• Refine Query
  • Source
  • Publication year
  • to
  • Language
  • 120
  • 55
  • 7
  • 5
  • 4
  • 2
  • 2
  • 2
  • Tagged with
  • 224
  • 224
  • 44
  • 44
  • 40
  • 33
  • 30
  • 30
  • 30
  • 29
  • 28
  • 28
  • 25
  • 24
  • 24
  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
201

Cidade, meio ambiente e lixo urbano: evolução da gestão dos resíduos sólidos em Belo Horizonte

Ribeiro, José Perpétuo Caldeira 09 November 2010 (has links)
Made available in DSpace on 2016-04-25T20:19:56Z (GMT). No. of bitstreams: 1 Jose Perpetuo Caldeira Ribeiro.pdf: 25644730 bytes, checksum: e2926a21f40d5823599683276bcdf0d0 (MD5) Previous issue date: 2010-11-09 / Centro Federal de Educação Tecnológica de São Paulo / This research is a debate about solid residues management, as modeled and standardized by Belo Horizonte´s Executive Office, whose goal of attending the environmental regulations, promoting sustainability and the administration of socioenvironmental conflicts in the urban area, thus fulfilling its social function. This research will analyze the evolution of municipal Urban Cleaning management and its present status, trying to assert the viability and adequacy of the chosen paths and actions pursued by the present municipal administration. It approaches the serious urban problem that garbage represents, especially, when one considers the increasing consumption and disposal; the garbage in the public pathways, obstructing mouth-of-wolf and galleries; the garbage dumps, focus of attraction of vectors and, of animals and scavengers; the undignified situation of needed people, oblivious to scavenging risks; the contamination of soil, water and air; amongst others. The city of Belo Horizonte was adopted as the object of analysis. We have analyzed public documents from the city hall, the state and the federation besides politic, historical, social, economic, environmental and technical texts. Interviews were made with public employees of the Urban Cleaning Superintendence of Belo Horizonte SLU; the Municipal Secretary of Environment SMMA; the State Environmental Foundation FEAM; the Center for Treatment of Solid Residues at BR-040 CTRS BR-040 and the Agency for the Metropolitan Region of Belo Horizonte Agency RMBH. Two other interviews had been granted by the presidents of two Associations of Inhabitants of districts surrounding the landfill and a third, given by a Hoje em Dia newspaper editor. Public documents were consulted at Abílio Barreto Historical Museum MHAB, Mineiro Public Archive APM, and the Public Archive of the City of Belo Horizonte APCBH. The management of the solid residues in Belo Horizonte is in the right way, studying and adopting advanced actions and instruments, based on the 3 Rs, on social participation and on the solidary economy. Finally, the great jump was planted and is germinating: the inter-municipal shared public management / Esse trabalho é um debate sobre a gestão dos resíduos sólidos, modelada e normatizada pelo executivo de Belo Horizonte, cuja meta é atender a regulamentação ambiental, promovendo a sustentabilidade e a administração de conflitos sócio-ambientais no meio urbano, cumprindo assim sua função social. A pesquisa pretende analisar a evolução da gestão da Limpeza Urbana no município e sua situação atual, buscando constatar a viabilidade e a adequação dos caminhos e ações visados pela atual administração municipal. Ela aborda o grave problema urbano, que o lixo representa, especialmente, quando consideramos o consumo e o descarte crescente; o lixo nas vias públicas, entupindo bocas-de-lobo e galerias; os lixões, focos de atração de vetores e, de animais e catadores; a indigna situação de pessoas carentes, alheias aos riscos da catação; a contaminação dos solos, das águas e do ar; dentre outros. Foi adotado o município de Belo Horizonte como unidade de análise, a consulta e análise de documentos públicos municipal, estadual e federal, além de obras e textos políticos, históricos, sociais, econômicos, ambientais e técnicos. Entrevistas foram concedidas por funcionários dos órgãos públicos: Superintendência de Limpeza Urbana de Belo Horizonte SLU, Secretaria Municipal de Meio Ambiente SMMA, Fundação Estadual do Meio Ambiente FEAM, Central de Tratamento de Resíduos Sólidos da BR-040 CTRS BR-040 e Agência RMBH. Mais duas entrevistas foram concedidas pelos presidentes de duas Associações de Moradores de bairros no entorno do aterro e uma terceira, concedida por um editor do jornal Hoje em Dia . As consultas em documentos públicos foram efetuadas no Museu Histórico Abílio Barreto MHAB, no Arquivo Público Mineiro APM e no Arquivo Público da Cidade de Belo Horizonte APCBH. A gestão dos resíduos sólidos em Belo Horizonte está no caminho certo, estudando e adotando ações e instrumentos avançados, baseados nos 3 Rs, na participação social e na economia solidária, Por fim, o grande salto foi plantado e está germinando: a gestão pública compartilhada intermunicipal
202

