Nach Operationen am Schultergelenk ist die Rehabilitation von entscheidender Bedeutung, um das operative Ergebnis zu sichern und die Schulterfunktion wiederherzustellen. Die dafür erforderliche funktionelle Kraft, Mobilität, Stabilität und Schmerzfreiheit soll mittels adäquater Maßnahmen im Therapieprozess entwickelt werden. Einen Untersuchungsschwerpunkt dieser Arbeit stellte die Erhebung von indikationsspezifischen isokinetischen Referenzwerten dar, die als schädigungsfrei erreichbare Steigerungsraten der Kraft innerhalb eines definierten Rehabilitationsprogrammes anzusehen sind. Dafür wurden jeweils 30 Patienten mit ventraler Schulterstabilisierung, arthroskopisch subakromialer Dekompression und Rekonstruktion der Rotatorenmanschette unter Verwendung des Seilzugisokinetikgerätes „Moflex®“ für die Bewegungen Adduktion, Innen- und Außenrotation untersucht. Zusätzlich galten die tägliche Schmerzquantifizierung, die Erfassung der aktiven Beweglichkeit und die subjektive Einschätzung mittels Fragebögen zum Gesundheitszustand (SF-36-Health-Survey) und zur Schulterfunktion (DASH-Score) zu definierten Zeitpunkten der Rehabilitation als obligate Bestandteile der Untersuchung. Auf der Grundlage der ermittelten Referenzwerte werden Empfehlungen für die praktische Anwendung eines therapeutischen Aufbautrainings mit dem Therapieband und dem Seilzugsystem abgeleitet. Einen weiteren Schwerpunkt der Arbeit bildete die Leistungsdiagnostik mit der Überprüfung der körperlichen Leistungsfähigkeit und der kardiopulmonalen Belastung während einer orthopädisch ausgerichteten Rehabilitation. Dafür absolvierten 20 männliche Patienten nach einer Operation am Schultergelenk zu Beginn und zum Abschluss der Rehabilitation einen Spiroergometrietest auf dem Fahrradergometer und eine Spirometrieuntersuchung mit dem „K4b2“ während der Krankengymnastik und der Medizinischen Trainingstherapie. Mit den Resultaten ist erstmalig eine Beurteilung der kardiopulmonalen Belastung von Patienten bei differenten Therapiemaßnahmen möglich. Die Ergebnisse können als Handlungsanleitung für die Belastungsgestaltung im Rahmen der postoperativen Rehabilitation von Schulterpatienten betrachtet werden.

Temos aktualumas Gyvenimo kokybės (GK) analizė yra vertinga siekiant palyginti ir įvertinti tam tikrų su sveikata susijusių būklių įtaką visuomenės gerovės aspektams, tiek vertinant iš paties žmogaus pusės, tiek ir pagal tai, kokios pagalbos jam reikia (Coons SJ. ir kt., 2000). GK tyrimai padeda geriau tai įvertinti. Rašydama šį darbą, noriu paanalizuoti, kaip socialiniai demografiniai veiksniai siejasi su gyvenimo kokybe. Darbo tikslas Įvertinti senelių namuose gyvenančių pagyvenusių ir vyresnių žmonių su sveikata susijusią gyvenimo kokybę. Darbo uždaviniai: 1. Įvertinti privačiuose senelių namuose gyvenančių pagyvenusių ir vyresnių žmonių su sveikata susijusią gyvenimo kokybę lyties ir amžiaus grupių aspektu; 2. Įvertinti valstybiniuose senelių namuose gyvenančių pagyvenusių ir vyresnių žmonių su sveikata susijusią gyvenimo kokybę lyties ir amžiaus grupių aspektu; 3. Palyginti privačiuose ir valstybiniuose senelių namuose gyvenančių pagyvenusių ir vyresnių žmonių su sveikata susijusią gyvenimo kokybę. Tyrimo metodika Protinės būklės trumpo tyrimo klausimynas (ang. Mini Mental State Exam, MMSE). Į tyrimą neįtraukiami asmenys, kuriems MMSE įvertintas sunkus pažinimo sutrikimas. Su sveikata susijusi gyvenimo kokybė vertinama naudojant SF-36 klausimyną (Trumpa sveikatos apklausos forma) (Hirsch, Bartholomae, Volmer, 2000; Ware 2000; Lloyd, Sawyer, Hopkinson, 2001). Rezultatai ir išvados Privačiuose senelių namuose gyvenantys pagyvenę ir vyresni žmonės su sveikata susijusią... [toliau žr. visą tekstą] / Relevance of the Topic The analysis of life quality is valuable seeking to compare and evaluate the influence of particular health states to the aspects of public welfare both assessing out of man‘s position and according to what kind of help he needs (Coons SJ. etc., 2000). The research of life quality helps to assess it better. Writing this work I aim at the analysis of how demographic factors are related to life