteristics and experiences unique and different from men. Menstruation, pregnancy, puberty and menopause may present challenges for self-management, a prerequisite for those living with Type 1 diabetes mellitus (T1DM). The meaning and experiences of self-management have not been adequately explored from a young woman’s perspective within the diabetes literature. Purpose of the Study: Blood glucose and glycosylated hemoglobin (HbA1c) values are keys for determining success in self-management among individuals living with T1DM; however, the values may enable feelings of vulnerability and worthlessness in individuals living with T1DM. Through learning about the experiences of young women, it was hoped that the meaning of self-management would be uncovered. The research question was: What are the experiences of self-management among young women with Type 1 diabetes mellitus? Methods and Methodology: Descriptive phenomenology was used to uncover the experiences of self-management. Unstructured interviews with nine young women aged 22-30 years were conducted to uncover their lived experience. Data collection and analysis followed the methodical structure outlined by van Manen (1997). Findings: Data analysis revealed five themes, and the essence of participants’ self-management experiences. Identified themes included: 1) elusiveness of control; 2) the dualism of technology; 3) forecasting and establishing routines; 4) dealing with the “ups and downs”; and, 5) interface with the health care team. The essence that emerged from the data was “being in balance”. Conclusions: Self-management encompassed the desire and need to be in balance with one’s life and blood glucose levels. Self-management was something that evolved over time, and grew in complexity as phases progressed; it was something participants were still trying to grasp. Individual attitudes, goals, and self-management strategies dominated participants’ discourse in describing their hope of achieving and sustaining balance in their day-to-day lives. / Thesis (Master, Nursing) -- Queen's University, 2012-01-24 18:35:33.911

Stigma prevents individuals with serious mental illness from seeking assistance (Fung et al., 2007; Vogel et al., 2006). Self-Determination Theory (SDT) seeks to explain how individuals are motivated by environmental factors and how these elements affect their well-being (Deci & Ryan, 1985). Limited information is available about how young adults with mental illness experience stigma, and how this affects their self-determination and ability to recover. This study explores factors that facilitated recovery and thriving behaviors in nine young adults (ages 18-25) with psychosis, by using a combination of interviews and questionnaires. Findings suggest that having a variety of supports and a determination to recover facilitates high self-determination and thriving behavior in these individuals. By identifying factors that assist these individuals ability to thrive, it is anticipated that professionals will intervene with young adults experiencing psychosis more effectively.

No description available.

<p>This thesis explores the shifting cultural identities of young Owambo migrants living in Babilon, an informal settlement on the outskirts of Windhoek, Namibia. Through an investigation of their social, cultural and economic lives, I show how these young people invoke their Owambo-ness, but how they also transcend their ethnic identifications through engaging in an emerging Namibian youth culture, which cuts across rural-urban, ethnic, and socio-economic divides. I argue that young migrants from Ovamboland, who intend to escape their poverty stricken rural homes and arrive on packed busses, bringing with them few possessions and great expectations, constantly shift and resituate their cultural identities while trying to make a living in the city. These young people are eager to engage fully in a better life and hope to find employment in the urban economy. For many, however, this remains just that &ndash / hope. In their daily lives, the young migrants replicate, reproduce and represent rural Owambo within the urban space. Using the examples of &lsquo / traditional&rsquo / food and small-scale urban agriculture, I explore how their ideas of Owambo-ness are imagined, enforced and lived in Babilon. I argue that although migrants identify themselves in many ways with their rural homes, and retain rural values and practices to a large extent, this does not mean that they would remain &ldquo / tribesmen&rdquo / , as earlier, how classic studies in Southern African urban anthropology argued (Mayer 1961 / Wilson and Mafeje 1963). They also appropriate &ldquo / ideologies&rdquo / and practices of the emerging Namibian youth culture, especially popular local music and cell phones. My study thus shows that the migrants develop multiple, fluid identities (with reference to Bank 2002) / they identify concurrently with the urban and the rural and develop a synthesis of both. The thesis is based on ethnographic research, which was conducted between February and May 2008. During the fieldwork, I engaged daily in informal discussions with many residents of Babilon, and carried out life history interviews, focus group discussions, and in-depth interviews with key research participants.</p>

The purposes of this study were to: 1) evaluate the effect of walking speed on gait, balance and cognitive task performance and 2) examine the effect of dual task (cognitive load) on gait balance and cognitive task performance. Twenty young healthy adults (24+6 years of age) were recruited and each participant walked on a motorised treadmill at two speeds(0.5m/s and 0.8m/s), first without performing cognitive tasks, then while performing three types of cognitive loaded tasks. The speed had a significant effect on average and coefficient of variation of temporal gait parameters (P<0.001), cognitive task performance (P<0.001) and center of pressure excursion (P<0.001). No statistically significant effect of speed was found ML trunk displacement. However, dual task (cognitive load) had significant effect on COV of temporal gait (P<0.001), cognition (P<0.001) and trunk motion (P<0.001). In conclusion, the speed and dual task had significant effect on locomotors rhythm, balance, and cognitive performances.

Objectives: To describe utilization of specialised prenatal care by high-risk survivors and evaluate echocardiogram use in echocardiogram-need survivors, as per survivorship guideline recommendations. Methods: Retrospective population-based matched survivor:control study utilizing Ontario health administrative data. Survivors were classified as high-risk/low-risk for obstetrical outcomes, and as echocardiogram-need (yes/no) for echocardiogram outcomes. Associations were tested using logistic regression. Results: 11% (n=363) of 3,204 pregnant survivors were classified as high-risk. Over 90% received specialized prenatal care. Living in a rural area was associated with lower use. (AOR 0.51; 95% CI 0.44-0.59). Since 2003, 32% (560/1,737) of survivors had an echocardiogram-need. Only 14% (77/560) had ≥1 echocardiogram, this was not associated with rurality nor neighbourhood income quintile. Conclusions: Although the majority of high-risk survivors receive specialized prenatal care, geographic inequality in care persists. Despite survivorship guidelines, >85% of echocardiogram-need pregnant survivors do not have an echocardiogram performed; future work should address this gap in care.

Objectives: To describe utilization of specialised prenatal care by high-risk survivors and evaluate echocardiogram use in echocardiogram-need survivors, as per survivorship guideline recommendations. Methods: Retrospective population-based matched survivor:control study utilizing Ontario health administrative data. Survivors were classified as high-risk/low-risk for obstetrical outcomes, and as echocardiogram-need (yes/no) for echocardiogram outcomes. Associations were tested using logistic regression. Results: 11% (n=363) of 3,204 pregnant survivors were classified as high-risk. Over 90% received specialized prenatal care. Living in a rural area was associated with lower use. (AOR 0.51; 95% CI 0.44-0.59). Since 2003, 32% (560/1,737) of survivors had an echocardiogram-need. Only 14% (77/560) had ≥1 echocardiogram, this was not associated with rurality nor neighbourhood income quintile. Conclusions: Although the majority of high-risk survivors receive specialized prenatal care, geographic inequality in care persists. Despite survivorship guidelines, >85% of echocardiogram-need pregnant survivors do not have an echocardiogram performed; future work should address this gap in care.