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'Fetal "rights"? The need for a unified approach to the fetus in the context of feticide'

- Kruuse, Helen

Authors: Kruuse, Helen
Date: 2009
Language: English
Type: Article , text
Identifier: http://hdl.handle.net/10962/54163 , vital:26397 , https://store.lexisnexis.co.za/products/tydskrif-vir-hedendaagse-romeinshollandse-reg-journal-of-contemporary-romandutch-law-skuZASKU9780409079241/details
Description: The issues of fetal protection, fetal rights and the status of unborn life have been debated on a variety of levels in a variety of disciplines over the past centuries. One needs only think of John Milton who asked the “hard” question: “For man to tell how human life began / Is hard: for who himself beginning knew?” (Paradise lost (1667) Bk 8 251–252). While the issue of fetal rights most often arises in abortion debates, the issue of fetal rights in the context of feticide has received scant attention in South Africa. (For a thought-provoking general discussion of fetal rights, see Du Plessis “Jurisprudential reflections on the status of unborn life” 1990 TSAR 44; Van Niekerk (ed) The status of prenatal life (1991) and Kahn (ed) The sanctity of human life (1983).) This note seeks to initiate a discussion on the current legal position in South Africa in respect of feticide.
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Date Issued: 2009

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'God is my forest': Xhosa cultural values provide untapped opportunities for conservation

- Cocks, Michelle L, Dold, Anthony P, Vetter, Susan M

Authors: Cocks, Michelle L , Dold, Anthony P , Vetter, Susan M
Date: 2012
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/141198 , vital:37952 , DOI: 10.4102/sajs.v108i5/6.880
Description: In South Africa conservation is still largely framed in terms of Western scientific values, with a focus on material benefits to local communities, whilst little is known about the intangible values local people attach to nature and biodiversity. We explored the cultural, spiritual and emotional relationships with nature expressed by Xhosa people, within the MaputalandPondoland-Albany Hotspot, as well as the activities that mediate this relationship. A descriptive research approach was applied to document the emotions, meanings and values associated with landscape elements. This approach included group and individual interviews and ‘walk-in-the-woods’ interviews and participatory mapping exercises. Respondents portrayed a strong, although not always easily articulated, appreciation for nature, especially ihlathi lesiXhosa (‘Xhosa forest’, vegetation types within the Thicket Biome).
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Date Issued: 2012

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'Growing up tough': A national survey of South African youth