Cidade, meio ambiente e lixo urbano: evolução da gestão dos resíduos sólidos em Belo Horizonte

Ribeiro, José Perpétuo Caldeira 09 November 2010 (has links)
Made available in DSpace on 2016-04-26T14:52:38Z (GMT). No. of bitstreams: 1 Jose Perpetuo Caldeira Ribeiro.pdf: 25644730 bytes, checksum: e2926a21f40d5823599683276bcdf0d0 (MD5) Previous issue date: 2010-11-09 / Centro Federal de Educação Tecnológica de São Paulo / This research is a debate about solid residues management, as modeled and standardized by Belo Horizonte´s Executive Office, whose goal of attending the environmental regulations, promoting sustainability and the administration of socioenvironmental conflicts in the urban area, thus fulfilling its social function. This research will analyze the evolution of municipal Urban Cleaning management and its present status, trying to assert the viability and adequacy of the chosen paths and actions pursued by the present municipal administration. It approaches the serious urban problem that garbage represents, especially, when one considers the increasing consumption and disposal; the garbage in the public pathways, obstructing mouth-of-wolf and galleries; the garbage dumps, focus of attraction of vectors and, of animals and scavengers; the undignified situation of needed people, oblivious to scavenging risks; the contamination of soil, water and air; amongst others. The city of Belo Horizonte was adopted as the object of analysis. We have analyzed public documents from the city hall, the state and the federation besides politic, historical, social, economic, environmental and technical texts. Interviews were made with public employees of the Urban Cleaning Superintendence of Belo Horizonte SLU; the Municipal Secretary of Environment SMMA; the State Environmental Foundation FEAM; the Center for Treatment of Solid Residues at BR-040 CTRS BR-040 and the Agency for the Metropolitan Region of Belo Horizonte Agency RMBH. Two other interviews had been granted by the presidents of two Associations of Inhabitants of districts surrounding the landfill and a third, given by a Hoje em Dia newspaper editor. Public documents were consulted at Abílio Barreto Historical Museum MHAB, Mineiro Public Archive APM, and the Public Archive of the City of Belo Horizonte APCBH. The management of the solid residues in Belo Horizonte is in the right way, studying and adopting advanced actions and instruments, based on the 3 Rs, on social participation and on the solidary economy. Finally, the great jump was planted and is germinating: the inter-municipal shared public management / Esse trabalho é um debate sobre a gestão dos resíduos sólidos, modelada e normatizada pelo executivo de Belo Horizonte, cuja meta é atender a regulamentação ambiental, promovendo a sustentabilidade e a administração de conflitos sócio-ambientais no meio urbano, cumprindo assim sua função social. A pesquisa pretende analisar a evolução da gestão da Limpeza Urbana no município e sua situação atual, buscando constatar a viabilidade e a adequação dos caminhos e ações visados pela atual administração municipal. Ela aborda o grave problema urbano, que o lixo representa, especialmente, quando consideramos o consumo e o descarte crescente; o lixo nas vias públicas, entupindo bocas-de-lobo e galerias; os lixões, focos de atração de vetores e, de animais e catadores; a indigna situação de pessoas carentes, alheias aos riscos da catação; a contaminação dos solos, das águas e do ar; dentre outros. Foi adotado o município de Belo Horizonte como unidade de análise, a consulta e análise de documentos públicos municipal, estadual e federal, além de obras e textos políticos, históricos, sociais, econômicos, ambientais e técnicos. Entrevistas foram concedidas por funcionários dos órgãos públicos: Superintendência de Limpeza Urbana de Belo Horizonte SLU, Secretaria Municipal de Meio Ambiente SMMA, Fundação Estadual do Meio Ambiente FEAM, Central de Tratamento de Resíduos Sólidos da BR-040 CTRS BR-040 e Agência RMBH. Mais duas entrevistas foram concedidas pelos presidentes de duas Associações de Moradores de bairros no entorno do aterro e uma terceira, concedida por um editor do jornal Hoje em Dia . As consultas em documentos públicos foram efetuadas no Museu Histórico Abílio Barreto MHAB, no Arquivo Público Mineiro APM e no Arquivo Público da Cidade de Belo Horizonte APCBH. A gestão dos resíduos sólidos em Belo Horizonte está no caminho certo, estudando e adotando ações e instrumentos avançados, baseados nos 3 Rs, na participação social e na economia solidária, Por fim, o grande salto foi plantado e está germinando: a gestão pública compartilhada intermunicipal
203

