The submitted thesis deals with the issue of the meaning in life in the elderly. The meaningfulness of life, which was as a deep human need listed among the evaluated items in the WHOQOL assessments, is considered to be an important salutogenic factor. The thesis briefly introduces logotherapy, a method focused on the revelation and renewal of the meaning in life and the orientation towards values. It also mentions the possibilities of logotherapeutic approach in the communication with seniors being in a difficult life situation. The theoretical part specifies the fundamental terms regarding the ageing, the elderly, the demographic evolution of the contemporary society, health and psychosocial aspects of ageing and the seniors' needs. Further, this part summarizes the theoretical knowledge about the issue of quality of life and its meaning, the methods of their examination and the results of research. The last chapter of the theoretical part summarizes the existing knowledge regarding the depression in the elderly. The course of the research is described in the empirical part of the thesis. The aim of the research was to find out to what extent the seniors over 75 years of age in the Czech Republic live their lives as meaningful, to compare the measure of meaningfulness of life of older and younger...

We usually view a family as small social group, with its basic characteristics to be mutual co-operation of all of its individual members. They are inter-connected by a variety of relations. As each member of a family is an individual and original personality, even the created family makes an individual, original and unrepeatable social organism. This applies to each different family {--} even to families with a handicapped child. This is to say, coexistence in one or another family has the same basic characteristics. When talking of life quality of people, we may have in mind different extent of perception of a man. It is possible to talk about life quality of an individual man as well as life quality of several people, e.g. life quality in a family. The aim of the graduation thesis was to find out the life quality of families living with an individual with slight mental disorder (IQ 50-60). To find out their difference from families without any mentally handicapped individual. All of that using the PedsQL questionnaire, which is a sufficient criterion for the problems fixation. Information needed for the graduation thesis processing was obtained on the basis of specialised material studies. Quantity research was performed to map the families life quality. Data collection was performed using the questioning method {--} the questionnaire method. The questionnaire designed by James Walter Varni Ph.D. was distributed to two groups {--} families with a slightly mentally handicapped individual (IQ 50-69) and families with children, without any mentally handicapped individual. The questionnaire contained 8 areas, in which the individual families could encounter any problem. The aim of the graduation thesis was fulfilled and the research confirmed the hypothesis that life quality of a family with slightly mentally handicapped individual with his/her intelligence quotient in the range of 50-60 points, differs from life quality of a family without any mentally handicapped individual. Some questions of the questionnaire provably demonstrated lower quality of life in families living with a slightly mentally handicapped individual.

The associations between coping styles, measured by COPE Test, dispositional version (Carver,Scheier and Weintraub, 1989), and Health Status inferred through a performance status, measured by Karnofsky's Index of Behavioral Performance are examined. The study focuses upon 28 oncological in patients. Positive moderate Pearson's correlations were found between these two variables in this correlational-descriptive study. These were interpreted in the following sense: the larger use of the style, the less health status among the scales suppression of competent activities, procrastination of coping, instrumental social support, focusing and releasing of emotions and behavioral disengagement. The active coping scale presented a negative correlationwith regard to Performance Status as a health measure. / Se estudian las asociaciones entre estilos de afrontamiento medidos a través del Test de Estimación del Afrontamiento COPE-versión disposicional (Carver, Scheier y Weintraub. 1989) y Estado de Salud inferido a través del Estatus Performance, medido a través del Índice de EjecuciónConductual de Karnofsky, en un grupo de 28 pacientes oncológicos hospitalizados de ambos sexos. La investigación alcanza el nivel descriptivo-correlacional, y se encontraron asociaciones entre ambas variables expresadas en correlaciones Pearson positivas y moderadas interpretadas en el siguiente sentido: a mayor empleo del estilo, menor estatus de salud entre las escalas supresión de actividades competentes, postergación del afrontamiento, apoyo social instrumental, enfocar y liberar emociones y desentendimiento conductual. La escala afrontamiento activo, presentó una correlación negativa respecto al Estatus Performance como medida de salud.