quality. The aim of the work To assess the life quality as related to health of the elderly and the senior people living in the nursing home. The tasks of the work: 1. To assess the life quality as related to health of the elderly and the senior people living in private nursing home based on their gender and age group; 2. To assess the life quality as related to health of the elderly and the senior people living in public nursing home based on their gender and age group; 3. To compare the life quality as related to health of the elderly and the senior people living in private and public nursing home. The method of the research Mini Mental State Exam (MMSE). The research does not include people, who in MMSE were assessed as having a serious cognition disorder. The life quality related to health is assessed using SF-36 questionnaire (a short survey form concerning health (Hirsch, Bartholomae, Volmer, 2000; Ware 2000; Lloyd, Sawyer, Hopkinson, 2001)). The Results and Conclusions The elderly and the senior people living in private nursing home evaluated the life... [to full text]

Nas últimas décadas, as doenças crônicas têm desempenhado um importante papel na morbimortalidade da população mundial atingindo não só a população idosa, mas também jovens em idade produtiva e principalmente mulheres. Dentre as doenças a cefaléia tem sido considerada uma das principais causas de doença do indivíduo adulto em todo o mundo industrializado e na maioria dos países em fase de desenvolvimento, principalmente, nos grandes centros urbanos, como uma doença crônica. A alta prevalência da doença tem se tornado um grande problema de saúde pública afetando milhares de pessoas e, conseqüentemente, a Qualidade de Vida dessa população. O presente estudo é do tipo transversal com objetivo geral de avaliar a prevalência da cefaléia nas mulheres de uma Instituição de Ensino Superior e a qualidade de vida relacionada à saúde das mesmas de um município do estado de Minas Gerais, no ano de 2006, segundo o Instrumento genérico de avaliação de QVRS, SF-36. A coleta de dados foi realizada junto a mulheres no período entre setembro e dezembro de 2006. Considerando os critérios de exclusão, 150 mulheres foram selecionados para participarem deste estudo, destas 72 faziam parte do grupo de Migrânea, 30 faziam parte do grupo Cefaléia Tensional e 48 não apresentaram cefaléia nos últimos 06 meses. Os resultados relacionados às variáveis aspectos clínicos da dor e impacto (freqüência das crises, intensidade da dor, sintomas associados às crises de dor) nos grupos que apresentavam migrânea e cefaléia tensional foram apresentados e discutidos. Os descritores de maior atribuição relatados pelas mulheres que apresentam migrânea foram alucinante fulminante, insuportável e os de menor atribuição foram aniquiliadora, colossal e brutal. Para as mulheres que apresentavam cefaléia tensional os descritores de maior atribuição foram dilacerante, desumana, terrível, e os de menor atribuição foram desgraçada, apavorante e pavorosa. Os escores padronizados do instrumento SF-36, segundo seus domínios foram apresentados e discutidos segundo os quartis, valores máximos e mínimos e representados por meio de tabelas. Adicionalmente, valores médios e respectivos desvios-padrão foram apresentados. A consistência interna do instrumento foi verificada por meio dos valores de alfa de Cronbach entre os domínios da escala. O programa estatístico SPSS, versão 12.1 para Windows foi utilizado. Entre as mulheres investigadas, idade média igual a 24,5 anos, com desvio-padrão de 8,21 anos,para o grupo Migrânea e idade média igual a 33,5 anos, com desvio-padrão de 9,2 anos,para o grupo Cefaléia Tensional. Em relação às propriedades de medida do SF-36, foi obtido um valor para alfa de Cronbach igual a 0,92, mostrando que houve consistência nas respostas dos indivíduos às questões. Tal resultado pôde ser verificado, também, para cada um dos domínios do SF-36, com valor mínimo para o alfa de Cronbach igual a 0,49 e máximo igual a 0,91. O grupo estudado apresentou um maior comprometimento nos domínios Vitalidade, Dor, Saúde Mental e Aspectos Físicos / In recent decades, chronic diseases have played an important role in global morbidity and mortality rates, affecting not only the aged population, but also young people in the productive age group. Amongst the illnesses the chronic headache has been considered one of the main causes of illness of the adult individual in industrialized the whole world and the majority of the countries in development phase, mainly, in the great urban centers, as a chronic illness. The high prevalence of the illness if has become a great problem of public health affecting thousand of people and, consequently, the Quality of Life of this population. The present study it is of the transversal type with general objective to evaluate the prevalence of the chronic headache in the women of an Institution of Superior Education and the quality of life related to the health of the same ones of a city of the state of Minas Gerais, in the year of 2006, according to generic Instrument of QVRS evaluation, SF-36. The collection of data was carried through next to women in the period between September and December of 2006. Considering the exclusion criteria, 150 women had been selected to participate of this study, of these 72 were part of the group of Migrânea, 30 were part of the group Tensional Chronic headache and 48 had not presented chronic headache in last the 06 months. The results related to the changeable clinical aspects of pain and impact (frequency of the crises, intensity of pain, symptoms associates to the pain crises) in the groups that presented migraine and tensional chronic headache had been presented and argued. The describers of bigger attribution told by the women who present migraine had been alucinante sudden, insuportável and of lesser attribution they had been aniquiliadora, colossal and brutal. For the women who presented tensional chronic headache the describers of bigger attribution had been dilacerante, desumana, terrible, and of lesser attribution they had been poor fellow, appalling and dreadful. You prop up them standardized of instrument SF-36, according to its dominious had been presented and argued according to quartiles, maximum and minimum and represented values by means of tables. Additionally, average and respective values shunting line-standard had been presented. The internal consistency of the instrument was verified by means of the values of alpha of Cronbach enters the dominious of the scale. The statistical program SPSS, version 12.1 for Windows was used. Between the investigated women, equal average age the 24,5 years, with shunting line-standard of 8,21 years, for the Migrânea group and equal average age the 33,5 years, with shunting line-standard of 9,2 years, for the group Tensional Chronic headache. We obtained a Cronbachs alpha of 0.92 for the measurement properties of SF- 36, which revealed consistency between the individuals answers to the questions. We obtained a Cronbachs alpha of 0.92 for the measurement properties of SF-36, which revealed consistency between the individuals answers to the questions. Vitality, Pain, Mental Health and Physical Aspects

Submitted by Renata Lopes (renatasil82@gmail.com) on 2017-02-03T11:32:27Z No. of bitstreams: 1 fabianerossidossantos.pdf: 1207169 bytes, checksum: 239998bfa9068a9b4676999c0ad12433 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-02-03T12:06:14Z (GMT) No. of bitstreams: 1 fabianerossidossantos.pdf: 1207169 bytes, checksum: 239998bfa9068a9b4676999c0ad12433 (MD5) / Made available in DSpace on 2017-02-03T12:06:14Z (GMT). No. of bitstreams: 1 fabianerossidossantos.pdf: 1207169 bytes, checksum: 239998bfa9068a9b4676999c0ad12433 (MD5) Previous issue date: 2007-09-13 / O impacto do diagnóstico da Doença Renal Crônica pode trazer perdas que vão além da função renal. A evolução da doença pode trazer significativas mudanças na qualidade de vida de pacientes renais crônicos, envolvendo alterações corporais, sociais e psíquicas. Grande parte dos programas de atendimento a pacientes com Doença Renal Crônica são focados em pacientes já em terapia renal substitutiva. Porém, o acompanhamento precoce destes