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Thijssens, Katja Maria Jozef. "Soft tissue sarcomas: long-term aspects of combined modality treatment." [S.l. : [Groningen : s.n.] ; University Library Groningen] [Host], 2006. http://irs.ub.rug.nl/ppn/292623607.
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Dobre, Daniela. "Treatment of heart failure and patient outcomes in real life." [S.l. : [Groningen : s.n.] ; University Library Groningen] [Host], 2006. http://irs.ub.rug.nl/ppn/298098539.
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Rademeyer, Linda. "Die behandeling van zero-ekwivalensie in tweetalige woordeboeke." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4255.
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Thesis (MPhil (Afrikaans and Dutch))--University of Stellenbosch, 2010.ENGLISH ABSTRACT: In lexicography different types of equivalent relations can be identified regarding bilingual dictionaries namely full equivalence, partial equivalence and zero equivalence. Zero equivalence prevails where the target language has no item to be co-coordinated as a translation equivalent with a lemma representing a source language item. Lexical gaps occur where a language lacks a word for a given concept. Dagut (1981) identifies different types of semantic gaps in the transfer of a text from one language to another. He distinguishes between gaps due to linguistic and extra-linguistic factors. These two categories are called linguistic and referential gaps respectively. A solution for the above mentioned lexicographic problem is given in the present theory of zero equivalence namely surrogate equivalents. The present theory of zero equivalence is expanded in this thesis by making specific reference to its occurrence in Pharos (2005). Different factors that lead to zero-equivalence are discussed and these factors are used to identify different types of zero equivalence. These types of zero equivalence are the following: zero equivalence caused by linguistic and referential gaps as well as grammatical zero equivalence and partial zero equivalence. In a multilingual society like South Africa where many different culture groups exist and people are encouraged to learn an additional language many different types of bilingual dictionaries are needed. When two languages are compared with each other during the compilation of a bilingual dictionary the lexicographer will always be confronted with zero equivalence, especially when the users of the two languages have vastly different cultures. Thus it is necessary to expand on the present theory of zero equivalence within the South African context. In the last section of the thesis the different options at the lexicographer‟s disposal in dealing with the different types of zero equivalence are discussed. Another aspect that gets attention throughout this thesis is the dictionary users of certain dictionaries, among others Pharos (2005), and their specific needs.
AFRIKAANSE OPSOMMING: In die leksikografie word daar tussen verskillende ekwivalentverhoudinge wat in tweetalige woordeboeke voorkom, onderskei, naamlik absolute ekwivalensie, gedeeltelike ekwivalensie en zero-ekwivalensie. Zero-ekwivalensie ontstaan wanneer die doeltaal nie ‟n item het wat as ‟n vertaalekwivalent gekoördineer kan word met ‟n lemma van die brontaal nie. Leksikale gapings kom voor wanneer ‟n taal nie ‟n woord vir ‟n spesifieke konsep het nie. Dagut (1981) identifiseer verskillende semantiese gapings na aanleiding van linguistiese en ekstra-linguistiese faktore. Hierdie twee kategorieë staan afsonderlik as linguistiese en referensiële gapings bekend. ‟n Oplossing vir dié leksikografiese probleem is surrogaatekwivalente, wat in die bestaande teorie van zero-ekwivalensie aanbeveel word. Hierdie tesis brei uit op die bestaande teorie van zero-ekwivalensie in die leksikografie deur onder andere spesifiek na die hantering daarvan in Pharos (2005) te verwys. Daar word aandag geskenk aan die verskillende faktore wat aanleiding tot die verskynsel van zero-ekwivalensie gee. Op grond van hierdie faktore word verskillende tipes zero-ekwivalensie geïdentifiseer; naamlik zero-ekwivalensie wat as gevolg van linguistiese of referensiële gapings ontstaan asook grammatiese zero-ekwivalensie en gedeeltelike zero-ekwivalensie. In ‟n meertalige gemeenskap soos Suid-Afrika waar daar verskeie kultuurgroepe voorkom en mense aangemoedig word om ‟n addisionele taal aan te leer, word verskeie soorte tweetalige woordeboeke benodig. Wanneer enige twee tale vergelyk word, word die leksikograaf met zero-ekwivalensie gekonfronteer veral wanneer die taalpaar wat in die tweetalige woordeboek aan bod kom wat kultuur betref uitermate van mekaar verskil. Dit is dus nodig om binne die Suid-Afrikaanse konteks die teorie van zero-ekwivalensie uit te brei. Daar word in die laaste afdeling van hierdie tesis aandag geskenk aan die verskillende opsies wat die leksikograaf tot sy beskikking het om die verskillende tipes zero-ekwivalensie te hanteer. Nog ‟n aspek wat deurgaans aandag geniet, is die gebruikers van spesifieke woordeboeke, byvoorbeeld Pharos (2005), en die behoeftes van dié gebruikers.
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Pietersen, J. W. M. "Doorlooptijden bij de behandeling van huidkanker een casestudy naar ketenlogistieke realiteit en haalbare verbeterdoelen bij de behandeling van patiënten met huidkanker /." Rotterdam : Erasmus Universiteit, 2006. http://hdl.handle.net/2105/3973.
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Straten, Annemieke van. "Quality of hospital care and health outcomes after stroke." Proefschrift, [S.l. : Amsterdam : s.n.] ; Universiteit van Amsterdam [Host], 2000. http://dare.uva.nl/document/83805.
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Kieback, D. G. "Genen en messen bij de behandeling van het ovariumcarcinoom." Maastricht : Maastricht : Maastricht University ; University Library, Maastricht University [Host], 2002. http://arno.unimaas.nl/show.cgi?fid=12718.
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Nortje, Charl. "Kognitiewe terapie en blootstelling in die behandeling van sosiale fobie." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51810.
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Thesis (PhD)--Stellenbosch University, 2000.ENGLISH ABSTRACT: The objective of this study was to investigate and compare the effectiveness of a combined exposure and cognitive restructuring programme versus exposure only in the treatment of social phobia. The 44 participants in the study met the DSM-IV diagnostic criteria for social phobia at pre-treatment assessment, and presented mainly with general interactional social fears. They were allocated to a group which received a combined exposure and cognitive restructuring treatment (n = 15), a group treated with exposure only (n = 15), and a waiting-list control group (n = 14). For treatment purposes, both treatment groups were subdivided into two smaller groups of 7 and 8 participants each. The effects and differential effects of the treatments were compared in terms of four broad categories of variables: target phobia variables (anxiety/avoidance/escape in relation to a specific target phobia), social phobia variables (associated with the degree, nature, aspects and/or consequences of social phobia), cognitive variables (thought functionality, fear-of-negative-evaluation, and attentional bias), and severity of depression. Participants were individually assessed before treatment, immediately after treatment, and at follow-up after three months. Treatment were conducted by two co-therapists in 12 weekly group sessions of two hours each. Compared to a waiting-list control condition, both treated groups showed a significant improvement of the target phobia variables at post-treatment and, with the exception of target phobia anxiety for the exposure only condition, the significant effects were maintained at follow-up after three months. As for the social phobia variables, cognitive restructuring and exposure combined showed a significantly larger improvement compared to the waiting-list control condition on four of the variables (social phobia avoidance, social phobia observation anxiety, social phobia general symptomatology, and social phobia disturbance/disablement), and these significant effects were maintained at follow-up. The exposure only group showed significantly larger effects on only two variables (social phobia avoidance and social phobia disturbance/disablement) and only the effects on social phobia avoidance were maintained for the followup period of three months. With regard to the cognitive variables, the combined treatment led to significanly larger improvements in thought functionality compared to the waiting-list control condition and these effects were maintained at follow-up. No other significant differences between the effects of any of the treatments and the waiting-list control condition were demonstrated at post-treatment or at follow-up on any of the cognitive variables. Only the combined treatment resulted in significantly larger reductions in the severity of depression, The effects were maintained for the follow-up period of three months. Compared to the waiting-list control condition, the combined treatment resulted in improvement over a broader spectrum of social phobia symptomatology than exposure only at post-treatment and follow-up. The two treatments were also directly compared in terms of their effects on each of the dependent variables and the differences were largely insignificant at both post-treatment and follow-up. Only in terms of thought functionality tentative indications of a possible larger effect for the combined treatment were found. However, if this was the case, the differences were cancelled out at follow-up. It seems that both the combined treatment and exposure only were effective treatments for social phobia and that the combined treatment might have demonstrated slightly better results. These findings support the emerging view that the most important cognitive-behavioral treatments of social phobia do not differ greatly in terms of efficacy. It also offer support for the view of prominent researchers on social phobia outcome, namely that treatment effects are less dependent on procedural variations than on other critical elements, such as the length and frequency of treatment sessions, and exposure to the critical elements of patients' social fears.
