Is there meaning in suffering or ts suffering only a soul-destroying experience from which nothing positive can emerge? In seeking to answer this question, a heuristic study was made of the experiences and views of the famous Auschwitz survivor, Viktor Frankl, supplemented by an exploration of the life-worlds of other Nazi concentration camp survivors. The underlying premise was that if meaning can be found in the worst sufferings imaginable, then meaning can be found in every other situation of suffering. Seeking to illuminate the views of Frankl and to gain a deeper grasp of the phenomenon of suffering, the theoretical and personal views of mainstream psychologists regarding the nature of man and the meaning of hi.~ sufferings were studied. Since the focus of this research was on the suffering of the Holocaust survivor, the Holocaust as the context of the present study, was studied as a crisis of meaning and as psychological adversity. In trying to establish the best way to gain entry into the life-world of the Holocaust survivor, the research methods employed in Holocaust survivor studies were reviewed and, for the purposes of this study, found wanting. The choice and employment of a heuristic method yielded rich data which illuminated the fact that, through a series of heroic choices Frankl, and the survivors who became research participants, could attain spiritual triumph in the midst of suffering caused by an evil and inhumane regime. Hitherto unexplored areas of psychological maturity were revealed by these heroes of suffering from which the following conclusions could be drawn: Man attains the peaks of moral excellence through suffering. Suffering can have meaning. Suffering can call us out of the moral apathy and mindlesness of mere existence. The Holocaust, one of the most tragic events in human history, contains, paradoxically, a challenge to humankind. Resisting the pressure to sink to the level of a brute fight for mere survival, Frankl and the research participants continued to exercise those human values important to them and triumphantly maintained their human dignity and self-respect. Evidence was provided that man has the power to overcome evil with good. / Psychology / D. Litt. et Phil. (Psychology)

Afrikaans text / Hierdie studie bied vanuit 'n ekosistemiese benadering 'n verduideliking van die lewenswereld van die volwasse persoon wat as kind gemolesteer is. Enkele uitgangspunte van die ekosistemiese benadering word bespreek wat dien as vertrekpunt waarvolgens die navorser konstruksies oor die as kind gemolesteerde volwassene konstrueer. Daar word gefokus op die langtermyneffekte van die kindermolestering met spesifieke verwysing na die effek op die • fisiese gedrag van die volwassene; • die aard van die seksuele verhoudings van die volwassene; en • die aard van die interpersoonlike verhoudings van die volwassene. Tydens hierdie bespreking word die oorlewingstrategiee, wat die volwassene aanwend om met die l angtermyneffekte te oorl eef, duidel i k belig. Die he l i ngsproses waardeur 'n vol wassene vol gens sy of haar ei e pas beweeg ten einde die effek van die molestering te verwerk, word volledig bespreek. Die teorie is toegepas in die navorsing om die uitwerking van die kindermolestering op volwassenes te beskryf asook enkele gebeure (events) van die helingsproses waardeur 'n volwassene beweeg het. Gevolgtrekkings en aanbevelings word geformuleer ten einde die bruikbaarheid van hierdie studie in die praktyk aan te dui. / In this study the world of the adult survivor of sexua 1 abuse is described in terms of the eco-systemic approach, as well as certain constructions within the approach. These constructions served as a base on which the researcher construed further constructions of the adult survivor of sexual abuse. The study focuses on the 1 ong term effects of the child abuse with specific reference to the effect on • the physical behaviour of the adult; • the nature of the sexual relationships of the adult; and • the nature of the interpersonal relationships of the adult. The strategies of the adult in surviving with these long term effects are also highlighted in the discussion. The healing process through which the adult survivor passes in healing the sexual trauma according to his or her own pace, is fully discussed. In the empirical research the theory is applied to describe the effect of sexual abuse on the lives of adults as well as on certain events of the healing process. Conclusions and recommendations are formulated to indicate the usefulness of this study for the field. / Social Work / D.Phil. (Maatskaplike Werk)

