Diese Dissertation zeigt, dass Hintergrundrhythmen mit Hilfe der gleichzeitigen Messung von EEG und fMRI Signalen untersucht werden können. Die Methodik dieses Ansatzes wurde durch den Einsatz einer speziellen fMRI Sequenz weiterentwickelt, und die Signalqualität durch visuell evozierte Potentiale überprüft. Der prominente okzipitale Alpha-Rhythmus und die vergleichsweise schwächeren rolandischen Rhythmen konnten in der elektromagnetisch störenden Umgebung des Magnetresonanztomografen, auch und gerade während der funktionellen Messsequenzen identifiziert werden. Durch den Einsatz der in dieser Arbeit vorgestellten Nachverarbeitungsmethoden kann die simultane Aufnahme von EEG und fMRI Signalen wertvolle Informationen über die neuronale Grundlage von Hirnrhythmen und ihrer hemodynamischer Korrelate liefern. Die hier vorgestellten Daten bekräftigen die Hypothese, dass die Amplitude der Hintergrundrhythmen mit spezifischen Deaktivierungen in sensorischen Hirnarealen einhergehen. Eine erhöhte Amplitude aller untersuchter Rhythmen war mit einem negativen BOLD Signal in sensorischen kortikalen Arealen verknüpft, was auf einen erniedrigten Energieverbrauch in Arealen mit höherer Synchronizität schliessen lässt. Der posteriore Alpha Rhythmus, ist invers mit dem hemodynamischen Signal in primären visuellen Arealen gekoppelt, während hämodynamische Korrelate der rolandischen Alpha und Beta Rhythmen in somatomotorischen Arealen lokalisiert wurden. Für den rolandischen Alpha und Beta Rhythmus wurden unterschiedliche regionale Netzwerke gefunden. Der rolandische Beta Rhythmus ist mit dem Motornetzwerk, während der rolandische Alpha Rhythmus mit einen somatosensorischen bzw. Assoziationsnetzwerk assoziert ist, was eine fundamentale Eigenschaft des Somatomotorischen Systems zu sein scheint. Die rolandischen Rhythmen könnten dadurch somatomotorische Areale während der Erhaltung oder Planung von Bewegungsabläufen funktional koppeln [Brovelli, et al., 2004]. Desweiteren wurde gezeigt, dass thalamische und cinguläre Strukturen mögliche Generatoren oder Modulatoren der hier untersuchten Hintergrundrhythmen sind. Die experimentellen Daten der hier vorgestellten Studien legen nahe, dass eine inverse Beziehung der Stärke eines Hintergrundrhythmus mit regional kortikalem Metabolismus und gleichzeitig eine „antagonistische“, positive Beziehung mit thalamischen oder cingulären Struktuen ein gernerelles orgnaisatorisches Prinzip des Gehirns zu sein scheint. Der Begriff der Grundaktivität des Gehirns [Gusnard, et al., 2001] müsste daher in verschiedene Netzwerke der Grundaktivität unterteilt werden, die elektrophysiologisch durch Hintergrundrhythmen definiert wären. / The data provided by this thesis show that imaging of brain rhythms can be achieved by simultaneous EEG-fMRI recordings. This methodology was developed further by implementing an adapted MR sequence and the EEG-fMRI signal quality was confirmed by means of visual evoked potentials. Together with the post processing methods applied in this work, simultaneous EEG-fMRI recordings can thus provide valuable information about the neuronal basis of brain rhythms and their regional hemodynamic correlates. The data further substantiate the hypothesis that ‘idling’ rhythms indicate distinct deactivated sensory cortical areas. Increased power of all examined rhythms was associated with negative BOLD signal in sensory cortical areas, indicating less energy consumption in those areas with higher synchronicity. The posterior alpha or so-called Berger rhythm is coupled inversely to the hemodynamics in primary visual areas, whereas rolandic alpha and beta rhythm could be localized to somatomotor areas. Different networks were found for rolandic alpha and beta rhythms. The rolandic beta rhythm is more associated with a motor-network whereas the rolandic alpha rhythm is more associated with a sensory and association network which represents a fundamental characteristic of the sensorimotor system. The rolandic oscillations may bind sensorimotor areas into a functional loop during pre-movement motor maintenance behaviour [Brovelli, et al., 2004]. Furthermore thalamic and cingulate structures were shown to be possible generative or modulatory structures for the brain rhythms examined in this study. The experimental data obtained in this work suggest that the inverse correlation of an ‘idling’ rhythm’s strength with the metabolism in ‘its cortical areas’, and the positive correlation with cingulate or thalamic areas are both general organizational principles. The notion of a default mode of the brain [Gusnard, et al., 2001] may perhaps be further subdivided into different networks with a “default mode”, each of them electro-physiologically defined by its “idle rhythm”.

