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Dissertations / Theses on the topic 'Quality of life - Evaluation - Thesis'

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Published: 4 June 2021

Last updated: 3 February 2022

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1

Graso, Maja. "Effects of job insecurity and consideration of the future consequences on quality and quantity of job performance." Online access for everyone, 2008. http://www.dissertations.wsu.edu/Thesis/Summer2008/M_Graso_051508.pdf.

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Chua, Kia-Chong. "Health-related quality of life assessment in dementia : the psychology of health in economic evaluation." Thesis, King's College London (University of London), 2014. http://kclpure.kcl.ac.uk/portal/en/theses/healthrelated-quality-of-life-assessment-in-dementia(37c991ac-fe26-4aa1-a8cf-e81484567986).html.

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The health-related quality of life (HRQL) of people with dementia has received growing attention in formulating decisions about the provision and financing of health and social care. There is a need for measurement perspectives to determine whether HRQL assessment has captured what is important to the target population, to generate a coherent body of evidence to guide clinical and policy decisions. The thesis first investigates if HRQL in dementia is meaningfully interpreted as a general phenomenon in which the whole is greater than the sum of its parts. Overall total scores on DEMQOL and DEMQOL-Proxy were more sensitive to a general theme of individual differences in HRQL than subscale scores from multiple themes. Next, based on this measurement perspective, inconsistencies in self- and informant report behaviour were examined between geographical region, gender, and dementia severity. Items that demonstrated desirable measurement properties at this stage were selected for the short-form versions, DEMQOL-SF and DEMQOL-Proxy-SF, which included the preferencebased items in DEMQOL-U and DEMQOL-Proxy-U. These provided the basis for a set of analyses exploring whether changes in subjective HRQL are influenced by response shift in meaning, priorities, or expectations over time. The thesis reports the findings that differences that emerge over repeated HRQL assessments could not be attributed to re-conceptualisation, re-prioritisation, or recalibration of internal standards. Furthermore, differences in raw total scores over time were sensitive to HRQL improvement or deterioration. As such gains or losses in utility values from DEMQOL-U and DEMQOL-Proxy-U items would be consistent with item responses that reflect longitudinal changes in HRQL. Taken together, the thesis suggests that the DEMQOL measurement system has tenable foundations for the clinical and economic evaluation of HRQL changes in dementia treatment interventions across clinical and social care settings.

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Skota, Bekisisa Andrew. "The quality of life needs of Xhosa speaking learners with Down Syndrome : two case studies." Thesis, Link to the online version, 2007. http://hdl.handle.net/10019/463.

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Coelho, Jose Flavio Guerra Machado, and f. coelho@bigpond com. "SUSTAINABILITY PERFORMANCE EVALUATION MANAGEMENT SYSTEMS MODEL FOR INDIVIDUAL ORGANIZATIONS AND SUPPLY CHAINS." Central Queensland University, 2006. http://library-resources.cqu.edu.au./thesis/adt-QCQU/public/adt-QCQU20060720.094327.

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The title of the research is Sustainability Performance Evaluation Management Systems Model for Individual Organizations and Supply Chains. This research has achieved its aim to develop and demonstrate the practical implementation of a simple and objective sustainability performance evaluation management system model for individual organizations and supply chains. It has resulted in the recognition that a new concept Network of Interested Partners underpins the achievement of sustainability. The term acknowledges the interdependence and reflects the essential cooperation that must be achieved between business organisations, their commercially related entities and the local community if progress towards sustainability is to be achieved. It therefore encompasses and extends the concept of a supply chain as currently used. Sustainable Development is defined by the World Commission on Environment and Development as development, which meets the needs of the present without compromising the ability of future societies to meet their own needs. Organizations, as part of human activities, also have to be sustainable. The sustainability of organizations is directly linked to the continual improvement of business performance. Many organizations have found a way to improve performance through the establishment of management systems. International Organization for Standardization (ISO) standards are recognized worldwide as reliable and efficient tools for the implementation of management systems. However, they do not always result in the desired improvement in outcomes. Therefore, if the required improvement of business performance is to be achieved, improved methodologies for development and implementation of performance evaluation (PE) processes are necessary. These methodologies must take into consideration sustainability principles. They also have to be applicable to individual entities and supply chains, with or without management systems in place. Supply chains are important because it is being increasingly recognized that overall supply chain performance is a means of adding value and competitive advantage to all businesses. In the first part of the research a performance evaluation model or PE (version 1 model) was developed. This was used as criteria to compare and evaluate existing performance evaluation processes and outcomes of individual organisations and their respective supply chain within the Gladstone region, Australia. Questionnaires have also been used to identify and evaluate the needs of the interested parties in relation to the organizations and supply chains business performance and processes of performance evaluation. All the information provided in the first part of the research was used by the researcher to develop the Sustainability Performance Evaluation Management Systems model or SPEMS (version 2 model). This incorporates the concepts of Network of Interested Parties/Partners. In particular, one of the outcomes is recognition that organizations need to establish partnerships if effective supply chain performance improvement is to be achieved. Therefore the establishment of partnerships has become a key requirement for the implementation of SPEMS. The establishment of partnership among participants of a supply chain of Gladstone and implementation of the eight first steps of the SPEMS (version 2 model) in this supply chain was commenced successfully through workshops. The supply chain was formed by commercial organizations, government entities and interested parties from the community. SPEMS requires that partners all have the same level of ownership and authority in the decisions of the supply chain. Some new terms and their definitions have been created within the research to support the new SPEMS model. They include: Network of Interested Partners, sustainability for organizations, sustainability KPI and sustainability friendly organizations. All of the above are encompassed within the final SPEMS (version 3 model).

