梁元生. / 手稿本. / 論文(碩士)--香港中文大學. / 參考文獻: leaves 453-469. / Liang Yuansheng. / Chapter 一 --- 緒言 / Chapter 二 --- 小傳 / Chapter 三 --- 林樂知在華的傳教事業 / Chapter 甲 --- 林樂知的傳教政策 / Chapter 乙 --- 林樂知的教會工作 / Chapter 丙 --- 清末基督教傳教士的「禮儀之爭」 / Chapter 四 --- 林樂知在華的教育事業 / Chapter 甲 --- 中西書院創辦的背景 / Chapter 乙 --- 中西書院的成立與發展 / Chapter 丙 --- 中西書院的課程與學生 / Chapter 五 --- 林樂知在華的新聞事業 / Chapter 甲 --- 教會新報創辦時之背景 / Chapter 乙 --- 早期的教會新報 / Chapter 丙 --- 從教會新報到萬國公報 / Chapter 六 --- 林樂知與廣學會 / Chapter 甲 --- 廣學會的成立和發展 / Chapter 乙 --- 廣學會的工作及經濟情況 / Chapter 丙 --- 林樂知、萬國公報與廣學會 / Chapter 七 --- 萬國公報與晚清政治運動 / Chapter 甲 --- 萬國公報與清末的外交路線 / Chapter 乙 --- 寓華西人與洋務官僚及維新分子之關係 / Chapter 八 --- 結論 / Chapter 附錄： --- 中英各辭對照表 / 徵引書目

Introduction Acute lower respiratory infection (ALRI) remains as a leading cause of childhood morbidity and mortality. With the continued universal vaccination campaign against bacterial pathogens, an increase in relative proportion of respiratory viruses contributing to ALRI is anticipated. Respiratory syncytial virus (RSV) has been recognised as the most common pathogen identified in young children presenting with ALRI as well as an important cause of hospital admission. This thesis aims to estimate the aetiological roles and attributable fractions of common respiratory viruses among ALRI cases and investigate the risk factors for RSV associated ALRI in young children. It also aims to estimate the global and regional incidence of RSV associated ALRI in both community and hospital based settings, and the possible boundaries for RSV associated ALRI mortality in children younger than five years old. Methods Systematic reviews were carried out separately for the following three research questions: aetiological roles of RSV and other common viruses in ALRI cases, risk factors for RSV associated ALRI and global/regional burden of RSV associated ALRI, formulating an overall picture of epidemiology of RSV associated ALRI in young children. They all focused on children younger than five years old. The identified studies were selected according to pre-defined inclusion and exclusion criteria. The whole process was conducted following the PRISMA guidelines for systematic review and meta-analysis. Unpublished data from RSV Global Estimates Network (RSV GEN) were collected from 45 leading researchers on paediatric pneumonia (primarily in developing countries). They either reanalysed data from their already published work with the pre-defined standardised case definitions or shared hitherto unpublished data from ongoing studies. Data from both systematic reviews and RSV GEN working group were included into further meta-analysis. Random effects model was consistently applied in all meta-analyses. Results There were 23 studies identified through literature search satisfying the eligibility criteria, investigated the viral aetiology of ALRI in young children. Strong evidence was observed for RSV in support of its causal contribution in children presenting with ALRI and the association was significant measured in odds ratio: 9.79 (4.98-19.27). Thus, the corresponding attributable fraction among the exposed was estimated as 90% (80%-95%), which means around 90% of RSV associated ALRI cases were in fact attributed to RSV in a causal path. In total, 27 studies (including 4 unpublished studies) were included and contributed to the analysis. Across these studies, 18 risk factors were described and 8 of them were observed to have significant associations with RSV infection: prematurity - gestational age < 37 weeks, low birth weight (< 2.5 kg), being male, having siblings, maternal smoking, history of atopy, no breastfeeding and crowding - > 7 persons in household. Overall, 304 studies met the selection criteria and were included to estimate the global and regional burden of RSV associated ALRI in young children. These included 73 published articles identified through Chinese language databases and 76 unpublished studies provided by RSV GEN working group, mainly from developing countries. It is estimated that in 2015, there were 33.0 (95% CI 20.6-53.2) million episodes of RSV associated ALRI occurring in children younger than 5 years old across the world. 30.5 (95% CI 19.5-47.9) million of them were in developing countries. 3.0 (95% CI 2.2-4.0) million cases were severe enough and warranted hospitalisation. Around 60,000 children died in the hospital settings with 99% of these deaths occurring in developing countries. The overall mortality from RSV associated ALRI was estimated about 131,000. Conclusion This thesis not only enhanced the epidemiological understanding of RSV in young children, but also provided important information for public health decision makers. It incorporated both data through systematic reviews of published articles in the past 20 years and more than 70 unpublished data sets shared by RSV GEN working group. The population based incidence, hospitalisation, mortality and risk factor data are essential to assess the various severity of illness in a specific age group and region, and inform local public health professionals regarding appropriate and prompt cases management, prevention and vaccine allocation strategies. National sentinel systems of RSV surveillance gathering structured and reasonably representative data are needed. Within the surveillance system, a universal definition regarding disease severity in various settings should be developed, and diagnostic methods with higher sensitivity and specificity should be applied.