The purpose of this research was to study the lived experience of being a strategic leader, described as the black box of leadership, and to extend the limited research in this field. The researcher utilised the qualitative ethnographic methodology of direct observation, observing 138 discrete critical incidents that made up the lived experience of the five strategic leaders in the sample. The researcher further utilised observation tools from the field of Neuro Linguistic Programming, personal experiences, metaphors, allegories, analogies as well as deep personal introspection to make sense of the lived experience of the five CEOs. The primary research objective was to answer the question: What do CEOs do and how do they do it? A further related objective was to explore how they think about what they do. The research answered these questions by prising open the 'black box' of the lived experience of the strategic leader. The result of the research is the pure leadership spider web model. The pure leadership spider web model breaks down the lived experience of the strategic leader, the content of the black box, into eight dimensions: the pillars that make up the personal leadership philosophy; emotional states of mind brought to bear in meetings; kinaesthetic patterns used during meetings; meeting dynamics; emotional states brought to bear on day-to-day shop-floor engagement; emotional states brought to bear on leadership engagement sessions with other like business leaders; frames of mind governing the day-to-day experiences; and The Magic Language Box. / Business Management and Entr / DBL

Facilitating forgiveness: an NLP approach to forgiving is an attempt at uncovering features of the blocks that prevent people to forgive. These blocks to forgiveness can be detected in the real life situations of the six individuals who told me their stories. The inner thoughts, feelings and the subsequent behaviour that prevented them from forgiving others is clearly uncovered in their stories. The facilitation process highlights the features that created the blocks in the past thus preventing forgiveness to occur. The blocks with their accompanying features reveal what needs to be clarified or changed in order to eventually enable the hurt individuals to forgive those who have hurt them. The application of discourse analysis to the stories of hurt highlights the links between the real life stories of the individuals within their contexts with regard to unforgiveness to the research findings of the existing body of knowledge, thereby creating a complexly interwoven comprehensive understanding of the individuals' thoughts, feelings, and behaviours in conjunction with their developmental phases within their socio-cultural contexts. Neuro-linguistic-programming (NLP) is the instrument with which forgiving is facilitated in the six individuals who expressed their conscious desire to forgive, because they were unable to do so on their own. Their emotions had the habit of keeping them in a place in which they were forced to relive the hurtful event as if it were happening in the present. Arresting the process of reliving negative emotions requires a new way of being in this world. The assumption that this can be learnt is based on the results from a previous study, in which forgiveness was uncovered by means of the grounded theory approach as a cognitive process (Von Krosigk, 2000). The results from the previous research in conjunction with the results and insights from this research study are presented in the form of a grounded theory model of forgiveness. / Psychology / D. Litt. et Phil. (Psychology)

La pharmaco-résistance est une complication évolutive fréquente de l'épisode dépressif majeur. La rTMS est une technique de stimulation cérébrale innovante dont l'efficacité antidépressive est maintenant établie.Le premier objectif de notre travail de thèse a été de caractériser les substrats fonctionnels de la dépression pharmaco-résistante à l'aide de la technique TEMP, afin d'identifier des patterns d'anomalies cérébrales qui leur sont propres. Dans un second temps, et sur la base des travaux existant sur les mécanismes d'action de la rTMS, nous avons étudié la valeur prédictive de marqueurs fonctionnels en neuro-imagerie TEMP et par EEG. Enfin, nous avons relié l'effet cérébral de la rTMS révélé par la neuro-imagerie fonctionnelle à son efficacité antidépressive, et de façon plus globale à la qualité de vie, comme recommandé actuellement.Nos résultats montrent l'existence d'un pattern de perfusion cérébrale commun aux patients pharmaco-résistants quel que soit le type de dépression, impliquant les régions fronto-temporales et le cervelet. L'étude TEMP de la perfusion cérébrale et de l'activité cérébrale en l'EEG dans