AFRIKAANSE OPSOMMING: Die doel van hierdie studie was om die effektiwiteit van 'n gekombineerde blootstelling en kognitiewe herstruktureringsprogram teenoor blootstelling alleen in die behandeling van sosiale fobie te ondersoek en te vergelyk. Die 44 deelnemers aan die studie het voor behandeling aan die DSM-IV diagnostiese kriteria vir sosiale fobie voldoen en met oorwegend algemene interaksionele vrese gepresenteer. Hulle is verdeel in 'n groep wat met kognitiewe herstrukturering en blootstelling gekombineerd behandel is (n = 15), 'n groep wat slegs blootstelling ontvang het (n = 15), en 'n waglys-kontrolegroep (n = 14). Vir behandelingsdoeleindes is die behandelingsgroepe in twee subgroepe van onderskeidelik 7 en 8 deelnemers elk verdeel. Die effekte en differensiële effekte van die behandelings is in terme van die volgende vier breë kategorieë veranderlikes ondersoek: teikenfobie-veranderlikes (angslvermyding/ontsnapping ten opsigte van 'n spesifieke fobie), sosialefobie-veranderlikes (wat verband hou met die graad, aard, aspekte en/of gevolge van sosiale fobie), kognitiewe veranderlikes (gedagte-funksionaliteit, vrees-vir-negatiewe-evaluasie en aandagsverdraaiing), en graad van depressie. Deelnemers is individueel beoordeel voor behandeling, onmiddellik na afloop daarvan en na 'n 3- maande-opvolgperiode. Behandeling deur twee ko-terapeute het in 12 weeklikse groepsessies van twee uur elk geskied. In vergelyking met die waglys-kontrolekondisie, het beide behandelings tot 'n beduidende verbetering van die teikenfobie-veranderlikes by nameting gelei en, met uitsondering van teikenfobie-angs by die blootstellingsbehandeling, is die beduidende effekte vir 'n opvolgperiode van drie maande volgehou. Wat die sosialefobie-veranderlikes betref, het kognitiewe herstrukturering plus blootstelling 'n beduidend groter verbetering in vergelyking met die waglys-kontrolekondisie op vier veranderlikes (sosialefobievermyding, sosialefobie-observasie-angs, sosialefobie-algemenesimptomato/ogie, en sosialefobieongemak/ belemmering) tot gevolg gehad en is die beduidende effekte vir 'n opvolgperiode van drie maande volgehou. Daarenteen het die blootstellingsgroep slegs ten opsigte van twee veranderlikes (sosialefobie-vermyding en sosialefobie-ongemak/belemmering) tot beduidend groter effekte aanleiding gegee, waarvan die effekte net op een van die twee veranderlikes (sosialefobie-vermyding) vir 'n opvolgperiode van drie maande in stand gehou is. Ten opsigte van die kognitiewe veranderlikes, het kognitiewe herstrukturering plus blootstelling, in vergelyking met die waglys-kontrolekondisie, tot 'n beduidende verbetering van gedagte-funksionaliteit gelei wat vir 'n opvolgperiode van drie maande in stand gehou is. Geen ander beduidende verskille tussen die effekte van behandelings en die waglys-kontrolekondisie is vir enige van die ander kognitiewe veranderlikes by nameting of opvolg gedemonstreer nie. Slegs die gekombineerde behandeling het tot beduidend groter verlagings van die graad van depressie gelei wat vir 'n opvolgperiode van drie maande gehandhaaf is. In vergelyking met die waglys-kontrolekondisie, het die gekombineerde behandeling dus tot 'n beduidende verbetering oor 'n breër basis van sosialefobie-simptomatologie as blootstelling alleen by nameting en opvolg aanleiding gegee. Die twee behandelings is ook direk met mekaar in terme van effekte op elkeen van die afhanklike veranderlikes vergelyk en die verskille was by nameting en opvolg grootliks onbeduidend. Dit is slegs ten opsigte van gedagte-funksionaliteit dat daar tentatiewe aanduidings was dat die gekombineerde behandeling moontlik 'n beduidend groter verbeterende effek as blootstelling alleen kon gehad het, maar indien dit so was, was hierdie verskille by die opvolgmeting reeds uitgewis. Dit wil dus voorkom asof beide die gekombineerde behandeling en blootstelling alleen effektiewe behandelings vir sosiale fobie was en dat eersgenoemde dalk effens beter resultate kon gelewer het. Hierdie resultate ondersteun die standpunt wat tans besig is om op grond van navorsing te ontwikkel, naamlik dat daar nie betekenisvolle groot verskille in die effektiwiteit van die belangrikste kognitiefgedragsterapeutiese behandelings van sosiale fobie is nie. Dit bied ook steun vir die standpunt van prominente navorsers op die gebied van sosiale fobie uitkomsnavorsing dat behandelingseffek minder afhang van verskille in prosedure-variasies as van ander kritieke elemente, soos byvoorbeeld die lengte en frekwensie van die behandelingsessies en blootstelling aan die kritieke elemente van die sosiale vrese.
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Posthumus, Tanya. "Kognitiewe terapie en hipnose in die behandeling van sosiale fobie." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52316.
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Thesis (DPhil) -- University of Stellenbosch, 2001.ENGLISH ABSTRACT: Cognitive-behaviour therapy is criticised for focusing almost exclusively on strategic cognitive processing and for not attending sufficiently to non-verbal, automatic thoughts. Combining hypnosis with existing cognitive-behaviour therapy procedures is seen as a way of addressing this problem. The objective of the present study was therefore to investigate whether the effectiveness of a structured group cognitive behavioural therapy programme could be significantly improved if it is combined with hypnosis and whether such improvements will be maintained. This study, with a test-retest-follow-up design, involved 45 patients with a DSM-IV diagnosis of social phobia. Fifteen patients were treated with Heimberg's (1991) group cognitive-behaviour therapy for social phobia (the combined programme, consisting of cognitive restructuring and exposure treatment), while 16 patients were allocated to a waiting-list control condition. The effectiveness of the two treatments was assessed in terms of 13 dependent variables which were divided into the following broad categories: target phobia variables (anxiety/avoidance/escape with regard to a specific target phobia), social phobia variables (degree, nature, aspects and/or consequences of social phobia), cognitive variables (dysfunctional automatic thoughts, fear of negative evaluation and attentional bias), and severity of depression. Treatment was presented by two co-therapists in 12 \Neekly group sessions of 2 hours each. Patients were assessed in terms of the dependent variables before and after treatment and again at follow-up after 3 months. Compared to the waiting-list controls, patients in the combined treatment group (receiving cognitive restructuring and exposure) showed significant improvement at the end of treatment on all the target phobia variables, most of the social phobia variables (except for interaction anxiety and avoidance/distress), dysfunctional automatic thoughts and severity of depression. These improvements were maintained at follow-up. The combined treatment with hypnosis yielded similar results, when compared to the waiting-list control condition. In addition, this group also showed significant improvement in avoidance of and distress in social situations. A comparison of the two treatment conditions showed that they largely rendered similar results. However, the combined treatment with hypnosis yielded significantly greater improvement in terms of dysfunctional automatic thoughts compared to the treatment without hypnosis. Tentative indications were also found that adding hypnosis to the combined treatment fascilitated its ability to reduce avoidance behaviour in social phobia. The combined treatment with hypnosis did not, however, render greater change in attentional bias as reflected by the emotional Stroop task.