Made available in DSpace on 2011-05-04T12:36:27Z (GMT). No. of bitstreams: 0 Previous issue date: 2010 / A probabilidade de sobrevida do câncer de mama tem aumentando de forma importante em países desenvolvidos, em conseqüência do diagnóstico precoce, eficácia do tratamento e melhor caracterização dos fatores prognósticos. Devido ao grande número de sobreviventes de câncer de mama, a preocupação com a qualidade de vida desse grupo populacional tem se tornado cada vez mais evidente. Entretanto, poucos estudos no Brasil abordaram a qualidade de vida de sobreviventes a esse câncer e seu papel como preditora da mortalidade nesta população. Este estudo tem por objetivo caracterizar os componentes do conceito de qualidade de vida e as relações dessa variável com a mortalidade em um grupo de mulheres sobreviventes, tratadas para câncer de mama no Hospital do Câncer III/INCA, no Rio de Janeiro/RJ, no período 2001-2002 e que tiveram sua qualidade de vida avaliada em 2006. A população deste estudo foi constituída por 544 mulheres que responderam aos questionários de qualidade de vida EORTC QLQ C30 e BR23. As informações sobre a condição vital das pacientes foram obtidas através dos prontuários médicos do Hospital e do Sistema de Informações Sobre Mortalidade do Rio de Janeiro. Efetuou-se a análise descritiva da população de estudo, através da determinação das medidas de tendência central, de dispersão e distribuição de freqüência. Para identificar um conjunto de fatores que resumisse o conceito de qualidade de vida para esse grupo de pacientes, foi utilizada a técnica estatística da análise fatorial e, para análise exploratória da sobrevida de dois anos, foi aplicado o método de Kaplan-Meier.As mulheres apresentaram boa qualidade de vida (escore médio 75,16 dp 20,93; mediano de 75,00) e os escores médios mais elevados foram encontrados para função social e função física. Na analise fatorial, foram identificados três fatores que compuseram o constructo de qualidade de vida desta população: condições sociais, condições psicoemocionais e condições físicas, sendo o primeiro o de maior importância após o tratamento. Observou-se baixa probabilidade de óbito nesta população de sobreviventes. Apesar disso, as variáveis estado conjugal e perspectiva de futuro se mostraram preditoras da mortalidade reforçando a relevância de aspectos relativos ao apoio social para esse grupo de mulheres. / The probability of survival of breast cancer has increased significantly in developed countries, as a result of early diagnosis, effective treatment and better characterization of prognostic factors. Due to the large number of survivors of breast cancer, concern about the quality of life of this population has become increasingly evident. However, few studies in Brazil analyzed the quality of life of survivors of this cancer and its role as a predictor of mortality in this population. This study aims to characterize the components of the concept of quality of life and the relationship of this variable with mortality in a group of female survivors, treated for breast cancer in a cancer reference hospital in Rio de Janeiro / RJ, in the period 2001-2002 and had their quality of life measured in 2006. The study population consisted of 544 women who answered the quality of life questionnaire EORTC QLQ C30 and BR23. Information on the vital condition of these patients was obtained from hospital medical records and the Mortality Information System of Rio de Janeiro. We conducted a descriptive analysis of the study population, by determining measures of central tendency, dispersion and frequencies distributions. To identify a set of factors that summarized the concept of quality of life for this group of patients, we used the statistical technique of factor analysis, and exploratory analysis of survival for two years was carried on based on the Kaplan-Meier method. The women had a good quality of life (mean score 75.16 SD 20.93, median 75.00) and higher average scores were found for social and physical function. Through factor analysis, three factors were identified that comprised the construct of quality of life in this population: social conditions, psycho-emotional conditions and physical conditions, the first being the most important after treatment. There was low probability of death in this population of survivors. Nevertheless, the variables marital status and future prospects were statistically significant predictors of mortality in this group, showing the relevance of social support for women who survived breast cancer.

