This thesis deals with the effectiveness of individual vs. group cognitive therapies in stroke patients by training sheets, and pencil-paper exercises. The thesis is divided into theoretical and practical part. The theoretical part of the thesis describes the issue of this disease and the current study of cognitive training. The main aim of the practical part is to compare the effectiveness of group and individual cognitive training by means of intensive cognitive training in patients after stroke (within a year after a stroke). Another aim of the study is to find out how patients were satisfied with cognitive function by using the Schwartz scale of therapy. The study included 20 patients who were selected based on predetermined entry criteria. Subsequently, they were divided into two groups of 10 patients. Group 1 underwent individual cognitive therapy and group 2 underwent group therapy. In both groups, cognitive therapy was performed three times a week for one month. The time of one therapy was always 35-40 minutes. Patients were examined at baseline with the Montreal Cognitive Test and Schwartz's scale of therapy evaluation was added to the test at the end of the test. The results showed comparable improvements in the Montreal cognitive test in both groups. Furthermore, they showed comparable...

This diploma thesis concerns the use of Ergotherapy by people with mental disablement. A theoretical part characterises the terms: a mental disablement and a care for people with mental disablement and the most frequent types of therapies providing in the facilities for people with physical handicap. At the end of the chapter about a present situation of this chosen topic, there is a separate chapter about Ergotherapy. It points out a game, as a first occupation of a child and work therapy that helps individuals with mental disablement to create or improve their own working habits. The aim of this thesis was to introduce new trends in education of people with mental disablement in the area of work therapy. The thesis is focused on an offer of work therapy activities that have been provided by the facilities for people with a physical handicap and the education of work therapists. A qualitative research was used to reach the aim: first a method of questioning and secondly, a technique of semi-structured interviews. The interviews were made with senior executives (mainly the principals) and they were focused on the area of education of work therapists after the validation of Social Service Act No. 108/2006 Sb. Another used method was a method of quantitative research {--} questioning, a technique of questionnaire. The target group was composed of work therapists who are employed in the facilities for people who are physically handicapped. The questionnaires were designed to reveal what is being offered in terms of work therapy within the facilities and what is the determination of a selection of an activity that the client will take part in. It has been revealed that the offer of activities in the facilities is varied and that the client plays the main role in the selection of the activity. The research was conducted in three regions of the Czech Republic: South Bohemia, South Moravia and the Vysočina region.

The postmodern context in which the church currently performs its duties, necessitates a reconsidering of its pastoral practice. This venture is undertaken by introducing the social constructionist paradigm as a thought form for therapeutic and pastoral approaches. The social constructionist perspective proposes a non-referential, non-descriptive and communicational view of language. Language does not mirror the world, but we create the world we know and inhabit through joint communicative action. This constructionist view of language has radical implications for the way we practice therapy and pastoral care. It invites a move away from expert knowledge, professional diagnosis, essentialist thinking and therapeutic master narratives. It encourages a not-knowing position, multiple descriptions of the reality experienced as the problem, a narrative understanding of identity and the development of local meaning in the therapeutic conversation. If the above mentioned implications of social constructionist thought for pastoral practice are taken seriously, the following question emerges: What is the role of the Bible in a pastoral approach which aligns itself with social constructionist commitments? Does this sacred text allow the pastor to hold a not-knowing position and the development of local meaning in conversation? The question is addressed by explicating the Protestant Orthodox view of Scripture as authorative, perspicuous, sufficient and dependable. This view of Scripture is critiqued by reviewing the complex and challenging developments in modern literary criticism, which give rise to generating alternative descriptions of the status and identity of the text we Christians call ‘The Bible’. These alternative descriptions result in a postfoundationalist view of the Bible. In conclusion a set of values for pastoral therapy, as informed by social constructionism, is formulated. A focus group joins the venture by reflecting on the values. The final chapter is a rumination on therapeutic narratives and context. / Thesis (DD (Practical Theology))--University of Pretoria, 2006. / Practical Theology / unrestricted

(in English): A total of 62% of the Czech adult population currently suffer from overweight or obesity (BMI over 25). Overweight problems are mostly caused by bad eating and exercising habits. The web application Self-Coaching with cognitive behavioral therapy elements helps overweight or obese users to gradually change their bad habits. The objective of the research part of the thesis is to evaluate the effect of a 5-week use of the web application Self-Coaching and to find out whether or not this effect changes if the users are provided with a virtual intervention of an instructor trained in a cognitive behavioral approach to obesity treatment. I evaluated the percentage of weight loss as compared to the initial body weight, the energy and nutritional balance of the diet, vegetable intake, physical activity, the number of days of using the application and the use of the psychological section of the application (psycho-coaching). Weight loss was the identified main effect of the web application Self-Coaching. After five weeks, the users lost on average 2.5% of their initial weight. The intervention of the instructor helped to increase the number of days, for which the users used Self-Coaching.

