Long-term antidepressant use: patient perspectives of benefits and adverse effects

Long-term antidepressant treatment has increased and there is evidence of adverse effects; however, little is known about patients’ experiences and views of this form of treatment.This study used mixed methods to examine patients’ views and experiences of long-term antidepressant treatment, including benefits and concerns. Data from 180 patients, who were long-term users of antidepressants (3–15 years), were extracted from an anonymous online survey of patients’ experiences of antidepressants in New Zealand. Participants had completed rating scales about the effectiveness of antidepressants, levels of depression before and during antidepressant use, quality of life, and perceived adverse effects. Two open-ended questions allowed participants to comment on personal experiences. The majority (89.4%) reported that antidepressants had improved their depression although 30% reported moderate-to-severe depression on antidepressants. Common adverse effects included withdrawal effects (73.5%), sexual problems (71.8%), and weight gain (65.3%). Adverse emotional effects, such as feeling emotionally numb (64.5%) and addicted (43%), were also common. While the majority of patients were pleased with the benefits of antidepressant treatment, many were concerned about these adverse effects. Some expressed a need for more information about long-term risks and increased information and support to discontinue.

Credible or not : A study on the factors influencing consumers' credibility assessment of product placements on Instagram

Background: To align with the new trend of using social media in the marketing mix, product placement has been adapted to social media platforms as one strategy to create attention. Especially on Instagram, product placements have gained popularity among companies. While scholars have focused on measuring the effectiveness of the strategy, suggesting that credibility is one component necessary for success, a gap in the research is illuminated when focusing on what makes a product placement on Instagram credible. Previous studies regarding credibility and its relation to traditional media have concluded that there are some factors essential in consumers’ credibility evaluation process. Since social media differs from traditional media, there was a need to investigate the applicability of credibility to the social media platform Instagram. Purpose: The purpose of this thesis was to examine key factors of product placement on Instagram that influence credibility. Method: To meet the purpose of this thesis a study with a mixed method research design was conducted. The qualitative data was collected through semi-structured interviews with the intention to discover how consumers evaluate credibility. The scales and items developed from the findings of the qualitative study were tested using a questionnaire to identify which factors that have the most influence on consumers’ credibility assessment. Conclusions: The overall findings indicate that consumers evaluate credibility based upon source, message and receiver characteristics. The empirical evidence suggests that the Expertise of influencer, Professionalism of picture, Trustworthiness of influencer, Connection to influencer and Causes of irritation are the factors that have the most influence on consumers’ credibility assessment of product placement on Instagram. The findings further implies that it is not only the factor itself that influence, credibility can additionally be transferred from one factor to another.

Wildlife as a Priority in Park Development: A Study of Illinois Park Professionals

The purpose of this thesis is to consider the factors that impact decision making in city park settings, with specific emphasis given to wildlife. Additionally, professional bias was considered as a possible response determinant. Studies connecting perceptions of wildlife and Illinois park managers have been rare or nonexistent, but offer the potential for the improvement of management strategies and recreational opportunities. Data was collected using mixed methods. City recreation practitioners statewide were invited to complete a self-administered questionnaire considering wildlife as a decision-making factor in land acquisition or restoration decisions. A small follow-up sample of park managers was interviewed via telephone for further explanation of their response. Analysis of responses from questionnaires and interviews suggested that wildlife habitat is a factor in land use decision making, but is not considered one of the highest importance. Respondents identified that nuisance wildlife, access to wildlife, and public value of wildlife were also factors in decision making. Factors associated with a high-ranking of the importance of wildlife were agencies with a high number of natural area acres, a high number of overall park acreage, personnel devoted to natural area management, the presence of hiking trails, and cities with a large population. Professional bias of recreation managers was suggested via anecdotal interview data, but could not be empirically connected with wildlife-related decision-making processes, as no managers identified themselves as having completed formal wildlife-related training. As a result, management implications include separate training for both practitioners and public. This study broadens the understanding of wildlife management in city park settings, and reaffirms that further understanding of public and pracitioner values of wildlife will lead to improved land use decisions and recreationally valuable experiences.