Estudo das alterações cardiovasculares e metabólicas em modelo experimental de programação metabólica: efeito de extrato da casca de uva Vitis vinífera / Study of cardiovascular and metabolic alterations in experimental model of metabolic programming: effect of extract from skin of grape extract of grape Vitis vinifera

Andréa Fernandes Emiliano da Silva 29 March 2011 (has links)
Estudos epidemiológicos e experimentais têm sugerido que fatores de risco cardiovasculares podem ser parcialmente atribuídos às influências do ambiente em que vive o indivíduo, e que a nutrição materna influencia na programação de alterações metabólicas e cardiovasculares no indivíduo adulto e que caracterizam a síndrome metabólica (SM). Em contrapartida, estudos prévios de nosso laboratório demonstram que o extrato da casca de uva Vitis labrusca (GSE) possui efeito vasodilatador, antihipertensivo e antioxidante. Desta forma, o objetivo deste estudo foi avaliar o efeito do tratamento oral com GSE (200mg/kg/dia), sobre as alterações cardiovasculares e metabólicas e estresse oxidativo observados na prole adulta (fêmea e machos) com 3 e 6 meses, cujas mães foram submetidas a uma dieta rica em gordura (hiperlipídica) durante a lactação. Quatro grupos de ratas foram alimentados com dietas experimentais: controle (7% de gordura); controle + GSE (7% de gordura + GSE), hiperlipídica (24% de gordura); hiperlipídica + GSE (24% de gordura + GSE) durante a lactação. Após o desmame, todos os filhotes passaram a ser alimentados com uma dieta controle e foram sacrificados aos 3 ou 6 meses de idade. A pressão arterial sistólica (PAS) foi medida por pletismografia de cauda e o efeito vasodilatador da acetilcolina (ACh) foi avaliado em leito arterial mesentérico (LAM) perfundido. Foram avaliados o peso corporal, adiposidade (intra-abdominal e gonadal), níveis plasmáticos de colesterol total, triglicerídeos, glicose e insulina, e a resistência à insulina (RI) foi calculada pelo índice de HOMA IR. As expressões do IRS-1, Akt e GLUT-4 foram determinadas em músculo soleus. O dano oxidativo, níveis de nitritos e a atividade das enzimas antioxidantes: superóxido dismutase, catalase e glutationa peroxidase foram dosados no plasma e homogenato de LAM. A PAS e tecido adiposo foram aumentados nas proles adultas de ambos os sexos e idades do grupo hiperlipídico e revertidos pelo tratamento com o GSE. A resposta vasodilatadora à ACh em LAM não foi diferente entre os grupos de ambos os sexos, mas foram reduzidas com o envelhecimento. Nas proles fêmeas e machos do grupo hiperlipídico também foram observados o aumento dos níveis de triglicerídeos, de glicose e RI em ambas as idades e foram reduzidos pelo GSE. No grupo hiperlipídico houve redução nas expressões de IRS-1, Akt e GLUT-4 e o GSE reverteu estas expressões. Os níveis plasmáticos de malondialdeído estavam aumentados e os níveis de nitrito diminuídos no grupo hiperlipídico, de ambos os sexos e idades e foram revertidos pelo GSE. As atividades das enzimas antioxidantes no plasma e no mesentério foram reduzidas no grupo hiperlipídico e restauradas pelo GSE. Em conclusão, O GSE parece proteger as proles fêmeas e machos, cujas mães foram expostas a uma dieta hiperlipídica durante a lactação, dos fatores de riscos cardiovasculares, proporcionando uma fonte alternativa nutricional para a prevenção da SM. / Epidemiological and experimental studies have suggested that cardiovascular risk factors can be partly attributed to the influences of the environment in which the individual lives, and that maternal nutrition influences the programming of metabolic and cardiovascular diseases in adults characterizing the metabolic syndrome. On the other hand, previous studies from our laboratory show that the skin extract of grape Vitis labrusca (GSE) has antihypertensive, antioxidant and vasodilator effects. Thus, the aim of this study was to evaluate the effect of oral treatment with GSE (200mg/kg/day) on the cardiovascular and metabolic disorders and oxidative stress observed in adult offspring (female and male) at 3 or 6 months whose mothers were fed a high fat diet (HF) during lactation. Four groups of rats were fed experimental diets: control (7% fat), control + GSE (7% fat + GSE), diet (24% fat), HF + GSE (24% fat + GSE) during lactation. After weaning, all pups have become fed a control diet and were sacrificed at 3 or 6 months of age. Systolic blood pressure (SBP) was measured by plethysmography and the vasodilator effect of acetylcholine (ACh) was studied in perfused mesenteric arterial bed (MAB). We determined the body weight, adiposity, plasma total cholesterol, triglycerides, glucose, insulin, and insulin resistance was calculated by HOMA IR. The expression of IRS-1, Akt and GLUT-4 were determined in soleus muscle. Oxidative damage, nitrite levels and antioxidant enzyme activity: superoxide dismutase, catalase and glutathione peroxidase were measured in plasma and homogenate of mesentery bed. The SBP and adipose tissue were increased in adult offspring of both sex and ages of the HF group and reversed by treatment with GSE. The vasodilator response to ACh was not different between groups of both sex, but was reduced by aging. In offspring females and males of the HF group were also observed increased levels of triglycerides, glucose and insulin resistance in both ages and those changes were reduced by GSE. HF group showed a reduction in expression of IRS-1, Akt and GLUT-4 which was reversed by GSE. The malondialdehyde levels were increased and nitrite levels were decreased in the HF group of both sex and ages and those changes were reversed by GSE. The activities of antioxidant enzymes in plasma and mesentery were lower in HF group and restored by the GSE. In conclusion, GSE appears to protect the female and male offspring whose mothers were exposed to a high fat diet during lactation, against the cardiovascular risk factors, providing an alternative source of food for the prevention of metabolic syndrome.
204

