Master of Public Health - MPH / Background:Theoutcomeofpregnanciesinmanyinstancesislargelypredicatedon availabilityofSkilledBirthAttendants(SBAs).Despitethisphenomenon,illiteracyand financialdisadvantagehavebeenvariouslycitedastwinfactorspromotingtheinterest andpatronageofTraditionalBirthAttendants(TBAs)bywomenfolk.Itistherefore expected thatwomenhavingtertiarylevelofeducationandpossessing adequate economic resources would naturally prefer to use the SBAs.However,these http://etd.uwc.ac.za/ 9 observationshavenotsignificantlyreflected therealityin thechoiceofmaternal healthcareprovidersinNigeriaandthecityofLagosinparticular.Yet,accessto maternalservicesoftheSBAshasbeenwidelyacceptedasoneoftheleadingwaysof loweringmaternalmortality.Therefore,inordertoimprovethepatronageofSBAsand correspondinglylowermaternaldeathrates,itbecomesimperativetounderstandthe rationalebehindthepreferencefortheTBAs’usebywomenwhoarenotordinarily expectedtodosobyvirtueoftheirhighlevelofeducationandgoodfinancialcapacity. Aim:Theaim ofthisstudywastoexploreandunderstandtheexperiences,perception and beliefsystems influencing well-educated,middle income women and their reasoningfortheuseofTraditionalBirthAttendantsratherthanSkilledBirthAttendants fordeliveryservicesinLagos,Nigeria. Methodology:ThisisaqualitativestudyconductedinAlimoshoLocalGovernmentArea ofLagosinNigeria.Tenwomenwithtertiarylevelofeducationandbelongingtomiddle incomeeconomiccategorieswereenrolledasparticipants.Inaddition,itinvolved3 FocusGroupDiscussionscomprising7TraditionalBirthAttendantspergroup. Results:Behaviouraland attitudinalshortcomings by the SBAs;misconceptions regardingsurgicaldeliverybywomen;bureaucraticdelaysandbottlenecksexperienced attheSBAs’centres;thebeliefbythewomenthatpregnancyisasacredandspiritual eventwhichonlytheTBAshaveabilitytomanage;women’sconfidenceintheTBAsas havingbettercapacitytomanagecertaincoexistingmedicalconditionsinpregnancy; andmisinformationonmanagementmodalitiesforcertainconditionslikeinfertilityand fibroidallcombinetoinfluencepreferenceforutilizationofTBAsbywell-educated, middleincomewomeninthestudyarea.

El proyecto Complejo veterinario para animales menores en La Molina, se desarrolla ante la falta de una infraestructura adecuada para la atención y tratamiento de animales domésticos en la ciudad de Lima. Tiene como finalidad mostrar un prototipo de complejo veterinario que pueda satisfacer las necesidades del cliente y de su mascota. El proyecto tiene un énfasis en permeabilidad lo cual muestra la importancia de que al tener mascotas como usuarios junto con sus dueños, estos no deben sentirse “prisioneros” sino más bien, tener el mayor contacto posible con áreas verdes para su recreación. El programa está organizado según necesidades y flujos: Lo público se encuentra al frente del proyecto y lo semipúblico en la parte posterior. Consta de cinco paquetes funcionales: Clínica veterinaria, Centro de adopción, Hospedaje para mascotas, SUM o zona de adiestramiento y el paquete de servicios ubicado en el sótano. / The Veterinary Complex for minor animals project in La Molina is developed due to the lack of an adequate infrastructure for the care and treatment of domestic animals in the city of Lima. Its purpose is to show a prototype of a veterinary complex that can meet the needs of the client and their pet. The project has an emphasis on permeability which shows the importance of having pets as users together with their owners, they should not feel "prisoners" but rather, have as much contact as possible with green areas for recreation. The program is organized according to needs and flows: The public is at the front of the project and the semi-public at the back. It consists of five functional packages: Veterinary Clinic, Adoption Center, Pet Lodging, SUM or training area and the service package located in the basement. / Trabajo de investigación

>Magister Scientiae - MSc / The Northern Cape province has not been able to achieve the 90% immunization target recommended for South Africa’s expanded programme on immunisation (EPI). The situation has been attributed to the lack of access to EPI in the rural community. The Northern Cape’s poor infrastructure renders the provision of equitable preventive care service to rural communities a complex and costly task. The province is predominantly a rural setting consisting of farmland, with low population densities, and many residents have poor access to public transport to receive primary health care services from surrounding fixed or satellite clinics. Consequently, mothers often do not adhere to the immunization schedules, and lack awareness of the risks associated with the failure to have their infants vaccinated against communicable diseases. EPI services delivered via mobile clinics serve the primary health care needs for rural communities, but their sustainability remains a challenge. Additional barriers are found in literature which highlighted the shortage of health professionals, unreliable funding, limited transportation within rural areas and deficiencies in maintenance and suitability of mobile clinic vehicles.

