Дисертації: "Occupational Sciences"

1

Lindstedt, Helena. "Daily Occupations in Mentally Disordered Offenders in Sweden : Exploring Occupational Performance and Social Participating." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6231.

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The major aim was to explore perceived daily occupations in mentally disordered offenders (MDO) through occupational performance (OP) and social participation (SP) with descriptive, comparative and longitudinal designs. The 74 consecutively included MDOs were visited onsite for data collection. The following assessments were used: Capability to Perform Daily Occupation, Self-efficacy Scale, Importance scale, Allen Cognitive Level Screen, Interview Schedule for Social Interaction, Manchester Short Assessment of Quality of Life, Psycho/social and Environmental Problems, Global Assessment of Functioning Scale, assessment of Support and Service for Persons with Certain Functional Impairments and Karolinska Scales of Personality. Background factors were assembled from the individual forensic psychiatric investigation. The results indicate that MDOs had contradictive problems in OP, SP and lack of disability awareness. The MDOs and professionals had different appraisals of the MDOs’ OP and SP. Schizophrenic MDOs need substantial support for community dwelling. MDOs with psychopathic personality traits had more problems during upbringing, however, no perceived problems in OP and SP compared to the remaining group. Low Socialization, high Anxiety and psychopathy personality traits partially influenced perceived OP and SP. After one year of forensic psychiatric care, 60 % were still hospitalized and 32 % were community dwelling. Changes after one year of care consisted of higher satisfaction of OP and SP, 1/36 subject valued daily occupations higher and 5/36 subjects reported better social interaction. Although, there are some methodological weaknesses in this thesis (e.g. high attrition rate), the unique results should be taken into consideration. It is concluded that MDOs’ appraisal of their own capability has to be taken seriously in treatment and care. Also long treatment periods, targeting daily occupations from start and providing substantial individual support are necessary for successful transition into community dwelling for MDOs. This thesis contributes to extended knowledge of the MDOs’ daily occupations.

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2

Cavaglia, Chiara. "Intergenerational and occupational mobility." Thesis, University of Essex, 2016. http://repository.essex.ac.uk/18466/.

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This thesis is divided into three main chapters. The first chapter provides an analysis of intergenerational mobility across countries, across cohorts and over the income distribution. It compares the patterns of intergenerational income mobility between fathers and sons in Germany, Italy, the United Kingdom and the United States. Among other findings, the analysis highlights that mobility is lowest for families at the extremes of the income distribution. Among university graduates, mobility is still lowest at the top. This calls for further research on the drivers of intergenerational mobility. The second chapter investigates why intergenerational earnings mobility is lowest at the top and at the bottom, by exploring the role of social networks. The implications of a simple model are tested on data from the United Kingdom. The inverse U-shaped mobility patterns are explained in two steps. First, a range of findings is consistent with the hypothesis that family friends affect the offspring’s educational and occupational choices. Second, the friend’s job is correlated to the parent’s job, in different ways at different income levels. Specifically, the richest and the poorest parents tend to have friends that are more similar to them than median parents. The third chapter examines the effects of job polarization on individuals and households by assessing the roles of occupational mobility, changes in occupational wage premia, mating patterns across occupations and female labour supply. The paper uses the British Household Panel Survey to examine the UK over 1991-2008. The findings suggest that most of the factors listed above have important roles. The period is characterised by pronounced movements in occupational premia and important roles for occupational mobility and assortative matching.

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3

Cherry, Nicola. "Organic brain damage and occupational solvent exposure." Thesis, McGill University, 1991. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=60012.

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309 cases of organic dementia, cerebral atrophy or psycho-organic syndrome, admitted for 5 days or more to one of 18 Quebec hospitals, were individually matched to a psychiatric referent, admitted with some other diagnosis, and a general hospital referent. Lifetime occupational history was obtained by telephone. Occupational solvent exposure was assessed by (i) individual ratings blind to case status and (ii) a job-exposure matrix. Subjects working with moderate or high solvent concentrations for at least 10 years were considered exposed. With the psychiatric referent series an odds ratio of 1.44 (90% CI 1.03-2.01) was calculated for individual exposure ratings and 1.41 (90% CI 0.89-2.23) for the job matrix. The increased risk was found largely in those with diagnoses of both organic dementia or cerebral atrophy and an alcohol related condition. A similar pattern of risk was found with the general hospital referents. Adjustment for possible confounders did not appreciably alter the risk estimates.

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4

Labrèche, France P. "Occupational solvent exposure and mental disorders." Thesis, McGill University, 1989. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=74252.

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A case-referent study was designed to investigate the relationship between occupational solvent exposure and mental disorders. New cases of mental disorder (males, 40 to 69 years old), were individually matched for age and date of admission to hospital patients and neighbors. An occupational history was obtained from 91.7% of the sample (1143 subjects, or 381 'trios'), during a telephone interview or by mail.
No increased risk of mental disorders was found among subjects exposed to moderate levels of solvents, but the risk was elevated--though not to a statistically significant degree--at exposure to high levels. When diagnoses were divided into psychotic (ICD-9 codes 290-299) and non-psychotic (ICD-9 codes 300-316), the latter group presented an increased risk with exposure to high levels of solvents (odds ratio = 2.43, 90% C.I. = 1.16-5.08). No systematic exposure-response relationship was demonstrated, although there was a suggestion of increased risk of mental disorders among subjects exposed to high levels for 5 to 9 years.
Various aspects of referent selection--with a specific comparison of hospital and population referents--were also examined as a methodological issue of case-referent studies.

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5

Hill, Brian W. "The patient's perspective of occupational lower back injuries." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3636565.

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Workers' compensation programs have emerged as among the largest and most important social programs in the United States. Workers' compensation claims in the state of Michigan account for an expenditure of approximately 1.3 billion dollars annually (Michigan Workers' Compensation Agency, 2011. 2011 Annual Report). Back injuries are the most prevalent work-related injury in the United States. Since 2002, such injuries in the baby-boomer generation have increased at a rate of 50% (Toossi, 2005. Labor force projections to 2014: Retiring boomers). The purpose of this study is to describe the personal lived experiences of older (over 55 years old) injured employees as a result of injuring their lower backs at work. The study only examined occupational lower back injuries suffered while assembling automotive parts in the state of Michigan. The study incorporates a qualitative design, specifically an interpretative phenomenological analysis, to focus on the lived experiences of the participants, and underpins the theory of planned behavior to assist with forecasting and understanding the particular behaviors within this population. A four-step data analysis method was used to illustrate and understand the meaning and essence of the lived experience of the injured, older automobile assembler worker.

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6

Golding, Susan. "Raising pupils' educational and occupational aspirations." Thesis, Cardiff University, 2013. http://orca.cf.ac.uk/59969/.

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This thesis considers the aspirations of a group of pupils in a post-industrial community in the South Wales Valleys. Using a mixed methods approach, I explore and consider a range of social, economic and cultural issues to understand how educational and occupational aspirations are influenced and shaped. The recommendations made will hopefully help develop the role of personal tutor, as set out in the Welsh Baccalaureate Qualification and help others within the education sector understand the complex, multifaceted nature of pupils’ hopes and dreams for the future. The ideas on the formation of aspirations which are developed by the economist Ray (2002, 2006) and the anthropologist Appadurai (2004) act as a strong reference point in this thesis. These works, coupled with the theory of circumscription and compromise which has been developed by Gottfredson (1981) provide a conceptual framework with which to facilitate a better understanding of the ways in which the educational and occupational aspirations of young people could be affected. I suggest that aspirations should be considered from a socio-cultural perspective. Such is the dynamic nature of aspirations that pupils’ dreams about the future begin to grow and be affected from a young age. For this reason, schools should consider a range of interventions to challenge gender stereotypes and ensure that sufficient guidance is provided from a young age about the many different academic and occupational pathways that pupils can choose in life. Throughout the thesis, I argue that for a group of young men and women in a community of social and economic deprivation, aspirations and transitions to adulthood are framed through geographically, familial and historically shaped class and gender codes.

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7

Varchol, Karen. "Parental occupational exposures and acute myeloid leukemia in offspring /." The Ohio State University, 2000. http://rave.ohiolink.edu/etdc/view?acc_num=osu1488203857250743.