Noise is the most common harmful physical agent found in the workplace. This hazardous agent gains more importance when it is proved that the hearing damage caused by it is irreversible, and that the continuous exposure produces other organic, physiological and psycho-emotional disturbances that result in lower life quality and health of workers. This work evaluated the degree of hearing loss and life quality related to the workers health exposed to occupational noise. A total of 110 male workers between 22 and 58 years old were evaluated, with time exposure to occupational noise varying between 3 and 28 years. The workers were submitted to an audiometric evaluation, answered a semi-structured survey and filled in a life quality quiz SF-36. Noise-Induced Hearing Loss (NIHL) was classified according to the diagnostic criteria proposed by Fiorini (1994). Out of the total, 87 (79.1%) presented hearing conditions within normal standards (Group 1) and 23 (20.9%) were classified as suggestive to NIHL (Group 2). Among the 87 audiograms from Group 1, 47 (54%) were within normal standards without loss, and 29 (33%) with unilateral loss. Out of the 23 audiograms from Group 2, 19 (82.6%) were suggestive of bilateral HLIN. In the semi-structured survey, the main complaints from Groups 1 and 2, respectively, were: (95.4%) and (95.7%), considered the workplace to be noisy and had difficulties hearing/understanding others (85%) and (82.6%). Every worker stated that they use safety equipment for the ears. There has not been found a connection between the exposure to noise at the workplace and bad life quality independently of the presence of hearing loss, comparing the dominants as well as the mental and physical components. There has been a relatively high rate of hearing loss, however, the presence of it associated or not to a noisy workplace did not determine a bad global life quality. / O ruído é o agente físico nocivo mais comum encontrado no ambiente de trabalho. Este agente pernicioso ganha maior importância quando se constata que o dano auditivo por ele ocasionado é irreversível, e que a exposição continuada produz outros distúrbios orgânicos, fisiológicos e psicoemocionais que resultam em diminuição da qualidade de vida e de saúde dos trabalhadores. Este estudo avaliou o impacto do ruído ocupacional na audição e qualidade de vida de trabalhadores inseridos em um programa de conservação auditiva. Foram avaliados 110 trabalhadores, do sexo masculino, com idades entre 22 a 58 anos, com tempo de exposição ao ruído ocupacional variando entre três e 28 anos. Os sujeitos realizaram avaliação audiométrica, responderam a um questionário semi-estruturado e preencheram o questionário de qualidade de vida SF-36. A Perda Auditiva Induzida por Ruído (PAIR) foi classificada segundo o critério diagnóstico proposto por Fiorini (1994). Do total, 87 (79,1%) apresentaram audição dentro dos padrões de normalidade (Grupo 1) e 23 (20,9%) foram classificados como sugestivos de PAIR (Grupo 2). Dentre os 87 audiogramas do Grupo 1, 47 (54%) foram dentro da normalidade sem entalhe, e 29 (33%) com entalhe unilateral. Dos 23 audiogramas do Grupo 2, 19 (82,6%) foram sugestivos de PAIR bilateral. No questionário semiestruturado, as principais queixas dos Grupos 1 e 2, respectivamente, foram: (95,4%) e (95,7%) consideram o ambiente de trabalho ruidoso e dificuldade de ouvir/entender as outras pessoas (85%) e (82,6%). Todos os trabalhadores relataram utilizar protetor auditivo. Não foi observada relação entre a exposição ocupacional ao ruído e má qualidade de vida independente da presença de perda auditiva, comparando tanto os domínios, quanto os componentes físico e mental. Houve uma taxa relativamente alta de perda auditiva, no entanto a presença da mesma associada ou não ao ruído ocupacional não determinou uma má qualidade de vida global.