sa bande alpha semble pouvoir prédire de façon satisfaisante, avant traitement, l'amélioration clinique individuelle des patients dépressifs pharmaco-résistants traités par rTMS. L'efficacité antidépressive de la rTMS apparait équivalente quel que soit le côté stimulé, entrainant des modifications de perfusion cérébrale comparables. Enfin, nos résultats ont permis d'identifier des régions cérébrales dysfonctionnelles distinctes et confirment l'interet d'une approche complémentaire de la dépression, par l'évaluation de la qualité de vie. / Treatment-resistance is a common outcome of a major depressive episode. Repetitive transcranial magnetic stimulation has been put forward as a new technique to treat this debilitating illness. The first objective of our thesis was to characterize the functional substrates of treatment-resistant depression (TRD) using SPECT technique, in order to identify specific patterns of brain abnormalities. In a second part, based on existing work on the antidepressant mechanisms of rTMS, we investigated the predictive value of two neurofunctional biomarkers: SPECT and EEG. Finally, we studied brain SPECT perfusion changes underlying therapeutic efficiency and improvement of quality of life, as currently recommended. Our results showed the existence of a common pattern of brain perfusion in treatment-resistant patients involving the fronto-temporal regions and the cerebellum, regardless the type of depression. At baseline, SPECT brain perfusion and alpha EEG band power could predict individual clinical improvement in TRD-patients treated with rTMS. Regardless the stimulated side, the antidepressant efficacy of rTMS consisted in similar changes in cerebral perfusion. Finally, our results have identified distinct dysfunctional brain regions and confirm the interest of a complementary approach to depression, by assessing quality of life.

Estudos em modelos animais transgênicos possibilitaram o conhecimento de parte dos genes envolvidos na embriogênese hipofisária e da etiologia genética do hipopituitarismo em humanos. Entretanto, a etiologia da maior parte dos casos de hipopituitarismo congênito, principalmente os associados à neuro-hipófise ectópica (NE), ainda é pouco definida. Mutações no gene PROP1 são a causa genética mais comum de hipopituitarismo descritas até o momento, mas estão sempre associadas à neuro-hipófise tópica. Estudos destinados a esclarecer o mecanismo molecular da mutação do gene Prop1 em camundongos demonstraram a participação da via de sinalização Notch e de seus componentes, dentre eles, o gene Hes1. O HES1 é um gene que codifica um fator de transcrição que participa de estágios precoces do desenvolvimento hipofisário e está envolvido com a morfogênese da neuro-hipófise. A avaliação do camundongo com nocaute em homozigose deste gene acarreta uma hipoplasia da adeno-hipófise e ausência da neuro-hipófise; e sua expressão constitutiva está associada ao hipopituitarismo. Como a NE é um achado comum no hipopituitarismo congênito e o gene HES1 pode estar relacionado a sua fisiopatologia, a região codificadora do gene HES1 foi avaliada em 192 pacientes com hipopituitarismo congênito. A variante alélica c.578G > A (p.G193D) em heterozigose foi encontrada em um paciente com hipopituitarismo congênito associado à NE. A avaliação da predição in silico do efeito funcional da variante pela ferramenta MutationTaster sugere que a troca do aminoácido glicina, altamente conservado entre os mamíferos, por ácido aspártico, seja deletéria. No estudo da segregação familiar, quatro irmãos aparentemente normais apresentam a mesma variante, sendo que dois deles possuem alterações discretas na imagem da hipófise. Em conclusão, esta é uma nova variante alélica descrita no gene HES1, ausente em grandes bancos de dados e controles saudáveis da população brasileira, mas presente em irmãos não afetados. Estudos funcionais in vitro são necessários para esclarecer o efeito biológico desta variante. Um padrão de herança complexo com penetrância incompleta é possível e já descrito em outros genes associados ao hipopituitarismo. Na tentativa de elucidar a causa genética do hipopituitarismo neste caso, o material genético deste paciente e de seus familiares foram submetidos ao sequenciamento do exoma, mas os resultados estão inconclusivos até o momento / Studies of transgenic animal models have allowed for the discovery of genes involved in human pituitary embryogenesis and the genetic etiology of hypopituitarism. However, the genetic causes of most cases of congenital hypopituitarism, especially those associated with an ectopic posterior pituitary, remain poorly defined. Mutations in the gene PROP1 are the most common genetic causes of hypopituitarism described to date, and are always associated