In 2011 it was estimated that in Thailand there were 498,800 stroke survivors of both sexes but most were over the age of 65. They were served by only 625 occupational therapists (OTs). Occupational therapy (OT) plays a key role in the rehabilitation service for stroke patients, in particular, by enabling stroke survivors to reengage with activities of daily living and to resume work or family tasks. OT needs to be culturally appropriate and relevant to the therapists, stroke patients and their families. The Occupational Therapy Mahidol Clinic System (OT-MCS) has been designed to be culturally relevant and is based on collaborative teamwork which can better address the needs of the stroke patients. OT-MCS was introduced in 6 regional OT clinics. This study compared perceptions of stroke clients who took part in the new approach 8 weeks before and during the rehabilitation. One hundred and twenty stroke participants were divided into 2 functional groups (slow and fast stream rehabilitation). Stroke participants (N=120) and OTs (N=60) explored the arrangement of activity items into domains for creating a new activity card sort (ACS). Sixty stroke participants (slow stream rehabilitation) and 60 OTs were surveyed to investigate the attitudes of “satisfaction” and “importance” via 40 therapeutic activities. Sixty stroke participants (fast stream rehabilitation) evaluated the levels of their activity engagement in diverse cultural-therapeutic activities. Lastly, 23 stroke participants (slow and fast stream rehabilitation) were interviewed in order to ascertain their lived experiences after the use of OT-MCS and the data were analysed using thematic analysis. The integrated analysis demonstrated strong satisfaction and engagement with OT-MCS. The use of the activity catalogue met with positive attitudes from the stroke participants and in particular the collaborative approach of OTs and participants gave meaning to the activities and a sense of self management. In addition in the fast stream rehabilitation participants reported satisfaction with the transferability of the activities to the home and external environment and their relevance to supporting family life. The OT-MCS for Thai stroke rehabilitation is a comprehensive OT service, which improves the perception of benefit in stroke clients enabling them to perform meaningful and purposeful activities based on their local and regional lifestyles. This culturally appropriate approach helps stroke clients to re-develop their life-skills. Through the use of meaningful and relevant activities which meet their specific needs, stroke clients can lead more satisfying and fulfilling lives.

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My research identifies an emerging trend among writers working on the borders of fiction and non-fiction for novels that function as aesthetic autobiographies. These works articulate ways in which the lived experience of the writer intersects with the artistic expression of these experiences. I examine novels by Rachel Cusk, Elena Ferrante, Sheila Heti, Jhumpa Lahiri and Deborah Levy as well as non-fiction texts by these authors. I argue that works by these women writers form a conversation of the kind Helene Cixous urges in her essay 'The Laugh of the Medusa' and I view the resulting work as a female countercanon. Further, I argue that these works constitute a canon of motherhood, to which my own novel The Weaning might belong. As a way of furthering my understanding of my own creative practice I consider the exchange that occurs between writer and proxy, writer and text, writer and reader, reader and text as a process of literary weaning.

Cosmopolitan thought in recent scholarship is often used in either a prescriptive or a descriptive manner. It is thus most commonly understood as a research agenda for the prescription of various ethico-political projects or a description of the social and political world beyond national frameworks. In both cases cosmopolitanism seems to be mostly understood as a set of assumptions about the social world. This thesis aims to underline cosmopolitanism's critical characteristics and its capability to engage with the social world in a critical and therefore transformative manner. There has been relatively scarce scholarship on critical cosmopolitanism, a gap that the thesis closes by focusing on cosmopolitanism's capacity for critical intervention. In this study, the contribution of cosmopolitanism to critical thought is evaluated and advanced. Possessing an unparalleled ability to understand things and change them in the light of universalism, cosmopolitanism can be explored as a kind of critical theory that has a distinct agenda and normative guidance. In order to achieve this, the thesis looks at a version of critical theory that is in certain respects most akin to cosmopolitanism, that is, Axel Honneth's critical theory and his theory of recognition, and connects the two in a way that shows both the cosmopolitanism's possession of critical heory's main features and its differences from Honneth's critical theory. It is proposed that cosmopolitanism can be regarded as a critical theory with the concept of recognition as its main framework, but also that it differs from Honneth's theory in its understanding of world disclosure and holding to more universalist and utopian claims. While cosmopolitanism can be understood as being critical, it can also be used as an enhancement of the existing conceptualisation of recognition relationships through cosmopolitanism's universalist dimensions.