Chronic kidney disease (CKD) patients have compromised health related quality of life (HRQOL) by several reasons. This study aimed to evaluate HRQOL on hemodialysis (HD) and peritoneal dialysis (PD) patients and to identify HRQOL associated factors. Methods: We conducted a transversal study with 215 patients on HD and 58 on PD between July and September 2013, in Sergipe, Brazil. HRQOL was assessed using the Kidney Disease Quality of Life Short Form Instrument- 1.3 (KDQOL-SF), consisting of two cores: specific (KDCS) and generic (RAND-36). Additionally demographic and clinical variables directly related to CKD, factors such as mood, sleep disorders and sexual dysfunction were evaluated through specific instruments. Results: Patients had a mean age of 51 years (SD ± 15.4), mostly men (62%), with low educational (72%) and economic (95%) levels. There was no difference related to HRQOL among dialysis modalities, only PD patients felt more stimulated by caring staff than that on HD (p<0.01). The prevalence of depressive (29%) and anxiety (30%) symptoms, poor quality of sleep (56%), excessive daytime sleepiness (43%) and male (48%) and female (76%) sexual dysfunction were high. Multiple linear regression showed that depressive (R= -0.39 p<0.01, R= -0.48 p<0.01) and anxiety (R = -0.41 p <0.01, R = -0.27 p <0.01) symptoms were independently associated with KDCS and RAND-36. Confirmatory factorial analysis models confirmed the association of mood disorders with low HRQOL. High prevalence of anxiety (30%) and depressive symptoms (29%) were revealed. Conclusion: Patients on HD and PD showed no differences in HRQOL. Mood disorders are independently associated with low HRQOL, with high prevalence of anxiety and depressive symptoms in dialysis patients. / Portadores de doença renal crônica (DRC) possuem comprometimento da qualidade de vida relacionada à saúde (QVRS) por diversas razões. Este estudo objetivou avaliar QVRS de pacientes em hemodiálise (HD) e diálise peritoneal (DP) e identificar fatores a ela associados. Casuística e Método: Estudo transversal realizado entre julho e setembro de 2013 com 215 pacientes em HD e 58 em DP, em Sergipe, Brasil. Avaliou-se a QVRS através do questionário Kidney Disease Quality of Life Instrument- Short Form 1.3 (KDQOL-SF), composto por dois núcleos: específico (KDCS) e genérico (RAND-36). Além de variáveis demográficas e clínicas diretamente relacionadas a DRC, foram avaliados fatores como distúrbios de humor, sono e disfunções sexuais através de instrumentos específicos. Resultados: Os pacientes possuíam em média 51 anos (desvio-padrão±15,4), eram na maioria homens (62%), com níveis educacional (72%) e econômico (95%) baixos. Não se evidenciaram diferenças relacionadas à QVRS entre as modalidades dialíticas, apenas pacientes em DP se sentiram mais estimulados pela equipe cuidadora que os em HD (p<0,01). As prevalências de sintomas depressivos (29%), sintomas ansiosos (30%), baixa qualidade de sono (56%), sonolência diurna excessiva (43%) e disfunções sexuais masculina (48%) e feminina (76%) foram altas. Análise por regressão linear múltipla mostrou que sintomas depressivos (R= -0,39 p<0,01; R= -0,48 p<0,01) e ansiosos (R= -0,41 p<0,01; R= -0,27 p<0,01) foram fatores independentemente associados aos núcleos KDCS e RAND-36. Modelos de análise fatorial corroboraram a associação dos distúrbios de humor com baixa QVRS. Evidenciou-se alta prevalência de sintomas ansiosos (30%) e depressivos (29%). Conclusão: Pacientes em HD e DP não apresentaram diferenças na percepção de QVRS. Os distúrbios de humor foram fatores independentemente associados à baixa QVRS, com alta prevalência de sintomas ansiosos e depressivos em pacientes em diálise.