AFRIKAANSE OPSOMMING: 'n Belangrike beswaar teen die kognitiewe gedragsterapie is dat dit grootliks op strategiese kognitiewe prosessering fokus en dat daar nie genoegsaam aan nie-bewustelike, nie-verbale, outomatiese gedagtes aandag gegee word nie. Die kombinasie van hipnose met bestaande kognitiewegedragsterapeutiese prosedures word toenemend beskou as 'n manier om die probleem op te los. Die doel van hierdie studie was derhalwe om na te gaan of die effektiwiteit van 'n gestruktureerde groepkognitiewegedragsterapieprogram vir die behandeling van sosiale fobie beduidend verbeter kan word deur hipnose by die program te inkorporeer, en indien sodanige verbetering plaasgevind het, of dit oor 'n langer termyn gehandhaaf sou word. Die studie het 'n toets-hertoets-opvolgontwerp behels en 45 pasiënte met 'n DSM-lV-diagnose van sosiale fobie het daaraan deelgeneem. Vyftien pasiënte is met Heimberg (1991) se groepkognitiewegedragsterapie vir sosiale fobie (bestaande uit kognitiewe herstrukturering en blootstelling en ook die gekombineerde behandeling genoem) behandel, terwyl16 pasiënte dieselfde behandeling aangevul met hipnose ontvang het. Veertien pasiënte het 'n waglys-kontrolegroep gevorm. Vir behandelingsdoeleindes is die twee behandelingsgroepe in twee subgroepe van 7 of 8 deelnemers elk verdeel. Die uitwerking van die behandelings is in terme van 13 afhanklike veranderlikes wat in die volgende vier breë kategorieë verdeel is, ondersoek: teikenfobie-veranderlikes (angs/vermyding/ontsnapping ten opsigte van 'n spesifieke fobie), sosialefobie-veranderlikes (wat met die graad, aard, aspekte en/of gevolge van sosiale fobie verband hou), kognitiewe veranderlikes (gedagte-funksionaliteit, vrees-virnegatiewe- evaluasie deur ander en aandagsverdraaiing), en graad van depressie. Behandeling deur twee ko-terapeute het in 12 weeklikse groepsessies van 2 uur elk geskied. Pasiënte is voor behandeling, na afloop daarvan en na 'n opvolgperiode van 3 maande in terme van die afhanklike veranderlikes beoordeel. Die gekombineerde behandeling (bestaan uit kognitie-.ve herstrukturering en blootstelling) het, in vergelyking met die waglys-kontrolekondisie, aan die einde van behandeling tot 'n verbetering gelei van al die teikenfobie-veranderlikes, die meeste van die sosialefobie-veranderlikes (met uitsondering van sosialefobie-interaksie-angs en sosialefobie-vermyding/-ongemak), disfunksionele outomatiese gedagtes en graad van depressie. Hierdie verbeterings is gehandhaaf oor die opvolgperiode van 3 maande. In vergelyking met die waglys-kontrolekondisie het die gekombineerde behandeling met hipnose dieselfde resultate gele-.ver as die gekombineerde behandeling daarsonder. Addisioneel hiertoe het hierdie groep ook beduidend verbeter in terme van vermyding van en ongemak in sosiale-situasies. 'n Vergelyking van die effekte van die twee behandelingsprosedures het aangetoon dat hulle grootliks dieselfde resultate gel9lNer het. Die gekombineerde behandeling met hipnose het egter 'n groter verbeterende effek op disfunksionele outomatiese gedagtes gehad as die gekombineerde behandeling daarsonder. Aanduidings is ook gevind dat die byvoeging van hipnose by die gekombineerde behandeling 'n groter verbetering in vermydingsgedrag gefasiliteer het. Die gekombineerde behandeling met hipnose het egter nie 'n groter effek op aandagsverdraaiing as die behandeling daarsonder gehad nie.
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Smit, Egbert Frederik. "Aspects of palliative chemotherapy for lung cancer." [S.l. : [Groningen : s.n.] ; University Library Groningen] [Host], 1990. http://irs.ub.rug.nl/ppn/292220588.
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Deurloo, Eline E. "Correlation of diagnostic breast imaging data and pathology application to diagnosis and treatment /." [S.l. : Amsterdam : s.n.] ; Universiteit van Amsterdam [Host], 2005. http://dare.uva.nl/document/78340.
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Pienaar, W. P. "Outonomie versus sorg in die behandeling van alkohol-afhanklikheid : etiese perspektiewe." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51867.
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Thesis (MPhil)--Stellenbosch University, 2000.ENGLISH ABSTRACT: The community of the Western Cape carries the burden of the serious consequences of alcohol addiction. Alcohol abuse is very common and the consequences range from severe to devastating, not just for the individual but also for the family and the community as a whole. If answers are sought within the community, the problem deepens, and it becomes apparent why the problem of alcohol abuse is not being successfully addressed. The addict refuses treatment, the community respects the autonomy of the individual, and the problem drags on. The community also has many misperceptions concerning the causes and perpetuation of the pathological drinking behaviour of the addict, and are thus not equipped with the knowledge necessary to suggest the correct interventions for this physical and psychological illness. There is also concern that a person's autonomy and human rights are so highly regarded in the community that the appropriate treatment necessary for this serious disorder of addiction does not receive the attention it deserves. This paper investigates the causes of alcoholism and the factors which reinforce a person's drinking behaviour. The autonomy of the alcoholic is challenged and examined in depth. The importance currently assigned to autonomy and individual rights is questioned, and balanced against other important moral and ethical principles of our time. Alcohol is a drug which causes physical and psychological addiction. Addiction literally means "under the control" of something. Alcohol use is a socially acceptable habit. The psychotropic (calming) effect of alcohol serves as an effective support in or escape from stress in the life of the individual. There are also "vulnerable" individuals in the community in whom a genetic predisposition increases the chance of the development of alcohol dependence. In spite of the fact that alcohol dependence is an acquired physical condition, nobody intentionally becomes addicted to alcohol. With the knowledge of the power that addiction exercises over the life of the individual, attention is now given to the autonomy of the addict, and his/her capacity for rational decision making. The significance of the decision to request treatment for the individual, his/her family and the community is balanced against competency to take the decision. Argument is developed towards the conclusion that the alcoholic is indeed not autonomous, and does not have the competency to make decisions concerning treatment. If the autonomy of the addict is thus questioned, the way in which the person is then treated by the community becomes a difficult moral dilemma. The community's responsibility of care towards the individual and the wider community are jeopardized. The ethical principles of deontology (rules), utilitarianism (the best result for the greatest number), autonomy versus beneficence, solicitude, virtue, human rights and other principles are discussed in depth. A solution is sought that will eventually be "good" for the addict and the community. The conclusion is reached that it is "good" to intervene in the life of the addict at a certain stage of addiction. Involuntary treatment is suggested as one possible way of attacking the problem of serious alcohol abuse that is threatening to overwhelm the community. Practical suggestions are offered for the renewed application of existing treatment structures and legislation to the benefit of the addict and the community.
AFRIKAANSE OPSOMMING: Die gemeenskap in die Wes-Kaap gaan gebuk onder die ernstige gevolge wat alkoholverslaafdheid meebring. Alkoholmisbruik is baie algemeen en het ernstige tot vernietigende gevolge, nie net vir die induvidu nie, maar ook vir die gesin en die gemeenskap as geheel. As daar na antwoorde vir hierdie probleem in die gemeenskap gesoek word, verdiep die probleem en kom dit duidelik aan die lig waarom die probleem van alkoholmisbruik nie suksesvol aangespreek kan word nie. Die verslaafde persoon weier behandeling, die gemeenskap respekteer die indivdu sy · outonomiteit en die proble~m sleep voort. Die gemeenskap het ook baie wanopvattings omtrent die oorsake en instandhouding van die verslaafde se patologiese drinkgedrag en is dus nie met die nodige kennis toegerus om die korrekte ingrepe vir hierdie fisiese en psigiese siektetoestand voor te stel nie. Daar is ook kommer dat die gemeenskap 'n persoon se outonomiteit menseregte s6 hoog aanslaan dat 1 die toepaslike hantering van die ernstige verslawing nie tot sy reg kom nie. Hierdie werkstuk ondersoek die oorsake van alkoholisme en die faktore wat die persoon se drinkgedrag versterk. Die alkoholverslaafde se outonomiteit word uitgedaag en in diepte ondersoek. Die gewig wat 'n persoon se outonomiteit en 'regte' in die gemeenskap dra, word bevraagteken en met ander belangrike moreel etiese beginsels van die dag gebalanseer. Alkohol is 'n dwelm wat fisiese en psigiese verslaafdheid veroorsaak. Verslaafdheid beteken letterlik 'onder die beheer' van daardie substans. Alkohol gebruik is sosiaal 'n aanvaarbare gewoonte. Alkohol se psigotrope effek (kalmerend) dien as 'n effektiewe stut of ontvlugting vir stres in die lewe van die individu. Daar is ook 'kwesbare' individue in die gemeenskap waar 'n genetiese predisposisie die persoon meer 'vatbaar maak vir die ontwikkeling van alkohol afhanklikheid. Ten spyte van die feit dat alkohol-afhanklikheid 'n verworwe fisiese toestand is, raak niemand 'moedswillig' aan alkohol verslaaf nie. Met die kennis van die krag wat verslawing op die individua se lewe uitoefen as agtergrond word daar voorts gekyk na die outonomie en die verslaafde se vermoe tot rasionele besluitname. Die gewigtigheid van die besluit tot behandeling vir die individu, sy gesin en die gemeenskap word met kompetensie tot besluitname gebalanseer. Arguemente word gebou wat tot die gevolgtrekking lei dat die alkohol-afhanklike inderdaad nie outonoom is en nie die kapasiteit vir die neem van behandelingsbesluite besit nie. Indien die verslaafde se outonomiteit dan bevraagteken word, word die gemeenskap se verdere hantering van die persoon 'n groot morele dilemma. Die gemeenskap se verantwoordelikheid van sorg teenoor die individu en die groter gemeenskap kom in gedrang. Die etiese beginsels van deontologie (reels), konsekwensialisme (die beste vir die meeste), outonomiteit versus goedwilligheid, sorgsaamheid, deug, menseregte en ander beginsels word in diepte bespreek. Daar word voorgestel dat die gemeenskap se plig tot so~g, in die geval van endstadium alkoholisme, moreel sterker is as bloot die respek vir outonomie. Daar word tot die gevolgtrekking gekom dat dit 'goed' is om op 'n sekere stadium van verslawing in die lewe van 'n persoon in te gryp.· Nie-vrywillige behandeling word voorgestel as bloot een van die aanslae vanuit die gemeenskap om die ernstige probleem van alkoholmisbruik wat besig is om die gemeenskap te oorweldig aan te pak. Praktiese voorstelle word gemaak om huidige behandelingsstrukture en wetgewing opnuut tot voordeel van die verslaafde en die gemeenskap aan te wend.