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Castillo, Letícia Nunes Carreras Del. "Tradução, adaptação cultural e validação do Nonarthritic Hip Score para o Brasil." Universidade do Estado do Rio de Janeiro, 2011. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=4771.

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Fundação Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio de Janeiro<br>A avaliação da qualidade de vida tem sido cada vez mais utilizada pelos profissionais da área de saúde para mensurar o impacto de doenças na vida dos pacientes, bem como para avaliar os resultados dos tratamentos realizados. O crescente interesse por protocolos de pesquisa clínica em doenças não degenerativas do quadril tem encontrado muitos obstáculos na avaliação objetiva de seus resultados, principalmente nos estudos de observação de novas intervenções terapêuticas, como a artroscopia. O Nonarthritic Hip Score (NAHS) é um instrumento de avaliação clínica, desenvolvido originalmente em inglês, cujo objetivo é avaliar a função da articulação do quadril em pacientes jovens e fisicamente ativos. O objetivo desse estudo foi traduzir esse instrumento para a língua portuguesa, adaptá-lo para a cultura brasileira e validá-lo para que possa ser utilizado na avaliação de qualidade de vida de pacientes brasileiros com dor no quadril, sem doença degenerativa. A metodologia utilizada é a sugerida por Guillemin et al. (1993) e revisado por Beaton et al. (2000), que propuseram um conjunto de instruções padronizadas para adaptação cultural de instrumentos de qualidade de vida, incluindo cinco etapas: tradução, tradução de volta, revisão pelo comitê, pré-teste e teste, com reavaliação dos pesos dos escores, se relevante. A versão de consenso foi aplicada em 30 indivíduos. As questões sobre atividades esportivas e tarefas domésticas foram modificadas, para melhor adaptação à cultura brasileira. A versão brasileira do Nonarthritic Hip Score (NAHS-Brasil) foi respondida por 64 pacientes com dor no quadril, a fim de avaliar as propriedades de medida do instrumento: reprodutibilidade, consistência interna e validade. A reprodutibilidade foi 0,9, mostrando uma forte correlação; a consistência interna mostrou correlação entre 0,8 e 0,9, considerada boa e excelente; a validade foi considerada respectivamente boa e excelente; a correlação entre NAHS-Brasil e WOMAC foi 0,9; e a correlação entre o NAHS-Brasil e Questionário Algofuncional de Lequesne foi 0,79. O Nonarthritic Hip Score foi traduzido para a língua portuguesa e adaptado à cultura brasileira, de acordo com o conjunto de instruções padronizadas para adaptação cultural de instrumentos de qualidade de vida. Sua reprodutibilidade, consistência interna e validade foram também demonstradas.<br>The assessment of quality of life has been increasingly used by health professionals to measure the consequences of disease on patients' lives and evaluate the results of treatments. The growing interest in clinical research protocols of non-arthritic hip diseases has found many difficulties in dealing with the objective assessment of its results, especially in observational studies of new therapeutic interventions such as arthroscopy. The Nonarthritic Hip Score (NAHS) is a clinical assessment tool, originally developed in English to evaluate the function of the hip joint in young and physically active patients. The aim of this study was to translate this instrument into Portuguese, adapt it to the Brazilian culture and validate it, in order to evaluate quality of life of Brazilian patients with hip pain without osteoarthritis. The methodology used is suggested by Guillemin et al., (1993) and reviewed by Beaton et al., (2000), who proposed a set of standardized instructions for cultural adaptation of instruments for quality of life, including five steps: translation, back translation, review by committee, pre-test and test with a reassessment of the weights of scores, if relevant. The consensus version was administered to 30 individuals. Questions about sports and household chores were modified to better adapt to the Brazilian culture. The Brazilian version of Nonarthritic Hip Score (NAHS-Brasil) was answered by 64 patients with hip pain to evaluate the measurement properties of the instrument: reproducibility, internal consistency and validity. Reproducibility was 0.9, showing a strong correlation; the internal consistency showed a correlation between 0,8 and 0,9, considered good and excellent; the validity was considered good and excellent respectively; the correlation between NAHS-Brasil and WOMAC was 0,9, and the correlation between NAHS-Brasil and Lequesne Algofunctional Index was 0.79. The Nonarthritic Hip Score was translated into Portuguese and adapted to Brazilian culture, according to the instruction set of standardized instruments for cultural adaptation of quality of life. Its reliability, internal consistency and validity have also been demonstrated.

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Higuchi, Michiyo Som-Arch Wongkhomthong. "Quality of life and life satisfaction of elderly people in Salaya, Thailand /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-MichiyoH.pdf.

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7

Suter, Casey Ryan. "Economic evaluation of a community-based, family-skills prevention program." Pullman, Wash. : Washington State University, 2010. http://www.dissertations.wsu.edu/Thesis/Spring2010/c_suter_042010.pdf.

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Thesis (M.A. in human development)--Washington State University, May 2010.<br>Title from PDF title page (viewed on July 8, 2010). "Department of Human Development." Includes bibliographical references (p. 46-52).

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8

Priddis, DeAnne. "The search for work-life balance at SECURA." Menomonie, WI : University of Wisconsin--Stout, 2006. http://www.uwstout.edu/lib/thesis/2006/2006priddisd.pdf.

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9

Doga, Georgia. "Evaluation of quality of life in Greek colorectal cancer survivors." Thesis, Middlesex University, 2008. http://eprints.mdx.ac.uk/6537/.