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8

Dhillon, Balinder Singh. "The State's role in occupational health and safety administration /." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=56897.

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In the following thesis the administrative strategies in occupational health and safety regulation form the primary focus of discussion.
The initial approach for ensuring acceptable work conditions had been through direct state intervention and the use of coercive power. In view of the limitations of this approach, over time, state regulation was replaced by the "self-regulation" or "internal-responsibility system" under which participants at the workplace were given an enhanced say in the regulatory process. Recent trends have continued to favour this shift towards deregulation of the state's administrative structures.
The self-regulation strategy, however, also has limited applicability and can only prove effective if applied in combination with the state's enforcement strategies. The two approaches need to be viewed as being complimentary to one another and not mutually exclusive. This being the case the state's role in the regulatory process would require re-examination and alteration to ensure an effective and efficient regulatory structure.

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9

De, Grosbois Sylvie. "Occupational exposures and airways disease : a study to develop and evaluate a questionnaire for eliciting occupational exposure history for community based studies." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ44402.pdf.

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10

Squillace, Mary. "Fine Motor Skills and the Occupations of Young Adults with Multiple Sclerosis." Diss., NSUWorks, 2018. https://nsuworks.nova.edu/hpd_ot_student_dissertations/62.

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Objective: Multiple sclerosis (MS) is one of the most common neurological diseases affecting adults of working age, and those of younger ages of onset have been increasingly recognized. Twenty-seven percent of people with MS (PwMS) are age 30 years old or younger. The burden of MS for young adults puts them at risk for poorer outcomes regarding their education, family planning, vocation, and social skills as they transition to adulthood. Fine motor (FM) skill impairment might impede performance within the daily occupations of young adults who are transitioning into adulthood. Few studies focus on the occupations and occupational performance of younger adults with MS. Method: Forty participants with MS between the ages of 18 to 30 were recruited to participate in a study. Two standardized measures were used to identify possible FM dexterity deficits and one standardized self-report was used to measure the perceived satisfaction and performance of occupations for this population. A semi-structured interview was conducted with a subgroup of 18 participants to understand the lived experiences of young adults with MS (YAwMS) and their FM performance during their occupations. Results: With quantitative and qualitative analysis, a relationship was suggested between FM scores and both perceived performance and satisfaction scores of an adapted performance measure. Conclusion: Young adults with MS perceive difficulties with occupations that are influenced by their FM status. It is recommended that occupational therapy professionals consider the motor skill needed to perform and complete occupations that specifically require FM skills.

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11

Dufort, Vincent. "Exploring the link between housekeeping and occupational injuries." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0002/NQ44415.pdf.

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12

Nylander, Per Åke. "Managing the dilemma : occupational culture and identity among prison officers." Doctoral thesis, Örebro universitet, Akademin för juridik, psykologi och socialt arbete, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-17212.

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13

Brooks, Robert. "Occupational practice in children and young people's mental health." Thesis, University of Huddersfield, 2016. http://eprints.hud.ac.uk/id/eprint/30195/.

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Introduction The use of occupation in occupational therapy has been regularly debated in the profession’s literature. More recently there has been a shift to consider occupation as the core construct of occupational therapy, which informs assessments, interventions and outcomes; this can be described as occupational practice. Studies exploring occupational practice have been limited; this study has sought to address this gap. Methods This was a mixed methods study. First, a United Kingdom survey of occupational therapy practice in children and young people’s mental health was conducted (n=27). The survey findings were analysed using descriptive statistics. The survey was used as a sampling platform for the second stage of the study. Underpinned by an ethnographic approach, the second study used an observer of participant, interview and document collection methods to explore occupational practice (n=2). A grounded theory approach was taken to data analysis. Findings The participants of the survey were 89% female, 49% were at a senior grade and 68% had been qualified for over 10 years. 81% worked in Child and Adolescent Mental Health Services tier 3 or 4. 52% participants had an undergraduate degree in occupational therapy; 64% had no further specialist formal qualifications. Additional training in sensory integration therapy was reported by 34% of participants. The Model of Human Occupation was identified as the most frequently used model of practice. The Sensory Profile was the most regularly used assessment. The participants reported that their interventions commonly focused on talking style therapies, psycho-education and group work. The ethnographic study revealed a tension at the study sites between the medical psychological and occupational practice discourses. To manage this tension, the participants used a generic and profession-specific practice to negotiate being ‘one of the team’ and being a ‘real occupational therapist’. Enacting occupational practice included using the Model of Human Occupation, referrals for occupational problems, conducting assessments of occupation, concluding occupational formulations, and using occupation as an intervention. Interventions were characterised as ‘talking about doing’ or ‘doing occupation’ and utilised strategies such as modelling, goal setting and setting a challenge. Conclusion The survey has offered a snapshot of occupational therapy practice. This may help the profession understand the demography and practices of the participants. The Occupational Practice Model for Children and Young People’s Mental Health, which has emerged from the ethnographic findings of this study, is presented as a tool to guide the use of occupation at the level of theory, perspective and intervention. Further qualitative studies are recommended to support the study findings and a systematic review is suggested to examine occupational therapy interventions in the field.

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14

Campanile, Loredana. "Effective clinical instruction : selection of behaviours by occupational therapy clinical supervisors." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=56962.

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The present study surveyed occupational therapy clinical supervisors working in a number of university affiliated hospitals in the Montreal area, via a mail questionnaire. Therapists were first asked to rate the importance of behaviours in facilitating student learning during clinical instruction. Then they were asked to report their attendance at continuing education courses on clinical instruction. The relationship between attendance at these courses, number of years of clinical experience and rating of behaviours was investigated. Therapists with few years of clinical experience had a low rate of attendance and rated behaviours as important more frequently. Therapists who attended a course rated behaviours as important less frequently. Behaviours rated as most important belonged to the area of communication, followed by the areas of teaching and interpersonal relationships. The results of this study demonstrated that a workshop on clinical instruction would benefit therapists by improving their clinical supervisory skills.

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15

Gonzales, Melissa 1963. "Occupational exposure to azinphos-methyl: Correlating biological markers to environmental residue levels." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/291604.

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Peach harvester exposure to azinphos-methyl (AZM) residues estimated by the Transfer Factor (TF) ratio of Dislodgeable Foliar Residue (DFR) to Daily Dermal Exposure (DDE) was compared to estimates based on the relationship between dermal exposure and dialkylphosphate metabolite excretion. DFR was monitored in four orchards from the time of pesticide application through harvest. Eleven male harvesters wore cotton tee-shirt dosimeters and provided area-specific skin washes and wipes for DDE monitoring during work operations. Urinary dialkylphosphate metabolites of AZM were also monitored and compared to DDE results. During a later harvest for which DDE was not determined, the dermal exposure estimated by the TF (1,310 μg) was comparable to the estimates based on dialkylphosphate excretion (1,456-1,534 μg). A repeated measures ANOVA showed that harvesters' cholinesterase levels were significantly lower than 'non-harvesters'. No significant reductions in cholinesterase levels were detected over time.

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16

Lucas, Cheryl Burke. "Occupational Therapists of Color| Perceptions of the Academic Experience." Thesis, Johnson & Wales University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10276527.

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Despite the growth in the US population of persons of color and the need for allied health professionals to improve healthcare disparity, people of color make up only 20% of the total enrollment in professional occupational therapy education programs (American Occupational Therapy Association [AOTA], 2016a). Inequalities in the participation of people of color can lead to diminished educational experiences for all students, isolation for occupational therapy students and professionals of color, and decreased healthcare quality for minority clients. This five phase, qualitative interpretive/constructivist study explored the academic experiences of occupational therapists of color, guided by the following research questions:

1. How do occupational therapy practitioners of color ascribe meaning to their educational experiences in their OT program?

2. How do occupational therapy practitioners of color describe their perceived facilitators and barriers to educational success?

3. In what ways do occupational therapy students/practitioners of color navigate their culture of origin and the majority White culture in order to succeed in occupational therapy educational programs and in professional practice?

