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Through an analysis of Cree concepts of well-being, I challenge conventional social scientific definitions of health. In this dissertation I argue that there exists a fundamental biomedical dualism in health studies and, using cross-cultural examples, explore an expanded notion of "health". I then introduce the Cree concept of miyupimaatisiiu ("being alive well") and explain that for the Whapmagoostui Cree there is no term that translates back into English as health. I present the core symbols of "being alive well" and in their analysis find a persistence of traditional meanings. For the Cree "being alive well" is consonant with "being Cree", simultaneously transcending the individual and reflecting current political realities. Miyupimaatisiiu for the adult Cree of Whapmagoostui is a strategy of cultural assertion and resistance and hence situated within the realm of political discourses.

Submitted in partial fulfillment of the requirements for the Degree in Masters of Technology in Chiropractic, Department of Chiropractic and Somatology, Durban University of Technology, Durban, South Africa, 2016. / Introduction: Evidence suggests that Indians are at a greater risk of developing chronic diseases due to their unhealthy diet and sedentary lifestyle. The increased emphasis placed on exercise and diet in preventative regimens is altering related mortality and morbidity. Physical activity plays a role in the prevention of coronary heart disease and other chronic diseases which occur at a higher rate in inactive people. Despite the need for exercise to improve health, no study has examined the exercise profile of Indians in KwaZulu-Natal, South Africa, their exercise patterns and motivations regarding exercise. Aim: This study determined the patterns of exercise participation by Indians residing in KwaZulu- Natal (KZN). Methodology: A quantitative, descriptive, cross sectional survey was used in this study. The study was conducted at the Durban North Beach on selected weekends during August and September 2015. The target population was South African Indians. A convenience sample was used, that is, potential participants, who were at North Beach on the data collection days were approached with a request to participate in the study. Following the signing of an informed consent form, data was collected by means of a self-administered questionnaire. A total of 450 self-administered questionnaires were handed out and 411 completed questionnaires were received. Descriptive statistics in the form of frequencies, means and standard deviations were calculated. Relationships between two variables were determined using chi-squared tests, Fisher’s Exact test, Pearson’s correlation test, as appropriate. Odds ratios were calculated where relevant. A p value less than 0.05 was considered statistically significant. Results: The mean age of respondents was 37.7 ± 13.7 years. The majority (70.1%) participants reported that they currently exercise. However, only 42.9% of the respondents were found to meet the international requirement of 150 minutes of physical activity per week. When unstructured physical activity, such as household and yard chores were added, the latter frequency increased to 45.3%. Physical activity levels were similar across all age groups, likewise, similar proportions of males and females exercised. The most common exercises performed included walking (45.5%) and jogging (25.3%). Gymnasiums (33.5%), public grounds (25.3%) and the beachfront (21.4%) were the most commonly used locations for physical activity. One third of these respondents reported their health conditions as their main reason for exercising and most were aware about the value of exercise. Respondents who did not exercise regularly cited time management for their lack of exercise. Conclusion: The prevalence of exercise among South African Indians is low, with less than half of the population being physically active. Interventions are required to make people aware of the benefits of physical activity in order to increase the prevalence of exercise in this population. / M

This paper examines the effects of federal policies on the health and health care system of the Coquille Indian Tribe. A historical framework is provided within which the nature and magnitude of these effects can be assessed. This paper provides a discussion of the effects of federal termination policy on the health of the Coquille tribe. The health of the Coquille tribe is compared to that of other Indians, and to the Oregon All Races group. The effect of efforts by the Indian Health Service to improve the health of Indian people in the United States is appraised. Efforts of the Coquille Tribe to address the long-standing problem of inadequate health care for its tribal members are documented. Particular attention is given to the achievements of the Coquille Tribal Health Department since 1989, when recognition of the Coquille Tribe's sovereign status was restored by Congress. Secondary research employed both archival and library sources. The primary research consisted of compilation of data from unpublished Coquille tribal documents and interviews. The interviews were conducted with staff members of the Coquille Tribal Health Department and with elders of the Coquille tribe old enough to remember the health care systems prior to termination. Additional interviews were conducted with elders from other Oregon tribes and with staff of the Indian Health Service clinic in Salem, Oregon. The major conclusions are that though the federal government passed its termination laws in 1954, for the Coquille "termination" was actually a process that began in the 1850s and continued on for over one hundred years. Termination for the Coquille only gained "official" recognition by Congress in 1954. The negative health effects upon the Coquille people were due to the actual termination, not the official termination. Since the Coquille tribe gained restoration of its federal recognition it has established a solid base for a health care system for its members. Plans for the growth of this health department and the expansion of the services it offers should, when implemented, provide for the health care needs of the tribe and other Indians in the area. / Graduation date: 1996

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This thesis discusses intergenerational communication and well-being in Aboriginal life, using a literature review and research conducted in relation to the Blood people and culture. It addresses issues concerning lack of communication of traditional ways of knowing, teaching, and being. Interviews were used to better understand the dynamics of intergenerational communication and well-being. It is historically know by First Nations communities that the older people of the clan or tribe taught the children from infancy to adolescence. This, unfortunately, is not the case in many First Nations communities today, due to colonization, assimilation, and segregation. It is hoped this research will assist those who wish to develop, implement and enhance future social, educational, and health programs for the well-being of the First Nations child, family and community. The results also suggest ways in which to enhance and foster the value of elders in the community. / 218 leaves : ill. ; 29 cm.