Dissertação(mestrado) - Universidade Federal do Rio Grande, Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, 2005. / Submitted by eloisa silva (eloisa1_silva@yahoo.com.br) on 2012-11-01T17:00:17Z No. of bitstreams: 1 wanise.pdf: 518617 bytes, checksum: 273b47835fc8e73c8b0449cce505b1d7 (MD5) / Approved for entry into archive by Bruna Vieira(bruninha_vieira@ibest.com.br) on 2012-11-22T15:55:30Z (GMT) No. of bitstreams: 1 wanise.pdf: 518617 bytes, checksum: 273b47835fc8e73c8b0449cce505b1d7 (MD5) / Made available in DSpace on 2012-11-22T15:55:30Z (GMT). No. of bitstreams: 1 wanise.pdf: 518617 bytes, checksum: 273b47835fc8e73c8b0449cce505b1d7 (MD5) Previous issue date: 2005 / O objetivo deste estudo foi descrever o perfil de escolares do ensino médio, da rede pública estadual de ensino, no município de Rio Grande, em relação aos seus hábitos de vida, atividades físicas habituais e aos níveis de aptidão física relacionada à saúde (PROESP – BR, 2002) com o intuito de fornecer informações que permitam estruturar a elaboração de programas para a área de saúde, bem como da Educação Física escolar, promovendo a adoção de estilos de vida ativos e saudáveis. Foram analisados 516 escolares do ensino médio com idade entre 14 e 19 anos completos, sendo 241 do sexo masculino e 275 do sexo feminino. Para coleta de informações referente aos hábitos de vida foi utilizado questionário adaptado por Torres (1998). Para a aptidão física relacionada à saúde foram medidas as variáveis estatura, massa corporal, índice de massa corporal e utilizou-se os testes de “sentar-e-alcançar" , número de abdominais/minuto (sit-up´s), e corrida/caminhada 9 minutos da bateria PROESP-BR (2002). Para verificação da pressão arterial o método com técnica auscultatória, com esfigmomanômetro aneróide foi utilizado, e para os dados da atividade física habitual aplicou-se questionário traduzido e modificado por Nahas (2003) para uso educacional. Para análise dos dados foi utilizada estatística descritiva referente às ocorrências em valores absolutos e percentuais. Utilizaram-se tabelas com as médias e desvios padrão, e gráficos de ocorrência. Aplicou-se o teste de Student para amostras independentes para comparação entre os gêneros sexuais, e para verificar as diferenças nos intervalos de idade, no interior de cada sexo a análise de variância ANOVA, bem como o teste do qui-quadrado para verificação de associações entre as variáveis. Em todas as interpretações adotou-se o nível de significância de 0,05. Utilizou-se o programa SPSS 10.0 for Windows. Evidenciou-se através dos resultados uma situação de insuficiência quanto à aptidão física relacionada à saúde dos escolares, bem como apresentação de características predominantemente sedentárias. Encontrou-se associação entre ser inativo, pouco ativo e estar abaixo da zona saudável para algumas variáveis; e ser moderadamente ativo, muito ativo e estar na/acima da zona saudável. A Escola, através dos programas de Educação física, deve assumir, portanto, a responsabilidade na promoção de estilos de vida ativo, saudável, almejando melhor qualidade de vida. / The objective of this study was to describe the profile of high school students from public schools in the city of Rio Grande concerning to their life habits, typical physical activities and their levels of fitness related to health (PROESP - BR, 2002) in order to provide information that would allow to support the elaboration of programs for the areas of health and school physical education to promote active and healthy life styles. 