AOTA (2016b) professionals (N=14) were solicited by email through their Multicultural, Diversity and Inclusion Network and participated in Phases I, II, and III. Participants completed demographic and interest questionnaires in Phase I; a reflective questionnaire regarding educational facilitators and barriers in Phase II; and depth interviews in Phase III. Using Colaizzi’s data analysis strategy (Colaizzi,1978), the results of the Phase III interviews were used to complete the Phase IV elite informant interviews with OT leaders (N=4). Phase V consisted of a document analysis of historical and current policy documents.

Six themes emerged from this study: 1) Decision to Enroll in an OT program, 2) Educational Program Culture, 3) Faculty Relationships, 4) Peer Relationships, 5) Student Resilience, and 6) Working Professionals.These results reveal participant persistence towards professional OT goals; however, academic and leadership success did not shield participants from marginalization or racism. These results may inform OT professionals regarding enrollment strategies for students of color and the imperative for student-centered program standards and zero- tolerance policies regarding discrimination within OT educational programs.

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17

Coetzee, Zelda. "Occupational adaptation : the lived experience of fathers with HIV/AIDS." Master's thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/11793.

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Bibliography: leaves 148-159.
This qualitative, phenomenonological study describes fathers living with HIV/AIDS' experience of occupational adaptation. Rich data was collected through unstructured interviews. The data was analysed by thematic analysis. The level describing the fathers living with HIV/AIDS' experience emerged as adaptive occupations and proxy occupations.

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18

Harvey, Edward S. "Development of an associate of sciences degree option program: Administration of justice with occupational concentrations." CSUSB ScholarWorks, 1992. https://scholarworks.lib.csusb.edu/etd-project/723.

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19

Foley, Kathleen T. "Occupational therapy professional students. Level II Fieldwork experience is it broken? /." [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3283103.

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Thesis (Ph.D.)--Indiana University, Dept. of Higher Education, 2007.
Source: Dissertation Abstracts International, Volume: 68-09, Section: A, page: 3756. Adviser: Nancy Chism. Title from dissertation home page (viewed May 8, 2008).

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20

Hedman, Elliott B. (Elliot Bruce). "In-situ measurement of electrodermal activity during occupational therapy." Thesis, Massachusetts Institute of Technology, 2010. http://hdl.handle.net/1721.1/62116.

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Thesis (S.M.)--Massachusetts Institute of Technology, School of Architecture and Planning, Program in Media Arts and Sciences, 2010.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 59-61).
Physiological arousal is an important part of occupational therapy for children with Sensory Processing Disorder (SPD) but therapists do not have a way to objectively measure how therapy affects arousal. We hypothesized that when children with SPD participate in guided activities within an occupational therapy setting, informative changes in electrodermal activity (EDA) can be detected using iCalm. iCalm is a small, wireless sensor developed at MIT that measures EDA and motion, worn on the wrist or above the ankle. Twenty-two children (ages 3-10) with a clinical diagnosis of SPD participated. EDA was measured from the backs of the children's ankles. Concurrent video recordings allowed for comparison of therapeutic activities and children's EDA. Overall, we measured 77 therapy sessions. All measurements were in-situ, during regularly scheduled therapy sessions. Statistical analysis describing how equipment affects EDA was inconclusive, suggesting that many factors play a role in how a child's EDA changes. Case studies provided examples of how occupational therapy affected children's EDA. This is the first study of the effects of occupational therapy's in-situ activities using continuous physiologic measures. The results suggest that careful case-study analyses of the relation between therapeutic activities and physiological arousal may inform clinical practice.
by Elliott B. Hedman.
S.M.

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21

Abila, Sanley S. "The occupational socialisation of merchant marine cadets in the Philippines." Thesis, Cardiff University, 2016. http://orca.cf.ac.uk/96904/.

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This thesis explores the occupational socialisation of Filipino merchant marine officer cadets through their experiences of maritime education and training (MET). The socialisation of the cadets is contextualised within the broad aim of the global and national regulations of MET to develop competent seafarers. In the international seafaring labour market, there is an increasing trend of labour participation of seafarers coming from the ‘new labour supplying countries’ (NLSCs). The Philippines is seen by industry insiders to be one of the top NLSCs for officers. However, the academic literature is silent about the experiences of officer cadets of their education and training especially those coming from NLSCs. Using multi-modal data collection tools such as in-depth interviews, field notes and document analysis, this qualitative study examines the experiences of the current and former cadets under the sponsored cadetship programs (SCPs) in the Philippines in order to analyse first-hand experiences of MET. The key findings of this thesis are: (a) SCPs are officer training platforms developed mainly by shipping companies to meet their sea-based labour needs and intended to comply with the Philippine standards of MET; (b) there are a variety of SCPs from which four models are described in this study; (c) SCPs utilise a ritualistic socialisation of cadets in college campus as key mechanism of training; and (d) there is a diversity of shipboard training experiences of cadets ranging from well-planned training programs to the complete absence of programs. The thesis concludes the following: (a) the quality of training experienced by the cadets is characterised as a highly regulated and reinforced professionalization process intent on producing certificated officers; (b) the SCPs are routes for migrant work for mainly male Filipinos being guaranteed a post-collegiate sea-based employment by their shipping patrons; (c) the socialisation of the cadets is influenced by processes of globalisation embodied in the global standards of MET enforced locally, and the role of international shipping companies in funding the recruitment and training of cadets as well as offering them post-training employment; and (d) in spite of global and local standards of MET, there is no common or shared understanding of the notion of seafaring competence among the trainers, which have affected the way competencies were taught and assessed.

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22

Steele, Larry Lee. "Occupational exposures and adverse pregnancy outcomes among a cohort of female veterinarians /." The Ohio State University, 1992. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487760357821299.

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23

Truskowski, Scott. "Leadership within Occupational Therapy : A Mixed Methods Study." Diss., NSUWorks, 2017. https://nsuworks.nova.edu/hpd_ot_student_dissertations/60.

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PURPOSE: This sequential embedded mixed methods study first identified the ways in which occupational therapy leaders experience leadership, then explored the ways in which those same leaders utilized their professional training as occupational therapists within their practice of leadership. METHODS: The twelve participants held formal leadership positions in either academia, clinical practice, or professional associations. The ecology of human performance model of practice was utilized to frame the research study. Data was collected through an initial interview with all 12 participants and through leadership artifacts and a second interview with six participants. RESULTS: Three themes resulted from thematic analysis of initial interview: leadership journey, leadership deconstructed, and personal approach to leadership. The leadership artifacts were analyzed using a coding frame, which included four dimensions: occupational perspective of leadership, connections, leadership approach, and team mindset. Thematic analysis of the second round of interviews resulted in three themes: how they do leadership, leadership interaction, and reflection on leadership action. CONCLUSIONS: The participants described the construct of leader as a role consisting of contextually discrete leadership occupations. A number of parallels were identified between the practice of occupational therapy and the practice of leadership. The development of a personal leadership identity was found to occur over time and required some form of either internal or external recognition of leadership ability or outcome. The structure of this mixed methods design included a combination of two qualitative methods, which was novel to the occupational therapy literature.

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24

Scheiman, Nicole Renee. "Comprehensive Occupational Therapy in a Breast Cancer Program." NSUWorks, 2018. https://nsuworks.nova.edu/hpd_ot_student_dissertations/63.

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The purpose of this capstone project is to develop an evidenced-based, innovative, and comprehensive occupational therapy evaluation and intervention protocol for breast cancer care. The contents of this paper will include an introduction into the current care provided to survivors, literature review on best practice in breast cancer care, outline of the procedures completed to discover what best practice care should be, results of these procedures, discussion of the results, and conclusion with proposed program and recommendations for further investigation. The concern investigated is the inconsistencies in care provided to survivors from the time of diagnosis throughout their lifespan or survivorship. A body of growing evidence supports the important need to address functional performance from the point of diagnosis through treatment and survivorship. A model of rehabilitation-based care has been put forward by the American Cancer Society as an optimal construct, however, there are significant inconsistencies in how this model is being leveraged to support breast cancer patients. These inconsistencies occur from cancer center to cancer center and even from physician to physician within the same cancer center. Participants in this capstone project include experts from the on-site residency, interviews with subject-matter experts and survivors as part of a focus group. The essential features of the methods used to discover best practice include a literature review, onsite residency, participation in an International Cancer Summit, continuing education, and completion of a focus group. Results indicate that additional services are needed in order to have an evidenced-based, innovative, and comprehensive occupational therapy breast cancer program. Conclusions provided aim to diminish inconsistencies in the current care being provided to this population.