An investigation of behaviour management strategies on learners with Attention Deficit Hyperactivity Disorder in the classroom

Wulfsohn, Renee 12 1900 (has links)
Learners with Attention Deficit Hyperactivity Disorder (ADHD) traditionally display disruptive and other associated negative behaviour in the classroom setting. Behaviour management strategies utilised by the teacher in the school environment can assist in reducing this type of behaviour that impacts negatively upon their academic performance. This research study develops and investigates the effectiveness of a programme of practical behaviour management strategies designed to reduce disruptive behaviour of learners with ADHD in the classroom. / Educational Studies / M. Ed. (Educational Psychology)
205

Estudo das alterações cardiovasculares e metabólicas em modelo experimental de programação metabólica: efeito de extrato da casca de uva Vitis vinífera / Study of cardiovascular and metabolic alterations in experimental model of metabolic programming: effect of extract from skin of grape extract of grape Vitis vinifera

Andréa Fernandes Emiliano da Silva 29 March 2011 (has links)
Estudos epidemiológicos e experimentais têm sugerido que fatores de risco cardiovasculares podem ser parcialmente atribuídos às influências do ambiente em que vive o indivíduo, e que a nutrição materna influencia na programação de alterações metabólicas e cardiovasculares no indivíduo adulto e que caracterizam a síndrome metabólica (SM). Em contrapartida, estudos prévios de nosso laboratório demonstram que o extrato da casca de uva Vitis labrusca (GSE) possui efeito vasodilatador, antihipertensivo e antioxidante. Desta forma, o objetivo deste estudo foi avaliar o efeito do tratamento oral com GSE (200mg/kg/dia), sobre as alterações cardiovasculares e metabólicas e estresse oxidativo observados na prole adulta (fêmea e machos) com 3 e 6 meses, cujas mães foram submetidas a uma dieta rica em gordura (hiperlipídica) durante a lactação. Quatro grupos de ratas foram alimentados com dietas experimentais: controle (7% de gordura); controle + GSE (7% de gordura + GSE), hiperlipídica (24% de gordura); hiperlipídica + GSE (24% de gordura + GSE) durante a lactação. Após o desmame, todos os filhotes passaram a ser alimentados com uma dieta controle e foram sacrificados aos 3 ou 6 meses de idade. A pressão arterial sistólica (PAS) foi medida por pletismografia de cauda e o efeito vasodilatador da acetilcolina (ACh) foi avaliado em leito arterial mesentérico (LAM) perfundido. Foram avaliados o peso corporal, adiposidade (intra-abdominal e gonadal), níveis plasmáticos de colesterol total, triglicerídeos, glicose e insulina, e a resistência à insulina (RI) foi calculada pelo índice de HOMA IR. As expressões do IRS-1, Akt e GLUT-4 foram determinadas em músculo soleus. O dano oxidativo, níveis de nitritos e a atividade das enzimas antioxidantes: superóxido dismutase, catalase e glutationa peroxidase foram dosados no plasma e homogenato de LAM. A PAS e tecido adiposo foram aumentados nas proles adultas de ambos os sexos e idades do grupo hiperlipídico e revertidos pelo tratamento com o GSE. A resposta vasodilatadora à ACh em LAM não foi diferente entre os grupos de ambos os sexos, mas foram reduzidas com o envelhecimento. Nas proles fêmeas e machos do grupo hiperlipídico também foram observados o aumento dos níveis de