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Meijer, Eline Maria. "Work-related complaints in the upper extremity prevention and treatment /." [S.l. : Amsterdam : s.n.] ; Universiteit van Amsterdam [Host], 2006. http://dare.uva.nl/document/23449.
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Canton, Willem Jan. "Gerapporteerd... en dan? een onderzoek naar risicotaxatie, behandeling en recidieven bij personen over wie pro justitia is gerapporteerd /." [S.l. : Amsterdam : s.n.] ; Universiteit van Amsterdam [Host], 2004. http://dare.uva.nl/document/74006.
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Linders, M. K. "Het postoperatieve pijnbeleid van Universitair Medische Centra een onderzoek naar de verschillen in opzet en uitvoering van het postoperatieve pijnbeleid van academische ziekenhuizen en de oorzaken van deze verschillen /." Rotterdam : Erasmus Universiteit, 2006. http://hdl.handle.net/2105/3968.
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Leijenaar, Dirkelina Catharina. "Die staat se verpligtinge ten opsigte van mediese behandeling van gevangenes / D.C. Leijenaar." Thesis, North-West University, 2004. http://hdl.handle.net/10394/552.
Full textAbstract:
The preamble to the Constitution of the Republic of South Africa 108 of 1996 envisions
the adoption of the Constitution as the supreme law of South Africa in order to "improve
the quality of life of all citizens". In order to realise this ideal a positive action is
necessary and opportunities must exist for its realisation.
The Constitution draws a distinction between prisoners and persons outside prison in
respect of medical care. Prisoners have, in terms of section 35(2)(e), a fundamental right
to accommodation, nutrition and medical care while no such guarantee is given to
persons outside prison.
HIV is the abbreviated form of the Human Immune-Deficiency virus. The country's
epidemic is one of the worst worldwide.
Substantive answers to questions about the fundamental relationship between the state
and its citizens in prison cannot in current South African law be derived directly from the
Constitution. They have to be sought in the course of the analysis of the specific powers
and duties of the state and of the impact that these have on the rights of the imprisoned
citizen. To this end constitutional principles in their current state of evolution can serve,
at best, as guides.
However, it is clear that there are at least some general principles, even of current South
African constitutional law, which can be applied to questions of the rights of prisoners.
The standard of medical treatment for prisoners in general cannot be determined
according to the means of the poorest prisoner on the basis that he or she could afford no
better treatment outside the prison. Because prisoners are being kept in conditions where
they are more vulnerable to opportunistic infections than HN patients outside, the
adequate medical treatment with which the state must provide them must be treatment
which is better able to improve their immune systems than that which the state provides
to HIV patients outside prison.
There is a positive duty on the state and the prison authorities to ensure that adequate
medical care is provided to all prisoners.Thesis (LL.M. (Labour Law))--North-West University, Potchefstroom Campus, 2005.
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Peerlings, Robertus Henricus Josephus. "Orthodontie en dento-faciale esthetiek het effect van orthodontische behandeling op het uiterlijk /." [S.l. : s.n.], 1992. http://catalog.hathitrust.org/api/volumes/oclc/26944835.html.
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Stenvers, J. D. "De primaire frozen shoulder een retrospectief onderzoek naar de behandeling door middel van fysiotherapie /." [S.l. : [Groningen : s.n.] ; University Library Groningen] [Host], 1994. http://irs.ub.rug.nl/ppn/.
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Keltjens, Herman Michiel Antonius Marie. "Microbiology and preventive treatment of root surface caries Microbiologie en preventieve behandeling van tandwortelcariës /." Helden-Panningen : De Gouden Leeuv Drukkerij B.V, 1988. http://catalog.hathitrust.org/api/volumes/oclc/19650028.html.
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Thesis (doctoral)--Katholieke Universiteit te Nijmegen, 1988.Text in English with a summary in Dutch. "Een wetenschappelijke proeve op het gebied van geneeskunde en tandheelkunde." Includes bibliographical references.
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Riet, Gerben ter. "Vitamin C and ultrasound in the treatment of pressure ulcers." [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1994. http://arno.unimaas.nl/show.cgi?fid=6240.
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Waddington, Lisa. "From Rome to Nice in a wheelchair the development of a European disability policy /." Groningen : Maastricht : European Law Publishing ; University Library, Maastricht University [Host], 2006. http://arno.unimaas.nl/show.cgi?fid=12765.
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Oosten, Maria Angela Catharina van. "Microbial aspects of periodontitis and its treatment Microbiële aspekten van parodontitis en van de behandeling er van /." Nijmegen : Katholieke Universiteit Nijmegen, 1985. http://catalog.hathitrust.org/api/volumes/oclc/46479373.html.
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Le, Roux Frances Hendriehetta. "Die effek van musiek op die immuunsisteem, emosies en longfunksie tydens die standaard fisioterapeutiese behandeling van spesifieke longpatologie." Thesis, Link to the online version, 2005. http://hdl.handle.net/10019.1/1118.
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Greeven, Peter G. J. "De intramurale behandeling van forensische patiënten met een persoonlijkheidsstoornis : een empirische studie = Treatment outcome in personality disordered forensic patients /." Deventer : Gouda Quint, 1997. http://www.gbv.de/dms/sbb-berlin/280280726.pdf.
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Kamfer, Fanie. "Characterising tuberculosis treatment success and failure using metabolomics / Fanie Kamfer." Thesis, North-West University, 2013. http://hdl.handle.net/10394/10203.
Full textAbstract:
Tuberculosis (TB) is one of the deadliest infectious diseases of our time, with 1.4 million
deaths globally, recorded in 2010 (3800 deaths a day) by the World Health Organization
(WHO). Currently, South Africa ranks third on the 2011 list of 22 high-burden TB countries in
the world and it was estimated that each active-TB person could potentially infect 10–15
people annually. The WHO additionally reported that in the year 2009, 87% of all TB patients
worldwide were successfully treated, with a treatment success rate of 74% reported for
South Africa. Despite this however, non-adherence to anti-TB treatment is still a major
issue, due to it resulting in a global increased prevalence of drug resistant TB and
subsequently TB treatment failure. Treatment failure is thought to be caused by a number of
factors, however, it still remains largely misunderstood. One aspect of this, that isn't clearly
addressed in the literature, is the underlying variation in each patient, resulting in his/her
varying reaction to the drug regimen, and hence it’s varying efficacy from one patient to the
next. Furthermore, little is known about the underlying variation of the host to the primary TB
infection or response to the TB disease state, and how some patients have more effective
mechanisms for eliminating the infection, or recovering from the disease.
Considering this, a metabolomics research study using GC×GC-TOFMS was conducted, in
order to identify potential metabolite markers which may be used to better characterise the
underlining mechanisms associated with poor treatment outcomes (treatment failure).
The first aim was to evaluate the accuracy and efficiency of the methodology used, as well
as to determine the capability and accuracy of the analyst to perform these methods. In
order to evaluate the GCxGC-TOFMS analytical repeatability, one QC sample was extracted
and injected repeatedly (6 times) onto the GC×GC-TOFMS. Similarly, the analyst's
repeatability for performing the organic acid extraction and analyses was also determined,
using 10 identical QC samples, which were extracted and injected separately. CV values
were subsequently calculated from the collected and processed data as a measure of this.
Of all the compounds detected from the 6 QC sample repeats used for GCxGC-TOFMS
repeatability, 95.59% fell below a 50% CV value, and 93,7% of all the compounds analysed
for analyst repeatability had a CV < 50. Subsequently, using the above metabolomics approach, in addition to a wide variety of
univariate and multivariate statistical methods, two patient outcome groups were compared.
A sample group cured from TB after 6 months of treatment was compared vs a sample
group where treatment failed after the 6 month period. Using urine collected from these two
patient groups at various time points, the following metabolomics comparisons where made:
1) at time of diagnosis, before any anti-TB treatment was administrated, 2) during the course
of treatment, in order to determine any variance in these groups due to a varying response
to the anti-TB drugs, 3) over the duration of the entire 6 months treatment regimen, in order
to determine if differences exist between the two groups over time.
A clear natural differentiation between the cured and failed outcome groups were obtained at
time of diagnosis, and a total of 39 metabolites markers were subsequently identified. These
metabolites were classified according to their various origins, and included (1) those
associated with the presence of M. tuberculosis bacteria, (2) those resulting from an altered
host metabolism due to the TB infection, and (3) metabolites of various exogenous origins.