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25

Johns, Karen. "Occupational exposure to power frequency magnetic fields and risk of non-Hodgkin's lymphoma." Thesis, University of Ottawa (Canada), 2003. http://hdl.handle.net/10393/26495.

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Extremely low frequency magnetic fields (MF) have been associated with leukemia. The objective of this thesis was to determine the risk of non-Hodgkin's lymphoma (NHL) associated with occupational exposure to power frequency MF. We analyzed data collected through the Canadian National Enhanced Cancer Surveillance System (NECSS) from 1624 histologically confirmed incident cases of NHL and 1643 population controls. Every occupation held by subjects was categorized through blinded expert review according to its average MF exposure. Cumulative exposure indices were calculated for each subject. Adjusted odds ratios were calculated using logistic regression. We found no association between occupational exposure to MF and NHL risk. We did find an association between self-reported work with pesticides and NHL risk (OR 1.3, 95% CI: 1.0, 1.6). Our findings provide no support for the hypothesis that exposure to power frequency MF is a causal factor for NHL.

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26

Kane, Audrey E. "Sensory Modulation Disorder: Impact on Coping and Occupational Performance." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3132.

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Occupational therapists theorize that behavioral responses to sensory stimuli are reflective of a child’s underlying ability to process sensory information in a manner that allows the child to engage in childhood occupations meaningfully. If a child’s ability to process sensory information is compromised, then occupational performance is compromised. Similarly if coping skills are less than adequate, successful engagement in occupations is limited. What is less clear is how sensory modulation and coping interact to influence occupational performance. This study examined the interplay between sensory modulation, coping, and occupational performance in a sample of children referred for sensory processing difficulties. Two hundred sixty children, ages 4 – 9 years of age, referred to Occupational Therapy Associates at The Koomar Center in Watertown, MA, for sensory processing concerns were examined for Sensory Modulation Disorder (SMD), coping abilities, and occupational performance. Results indicate that while sensory modulation is a strong predictor of occupational performance, it only accounts for approximately 20% of the variance in this model. As such, there are additional factors that contribute to occupational performance; these were not identified in the current study. Children with SMD appear to have mild coping deficits, and the interaction between the two, SMD and coping, remains unclear. Additional exploratory analyses revealed significant overlap between subtypes of SMD. Findings from this study laid the foundation for an emerging model reflecting the coping process of children with SMD. Testing the model in future studies will help elucidate these relationships.

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27

Toal-Sullivan, Darene. "A sociocultural perspective of professional transition in occupational therapy." Thesis, University of Ottawa (Canada), 2003. http://hdl.handle.net/10393/26404.

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This qualitative study explored the experience of professional transition from student to practitioner among six Canadian occupational therapists in the first year of their career, with a focus on how beginning practitioners learn about doing practice. A sociocultural theory of learning provided the framework to understand the role of context and activity in learning. Data collection consisted of two semi-structured interviews and a series of journal entries. An initial interview was conducted with each participant beginning in their third to fifth month of practice to discover their perception of transition, their learning needs, and the role of collaborative interactions in supporting their learning. Each participant then maintained a journal of their experience of transition and their learning experiences for one month A second interview was held with the participants in their eighth to tenth month of practice, which focussed on their change in knowledge and skills. The transitional experiences of the research participants revealed that the support of colleagues and peers was critical to their learning and eased their adjustment to practice. They preferred to learn from an experienced occupational therapist, and the availability of this support influenced the new practitioners' choice of their first job. In their initial months of practice they struggled with their lack of practical experience, responsibilities of client care, challenges to client-centred practice and competing work demands. Their relationship with clients was particularly valuable to the participants' learning and professional identity. Mentoring and implementing practical learning experiences in the university curriculum were suggested as strategies for easing the transition from student to therapist. The role of client interaction as a valuable source of learning was also recognized.

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Lysaght, Rosemary Margaret. "The impact of work environment on the competency maintenance activities of occupational therapists /." The Ohio State University, 1997. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487948440825169.

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Gallagher, Joanne M. "Compliance of Pressure Garments in Burn Rehabilitation." FIU Digital Commons, 1990. http://digitalcommons.fiu.edu/etd/3620.

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This study examined the pressure volumetric characteristics (compliance) of Jobst, Barton-Carey, and Tubigrip pressure garments for arms following repeated saturation with lubricating substances and repeated washing/drying cycles. The three treatment groups were each composed of one sleeve from each of the manufacturers. Each treatment group was subjected to 20 washing/drying cycles. In addition the sleeves in treatment groups 2 and 3 were saturated with cocoa butter and Lubiderm moisturizer respectively prior to each cycle. Circumferential measurements were taken on the proximal forearm of the sleeve at varying degrees of pressure (mmHg) using a Grafco Standard Sphygomanometer and a Gulick anthropometric tape measure. Measurements were taken initially and following every fifth washing/drying cycle. An analysis of variance (ANOVA) revealed significant results for the main effects and some interactions at the ,01 level. Results showed that the Jobst garments stretched with moisturisers but overall were smaller than the Barton-Carey garments which showed no change with moisturizers. The Tubigrip garments stretched more than the other garments with moisturizers but showed an overall inconsistent pattern,

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30

Hua, Ye 1967. "Occupational risk factors for renal cell carcinoma : a case-control study in Montréal." Thesis, McGill University, 1998. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=21571.

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Renal cell carcinoma, which accounts for 85% of all kidney cancers, is among the ten leading malignancies in industrialized countries. To identify occupational risk factors for cancer, a multi-site case-control study was conducted in Montreal; renal cell carcinoma was one of the sites. A total of 142 cases of renal cell cancer and 2,433 controls were interviewed in this study. Complete occupation histories were obtained, and a team of industrial hygienists and chemists estimated each subject's exposure to a list of industrial substances. Statistical analyses were carried out to estimate the association between renal cell cancer and each non-occupational and occupational variable. Among non-occupational variables collected and analysed, increased risks were observed for highest level of body mass index (BMI) and a previous history of hypertension. Negative associations were found for tea and coffee consumption. Increased risks were found in the following industries: printing related service, laundries, military, wholesale and retail trade industries. Increased risks were found in the following occupations: managers, plumbers, welders, printers, nursery workers, and aircraft mechanics. Exposure to the following substances significantly increased the risks for renal cell carcinoma: hair dust, felt dust, styrene-butadiene rubber, ozone, hydrogen sulphide, inorganic acid solution, nitric acid, phosphoric acid, jet fuel, aviation gasoline, jet fuel engine emissions, ink, chromium compounds, and ultraviolet radiation. The above findings were not adjusted for mutual confounding. After adjustment for known risk factors using multivariate logistic regression models, one non-occupational and several occupational risk factors were associated with renal cell carcinoma. These were: high BMI, asbestos, hair dust, felt dust, styrene-butadiene rubber, ozone, exposed to any of jet fuel, aviation gasoline, and jet fuel engine emission, nitric acid, phosphoric acid, and ultraviolet

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Brown, Stacy D. "A Case-Based Toxicology Module on Agricultural- and Mining-Related Occupational Exposures." Digital Commons @ East Tennessee State University, 2012. https://doi.org/10.5688/ajpe767136.

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Objective. To develop and assess a toxicology module to teach pharmacy students about farming- and mining-related occupational exposures in the context of an existing toxicology elective course. Design. A teaching unit that included lectures and case studies was developed to address the unique occupational exposures of patients working in agricultural and mining environments. Upon completion of this 4-hour (2 class periods) module, students were expected to recognize the clinical signs and symptoms associated with these occupational exposures and propose acceptable therapeutic plans. Assessment. After completing the module, students scored significantly higher on a patient case involving suicide resulting from pesticide consumption. Seventy-three percent of the students scored higher than 90% on a 33-item multiple-choice examination. Eighty-two percent of students were able to correctly read a product label to determine the type of pesticide involved in an occupational exposure. Conclusion. Pharmacy students who completed a module on occupation exposure demonstrated competence in distinguishing occupational exposures from each other and from exposure to prescription and nonprescription drugs. This module can be used to educate future pharmacists about occupational health issues, some of which may be more prevalent in a rural setting.

