Objective. To determine the effectiveness of a rehabilitation program including physical exercise, in improving cognition, participation, and coping in patients with a subarachnoid hemorrhage (SAH)...Show moreObjective. To determine the effectiveness of a rehabilitation program including physical exercise, in improving cognition, participation, and coping in patients with a subarachnoid hemorrhage (SAH). Secondary, it was aimed to identify the role of clinical characteristics in the effectiveness of the rehabilitation program. Methods. A longitudinal pilot intervention study was performed, with measurements before the start (T0), after three months (T1), and after six months (T2). Cognition was measured with the Montreal Cognitive Assessment, participation with the Impact on Participation and Autonomy questionnaire, and coping with the Utrecht Proactive Coping Competence Scale. Generalized Estimating Equation analyses were performed. Results. A total of 19 patients with SAH participated; 13 in the intervention group and 6 in the control group. For the intervention group, cognition improved between T0 and T2 and between T1 and T2. Participation declined between T0 and T1, but improved between T1 and T2. Proactive coping declined between T0 and T2 and between T1 and T2. Cognition of the control group did not change, but participation improved between T0 and T1 and proactive coping declined between T0 and T1. There was no significant difference between the control and intervention groups in improvements in cognition between T0 and T1 (p = 0.090). However, there was a significant difference between the control and intervention groups in changes in participation between T0 and T1 (p = 0.001) and in changes in coping between T0 and T1 (p < 0.001). The location of SAH played a role in the differences in participation, but not in cognition and coping. For treatment type and time since SAH, no significant effects were found. Conclusion. There was no effect of the rehabilitation program on cognition. The control group had a better participation level after three months and the intervention group worsened. The intervention group had a stable coping style after three months, whereas the control group declined in the use of proactive coping. Only the characteristic location of the aneurysm played a role in the participation level after three months, but not in cognition or coping. The other characteristics did not play a role in the changes. This study indicates that some long-term complaints can improve after the rehabilitation program, but more research is needed.Show less
Master thesis | Theology and Religious Studies (Master)
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Comparing the effects of rehabilitation for drug and alcohol addiction from both religion-based and non-religion-based rehabilitation programs, specifically concerning relapse rates. The focus...Show moreComparing the effects of rehabilitation for drug and alcohol addiction from both religion-based and non-religion-based rehabilitation programs, specifically concerning relapse rates. The focus of religion-based programs will be Christian and all programs will be from the United States of America. Surrounding this is the “war on drugs” culture President Nixon waged in the 1970s and which has not been won yet; if anything, it has worsened in the last few decades. Concurrently, the laws regarding drug abuse have become harsher. The relationship between religion and health is fundamental to the discussion, and five specific relationships as defined by Hood, Hill, and Spilka will be applied to three selected studies. Hood et al’s relationships portray the core concepts of “self-control,” “coping,” and “emotion regulation” which are needed to deal with addiction and which rehabilitation is designed to provide tools to help with. The studies will cover a spectrum of religious rehabilitation, non-religious rehabilitation, and the “grey area” between. Pertinent questions for analysing these studies will be outlined and the results and their implications will be compared before ideas for further research are given.Show less
Abstract: Facing the end of the colonial state during the Mau Mau crisis in 1950s, Britain sought to reshape native Kenyans. This process was dependent on the construction of various imaginations...Show moreAbstract: Facing the end of the colonial state during the Mau Mau crisis in 1950s, Britain sought to reshape native Kenyans. This process was dependent on the construction of various imaginations of the Mau Mau. The British sought to eliminate the Mau Mau “sickness” by responding in a comprehensive manner to what they saw as the issues which precipitated its development. Politically, religiously, economically, and intellectually, the British tried to control this conclusion to the colonial period and shape the future of Kenya by “rehabilitating” those “infected” by anti-British Mau Mau sentiments and create new citizens in the British image. Missionaries, teachers, economists, agrarians, doctors, anthropologists, and government officials in Kenya would contribute various constructions of the Mau Mau upon which rehabilitation efforts were based. Whitehall tried to reform or rehabilitate Mau Mau in prison work camps and in communities, freeing them from the political and psychological constraints of Mau Mau in a variety of while also creating a new economic and political structure in the colony which would allow those who had been successfully been rehabilitated to stay loyal to the British and maintain a privileged place in this nascent state. This essay will explore the efforts of the British to create new citizens and their efforts to define the Mau Mau upon which these responses to the conflict were based. The British government recognized the threat of Mau Mau and the implication its demands for “land and freedom” could have on their control of the State, thus they placed great emphasis on trying to understand, explain, define, and then reform Mau Mau adherents. For the British, this process was contingent upon the development of a construction of Mau Mau identity, an effort manifest in the research of colonial representatives and in their plans for “rehabilitation”. While Mau Mau was, indeed, a movement amongst ethnic Kenyans, it was also the subject of various colonial constructions. The various manifestations of this ‘movement of the mind’ which Mau Mau represented was as much a product of the minds of colonial officials, subjects, and representatives as it was a construction in the minds of the Kikuyu. These conceptions developed in tandem, informing each other, and shaping the development of the state. ‘Rehabilitation’ was at once, a response to the rebellion and a construction in the minds of colonial officials and one imposed upon the Kikuyu, one which was as much a representation of the colonials’ understanding of the conflict as it was an attempt to construct in Kikuyu minds a vision of the future that was already manifest in the minds of those colonial officials trying to shape it. These different perspectives would exist in the minds of colonials who would attempt to actualize their conception of the phenomenon in their plans for reconstruction. As the conflict progressed and conceptions of the phenomenon of Mau Mau and plans to counter the rebellion developed, the various colonial and Kikuyu constructions of Mau Mau would shape each other.Show less
This thesis discusses rehabilitation for the mentally ill in Japan. Though not completely new to Japan, rehabilitation as a method is only slowly progressing despite several researches that have...Show moreThis thesis discusses rehabilitation for the mentally ill in Japan. Though not completely new to Japan, rehabilitation as a method is only slowly progressing despite several researches that have shown positive results come from rehabilitation. A light is shown on the current situation from the viewpoint of the government, the patients and the family in order to clarify the reason for this slow progress of rehabilitation in Japan.Show less