The detailed interpretation of these metabolites suggests that a possible underlying RCD or
some sort of mitochondrial dysfunction may be present in the treatment failure group, which
may also be induced through an external stimulus, such as alcohol consumption. We
hypothesise that this may possibly result in a far greater severity to M. tuberculosis infection
in this group, subsequently causing a reduced capacity for a successful treatment outcome,
also considering the critical role of the mitochondria in the metabolism of anti-TB drugs.
Furthermore, 20 metabolite markers were identified when comparing the two outcome
groups during the treatment phase of this metabolomics investigation. A vast majority of
these 20 metabolites were also identified as markers for time 0 (time of diagnosis).
Additionally, metabolites associated with anti-TB drug induced side effects, were also found
to be comparatively increased in the treatment failure group, indicative of more pronounced
liver damage, accompanied by metabolites characteristic of a MADD metabolite profile, due
to a deficient electron transport flavoprotein, confirming previous experiments done in rats.
These side effects have also previously been implicated as a major contributor of poor
treatment compliance, and ultimately treatment failure.
Lastly, 35 metabolite markers were identified by time dependent statistical analysis and
represented those metabolites best describing the variation between the treatment outcome groups over the entire study duration (from diagnosis, to week 26). This time dependent
statistical analysis identified markers, using an alternative statistical approach, and
confirmed previous findings and added in a better characterisation of treatment failure.
Considering the above, we successfully applied a metabolomics approach for identifying
metabolites which could ultimately aid in the prediction and monitoring of treatment
outcomes. This additionally led to a better understanding and or characterisation of the
phenomenon known as treatment failure, as well as the underlying mechanisms related to
this occurrence.MSc (Biochemistry), North-West University, Potchefstroom Campus, 2013
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Botha, Shani. "The cardiovascular profile of HIV–infected South Africans of African descent : a 5–year prospective study / Botha S." Thesis, North-West University, 2011. http://hdl.handle.net/10394/7321.
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With great appreciation, I would like to accentuate the substantial contributions of the following
people who made this project possible:
To Dr. CMT Fourie (my supervisor), Prof. JM van Rooyen (my co–supervisor) and Prof. AE
Schutte (my co–supervisor) whose gracious advise, patient guidance, commitment and support
have enabled me to plan, analyse, interpret and write this project in a scientific manner. It has
been an educational experience for me, thank you.
To Mr. LS Wyldbore for the language editing of this dissertation.
I thank all the participants, researchers, field workers and supporting staff of the PURE study.
The financial assistance of the National Research Foundation (DAAD–NRF) towards this
research is hereby acknowledged.
A special thanks to my parents, sister, Albert, family and friends, thank you for the never–ending
love, support, patience and understanding that you gave me throughout this project.
Last, but not the least, a special thank to God for giving me the opportunity, talent,
determination and endurance to complete this project.Thesis (M.Sc. (Physiology))--North-West University, Potchefstroom Campus, 2012.
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Ingelse, Hans Christiaan. "De rol van het Comité in de ontwikkeling van het VN-Verdrag tegen foltering." Amsterdam : Maastricht : Thela Thesis ; University Library, Maastricht University [Host], 1999. http://arno.unimaas.nl/show.cgi?fid=6720.
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Will, Anne-Kathrin. "Verhandeln + behandeln = Psychologisierung menschlicher Leidenserfahrungen." Doctoral thesis, Humboldt-Universität zu Berlin, Philosophische Fakultät I, 2010. http://dx.doi.org/10.18452/16064.
Full textAbstract:
In den Jahren 1992-1995 kamen ca. 35 Tausend bosnische Kriegsflüchtlinge nach Berlin und wurden vorübergehend geduldet. Nach Kriegsende 1995 sollten sie schnellstmöglich wieder zurückkehren. Traumatisierte und Ältere ohne Angehörige im Heimatland wurden weiterhin geduldet bis Bosnien-Herzegowina wieder aufgebaut ist. Doch der Wiederaufbau verlief schleppend. Mit dem Friedensvertrag von Dayton begannen nicht Frieden und Wiederaufbau, sondern die Konsolidierung der ethnischen Grenzen in demokratischen Strukturen. Deshalb sahen viele Flüchtlinge keine Möglichkeit in ihre Heimatorte zurückzukehren und versuchten ihre Rückkehr hinauszuschieben. Möglich war dies mithilfe der Attestierung einer kriegsbedingten Posttraumatischen Belastungsstörung und ihre psychotherapeutische Behandlung, die den Inhabenden und ihren Familienmitgliedern eine Aufenthaltsverlängerung ermöglichte und ab dem Jahr 2000 den Erhalt eines dauerhaften Aufenthaltstitels. Die Verbindung einer psychischen Krankheit und ihrer Psychotherapie mit einem Aufenthaltsrecht ist neu in der Geschichte des deutschen Ausländerrechts und obwohl Berliner Psychiater, Psychiaterinnen, Psychologinnen und Psychologen maßgeblich an der Schaffung der „Traumatisiertenregelung“ beteiligt waren, wurden ihre Atteste von der Berliner Verwaltung in Frage gestellt. In der Dissertation werden die Standpunkte der Flüchtlinge, Behandelnden und der Verwaltung dargelegt und ihre Interaktionen beschrieben.Die Rolle des Krankheitskonzeptes der Posttraumatischen Belastungsstörung wird als "boundary object" (Star/Griesemer 1989) untersucht. Der Schwerpunkt liegt auf den Lebenswelten und Taktiken der Flüchtlinge, sich in Berlin zurechtzufinden und Anerkennung und Verständnis für ihre Situation zu finden. Ihre Bedürfnisse wurden in einen psychotherapeutischen Bedarf übersetzt und damit den Berliner Psychotherapeutinnen und -therapeuten ein neues Betätigungs- und Professionalisierungfeld geboten, was kritisch hinterfragt wird.From 1992 until 1995 about 35 thousand Bosnian war refugees fled to Berlin and were allowed to stay temporarily. After the end of the war in 1995 they were expected to leave as soon as possible. Traumatized persons and elderly without relatives in Bosnia had the possibility to prolong their visa until Bosnia is reconstructed. But the rebuilding process progressed only slowly. With the end of the war did not start the expected peace time and rebuilding but the consolidation of ethnic borders inside democratic structures. Therefore many refugees did not see a possibility to return to their property and tried to delay their return. This was possible with an medical statement certifying a war related posttraumatic stress disorder and their psychotherapeutic treatment. These medical statements ensured the extension of the visa for the concerned person and its family members. From 2000 onwards they could receive a permanent residence title. The connection of a mental illness and psychotherapy with residence entitlements is a novelty in the German aliens law. And despite the fact that psychiatrists and psychologists from Berlin were leading actors in the establishment of the „regularization of the traumatized“ their medical/psychological statements were impeached by the authorities. The dissertation describes the viewpoints of refugees, treating physicians and psychologists and the authorities and how they interact with each other. Additionally is the concept of posttraumatic stress disorder examined and discussed as „boundary object“ (Star/Griesemer 1989). An important aspect is the description of life worlds and tactics of the refugees to get along in Berlin, to gain respect and appreciation for their situation. Their needs were translated into a psychotherapeutic demand and this led to the invention of a new field of work and professionalization for psychotherapists in Berlin. This development is critically reflected.
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Ramathebane, Maseabata Venus. "A review of antiretroviral medicine cost in primary health care clinics in Lesotho / M.V. Ramathebane." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4742.
Full textAbstract:
HIV/AIDS treatment is costly. Lesotho as a resource–limited country depends mostly on donor funding for HIV/AIDS treatment and care. Knowledge of how much was spent on treatment of HIV/AIDS was lacking. This leads to overstocking of some ART medicines resulting in expiry. Sufficient funds need to be secured for the treatment programme. The main objective of the study is to assess the cost of antiretroviral medication treatments, by specifically assessing the cost of antiretroviral regimens, antiretroviral side effects, and the cost of medicines used for prophylaxis and treatment of opportunistic infections as well as the cost of monitoring laboratory tests and dietary supplements.
The study engaged both public and private ART clinics in the Maseru District in Lesotho. The study population consisted of 1 424 patients and study period was between 12 and 56 months from January 2004 to August 2008. Retrospective observational method was used. The cost for HIV/AIDS treatment comprised the cost of antiretroviral medicines and those used for their side effects, opportunistic infections (OI) prophylaxis and treatment, dietary supplements as well as monitoring laboratory tests. Prescribed daily dose (PDD) was used to calculate the cost of all the medicines used. To determine significant differences in average costs for various regimens d– values were used, while a cost/prevalence index was used to determine whether the cost was worth spending on the population or not. Cost–effectiveness ratio was also utilized in order to assess whether the cost born was worth the benefit.