with an ectopic posterior pituitary. Studies to elucidate the molecular mechanisms of Prop1 mutations in mice have demonstrated the involvement of the Notch signaling pathway, including its downstream target Hes1. The HES1 gene encodes a transcription factor that participates in early stages of pituitary development and is involved in posterior pituitary morphogenesis. Hes1 knockout mice exhibit a hypoplastic anterior pituitary and absence of a posterior pituitary. Conversely, constitutive expression of Hes1 is associated with hypopituitarism. Since an ectopic posterior pituitary is commonly found in congenital hypopituitarism and the HES1 gene may be related to its pathophysiology, the coding region of gene HES1 was screened in 192 patients with congenital hypopituitarism. A heterozygous allelic variant c.578G >A (p.G193D) was identified in a patient with congenital hypopituitarism associated with an ectopic posterior pituitary. Assessment by MutationTaster, a bioinformatic tool for in silico prediction of functional effect of missense variants, suggests that substitution of glycine (a highly conserved amino acid in this position among mammals) for aspartic acid is deleterious. In the genetic study of family members, we identified four apparently normal siblings with the same variant, two of which have discrete changes in their pituitary MRI. In conclusion, we described a new allelic variant in the gene HES1, absent in large databases and healthy Brazilian controls, but present in the unaffected siblings. In vitro functional studies are needed to clarify the biological effect of this variant. A complex pattern of inheritance with incomplete penetrance is possible in this case, as it has already been described in other genes associated with hypopituitarism. In an attempt to elucidate the genetic cause of hypopituitarism in the family described, DNA samples of this patient and his family were submitted to exome sequencing, but results are inconclusive at this time

Positron emission tomography (PET) is a well-established functional imaging method used in nuclear medicine. It allows for retrieving information about biochemical and physiological processes in vivo. The currently possible spatial resolution of PET is about 5 mm for brain acquisitions and about 8 mm for whole-body acquisitions, while recent improvements in image reconstruction point to a resolution of 2 mm in the near future. Typical acquisition times range from minutes to hours due to the low signal-to-noise ratio of the measuring principle, as well as due to the monitoring of the metabolism of the patient over a certain time. Therefore, patient motion increasingly limits the possible spatial resolution of PET. In addition, patient immobilisations are only of limited benefit in this context. Thus, patient motion leads to a relevant resolution degradation and incorrect quantification of metabolic parameters. The present work describes the utilisation of a novel motion compensation method for clinical brain PET acquisitions. By using an external motion tracking system, information about the head motion of a patient is continuously acquired during a PET acquisition. Based on the motion information, a newly developed event-based motion compensation algorithm performs spatial transformations of all registered coincidence events, thus utilising the raw data of a PET system - the so-called `list-mode´ data. For routine acquisition of this raw data, methods have been developed which allow for the first time to acquire list-mode data from an ECAT Exact HR+ PET scanner within an acceptable time frame. Furthermore, methods for acquiring the patient motion in clinical routine and methods for an automatic analysis of the registered motion have been developed. For the clinical integration of the aforementioned motion compensation approach, the development of additional methods (e.g. graphical user interfaces) was also part of this work. After development, optimisation and integration of the event-based motion compensation in clinical use, analyses with example data sets have been performed. Noticeable changes could be demonstrated by analysis of the qualitative and quantitative effects after the motion compensation. From a qualitative point of view, image artefacts have been eliminated, while quantitatively, the results of a tracer kinetics analysis of a FDOPA acquisition showed relevant changes in the R0k3 rates of an irreversible reference tissue two compartment model. Thus, it could be shown that an integration of a motion compensation method which is based on the utilisation of the raw data of a PET scanner, as well as the use of an external motion tracking system, is not only reasonable and possible for clinical use, but also shows relevant qualitative