Although the public understands that participation in clinical research is necessary to advance the knowledge and skills of medical science, the rates of participation have been demonstrated to be trending downwards. Inadequate participation rates can have dramatic scientific and economic effects that ultimately affect the advancement of science. The attitudes and reasons for participation and non-participation in clinical research have been examined by a multitude of researchers. However, willingness to participate research is typically focused on a narrow range of populations, that is those diagnosed with an illness or disease and minority populations. The purpose of this study is to examine the demographic and knowledge factors which influence community-dwelling young adults' attitudes, as the future generation of clinical research volunteers, towards willingness to participate in clinical research. Knowing which factors are associated with young adults' attitudes and intention of willingness to participate will be of benefit to those who conduct research by identifying and rectifying barriers to participation. Quantitative data, in the form of a one-time questionnaire administered by a paper and pencil instrument, were collected from a purposive sample of Grade 12 (seniors) students recruited from Iowa public high schools. My findings suggest that knowledge, acquired both by formal education and informal education, was associated with behavioral beliefs and attitudes about clinical research in this sample of students as a precursor to being willing to participate in clinical research. Fewer demographic factors, such as gender, race/ethnicity, or socioeconomic status, were associated with the behavioral beliefs and attitudes measures. This is excellent news to those who conduct research as informational factors may be changed. Aiming interventions at informing young adults about clinical research process and procedures may be of benefit to attitude formation with hopes to impact future enrollment in clinical research. Media, as a method of informal education, may be of use as a way to provide information.

Early motherhood is a much debated and highly contentious topic. This research aimed to explore young Pākehā women's experiences of motherhood using a feminist qualitative framework. Twelve women, six current young mothers and six former young mothers, were interviewed via focus groups and individual interviews. The analysis revealed that Pākehā culture constructs young mothers as problematic because they challenge the 'traditional' family dominant in Pākehā culture. By having children prior to, rather than after, workforce participation and achieving economic independence, young mothers challenge the prescribed life trajectory for Pākehā women. The women in this study discussed both the positive aspects and the challenges they faced as young mothers. In contrast to common public perceptions and media representations of early motherhood as negative, motherhood positively transformed the women's lives. This was discussed in terms of ceasing destructive activities and gaining motivation to return to education. The young mothers in this study had flexible parenting styles, which allowed them freedom from Pākehā cultural pressure to 'do motherhood' in a particular way. As young mothers, the women had high energy levels and anticipated early future freedom from childcare duties to pursue their dreams. Challenges discussed by the women included incorporating unanticipated early motherhood into long-held life goals, feeling exhausted, having a lack of time for themselves and having too little support. Financial hardship, poverty, judgment and stigma surfaced as major challenges which affected all areas of the women's lives. However, the women also resisted this discrimination by using a range of strategies, which positions them as women with agency, challenging their representation within literature as passive victims. Young women will not use services where they perceive they will be judged for being who they are. As levels of support appear to determine how young women experience motherhood, services have a vital role to play in supporting young mothers. The findings of this study highlighted the complex and contradictory nature of the young mothers' stories, presenting a challenge to simple and stereotypical negative discourses of early motherhood.

