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The proportion of children and young people who are not mobile is increasing today. Fewer and fewer children or young people are reaching physical activity recommendations in their daily lives. They spend most of their day passively sitting and standing at school. At home, passivity continues with smart devices. It is easy to add physical activity to the school day, increasing the daily movement of students. The aim of the thesis was to create recess activities to pupils. The purpose of the thesis was to produce a recess booklet with ideas for increasing physical activity during recess. The recess booklet is for teachers and pupils. The purpose of the booklet is to get pupils excited to exercise during a recess and give to them more ideas for spending the recess. With an active recesses, children and young people would have moments of exercise during the school day. The thesis was functional and the research method was action research. The purpose of the thesis was to make a product which could make already existing action more effective. The thesis reports professional competence based on evidence-based information. The recess booklet contains variety of different games and plays. The booklet was designed with the pupils' own answers to an inclusive questionnaire. Thus, the contents of the booklet were made to please the pupils. The booklet includes pupil activation forms helping them to get more motivated to move more during recess.
Background and aims: The incidence of total knee arthroplasty (TKA) is increasing, especially among younger working-age patients. However, dissatisfaction rates in this population are higher than among older patients. The aim of this study was to assess the rates of dissatisfaction and persistent pain after TKA and to evaluate those factors that predict these outcomes. Material and methods: In total, 186 patients undergoing unilateral TKA aged 65 years or less were enrolled into this prospective observational study with 2-year follow-up. To assess the outcome, the visual analogue scales regarding satisfaction and persistent pain at rest and during exercise were used. In addition, the association between patients´ demographics, radiographic severity of knee osteoarthritis (OA), patient-reported outcome measures (PROMs) and dissatisfaction and persistent pain were tested by univariate logistic regression analysis. Mild OA was defined as Kellgren-Lawrence (KL) grade 2 and severe OA as KL grade 3–4. Furthermore, multiple logistic regression analysis was also conducted to test statistically significant relations. Results: After 2 years, 12 % (n = 23) of patients were dissatisfied with the outcome of TKA, 27 % (n = 50) reported persistent pain during exercise and 10 % (n = 18) at rest. Patients with mild knee OA were significantly more dissatisfied (28.6 %) than patients with more severe OA (8.7 %) (p = 0.003). Younger patients had an increased risk for both dissatisfaction and persistent pain. Apart from KOOS Quality of Life, poor preoperative KOOS subscores were also predictive for these outcomes. Conclusion: Mild radiographic knee OA was the main predicting factor for dissatisfaction after TKA. Thus, performing TKA for such patients should be carefully considered. Furthermore, these patients should be informed about the increased risk for dissatisfaction and the same seems to apply to younger patients. Interestingly, when TKA is performed for patients with more severe knee OA, the satisfaction rates seem to be somewhat higher than those previously reported. Trial registration: The study was retrospectively registered with ClinicalTrials.gov (registration number NCT03233620) on 28 July 2017.
Tällä kurssilla opit, mitä kiertotalous tarkoittaa, ja miksi sitä tarvitaan. Lisäksi pääset syventymään kiertotalouden merkitykseen ja mahdollisuuksiin neljän eri aihealueen (kestävä ruokajärjestelmä, metsäperäiset kierrot, liikenne ja jakamistalous sekä tekniset kierrot) kautta saaden samalla kattavan kuvan kiertotalouden käytännön sovelluksista. Koska kiertotalouteen liittyy vahvasti monialaisuus, jaettu asiantuntijuus ja systeemiajattelu, opintokokonaisuus on rakennettu nämä näkökohdat huomioon ottaen. Kurssin tavoitteena on: -muodostaa kokonaiskuva kiertotaloudesta ja ymmärtää sen perusperiaatteet, -ymmärtää nykyisen resurssien kulutuksen ongelmat ja kuinka kiertotalous voi auttaa ratkaisemaan näitä ongelmia, -tutustua keinoihin, joilla kiertotaloutta voidaan edistää, -luoda näkemys käytännön toimista, joita eri toimialoilla voidaan tehdä kiertotalouden edistämiseksi.
Kieli: | fin swe eng |
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Julkaisija: | Tampere : Suomen rauhantutkimusyhdistys 1993- |
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Kieli: | fin eng |
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Julkaisija: | [Tampere] : Suomen varhaiskasvatus 2012- |
ISSN: |
2323-7414 |
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