Introduction: Cerebral palsy (CP) is the leading cause of physical disability in children and youth worldwide and is a diagnosis that requires lifelong treatment. There are gaps in research on children with CP in Tanzania. Both occupational therapists and physiotherapists have a central role in rehabilitation interventions. They work to improve function and facilitate participation for the children.  Aim: To explore physiotherapists’ and occupational therapists’ experiences of treatment for children with cerebral palsy in the Kilimanjaro region, Tanzania.  Method: We performed six semi-structured interviews with three physiotherapists and three occupational therapists working with children with CP. The interviews were then analysed through a qualitative content analysis from an inductive approach.  Result: The result included five subthemes: Lack of support from society is a challenge for parents, Many challenges in therapy for the professionals, Education and support are crucial, Attitudes and non-inclusive environments limit participation and Seeing improvements in treatment and awareness. The subthemes resulted in the theme A holistic approach is necessary, which encompasses all subthemes and describes the need for the therapists to include all aspects in the child’s surroundings in assessment and treatment planning, but also to create a more inclusive living environment through increasing knowledge in society. Conclusion: The professionals saw that a holistic approach is necessary in the treatment of children with CP, as the child’s development is affected by biological, psychological, social and environmental factors. They saw opportunites for improving the treatment and increasing participation on local and national levels. / Inledning: Cerebral pares (CP) är den vanligaste orsaken till fysisk funktionsnedsättning hos barn och ungdomar över hela världen och är en diagnos som kräver livslång behandling. Det finns luckor i forskning om barn med CP i Tanzania. Både arbetsterapeuter och fysioterapeuter har en central roll i rehabiliteringsinsatser. De arbetar för att förbättra funktion och främja delaktighet för barnen. Syfte: Att utforska fysioterapeuters och arbetsterapeuters erfarenheter av behandling av barn med cerebral pares i Kilimanjaroregionen, Tanzania. Metod: Vi genomförde sex semistrukturerade intervjuer med tre fysioterapeuter och tre arbetsterapeuter som arbetar med barn med CP. Intervjuerna analyserades med kvalitativ innehållsanalys utifrån en induktiv ansats. Resultat: Resultatet innefattar fem subteman: Brist på stöd från samhället är en utmaning för föräldrar, Många utmaningar i terapin för de professionella, Utbildning och stöd är avgörande, Attityder och icke-inkluderande miljöer begränsar delaktighet och Ser förbättringar i behandling och medvetenhet. Dessa subteman utmynnade i temat En holistisk ansats är nödvändig som omfattar alla subteman och beskriver behovet av att terapeuterna tar med alla aspekter i barnets omgivning i bedömning och behandlingsplanering, men också att skapa en mer inkluderande livsmiljö genom ökad kunskap i samhället. Konklusion: De professionella såg att en holistisk ansats är nödvändig vid behandling av barn med CP, eftersom barnets utveckling påverkas av biologiska, psykologiska, sociala och miljömässiga faktorer. De såg möjligheter att förbättra behandlingen och öka delaktigheten på lokal och nationell nivå.

This dissertation reports on the findings of a qualitative, exploratory, descriptive and contextual study into the health beliefs and practices of urban Pares, living in Moshi, Kilimanjaro Region, in Tanzania. The study utilised aspects of the transcultural nursing framework. Semi-structured interviews were used for data gathering with a sample of nine urban Pare informants. Data were analysed thematically. The major findings indicate that health beliefs arise from magico-religious, holistic and scientific paradigms. It was also found that beliefs and behaviour patterns are changing. These findings are discussed in terms of the two major themes, namely, multiple world views and change and continuity. Recommendations arising from the findings are made which may assist health workers to provide culturally congruent care. / Health Studies / (M.A. (Health Studies))