Curriculum R & D: Incubating change in higher education

This mixed methods study examined incubation as a strategy for curricular change. The purpose was to examine the characteristics and effectiveness of curriculum incubation from a faculty perspective. The conceptual frame for this study proposed combining a grounded theory of incubation with concepts from organizational creativity to explain incubator processes. Findings concluded that while the incubator did engage is typical practices of nurturing, testing, and refining ideas, the salient characteristics of the incubator were most closely related to concepts of organizational creativity. The incubator examined in this study was in formative stages of development and data offered a thin slice of evidence supporting incubation as a mechanism of curricular change. Further study is warranted

La percepción de beneficios y de mejora del equilibrio motriz en programas de actividad física en la tercera edad

Nuestro objetivo es estudiar la percepción de los beneficios y de la mejora del equilibrio motriz que tienen los participantes de la tercera edad en un programa de actividad física. Realizamos un enfoque mixed methods de tipo embedded design de los datos obtenidos de la observación sistematizada de los patrones motrices que generan programas dirigidos a este colectivo; la administración de un test estandarizado de equilibrio en geriatría y un cuestionario validado. Se analizaron 19 sesiones de actividad física para obtener los patrones motrices que se desarrollan en dichos programas. Aplicamos el sistema de observación OSMOS_in context, codificado mediante LINCE v.1 y la subsiguiente detección de T-Patterns mediante THEME v.6, La puntuación del equilibrio motriz, administrando la escala de Tinetti, se obtuvo de los 90 participantes de los programas. Los datos de la percepción de beneficios se han obtenido a partir del cuestionario realizando un análisis de contenido, mediante el software Atlas-ti v. 6.2. Los T-patterns que hemos obtenido muestran el trabajo específico de estabilidad motriz de manera conjunta a otras capacidades y habilidades motrices específicas, aspectos que se corroboran en la puntuación de la escala de Tinetti y que los participantes corroboran y relacionan con una mejoría en la percepción de beneficios tanto físicos como sociales.

Influencia del pick and roll en el juego de ataque en baloncesto de alto nivel

El objetivo de este estudio fue caracterizar las acciones del pick and roll y su influencia en el juego en baloncesto de alto nivel. Se analizó la eficacia táctica y de marcador en función de distintos factores que inciden en las situaciones de juego mediante un diseño observacional nomotético, puntual y multidimensional en 18 equipos de la liga ACB de baloncesto. Un instrumento observacional ad hoc (VTP & R) fue validado por un panel de 20 expertos de alto nivel y se comprobó la fiabilidad en la observación por parte de los investigadores. El análisis de datos se realizó mediante el análisis secuencial de retardos, el análisis de coordenadas polares y los estadísticos descriptivos cuantitativos. Del total de acciones analizadas (n=3895), el 25,3% se corresponden a pick and roll (n=984). Solo el 36,3% de las acciones de pick and roll se han mostrado eficaces en el marcador, mientras que el 85,7% lo son tácticamente. La interpretación de los resultados muestra el interés en complementar el análisis del juego en baloncesto a través de los mixed methods. La posibilidad de determinar qué acciones se realizan en cada momento del partido y de qué manera se ejecutan, así como establecer patrones de respuesta táctica en función de los distintos factores que intervienen en el juego, justifica la utilidad de los resultados aquí obtenidos y se concluye el interés en incorporar las distintas técnicas analíticas de la metodología observacional a los procesos de análisis del baloncesto.

Modelo tridimensional de la calidad en organizaciones deportivas: calidad emocional en usuarios/as infantiles