This study explores Durant Sihlali’s documentation of traumatic events during apartheid in South Africa, with specific focus on his watercolour paintings documenting the forced removals and demolitions that took place in Kliptown and Pimville during the seventies of the previous century. The argument can be made that Sihlali used the process of creating art as a type of narrative therapy, and that each artwork functions as a form of externalisation. Based on the assumption that each artwork is representative of a specific narrative in the broader context of the forced removals and demolitions, it is argued that the problem which Sihlali experienced, namely the trauma caused by the forced removals, is separated from himself through the process of creating an artwork. This made it possible for him to assume a more objective and external perspective towards the oppression afflicted by apartheid. Furthermore it is argued that Sihlali could not only manifest his emotions in an external format, namely the artwork, but that he also assumed a positive and optimistic position towards the conflict and oppression suffered during this time. The idea that he would have liked to open a museum of his artworks, where the South African community could learn more about him and the real “truth” of South African history, did not only suggest that his work harboured the potential to bring his own trauma to resolution, but could also bring peace to other South Africans, albeit as victim or oppressor. The cathartic characteristics of his artworks are conveyed through the delicate handling of his subject matter through his watercolour medium. This is not only reinforced by the delicate and sensitive brushwork in his paintings, but also by the nostalgic characteristics of his paintings, where memories are remembered without pain. / MA (History of Art), North-West University, Potchefstroom Campus, 2014

Rugby has become a popular team sport worldwide with players training harder and competing more frequently, placing a great physiological demand on their bodies. To retain this performance level, players need to recover sufficiently between training and competitions. Two popular recovery techniques used are cold water immersion (CWI) and contrast water therapy (CWT). Despite numerous publications a lack still exists with regard to these specific recovery methods on physical and haematological parameters. Against this background, the main objectives of this study were firstly, to determine the effects of CWI compared to those of passive recovery (PAR) over a 48-hour period on physical and haematological parameters after an intense anaerobic exercise session in a cohort of male university-level rugby players. Secondly, to determine the effects of CWT compared to those of PAR over a 48-hour period on physical and haematological parameters after an intense anaerobic exercise session in a cohort of male university-level rugby players. Twenty-three rugby players of the North-West University participated in the study. The players were randomly assigned to either a control (n = 11; age: 20.1±0.3 y) or experimental (n = 12; age: 19.9±0.3 y) group. Participants reported to the laboratory where base line measurements were taken on certain physical (vertical jump test (VJT) height, VJT peak speed, VJT peak power and grip strength) and haematological (base excess (BEx), blood lactate (BLa-), calcium (Ca+), bicarbonate (HCO3), haemoglobin, haematocrit, pH level, partial oxygen level (PO2), partial carbon dioxide (PCO2), plasma glucose, potassium (K+), saturated oxygen (SO2), sodium (Na+) and total carbon dioxide (TCO2)) components. Thereafter participants were accompanied to the field to complete an intense anaerobic exercise session, followed by a recovery period of either CWI vs. PAR (week 1) or CWT vs. PAR (week 2). The recovery session comprised of either sitting passively in a still area (PAR), or immersion of CWI (8–10°C), or alternating immersions of five cycles between cold (1 min; 8–10°C) and warm water (3min; 40-42°C), totalling 20 minutes. Exactly three minutes, 24 and 48 hours after the recovery intervention all the measurements were re-taken to assess acute and longer-term effects of recovery. Descriptive statistics were followed by a linear mixed model analysis with an autoregressive 1 heterogeneous (AR1-Heterogeneous) structure, and between-group differences were