The subject of the master thesis is the design of an eye center. It’s a three-floored building, where in the first floor is designed eye optics, pharmacy and main entrance to the eye center. During the design of the building, emphasis is placed on people with reduced mobility and orientation, technical building solution, thermal technical solution, as well as the assessment of fire safety. On the second floor there is an eye clinic and an operating theatre. On the third floor there are designed an operating theatre, a conference room and offices. The two types of roofs are designed - a vegetation flat roof and a walkable flat roof.

Topic of this thesis is design of medical bed for magnetic therapy for one person with two tube aplicators. The goal is create magnetic therapy device for magnetic therapy and create new cocnept of megnetic therapy devices which approximate by their quality to currently used high standard medical appliances.

Philosophiae Doctor - PhD / This study deals with the social interpretation of childhood diarrhea among the Xhosa speaking people of the Western Cape in South Africa. It highlights how in the Western Cape political consciousness and moralist discourses strongly influence relationships between different health care systems and the production of continuing conflicts around problems of health care delivery. It is argued that if meaningful relationships could be found between socially based health-seeking strategies and biomedical classifications of enteric and other diseases of women and children, they could facilitate the provision of more equitable, effective and widely acceptable health care. Furthermore, it compares the etiological explanations of childhood illness signs and symptoms of mothers and health practitioners of two kinds, i.e., professional nurses trained in biomedicine and indigenous African health practitioners (IHPs). The comparison focuses particularly on the interpretation of stool quality and associated symptoms. For stool quality the study refers to the color and texture of children's feces that mothers and health practitioners identify and associate with distinctive conditions of affliction. The study found these descriptive categories do not exhaust the variety of interpretations known to Nguni people in the area. There is variation, even ambiguity, in the interpretation of commonly understood illness categories and with respect to diarrheal illnesses, knowledge remains contested between mothers and professional nurses. Moreover, the availability of a wide range of therapeutic options m Khayelitsha diversifies the mother's causal explanations. It was found this diversity in causality and management of illnesses is manifested in the quality of children's stools, "green" feces in particular. Here too, different hues are not separable from the media in which they appear. Their interpretations draw on senses of value, ideas, social histories, different forms of power, systematic knowledge, and a great variety of other forms of significance that are embedded in the concrete domains of everyday life. In addition to the notion of isuntu,(that is humaneness) the study more importantly reveals that among Nguni of the Western Cape a tripartite relationship of umoya,(vital force) inyongo,(gallbladder) and ithongo (ancetral dream) is the dynamic philosophical component that describes Nguni experiences of health and illness. vi https://etd.

Decentralised detection and monitoring of hearing loss can be supported by new mHealth technologies using automated testing, which can be facilitated by minimally trained persons. These technologies may prove particularly useful in an infectious disease (ID) clinic setting where patients are at high risk for hearing loss. The current study aimed to evaluate the clinical utility of mobile and automated audiometry hearing health technology in an ID clinic setting. The current study was exploratory as it aimed to determine whether smartphone automated audiometry and South African English Digits-In-Noise (SA Eng DIN) smartphone applications could be utilised in an infectious disease clinic setting to monitor an HIV-related hearing loss in a feasible and time efficient way. Smartphone automated audiometry (hearTest™) and speech-in-noise testing (SA English Digits-In-Noise (DIN) test) were compared with manual audiometry at 2, 4, and 8 kHz. Smartphone automated audiometry and the DIN test were repeated to determine the test re-test reliability. Two hundred subjects (73% female and 27% male) were enrolled. Fifty participants were re-tested with the smartphone applications. Participants’ ages ranged from 18 to 55 years with a mean age of 44.4 (8.7 SD). Threshold comparisons were made between smartphone audiometry testing and manual audiometry. Smartphone automated audiometry, manual audiometry, and test re-test measures were compared to determine the statistical significance of any differences observed using the Wilcoxon signed-ranked test. Spearman rank correlation test was used to determine the relationship between the smartphone applications and manual audiometry, as well as for test re-test measurements. For all participants, 88.2% of thresholds corresponded within 10 dB or less between smartphone audiometry and manual audiometry. There was a significant difference (p>0.05) between smartphone and manual audiometry for the right ear at 4 and 8 kHz and the left ear at 2 and 4 kHz respectively. No significant difference was noted (p>0.05) between test and re-test measures of smartphone technology except at 4kHz in the right ear in smartphone automated audiometry. The absolute average difference between the initial and re-test of DIN testing was 1.2 dB (1.5 SD). No significant difference was noted in the test re-test measures of the DIN test (p < vii 0.05). A correlation coefficient of 0.56 was present in the DIN test re-test measures when the Spearman rank correlation test was administered. Smartphone audiometry with calibrated headphones provides reliable results and can be used as a baseline and monitoring tool at ID clinics. / Dissertation (MA)--University of Pretoria, 2017. / Speech-Language Pathology and Audiology / MA / Unrestricted