En el presente estudio el objetivo principal es evaluar la calidad en las organizaciones deportivas, centrado en el análisis de la calidad emocional de los servicios deportivos infantiles. Para ello, es necesario analizar los criterios relevantes para los/as usuarios/as más pequeños/as y contrastarla con la de sus padres/madres, empleados/as y responsables de las instalaciones deportivas y así poder contribuir a una mejora en la gestión de la calidad total de los servicios deportivos municipales. Se trabaja con 74 participantes obtenidos mediante un muestro intencional, de los cuales 47 participaron en las entrevistas individuales y 27 en los grupos focales. Se emplea una metodología mixta (mixed methods) con un diseño incrustado, realizando entrevistas individuales y grupos focales, desde la vertiente cualitativa, y hallando la comparación de proporciones entre las frecuencias de determinadas categorías desde la vertiente cuantitativa. El análisis de contenido se realizó con el programa Atlas ti v.7.1.8., y la comparación de proporciones con la prueba binomial y el programa Statgraphics. Los resultados obtenidos indican que las facetas referentes a la dimensión de calidad emocional o relacional, como la comprensión auténtica, iniciativa y empatía son determinantes para tener una calidad positiva del servicio, junto a los aspectos tangibles. Existen diferencias entre los aspectos óptimos y no óptimos. Se concluye, que una buena interacción entre los/as empleados/as y usuarios/as es determinante para la calidad de servicios deportivos, así como el buen estado, conservación, imagen y limpieza de los elementos tangibles, junto a una buena higiene y vestimenta adecuada por parte de los/as empleados/as.

Generalizabilidad y Gestión Deportiva

La gestión de la calidad es un proceso imprescindible en cualquier empresa, especialmente en servicios. Este proceso lleva aparejado el consumo de recursos, y gestionarlos de forma óptima implica tomar decisiones sobre el muestreo de la opinión de usuarios y clientes. En este artículo se presenta el análisis de Generalizabilidad como una de las técnicas que pueden ayudar en la toma de decisiones sobre el muestreo en la opinión de usuarios y clientes. Se presentan dos estudios, uno de carácter cuantitativo y otro perteneciente a los diseños mixed methods. En el primer estudio participaron un total de 738 participantes, se utilizó la adaptación del Cuestionario de Evaluación de la Calidad Percibida en Servicios Deportivos (CECASDEP MEX v.1). En la primera muestra participaron 381 participantes de ambos géneros, 189 hombres (49.6%) y 182 mujeres (47.8%), valores perdidos 10 (2.6%). El rango de edad está entre 14 y 69 años (M= 28.26), y todos son usuarios activos de las entidades deportivas universitarias. En la segunda muestra utilizada participaron 357 participantes de ambos géneros, (156 hombres (43.7%) y 195 mujeres (54.6%), valores perdidos 6 (1.7%)). El rango de edad está entre 14 y 61 años (M= 24.76), y todos son usuarios activos de las entidades deportivas universitarias. En el segundo estudio se integraron de forma complementaria datos cualitativos y cuantitativos, siguiendo los planteamientos de los mixed methods. La recogida de los datos cualitativos se ha realizado mediante entrevistas individuales y los cuantitativos a través del análisis de reconocimiento facial de emociones. La muestra la formaron 29 participantes (n=29), niños/as con edades comprendidas entre los 5 a 12 años. El muestreo fue de carácter aleatorio y estratificado con asignación proporcional. En ambos estudios se realizó una optimización de los diseños de medida a través de un análisis de generalizabilidad utilizando el programa SAGT.

Conceção e desenvolvimento de um guia de recomendações interculturais UAb

O trabalho que se apresenta, em Mestrado de Pedagogia do eLearning, recai sob a temática da(s) Interculturalidade(s), tem como eixo principal a Comunicação Intercultural e adota uma perspetiva essencialmente interdisciplinar (no cenário das ciências sociais e humanas) no seu desenvolvimento. Visa, num primeiro momento, responder a uma necessidade, sobressaída através de observações participantes, de compreensão aprofundada dos relacionamentos interculturais entre professores/técnicos e estudantes da UAb - em particular, com alunos originários de Países Africanos de Língua Oficial Portuguesa e do Brasil -, e de investigação sobre as diferenças culturais, estereótipos e preconceitos, que se configuram obstáculos no diálogo intercultural entre diversos interlocutores. Como resultado da análise dos dados recolhidos -de natureza qualitativa e quantitativa- o projeto pretende culminar na apresentação e partilha de uma proposta de intervenção-sensibilização intercultural, sob a forma de guia de recomendações dirigido a docentes e todos os profissionais envolvidos no ensino da Universidade Aberta, ao qual se atribui o título de “Guia de Recomendações Intercultur@is - UAb”. Com a sua concretização, espera-se que este trabalho possa vir a constituir-se como instrumento, numa perspetiva construtivista, aberto e flexível, de moderação ou facilitador das diversidades culturais e no quadro da comunicação e interações em situação de elearning e ambientes multiculturais na UAb, encontrando na valorização da compreensão, consciência e sensibilidade intercultural nos processos educativos e pedagógicos o seu mote ideal.