516 high school students between 14 and 19 years old, being 241 boys and 275 girls were analyzed. A questionnaire adapted by Torres (1998) was used to collect information about life habits. In order to evaluate physical fitness related to health the variables - stature, body mass, body mass index were measured and tests "sit and reach", Sit-up’s per minute, 9 minute running/walking from the battery PROESPBR (2002) were used. To check arterial pressure the method with auscultation technique, with aneroid esfigmanometer was used, and for the data of habitual physical activity the questionnaire translated and modified by Nahas for educational use(2003) was applied. Descriptive statistics was used for data analysis referring to occurrences in absolute and percent values. Tables with averages, standard deviation and occurrence graphics were also utilized. Test T of Student for independent samples for comparison between sexual genders was applied and to verify the differences in age intervals, in the interior of each sex the variance analysis ANOVA as well as Qui-square test for verification of associations between variables. In all interpretations the level of significance adopted was 0,05.Program SPSS 10.0 for Windows was used. The results showed a situation of insufficiency regarding to fitness as well as the presentation of highly sedentary features in students. An association between being inactive, a little active and being below the health zone for some variables was found , and being moderately active, very active and being on/above the health zone. The school, through Physical Education programs, should assume the responsibility in the promotion of active, healthy life styles in order to achieve better life quality. / El objetivo de este estudio fue describir el perfil de estudiantes de la enseñanza media, de la red pública estadual de enseñanza, en la ciudad de Rio Grande, en relación a sus hábitos de vida, actividades físicas habituales y a los niveles de aptitud física relacionado a la salud (PROESP - BR, 2002) con el intuito de suministrar informaciones que permitan estructurar la elaboración de los programas para el área de la salud, bien como de la Educación Física escolar, promoviendo la adopción de estilos de vida activos y saludables. Fueron analizados 516 estudiantes de la enseñanza media con edad entre 14 y 19 años completos, siendo 241 del sexo masculino y 275 del sexo femenino. Para la colecta de informaciones referentes a los hábitos de vida fue utilizado el cuestionario adaptado por Torres (1998). Para la aptitud física relacionada a la salud fueron medidas las variables estatura, masa corporal, índice de masa corporal y se utilizó los testes de “sentar-y-alcanzar”, número de abdominales/minuto (situp’s), y corrida/caminada 9 minutos de batería PROESP-BR (2002). Para la averiguación de la presión arterial fue utilizado el método con técnica auscultación, con esfigmomanómetro aneroide, y para los datos de la actividad física habitual se aplicó cuestionario traducido y modificado por Nahas (2003) para el uso educacional. Para el análisis de los datos fue utilizada la estadística descriptiva referente a las ocurrencias en valores absolutos y porcentuales. Se utilizaron tablas con los promedios y desvíos padrones, y gráficos de ocurrencia. Se aplicó el teste t de Student para muestras independientes para la comparación entre los géneros sexuales, y para verificar las diferencias en los intervalos de edad, en el interior de cada sexo el análisis de variancia ANOVA, bien como el teste del qui-cuadrado para la verificación de asociaciones entre las variables. En todas las interpretaciones se adoptó el nivel de significación de 0,05. Se utilizó el programa SPSS 10.0 for windows. Se evidenció a través de los resultados una situación de insuficiencia cuanto a la aptitud física relacionada a la salud de los estudiantes, bien como la presentación de características predominantemente sedentarias. Se encontró la asociación entre el ser inactivo, poco activo y por estar debajo de la zona saludable para algunas variables; y el ser moderadamente activo, mucho activo y por estar en/arriba de la zona saludable. La escuela, a través de los programas de Educació Física, debe asumir la responsabilidad en la promoción de estilos de vida activos, saludables, deseando mejor calidad de vida.