Diabetes mellitus is a common chronic disease that affects approximately 382.8 million people worldwide. Globally, the Kingdom of Saudi Arabia (KSA) has the seventh highest prevalence of diabetes, with over one-fifth of the Saudi population diagnosed with diabetes. Poor understanding and low health awareness, in parallel with lifestyle choices are considered the main components behind the increase of diabetes and diabetes-related complications in KSA. There is also a lack of diabetes speciality centres, especially in remote areas of KAS. Moreover, diabetes management becomes more complicated during the Ramadan month because people observe fasting throughout the month. The month long fasting process complicates the disease status of Saudi diabetic patients with potential complications post the fasting period. In this thesis, we present the design and development of a novel and intelligent mobile diabetes management system tailored for type 2 diabetic (T2D) patients in Saudi Arabia with the focus on the integration of educational and compliance issues, which we name as the SAED system. The system was validated in two preliminary pilots in the Kingdom, one pilot being specifically dsigned to evaluate the system for diabetic patient during Ramadan fasting month. The outcomes of the clinical pilot indicated the clear effectiveness of the SAED system in lowering the HbA1c levels. The system was tested for its performance through a randomized control trial on 20 diabetic patients for a period of six months in Kingdom of Saudi Arabia. The outcomes of the pilot study showed improvements in the HbA1c levels of patients and also significant improvements in diabetes knowledge amongst the patients. The HbA1c levels of the diabetic patients in the SAED intervention group decreased from 8.76% to 7.85%. The diabetic knowledge test outcomes of the diabetic patients in the SAED intervention group significantly improved from 46.20% to 61.10%. Further, our study also tested the SAED system on diabetic patients during the Ramadan period. This is important because fasting is observed during the Ramadan month which can significantly affect the diabetes management and diagnosis amongst the patients. The study for the Ramadan period was conducted on another 20 patients using the similar approach described above. The results from the clinical trial indicated significant reductions in the number of hypoglycaemic and hyperglycaemic events during the month of Ramadan in patients who used the SAED system. The diabetes knowledge test outcomes also significantly rose from 44.60% to 64.10%. The SAED system for diabetes management using mobile technologies in KSA has been proven to be successful in improving the diagnosis and management of diabetes amongst the patients. The SAED system offers an inexpensive, practically feasible solution for diabetes self-management in KSA. Considering the social, economic, and political conditions in KSA, the SAED system can enhance the quality of healthcare provided to patients, lead to better utilization of resources, provide timely interventions, and improve the overall quality of life of diabetic patients and their family and friends.

