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No description available.

No description available.

Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, 2012. / Background: The Durban University of Technology (DUT) chiropractic teaching clinic (CTC) represents a training facility for future chiropractors as well as providing a healthcare service to the local population. It is important to measure the demographic characteristics and presenting complaints of patients attending the DUT CTC as this information prepares the student interns for private practice. It also provides an insight into the popularity of chiropractic in the community. Objectives: This study sought to measure certain demographic variables and presenting conditions of patients attending DUT CTC and to assess whether these have changed over time. Method: A retrospective, cross-sectional descriptive study was performed by drawing patient files of new patients presenting to the DUT CTC for the months of February through April, during 2000, 2006 and 2011 (data from a 1994 study was included for analysis). The files had the following information regarding the patient collected: age, gender, ethnicity, occupation, medical aid, main presenting complaint, as well the duration of the most recent complaint. The data was analysed for trends using statistical software (SPSS v19). Results: Data from 1 311 patient files were analyzed. The number of patients attending the DUT CTC had reduced significantly since 2000. The mean age ranged from 37.0 – 39.7yrs across the samples with a trend of increasing age occurring between 1994 and 2006. Ages ranged from 2 weeks – 89yrs, with 20 – 29yrs being the most common group. Females formed 50.5 – 51.2% of the samples with no significant change over time. White (46.3 – 64.2%) and Indian patients (27.2 – 40.9%) formed the majority, with Black patients showing a trend of increasing representation (from 6.4% in 2000 to 15.8% in 2011). The most common occupations were student (19.7 – 26.8%) and clerical (17 – 23%), with a trend noted between 1994 and 2006 of a decreasing student proportion. This trend reversed from 2006 – 2011. Medical aid subscription among patients reduced significantly (p<0.05) from 56.2% in 1994 to 41.6% in 2011. The main presenting complaints were spinal (68.2 – 84.1%), with low back (30.7 – 40.7%) and neck/head (27.8 – 33.8%) being the most common. Most main complaints were of a chronic nature (45.8 – 61.7%), though a trend of reducing chronicity was noted between 1994 and 2006. A trend of increasing sub-acute complaints was seen between 1994 and 2011. Conclusions: The patients attending DUT CTC are similar to most international CTC’s in terms of patients’ age, gender, occupation, and main presenting complaint. Compared to existing data on South African private practice, the patients at DUT CTC are generally younger, less likely to be female, less likely to be White, more likely to be Indian or Black, less likely to have medical aid, more likely to present with low back pain as appose to neck/head pain, and more likely to present in the acute/sub-acute phase. Between 1994 and 2006, the trend shows that patients at DUT CTC were older, less likely to be White, less likely to be students, less likely to have medical aid, and less likely to present in the chronic phase.

Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, 2014. / Aim: A paucity of information on chiropractic patients presenting in public community clinics in South Africa (SA) exists. The purpose of this study was to carry out a demographic and disease survey of the patients that presented to the Marburg Haven Clinic, so to identify the patients that presented in a rural community outreach programme. Methods: A retrospective analysis on the patient files at Marburg Haven Clinic was completed in September 2012. Data recorded included demographic data, presenting complaints, patient history and management protocols. Results: Data of 117 patients were documented. Most patients were female (76.1%), with a mean age of 53.3 years. Indian patients (50.4%) presented most often, with a quarter of the patients unemployed (26.5%) or pensioners (21.4%). Of the employed patients, 26.5% had not specified the type of occupation and 9.4% were non-manual workers. Musculoskeletal complaints (21.2%) were the most common complaints at the Marburg Haven Clinic, with the primary diagnosis of sacroiliac syndrome (16.2%), followed by general myofascitis (22.4%). Common co-morbidities reported were hypertension, diabetes and asthma. Less than half the patient population had undergone previous surgeries and/or sought previous treatment from other medical practitioners. Sixteen patients were contra-indicated for manipulation. Common treatment protocols used were spinal manipulation, spinal mobilisation and stretching. Conclusion: This is a demographic and descriptive study of a public community outreach centre in South Africa. In relation to international studies, similarities were that the majority of the patients were female, anatomical sites of complaint (lumbar and cervical pain), common usage of radiographs, co-morbidities including cardiovascular and endocrine pathologies and manipulation were used as the treatment of choice. A prospective longitudinal study with more specific criteria for patient tracking and more defined data capture requirements is recommended to more accurately gather all data within similar settings.

