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EN
In recent years, dance-based body-movement regulated video games have been harnessed in school-based physical health activities. Such programs are used in European primary schools to help schoolchildren to be of better health. In the Greece Primary School curriculum, use of these vidoe games cover aspects of physical, emotional, social and mental functioning and well-being. Herein, the correlation between movement and emotion is evident. This study was to investigate the significance of Play Dance and its impact on primary school education in Algeria. In it, a four-week educational intervention in the field of dance was applied during school recess (morning and afternoon). The daily physical activity was administered in the form of imitating dance moves basing on the Freeze Game (Just Dance Kids 2014) modal and accounted for 10 minutes of the recess time. The sample consisted of 45 male students of the 4rth class, of primary slimani school residence of Naama, a municipality of Mecheria. Pre- and post-testing of the invested program was based on the INDARES program. Data analysis was performed by way of descriptive statistic indices, Paired Samples Correlations, and Paired Samples Test. The results showed differences between the start and end of the educational intervention. It is, hence, recommended as it engenders considerable physiological and motor improvements thst correlate with the children’s overall health.
EN
Heath related quality of life has been an important object of interest in the clinical practice, focused on assessment of treatment effects from patient's point of view, with particular emphasis placed on effect of treatment on daily patient functioning. Concept of health-related quality of life needs valid and reliable instruments.The aim of the study was to present the process of validation of a new version of EORTC QLQ-CR29 module in Polish patients suffering from rectal cancer.Material and methods. EORTC QLQ-CR29 module comprises 29 questions, and was adapted to Polish cultural conditions based on EORTC procedure. Data collected from 20 patients were analyzed, their agreement with theoretical and empirical structure was assessed. Convergent and discriminant validity were analyzed with multi trait scaling.Reliability was assessed with Cronbach alpha coefficient. Known group validity was assessed in terms of differences between men and women, and between stoma and non-stoma patients. Exact Mann-Whitney test was used. P values lower than 0.05 were considered significant.Results. Scales built on bases of empirical model of module had higher validity and reliability than those based on theoretical model.There were no significant differences between men and women in health-related quality of life. Significantly higher values were observed in non-stoma patients on body image scale and for leakage of stool item. Reversed relationship was observed in case of abdominal and buttocks pain, as well as embarrassment because of bowel movements.Conclusions. Module CR29 is a valid and reliable tool, which enables standardized measurement of treatment effects, suggested for use as main tool measuring impact of disease itself and applied treatment on health-related quality of life of rectal cancer patients.
EN
According to the statement of the World Health Organization, the quality of life is the individual’s perception of their position in life in the context of given standards and value systems and in relation to their accomplishments, expectations and concerns. In the past twenty-five years, the role of quality of life assessment in medicine has been growing. Health-related quality of life is the self-assessment of patients with respect to the influence of a disease and treatment on the functioning in basic aspects: physical, mental, social and spiritual. The quality of life measure is a very useful tool for the assessment of the value of medical procedures. Quality of life is measured using the QALY index (quality-adjusted life years), which is the average further duration of life adjusted by the limitation of activity due to a disease or disability. Each medicinal technology, the costs of which are reimbursed from public funds, is subject to pharmacoeconomic assessment, and QALY is one of its elements. Quality of life is significant for patients but it is difficult to express in methodological categories. The basic evaluation methods include patient-reported outcomes of treatment with the use of one-dimensional analogue, numerical and verbal scales or multidimensional questionnaires.
PL
Zgodnie ze stanowiskiem Światowej Organizacji Zdrowia jakością życia nazywamy indywidualny odbiór przez człowieka jego pozycji życiowej w kontekście określonych standardów i systemu wartości oraz w odniesieniu do osiągnięć, oczekiwań i zainteresowań. W ostatnim ćwierćwieczu systematycznie rośnie znaczenie oceny jakości życia w medycynie. Jakość życia uwarunkowana zdrowiem to samoocena chorego odnośnie do wpływu choroby i stosowanego leczenia na funkcjonowanie w podstawowych aspektach: fizycznym, psychicznym, społecznym i duchowym. Pomiar jakości życia jest bardzo przydatnym narzędziem oceny wartości procedur medycznych. Do mierników jakości życia należy wskaźnik QALY (quality-adjusted life years), czyli przeciętne dalsze trwanie życia skorygowane o ograniczenie aktywności w wyniku choroby lub niepełnosprawności. Każda lekowa technologia medyczna, której koszty mają być refundowane z funduszy publicznych, podlega ocenie farmakoekonomicznej, a QALY to jeden z elementów tej oceny. Jakość życia jest istotna dla chorych, lecz trudna do wyrażenia w kategoriach metodologicznych. Do podstawowych metod ewaluacji należy samoocena wyników leczenia dokonywana przez chorego za pomocą jednowymiarowych skal analogowych, numerycznych i słownych czy też wielowymiarowych kwestionariuszy.