and quantitative improvement in PET imaging. / Die Positronen-Emissions-Tomographie (PET) ist ein in der Nuklearmedizin etabliertes funktionelles Schnittbildverfahren, das es erlaubt Informationen über biochemische und physiologische Prozesse in vivo zu erhalten. Die derzeit erreichbare räumliche Auflösung des Verfahrens beträgt etwa 5 mm für Hirnaufnahmen und etwa 8 mm für Ganzkörperaufnahmen, wobei erste verbesserte Bildrekonstruktionsverfahren eine Machbarkeit von 2 mm Auflösung in Zukunft möglich erscheinen lassen. Durch das geringe Signal/Rausch-Verhältnis des Messverfahrens, aber auch durch die Tatsache, dass der Stoffwechsel des Patienten über einen längeren Zeitraum betrachtet wird, betragen typische PET-Aufnahmezeiten mehrere Minuten bis Stunden. Dies hat zur Folge, dass Patientenbewegungen zunehmend die erreichbare räumliche Auflösung dieses Schnittbildverfahrens limitieren. Eine Immobilisierung des Patienten zur Reduzierung dieser Effekte ist hierbei nur bedingt hilfreich. Es kommt daher zu einer relevanten Auflösungsverschlechterung sowie zu einer Verfälschung der quantifizierten Stoffwechselparameter. Die vorliegende Arbeit beschreibt die Nutzbarmachung eines neuartigen Bewegungskorrekturverfahrens für klinische PET-Hirnaufnahmen. Mittels eines externen Bewegungsverfolgungssystems wird während einer PET-Untersuchung kontinuierlich die Kopfbewegung des Patienten registriert. Anhand dieser Bewegungsdaten führt ein neu entwickelter event-basierter Bewegungskorrekturalgorithmus eine räumliche Korrektur aller registrierten Koinzidenzereignisse aus und nutzt somit die als "List-Mode" bekannten Rohdaten eines PET Systems. Für die Akquisition dieser Daten wurden eigens Methoden entwickelt, die es erstmals erlauben, diese Rohdaten von einem ECAT Exact HR+ PET Scanner innerhalb eines akzeptablen Zeitraumes zu erhalten. Des Weiteren wurden Methoden für die klinische Akquisition der Bewegungsdaten sowie für die automatische Auswertung dieser Daten entwickelt. Ebenfalls Teil der Arbeit waren die Entwicklung von Methoden zur Integration in die klinische Routine (z.B. graphische Nutzeroberflächen). Nach der Entwicklung, Optimierung und Integration der event-basierten Bewegungskorrektur für die klinische Nutzung wurden Analysen anhand von Beispieldatensätzen vorgenommen. Es zeigten sich bei der Auswertung sowohl der qualitativen als auch der quantitativen Effekte deutliche Änderungen. In qualitativer Hinsicht wurden Bildartefakte eliminiert; bei der quantitativen Auswertung einer FDOPA Messung zeigte sich eine revelante Änderung der R0k3 Einstromraten eines irreversiblen Zweikompartment-Modells mit Referenzgewebe. Es konnte somit gezeigt werden, dass eine Integration einer Bewegungskorrektur unter Zuhilfenahme der Rohdaten eines PET Systems sowie unter Nutzung eines externen Verfolgungssystems nicht nur sinnvoll und in der klinischen Routine machbar ist, sondern auch zu maßgeblichen qualitativen und quantitativen Verbesserungen in der PET-Bildgebung beitragen kann.

Στην παρούσα διπλωματική εργασία προσομοιώθηκε, μέσω του προγράμματος Matlab και συγκεκριμένα μέσω της εργαλειοθήκης Simulink, ένα υβριδικό μικροδίκτυο το οποίο αποτελούνταν από μια φωτοβολταϊκή διάταξη των 85W, ένα συσσωρευτή ιόντων-λιθίου (Liion battery), δυο DC-DC μετατροπείς και ένα R-L φορτίο. Στην συνέχεια πραγματοποιήθηκαν 4 διαφορετικές τεχνικές ελέγχου σε 2 σημεία, έναν στην πλευρά του φωτοβολταϊκού και έναν στην πλευρά της μπαταρίας. Ο έλεγχος στην πλευρά του φωτοβολταϊκού στόχευε το ρεύμα του φωτοβολταϊκού κάθε χρονική στιγμή να έχει την κατάλληλη τιμή προκειμένου να επιτυγχάνεται η μέγιστη ισχύς μέσω σημείου απόδοσης της μέγιστης ισχύος (MPPT). Ο έλεγχος στην πλευρά της μπαταρίας έχει ως σκοπό την διατήρηση της τάσης του φορτίου στα 100 V.(Vload_reference=100V). Οι έλεγχοι που πραγματοποιήθηκαν ήταν με χρήση PI ελεγκτών, έλεγχοι εκμεταλλευόμενοι την παθητικότητα του Euler-Lagrange συστήματος (PBC), με χρήση ασαφών (fuzzy) ελεγκτών και με χρήση νευρο-ασαφών (neuro-fuzzy) ελεγκτών. / In this diploma thesis a DC hybrid microgrid was simulated by using the program Matlab and specifically the toolbox Simulink. The microgrid consists of a photovoltaic array, a Li-ion battery storage, two DC-DC converters and an R-L load. Four different control methods were then applied to our system in 2 places, one on the photovoltaic array and one on the battery. The one on the photovoltaic array aimed that the PV current would be such that every time the maximum power from the PV would be achieved through a maximum power point tracker. The one on the battery has the purpose of maintaining the load voltage at 100 Volts. The control methods which were implied were PI controllers, passivity based control, fuzzy controllers and neuro-fuzzy controllers.