triglicerídeos, de glicose e RI em ambas as idades e foram reduzidos pelo GSE. No grupo hiperlipídico houve redução nas expressões de IRS-1, Akt e GLUT-4 e o GSE reverteu estas expressões. Os níveis plasmáticos de malondialdeído estavam aumentados e os níveis de nitrito diminuídos no grupo hiperlipídico, de ambos os sexos e idades e foram revertidos pelo GSE. As atividades das enzimas antioxidantes no plasma e no mesentério foram reduzidas no grupo hiperlipídico e restauradas pelo GSE. Em conclusão, O GSE parece proteger as proles fêmeas e machos, cujas mães foram expostas a uma dieta hiperlipídica durante a lactação, dos fatores de riscos cardiovasculares, proporcionando uma fonte alternativa nutricional para a prevenção da SM. / Epidemiological and experimental studies have suggested that cardiovascular risk factors can be partly attributed to the influences of the environment in which the individual lives, and that maternal nutrition influences the programming of metabolic and cardiovascular diseases in adults characterizing the metabolic syndrome. On the other hand, previous studies from our laboratory show that the skin extract of grape Vitis labrusca (GSE) has antihypertensive, antioxidant and vasodilator effects. Thus, the aim of this study was to evaluate the effect of oral treatment with GSE (200mg/kg/day) on the cardiovascular and metabolic disorders and oxidative stress observed in adult offspring (female and male) at 3 or 6 months whose mothers were fed a high fat diet (HF) during lactation. Four groups of rats were fed experimental diets: control (7% fat), control + GSE (7% fat + GSE), diet (24% fat), HF + GSE (24% fat + GSE) during lactation. After weaning, all pups have become fed a control diet and were sacrificed at 3 or 6 months of age. Systolic blood pressure (SBP) was measured by plethysmography and the vasodilator effect of acetylcholine (ACh) was studied in perfused mesenteric arterial bed (MAB). We determined the body weight, adiposity, plasma total cholesterol, triglycerides, glucose, insulin, and insulin resistance was calculated by HOMA IR. The expression of IRS-1, Akt and GLUT-4 were determined in soleus muscle. Oxidative damage, nitrite levels and antioxidant enzyme activity: superoxide dismutase, catalase and glutathione peroxidase were measured in plasma and homogenate of mesentery bed. The SBP and adipose tissue were increased in adult offspring of both sex and ages of the HF group and reversed by treatment with GSE. The vasodilator response to ACh was not different between groups of both sex, but was reduced by aging. In offspring females and males of the HF group were also observed increased levels of triglycerides, glucose and insulin resistance in both ages and those changes were reduced by GSE. HF group showed a reduction in expression of IRS-1, Akt and GLUT-4 which was reversed by GSE. The malondialdehyde levels were increased and nitrite levels were decreased in the HF group of both sex and ages and those changes were reversed by GSE. The activities of antioxidant enzymes in plasma and mesentery were lower in HF group and restored by the GSE. In conclusion, GSE appears to protect the female and male offspring whose mothers were exposed to a high fat diet during lactation, against the cardiovascular risk factors, providing an alternative source of food for the prevention of metabolic syndrome.
206