The main findings revealed that regimens 1a (stavudine/lamivudine/nevirapine) and 1c (zidovudine/lamivudine/nevirapine) were the least expensive (cost/prevalence index of 0.6 and 0.7 respectively). Regimens containing efavirenz were found to be more expensive than those containing nevirapine (cost/prevalence index of 1.2 and 1.7 respectively). When using d–values, there was a significant difference between the cost of regimens 1a and 1b, 1a and 1d, 1c and 1d and the information could be used for regimen switching decisions. Increase in CD4 cell count was more in stavudine–based regimens than in zidovudine–based regimens, which cost less per treatment. Cost effectiveness ratio was lower in 1a with R9.42/1cell/mm3 of CD4 cell count increase, and the highest was 1d with R31.77/1cell/mm3 of CD4 cell count increase. Therefore it was concluded that stavudine–based regimens are less costly as they have the lowest cost– effectiveness ratio in the Lesotho clinic environment.Thesis (M.Pharm. (Pharmacy Practice))--North-West University, Potchefstroom Campus, 2011.
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Mbakile, Allen Tebogo. "Factors contributing to the criminal behaviour of persons with mental disorders." Diss., University of Pretoria, 2009. http://hdl.handle.net/2263/23939.
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The study emanates from the need to explore and gain insight into the factors that led to the criminal behaviour of persons with mental disorders who are admitted to Lobatse Mental Hospital following a criminal offence. Objectives of the study were to provide a broad theoretical background on criminality amongst persons with mental disorders; to explore factors that contribute to the criminal behaviour of persons with mental disorders; and lastly, to draw conclusions and recommendations regarding reduction of criminal behaviour amongst persons with mental disorders. The study utilised and answered a research question that read as follows: What are the contributing factors to the criminal behaviour of persons with mental disorders? The study was therefore centred on this question as it was undertaken to find answers to the research question. The study used qualitative research approach because the researcher heavily relied on subjective data provided by the small sample, which in turn has been used to generate some understanding of the factors contributing to the criminal behaviour of persons with mental disorders. Applied research was used because it addresses the problem of criminal behaviour of persons with mental disorders and draws conclusions and recommendations to the reduction of the criminal behaviour amongst persons with mental disorders. The study also followed a qualitative research approach, in particular a collective case study strategy. The population for this study comprised of all offenders with mental disorders at Lobatse Mental Hospital. The researcher relied on purposive sampling technique to select the participants. Twelve patients with a mental disorder admitted at Lobatse Mental Hospital were interviewed face-to-face by the researcher and a tape recorder was used to capture the data. In analyzing the data themes that were categorised in line with emerging patterns, particularly with reference to the research question, were identified. The conclusion from the literature review revealed that there is a causal relationship between mental disorders and criminal behaviour. It however revealed that persons with mental disorders with psychotic symptoms are at increased risk of criminal behaviour. Literature also showed that persons with mental disorders can commit crimes not necessarily due to their mental disorder but to other factors such as greed, lack of conscience and revenge. The factors contributing to the criminal behaviour of persons with mental disorders as revealed by the participants are as follows: mental disorder accompanied by psychotic symptoms; alcohol and substance abuse; male; single; lower educational achievement; unemployed; self defence; mixing traditional and modern medicine; treatment non-adherence; poor interpersonal relationships with significant others; delay in seeking appropriate treatment; lack of education on one mental condition; living alone without anyone to monitor the signs and symptoms of the mental condition; poor conflict resolution skills. CopyrightDissertation (MSW)--University of Pretoria, 2010.
Social Work and Criminology
unrestricted
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Van, Zyl Tiaan. "A longitudinal analysis of the prescribing patterns of anti–epileptic medicine by using a medicine claims database / T. van Zyl." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4918.
Full textAbstract:
The prevalence of epilepsy in society is general knowledge; however the impact on
social activity as well as other daily factors are not always fully recognised. Epilepsy
frequently poses a problem with regard to work–related activities (Heaney, 1999:44).
Moran et al. (2004:425) indicated that the major impacts of epilepsy on life were work
and school difficulties, driving prohibition, psychological and social life of which
restriction of work or schooling has the greatest impact on epileptic’s life. In all cases
the type, severity, and frequency of the seizures as well as the age would be relevant.
Davis et al. (2008:451) established that 39% of all epileptics were not adherent to their
therapy and in patients over 65 this was even higher at 43 %. Non–adherence with antiepileptic
medicine appears to be related to increased health care utilisation and costs
and may also lead to an increased probable accidents or injuries
The general objective was to investigate anti–epileptic medicine prescribing patterns
and treatment cost in a section of the private health care sector by using a medicine
claims database.
A retrospective drug utilisation study was done on the data claims from a pharmacy
benefit management company for the study period 1 January 2005 to 31 December
2008.
Firstly epilepsy was investigated in order to understand the disease and to determine
the prevalence and treatment thereof. It was found that epilepsy is still one of the most
common neurological conditions and according to the findings, 2 out of every hundred
patients were using anti–epileptic medicine in this section of the private health care
sector. To make this condition socially more acceptable and understandable, public
education for special target groups concerning the disorder must be conducted as well
as employment training programmes for people with epilepsy themselves. The utilisation patterns of anti–epileptic drugs were reviewed, analysed and interpreted.
It was determined that anti–epileptic medicine items are relatively expensive with
regards to other medicine items on the total database. With regard to gender, more
females are using anti–epileptic medicine than males on the database. The largest age
group of patients using anti–epileptic medicine, is between > 40 years and <= 64 years of
age. It was also clear that prevalence increase as age increase.
With regard to the different prescribers, the number of items prescribed by a general
practitioner was almost double that of the other prescribers. It was further established
that newer anti–epileptic medicines are more expensive than older anti–epileptic
medicine according to the cost per tablet in this section of the private health care
sector.
Carbamazepine and valproate were the two active ingredients that were most
frequently prescribed as a single item on a prescription. After a cost–minimisation
analysis was done, R134 685.66 could have been saved when generic substitution was
implemented.
The refill–adherence rate decreased as age increased. Only 30.46% of the trade
names was refilled according to acceptable refill–adherence rates. The refill–adherence
rate according to active ingredient showed that medicine items containing,
phenobarbitone/vit B or gabapentin had the lowest unacceptable refill–adherence rate.
The limitations for this study was stipulated and recommendations for further research
regarding anti–epileptic medicine were also made.Thesis (M.Pharm (Pharmacy Practice))--North-West University, Potchefstroom Campus, 2011.
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Räther, Philipp C. "Der Schutz gleich- und verschiedengeschlechtlicher Lebensgemeinschaften in Europa /." Berlin : Duncker & Humblot, 2003. http://www.gbv.de/dms/ilmenau/toc/36269849X.PDF.
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Leuchtner, Nadine. "eCRM-Ansätze ausgewählter Nonprofit-Organisationen wie behandeln karitative Organisationen das Thema eCRM zu ihrem Nutzen? /." [S.l. : s.n.], 2005. http://www.bsz-bw.de/cgi-bin/xvms.cgi?SWB11759338.
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Baschin, Marion [Verfasser]. "Wer lässt sich von einem Homöopathen behandeln? : Die Patienten des Clemens Maria Franz von Bönninghausen (1785–1864) / Marion Baschin." Stuttgart : Franz Steiner Verlag, 2012. http://d-nb.info/107364667X/34.
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Frey, David. "Eine Zigarre muss man wie eine schöne Frau behandeln ... vom Flüchtlingskind zum König der Havanna ; eine biographische Annäherung an Zino Davidoff." Basel Informationslücke, 2004. http://deposit.d-nb.de/cgi-bin/dokserv?id=3153043&prov=M&dok_var=1&dok_ext=htm.
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Janda, Carolyn [Verfasser], and Cornelia [Akademischer Betreuer] Weise. "Prämenstruelle Beschwerden verstehen, diagnostizieren und behandeln. Randomisiert kontrollierte Studien zur Untersuchungkognitiv-behavioraler Ansätze bei der prämenstruellen dysphorischen Störung / Carolyn Janda. Betreuer: Cornelia Weise." Marburg : Philipps-Universität Marburg, 2015. http://d-nb.info/1080299246/34.
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Magh, Johanna [Verfasser], Helmuth-Günther [Akademischer Betreuer] Dörr, and Wolfgang [Akademischer Betreuer] Rascher. "Soll man die euthyreote Autoimmunthyreopathie Hashimoto bei Kindern und Jugendlichen mit L-Thyroxin behandeln? Ergebnisse einer randomisierten Untersuchung / Johanna Magh. Gutachter: Helmuth-Günther Dörr ; Wolfgang Rascher." Erlangen : Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 2015. http://d-nb.info/1075839718/34.
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Alter, Dirk. "Kritische Betrachtung und Auswertung von 164 Akten von Patientinnen, die sich von 1989 bis Juni 1997 im Marienkrankenhaus an einer bösartigen Erkrankung der Eierstöcke haben behandeln lassen." [S.l.] : [s.n.], 2001. http://deposit.ddb.de/cgi-bin/dokserv?idn=964297957.