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Survival from cancer is becoming a reality for more people in the world each year. Survival rate from colorectal cancer disease is approximately 80% one year after diagnosis, but falls to 62% at 5 years from diagnosis. Quality of life research in colorectal cancer to date has focused on investigating patients' experience during the diagnostic or treatment phase while the experiences of those who have survived this cancer have been ignored. Based on the concept of Health-Related Quality of Life (HRQOL) this study was focused on understanding and assessing the impact of colorectal cancer disease and its treatment on Greek patients' HRQOL over time. Also, this study sought to identify multiple factors (related either to patient or disease characteristics) that contributed to patients' HRQOL in both specific and general domains. Age, gender, stage at diagnosis, time elapse since diagnosis, income, education, colostomy appliance, disease recurrence, depression and communication between couples were examined for their effect on HRQOL over time. 145 Greek outpatients (male 87, female 58) completed the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) Quality of Life Instrument and the Mental Component of the Short Form 36 Health Survey questionnaire measuring both generic and disease-specific HRQOL, as well as the Center for Epidemiologic Studies Depression Scale (CES-D) to detect depressive symptoms, and the Enriching & Nurturing Relationship Issues, Communication & Happiness (ENRICH) scale to assess communication between couples, at an interval of either one year or more than 5 years since diagnosis. Statistical significance was set at (p<0.05) and data were analysed using the Statistical Package for the Social Sciences (SPSS). The findings suggest that patients who survived colorectal cancer experienced an overall high quality of life independent of the stage of disease at diagnosis or time since diagnosis. Among those factors that had a negative effect on patients overall HRQOL over time depression was the most prevalent. Stoma patients experienced an overall lower HRQOL than non-stoma patients. Most domains of HRQOL assessment such as physical, emotional and role functioning of stoma patients were negatively affected, but these did not reach statistical significance. Notably, stoma patients in this sample showed significantly more dissatisfaction with body image than patients without a stoma – a finding that was more prevalent in women. This may suggest that stoma formation negatively affects sexual function and body image. Finally, patients with lower incomes and a recurrence or metastatic disease also experienced a poorer HRQOL. It is recommended that a practice-based strategy is developed in Greece to assess the HRQOL and psychosocial functioning of these patients as well as the recommendation that in the preoperative stage, after surgery and in the rehabilitation phase for stoma patients to be assessed and supported by a specialist Stoma Care nurse. Other suggestions for future research are also proposed.

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Flor, Maria JosÃ Nascimento. "Evaluation of the quality of life of patients transplanted hepatic." Universidade Federal do CearÃ, 2016. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16717.

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CoordenaÃÃo de AperfeÃoamento de Pessoal de NÃvel Superior<br>O aumento da sobrevida com o transplante hepÃtico despertou a preocupaÃÃo com a qualidade de vida (QV) das pessoas no pÃs-operatÃrio a curto e longo prazo. Objetivo: Avaliar a QV do transplantado hepÃtico, com enxerto de doador, com idade acima de 60 anos. MÃtodo: Estudo prospectivo, descritivo e analÃtico, com abordagem quantitativa. Os dados foram coletados no Centro de Transplante de FÃgado do CearÃ, no Hospital UniversitÃrio Walter CantÃdio, e os participantes foram aqueles submetidos a transplante hepÃtico, no perÃodo de 2007 a 2013. Utilizou-se para coleta dos dados o questionÃrio Short Form-36 (SF-36), instrumento genÃrico para avaliar a QV; e para caracterizaÃÃo dos sujeitos, foram utilizados o impresso de atendimento do serviÃo e relatÃrio da cirurgia da captaÃÃo de ÃrgÃos. Foram aplicados cento e trinta e sete questionÃrios pelo pesquisador e quatro foram respondidos pelo prÃprio paciente, totalizando 141 participantes. A amostra foi dividida em dois grupos: Grupo A (GA), composta por receptores que receberam enxerto hepÃtico de doador menor ou igual a 60 anos de idade, e Grupo B (GB), formado por receptores que receberam enxerto hepÃtico de doador acima de 60 anos de idade. Resultados: A idade mÃdia do receptor do GA foi de 52,5 (entre 20 e 75 anos) e do GB foi de 54 (entre 27 e 76 anos); predominou o sexo masculino nos dois grupos; os domÃnios do SF-36: capacidade funcional, aspecto social, saÃde mental e limitaÃÃo por aspectos emocionais, mostraram melhor pontuaÃÃo (p=0,001) na variÃvel tempo de transplante, score MELD e idade do receptor nos dois grupos, porÃm sem diferenÃa significativa entre eles. ConclusÃo: A idade do doador nÃo influenciou na qualidade de vida dos pacientes submetidos ao transplante hepÃtico; o score MELD menor que 21 teve influÃncia positiva na QV nos dois grupos; a QV nos dois grupos nÃo foi modificada apÃs transplante; a QV pÃs-transplante foi semelhante nos trÃs grupos divididos por idade. Palavras-chave: Qualidade de Vida. Transplante de FÃgado.

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Blair, Hannah. "Subjective evaluation of quality of life after brain injury : measuring quality of life and the impact of response shift." Thesis, University of Stirling, 2014. http://hdl.handle.net/1893/21458.