The pharmacotherapeutic treatment of attention-deficit/hyperactivity disorder (ADHD) in children and adolescents

Oettle, Judith Ann Elizabeth January 2010 (has links)
Background: The ideal treatment of Attention-Deficit/Hyperactivity Disorder is a highly debated issue. Opposition to pharmacological treatments has resulted in the popular use of non-pharmacological measures which are not necessarily efficacious for the management of ADHD. Objectives: The primary aim was to evaluate the treatment of children and adolescents diagnosed with ADHD in South Africa. Methods: The study consisted of two parts, a drug utilisation review (DUR) and questionnaire-based surveys. The DUR was conducted using a database containing central nervous system (CNS) drug prescriptions which were dispensed during 2008. A total of 21 650 prescriptions dispensed to 7 202 patients constituted the Primary study population which was analysed. The questionnaires were distributed to the parents/caregivers of children diagnosed with ADHD. A response rate of 20.81 percent was obtained. Results: The average age of patients in the DUR was 11.60 ±3.01 years. Male patients represented 74.09 percent (5 336: n = 7 202) of patients. Methylphenidate was the most commonly prescribed of the two drugs indicated for the treatment of ADHD (85.89 percent, 18 956: n = 21 650). A prescribing bias by practitioners in different parts of South Africa was identified. Drug holidays were identified during March and December of 2008. The average age of patients in the questionnaire was 10.67 ±2.83 years, with a male patient majority (86.11 percent, 31: n = 36). Methylphenidate was the most commonly used prescription treatment (93.75 percent, 30: n = 32). Drug holiday use was reported in 56.25 percent (18: n = 32) of patients. Most participants reported supplement use (83.33 percent, 30: n = 36), but 86.67 percent (26: n = 30) of these participants did not find them useful. Conclusion: ADHD is a poorly understood disorder which affects people in all spheres of life. Treatment of the disorder should be individualised and based on scientifically proven effectiveness. Further studies, both in South Africa and worldwide, need to be conducted on the treatment of ADHD
207

The impact of child life non-pharmacologic pain interventions on pediatric patient's pain perception in the emergency department

Reynolds-Wilcox, Wendy Lee 01 January 2004 (has links)
The purpose of this current study is to examine the impact of non-pharmacologic pain interventions administered by trained Child Life professionals in an emergency department on pain perception in children. Results showed no significant decrease in children's pain report during the medical procedure compared to before the medical procedure. However, pain after the medical procedure is significantly less than pain during the medical procedure.
208

Controlling Hypertension Among Young Black Men in America: A Prescription Medication Alternative

Charles, Winston 01 January 2019 (has links)
Despite the evident improvements in the awareness of hypertension among the adult population in the United States, disparities remain in the burden of the disease, its treatment efficacy, and its control when data are compared along age, gender, and race. The purpose of this study was to determine the strength of the relationship between blood pressure control and prescription medication and lifestyle modification (smoking cessation, changes in eating habits, and weight loss). The target population were adult young Black men, and the control variables were age, low socioeconomic status (SES), and disparities in health care. A convenience sample of Black men (age 16-45 years) was obtained (N = 297) from the 2013-2014 NHANES dataset, and bivariate and multiple regressions were conducted after the assumptions were satisfied. The results indicated a statistically significant relationship between prescription medication and systolic blood pressure control (B = -4.327, p = 0.009). The findings of the study can promote social change by highlighting that medication compliance must be encouraged and adhered to by members of this high-risk group. However, further research is suggested to explore the efficacy of lifestyle modification closely to determine if this is a viable treatment option for young Black men of low SES in the United States.
209