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Burger, Gloria. "Faktore wat lewensondersteunende behandeling beinvloed." Thesis, 2012. http://hdl.handle.net/10210/6939.
Full textAbstract:
M.Cur.Modern technology has brought on the possibility to sustain life for an indefinit3e period, but does not give answers to the questions arising from such situations. In view of shrinking resources available for tertiary care, and the growing awareness of justice, indefinite continuation of life-support therapy has been subjected to scrutiny. Traditionally the treating physician made all decisions regarding therapy. In Western culture the public are more aware of their right to self-determination and participation in decision making with the autonomy to do so. The nurse's role also changed from "handmaiden" to an independent practitioner who takes part in decision making regarding her patient. Decisions regarding life-support therapy is sensitive and becomes more complicated the more people become involved. The following question can then be asked: What are all the factors in decision making concerning life-support therapy? The aim of this study is to identify the factors in decision making concerning life support, as the first step in defining the parameters in decision making. The design chosen to identify these factors is a qualitative, exploratory, contextual, phenomenological case-study design. one case study was done on a patient where the continuation of life support was questioned. All persons involved with the patient were included in the case study. Interviews were conducted, observations and field notes were made and patient records were explored to identify factors in decision making. A narrative was written to present this information. As these constituted the micro-level, a literature study was done to identify factors on the macro- and meso-levels. The results of the analysis are presented as a list of factors in decision making concerning life-support therapy.
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Nel, Johannes Petrus. "Regsvrae rondom die geneeskundige behandeling van ernstig gestremde pasgeborenes." 1996. http://hdl.handle.net/10500/15601.
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Van, der Stad Marjolein. "Bioterugvoering as behandeling vir hipertensie by swartes : 'n metodologiese studie." Thesis, 2015. http://hdl.handle.net/10210/13326.
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Spies, Gloudina Maria. "Behandeling van die volwasse persoon wat as kind seksueel gemolesteer is." Thesis, 1996. http://hdl.handle.net/10500/16095.
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Afrikaans textHierdie studie bied vanuit 'n ekosistemiese benadering 'n verduideliking van die lewenswereld van die volwasse persoon wat as kind gemolesteer is. Enkele uitgangspunte van die ekosistemiese benadering word bespreek wat dien as vertrekpunt waarvolgens die navorser konstruksies oor die as kind gemolesteerde volwassene konstrueer. Daar word gefokus op die langtermyneffekte van die kindermolestering met spesifieke verwysing na die effek op die • fisiese gedrag van die volwassene; • die aard van die seksuele verhoudings van die volwassene; en • die aard van die interpersoonlike verhoudings van die volwassene. Tydens hierdie bespreking word die oorlewingstrategiee, wat die volwassene aanwend om met die l angtermyneffekte te oorl eef, duidel i k belig. Die he l i ngsproses waardeur 'n vol wassene vol gens sy of haar ei e pas beweeg ten einde die effek van die molestering te verwerk, word volledig bespreek. Die teorie is toegepas in die navorsing om die uitwerking van die kindermolestering op volwassenes te beskryf asook enkele gebeure (events) van die helingsproses waardeur 'n volwassene beweeg het. Gevolgtrekkings en aanbevelings word geformuleer ten einde die bruikbaarheid van hierdie studie in die praktyk aan te dui.
In this study the world of the adult survivor of sexua 1 abuse is described in terms of the eco-systemic approach, as well as certain constructions within the approach. These constructions served as a base on which the researcher construed further constructions of the adult survivor of sexual abuse. The study focuses on the 1 ong term effects of the child abuse with specific reference to the effect on • the physical behaviour of the adult; • the nature of the sexual relationships of the adult; and • the nature of the interpersonal relationships of the adult. The strategies of the adult in surviving with these long term effects are also highlighted in the discussion. The healing process through which the adult survivor passes in healing the sexual trauma according to his or her own pace, is fully discussed. In the empirical research the theory is applied to describe the effect of sexual abuse on the lives of adults as well as on certain events of the healing process. Conclusions and recommendations are formulated to indicate the usefulness of this study for the field.
Social Work
D.Phil. (Maatskaplike Werk)
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"Die gesamentlike behandeling van ouer en kind in die terapeutiese spelsituasie." Thesis, 2014. http://hdl.handle.net/10210/12947.
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De, Rooster Christiaan. "Die effektiwiteit van distikstofoksied in die behandeling van die alkohol-onttrekkingsindroom." Thesis, 2014. http://hdl.handle.net/10210/10547.
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Van, den Berg Hyletta. "'N Nasorgprogram vir maatskaplike werkers vir die behandeling van substansafhanklike adolessente." Diss., 2003. http://upetd.up.ac.za/thesis/available/etd-04202005-120054/.
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Boon, Wietske. "Sibbe van kinders met kanker se belewenis in die gesinsdinamika na behandeling." Thesis, 2008. http://hdl.handle.net/10500/1345.
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Text in AfrikaansThe problem that motivated the study was that siblings of children with cancer may experience the relationships within the family differently after cancer treatment. The purpose was to investigate and describe how family dynamics are experienced by the siblings of a cancer patient after his/her treatment for cancer. The research methodology includes qualitative research of an explorative and descriptive nature. Data were collected through unstructured interviews with siblings of children who had received treatment for cancer. From this data eight categories were identified accordingly. Although the data do not indicate that siblings experienced family dynamics after treatment as problematic, as expected, the information contributes by making parents of cancer patients more aware of the siblings' emotions and needs.
Social Work
M.Diac (Spelterapie)
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Tait-Jones, Vanessa. "Die rol van die sangpedagoog in die interdissiplinêre behandeling van sangers met stemprobleme." Thesis, 2010. http://hdl.handle.net/10019.1/5330.
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Thesis (MMus) (Music))--University of Stellenbosch, 2010.AFRIKAANSE OPSOMMING:In Suid-Afrika, soos in ander lande, gebeur dit dikwels dat sangers in een of ander stadium van hul loopbaan met stemmoeilikheid/’n stemprobleem te doen kry. Die mees algemene reaksie is om ’n oor-, neus- en keelspesialis (ONK-spesialis) te besoek vir hulp. Die sangaktiwiteit vereis egter ’n baie fyn gebalanseerde kondisie van die sangapparaat en dit blyk dat die oorsprong van die meeste stemprobleme onder sangers funksioneel van aard is. Daarom word daar van die veronderstelling uitgegaan dat die mees suksesvolle behandelingsroete vir die sanger met ‘n stemprobleem ‘n integrale interdissiplinêre benadering behels wat nie net die ONK-spesialis insluit nie, maar ook ‘n spraakterapeut en sangpedagoog. Anders as in Suid- Afrika, word hierdie interdissiplinêre benadering alreeds algemeen toegepas in lande soos die VSA en Brittanje. Hierdie studie vind plaas vanuit die oogpunt van die sangpedagoog en identifiseer die nodige kennis en praktiese ondervinding wat sodanige sangpedagoog sal benodig om suksesvol as deel van ’n interdissiplinêre span in die behandeling van sangers met stemprobleme te funksioneer. Om hierdie doel te verwesenlik, neem die studie die vorm van ’n gevallestudie aan waarin die navorser binne die bestek van verskeie maande konsultasies met sangers met stemprobleme binne ‘n mediese stemkliniek onder leiding van ’n ONKspesialis prakties geobserveer het. Deurgaans word sodanige gevallestudies weergegee en bespreek. Dit sluit o.a. die rol van elk van die interdissiplinêre spanlede, oorsake en behandeling van tipiese stemprobleme onder sangers, asook die spesifieke rol van die sangpedagoog in die behandelingsproses, in. In die geheel het hierdie studie getoon dat daar ’n groot leemte en onkunde onder baie sangers bestaan (veral amateursangers) wat die nodige sorg en hantering van hul sangstem betref. Hiperfunksionele stemproduksie a.g.v. foutiewe stemgebruikgewoontes, afwesigheid van sangopleiding en onkunde op die gebied van stemhigiëne en -sorg was opvallend. Dit blyk dat die sangpedagoog, in noue samewerking met die ONK-spesialis en spraakterapeut, ‘n kritieke leemte kan vul in die gespesialiseerde opvoeding en behandeling van sangers met stemprobleme.