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Over the last forty years, we have witnessed the birth of a new phenomenon in the Western world, that of 'the dream retirement. ' This study examines a group of (mainly) Northern European older people who move to Spain in search of the culmination of their life-project. Following years of working to the clock they move away from the 'rat-race' to find warmth, good health, company, friendship and enjoyment. Yet [...] the experience is often judged negatively by outsiders. The Costa is portrayed as a slightly unreal world, a liminal zone beyond the 'normal' realm of work. This thesis, an ethnographic exploration of life for older migrants in Spain takes seriously this 'unreal' world. It explores the negotiation of the designated 'free-time' at the end of the working life. The creation of retirement at a determined legal cut-off point has forced a separation between working identities and identities in the life beyond, which previously had (if at all) a ragged boundary between them. In short, it is a modern-day rite of passage. Now, as retirement approaches, new questions come to the fore. Where should we retire? How do we negotiate that culturally created 'time off' at the end of the working years? Do we find satisfaction, companionship, hope and fulfilment of dreams? Perhaps more mundanely,what do we actually do with that time? This thesis is an ethnographic study devoted to exploring the lives and worlds of older people who, in answering the above questions, chose to migrate to Spain from Northern Europe. Its focus is the new brand of 'woopies' (well off older persons) seeking the 'rewards' of leisure following a lifetime of working. They enter an interstitial space devoted to the pursuit of adult play. The thesis interrogates the reality of such rewards, looking at the tensions inherent in the 'freedom' sought within utopian spaces such as Spain. I reveal how the imagined freedoms necessitate some form of regulation, and I employ a re-examination of anthropological models of ritual to do so.

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The study investigates and interprets the factors that contributed to the recent decline in fertility in Sri Lanka, despite its low economic standing. It seeks to elucidate the social transformation that has taken place and looks at the socio-cultural determinants that have brought about the process of fertility transition. In this regard, the significant effects of the welfare measures in force in the country in respect of health, education, nutrition and housing have been brought to light. Hence the study tends to fall outside the scope of the conventional wisdom laid down in the demographic transition theory outlined by Notestein, which emphasised the contribution that economic development plays in lowering fertility. The approach to the study hinges on selected variables like education, age at marriage, gender roles per se and female employment. The cardinal role played by free education in contributing to the transition is given particular coverage. Education is treated more as a cultural asset which determines and shapes values, preferences and aspirations in respect of marriage, fertility, family formation and other aspects such as career development which enables women to play roles away from home. Unfortunately, inferences about women's position do not always gain statistical support, as they are intricately woven into the fabric of societal gender settings and traditions. In respect of age at marriage, the socio-cultural factors of society like the caste system, a dowry and horoscope matching with details of Karmic determinants have been examined in some detail. The study also uncovers the social deprivation aspects which for long led women in the plantation sector to experience fertility performance lower than the national level. Going by normal demographic rationale, their high degree of labour force participation should account for it. But it was social deprivation and the resultant low nutritional levels that reduced their reproductive ability to low levels. With a better life ushered in by a programme of social uplift during the early 'eighties, this ethnic group showed signs of first a rise in fertility, and on having reached the threshold it has now begun showing signs of a decline attributable to healthier lives. Similarly, a relatively invisible agent, the prevalent “urban outlook," is shown to contribute to the transition process, and has recently become even more significant due to the intensive rural amelioration efforts of the government. This outlook is all pervasive and permeates the society in general in effecting the transition under review.

Patterns and processes of post-war Tunisian migration are examined in this thesis from a spatial perspective The concept of 'migration regions' proved particularly interesting in this context, highlighting the orderly character of internal migration Comparison of different taxonomic procedures for transforming interaction matrices not only illustrated the advantages and disadvantages of different clustering techniques, but also facilitated explanation of contemporary migration patterns The hypothesis of the 'mobility transition' provides an interesting yardstick against which trends in internal migration and other mobility characteristics may be measured Although the development of Tunisian migration resembles in some respects the pattern prescribed by the mobility transition hypothesis, it IS shown that it would be wrong to conclude that the evolution of Tunisian migration is a predetermined unilinear process International migration grew rapidly in importance to Tunisian job seekers in the late 1960s and early 1970s, becoming more important in some regions of Tunisia than out-migration to Tunis. Calculation of migration quotients for emigration to France and Libya shows that international movement of workers has been a highly selective process, not only with regard to migrant characteristics, but also with regard to regions of origin and destination An attempt is made to explain the changing pattern of Tunisian emigration, and to identify elements of spatial order within the evolving emigration process migration both at the internal and international scale is closely associated with migrants aspirations for occupational and social mobility. An understanding of the complex relationships between these different forms of mobility is a prerequisite to meaningful migration planning. The thesis concludes by out ling the relevance to policy formulation of spatial analysis of migration and employment which the Tunisian government might adopt for migration and manpower planning,