examined using a one-way analysis of variance (ANOVA). Significance was set at p ≤0.05. Effect sizes were calculated to determine practical significance per recovery intervention as well as within groups. CWI indicated better recovery than PAR, with three out of the nine variables (BLa-, Na+ and haemoglobin) returning at 0 h post-recovery, and five (PO2, plasma glucose, VJT height, VJT peak power, VJT peak speed) only at 24 h post-CWI. In contrast, the PAR-group did not demonstrate recovery in any of the variables at 0 h post-PAR. However, an improvement was seen in VJT height across all time points. Four (BLa-, haemoglobin, VJT peak power and VJT peak speed) out of a possible nine variables recovered at 24 h with an additional two (PO2 and grip strength) variables showing recuperation at 48 h. A significant decrease (p ≤0.05) was seen in VJT height, PO2 and Na+ from post-anaerobic to immediately following either CWI or PAR (except for VJT height). Significant increases (p ≤0.05) were observed in VJT height, plasma glucose, and Na+ from 0 h post-recovery to 48 h post-recovery for both CWI and PAR. PO2 also significantly increased (p ≤0.05) from 0 h to 24 and 48 h post-CWI and for the PAR-group at 48 h. CWI tended to have a faster recovery rate than PAR over a 24-h period. The CWT vs. PAR showed the same trend, at 0-hours, six variables (BLa-, haemoglobin, VJT-height, VJT peak-power, VJT peak-speed and grip strength) was restored to base line, whereas plasma glucose recovered at 24-hours post-CWT. In addition, players’ jump and grip strength performance improved from base line. The PAR-group demonstrated recovery at 0 hours in four variables (BLa-, VJT height, VJT peak-speed and grip strength), and two variables (Na+ and haemoglobin) at 24-hours and plasma glucose at 48 hours. A significant decrease (p ≤0.05) was seen in haemoglobin and BLa- from post-anaerobic to either 24 or 48 hours for both groups. A significant increase in plasma glucose and PO2 from 0 to 24 hours was observed in both groups. No significant intergroup change in physical components was noticed. However, intergroup results indicated CWT to be superior to PAR with statistical significance observed in BLa- and grip strength (p ≤0.05) at various time points. The conclusion drawn from the above-mentioned results is that a recovery session comprising either 20-minutes of CWI or CWT may lead to significantly better physical components and restoration of haematological components in university-level rugby players compared to that of passive recovery. However, a detrimental effect was noticed in some components over the recovery period. / MA (Sport Science), North-West University, Potchefstroom Campus, 2015

This study explores Durant Sihlali’s documentation of traumatic events during apartheid in South Africa, with specific focus on his watercolour paintings documenting the forced removals and demolitions that took place in Kliptown and Pimville during the seventies of the previous century. The argument can be made that Sihlali used the process of creating art as a type of narrative therapy, and that each artwork functions as a form of externalisation. Based on the assumption that each artwork is representative of a specific narrative in the broader context of the forced removals and demolitions, it is argued that the problem which Sihlali experienced, namely the trauma caused by the forced removals, is separated from himself through the process of creating an artwork. This made it possible for him to assume a more objective and external perspective towards the oppression afflicted by apartheid. Furthermore it is argued that Sihlali could not only manifest his emotions in an external format, namely the artwork, but that he also assumed a positive and optimistic position towards the conflict and oppression suffered during this time. The idea that he would have liked to open a museum of his artworks, where the South African community could learn more about him and the real “truth” of South African history, did not only suggest that his work harboured the potential to bring his own trauma to resolution, but could also bring peace to other South Africans, albeit as victim or oppressor. The cathartic characteristics of his artworks are conveyed through the delicate handling of his subject matter through his watercolour medium. This is not only reinforced by the delicate and sensitive brushwork in his paintings, but also by the nostalgic characteristics of his paintings, where memories are remembered without pain. / MA (History of Art), North-West University, Potchefstroom Campus, 2014