The Lived Experiences of Adult Male Trauma Survivors with Dance Movement Therapy

Langston, Jeanne 01 January 2019 (has links)
In the United States, approximately 7.7 million individuals are affected by posttraumatic stress disorder (PTSD) at any given time. Though women are likelier to develop PTSD symptoms, men are exposed to more traumatic events in their lifetimes. Empirically- supported PTSD options exist, however clinical application of these treatments may not consistently culminate in beneficial outcomes. Dance Movement Therapy (DMT) has demonstrated positive treatment outcomes for a variety of mental and physical disorders. Nonetheless, there is a lack of robust research related to the treatment experiences of men who have participated in DMT for trauma-related symptoms. The purpose of this phenomenological study was to explore this research gap. Focusing on adult male trauma survivors, the research question addressed the lived experiences of participating in DMT and the meaning ascribed to this involvement. Eleven adult male participants were interviewed via audio-recorded telephone interviews consisting of semistructured interview questions. Through a constructivist lens, the modified Van Kaam method of analysis was implemented revealing 4 emergent themes. The findings of this explorative study suggested positive PTSD symptom outcomes for all 11 participants including improvements in social belongingness, social acceptance, quality of life, and a reduction in symptoms of anxiety and depression. Accordingly, the findings of this research may help to advance social change through broadening clinical awareness of the beneficial neurogenic treatment advantages of somatic and creative interventions such as DMT for PTSD. Moreover, these findings may augment existing research related to movement- based treatment options for individuals coping with PTSD and trauma-related symptoms.
210

The perception and treatment of mental illness by selected Pentecostal pastors in Polokwane : towards an intervention

Mauda, Lesley Takalani January 2022 (has links)
Thesis (Ph.D. (Psychology)) -- University of Limpopo, 2022. / Mental illness is a high burden of disease especially in Low- and Medium-Income Countries (LMICs) like South Africa. In many LMICs, there is a paucity of Mental Health Professionals (MHCPs). As a result, people with mental illness call their faith healers or religious/spiritual leaders (pastors in this study) when experiencing mental health problems. Pastors are more accessible, share the same religious/spiritual beliefs about mental illness with their congregants and often provide religious/spiritual solutions to those who consult with them. Thus, they are often preferred over MHCPs. However, pastors are rarely involved as partners in community based mental health programs. While mental illness is mainly clinically diagnosed and recognised by MHCPs using the DSM-5 and ICD-10 codes, less is known in South Africa with regards to the views of pastors with regards to their notions of what mental illness is. Thus, it may be complex for Pentecostal pastors to clearly distinguish between spirit possession and mental illness as much as it is complex for MHCPs who struggle with accommodating their patients’ religious/spiritual beliefs. Religious/spiritual beliefs are significant in many Africans seeking mental health recovery. However, less has been explored in South Africa in the area of religion/spirituality and its relevance in the practice of clinical psychology. Western based psychotherapeutic methods of intervention which exclude the religious/spiritual domain of African clients continue to dominate the practise of psychology in Africa. Given the above, this study aimed to explore and understand selected Pentecostal pastors’ perception and treatment of mental illness. The research objectives were, namely: (1) to establish the notions held by Pentecostal pastors’ regarding what mental illness is (2) to establish Pentecostal pastors’ perception of what causes mental illness; (3) to determine Pentecostal pastors’ perceptions of how and by whom mental illness can be recognised, diagnosed, treated and managed; (4) To determine Pentecostal pastors’ views regarding their own roles in the management of mental illness; and (5) To canvass and describe Pentecostal pastors’ perceptions about collaboration for purposes of an intervention programme aimed at providing a holistic care and treatment of religious/spiritual patients. The study was qualitative, and the exploratory research approach was adopted. The research was informed by the Bio-Psycho-Social-Spiritual (BPSS) model. Purposive sampling was used to select nineteen (19) participants. In-depth semi-structured interviews were conducted. Data were analysed using Thematic Analysis (TA). The following six major themes emerged from the analysed data: (i) Notions of mental illness; (ii) Causes of mental illness;(iii) Recognition and diagnosis of mental illness (iv) Notions on the treatment and management of mental illness; (v) Perceived roles in the treatment and management of mental illness; (vi) Views regarding collaboration with MHCPs. The participants held a multifactorial view of mental illness. They were limited in their understanding of mental illness and perceived it mainly to be madness (psychosis). The participants’ perception of mental illness was influenced by their theological (Pentecostal) as well as their cultural backgrounds (Black Africans). The participants indicated that they lacked training in mental health issues. As such, they were not opposed to collaborating with MHCPs. They mentioned that their roles included counselling, prayer, support, and referral. This study also discovered that Pentecostal pastors upheld three treatment approaches of mental illness namely: The Full-Collaborative Approach; The Partial-Collaborative Approach and the Non-Collaborative Approach. Findings of the study were discussed, and recommendations were made including the proposed intervention programme between pastors and MHCPs with the aim of facilitating a referral process and collaboration between the two professions. / National Institute for the Humanities and Social Sciences (NIHSS), and South African Humanities Deans Association (SAHUDA)

Page generated in 0.1527 seconds