@phdthesis{Reibis2015, author = {Reibis, Robert Alexander}, title = {Regionale Versorgungsaspekte des aktuten Myokardinfarktes im Nordosten Deutschlands}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-85713}, school = {Universit{\"a}t Potsdam}, pages = {VI, 92}, year = {2015}, abstract = {Hintergrund: In Deutschland stellt der akute Myokardinfarkt (MI) eine der h{\"a}ufigsten Todesursachen dar. Als Ursache f{\"u}r regionale Unterschiede bei den Mortalit{\"a}tsraten werden divergente Versorgungsstrukturen vermutet. Ziel der Untersuchung war, diese Fragestellung anhand anonymisierter krankenkassenbasierter Abrechnungsdaten zu evaluieren. Methodik: Standardisierte Hospitalisierungs- sowie Krankenhaus- und Ein-Jahres-Mortalit{\"a}tsraten nach MI wurden anhand anonymisierter Versichertendaten einer gesetzlichen Krankenkasse f{\"u}r das Jahr 2012 und die Bundesl{\"a}nder Berlin, Brandenburg und Mecklenburg-Vorpommern ermittelt (n=1.387.084, 46.3\% male, 60.9 ± 18,2 years). Weiterhin wurden pr{\"a}diktive Einflussfaktoren auf die Ein-Jahres-Mortalit{\"a}t, auf die Durchf{\"u}hrung invasiver Prozeduren und auf eine leitliniengerechte pharmakotherapeutische Sekund{\"a}rpr{\"a}vention analysiert. Ergebnisse: 6.733 Patienten (73,7 ±13,0 Jahre, 56,7\% m{\"a}nnlich) wurden identifiziert. Obwohl f{\"u}r das Bundesland Berlin eine h{\"o}here Hospitalisierungsrate als in Mecklenburg-Vorpommern ermittelt werden konnte, ließen sich bei der Krankenhaus- und 1-Jahres-Mortalit{\"a}t keine signifikant abweichenden Raten zwischen den Bundesl{\"a}ndern beobachten. Die Durchf{\"u}hrung einer Koronarangiographie (OR: 0,42 [0,35-0,51]) und eine leitliniengerechte Pharmakotherapie (OR: 0,14 [0,12-0,17] waren mit einer geringeren 1-Jahres-Mortalit{\"a}t assoziiert. Die Durchf{\"u}hrung einer Koronarangiographie und eine leitliniengerechte Pharmakotherapie von Patienten nach Myokardinfarkt wurde hingegen prim{\"a}r durch Alter und Geschlecht, nicht aber durch das Bundesland determiniert. Folgerung: Eine regional divergierende station{\"a}re und postinfarzielle Versorgung auf Bundesland-Ebene kann anhand der vorliegenden Daten nicht nachgewiesen werden.}, language = {de} } @phdthesis{Prieske2015, author = {Prieske, Olaf}, title = {The role of surface condition in athletic performance}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-80503}, school = {Universit{\"a}t Potsdam}, pages = {viii, 118, ix}, year = {2015}, abstract = {During the last two decades, instability training devices have become a popular means in athletic training and rehabilitation of mimicking unstable surfaces during movements like vertical jumps. Of note, under unstable conditions, trunk muscles seem to have a stabilizing function during exercise to facilitate the transfer of torques and angular momentum between the lower and upper extremities. The present thesis addresses the acute effects of surface instability on performance during jump-landing tasks. Additionally, the long-term effects (i.e., training) of surface instability were examined with a focus on the role of the trunk in athletic performance/physical fitness. Healthy adolescent, and young adult subjects participated in three cross-sectional and one longitudinal study, respectively. Performance in jump-landing tasks on stable and unstable surfaces was assessed by means of a ground reaction force plate. Trunk muscle strength (TMS) was determined using an isokinetic device or the Bourban TMS test. Physical fitness was quantified by standing long jump, sprint, stand-and-reach, jumping sideways, Emery balance, and Y balance test on stable surfaces. In addition, activity of selected trunk and leg muscles and lower limb kinematics were recorded during jump-landing tasks. When performing jump-landing tasks on unstable compared to stable surfaces, jump performance and leg muscle activity were significantly lower. Moreover, significantly smaller knee flexion angles and higher knee valgus angles were observed when jumping and landing on unstable compared to stable conditions and in women compared to men. Significant but small associations were found between behavioral and neuromuscular data, irrespective of surface condition. Core strength training on stable as well as on unstable surfaces significantly improved TMS, balance and coordination. The findings of the present thesis imply that stable rather than unstable surfaces provide sufficient training stimuli during jump exercises (i.e., plyometrics). Additionally, knee motion strategy during plyometrics appears to be modified by surface instability and sex. Of note, irrespective of surface condition, trunk muscles only play a minor role for leg muscle performance/activity during jump exercises. Moreover, when implemented in strength training programs (i.e., core strength training), there is no advantage in using instability training devices compared to stable surfaces in terms of enhancement of athletic performance.}, language = {en} } @phdthesis{Koch2015, author = {Koch, Anne}, title = {K{\"o}rperwahrnehmung und emotionales Erleben}, school = {Universit{\"a}t Potsdam}, pages = {77}, year = {2015}, language = {de} }