published_or_final_version / Comparative Asian Studies / Master / Master of Arts

published_or_final_version / Dentistry / Doctoral / Doctor of Philosophy

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A research report submitted to the Faculty of Health Sciences, University of Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the Degree of Master of Dentistry (Community Dentistry) Johannesburg, 2015 / This study aims to assess Oral Health-Related Quality of Life among children with special needs, from the caregiver’s perspective. The objectives of the study were: (i) To describe the demographic profile of the caregivers in terms of age, gender and socio-economic status,(ii) To assess the dental caries status of children with special needs,(iii) To establish the caregivers’ perceived Oral Health-Related Quality of Life of the children with special needs using the short-form Parent-Caregiver Perception Questionnaire, (iv) To assess the impact of the dental caries status on the families of children with special needs using the Family Impact Scale questionnaire. Results: The study consisted of 150 caregiver child pairs, the mean age of the caregivers was 39.52 years (SD 9.26) and mean age of children was 8.72 years (SD 6.07). There was a high prevalence of untreated caries regardless of the type of disability. The highest caries prevalence in both the primary and permanent dentition was found in the Epilepsy and the Autism groups (75%-83%) while the lowest was found among Down syndrome and Cerebral palsy groups (30%-47%).All the caregivers expressed impact on the Oral Health-Related Quality of Life.The mean Parent-Caregiver Perception Questionnaire score was 12.88 (SD 12.14) while the mean Family Impact score was 6.05 (SD 6.77). The highest Parent-Caregiver Perception score of 20.5 (SD 11.07) was found in the complex disability group followed by the Down syndrome group 15.87 (SD 13.87). The highest scores were found in the oral symptoms, functional limitation and emotional wellbeing domains which contributed more to the parent perception score. Conclusion: Caregivers of children with special needs in the current study experienced a negative impact on Oral Health-Related Quality of Life. Caries experience of the children with special needs was slightly lower than in the general population irrespective of disabilities and had no impact on the FIS and overall global rating-well-being.

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfillment of the requirements for the degree of Master of Medicine in the discipline of Dermatology Johannesburg, 2017 / Introduction: Vitiligo is a skin pigmentation disorder and has an estimated global prevalence of around one to two percent. Vitiligo can significantly affect patients’ Quality of life (QoL). It is cosmetically and psychologically devastating, and can affect anyone irrespective of race, skin type or ethnicity. There is a paucity of research evaluating the QoL amongst vitiligo patients in Africa and Sub-Saharan Africa in particular. The objectives of this study were to demonstrate how vitiligo has altered the QoL of vitiligo patients treated at the skin outpatients’ clinics in Johannesburg, South Africa. Methods: Our research was a prospective cross-sectional study of all individuals who were diagnosed with vitiligo at the three dermatology outpatients’ clinics in three academic public hospitals, and the phototherapy daycare centre in Johannesburg. All patients fulfilling the inclusion criteria were requested to take part in the study. Data was obtained from enrolled individuals using a data collection sheet and the Dermatology Life Quality index questionnaire. This information was analysed using statistical software (STATA version 12). Results: A total of ninety-five (n=95) respondents were included as per inclusion criteria in our study. Our cohort comprised of sixty-two females (n=62, 65.26%), thirty-three males (n=33, 34. 74%). DLQI scores were in the ranges of 0 to 28 and the mean was 10.06±6.52, which indicates a moderate Quality of life (QoL) impairment in our cohort. Conclusion: Our study has shown that vitiligo moderately affects the QOL life of adult South African vitiligo patients. Therefore, treatment measures should be directed towards medical and psychological aspects of our patients for better treatment outcomes and improved QoL. This would be an argument for establishment of psychodermatology clinics at our referral hospitals. / MT2017

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfillment of the requirements for the degree of Master of Medicine in the branch of Ophthalmology Date: 22 June 2017 / Purpose: The purpose of this study was to explore the quality of life of patients who underwent an eye amputation after open globe injury. The study addressed both general and vision related quality of life, focussing on anxiety and depression. The demographics of the study participants/respondents were compared to similar studies. Design and Method: The study design was a quantitative, prospective cross- sectional study using as a data tool, a self-administered questionnaire with demographic information, an extract of the WHO PBD VF20 questionnaire and the EQ5D. The participants were sampled using the convenience sampling method from the oculo-prosthesis clinic at the St John Eye Hospital, Chris Hani Baragwanath Academic Hospital, Johannesburg, Gauteng, during March 2016 to June 2016. The information was collated and the data analysed using SAS to determine means, distributions and comparisons among the groups. Results: The demographics were comparable to other studies, except that more females were recruited in this current study. Vision specific quality of life: 51% of the respondents experienced no problems, 26.4% experienced problems, sometimes, and 9.3% experienced problems, very often. General health quality of life: 52,3% experienced an ideal life state. Only three respondents experienced a quality of life that was less than 50% of the ideal health state, all of whom indicated that they suffered severe pain. 83,8% of the study participants/respondents experienced a quality of life that was more than 75% of the ideal health state. Conclusion: Primary evisceration in severe ocular trauma is justified at the St John Eye Hospital due to the high burden of disease on the public health system (>70% of households), provided that certain criteria are met with regards to the visual potential of the eye. The higher female incidence could be due to alcohol misuse and gender violence; however, this will require further research. Despite the majority of the respondents having a health score of more than 75%, those with a higher pain score recorded a lower quality of life score. The participants who sustained open eye injuries leading to amputation were more prone to high levels of anxiety and depression. Continued health surveillance at the oculo-prosthesis clinic is advised with appropriate referrals to a social worker and or a psychologist/ psychiatrist and further on- referrals. / MT2017