- Everatt, David, Orkin, Mark

Authors: Everatt, David , Orkin, Mark
Date: 1993-03
Subjects: Youth -- South Africa -- Attitudes -- Congresses , Youth -- Research , Youth -- South Africa -- Social conditions , Social surveys -- South Africa -- Congresses , Marginality, Social -- South Africa Congresses
Language: English
Type: text , book
Identifier: http://hdl.handle.net/10962/65862 , vital:28849
Description: The Community Agency for Social Enquiry (CASE) was commissioned by the Joint Enrichment Project (JEP) to undertake research for the National Youth Development Conference. The research programme had three components:the compilation of a computerised and annotated youth database, comprising domestic research into youth, and the extraction of five policy papers covering the areas of education, employment-creation, AIDS, violence and social context, and historical context. an international comparative component, which focused on the youth brigades in Botswana, and the whole range of youth development initiatives taking place in Kenya and Uganda, covered in an additional two position papers. a national baseline and attitudinal survey into youth in South Africa. The results of all three components of the research project will be published in book form later this year. The summary reports of the local and international comparative policy papers are available in a separate booklet. This is the report of the national survey into youth in South Africa. Aims of the survey The survey has four main aims: demographic: to accurately describe how many youth are in the different parts of South Africa, how many are in or out of school or work, and so on. attitudinal: to allow youth to express their views on a range of social, economic, political and personal issues.to analyse youth marginalisation: to scientifically analyse and describe the marginalisation of youth within South African society. programmatic: to provide results which directly assist organisations designing programmes which target youth. Designing the survey The survey was designed by the CASE senior research team of Professor Mark Orkin, Director of C A S E; Dr David Everatt, Deputy Director of CASE and project co-ordinator; and Dr Ros Hirschowitz, Specialist Researcher at C A S E. The design process was lengthy and complex, because the aims of the survey were complicated. As a first step, CASE gathered together existing youth research and survey data, in order to see what we could learn from them. We then convened a design workshop to assist us. Participants in the C A S E national youth survey for JEP 1 workshop comprised people who had experience with youth, or with survey design. They included John Aitchison (CASE and the Centre for Adult Education, University of Natal), Debbie Budlender (CASE and the National Women's Coalition), Dr Jannie Hofmeyr (Research Surveys), Ms Vanessa Kruger and Professor Ari Sitas (University of Natal), Ms Anne Letsebe (SABSWA), Mr Steve Mokwena (JEP), Mr Rory Riordan (Human Rights Trust) and Dr Jeremy Seekings (University of Cape Town). We also needed input from the youth themselves. Discussion groups with youth (called 'focus groups') were held with youth from Alexandra and Soweto, from Ciskei and the eastern Cape, from Bophuthatswana and the northern transvaal, from Chatsworth and Claremont in Durban, and elsewhere. We reached youth from cities, squatter camps, towns and rural areas. The focus groups were organised by C A S E and Research Surveys, a professional market research company. The youth told us what their concerns were, what their aspirations and fears were, and what interventions they felt are necessary to improve their lives. CASE then designed a draft survey. We had to try it out (called 'piloting') to find out if the survey tapped the youth's actual views and experiences, and so give the JEP the information they sought. The survey was piloted on a representative sample of 100 youth (aged between 16 and 30) by Research Surveys. Using the results of the focus groups and the pilots, the CASE research team then produced the final questionnaire, which went into the field in November/December 1992.
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Date Issued: 1993-03

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'Hayi, they don’t know Xhosa’: Comparative isiXhosa teaching challenges in the Eastern Cape and Gauteng

- Kaschula, Russell H, Kretzer, Michael M

Authors: Kaschula, Russell H , Kretzer, Michael M
Date: 2019
Language: English
Type: text , article
Identifier: http://hdl.handle.net/${Handle} , vital:42499 , https://doi.org/10.1080/02572117.2019.1672318
Description: Language-in-education policy in South Africa is underpinned by the Constitution. The gap that this research addresses is the inconsistency of policy implementation and the actual teaching of isiXhosa in primary schools. It analyses the official and overt language policy and the (covert) language practices at schools. Semi-structured interviews were conducted with language teachers and principals. Data were also gathered from classroom observations and document analysis in the Eastern Cape and Gauteng. On the one hand, there are standard language policy documents that exist. These advocate for English as a language of learning and teaching and isiXhosa as a subject. On the other hand, the daily reality in classrooms partly reflects this policy implementation.
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Date Issued: 2019

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'Here's to you, Mrs Robinson' : peculiarities and paragraph 29 in determining the treatment of domestic partnerships

- Kruuse, Helen

Authors: Kruuse, Helen
Date: 2009
Language: English
Type: Article , text
Identifier: vital:26388 , http://hdl.handle.net/10962/54083
Description: There is always need of persons not only to discover new truths, and point out when what were once truths are true no longer, but also to commence new practices, and set the example of more enlightened conduct. The law is one of the important architects of social norms. At times, it can be a tool to solve problems, eradicate inequalities, and advance the rights of the disadvantaged. At other times, the law is an anchor and a constraint upon social and ideological advances. With regards to equality and non-traditional partnerships, it seems that law falls into this latter category.
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Date Issued: 2009

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'I always knew I would go to university': a social realist account of student agency: part 1

