Man and nature...captured within a relational existence. Theoretically this document disputes the man-nature-relationship with the emphasis on architectural participation, in an at tempt to redefine their interdependency. / Dissertation (MArch(Prof))--University of Pretoria, 2010. / Architecture / unrestricted

Magister Scientiae (Physiotherapy) - MSc(Physio) / Stroke is the second leading cause of disability worldwide. Up to 60% of the survivors remain severely disabled. These people experience various challenges in such areas as self-care, mobility, accessing medical and rehabilitation services, transportation and finance. These affect them psychologically, physically and socially predisposing them to complications. Hospital based stroke records report on critical cases, which are not a true reflection of after effects of stroke in a community setting. The impact of stroke on patients and spouses cannot be underestimated considering that it is often sudden, giving no chance to patients or spouse to adjust to the predicament. The aim of this study was, therefore, to explore the challenges stroke patients and their spouses experienced during the rehabilitation process, from diagnosis through to treatment and discharge. The study was based on a qualitative approach, utilising an exploratory design. Data was collected using semi-structured in-depth interviews and focus group discussions. All interviews were tape recorded and transcribed verbatim. A thematic content analysis was used to analyse data. Ethical approval was sought from the University of the Western Cape and the College of Medicine Research Ethics Committee, University of Malawi. Permission was obtained from the General Manager of Malawi Against Physical Disabilities. The results indicates a range of challenges including dependence on spouse for basic self-care activities and activities of daily living, stress due to fear of dependence on their spouses, loss of opportunity for regular interaction with friends and family, limited facilities and accessibility to rehabilitation. Spouses are also burdened by of caregiving responsibilities. In conclusion, this study highlights that the consequences of stroke affect both patients and spouses in the areas of health, finance and social. There is need for rehabilitation professionals to give equal attention to the challenges experienced by spouses when managing stroke patients. The study recommends that accessibility to rehabilitation should be improved by increasing patients’ space at the centre, construction of more centres and expand CBR services to cover all districts in the country.

The purpose of this study was to describe participant experiences of how a rehabilitation centre can facilitate social inclusion for people with physical disabilities in Mexico. This research was a qualitative interview study with a semi-structured interview approach. Ten participants were recruited using purposive sampling. The participants were individuals with physical disabilities, including both mobility and visual impairments, who had a connection with the rehabilitation centre. Content analysis was used while examining the collected data. The result consisted of one main category ‘individual experiences of achieving social inclusion’, four categories; ‘being supported by a community’, ‘acceptance of disability’, ‘the centre's work and its effect in the society’ and ‘the importance of work’. Each category contained several sub-categories. In conclusion, the rehabilitation centre facilitates inclusion through work opportunities and the sense of belonging to a community which has a positive impact on persons with a disability. Changing attitudes in the society by raising awareness about disability and generating an acceptance of one’s disabilities were important facilitating factors.

Aim of the study. To estimate patients’ opinion about the services provided at the children rehabilitation centre. Methods. An anonymous questionnaire survey was carried out at Kačerginė children rehabilitation centre from June until December of 2005. 197 patients (10-17 years old) participated in the survey. Statistical analysis was performed using the statistical package SPSS 9.0 for Windows. The associations between the variables were tested by Chi squared test and z criterion. Differences between means of two independent samples were evaluated using a criterion of Mann-Whitney. The strength of the association between rank variables was assessed by the application of the Spearman correlation coefficient. Results. The majority of patients (77%) at the children rehabilitation centre were satisfied with the provided services and with the variety and number of provided medical services (82%). The staff (especially physicians) was evaluated better than physical, emotional environment, and regimen. Girls evaluated emotional and physical environment, and especially learning, more critically than boys. Younger patients in comparison to older ones better evaluated the staff and physical environment. The major part (75%) of the patients indicated that during the course of treatment their health improved, more than a half of them (60%) would like to come back to the rehabilitation centre, and 63.3% of them would recommend it to their friends. There was no significant difference... [to full text]

Thesis (M.S.W.)--University of Hong Kong, 1991.