In children, joint hypermobility (typified by structural instability of joints) manifests clinically as neuro-muscular and musculo-skeletal conditions and conditions associated with development and organization of control of posture and gait (Finkelstein, 1916; Jahss, 1919; Sobel, 1926; Larsson, Mudholkar, Baum and Srivastava, 1995; Murray and Woo, 2001; Hakim and Grahame, 2003; Adib, Davies, Grahame, Woo and Murray, 2005:). The process of control of the relative proportions of joint mobility and stability, whilst maintaining equilibrium in standing posture and gait, is dependent upon the complex interrelationship between skeletal, muscular and neurological function (Massion, 1998; Gurfinkel, Ivanenko, Levik and Babakova, 1995; Shumway-Cook and Woollacott, 1995). The efficiency of this relies upon the integrity of neuro-muscular and musculo-skeletal components (ligaments, muscles, nerves), and the Central Nervous System’s capacity to interpret, process and integrate sensory information from visual, vestibular and proprioceptive sources (Crotts, Thompson, Nahom, Ryan and Newton, 1996; Riemann, Guskiewicz and Shields, 1999; Schmitz and Arnold, 1998) and development and incorporation of this into a representational scheme (postural reference frame) of body orientation with respect to internal and external environments (Gurfinkel et al., 1995; Roll and Roll, 1988). Sensory information from the base of support (feet) makes significant contribution to the development of reference frameworks (Kavounoudias, Roll and Roll, 1998). Problems with the structure and/ or function of any one, or combination of these components or systems, may result in partial loss of equilibrium and, therefore ineffectiveness or significant reduction in the capacity to interact with the environment, which may result in disability and/ or injury (Crotts et al., 1996; Rozzi, Lephart, Sterner and Kuligowski, 1999b). Whilst literature focusing upon clinical associations between joint hypermobility and conditions requiring therapeutic intervention has been abundant (Crego and Ford, 1952; Powell and Cantab, 1983; Dockery, in Jay, 1999; Grahame, 1971; Childs, 1986; Barton, Bird, Lindsay, Newton and Wright, 1995a; Rozzi, et al., 1999b; Kerr, Macmillan, Uttley and Luqmani, 2000; Grahame, 2001), there has been a deficit in controlled studies in which the neuro-muscular and musculo-skeletal characteristics of children with joint hypermobility have been quantified and considered within the context of organization of postural control in standing balance and gait. This was the aim of this project, undertaken as three studies. The major study (Study One) compared the fundamental neuro-muscular and musculo-skeletal characteristics of 15 children with joint hypermobility, and 15 age (8 and 9 years), gender, height and weight matched non-hypermobile controls. Significant differences were identified between previously undiagnosed hypermobile (n=15) and non-hypermobile children (n=15) in passive joint ranges of motion of the lower limbs and lumbar spine, muscle tone of the lower leg and foot, barefoot CoP displacement and in parameters of barefoot gait. Clinically relevant differences were also noted in barefoot single leg balance time. There were no differences between groups in isometric muscle strength in ankle dorsiflexion, knee flexion or extension. The second comparative study investigated foot morphology in non-weight bearing and weight bearing load conditions of the same children with and without joint hypermobility using three dimensional images (plaster casts) of their feet. The preliminary phase of this study evaluated the casting technique against direct measures of foot length, forefoot width, RCSP and forefoot to rearfoot angle. Results indicated accurate representation of elementary foot morphology within the plaster images. The comparative study examined the between and within group differences in measures of foot length and width, and in measures above the support surface (heel inclination angle, forefoot to rearfoot angle, normalized arch height, height of the widest point of the heel) in the two load conditions. Results of measures from plaster images identified that hypermobile children have different barefoot weight bearing foot morphology above the support surface than non-hypermobile children, despite no differences in measures of foot length or width. Based upon the differences in components of control of posture and gait in the hypermobile group, identified in Study One and Study Two, the final study (Study Three), using the same subjects, tested the immediate effect of specifically designed custom-made foot orthoses upon balance and gait of hypermobile children. The design of the orthoses was evaluated against the direct measures and the measures from plaster images of the feet. This ascertained the differences in morphology of the modified casts used to mould the orthoses and the original image