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Introduction: After a brain injury there are often long term consequences impacting on QoL. However, this is a complex issue influenced by many factors. As someone recovers and adjusts it is likely that the way in which they evaluate QoL will also change. The theory of response shift suggests people will change the way they evaluate QoL in the face of changes in their life. The aim of this thesis is to investigate what influences a QoL judgement; examining the possibility of response shift. Methods: Quantitative and qualitative methods were used in 4 studies. These were a cross-sectional design utilising an individualised QoL measure (SEIQoL-DW); a longitudinal study utilising a ‘then-test’ approach; a cross-sectional questionnaire study; and a qualitative study using Interpretative Phenomenological Analysis. Study 1 (Ch.3) Results: Correlations between the QoL measures confirm the validity of the SEIQoL-DW; however, correlations were generally stronger for the simpler Hadorn Scale. There was little overall change in mean QoL when current and retrospective judgements were compared. There was evidence for a change in what areas of life were considered most important to QoL following injury. Study 2 (Ch.4) Results: Improvements in reported QoL between baseline and follow-up were small. A then-test indicates that any effect of response shift is small, and non-significant in the current research. There was also little evidence for reprioritisation or re-conceptualisation. Examination of other factors associated with QoL suggest that brain-injury specific factors (BIGI, RBANS) play a role in predicting QoL. Study 3 (Ch.5) Results: QoL was reported as worse post-injury on both Hadorn’s scale and the QOLIBRI-OS; a difference that was more pronounced on the QOLIBRI-OS. Differences were also reported in the importance of different areas of functioning. Change in QoL as measured by the QOLIBRI-OS was significantly influenced by disability as measured by the GOSE, emotional and informational support, and upwards social comparison. Optimism as measured by the LOT, but not upwards social comparison was a significant predictor of change on Hadorn’s scale; GOSE and emotional and informational support remain significant predictors. The GOSE, emotional and informational support, emotional coping styles and optimism were significant predictors of current QoL on the QOLIBRI-OS; and emotional and informational support and optimism were significant predictors of QoL on Hadorn’s scale. Little evidence was found to suggest that the factors proposed in Sprangers and Schwartz’s (1999) model of response shift have predicted relationships with QoL. Two candidate variables were studied: optimism and social support. However neither showed the predicted pattern of relationships. Nonetheless the study supports previous work indicating an influence of optimism and social support on QoL, and indicates that these warrant further study. There were systematic difference between current and retrospective ratings of importance of domains. The level of importance given to the areas of life defined by the QOLIBRI-OS is higher after injury than before, with the exception of “personal and social life” for which there is no significant difference. The areas of life chosen to reflect that which is measured by the GOSE (“work”, “close relationships”, and “social and leisure activities”) are rated as less important with the exception of “close relationships”. These findings provide further support for the idea that QoL domains are re-evaluated after brain injury. Study 4: This was an in depth qualitative investigation of the experience of recovery and adjustment following TBI. Semi-structured interviews and Interpretative Phenomenological Analysis (IPA) were used. Interviews were conducted with 4 men who were 3, 7, 12, and 18 years post injury. Main Outcome and Results: Themes emerging from the analysis were ‘Change: In Self and World’; ‘Reaching a point of realisation’; ‘Support’; ‘Adjusting to change/Coping with day to day life’; and ‘Participation, Goals and Focus’. These themes cover how participants felt both they and their lives had changed as a consequence of their injury; ways they went about coping and adjusting to changes; the importance of support; and the significance of social integration and participation in feeling satisfied with life. Summary and Conclusions: These studies provide evidence for response shift in different ways. There is little evidence for recalibration but there is some indication that reprioritization or reconceptualization may take place. Changes in how important different areas of life are before and after injury suggest that participants are changing the way they view and make evaluations of QoL. Factors identified as being important to QoL judgements were disability, social support (emotional and informational support identified in the questionnaire study and support in the IPA), upwards social comparison, and optimism. The IPA study suggests that functional outcome and participation are important after TBI; while also identifying ways of coping and providing an insight into the experience of recovery from brain injury. The different QoL measures used provides both evidence for their validity, but also evidence for the different conceptualisations of QoL that are measured by different instruments. The findings have implications both for understanding the QoL of the individual and for research on QoL after TBI.

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Mahmud, Abdullah Al. "Evaluation of the AIRPACT2 air quality forecast system for the Pacific Northwest." Online access for everyone, 2005. http://www.dissertations.wsu.edu/Thesis/Fall2005/a%5Fmahmud%5F091605.pdf.

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Fairbrother, Dana. "Differential prediction of life satisfaction in individualistic and collectivistic cultures towards integration of personality and cultural models /." Pullman, Wash. : Washington State University, 2010. http://www.dissertations.wsu.edu/Thesis/Spring2010/d_fairbrother_042210.pdf.

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Thesis (M.A. in counseling psychology)--Washington State University, May 2010.<br>Title from PDF title page (viewed on July 29, 2010). "Department of Educational Leadership and Counseling Psychology." Includes bibliographical references (p. 40-45).

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Graff, April. "The role of food variety on perceived quality of life in Dunn County congregate meal participants." Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008graffa.pdf.

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Rogers, Deborah K. "Relating meaningful leisure activities to quality of life for women over the age of 60." Menomonie, WI : University of Wisconsin--Stout, 2004. http://www.uwstout.edu/lib/thesis/2004/2004rogersd.pdf.

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Gillette, Justin D. "Evaluation of current wastewater treatment practices at Company XYZ." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007gillettej.pdf.

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Takahashi, Toshiko Sutham Nanthamongkolchai. "Factors related to quality of life among primary school children in Bangkok Metrepolis, Thailand /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd375/4737952.pdf.

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Mamphodo, Aifheli Douglas. "Baseline study of the quality of life of land reform beneficiaries in Limpopo Province a case study of Gertrudsburg /." Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-09212007-152303.