The Portuguese galleon, the São João, is one of the greatest enigmas in South African maritime history, not only because so little is known about its cargo, passengers and crew, but also because the location of the wreck has puzzled researchers from the early 20th century until the present. The aim of the Port Edward Project 2001-2003 was to assess both documentary and physical material pertaining to the wreck, to throw more light on the location of the wreck site and survivor camp because this ship is an important part of South Africa’s maritime history as it was the first cargo ship wrecked along the country’s coastline. Many researchers believe it was one of the most richly laden ships to have left India since it was discovered. To begin with all available sources containing reference to the São João and the events surrounding its wrecking were investigated. This established a historical archaeological standard for dating and identification of Portuguese shipwrecks along the South African coast. A chronological examination of the extent of documentary sources resulted in an archaeological underwater and land survey in the area where the greatest concentrations of artefacts are still found today. This geographic area was within a defined zone within the municipal area of Port Shepston. Investigations were limited to a stretch of coast and adjacent inland area between the town of Port Edward, more specifically Tragedy Hill, and the Kuboboyi River. The archaeological material investigated: includes: Chinese porcelain shards, cowrie shells, cornelian beads, pepper and cannons. To prevent reiterating previous investigator’s research a survey was conducted to determine what scientific research has been done on the archaeological material. The actual location of the campsite has not been indisputably determined. It became evident that some research has been done to identify this important site but always only up to a certain point where some uncertainty still remains. This uncertainty is the result of certain factors. Firstly, Tim Maggs only positively identified the wreck site in the early 1980’s. Secondly, great amounts of agricultural activity have been reported in the area and thirdly the survivors only camped for twelve days, which limits the possibility of finding any material. In order to assist in locating this elusive site, the descriptions and details of other Portuguese campsites were investigated. From this it was possible to construct a virtual picture of the survivor camp by comparing the survivor’s account and the known characteristics of Portuguese survivor camps with the artefacts found and geography of the Port Edward area. The chronological examination of documentary sources, the comparison of other Portuguese survivor campsites, the artefacts found in Port Edward and the geography of the area led to the following conclusions: it can be said with a reasonable amount of certainty that the site in Port Edward is that of the São João. A site which demonstrates Portuguese campsite characteristics, where great concentrations of pepper have been found, was identified. It has been established that the partnership with historical documentation and archaeology gives this project the option of taking the investigations further. The virtual scenario assists in reducing the possibilities and refining the focus as opposed to merely terminating the search. It is recommended that specialized equipment be used for future underwater research since the sea conditions are harsh and dangerous. Tough the possible location of the survivor camp was established further excavations might reveal more about the construction of the camp. / Dissertation (MA (cultural history))--University of Pretoria, 2005. / Historical and Heritage Studies / unrestricted

PhD (Gender Studies) / Institute for Gender and Youth Studies / Suicidal behavior has become a serious public health concern worldwide. Globally, the rate of suicide increased by 60% in the past years. In South Africa, about 9.5 % of nonnatural deaths in young people is due to suicidal behavior, and there are 667 deaths due to suicide every month (Birmingham & Solihull, 2012). Suicide has left a trail of psychological problems which impact negatively on the health and well-being of people. Worldwide, there is a gender difference in suicidal behaviour. Women have higher rates of suicide attempt while men are more likely to commit suicide (Cheong, Choi, Cho, Yoon, Kim & Hwang, 2012). Most studies focus on suicide while suicide attempt has been neglected in scholarship. As a result, there is very little attention to how gender influences suicidal behavior in society. This exploratory study sought to explore the phenomenon of suicide attempt among young female suicide survivors at Tshilidzini Regional Hospital in Vhembe District in the Limpopo Province in South Africa. The study approach was qualitative in nature and the study population comprised of all young female suicide survivors and all family members who often accompanied patients to the hospital. Nonprobability convenience sampling technique was used to select the study participants. The study sample consisted of 20 participants (10 young female suicide survivors and 10 family members). Ethical considerations were taken into account to protect the participants. In-depth face-to-face unstructured interviews and focus group discussion were used as a method of data collection. Content analysis was used for analysing data in this study. The study found that suicidal behaviour by young females was mainly due to intimate relationship problems. The study recommended the development and use an effective suicide screening tool and a multi-pronged strategy to curb incidences of suicidal behaviour by young females. / NRF

Stroke is a leading cause of disability worldwide, and access to rehabilitation is crucial for recovery. This study examines the potential of digital technologies to improve the rehabilitation experience of stroke survivors in Scania, Sweden. The use of digital tools and telerehabilitation in stroke rehabilitation in Scania remains largely unexplored. Through qualitative interviews with 12 stroke survivors, 1 stroke survivor relative, and 6 healthcare professionals, this study identifies four key themes that play a significant role in the rehabilitation process: Access to care and rehabilitation, Motivation, Psychological and emotional needs, and Social support net. Based on these findings, the study proposes several "digital suggestions" to improve the rehabilitation process, including utilizing digital physio- and occupational therapy and improving alignment between various digital systems within the region. The study emphasizes the importance of individual adaptation in stroke rehabilitation, which aligns with the overarching goal of Swedish healthcare to provide patientcentered care. The findings of this study can inform future work with digital opportunities in Scania's stroke care and rehabilitation, potentially leading to better outcomes for stroke survivors.