- Ellery, Karen, Baxen, Jean

Authors: Ellery, Karen , Baxen, Jean
Date: 2015
Language: English
Type: article , text
Identifier: http://hdl.handle.net/10962/61207 , vital:27990
Description: Academic development programmes at higher education institutions (HEIs) in South Africa are often underpinned by discourses that view students as deficit. Archer's social realist ontology offers a means of understanding reflexivities and agency of students in the higher education context. Using narrative data and drawing on Archer's (2003) theory of mediation between structure and agency through internal conversations, this study examined the socio-economic background of one particular student, Thando, and his agential journey to arrive at the academy. The analysis reveals Thando has a deliberate and determined stance towards achieving his project of obtaining a tertiary education in order to realise a better life for himself and his family. Despite what could be perceived as constraining socio-cultural conditions, Thando strategically circumvents such restrictions and acts in ways that help him pursue his project. It is argued that student agency needs to take a more central place within academic development programmes in higher education.
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Date Issued: 2015

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'I won't be squeezed into someone else's frame': Stories of supervisor selection

- Harrison, Liz, McKenna, Sioux, Searle, Ruth

Authors: Harrison, Liz , McKenna, Sioux , Searle, Ruth
Date: 2010
Subjects: To be catalogued
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/187395 , vital:44629 , xlink:href="https://hdl.handle.net/10520/EJC15100"
Description: Using a collection of stories from a group of women who belong to a PhD support group, this article tracks the issue of choosing a supervisor. These women are all academics and therefore had some claim to an "insider" status but as novice researchers they were also "outsiders". Their discussions around how and why they chose their supervisors highlight issues often underplayed or ignored in textbooks on postgraduate supervision. In particular, this article examines issues of knowledge, embodied subjectivity and power by following three questions that arise from the data : whose knowing is important; who should I be, and whose PhD is it?
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Date Issued: 2010

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'Iron on iron': modernism engaging apartheid in some South African railway poems

- Wright, Laurence

Authors: Wright, Laurence
Date: 2011
Language: English
Type: text , article
Identifier: vital:7068 , http://hdl.handle.net/10962/d1007459 , https://doi.org/10.1080/00138398.2011.626177
Description: preprint , Modernism tends to be criticised, internationally, as politically conservative. The objection is often valid, although the charge says little about the quality of artistic achievement involved. This article argues that the alliance between Modernism and political conservatism is by no means a necessary one, and that there are instances where modernist vision has been used to convey substantive political insight, effective social critique and solid resistance. To illustrate the contrast,the article juxtaposes the abstract Modernism associated with Ben Nicholson and World War 2, with a neglected strain of South African railway poetry which uses modernist techniques to effect a powerful critique of South Africa’s apartheid dispensation. The article sustains a distinction between universalising modernist art that requires ethical work from its audiences to achieve artistic completion, and art in which modernist vision performs the requisite ethical work within its own formal constraints. Four very different South African railway poems, by Dennis Brutus, John Hendrickse, Alan Paton, and Leonard Koza, are examined and contextualised to demonstrate ways in which a modernist vision has been used to portray the social disruptions caused by apartheid. Modernist techniques are used to turn railway experience into a metonym for massive social disruption,without betraying the social reality of the transport technology involved.
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Date Issued: 2011

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'Joining the academic life': South African students who succeed at university despite not meeting standard entry requirements

- Vincent, Louise, Idahosa, Grace E

Authors: Vincent, Louise , Idahosa, Grace E
Date: 2014
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/141745 , vital:38001 , https://hdl.handle.net/10520/EJC159177
Description: At present the Swedish points system is one of the main determinants of an applicant either being granted or refused entry into many South African higher education institutions (HEIs). Using a grounded theory approach, this article interprets the experiences of participants whose school performance and therefore university 'entry points' were lower than the expected norm. Despite not meeting standard university entry requirements, these students succeeded at university, completing their degrees in the minimum time available and going on to higher degrees. The journey of these participants - from low entry points to academic success - suggests that points based on school performance are not necessarily the best way of identifying students' potential to succeed in the contemporary South African educational context. If their entry points were not a good indication of their ability to thrive at university, the article asks, what is it about these participants that accounts for their success? And what implications does this have for South African practice, not only with regard to admissions policies but also in relation to the responsibilities of HEIs to students once they are admitted?
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Date Issued: 2014