Developed countries are striving to achieve a cm geoid model. Most developing countries/regions think that the situation in their areas does not allow even a few decimetre geoid model. GNSS, which provides us with position, is one of the greatest achievements of the present time. Conversion of ellipsoidal height to orthometric height, which is more useful, requires an accurate geoid model. In spite of the sparse terrestrial gravity data of variable density, distribution and quality (a typical situation in developing countries), this study set out to develop as accurately as possibly achievable, a high quality geoid model of Tanzania. Literature review of three more preferred geoid methods came to a conclusion, that the Royal Institute of Technology of Sweden (KTH) method of least squares modification of Stokes formula (LSMS) with additive corrections (AC) is the most suitable for this research. However, even with a good method, the accuracy and the quality of a geoid model depend much on the quality of the data. In this study, a procedure to create a gravity database (GDB) out of sparse data with varying density, distribution and quality has been developed. This GDB is of high density and full coverage, which ensures presence of high and low gravity frequencies, with medium frequencies ranging between fair and excellent. Also an alternative local/regional Global Gravitational Model (GGM) validation method based on quality terrestrial point surface gravity anomaly has been developed. Validation of a GGM using the new approach of terrestrial point gravity and GPS/Levelling, gave the same results. Once satisfactorily proved, the method has extra advantages. The limits of Tanzania GDB (TGDB) are latitudes 15 ° S to 4 ° N and longitudes 26 ° E to 44 ° E . Cleaning and quality control of the TGDB was based on the cross validation (XV) by the Kriging method and Gaussian distribution of the XV residuals. The data used in the LSMS with AC to develop a new Tanzania gravimetric geoid model 2008, TZG08, are 1′ ×1′ clean and statistically tested surface gravity anomalies. 39,677 point gravity in land and 57,723 in the ocean were utilised. Pure satellite ITGGRACE03S GGM to degree 120 was used to determine modification parameters and long-wavelength component of the geoid model. 3′′ Shuttle Radar Topographic Mission (SRTM) Digital Elevation Model (DEM), ITG-GRACE03S to degree 120 and EIGENCG03C to degree 360 combined GGM qualified to patch the data voids in accordance to the method of this research. TZG08 is referred to Geodetic Reference System 1980 (GRS80), and its extents are latitudes 12 ° S to 1 ° N and longitudes 29 ° E to 41 ° E . 19 GPS/levelling points qualified to assess the overall accuracy of TZG08 as 29.7 cm, and upon approximate removal of GPS and orthometric systematic effects, the accuracy of TZG08 is 27.8 cm. A corrector surface (CS) for conversion of GPS height to orthometric height referred to Tanzania National Height Datum (TNHD) has been created for a part of TZG08. Using the CS and TZG08, orthometric height of Mt. Kilimanjaro is re-established as it was in 1952 to be 5,895 m above the TNHD, which is still the official height of the mountain. / <p>QC 20100813</p>

Orientador: Sérgio Campos / Banca: Célia Regina Lopes Zimback / Banca: Osmar Delmanto Júnior / Resumo: O objetivo, deste trabalho foi a espacialização da capacidade de uso das terras da microbacia do Córrego dos Rochas, Município de Avaré-SP, obtida através da utilização do Sistema de Informação Geográfica - Idrisi, visando contribuir para uma melhor organização territorial e planejamento de uma adequado da ocupação do solo. Os resultados obtidos a partir da metodologia utilizada permitiram mostrar que a maior parte das áreas de terras da microbacia dos Rochas são formadas por solos pertencentes às unidades: LATOSSOLOS VERMELHO-AMARELOS (LVA52) Distróficos (36,64%) e LATOSSOLO VERMELHOS (LV4) Eutroférricos e Distroférricos (30,30%), apresentando textura arenosa. Quanto à declividade, houve um predomínio de áreas com classes de declive de 0-12%, relevo plano a ondulado (61,37%) da área da microbacia, mostrando que essas terras são propícias para o cultivo de culturas anuais, com amplo uso da mecanização. A maior parte das terras foi classificada como sendo da classe IV (73,79 %) de capacidade de uso, porém, foram encontradas as seguintes subclasses de capacidade de uso das terras: IIe,s; IIIe; IVs; IVe; IVe,s, VIe e VIIe. As subclasses de capacidade IVe; IVe,s, IVs e VIe foram as mais representativas, mostrando tratar-se de terras que podem ser utilizadas para fins agrícolas, próprias para lavouras em geral, ressaltando-se que, quando cultivadas sem cuidados 2 especiais, ficam sujeitas a severos riscos de depauperamento, principalmente quando os solos são utilizadas culturas anuais. O Sistema de Informação Geográfica - Idrisi mostrou-se eficiente na determinação da capacidade de uso das terras da microbacia do Bairro dos Rochas, Município de Avaré-SP, demonstrando que a utilização de ferramentas de geoprocessamento facilita e agiliza os trabalhos dos cruzamento de dados, permitindo o armazenamento digital... (Resumo completo, clicar acesso eletrônico abaixo). / Abstract: In this context, the present work had a purpose the determination of the shart of land use capacity of the watershed of the Rochas in Municipal District of Avaré-SP, obtained through the use of Geographical Information System - Idrisi, looking for contribute to a better territorial organization and for the planning of a right occupation of the soil. The results obtained with the used methodology to show that the most of the areas of the watershed of the Rocha are organized by soil belonging to the units LVA52d (36, 54%) and LV4e (30, 30%) presenting textures that are sandy. About the declivity, had a predominance of areas with slope classes of 0-12%, plane relief to wavy (61, 37%) of the watershed showing that this lands are good to cultivate the annual cultures, with wide use of the mechanization. The biggest part of the lands of watershed were classified as being of the class IV of use capacity, but were found the following subclasses of capacity of land uses: IIe,s; IIIe; IVs; IVe; IVe,s, VIe e VIIe. The capacity subclasses IVe; IVe,s, e IVs (73,79%) e VIe (15,56%) were the most representatives, showing been about lands that can be used to agricultural ends, private to farming majority, jutting out that when cultivated without special cares, they stay in dangerous risks of impoverishment, mainly when the soils are cultivated with annual cultures. Information Geographical System - Idrisi show itself efficient in the determination of capacity in land uses of the wastershed of the Rochas in the Avaré-SP Municipal District, showing that the use of geoprocessing tools digital storage that will come to be used to another analyses, above all to future planning of the territories and environment areas studied already. / Mestre