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McCarthy, Maureen A. "Occupational stressors, social support, empowerment and well being among case managers for the severely mentally ill /." Connect to resource, 1999. http://rave.ohiolink.edu/etdc/view.cgi?acc%5Fnum=osu1261065248.

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33

Emslie, Brenda. "Clinical occupational therapists' experience of their role as clinical educators during the fieldwork experience of occupational therapy students." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20180.

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Thesis (MPhil )-- Stellenbosch University, 2012.
ENGLISH ABSTRACT: Fieldwork is an essential part of the occupational therapy student’s education, and optimal learning is dependent on effective facilitation by a clinical Occupational Therapist. This study explored the lived experience of the clinical Occupational Therapists in their role as clinical educators by means of a phenomenological inquiry. Ten semi-structured interviews were conducted with clinical Occupational Therapists involved in clinical education. The data was analysed by using thematic content analysis, and was discussed according to the Lived Experience of a Clinical Educator Model. The results indicated that the clinical OTs’ sense of self, which revealed strong humanistic values, acted as the core element influencing the way in which they related to others and were able to juggle many roles in order to perform their role as clinical educator. It furthermore influenced the ways in which they managed balance and harmony in the workplace, as well as the process of growth and development. Incongruence during the performance of their roles as clinical educators was mainly caused by insufficient collaboration between the clinical educators and the university, the prescriptive nature of the fieldwork curriculum, workload pressures, the students’ attitudes and their lack of knowledge, as well as insufficient training of new clinical educators. The results may be helpful in fostering a collaborative relationship between the university and the clinical Occupational Therapists, as well as renewed attention to growth and development, all of which will benefit the students’ education.
AFRIKAANSE OPSOMMING: Kliniese werk vorm ‘n essensiële deel van die arbeidsterapie-student se opleiding en dit is noodsaaklik dat die leerproses effektief gefasiliteer word deur ‘n bekwame kliniese Arbeidsterapeut. Hierdie studie het die Arbeidsterapeute se belewing van hul rol as kliniese opvoeders nagevors deur middel van ‘n fenomenologiese ondersoek. Tien semigestruktureerde onderhoude is met kliniese Arbeidsterapeute, tans betrokke by kliniese opleiding, gevoer. Die data is verwerk deur middel van tematiese inhouds-analise en is bespreek aan die hand van die Lived Experience of a Clinical Educator Model. Die resultate het aangedui dat die kliniese terapeute se bewustheid van hulself (‘sense of self’) die kern element vorm wat hul verhoudings, sowel as die wyse waarop hulle al hul onderskeie rolle en take behartig, beïnvloed. Sterk humanistiese waardes kom voor in hierdie kern element. Dit is verder bepalend in die wyse waarop die Arbeidsterapeute balans en harmonie in hul werkplek verseker, sowel as hul professionele groei en ontwikkeling. Inkongruensie tydens die rolvervulling word veroorsaak deur onvoldoende samewerking tussen die universiteit en kliniese opvoeders, ‘n voorskriftelike kurrikulum, werksdruk, studente se negatiewe houding en gebrek aan kennis, sowel as onvoldoende opleiding van die terapeute wat nuut begin met kliniese opleiding. Die resultate mag in die toekoms behulpsaam wees in die totstandkoming van ‘n samewerkende verhouding tussen die universiteit en kliniese terapeute, met genoegsame aandag wat geskenk word aan professionele groei en onwikkeling. Dit kan tot voordeel van die studente se leerproses aangewend word.

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34

Tanner, Kelly Jane. "Selective Eating in Autism Spectrum Disorder: Child and Parent Factors." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1406120154.

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35

Yenugadhati, Nagarajkumar. "Occupational risk factors for lung cancer: A population-based case-control study in British Columbia." Thesis, University of Ottawa (Canada), 2007. http://hdl.handle.net/10393/27497.

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Occupational carcinogens have been linked to lung cancer: among 74 known occupational carcinogens and carcinogenic circumstances, 37 have been associated with lung cancer. We report on a large population-based case-control study in British Columbia (2998 lung cancer cases). In the absence of a non-cancer control group, patients with cancers other than lung cancer (11,737) served as controls. Logistic regression, adjusted for smoking history, was used to examine occupationally related lung cancer risk with histological subtypes. Elevated risk was found in several occupational circumstances: metal working, mining, deck crew of ship, bakers, workers in electric power systems, construction workers (all histological types), chefs and cooks (large cell carcinoma only), and medical workers (large cell carcinoma only). Odd ratios varied from 1.6 to 4.6, with most being around 2.0. Potential exposures found in these high risk occupational groups which warrant further evaluation include: formaldehyde, radiation, electromagnetic fields, wood dust, and cooking fumes.

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Kaplanis, Gina Ferra. "Harnessing Nature for Occupational Therapy: Interventions and Health Promotion." Diss., NSUWorks, 2019. https://nsuworks.nova.edu/hpd_ot_student_dissertations/66.

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Literature is beginning to emerge which states that participation in natural environments can be restorative, provide much needed physical activity and assist with health promotion and prevention of illness. Theories such as Attention Restoration Theory (Kaplan, 1995) and Biophilia Hypothesis (Wilson, 1993) support the benefits for participation in natural outdoor environments. Health benefits of participation in nature including accessing Vitamin D, improving balance, attention restoration, reduced myopia, stress reduction are widely present in literature. Despite the health benefits of participation in nature, occupational therapists rarely complete interventions in the natural environment. Principles of adult learning and occupational adaptation were used to create a 12-hour continuing education for occupational therapists to develop skills to use in natural outdoor practice. Data was collected from course previews, surveys about continuing education at sea and using principles of adult learning to create the course and utilize a new format ReLAP, in which continuing education focuses on reflection on current practice, learning new information relevant to intervention, applying and planning to use that information in practice.

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Lesniak, Ashley Y. "THE EFFECT OF PERSONAL PROTECTIVE EQUIPMENT ON FIREFIGHTER OCCUPATIONAL PERFORMANCE." UKnowledge, 2017. https://uknowledge.uky.edu/khp_etds/45.

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Firefighting is a strenuous occupation that requires high-intensity work, resulting in prolonged periods of stress and physical exertion. The physical demand of performing firefighting tasks is augmented by the weight of personal protective equipment (PPE) worn (i.e., load carriage: LC) and the use of a self-contained breathing apparatus (SCBA). These factors have been shown to increase metabolic demand at submaximal workloads and decrease maximal aerobic capacity in laboratory settings. However, there is limited research evaluating the effects of these factors on occupational performance. Therefore, the primary purpose of this study was to quantify the detrimental effect of LC only and LC+SCBA on firefighter occupational performance. In addition, it is important to identify fitness characteristics and physiological outcomes that are correlated to the decrement in performance produced by the PPE. This information will guide practitioners in selecting appropriate training strategies to effectively prepare firefighters to perform occupational tasks in gear. Thus, a secondary aim was to evaluate the relationships between fitness and pulmonary outcomes versus the decrement in occupational performance produced by the PPE. Twenty-one male firefighter recruits (Age: 28.6 ± 4.3 yr; Height: 178.6 ± 7.2 cm; Mass: 94.1 ± 15.4; Body Fat: 17.8 ± 8.4%) participated in this study. Occupational physical ability was assessed by time to complete a simulated fire ground test (SFGT). The SFGT was composed of the following tasks: stair climb, charged hose drag, equipment carry, ladder raise, forcible entry, search, and victim rescue. The recruits participated in six testing sessions. First, two SFGT familiarization trials were performed on separate days. During the next three testing sessions, the firefighter recruits performed the following SFGT conditions in a randomized order: control condition (PT clothes), LC only condition, and PPE+SCBA (SCBA) condition. Baseline and post-SFGT pulmonary and physiological data were collected. To describe within group differences between SFGT conditions, relative difference scores were calculated as follows: % difference = (([experimental trial outcome – PT trial outcome] / PT trial outcome) x 100). Statistical differences between the SFGT conditions were assessed with repeated measures ANOVA. To evaluate the relationship between fitness outcomes versus the decrement in SFGT performance, fitness testing data were obtained from the recruit academy and included: 1.5 mile run time, maximal push-ups, maximal sit-ups, maximal pull-ups, and prone plank time. In addition, the recruits completed a battery of fitness tests in their sixth testing session. The absolute difference in time to complete the SFGT between conditions was calculated as: experimental SFGT time - PT time. Bivariate correlations were used to assess the relationship between the absolute difference in SFGT time versus fitness outcomes. The LC+SCBA trial took 44.5 ± 15.5% longer (345.9 ± 43.7 s; p < .001) and the LC only trial took 38.3 ± 12.6% longer (331.2 ± 39.3 s; p < .001) to complete the SFGT than the PT trial (241.0 ± 33.3 s). The LC+SCBA trial took longer to complete the SFGT than the LC only trial (p = .046). Post-SFGT RPE was higher in the LC+SCBA trial (6.7 ± 1.7) and LC only trial (6.3 ± 1.5) compared to the PT trial (4.6 ± 1.8; p < .001). Absolute aerobic capacity, lower body power, anaerobic power and capacity, abdominal muscular endurance, and upper body strength were significantly correlated to the decrement in SFGT performance on some tasks caused by the PPE. In summary, PPE increases the intensity of performing fire ground tasks. To enhance occupational performance, it is imperative that firefighters optimize specific physical fitness attributes to reduce the relative stress produced by the PPE.