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'Meaningful engagement’: Towards a language rights paradigm for effective language policy implementation

- Docrat, Zakeerah, Kaschula, Russell H

Authors: Docrat, Zakeerah , Kaschula, Russell H
Date: 2015
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/174812 , vital:42512 , https://doi.org/10.1080/02572117.2015.1056455
Description: This article aims to develop the concept of ‘meaningful engagement’ in terms of the contemporary language policy implementation framework in South Africa. By exploring the current language policies, implementation and the current lack of effectiveness, the authors offer a new implementation focus drawn from the legal concept of ‘meaningful engagement’. ‘Meaningful engagement’ is a concept within the socio-economic rights sphere. This article expands and advances the concept within a language policy framework. Against the enabling legislative environment created by the Use of Official Languages Act 12 of 2012 and the overarching Constitutional framework which embeds the rights of all official languages, ‘meaningful engagement’ is developed and applied to selected language policies and practices.
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Date Issued: 2015

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'n Marxisties-feministiese ondersoek van Wilma Stockenström se roman, Die kremetartekspedisie

- Gardner, Judy Hilary

Authors: Gardner, Judy Hilary
Date: 1989
Subjects: Stockenström, Wilma -- Criticism and interpretation , Stockenström, Wilma. Kremetartekspedisie
Language: Afrikaans
Type: text , Thesis , Masters , MA
Identifier: vital:3568 , http://hdl.handle.net/10962/d1002091
Description: Chapter is an exploration of the meanings which may underly the title of this novel. I have tried initially to establish what kind of "expedition" is undertaken, and have come to the conclusion that "expedition" has a multidimensional meaning, that it implies a search, an expedition into different things: an expedition to the city of rose-quartz; the slave woman's expeditions from the baobab tree and back; an inner expedition to gain self-knowledge; an expedition into womanhood; an expedition into the history of Africa, into religion, into language. The second part of the chapter examines the nature of "baobab", since this tree, like the "Tree of Life", is regarded as one growing upside-down. It is this upside-down nature of the tree which led me to believe that many existing stereotypes and myths are turned upside-down in the novel: about slaves, about woman, language, the Afrikaans literary tradition, the "traditional" structure of the novel, culture transcending nature, the slave woman's language. In chapter 2 I have examined only one of these expeditions, viz. the slave woman's inner expeditions consisting of her experiences as a slave and her journeys of reminiscence. These journeys at the same time embrace all the other expeditions. Her inner expeditions are signified by a number of codes, which fulfil literally the function of processes of knowledge, of self- knowledge, as well as of systems in which meaning is contained. By undertaking this inner expedition, the woman gains greater clarity of vision concerning her own existence and the existence of man/woman in general. Chapter 3 deals mainly with the concept of possession/ownership, which results in two diametrically opposed groups: the owner class and the owned class. The peculiar institution of slavery has given rise to these two irreconcilable groups, and therefore a brief history of slavery is included in this chapter. The slave woman is initially one of the owned class, but through indoctrination, she too aspires to become a member of the owner class. In the second half of the chapter, then, the woman is discussed as owner. Her position becomes a reflection of the position of her owners, to illustrate the peculiarity of the capitalist system in which there will always be the rulers and the subjects, the oppressor and the oppressed, the owner and the owned.
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Date Issued: 1989

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'On the fringes of society’ and ‘out of the closest’: a response to ‘Sexual/Textual Politics