Rugby has become a popular team sport worldwide with players training harder and competing more frequently, placing a great physiological demand on their bodies. To retain this performance level, players need to recover sufficiently between training and competitions. Two popular recovery techniques used are cold water immersion (CWI) and contrast water therapy (CWT). Despite numerous publications a lack still exists with regard to these specific recovery methods on physical and haematological parameters. Against this background, the main objectives of this study were firstly, to determine the effects of CWI compared to those of passive recovery (PAR) over a 48-hour period on physical and haematological parameters after an intense anaerobic exercise session in a cohort of male university-level rugby players. Secondly, to determine the effects of CWT compared to those of PAR over a 48-hour period on physical and haematological parameters after an intense anaerobic exercise session in a cohort of male university-level rugby players. Twenty-three rugby players of the North-West University participated in the study. The players were randomly assigned to either a control (n = 11; age: 20.1±0.3 y) or experimental (n = 12; age: 19.9±0.3 y) group. Participants reported to the laboratory where base line measurements were taken on certain physical (vertical jump test (VJT) height, VJT peak speed, VJT peak power and grip strength) and haematological (base excess (BEx), blood lactate (BLa-), calcium (Ca+), bicarbonate (HCO3), haemoglobin, haematocrit, pH level, partial oxygen level (PO2), partial carbon dioxide (PCO2), plasma glucose, potassium (K+), saturated oxygen (SO2), sodium (Na+) and total carbon dioxide (TCO2)) components. Thereafter participants were accompanied to the field to complete an intense anaerobic exercise session, followed by a recovery period of either CWI vs. PAR (week 1) or CWT vs. PAR (week 2). The recovery session comprised of either sitting passively in a still area (PAR), or immersion of CWI (8–10°C), or alternating immersions of five cycles between cold (1 min; 8–10°C) and warm water (3min; 40-42°C), totalling 20 minutes. Exactly three minutes, 24 and 48 hours after the recovery intervention all the measurements were re-taken to assess acute and longer-term effects of recovery. Descriptive statistics were followed by a linear mixed model analysis with an autoregressive 1 heterogeneous (AR1-Heterogeneous) structure, and between-group differences were examined using a one-way analysis of variance (ANOVA). Significance was set at p ≤0.05. Effect sizes were calculated to determine practical significance per recovery intervention as well as within groups. CWI indicated better recovery than PAR, with three out of the nine variables (BLa-, Na+ and haemoglobin) returning at 0 h post-recovery, and five (PO2, plasma glucose, VJT height, VJT peak power, VJT peak speed) only at 24 h post-CWI. In contrast, the PAR-group did not demonstrate recovery in any of the variables at 0 h post-PAR. However, an improvement was seen in VJT height across all time points. Four (BLa-, haemoglobin, VJT peak power and VJT peak speed) out of a possible nine variables recovered at 24 h with an additional two (PO2 and grip strength) variables showing recuperation at 48 h. A significant decrease (p ≤0.05) was seen in VJT height, PO2 and Na+ from post-anaerobic to immediately following either CWI or PAR (except for VJT height). Significant increases (p ≤0.05) were observed in VJT height, plasma glucose, and Na+ from 0 h post-recovery to 48 h post-recovery for both CWI and PAR. PO2 also significantly increased (p ≤0.05) from 0 h to 24 and 48 h post-CWI and for the PAR-group at 48 h. CWI tended to have a faster recovery rate than PAR over a 24-h period. The CWT vs. PAR showed the same trend, at 0-hours, six variables (BLa-, haemoglobin, VJT-height, VJT peak-power, VJT peak-speed and grip strength) was restored to base line, whereas plasma glucose recovered at 24-hours post-CWT. In addition, players’ jump and grip strength performance improved from base line. The PAR-group demonstrated recovery at 0 hours in four variables (BLa-, VJT height, VJT peak-speed