of the foot. The orthoses were fitted into standardized running shoes. The effect of the shoe alone was tested upon the non-hypermobile children as the non-therapeutic equivalent condition. Immediate improvement in balance was noted in single leg stance and CoP displacement in the hypermobile group together with significant immediate improvement in the percentage of gait phases and in the percentage of the gait cycle at which maximum plantar flexion of the ankle occurred in gait. The neuro-muscular and musculo-skeletal characteristics of children with joint hypermobility are different from those of non-hypermobile children. The Beighton, Solomon and Soskolne (1973) screening criteria successfully classified joint hypermobility in children. As a result of this study joint hypermobility has been identified as a variable which must be controlled in studies of foot morphology and function in children. The outcomes of this study provide a basis upon which to further explore the association between joint hypermobility and neuro-muscular and musculo-skeletal conditions, and, have relevance for the physical education of children with joint hypermobility, for footwear and orthotic design processes, and, in particular, for clinical identification and treatment of children with joint hypermobility.

The purpose of this research was to study the lived experience of being a strategic leader, described as the black box of leadership, and to extend the limited research in this field. The researcher utilised the qualitative ethnographic methodology of direct observation, observing 138 discrete critical incidents that made up the lived experience of the five strategic leaders in the sample. The researcher further utilised observation tools from the field of Neuro Linguistic Programming, personal experiences, metaphors, allegories, analogies as well as deep personal introspection to make sense of the lived experience of the five CEOs. The primary research objective was to answer the question: What do CEOs do and how do they do it? A further related objective was to explore how they think about what they do. The research answered these questions by prising open the 'black box' of the lived experience of the strategic leader. The result of the research is the pure leadership spider web model. The pure leadership spider web model breaks down the lived experience of the strategic leader, the content of the black box, into eight dimensions: the pillars that make up the personal leadership philosophy; emotional states of mind brought to bear in meetings; kinaesthetic patterns used during meetings; meeting dynamics; emotional states brought to bear on day-to-day shop-floor engagement; emotional states brought to bear on leadership engagement sessions with other like business leaders; frames of mind governing the day-to-day experiences; and The Magic Language Box. / Business Management and Entr / DBL

Facilitating forgiveness: an NLP approach to forgiving is an attempt at uncovering features of the blocks that prevent people to forgive. These blocks to forgiveness can be detected in the real life situations of the six individuals who told me their stories. The inner thoughts, feelings and the subsequent behaviour that prevented them from forgiving others is clearly uncovered in their stories. The facilitation process highlights the features that created the blocks in the past thus preventing forgiveness to occur. The blocks with their accompanying features reveal what needs to be clarified or changed in order to eventually enable the hurt individuals to forgive those who have hurt them. The application of discourse analysis to the stories of hurt highlights the links between the real life stories of the individuals within their contexts with regard to unforgiveness to the research findings of the existing body of knowledge, thereby creating a complexly interwoven comprehensive understanding of the individuals' thoughts, feelings, and behaviours in conjunction with their developmental phases within their socio-cultural contexts. Neuro-linguistic-programming (NLP) is the instrument with which forgiving is facilitated in the six individuals who expressed their conscious desire to forgive, because they were unable to do so on their own. Their emotions had the habit of keeping them in a place in which they were forced to relive the hurtful event as if it were happening in the present. Arresting the process of reliving negative emotions requires a new way of being in this world. The assumption that this can be learnt is based on the results from a previous study, in which forgiveness was uncovered by means of the grounded theory approach as a cognitive process (Von Krosigk, 2000). The results from the previous research in conjunction with the results and insights from this research study are presented in the form of a grounded theory model of forgiveness. / Psychology / D. Litt. et Phil. (Psychology)