The number of patients diagnosed with long term conditions in the UK is increasing with an expected number of 18 million patients by 2018, responsible for 69% of all spending on health and social care in England. These challenges cannot be solved solely by conventional approaches and other alternatives, such as cost-effective technological solutions, must be considered to increase patient's independence and quality of life, and produce cost savings for the authorities. This practice-based research explored the potential role of technologies in the care of patients with long term conditions, and aimed to evaluate the acceptance and effectiveness of a telehealth service provided to patients' with chronic obstructive pulomary disease and heart failure; to map and compare chronic obstructive pulmonary disease care pathways between different EU countries to better understand how technologies fit within the standard forms of care; to explore how m-health interventions can be developed and designed to support the care of cancer patients and survivors; and to provide data on UK cancer patients' ownership of and interest in m-health technologies. Mixed-mthod research approach was used in this study with a mixture of face-to-face and email semi-structured interviews, postal and online questionnaires, and data extraction from available databases. This approach was selected to harness the strengths of, both quantitative and qualitative methodologies. Seven nurses, working on telehealth for an average of 15 months were interviewed. Lack of resources and organisational support, patient selection criteria, and technological support were identified as barriers for effective implementation of telehealth. Telehealth reduced the number of both A&E and hospital admissions by 36% (P=0.03) and 28% (P=0.02), respectively. 27 patients responded to the postal questionnaire and were very satisfied with the service. They agreed that telehealth had improved their health, was a convenient form of healthcare delivery for them, and that it made them more involved in the decisions about their care or treatment. Five COPD-specialised HCPs were interviewed, and the COPD care pathway was compared between 5 EU countries including Germany, Greece, Ireland, Netherlands and England. Lack of communication among different healthcare providers managing COPD and co-morbities is a common feature of the studies care pathways. In all countries, the lifestyle management services provided were similar with no specific tools used to enhance patients' adherance, and no specified role/training existing for informal carers (partners, family & friends). Telehealth can play a role int he integrated care of long tem conditions by providing means communication allowing better communications between different healthcare providers managing LTCs and co-morbidities. Next, the role of m-health in cancer care was explored. A need for m-health platforms to support cancer patients and survivors was identified, and two m-health platforms were developed and designed using patient's centred approach and Waterfall system development model. MyAppPal and CanAdvice+ were designed to support colorectal cnacer srvivors set up on follow-up care plans and cancer patients receiving oral chemotheraphy at home, respectively. 12 colorectal cancer patients were interviewed and 69 patients responded to the postal questionnaire. Patients expereince with the support provided during follow up plan varied based on appointment type and location. They had problems remembering or accessing information as they moved away from their treatment, and reported needs for more specific and personalised information, more information on how to handle financial difficulties and social care, and more control over their hospital appointments. The usability scores of the developed apps were very positive, and they were seen as simple and attractive to use, and had very positive learnability and usability scores. Finally, 529 cancer patients completed surveys to assess their ownership of smart-technologies and interest in m-health apps. 90.5% of the patients had access to smartphone, tablet or both, and only patients' age significantly affected this ownership. Almost half of the patients showed an interest in the use of m-health apps, and two out of five were willing to download apps in were made available from the hospital. Five factors were found to significantly predict patients' willingness to use and download health applications, including age, health literacy, previous use of apps in general and health apps in particular, and previous use of smartphones/tablets to access related health information in the past six months. Ownership of smart-technologies and interest in m-health apps was independent from all other socio-economic factors. Technologies seem to be acceptable to patients with long term conditions, and can play an important role in improving their clinical outcomes if well designed, introduced, implemented and managed. Patients' perceptions of the usefulness and ease of use of these technologies seem to be a crucial factor in their acceptance of such interventions.

This thesis reopens the question of subject/object relations in the works of Gertrude Stein, to argue that the fetishisms theorised by Karl Marx, Sigmund Freud, and later Walter Benjamin and Michael Taussig, and problematised by feminist critics such as Elizabeth Grosz, are central to the structure of those relations. My contribution to Stein scholarship is twofold, and is reflected in the division of my thesis into Part One and Part Two. Part One of this thesis establishes a model for reading the interconnections between subjects and objects in Stein???s work; it identifies a tension between two related yet different structures. The first is a fetishistic relation of subjects to objects, associated by Stein with materiality and nineteenth-century Europe, and the identity categories of the ???genius??? and the ???collector???. The second is a ???new??? figuration of late modernity in which the processual and tacility are central. This latter is associated by Stein with America and the twentieth century, and was a structure that she, along with other modernist artists, was developing. Further, Part One shows how these competing structures of subject/object relations hinge on Stein???s problematic formulations of self, nation, and artistic production. Part Two uses the model established in Part One to examine the detailed playing-out of the tensions and dilemmas of subject/object relations within several major Stein texts. First considered is the category of the object as it is constructed in Tender Buttons, and second the category of the subject as it is represented in the nexus of those competing structures in The Making of Americans and ???Melanctha???. The readings of Part Two engage with the major strands of Stein criticism of materiality, sexuality, and language in Tender Buttons, Stein???s famous study of objects. The critical areas engaged with in her biggest and most controversial texts respectively ??? The Making of Americans and ???Melanctha??? ??? include typology, ???genius???, and Stein???s methodologies of writing such as repetition/iteration, intersubjectivity, and ???daily living???. This thesis contends that the dilemma of subject/object relations identified and examined in detail is never resolved, indeed, its ongoing reverberations are productive up until and including her final work.