Investigating problem-based learning in Saudi Arabian mathematics education: a TIMSS-related study

The aim of this study is to investigate the effectiveness of problem-based learning (PBL) on students’ mathematical performance. This includes mathematics achievement and students’ attitudes towards mathematics for third and eighth grade students in Saudi Arabia. Mathematics achievement includes, knowing, applying, and reasoning domains, while students’ attitudes towards mathematics covers, ‘Like learning mathematics’, ‘value mathematics’, and ‘a confidence to learn mathematics’. This study goes deeper to examine the interaction of a PBL teaching strategy, with trained face-to-face and self-directed learning teachers, on students’ performance (mathematics achievement and attitudes towards mathematics). It also examines the interaction between different ability levels of students (high and low levels) with a PBL teaching strategy (with trained face-to-face or self-directed learning teachers) on students’ performance. It draws upon findings and techniques of the TIMSS international benchmarking studies. Mixed methods are used to analyse the quasi-experimental study data. One -way ANOVA, Mixed ANOVA, and paired t-tests models are used to analyse quantitative data, while a semi-structured interview with teachers, and author’s observations are used to enrich understanding of PBL and mathematical performance. The findings show that the PBL teaching strategy significantly improves students’ knowledge application, and is better than the traditional teaching methods among third grade students. This improvement, however, occurred only with the trained face-to-face teacher’s group. Furthermore, there is robust evidence that using a PBL teaching strategy could raise significantly students’ liking of learning mathematics, and confidence to learn mathematics, more than traditional teaching methods among third grade students. Howe ver, there was no evidence that PBL could improve students’ performance (mathematics achievement and attitudes towards mathematics), more than traditional teaching methods, among eighth grade students. In 8th grade, the findings for low achieving students show significant improvement compared to high achieving students, whether PBL is applied or not. However, for 3th grade students, no significant difference in mathematical achievement between high and low achieving students was found. The results were not expected for high achieving students and this is also discussed. The implications of these findings for mathematics education in Saudi Arabia are considered.

Endoscopic capacity in West Africa.

Background: Levels of endoscopic demand and capacity in West Africa are unclear. Objectives: This paper aims to: 1. describe the current labor and endoscopic capacity, 2. quantify the impact of a mixed-methods endoscopy course on healthcare professionals in West Africa, and 3. quantify the types of diagnoses encountered. Methods: In a three-day course, healthcare professionals were surveyed on endoscopic resources and capacity and were taught through active observation of live cases, case discussion, simulator experience and didactics. Before and after didactics, multiplechoice exams as well as questionnaires were administered to assess for course efficacy. Also, a case series of 23 patients needing upper GI endoscopy was done. Results: In surveying physicians, less than half had resources to perform an EGD and none could perform an ERCP, while waiting time for emergency endoscopy in urban populations was at least one day. In assessing improvement in medical knowledge among participants after didactics, objective data paired with subjective responses was more useful than either alone. Of 23 patients who received endoscopy, 7 required endoscopic intervention with 6 having gastric or esophageal varices. Currently the endoscopic capacity in West Africa is not sufficient. A formal GI course with simulation and didactics improves gastrointestinal knowledge amongst participants.