Punitive gynaecology is a set of healthcare-related attitudes and practices that aim to take control of a woman's body, sexuality and reproductive system in order to produce a reformed body. This thesis scrutinizes thephenomenonofpunitivegynaecology in modernRussia.Narrativeinquirywas conducted to provide an understanding of the ways punitive gynaecology works on the female body, restructures it and inscribes meanings. Autobiographical narratives are analysed and located within a wider socio- political context to concretize the dimensions of punitive practices in gynaecology. The main foci of analysis are the medical gaze, the spatial organization of the gynaecological clinic, pastoral power and agency in the gynaecological examination, the sexuality of the examination, the contingencies of shame, pain and embarrassment. The research uses a Foucauldian framework to uncover power relations permeating the doctor-patient interaction in the gynaecological examination. This thesis thus offers a reflectiononthepreferredmodes ofembodiment anddocilitythat punitivegynaecology attempts toinstil in its' subject. Keywords: punitive gynaecology, discipline, power, gaze, agency, body, hegemonic femininity, clinic, doctor-patient interaction, docility

Orientador: Maria Lúcia de Oliveira / Banca: Olga Ceciliato Mattioli / Banca: Audrey Setton Lopes de Souza / Resumo: O presente trabalho tem como objeto o conceito de angústia na perspectiva aberta pelo fundador da psicanálise - S.Freud. Seu objetivo é o estudo da elaboração desse conceito ao longo da sua obra, desde suas origens - quando se encontra, nos casos clínicos, com o fenômeno de angústia - , sua revisão no meio da obra, entre 1915 e 1917, até sua conceituação final da angústia como sinal de alarme. Visa discutir as conseqüências dessa conceituação para o tratamento psicanalítico e faz algumas considerações sobre a angústia na cultura contemporânea. Realiza-se mediante um método que consiste em fazer um levantamento da origem e das mudanças da teoria, procurando apontar os impasses com os quais Freud se deparou na sua clínica e na elaboração do saber, identificando as conclusões a que chegou. Estabelece três períodos do desenvolvimento da elaboração do conceito de angústia na obra freudiana: as origens (1886-1900); período intermediário (1900-1920); última fase (1920-1933). Apresenta e discute as conseqüências para a clínica psicanalítica (tratamento) das descobertas que Freud fez sobre a angústia ao longo de sua investigação, principalmente do seu conceito final como sinal de alarme do perigo que o desejo inconsciente representa para o ego. Conclui que a angústia é um paradoxo porquanto indica, clinicamente, ao mesmo tempo, uma aproximação ao desejo inconsciente e um alerta do ego para colocar em curso medidas de afastamento. A implicação clínica reside em que o praticante da clínica psicanalítica deve acolher a angústia e levar o paciente a acolhê-la pela verdade inconsciente que ela aponta, a saber, que o sujeito é marcado pela perda, tendo isso implicações na sua vida... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The object of this work is the concept of angst within the open perspective of the founder of psychoanalysis, S. Freud. It elaborates on the concept of angst from its origins, found in his clinical cases together with the angst phenomenon, during its review, between 1915 and 1917, until its final conceptualization as a sign of distress. The consequences of this conceptualization to the psychoanalytical treatment and considerations on the subject of angst in the contemporary culture are also presented. The method used to carry out this study included a survey of the origins and changes of the theory, as well as the setbacks faced by Freud both in his clinical work and during the development of the knowledge based on his conclusions. Three phases were established for the develoment of the Freudian concept of angst: the origins phase (1886 to 1900), the intermediate phase (1900 to 1920) and the last phase (1920 to1933). The consequences of his conceptualization to the psychoanalysis clinical treatment, mainly his final conceptualization of the phenomenon as a sign of distress, and the dangers that the unconscious desire causes to the ego are also discussed. It concludes that angst is a paradox which indicates, clinically, an approximation to the unconscious desire and an alert for the ego to use withdrawal measures.Clinical implications involve the acceptance of angst by the clinician and his patient of the unconscious truth it reveals ,i.e., that the subject suffers from a loss which brings consequences to his life... (Complete abstract, click electronic access below) / Mestre

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