pacientes, ainda em tratamento conservador, pode proporcionar aos profissionais de saúde intervenções que busquem retardar a entrada destes em diálise, bem como reforçar uma maior adesão ao tratamento. A abordagem de pacientes em tratamento conservador através de equipes interdisciplinares torna-se fundamental, uma vez que se destina a uma abordagem global desta população, e pode ter como conseqüência uma melhora da qualidade de vida destes pacientes. O presente estudo avaliou os efeitos da abordagem interdisciplinar na qualidade de vida de pacientes com Doença Renal Crônica em tratamento conservador. Através da avaliação da qualidade de vida pelo instrumento SF-36 e de parâmetros bioquímicos, foi realizada comparação entre um grupo de pacientes acompanhados por equipe interdisciplinar e um grupo que recebeu apenas acompanhamento médico tradicional, observando-se o impacto do acompanhamento interdisciplinar nas possíveis melhoras de aspectos físicos, sociais e emocionais. Pacientes acompanhados por equipe interdisciplinar apresentaram melhora da qualidade de vida nos domínios capacidade funcional, aspectos físicos, estado geral de saúde, vitalidade e aspectos emocionais. O grupo que recebeu acompanhamento médico tradicional não apresentou melhora da qualidade de vida em nenhum dos parâmetros. Pacientes acompanhados por equipe interdisciplinar também apresentaram mudança estatisticamente significante da anemia, cálcio e redução de peso, o que não foi observado no grupo controle. / The impact of chronic renal disease may involve losses well beyond renal function. Body, social, and psychic changes, brought about by disease evolution, may significantly impair the quality of life. A sizeable proportion of programs targeting chronic renal disease patients prioritize those on renal substitutive therapies. If these patients are followed at an earlier stage, while still on conservative treatment, health providers may implement interventions to delay dialytic therapy and enhance compliance. A global interdisciplinary approach to the care of patients on conservative treatment is fundamental, as it may lead to a better quality of life. This study assessed the effects on the quality of life of an interdisciplinary approach to the care of chronic renal disease patients on conservative treatment. Through SF-36assessed quality of life and determination of biochemical parameters, a group of patients followed by an interdisciplinary team was compared with a group receiving traditional medical care. The interdisciplinary approach was possibly accountable for the improvements in the physical, social, and emotional features. Patients followed by the interdisciplinary team had better quality of life as refers to functional capacity, physical features, general health, vitality, and emotional features. The group on traditional medical care did not present any improvement of the quality of life as refers to these parameters. Patients on interdisciplinary care also had statistically significant favorable changes in their anemia, calcium levels, and weight loss, findings not seen in the control group.

Orientadores: Marilisa Berti de Azevedo Barros, Maria Cecilia Goi Porto Alves / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-20T10:33:54Z (GMT). No. of bitstreams: 1 Lima_MargarethGuimaraes_D.pdf: 4846752 bytes, checksum: 5098d3f36601cbff5f662190f32704ff (MD5) Previous issue date: 2012 / Resumo: As medidas do estado de saúde autorreferido e de bem-estar são importantes complementos das medidas diretas de morbidade, de mortalidade e de expectativa de vida, e contribuem para ampliar o conhecimento e a efetividade de intervenções voltadas para melhorar a saúde e a satisfação com a vida da população. Este estudo tem como objetivos verificar a associação de várias dimensões do estado de saúde autorreferido com comportamentos de saúde e com a duração do sono; e verificar os fatores associados ao bem-estar, particularmente o sentimento de felicidade, em idosos. Trata-se de um estudo transversal, de base populacional, que utilizou dados dos inquéritos: Inquérito Multicêntrico de Saúde no Estado de