Contributos para a análise do ensino médio brasileiro: finalidades curriculares e rendimento escolar - o caso de uma escola pública de Fortaleza

Este estudo, configurou uma investigação de perfil misto, procurando congregar contributos qualitativos e quantitativos, tem como principal objetivo à análise do Ensino Médio brasileiro tentando verificar se as metas que este nível de ensino preconiza estão atendendo às expectativas educacionais de um público diversificado de alunos numa escola pública de Fortaleza. Para tal, realizamos a análise de entrevistas semiestruturadas a doze professores, e aplicamos questionários a 60 professores. Procedemos, também, à análise documental do Projeto Político Pedagógico da escola, das Diretrizes Curriculares e Orientações Curriculares Nacionais para o Ensino Médio, do Mapa Curricular da escola, bem como, o Relatório de notas dos alunos e a classificação dos mesmos no Exame Nacional do Ensino Médio (ENEM) referentes ao ano de 2012. O estudo evidencia a importância das estratégias de ensino, nomeadamente, a meritocracia no contexto escolar, a avaliação interna e externa nas dimensões: ensino aprendizagem e resultados do rendimento escolar, formação e prática docente, o trabalho da equipe escolar, a estrutura da escola, e ainda, a gestão e autonomia nas escolas, mas principalmente, as ideias dos participantes do estudo sobre a importância de trabalhar com uma estrutura de ensino vocacionado composto por áreas e disciplinas que atenda as intenções profissionais e acadêmicas do aluno; ABSTRACT: This study, set up a mixed profile research, looking gather qualitative and quantitative contributions, aims to analyze the Brazilian high school trying to understand if the goals that this level of education advocates are meeting the educational expectations of a diverse audience of students in public school in Fortaleza. To this end, we conducted semi-structured interviews to twelve teachers, e apply questionnaires to 60 teachers. Proceeded, too, the documentary analysis of the school Pedagogical Policy Project, the National Curriculum Guidelines and Curriculum Guidelines for Secondary Education, Curriculum Map of the school and the students' notes Report and the classification thereof in the Exame Nacional do Ensino Médio (ENEM) the brazilian national examination to High School graduates for the year 2012. The study highlights the importance of teaching strategies in particular meritocracy in the school context, internal and external evaluation dimensions: teaching and learning results in school performance, training and teaching practice, the work of the school team, the school structure, and also the management and autonomy in schools, but mainly the ideas of the study participants about on the importance of working with a vocationed teaching structure consists of areas and disciplines that will meet future professional and academic intentions of the student.

Augmented Dissent: The Affordances of ICTs for Citizen Protest (A Case Study of the Ukraine Euromaidan Protests of 2013-2014).

This dissertation research project uses the Euromaidan protests in Ukraine to inform and shape a theory of augmented dissent to help explain the complex ways in which protest participants guided by the political, social, and cultural contexts engage in dissent augmented by ICTs in a reality where both the physical and the digital are used in concert. The purpose of this research is to conceptualize the use and perception of ICTs in protest activity using the communicative affordances framework. Through a mixed-method research approach involving interviews with protest participants, as well as qualitative and thematic analysis of online content from social media pages of several key Euromaidan protest communities, the research project examines the role ICTs played in the information and media landscape during the Euromaidan protest. The findings of the online content analysis were used to inform the questions for the 59 semi-structured, open-ended interviews with Euromaidan protest participants in Ukraine and abroad. The research findings provide in-depth insights about how ICTs were used and perceived by protest participants, and their role as vehicles for information and civic media content. The study employs the theoretical framework of social media affordances to interpret the data gathered during the interviews and content analysis to better understand how digital media augmented citizens’ protest activity through affording them new possibilities for dissent, and how they made meaning of said protest activity as augmented by ICTs. The findings contribute towards shaping a theory of digitally augmented dissent that conceptualizes the complex relationship between citizens and ICTs during protest activity as an affordance-driven one, where online and offline tools and activity merge into a unified dissent space and extend or augment the possibilities for action in interesting, and sometimes unexpected ways. Such a conceptual model could inform broader theories about civic participation and digital activism in the post-Soviet world and beyond, as ICTs become an inseparable part of civic life.