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38

Deanes, Lester A. "Implications of self-leadership on occupational success among adolescents." Scholarly Commons, 2003. https://scholarlycommons.pacific.edu/uop_etds/574.

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The study examines the implications of self-leadership on occupational success among adolescents. Self-leadership is the new leadership research paradigm · that simply states that leadership skills are social cognitive characteristics developed within individuals and shaped by environment. It is linked to an individual's self-esteem, self-concept and self-efficacy. The higher a person's self-leadership skill development, the more likely an individual will succeed in life. These simple skills can be communicated and instilled in adolescents more effectively than adults because their "self" is still being created and is easily influenced by external cognitive stimulation. Three focus groups were conducted on adolescents to determine how effective self-leadership skills would be in determining effective career decision-making ability. All of the focus group transcripts were systematically analyzed. Through data analysis, a model was created that describes a process by which self-leadership influences work performance. The process begins by training self-leadership enhancement strategies. As a result, the core self, which includes self-esteem, self-efficacy, and self-concept, is changed during this process. This will then allow an individual to better resist the negative influences that occur due to environmental factors. Finally, job satisfaction and work performance increase. What is most significant about this study is its potential to influence the way teachers and counselors encourage their students to be successful both in and outside the classroom. There are currently existing modules aimed at increasing education levels and motivation in students. However, what is missing is a module designed to teach youth how to find inspiration and motivation within themselves. Also, employers who employ youth will be able to enhance current training modules by adding a self-leadership training component.

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Davis, Ruby T. "Occupational Stress Among Nurse Administrators in General Hospitals in Tennessee." Digital Commons @ East Tennessee State University, 1992. https://dc.etsu.edu/etd/2903.

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The purpose of this study was to determine the level of occupational stress among nurse administrators and to identify the types of strategies used by nurse administrators to deal with or manage occupational stress. The study examined the relationship between selected demographic variables, occupational stress, and strategies. The research design included five research questions along with seven null hypotheses testing the relationship between occupational stress and demographic variables--age, gender, marital status, years of professional nursing experience, years as a nurse administrator, educational attainment, and hospital bed capacity. There were seven additional hypotheses testing the relationship between the same demographic variables and three categories of coping strategies. The instrument used included the researcher-designed Demographic Questionnaire, the Health Professions Stress Inventory (HPSI), and a listing of 17 coping strategies. Nurse administrator's HPSI overall mean stress score was lower than the HPSI mean stress level scores reported for nurses in previous studies. Five subscales of stressors (Stress Factors) were identified by analyzing the HPSI using Principal Components Factor Analysis. A statistical significant difference (p $<$.05) was revealed for nurse administrators for: (1) overall stress level when tested by three of the demographic variables, years as a nurse administrator, educational attainment, and hospital bed capacity; (2) subscale level of stress when testing the HPSI five stress factors by marital status, years as a nurse administrator, and educational attainment. A statistical significant difference (p $<$.05) for strategies used by nurse administrators was revealed with testing: (1) Avoidance strategy by demographic variables--age, number of years of professional experience, number of years as a nurse administrator, and hospital bed capacity and, (2) Active Cognitive strategy by demographic--gender. The Spearman Rho correlation coefficient procedures used to correlate the HPSI five Stress Factors with Active Cognitive, Active Behavioral, and Avoidance strategies revealed: (1) Stress Factor 1, Professional Conflicts was significantly related to Avoidance strategy (r$\sb{\rm s}$ =.24). (2) Stress Factor 2, Lack of Recognition as a Professional, was negatively significantly correlated with Active Cognitive Strategy (r$\sb{\rm s}$ = $-$.22). (3) Stress Factor 3, Work Overload, was significantly related to Active Cognitive strategy (r$\sb{\rm s}$ =.23). (4) Nurse administrators overall stress was significantly related to Avoidance Strategy (r$\sb{\rm s}$ =.28).

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Batista, Laura C. "The Relationship Between Occupational Stress and Instigator Workplace Incivility as Moderated by Personality: A Test of an Occupational Stress and Workplace Incivility Model." FIU Digital Commons, 2017. http://digitalcommons.fiu.edu/etd/3396.

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In the face of competition and competing demands on organizations, employees are taxed to exert more effort with fewer resources. The type of environment can create the recipe for increased levels of occupational stress and an environment of increased workplace incivility.Therefore, it is not surprising that research has begun to look at the interaction between occupational stress and workplace incivility. The current work environment requires employees to exert more effort or face negative consequences from supervisors and peers. All too often, the salary increases, bonus structure, career progression, job security and mobility that might be reasonably expected from producing such extra effort do not align with organizational reality. The vexing situation creates workplace settings in which employees would be more likely to release their frustrations generated by unmet expectations through engaging in uncivil behaviors. Andersson and Pearson (1999) define workplace incivility as a “low-intensity deviant behavior with ambiguous intent to harm the target, in violation of workplace norms for mutual respect” (p. 457). The purpose of this quantitative study was to explore the relationship between occupational stress and instigator workplace incivility, as moderated by personality, to select organizational outcomes (i.e., perceived physical health and intent to turnover). Data were collected from 206 fulltime working adults in the healthcare industry utilizing Amazon MTurk. Moderated hierarchical regressions were conducted to test the possible moderating role of personality on the stress-incivility relationship; the results demonstrated partial support for H1-H4. Hierarchical regression analyses were conducted also to explore the degree stress and incivility predicted the outcome variables of perceived physical health and intentions to turnover; the data indicated support for the notion that greater stress and incivility positively predicted turnover intent. The findings suggest that personality did play a role in the stress-incivility relationship. Conscientiousness and agreeableness dampened the relationship, while neuroticism and extraversion strengthened the relationship. Further, this study found that intent to turnover increased as workplace incivility also increased, even after controlling for stress. Future research was proposed to test the models examined in this study in different settings, with additional moderators, and longitudinally. The practical findings suggest the possible utility of stress reduction training to reduce the likelihood of uncivil behavior.

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41

Fu, Xi. "Self-rated health and respiratory symptoms among civil aviation pilots : Occupational and non-occupational risk factors." Doctoral thesis, Uppsala universitet, Arbets- och miljömedicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-318806.