One of the earliest recorded references to polyuria is found in the Papyrus Ebers (1500 BC) and much later the occurrence of "honey urine" was noted by an ancient Hindu physician, Sushrutha, in old Indian Sanskrit (400 BC). However, the first good clinical description of the disease is ascribed to Celsus, although the name "diabetes" was introduced by Aretaeus of Cappadocia. The body of knowledge which has accumulated since these early recordings to the present state of the art reflects a most impressive sojourn, punctuated by many milestones, each adding impetus to future attempts in a relentless endeavour to unravel the aetiopathogenesis of this common malady. However, this "sweet evil" (diabetes) remains an enigma in many ways. There is little doubt today that there are 2 major types of diabetes: juvenile onset diabetes, presently known as insulin-dependent diabetes mellitus (IDDM) and maturity onset diabetes, referred to as non-insulin dependent diabetes mellitus (NIDDM). In NIDDM aggregation of HLA types, evidence of cell mediated immunity and the presence of circulating islet cell antibodies, which are characteristically associated with IDDM, are not found. There is also a vast difference in concordance of diabetes in the co-twins between the two types of diabetes suggesting that a different mixture of genetic and environmental factors is operative in the pathogenesis of these two types of diabetes. In I960, Fajans and Conn drew attention to the existence of a form of diabetes with an onset before the age of 35 years. Their patients showed a substantial improvement in glucose tolerance when treated with an oral hypoglycaemic agent, tolbutamide. Subsequent to this report numerous studies from various parts of the world confirmed this entity of non-insulin dependent diabetes in the young (NIDDY) in White Caucasians. There are, however, several different syndromes presenting as mild carbohydrate intolerance in the first two to three decades of life. The classical form of NIDDY is a mild non-insulin requiring form of diabetes in which the disorder is inherited as a dominant trait; there is little progression of glucose intolerance, if any, with time, and the diabetes is rarely accompanied by vascular complications. This subtype of diabetes is referred to as MODY (maturity onset diabetes in the young) and thus constitutes a subset under the broad umbrella of NIDDY. However, recently compelling evidence for heterogeneity within MODY has been presented. This evidence is based on the prevalence of certain HLA antigens, insulin responses to oral glucose, occurrence of vascular complications, progression of hyperglycaemia to the stage of insulin requirement and failure to demonstrate autosomal dominant inheritance in some families studied. In the South African Indian population which has a high prevalence of diabetes, Campbell was the first to draw attention to NIDDY in Indians more than two decades ago. Since this initial report, nobody has really studied NIDDY in any depth in South Africa and certainly not in the Indian population. NIDDY in the local Indian population is of particular interest for the obvious reason that diagnostic and management problems arise daily in a population with a high prevalence of non-insulin dependent diabetes. It is vital that the clinical features, endocrine and associated biochemical aberrations be known in detail if this condition is to be managed appropriately and adequately. A study of these aspects therefore became the primary task of this thesis. To pre-empt any challenge that patients were not really diabetic, the strict criteria of the W.H.O. for the diagnosis of diabetes were chosen. It should therefore be borne in mind throughout this study that a group of rather severe diabetics were selected by design. The patients studied represent the rather extreme end of the spectrum. But, in the event, this selection proved advantageous in that it covered an unstudied part of the spectrum and some light could be shed on the natural history of the disorder. In the long term the purpose was to prepare the ground for what must become the thrust of future studies, namely the biochemical pathogenesis of NIDDM. If it is true that some forms of NIDDY are inherited dominantly, existing techniques should make it possible to identify a gene(s) locus and if this is done the biochemical basis of this disorder must be identifiable. In the present study direct examination of these aspects were not undertaken, but an attempt was certainly made to pinpoint those biochemical abnormalities which are perhaps primary or central to the whole disorder. / Thesis (M.D.)- University of Natal, Durban. 1982.

The thesis examines aspects of the construction of methylmercury as an authoritative object of knowledge for Chisasibi, a Cree community on the James Bay coast in northern Quebec. I describe the evolution of a particular set of spheres of exchange which mediate economic relations between the Cree communities, the governments of Quebec and Canada, and state and corporate structures tied to the state. Knowledge claims about mercury can be seen as situated among claims of injury in a moral economy which is based on conflict over the James Bay hydro-electric project. The politicization and subsequent medicalization of these knowledge claims are described. Finally, I trace the emergence of particular concepts of 'normality', 'risk' and 'risk group' in medical and technocratic discourses about the effects of methylmercury on Canadian aboriginal populations.