ENGLISH ABSTRACT: In South Africa, as in other countries, singers frequently happen to experience voice problems at some or other stage in their career. The general reaction to this problem is to seek help from an ear, nose and throat specialist (ENT specialist). Seeing that the activity of singing requires such a finely balanced condition of the vocal instrument, it seems that the origin of most voice problems singers experience are of a functional nature. This study is based on the premise that the most successful way of treating an artist with a voice problem is via an integrated interdisciplinary team approach, which includes an ENT specialist as well as a speech therapist and a singing pedagogue. Unlike in South Africa, this interdisciplinary approach is already common practice in countries such as the USA and the UK. The study is conducted from the viewpoint of a singing pedagogue. It identifies the knowledge and practical experience the singing pedagogue would require to function successfully as part of an interdisciplinary team in the treatment of singers with voice problems. To succeed in this goal the study takes on the form of a case study. The researcher practically observed consultations with singers over several months in a medical voice clinic under the leadership of an ENT specialist. These case studies are reflected and discussed throughout this thesis. Amongst others, this includes the role of each member of the interdisciplinary team, the causes and treatment of typical voice problems amongst singers, as well as the specific role of the singing pedagogue in the treatment process. It is found that a great deal of ignorance exists amongst many singers (especially amateur singers) in respect of the necessary care and management of their singing voice. Hyperfunctional voice production due to incorrect voice-use habits, the absence of vocal training and ignorance regarding vocal hygiene and voice care were encountered frequently.
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Smit, Judith. "Kuns as terapeutiese hulpmiddel in die behandeling van die adolessent met Anorexia Nervosa." Diss., 2001. http://hdl.handle.net/10500/938.
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Text in AfrikaansDie doel van hierdie studie was om vas te stel of kunsterapie wei suksesvol aangewend kan word met die anorexia nervosa-lyer. Daar is spesifiek gefokus op die verbetering van die selfkonsep van die adolessent met anorexia nervosa. Anorexia nervosa en kunsterapie is bespreek. Daar is aandag gegee aan die spesifieke kenmerke wat kuns geskik maak vir terapeutiese aanwending in die bebandeling van die anorexia nervosa-lyer. Die praktiese toepassing van kunsterapie is uiteengesit met die Jdem op kunsterapeutiese tegnieke wat fokus op die verbetering van die selfkonsep van die adolessent met anorexia nervosa. Twee adolessente wat met anorexia nervosa gediagnoseer is, is as proefpersone vir die studie gebruik. Die Adolessente-Selfkonsepskaal (ASKS) en die Sacks Sinsvoltooiingsmedium is as voor- en natoetse ingeskakel om die stand van die twee proetpersone se selfkonsep te bepaal. Kunsterapie is vir twaalf sessies met die proefpersone gedoen. Uit die navorsingsresultate is tot die gevolgtrekking gekom dat kunsterapie gelei het tot 'n verbetering rakende aspekte van die seltkonsep van die adolessent met anorexia nervosa. Kunsterapie is positief beleef deur die proefpersone. Gevoelens kon op 'n nie-bedreigende manier geeksploreer word en onopgeloste situasies kon met vrymoedigheid aangespreek word.
The aim of this study was to assess and describe the potential value of art therapy as an intervention strategy for the treatment of adolescents suffering from anorexia nervosa. Anorexia nervosa was described and defined. Diagnostic criteria, the manifestation and contributory causes, as well as the treatment and the prognosis for recovery, were discussed. Art therapy, as well as specific therapeutic techniques suitable for the anorexia nervosa sufferer were explained. The specific objective of the study was to determine the influence of certain art therapy techniques on the self-concept of two adolescents suffering from anorexia nervosa. The results indicated that there were significant changes in the self-concept of the two adolescents. Art therapy can be an effective therapeutic intervention strategy for the adolescent suffering from anorexia nervosa and gives the client the opportunity to come to tenns with the self in a non-threatening way.
Psychology of Education
M. Ed. (Sielkundige Opvoedkunde)
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Oberholster, Madré. "Die verskynsel van gesinne wat betrokke is by besluitneming oor onttrekking van lewensondersteunende behandeling." Thesis, 2014. http://hdl.handle.net/10210/10723.
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M.Cur. (Psychiatric nursing)Withdrawal of life-support treatment is a well-known concept which has been studied often, especially from a medical point of view. The life-world of families involved in decision making concerning withdrawal of life-support of a family member is, however, an unknown field. This leads to the reaction and behavior of families to this traumatic process often begin mistakenly described by professionals as "difficult" , "passive" or "incapable of decision making". The patient and his/her family have, to a large extent, the right of self-determination and the right to take part in decision making. In the intensive care unit it often happens, according to Burger (1996:1-175), that the patient is not able to participate actively in the decision making process because of his/her illness and/or medication. The family then steps forward as decision maker and as the patient's "mouthpiece". The situation arises where the family, who must make the decision about withdrawal of life support treatment, are exposed to utterly moral conflict. Burger (1996:163) found that a family that experiences such trauma is not capable of focusing and assimilating knowledge. Members of the family have a great need for support and the intensive care nurse cannot provide that support for different reasons. One of the reasons being limited time and the other not being able to build therapeutic relationships. Because of the above mentioned, the overall objective of this study is to analyse the phenomenon of families who are involved in decision making concerning withdrawal of life-support treatment of a family member. Guidelines have been formulated according to the analysis of this phenomenon for the psychiatric nurse specialist to mobilise resources for the family to promote, maintain and restore their mental health as integral part of health. The research model of Botes (1989:1-283) is used in this study. The study is undertaken from the Judeo-Christian perspective of Nursing for the Whole Person Theory (Oral Roberts University, Anna Vaughn School of Nursing, 1990:136-142). A phenomenon analysis was undertaken in two phases. During the first phase, secondary analysis of primary data was done on the family used in Burger (1996:1-175) and was followed up by phenomenological interviews with families in the same circumstances and according to the same criteria that Burger (1996:1-175) used in her study. Data were analysed in collaboration with an independent coder. The family used for member checking in this study was also used in data control. A literature control was conducted as part of data control. On the ground of the repetitive themes from the secondary analysis and phenomenological interviews with the family involved in member checking, guidelines were formulated in phase two, based on all the data obtained from phase one, for psychiatric nursing specialists to mobilise resources for families in this situation. The proposed guidelines leave the door open for follow-up research where a model for assistance can be formulated for psychiatric nursing specialists to assist these families, since intensive care personnel are either too involved in the process, or do not always know how to build therapeutic relationships and usually also do not have enough time to attend to the patient's family.
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Viviers, Elna. "Geneeskundige maatskaplike werk as 'n komponent in die behandeling van geestesiekte in 'n algemene hospitaal." Thesis, 2014. http://hdl.handle.net/10210/9350.
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D.Phil. (Social Work)The research question answered in this thesis is: What is the place (role, attitude, aim) of medical social work as a component in the treatment of mental illness in a general hospital? Since the medical staff at a general hospital are primarily concerned with the treatment of physical illness, it is expected that the place and role of the medical social worker, as well as the mentally ill patient, create problems with role-functioning in this primary medical setting. In a general hospital, where life and death are vital issues, the doctor plays a major role in the treatment process and social workers and other persons, in ancilliary professions are expected to render a subordinate and secondary service. The patient's problems with role-functioning occur prior to admittance, during hospitalization and after discharge. In the process of becoming a patient the difference between the medical and psychiatric sick role is accentuated. Problems after discharge include unemployment and the fulfilment of roles such as marriage partner, roommate, neighbour, colleague and employer as determined by the social distance scale. Legislation, especially the Health Act (Act 63 of 1977) and the Mental Health Act (Act 18 of 1973) has made provision for psychiatric services to be incorporated in the general health services of the RSA and for the mentally ill to be treated in general hospitals. Despite the community-oriented approach, stigma is still attached to mental illness and the general public remains relatively ignorant regarding mental illness. One way of researching the influence of stigmatic labels in determining reactions to persons who are mentally ill is to investigate the attitudes of various sections of the community, including professionals in the health field. Attitudes towards mentally and public perception of the signs and symptoms of mental illness have for several years been the subject of considerable concern and research. The empirical data used in this study was obtained from collating the views of staff members attached to four training hospitals in South Africa. The investigation covered their knowledge of and attitude towards mental illness and the mentally ill patient. It al so determined whether respondents showed prejudice towards the treatment of the mentally ill patients in general hospitals. An analysis of the empirical data according to occupation indicates that professionals qualified in the human sciences comprise the smallest component of the personnel structure in hospitals. Compared to other personnel this group shows a more favourable attitude towards treatment of mentally ill patients in general hospitals and the acceptance and employment of mentally ill persons in the community. Although medical social work quantitatively form the smaller component in the treatment of mental illness in a general hospital it has a significant contribution to make with regard to the following aspects of social work service delivery: humanising the hospital system and the home environment of the mentally ill person; prouott ng mental health education; activating support systems; utilising social networks; enhancing effective role functioning; restoring social functioning as a facet of social health; preventing mental illness; promoting mental health and changing attitudes towards mental illness
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Oberholster, Madré. "'n Geestesgesondheidsmodel vir ondersteuning van gesinslede wat moet besluit oor die onttrekking van lewensondersteunende behandeling." Thesis, 2014. http://hdl.handle.net/10210/11385.
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