São Paulo (ISA-SP) e Inquérito de Saúde no Município de Campinas (ISACAMP), realizados, em 2001/2002 e 2008/2009, respectivamente. O estudo incluiu 1958 idosos residentes em 4 regiões do estado de São Paulo e 1431 idosos da cidade de Campinas. As variáveis dependentes foram os dois componentes (físico e mental) e as 8 escalas do The Medical Outcomes study 36-item short-form health survey (SF-36), versões 1 e 2 (capacidade funcional, aspectos físicos, dor, saúde geral, vitalidade, aspectos emocionais, aspectos sociais e saúde mental - em relação ao humor), e o sentimento de felicidade nas últimas 4 semanas. As variáveis independentes foram os comportamentos relacionados à saúde: atividade física no lazer, ingestão de bebida alcoólica, tabagismo e padrão do tempo de sono; variáveis demográficas e socioeconômicas e variáveis indicadoras de morbidade e condições de saúde. Os resultados revelaram que a atividade física esteve positivamente associada com as oito escalas medidas pelo SF-36. Os idosos que ingeriram bebida alcoólica pelo menos 1 vez por semana apresentaram melhores condições de saúde do que os que não ingeriram. Comparados com os que nunca fumaram, os fumantes apresentaram o pior estado de saúde em escalas do componente mental. Estes resultados apontam para a importância da adoção e manutenção de comportamentos saudáveis para uma boa saúde e qualidade de vida, também na população idosa, justificando as políticas de saúde do Ministério da Saúde, Brasil (2011), focadas nas estratégias de mudanças de comportamentos relacionados à saúde. Segundo o tempo de sono, o padrão de sono curto (6 horas ou menos) esteve associado às piores condições de saúde mental em ambos os sexos, comparando com o padrão de sono médio (7 a 8 horas)... Observação: O resumo, na íntegra, poderá ser visualizado no texto completo da tese digital / Abstract: Measures of self-reported health status and well-being among elderly individuals constitute important complements to direct measures of illness, mortality and life expectancy. Such measures contribute toward broadening knowledge and increasing the effectiveness of interventions directed at improving health and satisfaction with life. The aims of the present study were to determine whether different dimensions of self-reported health status are associated with health behavior and sleep duration and determine factors associated with well-being, especially the feeling of happiness, among elderly individuals. A population-based, cross-sectional study was carried out using data from the Multi-Center Health Inquiry in the State of São Paulo and the Health Inquiry in the City of Campinas (state of São Paulo, Brazil), respectively carried out in 2001/2002 and 2008/2009. The present study involved 1958 elderly individuals residing in four regions of the state of São Paulo and 1431 elderly individuals residing in the city of Campinas. The dependent variables were the Physical (PCS) and Mental (MCS) Component Summary Scales and the eight subscales of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) versions 1 and 2 (physical functioning, role physical, bodily pain, general health, vitality, role emotional, social functioning and mental health - in relation to mood) and the feeling of happiness in the previous four weeks. The independent variables were health-related behavior (physical activity during leisure, alcohol intake, smoking habits and sleep pattern) as well as demographic and socioeconomic variables and health conditions. The results revealed that physical exercise was positively associated with the eight SF-36 subscales. Individuals who ingested alcoholic beverages at least once a week exhibited better health conditions than those who did no ingest alcohol. Compared to those who had never smoked, smokers had a worse health status on the mental component health summary. These results underscore the importance of adopting and maintaining healthy behavior for satisfactory health and quality of life among the elderly population, thereby justifying health policies of the Brazilian Ministry of Health (2011) focused on strategies directed at changes in health-related behavior. Regarding sleep, the short sleep pattern (6 or fewer hours) was associated with worse mental health status in both genders in comparison to the medium sleep pattern (7 to 8 hours)...Note: The complete abstract is available with the full electronic document / Doutorado / Epidemiologia / Doutor em Saude Coletiva