En raison des avancées thérapeutiques, plus de 90% des enfants atteints de la leucémie lymphoblastique aiguë (LLA) survivent à la maladie. Cependant, plusieurs survivants sont à risque de développer des morbidités à long terme, causées par le cancer et ses traitements, surtout que ces derniers sont administrés pendant une période cruciale du développement. Les effets néfastes à long terme comprennent notamment des désordres cardiométaboliques tels que l’obésité, la dyslipidémie et le diabète de type 2. Bien que leur étiologie précise ne soit pas entièrement comprise, certains mécanismes sous-jacents au développement des complications à long terme ont été proposés. Étonnamment, peu d’études ont évalué la relation entre l’alimentation et les complications cardiométaboliques chez les survivants du cancer pédiatrique. Dans la population générale, de mauvaises habitudes alimentaires ont été associées à l’incidence des composantes du syndrome métabolique et de l’athérosclérose. Également, il a été démontré que le microbiote intestinal joue un rôle prépondérant dans la pathogenèse et la progression des perturbations cardiométaboliques dans la population générale. Ce rôle a été peu étudié dans la population survivante de cancer, alors que les traitements pourraient mener à des modifications importantes de la composition, de la diversité et de la fonction du microbiote intestinal. Nos travaux ont visé l’étude de l’état de santé cardiométabolique et nutritionnelle de survivants de la LLA de l’enfant et la détermination des associations entre les deux. De plus, nous avons exploré les mécanismes impliquant le microbiote intestinal dans le développement des complications cardiométaboliques. L’ensemble des travaux a été réalisé dans le cadre de l’étude PETALE (Prévenir les effets tardifs des traitements de la leucémie lymphoblastique aiguë) au Centre hospitalier universitaire Sainte-Justine à Montréal. Nos résultats ont mis en évidence la forte prévalence des complications cardiométaboliques chez les adolescents et les jeunes adultes survivants de la LLA pédiatrique. Ils ont aussi confirmé leur risque cardiovasculaire accru par rapport à la population générale canadienne, plus particulièrement ceux ayant été exposés à la radiothérapie crânienne. En outre, des altérations des profils des lipoprotéines et apolipoprotéines, indicateurs d’une augmentation du risque d’athérosclérose, ont été identifiées. Nous avons observé que les survivants respectent peu les recommandations alimentaires et leurs mauvaises habitudes alimentaires affectent leur état nutritionnel et métabolique. Nos résultats confirment l’association d’un régime alimentaire de qualité et une meilleure santé cardiométabolique des survivants. Nous avons identifié une association inverse entre un apport élevé de macro- et micronutriments spécifiques (protéines, sélénium, zinc, cuivre, riboflavine et niacine) ainsi que de viande et le risque de présenter des taux de HDL-C faibles chez les survivants tandis que la restauration rapide était associée positivement avec ce risque. Il est à noter que malgré un faible apport en vitamine D, la prévalence de l’insuffisance ou de la carence en vitamine D n’est pas plus importante chez les survivants que dans la population générale canadienne. Nous avons identifié des associations entre des biomarqueurs plasmatiques de l’inflammation viscérale et de l’endotoxémie et les complications cardiométaboliques chez les survivants de la LLA pédiatrique. Nous avons également mis en évidence la relation entre l’endotoxémie métabolique, l’inflammation et la présence de complications cardiométaboliques. Une revue de littérature a permis de détailler le rôles émergent de la dysbiose intestinale dans les complications métaboliques chez les survivants. Dans nos travaux exploratoires, nous avons constaté que, dans une grande proportion des survivants métaboliquement non sains, il y avait une abondance réduite de familles de bactéries ayant des rôles protecteurs envers l’endotoxémie métabolique. Nous avons aussi démontré la faisabilité d’utiliser un modèle murin xénogénique de LLA pour étudier les mécanismes du développement des complications cardiométaboliques. L’identification de biomarqueurs et de mécanismes biologiques ainsi qu’une meilleure compréhension de la manière dont le régime et les composantes alimentaires peuvent affecter les survivants de la LLA de l’enfant permettra le développement de stratégies de prévention pour minimiser les séquelles à long terme, améliorer le suivi des patients et optimiser la qualité de vie de cette population à haut risque. / As a result of therapeutic advances, more than 90% of children with acute lymphoblastic leukemia (ALL) survive the disease. However, many survivors are at risk of developing long-term morbidities caused by the