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2015-12-09T15:56:28Z No. of bitstreams: 1 Renata da Costa Santos.pdf: 2120962 bytes, checksum: 03e02b4276cbd26da72b952e7768dc34 (MD5) / Made available in DSpace on 2015-12-09T15:56:28Z (GMT). No. of bitstreams: 1 Renata da Costa Santos.pdf: 2120962 bytes, checksum: 03e02b4276cbd26da72b952e7768dc34 (MD5) Previous issue date: 2013 / Mestrado Acadêmico em Ciências do Cuidado em Saúde / A perda da capacidade funcional em pacientes adultos e idosos portadores de úlcera venosa prejudica a realização das atividades básicas e instrumentais do seu cotidiano. Mediante este fato, emerge a necessidade da avaliação da capacidade funcional com a proposta de melhorar a qualidade de vida desses pacientes através da prevenção de complicações e possibilidade de tratamentos que até alguns anos atrás eram impensados na perspectiva de um prognóstico de vida favorável para enfermidades, principalmente as crônicas. Partindo desse pressuposto, o objeto de estudo desta pesquisa é a avaliação da capacidade funcional em pacientes adultos e idosos portadores de úlceras venosas. E com base no pensamento apresentado anteriormente, emergiu como problema de pesquisa a seguinte questão: como a úlcera venosa pode influenciar na qualidade de vida do paciente adulto e idoso? Partindo das considerações realizadas, esta pesquisa vislumbrou os seguintes objetivos: avaliar a capacidade funcional de pacientes adultos e idosos portadores de úlceras venosas, identificar o impacto das limitações funcionais no auto-cuidado de pacientes adultos e idosos portadores de úlceras venosas e discutir a relação da capacidade funcional e qualidade de vida em pacientes adultos e idosos portadores de úlceras venosas. O estudo abordado nesta dissertação teve o delineamento do tipo transversal com enfoque observacional através avaliação da capacidade funcional dos pacientes adultos e idosos com úlceras com abordagem quantitativa descritiva simples, com amostra de 35 pacientes avaliados no Hospital Universitário Antônio Pedro. Esta pesquisa obteve parecer favorável do comitê de ética em pesquisa, CAAE 04826812.4.0000.5243 com parecer n.128.921, da Instituição de Saúde em conformidade com a Resolução 466 de 2012 do Conselho Nacional de Saúde. Os dados foram coletados entre os meses de janeiro e abril de 2013 e para análise dos dados foi utilizada a estatística descritiva. A análise descritiva apresentou na forma de tabelas os dados observados, expressos pela média, desvio padrão, mediana, mínimo e máximo para dados numéricos, e freqüência (n) e percentual (%) para dados categóricos. Como resultado identificamos uma predominância do sexo feminino, idade média de 61,1, baixo nível de escolaridade e de renda familiar. Ao avaliar os idosos e adultos portadores de úlceras venosas através da escala de vida diária e instrumental de vida diária foi possível observar que eles apresentaram grau de independência satisfatório e um escore máximo de satisfação em relação à qualidade de vida por não apresentarem no momento complicações que levam à incapacidade funcional por perda de força muscular. Contudo, mediante os objetivos propostos deste estudo comprovou-se que o portador de úlcera venosa consegue sim desenvolver a maioria das atividades do seu cotidiano, embora receba assistência em alguma delas. Mas não é um fator preditivo. Porém a dependência, mesmo que parcial, interfere na qualidade de vida do sujeito. Principalmente quando este se encontra em pleno exercício de suas atividades laborais como os sujeitos adultos desta pesquisa. / The loss of functional capacity in adult and elderly patients with venous ulcers affect the realization of basic and instrumental activities of their everyday life. Thus, emerges the need for assessment of functional capacity with the proposal to improve these patients life quality by preventing complications and enabling treatments that were until unthought in a perspective of a life favorable prognosis for diseases, especially chronic ones. Based on these facts, the object of this research is the assessment of functional capacity in adults and elderly patients with venous ulcer patients, emerging as a research problem the following question: how venous ulcer can influence the adult and elderly patient life quality? Starting from these considerations, this research present the following objectives : assess the functional capacity of adult and elderly patients with venous ulcers , identify the impact of functional limitations in self - care of adult and elderly patients with venous ulcers and discuss the relationship of functional capacity and quality of life in adults and elderly patients with venous ulcer patients. The study discussed in this dissertation was designed by cross-sectional observational approach to functional capacity evaluation through adult and elderly patients with ulcers with simple descriptive quantitative approach with a sample of 35 patients evaluated at the University Hospital Antonio Pedro . This research obtained the assent of the research ethics committee, CAAE 04826812.4.0000.5243 with n.128.921 opinion, the Institution of Health in accordance with Resolution 466 of the 2012 National Health Council. Data were collected between January and April 2013 and analysed using descriptive statistics. Descriptive analysis showed the observed data , expressed as mean , standard deviation, median , minimum and maximum for numeric data , and frequency ( n ) and percentage ( % ) for categorical data in tables . As a result we identified a predominance of females, mean age 61.1, low education level and family income. In assessing the elderly and adults with venous ulcers across the range of daily living and instrumental daily life we observed that they had satisfactory degree of independence and a maximum score of satisfaction with the life quality for not having the time complications lead to functional impairment for loss of muscle strength. However, this study proved venous ulcers patient can develop most of their daily activities, needing assistance to execute any of them. This is not a predictive factor, but dependence, even partial, interferes on subject’s life quality, especially when it is in full exercise of their professional activities, as we can see in adult subjects in this study.