Learning English is Fun! Incidental vocabulary acquisition of music and traditional class ninth graders via listening to pop songs

Finnish youth are constantly exposed to music and lyrics in English in their free time. It is likely that this has a positive effect on vocabulary learning. Learning vocabulary while simultaneously accompanied with melodies is likely to result in better learning outcomes. The present thesis covers a study on the vocabulary learning of traditional and music class ninth graders in a south-western upper comprehensive school in Finland, mainly concentrating on vocabulary learning as a by-product of listening to pop music and learning vocabulary through semantic priming. The theoretical background presents viable linguistic arguments and theories, which provide clarity for why it would be possible to learn English vocabulary via listening to pop songs. There is conflicting evidence on the benefits of music on vocabulary learning, and this thesis sets out to shed light on the situation. Additionally, incorporating pop music in English classes could assist in decreasing the gap between real world English and school English. The thesis is a mixed method research study consisting of both quantitative and qualitative research materials. The methodology comprises vocabulary tests both before and after pop music samples and a background questionnaire filled by students. According to the results, all students reported liking listening to music and they clearly listened to English pop music the most. A statistically significant difference was found when analysing the results of the differences in pre- and post-vocabulary tests. However, the traditional class appeared to listen to mainstream pop music more than the students in the music class, and thus it seems likely that the traditional class benefited more from vocabulary learning occurring via listening to pop songs. In conclusion, it can be established that it is possible to learn English vocabulary via listening to pop songs and that students wish their English lectures would involve more music-related vocabulary exercises in the future. Thus, when it comes to school learning, pop songs should be utilised in vocabulary learning, which could also in turn result in more diverse learning and the students could, more easily than before, relate to the themes and topics of the lectures. Furthermore, with the help of pop songs it would be possible to decrease the gap between school English and real-world English.

Benefícios afetivossociais da prática da dança para estudantes dos núcleos de arte da Prefeitura do Rio de Janeiro

O propósito desta pesquisa foi investigar o papel atribuído à Dança, no âmbito da dimensão afetivossocial compreendendo como se reflete na vida (pessoal e social) dos jovens estudantes dos oito Centros de Pesquisa e Formação em Ensino Escolar de Arte e Esporte – Núcleo de Arte da Prefeitura do Rio de Janeiro – distribuídos em distintas regiões do município do Rio de Janeiro. A base teórica do estudo foi fundamentada pela dimensão afetivossocial em autores de referência da área (Bertine, 2014; Damásio, 2012; 2013; Godoy, 2013; Leme, 2013; Macara 2010a, 2010b; Marques, 2010; 2014; Matos & Tomé, 2012; Monteiro, 2012; Shapiro, 2008; Stinson, 2014; Strongman, 2002; Sawaia, 2014; Varregoso et al., 2014). Com este desígnio, o trajeto metodológico percorrido para construção da tese decorreu em duas fases. A primeira de natureza exploratória, marcada por dois Estudos Preliminares. A segunda de natureza pluri-metodológicos: Pesquisa de Método Misto, com a combinação entre a abordagem quantitativa e qualitativa, marcada por um estudo de campo. Participaram do estudo quantitativo 378 praticantes de Dança de 12 a 18 anos de idade e do estudo qualitativo 52 integrantes do espaço (diretores, professores, coordenador e praticantes e ex-praticantes). O método de análise adotado foi estatístico descritivo e correlação de Pearson pelo SPSS22 e, análise de conteúdo. Todos os dados analisados foram integrados nas duas dimensões do estudo, Dimensão Representação Afetivossocial e Dimensão Transformação Pessoal e Social. Como resultado, verificamos que os jovens sentem-se motivados e incluídos pelo trabalho realizado nas oficinas de Dança nos núcleos, percebem que a Dança é fonte de empoderamento da dimensão afetivossocial pelo despertar da motivação, do bem-estar e da autorealização. No campo afetivo, descrevem o desenvolvimento das competências emocionais pelas sensações, emoções e sentimentos gerados no corpo e nas experiências relacionais na Dança, despertando o conactus (Damásio, 2012; Leme, 2013) e a potência de ação (Sawaia, 2014), capazes de transformar estados emocionais, situações e coisas em benefício próprio. O desenvolvimento das competências sociais transcorreu pela mudança comportamental em casa, pela tríade interação-participação-transformação social no núcleo, família, escola e comunidade despertando sentimentos na construção da dimensão afetivossocial e promovendo liberdade de ser e estar no mundo. Com o desenvolvimento destas competências, estes jovens percebem-se incluídos na sociedade despertando para muitos o desejo de prosseguimento na carreira (Amadora ou Profissional).