Atlikus tyrimą nustatyti dažniausi pagyvenusio amžiaus žmonių, hospitalizuotų į vidaus ligų skyrių, sveikatos sutrikimai: depresijos simptomai, dauginė patologija, atminties ir pusiausvyros sutrikimai, sensorinių pojūčių pokyčiai, judėjimo, suvokimo sutrikimai bei mažesnis arba didesnis funkcinis nesavarankiškumas. Vyresnių pacientų amžius, lytis bei potencialūs rizikos veiksniai neigiamai susiję su daugeliu pagyvenusio amžiaus žmonių fizinės ir psichinės sveikatos aspektų. Vyresnis amžius didino pagyvenusio amžiaus žmonių fizinės sveikatos bei funkcinės ir pažinimo funkcijų sutrikimus. Moterys dažniau nei vyrai nurodė svorio kritimą ir skundėsi skausmu. Pacientai, turėję atminties sutrikimų, dažniau patyrė griuvimą, atsirado pragulos, buvo nesavarankiški kasdienėje veikloje, turėjo depresijos ir delyro simptomų, nelaikė šlapimo ir išmatų bei skundėsi dvigubu nelaikymu. Nepakankamos mitybos, nelaikantys išmatų, turėję atminties, judėjimo sutrikimų ar ilgai negalėję vaikščioti dažniau turėjo pragulų (p<0,05). Staiga pablogėjus sveikatai gydymas stacionare nevienareikšmiai įtakojo paciento sveikatos būklę: sumažėjo (ar išnyko) ryškūs psichinės sveikatos sutrikimai. Bendravimo sutrikimai ir kasdienė funkcinė veikla nepakito, šlapimo nelaikymas išliko. Instrumentinė kasdienė veikla, lyginant paciento gebėjimus iki hospitalizavimo ir tyrėjo numatytus gebėjimus išrašant iš ligoninės, pablogėjo. Išrašant pacientus iš ligoninės, sumažėjo antibiotikų ir padidėjo psichotropinių... [toliau žr. visą tekstą] / Most common health problems of the hospitalized elderly are the following: symptoms of depression, polypathology, memory and balance disorders, changes of sensory organs, disorders of locomotion, disorders of perception, and the functional dependence of lower or higher degree. The older age of the studied subjects, gender and the potential risk factors had a negative influence on physical and mental health of the elderly.The disorders of physical health, functional and cognitive functions of the elderly increased with the older age. Women more frequently reported weight loss and complained of pain. Patients with memory disorders, more frequently had falls, were dependent in activities of daily living, had bedsores, symptoms of depression and delirium, bladder and bowel incontinence, and double incontinence. Patients with insufficient intake of diet, having bowel incontinence, disorders of memory or being confined to bed more frequently had bedsores (p<0.05). Treatment of acute health deterioration in in-patient clinic had the positive influence on patient‘s health condition: dramatic disorders of mental health (symptoms of delirium, disorders of perception, thinking, memory) reduced (or disappeared). Disorders of communication (self-expression and ability to understand others), problem of bladder incontinence, daily functional dependence did not change. Instrumental activities of daily living deteriorated for discharge period if compared to patient‘s abilities prior to... [to full text]

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Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

Purpose: To accurately and precisely evaluate the validity and reliability of the English-language Pelvic Floor Inventories (PelFIs) administered questionnaire. Participants: Fifty female patient volunteers (ages 24 to 82 years) plus fifty female control volunteers (ages 21 to 83 years) completed the 149-item questionnaire. Results: Construct validity of the English-language PelFIs was established by quantifying the differences in prevalence of pfm dysfunction between the patient population and the control population. Very significant findings of F=10.83, p<0.0001 were found for the document as a whole. Content validity was attained by experts, and additional information gathered for further improvement of this tool. Test-retest reliability for all domains was established with ICC=0.905 and no significant differences were found between time-one and time-two. Internal consistency was obtained with significant Pearson's Correlation noted between the domains. The prevalence of co-occurrence of pfm disorders with patients presenting for treatment of a single pfm dysfunction was quantified and 100% of the patients reported symptoms in domains additional to the domain they sought treatment for. The presence of pfm dysfunction was also quantified in the control population and 94% were found to display symptoms of pelvic floor dysfunction. Conclusions: The English-language PelFIs was shown to be valid and reliable. Co-occurrence of pfm dysfunction was found to be highly prevalent.