EN
Physical activity in children and adolescents is on a decline trend. To this end, we conducted a matched-pair randomized controlled trial to examine the effects of a 4-week STAR (School-based; Train-the-trainer; Accessibility of resources; Recreational) skipping programme. 1,386 schoolchildren from 20 primary and secondary schools were recruited. Schools were randomized into the experimental or wait-list control group. Participants self-reported their health-related quality of life using the KIDSCREEN-27. Accelerometers were used to measure the time a subgroup of participants (n = 480) spent in moderate-to-vigorous physical activity during school hours on five consecutive days. Measures were taken at pre- and post-test. At post-test, students in the experimental group, compared to those in the control group, engaged in less moderate-to-vigorous physical activity during school hours. Health-related quality of life from two groups of students was similar, but the experimental group reported higher levels of autonomy and parent relationships. Results suggested that although the intervention did not increase students’ physical activity levels, it slightly improved their health-related quality of life. Future studies should explore personal factors that might mediate the effect of the intervention.
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EN
Together with rapid progress of the contemporary medicine the number of children dying because of serious somatic diseases like cancer, haemophilia, immunodeficiency diseases is continually decreasing. At the same time the number of kids leaving lifelong with a serious chronic disease is going up. These children have to cope on the daily basis with side effects of their treatment, inability of participating in their healthy pears activities. They have to accept that they are different from healthy children or teens and get used to constant sense of danger. Just for these kids in US and some countries of Western Europe special therapeutic camps have been created. Barretstown in County Wicklow, Ireland is one of them and people working there are trying to help children suffering from chronic diseases using program of therapeutic recreation (TR). The theoretical background of TR is based on the belief that human being is able to enrich and redefine himself in creative action that involves four stages: challenge, success, reflexion, discovery. According to Peter Kearney, professor of paediatrics at the University College of Cork in Ireland, the process that underage patients coming to Barretstown are taking part in is very similar to the process known in the literature as rite of passage. There were several research studies taking place in Barretstown that were to observe and measure the influence and efficiency of TR in general improvement of sick children’s wellbeing. The results are presented in following study. Further research and case studies would be of great need. The results and psychological observations so far are confirming essential influence of TR in helping and supporting kids suffering from chronic diseases and their families.
PL
Wraz z postępem medycyny maleje liczba dzieci umierających na poważne choroby somatyczne, takie jak nowotwory, białaczka, choroby układu odpornościowego. Jednocześnie wzrasta liczba dzieci, które latami żyją z poważną, przewlekłą chorobą i na co dzień borykają się ze skutkami ubocznymi długoterminowego leczenia, niemożnością uczestnictwa w normalnych aktywnościach swych rówieśników, ze swoją odmiennością i stałym poczuciem zagrożenia. Do takich właśnie dzieci adresowane są organizowane w USA i w krajach Europy Zachodniej obozy terapeutyczne. Barretstown w Irlandii jest jednym z tego typu ośrodków, gdzie pomaga się dzieciom przy użyciu rekreacji terapeutycznej (therapeutic recreation, TR). Jest to metoda oparta na procesie przemiany, możliwej, gdy dziecko poczuje się wyjątkowe i niepowtarzalne, bezpieczne i szczęśliwe. U podłoża teoretycznego TR leży wiara w zdolność jednostki do wzbogacenia i zdefiniowania siebie na nowo w oparciu o cztery etapy towarzyszące działaniom: wyzwanie, sukces, refleksja, odkrycie. Według profesora Petera Kearneya, pediatry z Uniwersytetu w Cork w Irlandii, przemiana, jakiej mogą doświadczać uczestnicy obozów w Barretstown, przypomina proces przejścia znany w literaturze tematu jako rite of passage. W Barretstown przeprowadzonych zostało kilka badań mających na celu ustalenie skuteczności i wpływu TR na poprawę stanu dzieci. Ich rezultaty przedstawia poniższe opracowanie. Istnieje wyraźna potrzeba kontynuacji badań oraz studiów poszczególnych przypadków. Jednocześnie dotychczasowe wyniki i obserwacje psychologów potwierdzają istotną rolę TR we wspieraniu oraz leczeniu dzieci dotkniętych przez poważne chroniczne choroby somatyczne oraz ich rodzin.
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