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AIDS and architecture : the study of an interaction : architectural responses to the development of the HIV/AIDS epidemic in KwaZulu-Natal.Bingham, Kevin Gary. January 2008 (has links)
AIDS has established itself over more than three decades as a major international
pandemic3. While initial cases of the disease were documented in 1981 in the USA and
Europe, cases in Africa became known at around the same time. It is however probable
that the disease existed in Africa long before this time (Pratt, 1986:17).
Due to the prominence of the AIDS epidemic and its related opportunistic diseases in
South Africa and most acutely in KwaZulu-Natal (Smith, 2002 and South African
Department of Health Report 2006) , the associated impact of the need for care of those
living with and those affected by the virus has been brought to the fore. The
accommodation of these persons occurs in a variety of building forms and types, and
may vary depending on the stage within the individual’s health cycle related to the
impact of the virus. With the advent of medication, termed anti-retroviral therapy,
designed to retard the development of the virus, life expectancy has been extended, but
with no confirmed cure and viral resistances, death is inevitable.
While those living with the virus may continue to live productive lives for some time, the
infirm largely seek care within medical facilities. Should access to formal health services
be difficult due to remoteness or a lack of transport, such people are often cared for
within the homes of surviving family members – often by children - or by their
community. With the largest impact on the population being found within the 20 – 29 age
bracket in the late 1990's (Smith, 1999: HIV Positive Results, June 1998), shifting to the
25 – 34 age bracket from 2003 onwards (South African Department of Health Report
2006), tertiary education institutions, through their clinics, have increasingly dealt with
the management of student and staff health. Other building types affected by the AIDS
epidemic4 include prisons and mortuaries, while care for those remaining behind after
the death of family members to AIDS is usually within children’s homes or street
shelters. The impact of AIDS on the built environment professions will permeate its way to all
involved. Through selected case studies one will observe the impact of the epidemic on
existing facilities and examine current methods employed to accommodate the problem.
Architects, through the modification of existing structures or through the design of new
facilities, are assisting in the struggle. New methods of dealing with the care of patients
are being considered as well as alternative and innovative design approaches. This
includes the need for flexibility of building layouts and universal design. Most proposals
in the researched context require cost effective and workable solutions.
Hope for the future lies with the management of the virus through medication, enabling
the extension of life expectancies. Architects need to adapt to the incumbent problem
while medical researchers develop a workable vaccine to confine HIV/ AIDS to the
history books with the likes of Bubonic Plague, Smallpox and Typhus. It is through good
architectural design and detailing that Architects can assist in the AIDS fight. This can be
achieved firstly through research – gaining an understanding of the AIDS Brief – then
designing for the specific needs for the infected and affected. These needs will include
comfort, accessibility, anthropometrics, ease of maintenance, affordability, ventilation
and illumination conducive to good health, and sustainability.
Architects therefore have a major role to play within this epidemic. / Thesis (M.Arch.)-University of KwaZulu-Natal, Durban, 2008.
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A qualitative study of the academic advising and classroom needs of adult learnersMcCaslin, Kristine A. January 2000 (has links)
This thesis focuses on the academic advising and teaching needs of adult learners. It1 is a qualitative study involving twelve Ball State University adult learners, three academic advisors, three college instructors from different departments, and four Student Affairs administrators from different campus offices. The past research explores demographics of adult learners, academic advising strategies, classroom etiquette, and campus resources. The researcher used observations and interviews in the research design. The information was divided into common themes. The themes were demographics, reasons for returning to higher education, concerns, classroom procedures, advising procedures, and campus resources. The conclusion includes a discussion on adult learner needs on-campus and how to address them. There is also a discussion on the responsibilities of the institution.. Included in the thesis are recommendations for future research. / Department of Educational Leadership
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Experiences of caregivers regarding their participation in community-based rehabilitation for children aged 0-12 years in Botswana.Kilonzo, Jackson M. M. January 2004 (has links)
This study investigated the experiences of caregivers regarding their participation in community-based rehabilitation for children with physical disabilities in two selected communities in Botswana. The experiences included the impact of disability on the immediate family, coping strategies, enabling factors and barriers to participation in community-based rehabilitation.
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A Rape Crisis Cape Town Trust counselling skills course :a qualitative evaluation.Van Niekerk, Zaidah January 2006 (has links)
<p>Rape Crisis Cape Town Trust is an organisation that trains and supervises a team of women counsellors who provide a counselling service to women rape survivors. The aim of this study was to explore the experiences of the counsellors and the counselling co-ordinator regarding their perceptions on whether the training provided by the personal growth and counselling skills course is adequate in dealing with rape and its complexities.</p>
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Municipal elderly care : implications of registered nurses' work situation, education, and competence /Josefsson, Karin, January 2006 (has links)
Diss. (sammanfattning) Stockholm : Karolinska institutet, 2006. / Härtill 4 uppsatser.
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Are consumer-directed home and community services appropriate for older persons?Tilly, Jane Annette. January 2001 (has links)
Thesis (D.P.H.)--University of Michigan.
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Are consumer-directed home and community services appropriate for older persons?Tilly, Jane Annette. January 2001 (has links)
Dissertation (D.P.H.)--University of Michigan.
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The effects of home based primary care with chronically ill older adults on visits to the emergency department, hospitalization, and bed days of careJohnson, Lula Juanita. January 2004 (has links)
Thesis (M.S.)--University of Missouri--Columbia, 2004. / Typescript. Includes bibliographical references (leaves 27-30). Also available on the Internet.
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Are consumer-directed home and community services appropriate for older persons?Tilly, Jane Annette. January 2001 (has links)
Dissertation (D.P.H.)--University of Michigan.
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Employee perceptions towards outsourcing of HIV/AIDS servicesMakwara, Tendai 12 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: This study investigates the employee perceptions towards outsourcing of HIV/AIDS services in a retail working environment. Thirty participants were included using a self-administered questionnaire. The questionnaire assessed attitudinal disposition through questions aimed testing knowledge, preferences and environmental factors influencing perception towards alternative HTC service centres.
Results show employees have positive perceptions towards the utilisation of external HTC and welfare services compared to those offered on-site. On-site employer initiated HTC services through mobile testing facilities are perceived as failing to offer privacy, anonymity and security of continued employment as testing outside the employer’s premises would provide. Outsourced services such as public hospitals or clinics are seen to offer better testing environment because of their natural health settings and non-association with the employer whose motives for providing testing services in the workplace are held in suspicion. Ninety four per cent of the employees expressed desire to have HTC services provided in the workplace. Potential utilisation level of such services dropped to 33% among these employees with 50% indicating a desire to use external health services providers. This disparity is explained by the negative environmental and social factors prevailing in the workplace which make access to HTC difficult.
Recommendations for improving employee attitudes towards on-site HTC services include implementing educational programs to reduce peer stigma, scepticism to employer motives for initiating health intervention programs and demonstrating fair employment practices which do not associate HIV status with different treatment in the workplace. There is also a need for companies to plan around facilitating employee use of public health facilities even when they have on-site services to promote a perception of holistic care towards employees. / AFRIKAANSE OPSOMMING: Nie beskikbaar.
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