Thesis submitted in fulfilment of the requirements for the degree Master of Technology: Sport Management in the Faculty of Business and Management Sciences at the Cape Peninsula University of Technology / Volunteer tourism, as a form of leisure and/or recreation, is one of the fastest growing forms of tourism globally. It has also become a critical human resource for many organisations in the Western Cape, South Africa who rely on the support of volunteer tourists. A review of the current literature showed that most volunteer tourism research studies is volunteer-tourist-centred and focus on the motivations for participation and the benefits of participation to the volunteer tourist. Very few studies consider the effect of volunteer tourism on the host organisation and within the South African context only two volunteer tourist profile studies exist. Both studies excluded host organisation factors that indicated how host organisations benefited from hosting volunteer tourists. This research study focussed on creating a comprehensive profile of volunteer tourists at SANCCOB (a non-profit seabird rehabilitation centre) in Table View, Western Cape, South Africa. The profile included demographic factors, motivational factors and SANCCOB specific information. Data were collected through an anonymous, self-administered, online questionnaire and from the data, five conclusions were made. Firstly, the demographic factors of volunteer tourists that participated in SANCCOB’s international volunteer programme was similar to other South African based volunteer tourism studies. Secondly, to experience something different and new was the most important motivational factor for volunteer tourists. Thirdly, volunteer tourists derived considerable benefit from volunteering at SANCCOB. Fourthly, volunteer tourists continued to support SANCCOB through social and financial activities after completing the programme, indicating that SANCCOB (as a host organisation) benefited from hosting volunteer tourists and that as a result, a mutually beneficial relationship exists between this host organisation and the volunteer tourist. Lastly, this study provided SANCCOB with valuable information for volunteer management, as well as future marketing and fundraising campaigns.

Thesis (MPhil (Interdisciplinary Health Sciences. Speech-Language and Hearing Therapy. Centre for Rehabilitation Studies))--University of Stellenbosch, 2007. / Current emphasis for rehabilitation in South Africa remains on individual intervention within the move towards primary health care. Primary health care is the strategy that has been adopted by the South African department of health to bring access and equity in health care services. Even so, the burden of providing effective rehabilitative services with limited resources requires innovative strategies, such as the use of therapeutic groups, to address certain aspects of rehabilitation. These strategies must be proven effective. There is a paucity of literature detailing the uses of group therapy in physical rehabilitation, and particularly the use of interdisciplinary group work in stroke rehabilitation. Furthermore, evidence shows that stroke survivors feel ill equipped to return to their communities despite rehabilitation. Stroke is a major cause of death and disability in South Africa, and is a condition shown to benefit from rehabilitation. These factors led to the selection of the Bishop Lavis Rehabilitation Centre stroke group as the setting for this study, which aims to describe the range of experiences relating to attendance or non-attendance of those referred to this programme. This descriptive study, employing quantitative means (to describe the demographic details of the participants) and qualitative means (to describe the experiences of participants), was conducted with twenty participants. Data was collected by means of an administered questionnaire. Following that, a focus group discussion involving six participants was used to gather in-depth information. Quantitative data was analysed with the assistance of a statistician, utilising the computer program, Statistica. The Chi-Squared, Kruskal-Wallis and ANOVA tests were used, with p>0.05 showing statistical significance. Qualitative data was thematically analysed, whereby data was categorised by means of an inductive approach. The study population consisted of 20 participants, with an average age of 59 years, of whom 15 were female and five male. The stroke group provided meaning to participants on two levels. On a psychosocial level, the phenomena of universality (identifying with others in a similar position), development of socialising techniques, imparting information and cohesiveness emerged strongly. On the level of meaning related to stroke recovery, improvement in ability to execute activities of daily living, mobility and strength were most frequently mentioned. Transportation issues were most commonly mentioned as factors negatively influencing attendance. Staff attitude and activities of the programme were most often cited as positive factors. Given the positive response of study participants, and the programme’s ability to sustain intervention with limited resources, it was concluded that this programme has a valid place within stroke rehabilitation in Bishop Lavis. Recommendations in terms of the group programme included investigating methods of providing transportation, providing childcare facilities and expanding the content of educational sessions. Further recommendations were to maintain the positive attitude of staff and the current activities of the programme. Frequency of group outings should also be increased and compensatory strategies for inclement weather must be explored.

Thesis (M.S.W.)--University of Hong Kong, 1987.

Raising and living with a disability is hard for anyone. It is however harder in Swaziland. Disability is seen as a curse, a bad omen, and a punishment by the ancestors. The future of such kids is bleak in a society that discriminates them and make them face harsh stigmatization. The increase in the number of children born with disability or living with a disability has remained high. Regardless of this increase, which has also been aggravated by the high numbers of births by people living with HIV/AIDS, there is no professional facility that will provide the best care for children living with a disability. Parents are left with such a burden on their shoulders, with very little knowledge of how to take care of their children Swaziland has adopted policies and rights for people living with disability with the aim to integrate them into economic and social activities and to ensure the integration of programmes for persons with disabilities into mainstream education and provided infra-structure for rehabilitation for those who cannot be integrated. However, these rights and policies have remained on paper with no implementation. This has left children with disability secluded in the society, worn out each day and waited for the day to die. Lilita Care Centre is a facility that provides professional care for children living with disability. It is a facility that will provide physiotherapists and well trained care takers who understand such children and their needs and who will make the appropriate accommodations to support their learning and developments. The central mission will promote the advancement of people with disabilities so as to enable them to attain their maximum level of independence and integration in the community and to prevent the occurrence of physical disablement. This will be achieved by providing daily physical and mental stimulation programmes for the children and moreover teach and support their parents by providing disability sensitisation training programmes.