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Steele, Teren Palm. "Relapse and spirituality spiritual well-being and quality of life as a critical factor in maintaining recovery from alcohol addiction /." Online version, 1999. http://www.uwstout.edu/lib/thesis/1999steele.pdf.

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Motaung, Mokabe Julia. "Quality assurance practice in the provisioning RPL (Recognition of prior learning)in higher education." Thesis, Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-09062007-162307/.

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Jurevičius, Saulius. "Comparitive evaluation of surgical treatment methods and quality of life in chronic pancreatitis." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2013~D_20131220_150731-26221.

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The duodenum-preserving pancreatic resection according to Frey is a standard operation for patients with complicated chronic pancreatitis. The pancreatojejunostomy is usually performed using two layer suture. The aim of doctoral dissertation was to compare single- and two-layer suture in pancreatojejunostomy performed in duodenum-preserving pancreatic resection according to Frey modification and to assess the changes of the quality of life 12 months after operation. A total of 80 patients were enrolled in the prospective randomized clinical. They were randomly allocated into two groups. In the first group of patients, pancreatojejunostomy was constructed by using single-layer continuous suture. In the second group of patients, pancreatojejunostomy was constructed by using two-layer interrupted suture. Overall time of the operation (208 ± 46 min. and 255 ± 58 min.) and the suturing time (19 ± 6 min. and 51 ± 18 min.) were significantly shorter in the single layer anastomosis group. Postoperative complications, the prevalence of pancreatic fistula, the length of stay did not differ in both groups. There was a statistically significant improvement of the quality of life 12 months after operation in the both groups of patients.<br>Dvylikapirštę žarną išsauganti kasos rezekcija Frey būdu yra standartinė operacija gydant sergančiuosius komplikuotu lėtiniu pankreatitu. Kasos ir plonosios žarnos jungtis įprastai atliekama dviejų aukštų siūlėmis. Disertacinio darbo tikslas – palyginti Frey operacijos, naudojant vieno arba dviejų aukštų kasos – tuščiosios žarnos siūlę, rezultatatus, taip pat įvertinti operuotų pacientų gyvenimo kokybės pokyčius, praėjus 12 mėn. po operacijos. Perspektyviniame atsitiktinių imčių klinikiniame tyrime dalyvavo aštuoniasdešimt pacientų. Tiriamieji prieš operaciją atsitiktine tvarka suskirstyti į dvi grupes: pirmos grupės pacientams atlikta operacija, formuojant kasos – tuščiosios žarnos jungtį vieno aukšto ištisine siūle; antros grupės pacientams, kasos – tuščiosios žarnos jungtis suformuota dviejų aukštų pavienėmis siūlėmis. Tyrime nustatėme, kad bendras operacijos laikas (208±46 min ir 255±58 min), bei pankreojejunoanastomozės siuvimo laikas (19±6 min. ir 51±18 min.) buvo statistiškai reikšmingai mažesnis „vieno aušto siūlės“ grupėje nei „dviejų aukštų pavienių siūlių“ grupėje. Pooperacinės komplikacijos, kasos fistulės dažnis, pooperacinė hospitalizavimo trukmė abiejose grupėse nesiskyrė. Vertinant gyvenimo kokybės pokyčius, praėjus 12 mėn. po operacijos, nustatytas statistiškai reikšmingas gyvenimo kokybės pagerėjimas abiejose pacientų grupėse.

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Witter, Jonathan D. "Water quality, geomorphology, and aquatic life assessments for the Olentangy River TMDL evaluation." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1149015491.

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He, Yongyi, and 何勇毅. "Evaluation of quality of life in Hong Kong COPD patients using SF-6D." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45172262.

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Salek, Mir-Saeed Shayegan. "Development, validation and clinical evaluation of a health-related quality of life instrument." Thesis, Cardiff University, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.316358.

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Wiles, Amber Marie. "Does Family Quality of Life Change? Evaluation of a Group Parent-coaching Package." Thesis, University of North Texas, 2012. https://digital.library.unt.edu/ark:/67531/metadc177263/.

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Improving family quality of life is an important goal when working with families of children with autism. Researchers have attempted to measure changes by developing indices of quality such as affect, stress, and confidence. The purpose of this study was to examine the effects of a group parent-coaching program on measures aimed at addressing quality: a) parent confidence, stress and affect ratings; b) child affect ratings; c) the frequency of coordinated joint attention (CJA); and d) parent report of satisfaction and efficacy. Over the course of four weeks, the coaching program involved group presentations, discussions, video sharing, and problem solving, and individual in-vivo coaching sessions regarding specific child skill development. Results from the five parent-child dyads suggested increases in areas associated with quality of life. Results are discussed in the context of quality themes and mixed methods research.

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Childs, Geniel. "Marriage Preparation Education Programs: An Evaluation of Essential Elements of Quality." Diss., CLICK HERE for online access, 2009. http://contentdm.lib.byu.edu/ETD/image/etd2983.pdf.

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Labuschagne, Carin. "Sustainable project life cycle management : criteria for the South African process industry." Pretoria : [s.n.], 2002. http://upetd.up.ac.za/thesis/available/etd-10112005-083255.

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Fresen, Jill Winifred. "Quality assurance practice in online (web-supported) learning in higher education an exploratory study /." Thesis, Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-02172005-134301/.

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Calitz, Margaretha. "The effect of an aerobic exercise program on the health-related quality of life of HIV-positive employees." Pretoria : [S.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-10192009-145934/.