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There is concern about the indoor environment in aircraft but few stud-ies exist on self-rated health (SRH) and respiratory symptoms among pilots. Occupational and non-occupational risk factors for SRH, respira-tory symptoms and other symptoms among commercial pilots were investigated in this thesis. One cohort study and one prevalence study were performed among pilots in one Scandinavian airline company. Fungal DNA, furry pet allergens and volatile organic compounds of microbial origin (MVOC) were measured on board. Cat (fel d1), dog (Can f1) and horse (Ecu cx) allergens were found in all dust samples and allergen levels were 27-75 times higher in aircraft with textile seats as compared to leather surfaces. The sum of MVOCs in the cabin air was 3.7 times higher than in homes in Uppsala and 2-methyl-1-butanol and 3-methyl-1-butanol concentrations were 15-17 times higher. Asper-gillus/Penicillium DNA and Aspergillus versicolor DNA were more common in aircraft with textile seats. One fifth reported SRH as poor or fair, 62% had fatigue, 46% overweight/obesity and 71% insomnia. Poor or fair SRH was associated with overweight/obesity, lack of exercise, insomnia, low sense of coherence (SOC) and high work demand. Re-covery from work was worse among those with insomnia and low social support at work. Fatigue was more common among young or female pilots and related to insomnia and high work demand. Pilots flying MD80 or Saab 2000 aircraft had less fatigue. Pilots exposed to environmental tobacco (ETS) on board had more eye symptoms and fatigue which were reduced after the ban of smoking (in 1997). Pilots with increased work demand developed more rhinitis, dermal symptoms and fartigue and those with decreased work control developed more eye symptoms. The incidence of doctors’ diagnosed asthma and atopy were 2.4 and 16.6 per 1000 person years, respectively. Pilots changing type of flight got more airway infections. Those reporting decreased work control had a higher incidence of atopy. Risk factors in the home environment included ETS, dampness or mould, window pane condensation in winter and living in houses built after 1975. In conclusion, SRH and respiratory health among pilots are associated with specific occupational and non-occupational risk factors.

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42

Davidson, Ransford George. "Leadership Strategies to Reduce Employees' Occupational Stress." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5849.

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Job-related aspects of the work environment, such as work pressure, workload, leadership, and management support cause occupational stress and increase costs to organizations. Grounded in the job demands-resources model theory, the purpose of this single case study was to explore strategies some bank managers use to reduce employees' occupational stress. The interview process included 5 managers employed at a bank in the Caribbean who successfully implemented strategies that reduced employees' occupational stress. The data collection and analysis process involved face-to-face, semistructured interviews and analysis of organizational documentation. Using the exploratory approach in data analysis, data were systematically integrated, evaluated, and summarized through a process of coding and generating themes and patterns. During the coding process, 4 major themes emerged: organizational protection and leadership, supportive organization, occupational health and well-being, and prevention. Business managers who develop and execute strategies centered on these themes might reduce job-related stress factors and the negative consequences of occupational stress. The study results might prompt business leaders to develop prevention strategies to address the causes of potential stressors linked to work conditions. The implications for positive social change include the potential for improving employee health and reducing health costs to employees, their families, and communities.

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43

Momoli, Franco G. "An application of semi-bayes modeling to a study of the occupational etiology of lung cancer /." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=100660.

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The occupational environment has been a fruitful source of research on causes of cancer. Analyses in studies of occupational risk factors for cancer can experience problems if an attempt is made to model large numbers of exposures, some of which may be highly correlated. Typical analyses of such studies focus on one chemical at a time, but this may not adequately deal with mutual confounding. Based on a large study in Montreal, the objective of this thesis was twofold: to assess several occupational chemicals for their etiologic role in lung cancer, and to explore the use of semi-Bayes modeling to simultaneously estimate the effects of many chemicals at a time. Methods. Data came from a multiple-cancer case-control study of exposures in the work place. The study was comprised of 857 cases of lung cancer and 2172 controls consisting of patients with other types of cancer diagnosed from 1979 to 1985. Detailed occupational histories were collected and occupational hygienists translated these into exposure histories for 231 chemicals. All chemicals were analysed with conventional modeling strategies of both single and multiple parameter models. Of the 231 chemicals, 184 were singled out for analysis in a single large semi-Bayes model, which is a variant of classical empirical Bayes. This analysis is a fairly novel method suited to estimating large numbers of parameters in the face of sparse data. For the Bayesian portion of this model, chemicals were grouped by shared chemical and physical properties, based on the belief that these shared properties would imply similar effects on the risk of lung cancer. Results. Estimates for all 231 chemicals were derived under the various modeling strategies. For most chemicals, estimates changed little across these analytic approaches, though some differences were apparent. Of the 231 chemicals assessed, 53 were earmarked as requiring further evaluation and underwent additional analyses. Discussion. While semi-Bayes models have been shown previously to offer improved estimation over conventional analyses, the gains in using semi-Bayes models in the present study were less clear. Effort put into some portions of the Bayesian modeling did not materially influence the results. A number of chemicals were earmarked as potential lung carcinogens.

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44

Day, Kristin. "The Effects of Occupational Title and Language Choice on Consumer’s Acceptance of Behavior Analysis." Honors in the Major Thesis, University of Central Florida, 2004. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/702.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf
Bachelors
Arts and Sciences

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45

Daremo, Åsa. "Participation in occupational therapy in psychiatric care." Licentiate thesis, Linköping University, Linköping University, Department of Social and Welfare Studies, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-53776.

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Анотація:

One of the most important challenges of health and medical care is to strength the role of the patient in the treatment. In psychiatric care the patient must be seen as a resource and should be given the opportunity to participate in his treatment. The overall aim of the thesis was to investigate and describe how patients in psychiatric care perceive participation, and how existing assessments support participation.

Study I describes how patients in psychiatric institutional care perceived their opportunities to be active and to participate in their own treatment. The ICF (International Classification of Functioning Disability and Health) inspired the study. By means of a questionnaire, 61 patients reported their opinions of the value of received care, highlighting concepts such as activity and participation. Ten of those patients were then selected for a semi-structured interview. The study showed that patients who were treated according to compulsory care (LPT) were generally more dissatisfied with their opportunities to be active and participate in their own care than patients treated according to the law of health and medical care (HSL). Younger patients in particular were more dissatisfied. Some important factors in the environment were continuity and reception from the staff. Facilitating factors for activity and participation were agreement between patient and staff about the treatment plan, discussions about expectations, and creating conditions for engagement in activities and or responsibility.

Study II investigates if there is harmony between the CPRS-S-A (Comprehensive Psychopathological Rating Scale-Self-Assessment), the OCAIRS–S (Occupational Circumstances Interview and Rating Scale) and the OSA (Occupational Self Assessment), and if they can replace each other when the occupational therapist collects information about the patient. Another aim was to investigate how occupational therapist uses the collected information in the treatment plan process. Fourteen patients with depression disorders took part in the study. The study showed that even if the symptoms of the disease were improved at the end of the treatment period the patients still had problems with occupational performance, reduced self-confidence and the structure of their day. Consequently the assessments cannot replace each other. The study emphasized the importance of using both interview and self-assessments when collecting information about the patient, since these methods complement each other in identifying the needs and goals of the treatment. Many problems were related to the patient’s social environment but this was not reflected in the treatment plan; few goals were identified in this area.

In conclusion, occupational therapists should use self-assessments and interviews in order to support the patient’s participation in psychiatric care. Furthermore, it is important to use assessments for both occupational performance and medical symptoms when identifying the patient’s needs and goals of treatment since there is a discrepancy between the two areas; symptoms are reduced earlier than perceived problems in occupational performance. Regardless of what kind of law the patient is treated under, all patients have the right to participate in their own treatment. This thesis also shows that the social environment is important in enabling the participation of patients in their psychiatric care.

En av de viktigaste utmaningarna inom hälso- och sjukvården är att stärka patientens ställning i behandlingen. Inom psykiatrisk vård så måste patienten ses som en resurs och ges möjlighet att vara delaktig i sin behandling. Det övergripande syftet med denna avhandling var att undersöka och beskriva hur patienter inom psykiatrisk vård uppfattar delaktighet och hur existerande instrument stödjer delaktighet.

Studie I beskriver hur patienter inom psykiatrisk slutenvård uppfattar sina möjligheter till aktivitet och delaktighet under vårdtiden. ICF (Klassifikation av funktionstillstånd, funktionshinder och hälsa ) inspirerade studien. Genom en enkät svarade 61 patienter på värdet av den vård som de erhöll, där begrepp som aktivitet och delaktighet belystes. Tio patienter valdes sedan ut för en semistrukturerad intervju. Studien visar på att patienter som vårdats utifrån Lagen om Psykiatrisk Tvångsvård (LPT) var generellt mer missnöjda än de patienter som vårdats utifrån Hälso- och Sjukvårdslagen (HSL). Även yngre patienter var mer missnöjda. Några viktiga faktorer i miljön som påverkar möjlighet till delaktighet var kontinuitet och bemötande från personalen. Underlättande faktorer för aktivitet och delaktighet var att det fanns en samstämmighet mellan patient och personal i vårdplaneringen, att förväntningar diskuterades, att förutsättningar till engagemang i aktiviteter gavs och att patienten fick möjlighet att ta eget ansvar.