Bakgrund: Hypertoni är en global folksjukdom och den största orsaken till kardiovaskulära sjukdomar och dödlighet. Sjukdomen benämns “the silent killer” eftersom den ofta inte medför några symtom, vilket i sin tur kan innebära att individerna inte upplever sig som sjuka och därför avstår medicinering. Studier visar att många individer med hypertoni lever med nedsatt hälsa och stort lidande. Vid skattning av livskvalitet inom hälso- och sjukvården används begreppet hälsorelaterad livskvalitet (HRQoL) som i denna allmänna litteraturöversikt har valts som teoretisk referensram. Syfte: Att undersöka hälsorelaterad livskvalitet hos individer med hypertoni samt vilka faktorer som påverkar deras hälsorelaterade livskvalitet. Metod: En allmän litteraturöversikt med 19 kvantitativa studier. Huvudresultat: Individer med hypertoni hade sämre HRQoL än individer utan hypertoni. Därtill framkom att medvetenhet om sin hypertonidiagnos även bidrog till sämre HRQoL. Kvinnor hade sämre HRQoL än män. Hög ålder var en faktor som påverkar HRQoL till det sämre, liksom samsjuklighet och okontrollerat högt blodtryck. Anställning, högre inkomst och högre utbildningsnivå bidrog till bättre HRQoL. Levnadsvanor som gav positiva effekter på HRQoL var en viss alkoholkonsumtion och fysisk aktivitet. Faktorer som undersöktes och visade sig påverka HRQoL positivt var individens förmåga att hantera sin sjukdom, individens psykologiska motståndskraft, hälsolitteracitet, vårdkontinuitet, att få regelbunden medicinsk undersökning samt följsamhet till farmakologisk behandling. Slutsats: Den allmänna litteraturöversiktens resultat kan vara värdefullt för all hälso- och sjukvårdspersonal, liksom i arbetet som distriktssköterska, för att kunna stötta individer med hypertoni till en bättre hälsorelaterad livskvalitet och anpassa vården utifrån individernas enskilda förutsättningar. / Background: Hypertension is a global public disease and the leading cause of cardiovascular disease and mortality. The disease is often called the “silent killer” because it often does not cause any symptoms, which can mean that individuals do not feel sick and therefore refrain from medication. Studies show that many individuals with hypertension live with impaired health and great suffering. When estimating quality of life in health care, the term health-related quality of life (HRQoL) is used, which in this general literature review has been chosen as theoretical framework. Aim: To investigate health-related quality of life in individuals with hypertension and the factors that affect their health-related quality of life. Method: A general literature review with 19 quantitative studies.                                  Main results: Individuals with hypertension had poorer HRQoL than individuals without hypertension, in addition, a study showed that awareness of their hypertension diagnosis also contributed to poorer HRQoL. Women had lower HRQoL than men. Old age impaired HRQoL as well as comorbidity and uncontrolled high blood pressure. Employment, higher income and a higher level of education contributed to better HRQoL. Living habits which had positive effects on HRQoL were a certain alcohol consumption and physical activity. Factors examined that were found to have a positive effect on HRQoL where the individual´s’ ability to manage their illness, psychological resilience, health literacy, continuity of care, regular medical examination and adherence to pharmacological treatment. Conclusion: The results of the general literature review can be valuable for all health care and medical staff, as well as in the work as a district nurse, to be able to support individuals with hypertension to a better health-related quality of life and adapt care based on the individuals' conditions.