An exploratory study of Board-Registered School Subjects was undertaken in 1989 to investigate the impact of this category of subjects on the curriculum for Year 11 and 12 students in Queensland secondary schools. The study was undertaken at two levels -the Systems and the Schools levels. At the Systems level, analysis of Reports and other documents was supplemented by interviews with key personnel in the education authorities. The segment at the Schools level consisted of interviews with administrators or teachers in ten schools in South East Queensland and a small student survey. Board-Registered School Subjects, first developed in that State in 1982, broadened the Senior curriculum from its traditionally academic base. The development of this category of subjects also heralded the beginnings of school based curriculum development in many secondary schools in that State. However, in the latter years of the 1980's, policies and syllabuses developed by the Queensland Department of Education indicate that a shift to systems based curriculum development is probable in the 1990's. Four sub-categories of Board-Registered School Subjects were identified in the sample schools. These were alternatives to core subjects, such as English and Mathematics, vocationally oriented subjects, those related to life/leisure skills and subjects which reflected the nature of the geographical area. The response by many schools to the development of these subjects was enthusiastic; most schools in the sample offered six to eight Board-Registered School Subjects to students in Years 11 and 12. Although many of these subjects were developed initially for students of "lower ability", a reported recent trend was for "academic" students to select one Board-Registered School Subject. The enthusiastic response by schools was curbed to some extent by the reaction of some teachers, students and parents to these subjects. Several Board-Registered School Subjects offered in 1989 were not implemented because insufficient numbers of students selected them. The major factor which mitigated against successful implementation of Board-Registered School Subjects was that students' results in these subjects could not be used in the calculation of the Tertiary Entrance Score, the basis for selection to tertiary institutions. For many students and parents, the Tertiary Entrance Score appeared to be the major goal of Senior secondary education.

<p>Uppsatsens syfte var att belysa hur och i vilken grad elever på högstadiet är informerade om vilka mål och betygskriterier som råder i ämnet trä- och metall slöjd samt hur de upplever ämnet trä- och metallslöjd. Detta gjordes genom en teoretisk del baserad på en redovisning av litteratur inom ämnet där det undersöktes vad som kännetecknar ämnet och vilka bedömningsgrunder som finns. Den empiriska delen baserades på en enkät till tio klasser i högstadiet i år 9 i Malmö, där det undersöktes på vilket sätt eleverna informerats om kriterierna och hur medvetna de var om kriterierna. Bedömningen sker hela tiden som eleven ägnar sig åt den skapande processen. Det innebär att det ställs speciella krav på kommunikationen mellan lärare och elev. Den empiriska undersökningen visade bland annat att en stor majoritet av eleverna hade informerats om vilka mål som ska uppnås och vilka betygskriterier som gäller. Det visade sig att eleverna ansåg att produkten har större betydelse för betygsättningen än vad processen har. En stor del var positiva till ämnet. Det var fler som var positiva för att de tyckte att ämnet var roligt än de som tyckte att det var nyttigt.</p>

<p>Detta examensarbete är en studie som handlar om hur elever i tidigare år uppfattar att ha teater/drama i undervisningen. Syftet med studien var att undersöka elevers erfarenheter av att ha ett undervisningsmoment med teater/drama. Frågeställningarna som författaren utgick ifrån var vad barn i de tidigare åren tyckte om att vara med och spela teater/dramatisera i undervisningen, vad eleverna och läraren menade att eleverna lärde sig av att det och om det fanns några skillnader mellan elevers uppfattningar av sitt lärande och lärarens avsikter. Studien var en fallstudie där eleverna gruppvis fick en fråga i ett givet ämne och sedan skulle spela upp lösningen. Det viktiga var här att eleverna skulle få prova på teater, och sedan intervjuades några både före och efter teaterframträdandet. Kontentan var att ta reda på hur de hade upplevt att använda sig av teater/drama. Klassföreståndaren blev också intervjuad om vad hon tyckte om teater/drama. Det författaren kom fram till var att momentet var populärt hos eleverna samt att genom detta övade sig eleverna bland annat att samarbeta och våga stå inför andra och agera. Slutsatsen blev att lärare bör ge teater/drama en chans, då det kan tillföra mycket i skolan.</p>