- Spencer, Lynda G

Authors: Spencer, Lynda G
Date: 2014
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/139034 , vital:37698 , https://doi.org/10.1080/02589001.2014.983324
Description: Gibson Ncube’s ‘Sexual/Textual Politics: Rethinking gender and sexuality in gay Moroccan literature’ focuses on an emerging body of gay literature that is developing within the larger framework of Moroccan literature. Ncube attempts to illustrate how the contemporary narratives of Rachid O. and Abdellah Taïa portray the quotidian experiences of minority sexualities who strive to exist in the hegemonic heteropatriarchies of Moroccan societies. These narratives challenge and destabilise the heteronormative ideals of Arab-Muslim communities and endeavour to offer alternative ways of thinking about marginalised sexualities in the public space. This analysis draws on the feminist underpinnings of Maria Pia Lara to argue that private gay narratives have the potential to re-imagine the public domain.
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Date Issued: 2014

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'ORPHEIOI HYMNOI' The generic contexts of the Orphic Hymns

- Malamis, Daniel Scott Christos

Authors: Malamis, Daniel Scott Christos
Date: 2022-10-14
Subjects: Orphic hymns , Poetics Early works to 1800 , Hymns, Greek (Classical) History and criticism , Literary form
Language: English
Type: Academic theses , Doctoral theses , text
Identifier: http://hdl.handle.net/10962/327177 , vital:61088 , DOI 10.21504/10962/327177
Description: Uncertainty surrounds the circumstances of Orphic Hymns’ composition and their intended use. Their author has substituted their own identity for that of the mythological poet and there is no certain reference to the extant collection in any ancient source. They are, in this sense, decontextualised. This study aims to make a contribution to the ongoing debate concerning the hymns’ composition, and the original function they might have served, through an analysis of their poetic and generic contexts. Following a detailed survey of scholarship on the hymns, I reflect first on the collection as a unified text, the constitutive parts of the individual hymns and the methods they employ for addressing, describing and praying to the gods. I then study a select group of stylistic features that the hymns prominently display: their use of phonic effects, including etymological figures, of antithesis and symmetrical patterning, and their extensive repetition of poetic formulae. In each case I discuss the deployment and significance of these poetic elements within the collection and consider the intertextual parallels suggested by their recurrence in Greek literary texts of all periods. This analysis reveals the hymns’ engagement with an overlapping set of poetic traditions, including, most prominently, cultic hymns and oracles, gnomic poetry, the theological discourses of the Presocratic philosophers and, in particular, Orphic poetry in its many forms. It suggests moreover that the hymns engage deeply with the oral strategies of the earliest Greek poets, underscoring the conclusion reached by several recent scholars, that the extant collection is essentially performative and was intended to be recited and heard. I argue that the Orphic Hymns were not a unique text in their employment of the stylistic features studied here, but drew extensively upon earlier hymns composed in Orpheus’ name. I further consider, in the light of this argument, the bearing this study has on the unresolved questions of the hymns’ composition, whether by a single author or many, and the aims of the poet(s) who composed them. , Thesis (PhD) -- Faculty of Humanities, School of Languages and Literature Studies, 2022
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Date Issued: 2022-10-14

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'Rich man poor man': inter-household and community factors influencing the use of wild plant resources amongst rural households in South Africa

- Cocks, Michelle L, Bangay, Lindsey, Shackleton, Charlie M, Wiersum, K Freerk

Authors: Cocks, Michelle L , Bangay, Lindsey , Shackleton, Charlie M , Wiersum, K Freerk
Date: 2010
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/141211 , vital:37953 , DOI: 10.3843/SusDev.15.3:3
Description: Biodiversity is recognised as an integral part of people's daily livelihoods. This study therefore aims to understand the use of NTFPs at an intricate level by determining what role these resources fulfil in six rural villages and 1011 households' livelihoods. It examines how the use of NTFPs are influenced by intra-household variables, such as wealth and gender, and inter-community variables, such as accessibility to the natural resource. The results reveal that approximately 4453 kg of wild material is used annually per household, of which 1598 kg is used for cultural purposes. The influence of vegetation type and differences between villages are statistically more significant than inter-household variables. At an inter-household level, an increase in the financial status of households did not result in a decrease in the use of natural resources, nor in the quantity of material used.
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Date Issued: 2010