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Pasmeny, Gloria A., and University of Lethbridge Faculty of Education. "Social support and quality of life in adults with severe and persistent mental illness." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 2008, 2008. http://hdl.handle.net/10133/780.

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The current study investigated the relationship between social support and quality of life (QoL) as well as social support and community functioning among persons with severe and persistent mental illness (SPMI). Empirical data from Phase II of the Continuity of Mental Health Services (COMHS) Study of Alberta (Adair, Wild, Joyce, McDougall, Gordon, et al., 2003) were used to comprehensively examine these variables among a broad-based sample of 301 people with SPMI receiving a mix of inpatient, outpatient, and community services. Multiple measures administered in Phase II of the COMHS research program provided comprehensive data on QoL (i.e., disease-specific and generic QoL), functioning (i.e., community ability), and objective (OSS) and subjective (SSS) measures of social support. Higher ratings of both OSS and SSS were associated with better QoL and functioning at outcome. Participant ratings of objective dimensions of their own social support were shown to be most important in determining life quality and functioning at outcome. Of the two SSS variables, the one most predictive of life quality was the participants’ sense of the provision and receipt of social support. Clinician-rated OSS was a significant predictor of QoL only for participants who rated social support availability as poor. The results of this study may inform policy development, planning, and resource allocation for community treatment programs in Alberta and elsewhere, as there is widespread support both provincially and nationally for increasing community support services and decreasing the number and length of inpatient admissions (Kirby & Keon, 2006). A better understanding of the relative impact of social support variables is essential for further development of effective psychosocial rehabilitation programming.<br>xvii, 217 leaves ; 29 cm.

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Juniper, Bridget. "Evaluation of a novel approach to measuring well-being in the workplace." Thesis, Cranfield University, 2010. http://dspace.lib.cranfield.ac.uk/handle/1826/6851.

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The well-being of employees is an important issue. Researchers, policy makers and organisations are directing more resource into this field as the link between the health of people and their performance in the workplace becomes increasingly understood. This research programme examines how employee well-being can be measured. Having the right tools to successfully appraise well-being at the outset is judged to be imperative where any research or organisational programme to bring about change is under consideration. A review of existing methods indicates that the current provision of scales to assess the well-being of workers is limited and the construction techniques used in their development may be improved upon. At the core of this study is the testing of a new measurement framework which seeks to address these deficiencies. This innovative approach is taken from one established practice used to assess the well-being of patients using health related quality of life instruments. Three organisations participated in the study; a call centre operation, a police force and a county-based library service. Using qualitative and quantitative methodologies, three pilot questionnaires were constructed using Impact Analysis; an established procedure deployed in health related quality of life settings. Basic findings from each case study were analysed against conventional construction methods and against existing employee well-being scales. Results were also examined in respect of how they compared with the wider literature on employee well-being. ii The Impact Analysis method was critically appraised. Although weaknesses in respect of some of the qualitative phases of analyes were noted, the overall notion of transferring the practice of Impact Analysis to an occupational setting was assessed as cautiously encouraging. While this scale construction method lacks the statistical elegance of factor analytical methods, provisional indications suggest potential benefits in content validity over extant occupational scales where the assessment of a study population’s own experiences are critical to any well-being evaluation strategy. Based on the findings, a new operational definition for employee well-being is posited. A new, working model is also proposed. This emphasises for the first time, the need for specificity when researchers and organisations are seeking to evaluate a multi-dimensional, subjective construct that is employee well-being. Limitations regarding the study are noted. This means that the findings should be treated as tentative rather than conclusive. Nevertheless, it is hoped that this study will inject new thinking on how employee well-being may be evaluated using an alternative approach. By doing so, it is ventured that research communities and employers alike may take up the methods described in this study to conduct assessment programmes that could benefit not just the study teams or the employers, but importantly, the workers themselves.

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Olajos-Clow, Jennifer Gabriella. "Evaluation of the impact of an adult asthma education program on quality of life." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ63348.pdf.

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Kerr, Amanda. "Evaluation and analysis of quality of life picture test materials for persons with dementia." Connect to resource, 2009. http://hdl.handle.net/1811/37274.

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Danke, Brett L. "A tool for evaluating corrective action systems based on the analysis, profile, and evaluation of contemporary documentation from ISO 9000 compliant organizations." Online version, 1999. http://www.uwstout.edu/lib/thesis/1999/1999dankeb.pdf.

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Rudolph, Stefanus Hermanus. "There will be no death exegetical evaluation of the concepts of life and death in the Book of Revelation /." Thesis, Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-04192007-122439/.

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Artstein, Melissa Yumi. "The construction of well-being and social capital among Nicaraguans in Costa Rica an anthropological perspective /." Pullman, Wash. : Washington State University, 2009. http://www.dissertations.wsu.edu/Thesis/Spring2009/m_artstein_042409.pdf.

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Thesis (M.A. in anthropology)--Washington State University, May 2009.<br>Title from PDF title page (viewed on May 26, 2009). "Department of Anthropology." Includes bibliographical references (p. 118-129).

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Hollar, Danielle S. "The Creation and Illustration of Quality of Life: A Conceptual Model for Examining Welfare Reform Impacts." Diss., Virginia Tech, 2000. http://hdl.handle.net/10919/29842.