Plainsong or Polyphony? Australian Award Winning Novels of the 1990s for Adolescent Readers. Using a musical metaphor of plainsong (to allude to monophonic sameness) and polyphony (to allude to multiphonic difference) this thesis seeks evidence of similarity (plainsong) or difference (polyphony). The texts considered are judged to have both literary merit and to meet the particular needs of Australian adolescent readers. Adult concerns about the suitability of particular Young Adult (YA) novels imply that there is an agreed archetype for this genre; an implication that this thesis explores using variety of critical perspectives, chiefly Narrative Theory, Reader Theory, Althusser’s concept of the hail and the work of Pecheux. Bakhtin(1981) applied the musical metaphor of polyphony to describe the novel as a genre in which an author orchestrates its themes through ‘the social diversity of speech types’ and ‘the differing individual voices that flourish under such conditions’ (p. 263). This study considers both polyphony and its opposite, plainsong, in its inquiry into two aspects of individual authorial voices. The first relates to the authors’ representations of adolescence as portrayed through their protagonist[s]; the second to the authors’ beliefs about their adolescent readers as reflected in the various ways each author tries to attract and engage their audience. This study finds that whilst patterns of similarity exist in the texts, these patterns shift when the novels are viewed from different critical perspectives. This thesis demonstrates that whilst the authors appear to share similar ideas about adolescence, they have different perceptions about what they can and cannot do in novels addressed to adolescent readers.

Thesis (Ed. D.)--Illinois State University, 2005. / Title from title page screen, viewed on April 16, 2007. Dissertation Committee: Thomas P. Crumpler (chair), R. Kay Moss, Gary Weilbacher, Amelia Adkins, Sally Parry. Includes bibliographical references (leaves 151-168) and abstract. Also available in print.

Thesis (M.A.) - Simon Fraser University, 2006. / Theses (School of Criminology) / Simon Fraser University. Also issued in digital format and available on the World Wide Web.

Thesis (Ph. D.)--Ohio State University, 2003. / Title from first page of PDF file. Document formatted into pages; contains vii, 175 p. Includes abstract and vita. Advisor: Caroline Clark, College of Education. Includes bibliographical references (p. 160-175).

This dissertation study sought to explore the hidden resilience among a homeless young adult population (ages 18-24). The majority of research conducted on homeless young adults remains limited to examining their multiple challenges and risk factors. While the high rates of substance use issues, mental health problems and trauma implicit in their lives warrant attention, research on the unconventional resilience of this group may enable service providers to better understand their unique needs. Recently researchers have begun to address the strengths and unique personal capabilities of this population. This dissertation follows this trend and utilizes the social estrangement model as a conceptual framework to examine predictors of resilience. Variables were examined within the context of four domains implicit in the social estrangement model that represent the amount of estrangement that exists in the lives of homeless young adults. The four domains explored within this conceptual framework included, institutional disaffiliation, psychological functioning, human capital and identification with the homeless culture. Findings from this study revealed that homeless young adults' self-esteem and optimistic perspectives of the future predicted higher resiliency, while drug dependency predicted lower resiliency. Additionally, homeless young adults' coping served as a mediating variable between their levels of self-esteem and optimistic perspectives of the future with resiliency. Implications for professionals working with a homeless young adult population include developing and strengthening substance preventions programs tailored to uniquely address their resiliency needs. Additionally, social workers and other direct service providers may incorporate intervention strategies that focus on improving self-esteem and increasing young adults' optimistic perspectives of the future. Homeless young adults will benefit from working with professionals who have a better understanding of their lives on streets and the unique coping strategies and survival skills that enable them to persist in a dangerous environment. Recognizing the strengths and resilience that homeless young adults are capable of, and incorporating strength-based perspectives in work with this group may empower these young adults to make positive choices and increase the likelihood of transitioning out of homelessness. / text

This report will review some of the current and past literature on case-based learning and instruction, while also providing the reader with a background on the development of this particular learning strategy with implications for future research. The first two chapters will review case-based learning/instruction by examining its background and history, current uses, and benefits associated with its current uses in educational settings, as well as how these benefits may apply to younger learners. In chapter three, I have discussed some of the more well established discussion-based methods in K-12 education, specifically those most similar to case-based learning. This section is followed by suggestions for implementing case-based learning and instruction with younger learners. The report concludes with limitations associated with case-based learning and its implementation with younger learners. / text