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'She travels alone and unattended’: the visit to the Eastern Cape of the botanical artist, Marianne North

- Beard, Margot

Authors: Beard, Margot
Date: 2017
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/147759 , vital:38668 , https://doi.org/10.1080/00043389.2007.11877077
Description: The visit of the botanical artist, Marianne North, to South Africa during 1882 to 1883, although frequently referred to, has not received much close attention; nor has her account of the visit, in her ‘Recollections of a happy’ life, been set against the actual conditions she would have encountered. This paper attempts to flesh out at least part of that visit, specifically the weeks she spent in the Eastern Cape Colony and, more particularly, her visits to Port Elizabeth, Grahamstown and Port Alfred. What were these three centres like at the time? Who were the people she mentions? Where did she stay? How do her observations tally with other accounts of the period?.
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Date Issued: 2017

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'Tell us a new story': a proposal for the transformatory potential of collective memory projects

- Vincent, Louise

Authors: Vincent, Louise
Date: 2015
Language: English
Type: text , book
Identifier: http://hdl.handle.net/${Handle} , vital:38046 , ISBN 9781869142902 , https://books.google.co.za/books?id=49o8rgEACAAJanddq=Being+at+home:+Race,+institutional+culture+and+transformation+at+South+African+higher+education+institutionandhl=enandsa=Xandved=0ahUKEwiPgsa6mpjjAhXNN8AKHbNwAtoQ6AEIKDAA
Description: This edited work has gathered together contributions on how to transform universities in South Africa; as many are struggling to shift their institutional culture. In a South African context, transformation means to attempt to change higher education institutions such that they no longer reflect the values promoted by apartheid but rather reflect the values embodied in South Africa's 1996 Constitution. Institutional culture is the main subject for discussion in this book. In order to transform South Africa's universities, the contributors begin by analyzing the idea of what a university is, and relatedly, what its ideal aims are. A second theme is to understand what institutional culture is and how it functions. Moreover, transformation cannot occur without transforming the broader cultures of which they are a part. Related to this theme is a general concern about how contemporary moves towards the instrumentalization of higher education affect the ability to transform institutions. These institutions are being pushed to conform to goals that are outside the traditional idea of a university, such as concerns that universities are being 'bureaucratized' and becoming corporations, instead of a place of learning open to all. In conclusion it can be said that the contemporary South African academic community has an opportunity to recreate itself as the end of apartheid created space for engaging in transformative epistemic projects. The transformation of the tertiary sector entails a transformation of institutional cultures.
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Date Issued: 2015

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'The Area of a Triangle is 1800C’: an analysis of Learners' Idiosyncratic Geometry Responses through the Lenses of Vygotsky's Theory of Concept Formation

- Mhlolo, Michael K, Schäfer, Marc

Authors: Mhlolo, Michael K , Schäfer, Marc
Date: 2013
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/141127 , vital:37946 , DOI: 10.1080/10288457.2013.826973
Description: In this paper, we focus specifically on Vygotsky's theory of concept formation to gain initial insights into seemingly garbled and incoherent connections we observed in learners' responses to a geometry task. While acknowledging research that is supportive of the van Hiele model as being useful when analysing concept formation in geometry, in this paper we use empirical evidence to argue that today's geometry requires learners to reason with many tools which the van Hiele model does not seem to accommodate. Working with 470 written responses of 12–14-year-old learners to a geometry task, we then explored the potential of Vygotsky's theory of concept formation as an alternative framework. We conclude by discussing the paper's contribution both to theory and to classroom practice.
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Date Issued: 2013

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'Underground' hip hop and rock music scenes in East London: exploring identity and authenticity, c1994 - 2010