In an attempt to make sense of the concept of career this thesis reports findings from a case-study of twenty graduate level employees within one organisation. Responding to the problematic features of career studies to date, a cross-disciplinary, critical, interpretive, qualitative, contextualised study of career is presented which rejects the dichotomous stances characterising much existing literature and instead embraces the dialectal nature and ontological duality of career. Thus attention is devoted to both the organisation and individual, structure and agency as well as stasis and adaptation. The study is situated in its historical, cultural and social context and the research agenda is purposefully emergent allowing those being studied to lead the way to the key dimensions of career.

Lai, Yuen Shan Elise. / "September 2011." / Thesis (M.F.A.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 50-52). / Abstracts in English and Chinese. / Everyday life aesthetics / Chapter ´Ø --- Aesthetics experience in everyday life / Chapter ´Ø --- Limitation ´ؤ few and far between / Chapter ´Ø --- Autonomous aesthetics experience in everyday / Chapter - --- "our opinion, decision or engage in an action." / Chapter ´Ø --- The neglected in everyday life / Chapter : --- Luc Tuymans / Chapter : --- Chu Yun / Critique of everyday life / Chapter ´Ø --- "The central concept of le quotidien, the everyday." / Chapter ´Ø --- Everydayness ´ؤ The concept of alienation and mystification. / Chapter ´Ø --- Distant intimacy of everyday life / Chapter : --- Moments / Chapter : --- Chu Yun - Who Has Stolen Our Bodies (2002) / Chapter : --- Jiri Kovanda - actions / Chapter : --- Stephen Shore - Uncommon Places (1973-1981) / Chapter ´Ø --- The 'individual' and 'public change' / About Space and Lived Space / Chapter ´Ø --- Space as a medium / Chapter ´Ø --- The system of space / Chapter : --- Martha Rosier - The Bowery in two inadequate descriptive system (1974-1975) / Chapter ´Ø --- The Lived Space and the hotel / Chapter : --- Sophie Calle - L'Hotel (1981) / The domain of ( ) / Chapter ´Ø --- Strategies / Chapter ´Ø --- Tactics / Chapter ´Ø --- The practice of everyday life / Chapter : --- Reading / Chapter : --- Re-appropriation and end of procedure of creativity / Chapter : --- Jiri Kovanda-I hide (1977) / Chapter : --- "Francis Aly ´ؤ Zocalo, (May 20, 1999)" / Leisure in everyday life / Chapter ´Ø --- Leisure (and work) / Chapter ´Ø --- Leisure - a break / Chapter ´Ø --- The paradox of leisure time / Chapter ´Ø --- Oeuvres / Chapter ´Ø --- Painter as a day-to-day worker / Chapter : --- David Hockney - paintings of the trivia / Chapter : --- Martin Kippenberger - hotel paper drawing as an artistic biography / Conclusion: Travelling: the alternation of everyday life due to the change of time and space / Chapter ´Ø --- Change of the mode of living / Chapter ´Ø --- The journey of the change of time and space / Chapter : --- The airport / Chapter : --- The airplane - as if time has frozen / Chapter ´Ø --- The travelling time / Chapter : --- "Special experience, strangeness, distancing" / Chapter : --- Hotel as a lived space / Chapter : --- "Space: use of space, special owned experience." / Chapter : --- Time: Timeless time / Chapter ´Ø --- "Some leisure, treasures and pleasures" / Bibliography

<p><p>Attention Deficit Hyperactivity Disorder (ADHD) och konsekvenserna av att ha detta funktionshinder har debatterats mycket på senare år. ADHD anses vara en medfödd uppmärksamhetsstörning av varierande grad som finns hos 3-5 % av befolkningen och påverkar hela livet för den drabbade. Syftet med denna litteraturstudie var att belysa skillnader i livskvalitet och hälsa hos barn, unga och vuxna med diagnosticerad ADHD i jämförelse med personer som saknar denna neuropsykiatriska störning. Datamaterialet bestod av 11 vetenskapliga artiklar med kvantitativ ansats publicerade år 2000-2008. I resultatet framkom tre områden där skillnader fanns: livskvalitet och fysisk hälsa, livskvalitet och psykisk hälsa samt livskvalitet och social hälsa. Livskvaliteten och den fysiska hälsan upplevdes likvärdig eller bättre av personer med ADHD jämfört med personer utan funktionshindret i fem av nio studier. Den psykiska hälsan och livskvaliteten skattades lägre i gruppen med ADHD som även hade större problem med självkänsla och självförtroende. Problem med uppförande gav konsekvenser i sociala sammanhang såsom hem och skola och ledde till nedsatt livskvalitet och social hälsa.</p></p>