and grip strength), and two variables (Na+ and haemoglobin) at 24-hours and plasma glucose at 48 hours. A significant decrease (p ≤0.05) was seen in haemoglobin and BLa- from post-anaerobic to either 24 or 48 hours for both groups. A significant increase in plasma glucose and PO2 from 0 to 24 hours was observed in both groups. No significant intergroup change in physical components was noticed. However, intergroup results indicated CWT to be superior to PAR with statistical significance observed in BLa- and grip strength (p ≤0.05) at various time points. The conclusion drawn from the above-mentioned results is that a recovery session comprising either 20-minutes of CWI or CWT may lead to significantly better physical components and restoration of haematological components in university-level rugby players compared to that of passive recovery. However, a detrimental effect was noticed in some components over the recovery period. / MA (Sport Science), North-West University, Potchefstroom Campus, 2015

Several motor problems in ADHD learners are reported, including problems with balance, fine muscle control (Szatmari & Taylor; 1984; Havey & Reid, 2003) and motor planning (Piek et al., 1999; Pless & Corisson, 2000). It seems that overlapping conditions such as DAMP (which is a combination of ADHD and Developmental Coordination Disorder (DCD)) display greater connections with motor problems, than when a child displays only ADHD symptoms (Gillberg, 2003; Gibbs et al., 2007). There is also continuing controversy in the research literature as to whether ADHD is in fact remediable and what the most appropriate methods in this regard would be. Behavioural therapy at school and various forms of psychotherapy are reported to be the most popular forms of interventions complementary to medication. It also appears that motor exercise can stimulate the brain in various ways, resulting in improvement in learning and attention (Summerford, 2005). Motor therapy appears to be important, since many ADHD learners display motor difficulties. Motor control problems of learners with ADHD are also neglected during research. The objectives of this study were firstly to determine the nature and extent of coordination related neuro-motor and visual-motor integration deficits of an availability sample of six- to eight-year-old (N=95) learners diagnosed with ADHD in Brakpan, South Africa. A further objective was to determine whether treatment methods, including neuro-motor therapy, pharmacological agents and neuro biofeedback can indeed address neuro-motor problems and ADHD symptoms successfully. A further objective was to determine which of the various treatment programs, including neuro-motor therapy, pharmacological agents and brain conditioning intervention, will be the most effective for the treatment of six- to eight-year-old ADHD learners. The "Disruptive Behaviour Scale" checklist for ADHD (Bester, 2006) was used to identify learners with ADHD. The "Movement Assessment Battery for Learners 2" (MABC), and the “Quick Neurological Screening Test II" (QNST-II) were used to determine the learners’ motor skills, as well as neuro-motor progress. The "Beery Developmental Test of Visual-Motor Integration" (VMI-IV) was used to examine the learners' visual-motor integration (VMI), visual perception (VP) and motor coordination (MC). "Statistica for Windows 2012" was used for the analysis of the results. One-way Analysis of Variance, independent t-testing and co-variance analysis were used respectively to analyze data related to the abovementioned objectives. A p-value less than or equal to 0.05 was accepted as statistically significant, and effect sizes were calculated to determine the practical significance of the results (d≤0.8). The results of the study showed that the neuro-motor status of the selected six- to eight-year-old ADHD learners (N=95) that had been identified, using the Bester questionnaire, and analyzed by means of the MABC, QNST and VMI, was affected negatively by the condition. Fine motor and hand control skills of learners with ADHD were indeed found to be significantly weaker compared to learners without ADHD, and the fine motor skills of learners with DAMP showed impairment to a greater degree. Neurological and visual-motor integration do not appear to differ between learners with and without ADHD symptoms, although trends of weaker values and significant