- Mtshemla, Sinazo https://orcid.org/0000-0003-4057-5637

Authors: Mtshemla, Sinazo https://orcid.org/0000-0003-4057-5637
Date: 2014-01
Subjects: Identity (Philosophical concept) , Rap (Music)
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/25195 , vital:63993
Description: This study explores how through music discourses and representations of identity and authenticity are articulated through a reading of hip hop and rock music scenes in post-apartheid East London. I have read through interviews, spaces where performances occur and material culture associated with the artists, of musicians moving between ideas of resistance to the mainstream as well as conforming in their representations of identity. The tensions aroused by these underground music scenes in my study ran between resistance and conforming narratives in relation to how musicians express how they make sense of identity and authenticity in the changing post-apartheid landscape. Therefore the complex readings of identity derived from the study showed how contradictory music allows one to be. Further the study found that the assertions about race, ethnicity and identity were often more subtle and contradictory at times, which warranted one to pay closer attention to these music scenes. Inasmuch as musicians attempted to move out of the mainstream by placing themselves in an alternative positioning, they remained limited to ‘authentic’ articulations of identity, where race remained either ‘invisibly’ white or problematically ‘native’ as centres of authentic representation. Moreover the study was able to show the anxieties and tensions around citizenship, identity and belonging. , Thesis (MA) -- Faculty of Social Sciences and Humanities, 2014
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Date Issued: 2014-01

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'We pledge to improve the health of our entire community'

- Grant, Carolyn, Nawal, Dipty, Guntur, Sai Mala, Kumar, Manish, Chaudhuri, Indrajit, Galavotti, Christine, Mahapatra, Tanmay, Ranjan, Kunal, Kumar, Gangesh, Mohanty, Sunil, Alam, Mohammed Aftab, Das, Aritra, Jiwani, Safia

Authors: Grant, Carolyn , Nawal, Dipty , Guntur, Sai Mala , Kumar, Manish , Chaudhuri, Indrajit , Galavotti, Christine , Mahapatra, Tanmay , Ranjan, Kunal , Kumar, Gangesh , Mohanty, Sunil , Alam, Mohammed Aftab , Das, Aritra , Jiwani, Safia
Date: 2018
Subjects: To be catalogued
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/281179 , vital:55699 , xlink:href="https://doi.org/10.1371/journal.pone.0203265"
Description: Background: Motivation is critical to health worker performance and work quality. In Bihar, India, frontline health workers provide essential health services for the state’s poorest citizens. Yet, there is a shortfall of motivated and skilled providers and a lack of coordination between two cadres of frontline health workers and their supervisors. CARE India developed an approach aimed at improving health workers’ performance by shifting work culture and strengthening teamwork and motivation. The intervention—“Team-Based Goals and Incentives”—supported health workers to work as teams towards collective goals and rewarded success with public recognition and non-financial incentives. Methods: Thirty months after initiating the intervention, 885 health workers and 98 supervisors completed an interviewer-administered questionnaire in 38 intervention and 38 control health sub-centers in one district. The questionnaire included measures of social cohesion, teamwork attitudes, self-efficacy, job satisfaction, teamwork behaviors, equitable service delivery, taking initiative, and supervisory support. We conducted bivariate analyses to examine the impact of the intervention on these psychosocial and behavioral outcomes. Results: Results show statistically significant differences across several measures between intervention and control frontline health workers, including improved teamwork (mean = 8.8 vs. 7.3), empowerment (8.5 vs. 7.4), job satisfaction (7.1 vs. 5.99) and equitable service delivery (6.7 vs. 4.99). While fewer significant differences were found for supervisors, they reported improved teamwork (8.4 vs. 5.3), and frontline health workers reported improved fulfillment of supervisory duties by their supervisors (8.9 vs. 7.6). Both frontline health workers and supervisors found public recognition and enhanced teamwork more motivating than the non-financial incentives. Conclusions: The Team-Based Goals and Incentives model reinforces intrinsic motivation and supports improvements in the teamwork, motivation, and performance of health workers. It offers an approach to practitioners and governments for improving the work environment in a resource-constrained setting and where there are multiple cadres of health workers.
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Date Issued: 2018

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