Studie II undersöker om det finns harmoni mellan CPRS-S-A (Comprehensive Psychopathological Rating Scale-Self-Asessment), OCAIRS-S (Occupational Circumstances Interview and Rating Scale) och OSA (Occupational Self Assessment) och om de kan ersätta varandra när arbetsterapeuten samlar information kring patienten. Ett annat syfte var att undersöka hur arbetsterapeuten använder den insamlade informationen i behandlingsplanen. Fjorton patienter med depressionssjukdom deltog i studien. Studien visar att även om de medicinska symptomen förbättras i slutet av behandlingen så har patienten fortfarande problem i aktivitetsutförande, nedsatt självkänsla och struktur på dagarna. Bedömningsinstrumenten kan inte ersätta varandra. Studien betonar vikten av att använda både intervju och självskattning vid datainsamling kring patienten, då de kompletterar varandra vid identifiering av behov och mål i behandlingen. Många problem var relaterade till patientens sociala miljö, dock saknades detta i behandlingsplanerna; få mål och åtgärder identifierades inom detta område.

Sammanfattningsvis, arbetsterapeuten bör använda självskattningar och intervjuer i syfte att stödja delaktighet inom psykiatrisk vård. Dessutom är det betydelsefullt att använda bedömningsinstrument både för aktivitetsutförande och medicinska symptom för att identifiera patientens behov och mål i behandlingen då det är en diskrepans mellan dessa två områden; medicinska symptomen reduceras tidigare än upplevda problem i aktivitetsutförandet. Oavsett vilken lag som styr vårdformen så har alla patienter rätt till delaktighet i sin egen behandling. Denna avhandling visar också på att den sociala miljön är viktigt för delaktighet för patienter inom psykiatrisk vård.

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46

Suder, Ryan Christopher. "Lived Experience of Adolescents with Chronic Pain: A Phenomenological Study." Diss., NSUWorks, 2016. https://nsuworks.nova.edu/hpd_ot_student_dissertations/53.

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Анотація:

The purpose of this phenomenological study was to understand the lived experience of adolescents who live with chronic pain. All 10 participants were between the ages of 13 and 17 and have lived with chronic pain for at least 6 months. Data sources for the study were two interviews for each participant, participant drawn depictions of their chronic pain, and researcher journaling. The person-environment-occupation model was used to frame the research design. The study found four main themes among the data: pain identity, invisible disease, occupational loss, and uphill climb to regain life. Each theme described the essence of the common experience of adolescents living with chronic pain. Occupational therapists can benefit from incorporating this knowledge base into their practice when providing intervention for individuals living with chronic pain to improve their overall quality of life and occupational performance.

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47

Bessudnov, Alexey. "Essays in occupational social class and status in post-Soviet Russia." Thesis, University of Oxford, 2011. http://ora.ox.ac.uk/objects/uuid:f325c98a-d765-468e-8e5b-74573315d4fe.

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Анотація:

The aim of this thesis is to explore several aspects of occupation-based inequality in post-Soviet Russia that have previously been given little attention in the literature. The data sources for statistical analysis are the Russian Longitudinal Monitoring Survey (RLMS) and the International Social Survey Programme (ISSP). Various statistical techniques have been used, such as regression models with random and fixed effects, nonparametric and semiparametric regression models, survival models and log-multiplicative models for contingency tables. First, the thesis looks at the validity of the application of the European Socio-Economic Classiffcation (ESeC) in Russia. The results show that ESeC classes in Russia are different in respect to several aspects of their employment contract, such as the probability of informal employment, the index of fringe benefits and unemployment risks. This confirms the validity of the ESeC for Russia. Second, the association between earnings and age is analyzed. The shape of cross-sectional age-earnings profiles in Russia is different from the shape in Western countries, especially for men. There is little variation in earnings across age groups, and younger men have higher average earnings than older men. The thesis suggests and discusses several explanations for this, such as age segregation in the labour market and the effect of class structure. Third, the thesis explores the class gap in mortality. Non-manual classes have lower mortality risks than manual classes, both for men and women. The size of the class gap in mortality in Russia is larger than in Western European countries. Fourth, the thesis constructs an occupational status scale and analyzes its properties. The scale is based on the information about intermarriages between occupational groups. The Russian scale is similar to the scales previously constructed for European countries and the USA. Overall, the thesis demonstrates similarity in the patterns of occupation-based inequality in Russia and in Western industrial countries. It also discusses some technical aspects of class analysis and suggests a more clear separation between the descriptive and causal logic within it.

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48

Weaver, Lindy L. "Yoga for Anxiety Reduction in Children and Adolescents: A Mixed Methods Effectiveness Study." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1437737562.

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49

Maloney, Susan Margret. "Occupational performance of collegiate high-risk drinking as a serious leisure hobby." Thesis, NSUWorks, 2008. https://nsuworks.nova.edu/hpd_ot_student_dissertations/3.

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Анотація:

The purpose of this grounded theory qualitative study was to examine the experiences of college students who defined themselves as high-risk drinkers in order to understand the meaning and purpose that engagement in such a leisure occupation held for them. By examining the world of high-risk drinking, the study also sought to develop an understanding of the impact that high-risk drinking had upon psychosocial development during the college years. Individual open-ended interviews were conducted with four male and four female participants (aged 21 to 27). The data were analyzed by three analysts utilizing constant comparative procedures. The findings revealed an emergent grounded theory indicating high-risk drinking adhere to the serious leisure hobby framework developed by Stebbins (2007). As such, the participants had a long-term time investment with drinking, developed special skills through sustained effort, solidified a unique identity as a hobbyist, found deep meaning and purpose through the hobby, and performed the hobby within a unique and special world in concert with other hobbyists. Their high-risk drinking provided structure and a sense of belongingness within the larger university context. Further, the findings indicate that across time, facilitating factors catalyzed their engagement in the hobby, while the moderating factors became less influential. The participants also believed that their highrisk drinking will easily diminish post-graduation merely by changing their life role and context. iv Envisioning high-risk drinking as a serious leisure hobby, rather than a psychiatric or medical disorder, provides an alternative framework upon which prevention and intervention programming may be focused. Occupational therapist could provide an important health care role on campuses by assisting students to (a) understand the factors underlying the appeal of high-risk drinking, (b) understand the implications that a restricted range of leisure occupations may have upon their health, psychosocial development, and occupational identity, and (c) explore alternative health-producing leisure occupations.

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50

Dunn, Leonard K. "Hiring manager's consideration process for ex-offender job applicants| A grounded theory study." Thesis, Capella University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10258419.

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Анотація:

This dissertation explores a gap in understanding about how hiring managers determine whether an ex-offender job applicant passes or fails a selection and hiring process based on their subjective evaluations of the applicant. The research question posed was how do hiring managers describe the process of considering ex-offender job applicants? A grounded theory design was selected to answer the research question so that a concept, model, and/or theory could be developed. The larger population for this dissertation research included hiring managers within organizations residing in the state of Oregon. The sample was recruited from publicly available Chamber of Commerce directories, and consisted of eight voluntary participants from five small businesses who had varied experiences with considering ex-offender applicants for employment. These experiences were analyzed using systematic grounded theory data analysis techniques to develop a theory. The proposed theory explains the concepts and processes that participants used when evaluating an ex-offender applicant for employment and includes 32 detailed concepts and considerations for hiring decisions model. The model explains how participants weighed applicant offense history, severity of crime, and job position requirements when evaluating an applicant. The proposed theory contains three phases, which include a hiring manager’s worldview concerning ex-offenders, such as a belief that employing ex-offenders is a service to the community that reduces crime; a hiring manager’s cognitive and psychological processes related to recruitment, selection, and integration of ex-offenders into his or her organization; and the primary phase where the decision undergoes additional scrutiny when the applicant is an ex-offender. Movement through these phases appeared to assist participants in arriving at a decision to hire or not hire an ex-offender applicant. Further research is suggested to test and refine the proposed theory and its components.

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