differences were found in the palm shape recognition, arm-leg extension (muscle tone) subscale and the stimulation of hand and cheek subscale in the ADHD and DAMP groups. For objective 2, the learners were divided into two groups (an ADHD intervention group (n=10) that was subjected to an neuro-motor intervention program of nine weeks, 37 minutes per session, twice a week, and compared to a non-control group consisting of non-ADHD learners (n=18)). When the pre-test differences between the groups are taken into account, it indicated that the ADHD group performed weaker than the control group in the QNST and MABC total, MABC percentile, ball skills and palm shape recognition subtest values, before starting the intervention, but that during the after-test no more differences were observed between the groups. This suggests that the intervention group showed improvement and that their average values draw closer to those of the control group, confirming that the intervention did exert an influence on the deficits that these ADHD learners experienced. The neuro-motor dysfunction of the group of learners with ADHD did not show a significant improvement, although non- significant trends of improvement that occurred in all variables may indeed be attributed to the effect of the intervention. A reduction in the ADHD symptoms and improved visual-motor integration in learners with ADHD were observed, suggesting that the severity of the symptoms of ADHD displayed by this group before the start of the intervention was significantly reduced. For objective 3, the learners (n=95) were divided into five groups (Sharper Brain group (n=25); neuro-motor intervention group (n=21); medication group (n=17); a group with no symptoms of ADHD (n=18), and an ADHD control group (n=14)). The Sharper Brain group showed practical significant lower values than the ADHD control group and the medication group in most of the MABC variables, from which can be deduced that neuro-biofeedback therapy will not improve motor problems. The results obtained in the visual-motor integration subtest showed that the neuro-motor intervention group performed significantly better than the ADHD control group, although the groups did not differ significantly. ADHD symptoms decreased significantly in all groups, most of all in the Sharper Brain group, from which can be deduced that the intervention has possibilities to improve focus and attention. A trend also occurred (p>0.05) that the neuro-motor intervention contributed more to improving visual-motor integration than the other intervention groups, while the medication intervention meaningfully addressed visual perception skills. However, from the results could not be determined whether one group performed better than another group, as no significant differences occurred consistently between groups. The neuro-biofeedback therapy, medication and neuro-motor intervention each had a achieved a unique improvement, and it is recommended that a combination of the various intervention methods should be used in the treatment of ADHD. In summary, the conclusion can be drawn that ADHD learners experience problems with skills related to attention, visual-motor integration and fine motor skills to a greater extent than non-ADHD learners, and that learners diagnosed with DAMP display more serious problems in this regard. The results showed that the various interventions have various treatment effects, but did not have a significant effect on the motor status of the ADHD learners. The conclusion may be drawn that there is no one single method of treatment for learners with ADHD symptoms, but that a combination of treatment methods should rather be implemented. From the study it is clear that ADHD does indeed affect learners negatively, but also that the exposure to focused intervention programs has a positive effect on their neuro-motor skills and ADHD symptoms. / PhD (Human Movement Science), North-West University, Potchefstroom Campus, 2014

Pancreaic stem cells are potent to differentiate into insulin producing -cells. Stem cells would be use for the cell therapy in the future. This diploma thesis is focused on this four transcription factors (LIF, noggin, TGF- a BMP-2) and their effects on the differentiation of the pancreatic stem cells into -cells. The results were analysed by evidential methods (RT-PCR, immunofluorescence and static incubation.