The researcher focused on developing a psycho-developmental programme that could be used as an intervention technique to combat teenage pregnancy. The literature research indicated that general factors contributing to teenage pregnancy could be divided into individual factors and social factors. The following individual factors played a major role towards teenage pregnancy: lack of knowledge, lack of future vision, lack of educational and personal goals and poor academic performance. Social factors such as poor health care services, poor socio-economic condition, unemployment and poverty could be seen as the most common general factors that lead to teenage pregnancy. Family disorientation because of families consisting of one parent, alcohol and drug abuse, and lack of parent support increase the risk to get involved in prostitution and sexual molesting ending up in teenage pregnancy. Psychological aspects such as low self-image, low self-concept, low self-esteem and an external locus of control are also contributing factors to teenage pregnancy. Cultural rituals, myths about sexuality and teenage pregnancy, poor recreational facilities, poor socio-economic condition leading to poverty and increasing the risk of becoming a victim of sexual abuse could be seen as the most common cultural factors which lead to teenage pregnancy. For the purpose of this research a cultural quasi-experimental design was used. Enrolled pupils between fourteen and sixteen years from the following culture groups: white, black (rural), black (urban) and brown were included in this research. These pupils were enrolled students from the following High Schools in Parys: Parys High School, Phehelang High School, Barnard Molekwane High School, Weiveld High School and Sckonkinville High School. All the pupils from the control group, experimental group and development groups were exposed to the completion of a questionnaire that was utilised for pre-testing as well as post-testing. This questionnaire consisted out of three dimensions: knowledge on sexuality, attitudes towards sexuality and myths occurring in connection with sexuality. This questionnaire is available in Afrikaans and Sotho. Only the experimental group was exposed to the psycho-development programme. The results of the research indicated that no differences between the research groups (experimental, development and control groups), age (14 - 16 years) and gender (male and female) groups were reported before the implementation of the psycho-educational programme. Only statistical differences in the cultural groups (white, black and brown) were found: between white and brown in connection with knowledge, attitudes and myths, and between white and black differences in connection with knowledge and myths. Between brown and black differences were found in connection with attitudes. The results after the implementation of the psycho-educational programme showed that no differences were found in connection with age and gender. The experimental group reported a positive change in attitudes towards teenage pregnancy, while knowledge increased in the development group. No changes were reported in the control group. Within the different cultural groups the following results were reported: Knowledge increased in the white group, while within the black group changes in knowledge, attitudes and myths were found. The results for the brown group did not report any change. The following conclusion could be made that the developed psycho-educational programme did have an impact on improving the knowledge and changing the attitudes of the study population in connection with sexuality and teenage pregnancy. The limitations of this research were identified and recommendations were made. / Thesis (M.A. (Psychology))--North-West University, Vaal Triangle Campus, 2007.

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This study addresses the mechanisms and consequences of shifts and transitions at the apex of the international hierarchy of power. It begins with the assessment that in spite of recent advances, progress in this area has been limited by lack of theoretical consistency and rigor. To remedy this problem, a game-theoretic model is developed which conceives of power shifts as transitions in preferences and learning processes. The model is then tested against the case of the pre-World War I British-German power shift. Findings provide new insight into the dynamics of prewar European diplomacy, and suggest that the war fundamentally resulted from a German challenge to the British-led international order. As regards the current Sino-American power shift, this study suggests that relations between China and the U.S. are headed towards a Cold War-like pattern, the severity of which could be alleviated by a successful U.S. policy of engagement towards Beijing.

Abstract available in the pdf file.

The researcher focused on developing a psycho-developmental programme that could be used as an intervention technique to combat teenage pregnancy. The literature research indicated that general factors contributing to teenage pregnancy could be divided into individual factors and social factors. The following individual factors played a major role towards teenage pregnancy: lack of knowledge, lack of future vision, lack of educational and personal goals and poor academic performance. Social factors such as poor health care services, poor socio-economic condition, unemployment and poverty could be seen as the most common general factors that lead to teenage pregnancy. Family disorientation because of families consisting of one parent, alcohol and drug abuse, and lack of parent support increase the risk to get involved in prostitution and sexual molesting ending up in teenage pregnancy. Psychological aspects such as low self-image, low self-concept, low self-esteem and an external locus of control are also contributing factors to teenage pregnancy. Cultural rituals, myths about sexuality and teenage pregnancy, poor recreational facilities, poor socio-economic condition leading to poverty and increasing the risk of becoming a victim of sexual abuse could be seen as the most common cultural factors which lead to teenage pregnancy. For the purpose of this research a cultural quasi-experimental design was used. Enrolled pupils between fourteen and sixteen years from the following culture groups: white, black (rural), black (urban) and brown were included in this research. These pupils were enrolled students from the following High Schools in Parys: Parys High School, Phehelang High School, Barnard Molekwane High School, Weiveld High School and Sckonkinville High School. All the pupils from the control group, experimental group and development groups were exposed to the completion of a questionnaire that was utilised for pre-testing as well as post-testing. This questionnaire consisted out of three dimensions: knowledge on sexuality, attitudes towards sexuality and myths occurring in connection with sexuality. This questionnaire is available in Afrikaans and Sotho. Only the experimental group was exposed to the psycho-development programme. The results of the research indicated that no differences between the research groups (experimental, development and control groups), age (14 - 16 years) and gender (male and female) groups were reported before the implementation of the psycho-educational programme. Only statistical differences in the cultural groups (white, black and brown) were found: between white and brown in connection with knowledge, attitudes and myths, and between white and black differences in connection with knowledge and myths. Between brown and black differences were found in connection with attitudes. The results after the implementation of the psycho-educational programme showed that no differences were found in connection with age and gender. The experimental group reported a positive change in attitudes towards teenage pregnancy, while knowledge increased in the development group. No changes were reported in the control group. Within the different cultural groups the following results were reported: Knowledge increased in the white group, while within the black group changes in knowledge, attitudes and myths were found. The results for the brown group did not report any change. The following conclusion could be made that the developed psycho-educational programme did have an impact on improving the knowledge and changing the attitudes of the study population in connection with sexuality and teenage pregnancy. The limitations of this research were identified and recommendations were made. / Thesis (M.A. (Psychology))--North-West University, Vaal Triangle Campus, 2007.