Bakgrund: Obesitas är en kronisk och komplex sjukdom som har en negativ effekt på både fysisk och psykisk livskvalitet jämfört med normalbefolkningen. Tidigare och nuvarande studier om obesitas och dess behandlingar har främst utvärderat viktminskning och förbättringar av obesitasrelaterade sjukdomar och ofta saknat patientperspektivet på hälsan. Därtill har forskning visat att personal inom hälso- och sjukvården är bristfälligt rustade för att stödja personer med obesitas vilket ökar patientgruppens lidande och försämrar dess livskvalitet. Syfte: Syftet var att undersöka om det finns vetenskapligt stöd för att kirurgisk obesitasbehandling är effektivare avseende fysisk och psykisk hälsorelaterad livskvalitet jämfört med medicinsk obesitasbehandling hos vuxna personer med obesitas. Metod: Studien genomfördes som en systematisk litteraturstudie baserad på SBU:s metod och utmynnade i totalt tre RCT-studier. Resultat: Litteraturöversiktens sammanvägda resultat visar på mycket låg vetenskapligt stöd. Därmed kan resultatet inte med säkerhet uttala sig om huruvida kirurgisk obesitasbehandling är mer effektiv jämfört med medicinsk obesitasbehandling avseende fysisk och psykisk hälsorelaterad livskvalitet. Resultatet indikerar att obesitaskirurgi kan förbättra fysisk livskvalitet i högre grad jämfört med medicinsk obesitasbehandling. Den psykiska livskvaliteten förbättras däremot inte i högre utsträckning efter obesitaskirurgi jämfört med kontrollbehandlingen. Konklusion: Där behövs fler RCT-studier som är större, baserade på samma livskvalitetsinstrument och vars mått är redovisade på ett enhetligt sätt. / Background: Obesity is a chronical and complex disease which has a negative impact on physical and mental health-related quality of life compared to the normal population. Previous and current studies on obesity and its treatments have mainly evaluated weight loss and improvements in obesity-related diseases and often lacked the patient perspective on health. In addition, research has shown that healthcare personnel are inadequately equipped to support people with obesity, which increases the patient  group´s suffering and impairs its quality of life. Aim: The aim was to investigate whether there is scientific support that surgical obesity treatment is more effective in terms of physical and mental health-related quality of life compared to medical obesity treatment in obese adults. Method: The study was conducted as a systematic review based on  SBU´s method and resulted in a total of three RCT studies. Results: The combined results of the literature review show very little scientific support. Thus, the result cannot state with certainty whether bariatric surgery is more effective compared to medical obesity treatment regarding physical and mental health-related quality of life. The result indicates that bariatric surgery can improve physical quality of life to a greater degree compared to medical obesity treatment. In contrast, the mental quality of life does not improve to a greater extent after bariatric surgery compared to the control treatment. Conclusion: There is a need for more RCT studies that are lager, based on the same quality of life instrument and whose measurements are reported in a uniform manner.

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Title: Comparison of the quality of life of persons diagnosed with intervertebral disc herniation in relation to surgical and conservative treatment. Objectives: The aim of the diploma thesis was the research and evaluation of the quality of life in patients with intervertebral disc lesion with and without surgery, assuming that both monitored groups will be treated with individual rehabilitation treatment. Methods: This research was carried out using a standardized Short Form 36 (SF - 36) questionnaire on quality of life based on health. The Czech version used corresponds to MUDr. Petra, Ph.D. (2000). The study was conducted at the Na Homolce hospital at the rehabilitation clinic, where appropriate respondents (n = 170) were selected for this research. The final results were divided into the respective age groups in both groups. Subsequently, a statistically significant deviation between the respective files was verified in each age group and therefore it can be said that there are no significant differences between the analyzed files. Effects: The average age of the respondents who underwent the surgery was 49.2 years, with the respondents treated conservatively at an average age of 47.6 years. In terms of total physical health (physical activity, physical limitation, physical pain, general...

Die vorliegende retrospektive Analyse zeigt große Unterschiede zwischen frühem (≤ 36 Monate) und spätem (>36 Monate) Knieendoprothesenversagen. Die Indikation für einen Prothesenwechsel in der Gruppe der Frühversager besteht am häufigsten aufgrund einer Malrotation / Malposition der Prothesenkomponenten. Ein Versagen unabhängig von der Standzeit ist meist auf aseptische Prothesenlockerungen zurückzuführen.  Mehrfach operierte Patienten erzielen ein schlechteres Revisonsergebnis und müssen im Mittel nach 34 Monaten einem erneuten Eingriff unterzogen werden. Dies spiegelt sich in schlechteren Befragungsresultaten dieser Patientengruppe wider. Als signifikant erweisen sich die Unterschiede in der körperlichen Aktivität (p=0,041) und im Gesamtscore des WOMAC (p=0,030). Auch Frauen und Patienten mit einem höheren BMI bewerten ihre Situation schlechter, hier zeigen sich signifikante Unterschiede in der Gelenksteifigkeit. Ein höheres Patientenalter wirkt sich dagegen positiv auf das Resultat nach Revisionsoperation aus. Insgesamt bewerten 78% der Befragten ihren Revisionsentscheid im Nachhinein als positiv.