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Policymakers, public administrators, the media, and others are celebrating the "success" of the latest version of welfare reform, codified into law in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Most often, success is defined in terms of declining caseloads or in some other economic form - a practice that does not provide a true sense of the impact of policy changes such as welfare reform. Assessing the human impact of policy change requires more than the evaluation of economic outcomes; it requires knowing about the resources of beneficiaries of social services and their conditions of life from various perspectives. Thus, we have to strive for greater understanding about the socio-cultural aspects of people's lives that create the whole person, aspects such as health, family and friendship networks, housing situations, public and private support service and program use, conditions of work, and so forth (Erikson, 1993). This is how we come to understand one;s quality of life. The present research creates a conceptual model called quality of life, and illustrates the model using data from a follow-up study of former welfare recipients in a county in northern Virginia. Evaluation activities premised on a quality of life model will assist policy actors in understanding policy impacts and how to strategically manage public institutions within their very complex contexts, especially in an era of welfare reform.<br>Ph. D.

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Kleynshteyn, Inna. "Social Connectedness and the Quality of Life in Chronically Ill Patients." UNF Digital Commons, 2013. http://digitalcommons.unf.edu/etd/451.

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Social connectedness, feelings of belonging and closeness with the social world, has been identified as an important aspect for the physical, emotional, and collective well-being. People faced with chronic illness may feel like they no longer belong, and this lack of connectedness may have a negative impact on health, well-being, and psychological functioning. The present study investigated social connectedness and quality of life in 151 patients with ongoing symptoms of chronic illness. It was hypothesized that lower levels of social connectedness would be associated with poorer health-related quality of life and more depression. Participants (N =151, 85.4% women, Mage = 46.5) completed four online surveys that measured the level of their connectedness (Social Connectedness Scale) and their health related quality of life (Depression PHQ Scale and the SF-36 Scale). Overall, the hypotheses were supported with social connectedness being a significant predictor of depression and seven of the eight subscales on the health outcomes SF-36 measure. There was an increase in physical and social functioning, emotional well-being, and energy as the patients’ level of social connectedness increased. Meanwhile, decreased feelings of social connectedness were associated with greater pain and role limitations due to physical health and emotional problems. These findings suggest that feelings of interpersonal closeness and belonging can be an important factor in health outcomes and quality of life within a chronically ill population.

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Lee, H. K. Alvina. "Psychometric evaluation of the Hong Kong Chinese version of functional living index : cancer in Hong Kong /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38295581.

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Scott-Wilson, Lorne Harvey. "Equipping christians by identifying their calling : an evaluation of Rick Warren's 'Shape' analysis." Pretoria : [s.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-06192009-172945.

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Pichora, Deborah L. "A program evaluation, knowledge, attitudes, self-efficacy and quality of life in adolescents with asthma." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq22380.pdf.

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Phillips-Darby, Louise. "An evaluation of health status versus individualised quality of life in a renal dialysis population." Thesis, Keele University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288495.

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Oluboyde, Oyeyemi Abodunde. "Quality of life assessment in adolescent obesity : development of a new instrument for economic evaluation." Thesis, University of Leeds, 2013. http://etheses.whiterose.ac.uk/5552/.

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Obesity, particularly in the younger population, is a major public health concern. Because of this, numerous public health initiatives and specialised weight management interventions are available for this population. Economic evaluations of weight management interventions can be utilised to inform resource allocation decision making. But in order to provide fully informed economic evaluations of weight management interventions, a valid and reliable tool to a) measure weight specific quality of life (QoL) and b) assign preference values to different aspects of weight specific QoL is necessary. Currently no existing tools meet these crucial requirements, and this thesis aims to fill this gap. The thesis utilised a multiple methodological approach in the development of a new weight specific instrument. The development of the tool comprised of four distinct studies. The first was informed by the existing literature and aimed to identify items through a) qualitative interviews with adolescents and b) discussion with specialists in the field of adolescent obesity. A long list of potential items for inclusion in the new instrument was crafted in the first study. The aim of the second study was the identification of a reduced item set by performing psychometric assessments and Rasch analysis. At the end of the first two studies the new instrument was created. The third study aimed to assess its measurement properties through psychometric analyses. The final feasibility valuation study addressed the derivation of preference values for the states described by the instrument. The results of the empirical studies taken together demonstrated that it is feasible to identify the impact of weight status on QoL using adolescents’ views. It has been possible to create the Weight-specific Adolescent Instrument for Economic-evaluation (WAItE), consisting of seven items each associated with five response options. It was not possible to obtain a scoring algorithm for the states described by the WAItE when three variants of discrete choice experiments were implemented. The WAItE can be used to investigate the benefits associated with alternative weight management interventions.

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Leelahavarong, Pattara. "Development of an alcohol intervention model for predicting healthcare costs, life years, quality-adjusted life years and using for economic evaluation." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/30672/.