Introduction.: The evaluation and improvement of the quality of health care services begins with the knowledge about the trends and causes of diseases. Purpose: To describe the morbidity and mortality patterns for the under-5 year old children who were admitted in 11 district hospitals in Eastern Cape Province from 2000 to 2004. Methods: Descriptive study where a multi-stage sampling technique was used to select 11 district hospitals. There were 25,122 causes of paediatric ward admissions (2000 to 2004) among under-5 children from ward register were reviewed and ICD-10 coded. Findings: Pre-transitional causes were the leading causes of morbidity (68.4%) and mortality (74.2%) especially diarrhoeal lower respiratory tract infections and protein-energy malnutrition. There was particularly among male high infant morbidity and mortality rates observed from 2000 to 2004. Non-communicable diseases (8% morbidity and 4.2% mortality) and injuries (10% morbidity and 4.4% mortality) appeared to be of less public health concern among the under-5 children. Majority of under-5 mortality (43.4%) occurred within 24 hours of admissions (23.7% died on arrival). Influential variables for morbidity and mortality were region (Eastern), age (infants), year admitted and broad classification of the diseases (group I causes). There was a constant increase in morbidity and mortality which was observed during studied period. Conclusion: Pre-transitional causes (especially diarrhoeal, lower respiratory tract infections and protein energy malnutrition) were of public health concern among the under-5 children and their magnitude has increased over the years studied. Copyright / Dissertation (MSc)--University of Pretoria, 2010. / Clinical Epidemiology / unrestricted

More than 150 years ago, Thomas Addison first described the clinical features and pathogenesis of adrenal insufficiency. At that time, tuberculosis was the most common cause of this disease. The pathway to diagnosis and treatment of Addison's disease has been well described. However, determining the cause of the disorder remains a challenge. It is important to consider recently described infectious agents in the pathogenesis of Addison's disease. Mycobacterial, bacterial, viral, and fungal infections may lead to the development of adrenal insufficiency. Skin, pulmonary, and imaging findings can aid the clinician in making a prompt diagnosis of specific infections, which is crucial because early identification of infectious causes of Addison's disease may enable recovery of adrenal function. This review describes the clinical presentations of the multiple infectious causes of adrenal insufficiency.

Militancy in the Niger Delta area of Nigeria is a problem that affects government, private organizations, and individuals. The government's Amnesty and Reconciliation Program encouraged individuals to denounce militancy in return for skills training and a monthly allowance. However, the amnesty program has not yielded the desired result of ending insurgent militancy. The purpose of this research was to better understand factors that cause individuals to join militant groups in the Niger Delta region, in order to proffer plausible solutions to address the causes of militancy. Using the root cause conceptual framework in this phenomenological research, I explored the causal factors of militancy in the Niger Delta region for an in-depth understanding of this phenomenon. The key research questions focused on the motivating factors that spur individuals to participate in militant terrorism in Nigeria's Niger Delta region and whether the implementation of the Amnesty and Reconciliation Program mitigated the problem of militant terrorism in Nigeria's Niger Delta. Data were collected from 10 individuals through in-depth face-to-face interviews, while concept mapping was applied in completing the analysis of interview data. Key results revealed 8 core areas as causes of militancy: the lack of local control of resources, underdevelopment, relocation of local government headquarters, poverty, marginalization, environmental pollution, education opportunities, and poor implementation of the amnesty program. Implications for positive social change include using the findings to develop more effective programs and policies for addressing the problem of militancy and to implement strategies that will reduce or eradicate militancy and associated problems.

Blackfeet youth suicide Attempters and a sample of non-suicide Attempters were compared on the Family Adaptability and Cohesion Evaluation Scales (FACES- 111), the Family Environment Scale (FES), the Scale for Suicide Ideation (SSI), the revised Beck Depression Scale (BDI) and a biographical inventory. The purpose of this study was to define a set of variables that identify Indian youth with a high potential for suicide. The study sample consisted of 60 participants between the ages of 15-24, 30 suicide Attempters and 30 non-suicide Attempters, from the Blackfeet reservation. Fifteen identified variables were proposed to differentiate between the two groups. Analyses involving nine variables revealed a significant correlation between the revised Beck Depression Inventory variable of depression and the Biographical Inventory self-report variable of suicide attempt. Results indicated that suicide Attempters scored higher on the revised Beck Depression Inventory than did those subjects who did not attempt suicide.

This paper seeks to examine the underlying factors that will influence international security in the coming decades. In contrast to the Cold War era, it will be argued that two fundamental issues will largely determine the evolution of conflict - the widening socio-economic polarisation and problems of environmental constraints. Taken together with the proliferation of military technologies, the paper argues that attempts to maintain the present world order in the interests of a minority elite are unlikely to succeed and will, instead, enhance the risks of conflict. A radical re-thinking of western perceptions of security is necessary that will embrace a willingness to address the core causes of insecurity at their roots.