To date, very few studies have been conducted focusing on ratings of music and music listening experience of hearing aid (HA) users. This study aimed to collect more detailed and descriptive information via a questionnaire, on the music listening experience and ratings of musical sounds from postlingually deafened adults. The following hypotheses were posed: (i) ratings for music from HA users who have been assessed for a cochlear implant (HA-CI group) will be worse than those who have not been assessed for a CI (HA-NCI group); and (ii) HA users with a moderate or worse hearing loss (Moderate+ subgroup) will provide lower ratings for music than those with a mild hearing loss (Mild subgroup). A questionnaire by She (2008), was modified for this study, and subsequently called the University of Canterbury Music Listening Questionnaire – HA version (UCMLQ_HA). The questionnaire was divided into the following seven sections: music listening and music background, sound quality ratings, music styles, music preferences, music recognition, factors affecting music listening enjoyment, and a music training programme. Thirteen HA-CI recipients and 98 HA-NCI recipients returned the questionnaire. The HA-NCI group was divided into two subgroups: mild hearing loss (n = 51), and moderate or worse hearing loss (Moderate+; n = 47). Essentially findings were consistent with hypothesis one, but only partially consistent with hypothesis two. The HA-CI group provided lower ratings for ‘pleasantness’ and ‘naturalness’ of instruments (p = 0.007), and found music styles to be less ‘pleasant’ (p < 0.001) than the HA-NCI group. For musical styles, the HA-CI group preferred solo performers whereas the HA-NCI group preferred groups of performers. In addition to ratings of music, the HA-CI group provided significantly lower ratings for music listening (p = 0.001), and overall music enjoyment (p = 0.021) than the HA-NCI group. For the comparisons between the Mild and Moderate+ subgroups, the Mild subgroup found Instruments to sound significantly ‘less noisy’ (p < 0.001) and ‘less sharp’ (p < 0.001) than the Moderate+ subgroup. The Moderate+ subgroup provided higher ratings for overall enjoyment of listening to music with HAs than the Mild subgroup (p = 0.044). Both subgroups rated the drum kit (the lowest rated Instrument) to be significantly less pleasant and less natural than all other Instruments. It was also found that all musical styles were significantly more pleasant than Pop/Rock. There were similarities between the groups for music preferences; the male singer was significantly preferred over female singers (p = 0.021), and low-pitched instruments were significantly preferred over high-pitched instruments (p = 0.04). Classical music was also selected as the style that sounded the best with their HAs and listened to the most often. Almost all of the respondents indicated that they would like music in general to sound it would to those with normal hearing (97.1%). Close to 30% indicated that they would be interested in an MTP and would like it to focus on a wide range of music and feature commonly known tunes. In addition, training sessions should consist of two 30 minute sessions per week. Overall this study indicates that ratings of music differ with level of hearing loss to some degree. The general consensus was that music did not sound as they would expect it to sound to a person with normal hearing, and that respondents would like to enjoy listening to music more.

This thesis offers a case study analysis of the food waste in schools focusing on the pupils’ knowledge of foodwaste issues. The thesis uses a project initiated by the municipality of Uppsala which aims at reducing theamount of food wasted in the schools restaurants as a case study. The knowledge of food waste issues frompupils of Uppsala has been assessed with questionnaires. The amount of pupil’s food waste generation is alsoshown in the thesis. At first it is seen that older pupils waste more than younger ones. Looking at theirknowledge, pupils in general ignore the environmental and ethical consequences of food waste but are aware ofthe economic consequences. The current food waste reduction project implemented by the municipality ofUppsala seems to work only for the schools where the pupils are aware of the incentive in place. This incentiveaims to reward the pupils from the schools which reduce their food waste other time. The results obtained fromthe questionnaires, the results from current food waste reduction project and the interviews (with the person incharge of the food waste reduction project and a kitchen staff) are analyzed through a theoretical frameworkbased on environmentally significant behavior theory. Later, suggestions are made in order to improve thecurrent project. For instance, it is advised to review the current incentive depending on the schools by working incooperation with the schools and the pupils. Also, the pupils need to obtain a better basic understanding of foodwaste issues through instruction in formal and informal ways. The project itself could be reviewed in order tobetter integrate the pupils’ opinions and their degree of understanding of the food waste issues but also tocooperate more with the different stakeholders in the project.

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