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Objectives To develop an alcohol intervention model that predicts life years (LYs), quality adjusted life years (QALYs), and healthcare costs classified by the Alcohol Use Disorder Identification Test (AUDIT) screening tool and other various risk factors related to alcohol consumption. Furthermore, the developed model was transferred to the Thai setting. Methods Eight Scottish Health Surveys from 1995-2012 were linked to Scottish morbidity records and death records for the period 1981 to the end of 2013. Parametric survival analysis was used to estimate the hazard risks of first alcohol-related and non-alcohol related hospitalisations and deaths. For men and women, multivariate data analyses were applied separately for each gender in modelling the utility score, risks of subsequent hospitalisation and annual healthcare costs within the follow-up period. Risk profiles were used for the covariates of the models as follows: age, socio-economic status, health condition, alcohol drinking (i.e. AUDIT and binge drinking), smoking, body mass index, and physical activity. According to the under-reporting bias of alcohol consumption among the survey population, this study adjusted the reported alcohol consumption using alcohol sales data. Multiple imputation approach was applied to deal with missing data. A health-state transition model with annual cycle length was developed to predict LYs, QALYs, lifetime costs, and cost-effectiveness. Probabilistic sensitivity analysis was also performed to deal with parameter uncertainty. Moreover, a methodological transferability protocol of the Thai study was detailed. Results The sample size of the cohort was 46,230. The developed model showed the association between drinking and alcohol-related and non-alcohol related hospitalisations and deaths which were calculated as LYs and QALYs. Other risk factors were also taken into account that would likely affect the outcomes of interest. The modelling showed that an increasing AUDIT score and the number of cigarettes per day were associated with an increased risk of first alcohol-attributable hospitalisation. Predicted outcomes for a male aged 30 year with high-risk drinking levels (AUDIT >7) were worse than males with low risk drinking (AUDIT ≤7), with approximately 5 LY gained and 7 QALY gained. The same results for females were obtained for high-risk drinking (AUDIT >4) compared to low-risk drinking (AUDIT ≤4), with approximately 10 LY gained and 12 QALY gained. Furthermore, an economic evaluation was performed to compare the no-intervention situation with a hypothetical health promotion intervention - which aimed to stop drinking (measured by the AUDIT) and smoking (measured by the number of cigarettes per day) behaviours. To compare the costs and benefits of the hypothetical intervention and no intervention over the lifetime period, a within-trial analysis combined with the developed model was able to capture both short- and longer-term consequences (i.e. LYs, QALYs, and healthcare costs) of the intervention. Finally, the model was able to compare cost-effectiveness ratio between risk behaviours without the new intervention and the modified risk behaviours when the new intervention is implemented. Conclusions The study highlights the potential and importance of developing health economic models utilising data from routine national health surveys linked to national hospitalisation and death records. The developed framework can be used for further economic evaluation of alcohol interventions and other health behaviour change interventions. The framework can further be transferred to other country settings.

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Van, Zyl Zandrè. "Narratives of a spouse regarding his experiences with Dementia of the Alzheimer's type (DAT)." Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-12152008-123827.

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Goodwin, Danielle. "A multi-centre comparative study evaluating the effectiveness of palliative day care in improving quality of life." Thesis, King's College London (University of London), 2002. https://kclpure.kcl.ac.uk/portal/en/theses/a-multicentre-comparative-study-evaluating-the-effectiveness-of-palliative-day-care-in-improving-quality-of-life(196f4e29-c7b9-4f70-8248-1e9bc9c9fa07).html.

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Skagersten, Jon. "A MASTER THESIS ON THE PARAMETRIC WELD-DESIGN EVALUATION IN CRANE LOADER BODY USING NOTCH STRESS ANALYSIS." Thesis, KTH, Lättkonstruktioner, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-39491.

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This thesis has been conducted at Cargotec Sweden AB as a case study on the loader body of the HIAB XS 144 crane. The loader body is the innermost part in the cranes arm-system and its fatigue life is critical to the operational life of the whole crane. Welding is the main joining process in Cargotec’s cranes and are often a limiting factor when it comes to fatigue life. The weld joining the column to the loader body is carrying the whole crane moment. Previous testing has shown that this weld often limits the fatigue life of the loader body, it has thus been evaluated. Weld fatigue life is affected by a large amount of parameters. To pinpoint the parameters mainly affecting the weld fatigue life and to understand their influence, calculations have been organized using factorial design. The evaluation has been carried out using 3D finite element calculations utilizing sub-modelling to calculate local stresses in the weld notches. Different parameters have been evaluated based on their influence on the local notch stresses. To estimate stresses from the evaluated parameters, regression equations have been fitted. The effective notch method has been used to estimate weld fatigue life. The evaluation has shown that a butt-weld design with root-support, only being welded from the outside of the loader body, as used on some other crane models, could not provide a robust design for the XS 144 crane. The evaluation could also point out several critical parameters that need to be considered when using such design. Apart from the local weld geometry, plate thickness, plate angle, material offset and thickness in the casted column were mainly affecting the weld notch stresses.

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Haywood, Kirstie Louise. "Health outcomes in ankylosing spondylitis : an evaluation of patient-based and anthropometric measures." Thesis, University of York, 2000. http://etheses.whiterose.ac.uk/9814/.

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Fonseca, Jorge, Wesley L. Kline, Christian A. Wyenandt, Mushidul Hoque, and Husein Ajwa. "Evaluation of a New Harpin Product on Microbial Quality and Shelf Life of Minimally Processed Lettuce." College of Agriculture and Life Sciences, University of Arizona (Tucson, AZ), 2005. http://hdl.handle.net/10150/214997.

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The effect of pre-harvest application of Extend®, a newly developed second generation harpin product, on shelf life of fresh-cut lettuce was investigated. The lettuces were grown in locations A: Watsonville, CA; B: Cedarville, NJ; and C: Yuma, AZ, and treated five days before harvest at 30, 60 and 90 ppm (2,4 and 6 oz/acre in 50 gal/acre). Lettuce processed and bagged was stored at 34-37°F and evaluated for quality for 20 days. Lettuce from trial A treated with 60-90 ppm harpin consistently had a better overall quality and lower microbial population than the control. Results from trial B showed no differences among treatments. In trial C, microbial population was lower and visual quality higher in lettuce treated at 60 ppm than the control during early stages of storage. Overall results are mixed but it was revealed that a field application of harpin can improve quality of fresh-cut lettuce under conditions that need to be determined.

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Forsberg, Anette. "Guillain-Barré syndrome: disability, quality of life, illness experiences and use of healthcare /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-838-X/.

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