<p>The World Health Organisation estimates that the majority of the disabled population resides in the developing world, but most of the research on outcomes of patients originates from the developed world. In the light of the differences in healthcare structures and function, especially rehabilitation between settings and countries, it is imperative to have an understanding of the&nbsp / functioning of patients at discharge with the objective of measuring the level at which outcomes are met. The aim of this study was therefore to determine the process of rehabilitation and the&nbsp / outcome of patients following in-patient rehabilitation at a facility in the Western Cape. A quantitative research design was employed to address the objectives. Self-administered&nbsp / questionnaires were developed to collate information pertaining to the demographic-, socioeconomic- and medical profile of patients and data extraction sheets collected information relating&nbsp / to the process of rehabilitation and the impairment status of patients on admission. With regards to activity and participation, a longitudinal study design was used, which utilised standardised&nbsp / outcomes measures. The sample consisted of all patients with stroke and spinal cord injury admitted within a three-month period, and all ethical principles relating to research on human&nbsp / subjects, as stipulated in the Helsinki Declaration were adhered to during data collection, with ethical clearance obtained from relevant authorities. The SAS and the Microsoft Excel Package&nbsp / 2007 were used to analyse the quantitative data elements. Descriptive statistics using frequencies, percentages, ranges, means, and standard deviations and inferential statistics using&nbsp / chi-square, student T-tests and correlation tests, for determining the predictors of functional outcome, were calculated. There were 175 patients, whereof 82 were patients with stroke and 93&nbsp / with spinal cord injury, with 143 (76 presenting with spinal cord injury and 67 with stroke) meeting the inclusion criteria on admission. The mean age of those with spinal cord injury and stroke&nbsp / was 34.14 and 52.95 years. Most of the patients with spinal cord injuries were single (73.68%), whereas the majority (53.73%) of patients with strokes were married at the time of injury. All&nbsp / patients were managed by the doctor and the nurse, with most of the patients receiving physiotherapy, occupational therapy and social assistance from the social worker. With regards to recreational activities, 46.87% of patients with spinal cord injury and 39.39% of those with stroke attended the learn to swim programme, and 29.68% of patients with spinal cord injury attended the wheelchair basketball sessions. The mean length of hospital stay for patients with spinal cord injury and stroke was 73.11 and 51. 62 days, with most of the spinal cord injured patients&nbsp / (80.26%) and stroke patients (82.08%) discharged home without follow-up rehabilitation. The most prevalent impairments on admission of the spinal cord injury cohort were muscle&nbsp / weakness (75.0%), bladder incontinence (71.1%) and reduced sensation (69.7%), whereas patients with stroke presented mostly with muscle paralysis (80.6%), abnormal tone (76.1%) and aphasia (50.8%). Functional limitations experienced by the participants included, mobility, stair climbing and transfers. The participants experienced participation restrictions in the following&nbsp / domains, leisure activities and employment. A clinical significant improvement was noted in execution of functional task of patients with spinal cord injury (p&lt / 0.0001) and stroke (p&lt / 0.0001)&nbsp / between admission and discharge. A significant statistical change was also detected for the participation elements of both stroke and spinal cord injury cohorts. Functional ability on&nbsp / admission was found to be a predictor of functional outcome of the stroke diagnostic group at discharge, whereas the multiple&nbsp / redictor model of functional outcome of the spinal cord injured cohort at discharge was significant with remaining variables of functional outcome score on admission (p&lt / 0.0001) and bladder -and bowel impairment(s) (p=0.0247). The study findings suggest that despite the significant change in activity and participation, most of the patients were discharged home without further follow-up for rehabilitation, irrespective of the activity&nbsp / limitations and participation restrictions still experienced at the time of discharge. The latter finding&nbsp / questions the duration of the length of hospital stay, which does not allow patients to be independent in all meaningful activities and participatory actions and roles by the end of inpatient rehabilitation. The study findings could assist authorities to adapt the existing rehabilitation&nbsp / programme and referral process . </p>