“Conflicted” succinctly describes Ernest Hemingway. He had a strong desire to make his parents proud of him but this was in constant conflict with his need to tell a story, warts and all. Of particular importance is his relationship with his mother and the crippling effect it has on his relationships with women. Hemingway’s life becomes a series of dysfunctional relationships that fail to meet his needs, leaving him perpetually searching for the right woman. Kert posits that Hemingway’s contempt for women is related to his inability to make the transition from lover to husband, fueled by Hemingway’s belief that his father surrendered his manhood to Grace Hemingway. Ernest, haunted by his parents’ relationship continues to associate negative connotations with the term “husband,” leaving Hemingway in constant fear of becoming his father, poisoning his marriages, and coloring the relationships Hemingway depicts in his short stories. Evident across the arc of Hemingway’s short stories is an evolution in his skill as a writer, but also in the development of his female characters. Over his career, Hemingway develops a female voice that rings true, and he skillfully uses it to portray female characters who are evolving into strong self-reliant women. In these stories, there is a gradual shift in the dynamics of the relationships as Hemingway’s fictional women struggle to climb from under their man’s domination. Yet, these strong self-reliant women are not fully accepted by Hemingway’s male characters, leaving a palpable tension between Hemingway’s fictional men and women. This tension can be attributed to Hemingway’s ongoing love/hate relationship between himself and the self-reliant women in his life. Hemingway never recovers from the emotional damage inflicted by his mother, evident in his personal life and in the dysfunctional relationships in his short stories. He remains vigilant and is concerned that he will end up like his father and be controlled by a domineering bitch. However, Hemingway exerts so much control in his relationships and becomes a version of his mother as he dominates his significant others. In his life, he transitions from an angry resentful child-man to a young husband, a reluctant parent, a ladies’ man, and an adventurer. Likewise, his perception and portrayal of women in his short stories keeps pace with his personal experiences. These female characters sometimes reflect the women in his life and sometimes reflect Hemingway’s insecurities as a man, and often a seamless melding of both.

No abstract available. / Thesis (M.Env.Dev.)-University of Natal, Pietermaritzburg, 2003.

This dissertation reports on the findings of a qualitative, exploratory, descriptive and contextual study into the health beliefs and practices of urban Pares, living in Moshi, Kilimanjaro Region, in Tanzania. The study utilised aspects of the transcultural nursing framework. Semi-structured interviews were used for data gathering with a sample of nine urban Pare informants. Data were analysed thematically. The major findings indicate that health beliefs arise from magico-religious, holistic and scientific paradigms. It was also found that beliefs and behaviour patterns are changing. These findings are discussed in terms of the two major themes, namely, multiple world views and change and continuity. Recommendations arising from the findings are made which may assist health workers to provide culturally congruent care. / Health Studies / (M.A. (Health Studies))

No description available.

No description available.