cancer and its treatments, especially since these are administered during a crucial period of their development. Long-term adverse effects include cardiometabolic disorders such as obesity, dyslipidemia and type 2 diabetes. Although their precise etiology is not fully understood, some mechanisms underlying the development of long-term complications have been proposed. Surprisingly, few studies have evaluated the relationship between diet and cardiometabolic complications in childhood cancer survivors. In the general population, poor dietary habits are associated with the incidence of metabolic syndrome components and atherosclerosis. Also, the intestinal microbiota appears to play a major role in the pathogenesis and progression of cardiometabolic disturbances in the general population. This role has been poorly studied in cancer survivor populations, where treatments could lead to significant changes in intestinal microbiota composition, diversity and function. We studied the cardiometabolic and nutritional health status of childhood ALL survivors and determined the associations between the two. In addition, we explored the intestinal microbiota as an underlying mechanism of cardiometabolic complication development. This work was carried out as part of the PETALE (Preventing Late Effects of Acute Lymphoblastic Leukemia Treatments) study at the Centre hospitalier universitaire Sainte-Justine in Montreal. Our results highlighted the high prevalence of cardiometabolic complications in adolescent and young adult survivors of childhood ALL. They also confirmed their increased cardiovascular risk compared to the general Canadian population, particularly those exposed to cranial radiotherapy. In addition, alterations in lipoprotein and apolipoprotein profiles, indicative of an increased risk of atherosclerosis, were identified. We observed that survivors have poor compliance with dietary recommendations and that poor eating habits affect their nutritional and metabolic status. Our results confirm the association of diet quality and a better survivors’ cardiometabolic health. We identified an inverse association between a high intake of specific macro- and micronutrients (protein, selenium, zinc, copper, riboflavin and niacin) as well as meat and the risk of having low HDL-C levels in survivors, while fast food was positively associated with this risk. It should be noted that despite low vitamin D intake, the prevalence of vitamin D insufficiency or deficiency is no greater among survivors than in the general Canadian population. We identified associations between plasma biomarkers of visceral inflammation and endotoxemia and cardiometabolic complications in childhood ALL survivors. We also demonstrated the relationship between metabolic endotoxemia, inflammation and the presence of cardiometabolic complications. A review of the literature detailed the emerging role of intestinal dysbiosis in the metabolic sequelae found in survivors. In our exploratory work, we found that, in a large proportion of metabolically unhealthy survivors, there was a reduced abundance of bacteria families with protective role towards endotoxemia. We also demonstrated the feasibility of using a xenogenic mouse model of ALL to study the mechanisms explaining the development of cardiometabolic complications. The identification of biomarkers and biological mechanisms and a better understanding of how diet and nutritional components may affect survivors of childhood ALL will allow the development of prevention strategies to minimize long-term sequelae, improve patient follow-up and optimize the quality of life of this high-risk population.

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This thesis investigates the genre classification of Vampire Survivors-like games, focusing on "Vampire Survivors" by Poncle (2021, poncle). The objective is to define their genre and explore the possibility of a new genre creation. The research comprehensively examines genre origins, classification approaches, and significance from design, marketing, and consumer perspectives. Vampire Survivors and similar games have gained prominence, but their genre remains uncertain. Elements align with Action Roguelike and Bullet Hell, yet definitive classification proves elusive. This study analyzes gameplay mechanics, design elements, and experiences to compare with established genres.The research provides insights for game developers seeking design patterns and helps players find suitable games. It contributes to the understanding of emerging game genres, promoting innovation in the gaming industry. Using a systematic methodology, this thesis establishes a coherent genre framework. Finding scontribute to genre discussions and inspire future research in this evolving field.

No description available.