Les organisations publiques engagées dans une démarche qualité font face à la difficile conciliation des logiques bureaucratiques et managériales. Les collectivités territoriales n’échappent pas à ce phénomène. Les managers territoriaux s’y trouvent confrontés alors même qu’ils se trouvent aujourd’hui face à des exigences d’efficience à la fois de la part de l’Etat et des usagers. Ce contexte ajouté à celui de la spécificité organisationnelle et culturelle des collectivités territoriales en démarche Qualiville, met en tension la socialisation organisationnelle des fonctionnaires territoriaux concernés.Ainsi le rôle et les caractéristiques du management sont questionnés au travers d’une recherche tant théorique qu’empirique s’appuyant notamment sur l'étude de cas approfondie d'une collectivité dont l'ensemble des services a obtenu la certification. / Public organizations involved in a quality approach face the difficult conciliation of bureaucratic and managerial logics. Local governments especially municipalities, are not immune to this phenomenon. Territorial managers are confronted to this challenge while they now have to deal with requirements of efficiency both from the States and from the citizens. This context added to that of the organizational and cultural specificity of territorial of local authorities in the Qualiville process, puts a strain on the organizational socialization of territorial officials. Thusthe role and characteristics of management are questioned through both theorical and empirical research, based in particular on the in-depth case study of a municipality whose services have been certified.

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 conducted using a standardized Short Form 36 (SF - 36) questionnaire on quality of life that is conditional to health. The study was conducted at Na Homolce Hospital in a rehabilitation clinic, where appropriate respondents (n = 117) were selected for this research. The group included 59 respondents who underwent surgery and 58 treated conservatively. The survey was attended by respondents aged 27-86. The final results were divided into both health, physical and psychological dimensions in both groups. Two-choice tests were used to compare. For all domains, the assumption of the normal distribution of the two compared selections was rejected, which precluded the use of the two-t-test. For domains where there was no assumption of homogeneity of scattering, the Mann-Whitney test was used to compare. For domains where the assumption of homogeneity was rejected, a Median...

Background: Financial constraints challenge evidence of the effectiveness of dermatological inpatient management. Objective: To evaluate the effectiveness of hospitalization in atopic dermatitis and psoriasis regarding initial and sustained benefits. Methods: Prospective study on adults with psoriasis vulgaris (n = 22) and atopic dermatitis (n = 14). At admission, discharge, and 3 months after discharge, validated outcomes of objective and subjective disease severity were assessed by trained investigators. Results: Hospitalization resulted in substantial benefit in quality of life and clinical disease severity. Looking at mean scores, the observed benefit appeared stable until 3-month follow-up. The analysis of individual patient data revealed significant changes in disease severity between discharge and 3-month follow-up with some patients relapsing, others further improving. Reasons for hospitalization and treatment performed were not related to sustained benefit. Conclusions: In psoriasis vulgaris and atopic dermatitis, hospitalization effectively improved quality of life and clinical disease severity. Further research should focus on prognostic factors for sustained improvement. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.