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Increasing age of primigravidae in the Czech Republic
Svobodová, Anežka ; Kulhavá, Miluše (advisor) ; Lukášová Jeřábková, Lenka (referee)
Increasing age of primigravidae is discussed topic nowdays. It's a trend that also affects the Czech Republic - The Czech Statistical Office shows that the process of increasing age of primigravidae progresses since 1990 till now and that is why I consider it important to talk about this issue. The main objective of this work is to determine the causes of the increasing age of primigravidae in the Czech Republic. Sub-objectives are: to determine if socioeconomic factors are reasons for delaying childbirth, to determine whether delaying childbirth is the cause of the emancipation of women and whether the decision of delaying childbirth is affected by low knowledge of risks associated with late childbirths (for both mother and child). The work consists of two parts - theoretical and practical. The theoretical part consists of three parts and each of them is related to one objective. The first part is dedicated to changes during pregnancy and pregnancy of old primigravidae. The second part analyses family policy in the Czech Republic and the third part describes status of women in the Czech Republic. The research part is implemented in the Highlands region and in Prague, these two parts has been compared. As a research method I have chosen quantitative method of anonymous questionnaire. The...
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Caesarian Section on Demand - Yes or No
Skřivanová, Eva ; Kulhavá, Miluše (advisor) ; Hrdličková, Renáta (referee)
The topic of this bachelor thesis is "Caesarean section on demand". The thesis deals with women's interest in undergoing the surgery at their own request and with the reasons behind their choice. It consists of a theoretical and an empirical part. The theoretical part of the thesis focuses on the history of obstetrics, on Caesarean section, indications for a Caesarean section, possible methods, anesthesia, potential complications and spontaneous delivery. The empirical part is based on quantitative research. By means of a questionnaire, women have been asked whether they are interested in undergoing Caesarean section at their own request and what are the reasons behind their choice. The empirical part further examines whether women are interested in choosing their preferred type of anesthesia and what this type is. The total number of respondents who participated in the survey was 82; they had been chosen randomly. The survey was conducted in January 2014. Its results have shown that only 37,80% of respondents are interested in Caesarean section at their own request. The most frequent reasons for this choice are their concern for the child's health, fear of pain and previous bad birth experience. 30 respondents out of the 31 interested in Ceasarean section on demand are interested in choosing their...
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Use of Nutrition Supplements for the Elderly
Tenglerová, Dana ; Kulhavá, Miluše (advisor) ; Podaná, Jana (referee)
The primary goal of my thesis was to describe the use of food supplements by seniors. Most seniors use medications prescribed by physicians and some of them also use over-the-counter food supplements that are more easily accessible. Seniors, in particular, are susceptible to considering food supplements to be as efficient as medications under the incessant influence of massive advertising on TV and other media, and many of them are willing to spend considerable amounts from their income on such preparations. In the theoretical part of my thesis, I define the term 'senior', describe the traits of ageing, and focus on the topic of nutrition in this age group. Then I focus on food supplements in general and their distinction from medications. The end of the theoretical part is focused on advertising and its impact on seniors. In the research part, which was prepared by means of a quantitative research, I examine the use of food supplements among seniors aged over 65, hospitalised at the Slaný Hospital. A total of 100 respondents were addressed, and 95 questionnaires were used at the end. The research shows that 60 % of the respondents use food supplements regularly or occasionally. One of the sub-goals of the thesis was determining the financial burden for seniors in purchasing the preparations....
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Public awareness about the issue of hemorrhoids
Sedláčková, Andrea ; Kulhavá, Miluše (advisor) ; Strnadová, Alice (referee)
v anglickém jazyce Hemorrhoids, defined as dilated vascular plexus in rectum and anus, is a disease that affects significant and diverse part of population. This disease is caused mainly by unhealthy and sedentary lifestyle, which is typical for many people these days. Every individual can either prevent or change most of the factors contributing to the emergence of this disease by altering his or her lifestyle. The aim of this bachelor thesis is to determine whether the general public is informed about the problems of hemorrhoids or not. The theoretical part focuses on the knowledge concerning the disease hemorrhoids, its historical evolution, anatomy, symptoms, causes, diagnosis, complications, treatment and nursing care after hemorrhoidectomy. The conclusion of this part deals with the prevention of hemorrhoids and education. The empirical part of the thesis includes a quantitative research, which was implemented by questionnaire survey. The goal was to examine whether respondents are informed about the problems of hemorrhoids, if they follow preventive procedures and how do they apply these elements in everyday life. My goal was also to find out which are the most common sources of information for people and whether they have personal experience with this disease. The distribution of the...
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Knowledge of nurses about posibilities of using moist wound healing in neonatology.
Konečná, Veronika ; Kulhavá, Miluše (advisor) ; Novák, Ivan (referee)
This thesis deals with nursing care of skin defects using a wet therapy in neonatology. The first section summarizes information related to preterm infants, the development of the individual layers of the skin in the embryonic period. It lists the types of skin defects which the neonatolgy nurse may frequently encounter at the department with including a list of modern therapeutic coverage that can be used. It lists a brief history of wound healing too, focusing just on the development of the wet therapy . Furthermore is marginally discussed the evaluation and documentation of damage to the skin wound. For interest, the thesis mentions a case reportof the preterm newborn with the necrosis of the lower limb, accompanied by commentaries of the alternative treatment for this type of skin damage from my own experience. The second part is assessing the awareness of the nurses in the modern methods of the healing. The priority is the mapping of the experience in using the wet therapy through the quantitative research, which is mediated by an anonymous questionnaire. The main goal of the research is to determine the awareness of the nurses from the neonatology intensive care unit, resuscitation and intermediate care in the nursing of the skin defects using a wet therapy. For this purpose the chosen method...
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Education of patients with left ventricular assist device HeartMateII
Brejchová, Eliška ; Kulhavá, Miluše (advisor) ; Sentivanová, Lenka (referee)
The thesis discusses the education of patients with left ventricular support HeartMate II. Theoretical part is focused on education and its ethical and legal aspects, on the description of the educational process. Furthermore it focuses on heart supports, especially on left ventricular assist device HeartMate II. To provide a comprehensive overview, I have included also information about the anatomy and physiology of the cardiovascular system and the section on heart failure. I described the specifics of nursing care for patients with implanted HeartMate II system and the educational topics that should be part of the education of these patients. The empirical part was prepared as a quantitative research, where research sample was 47 respondents. Respondents consisted of nurses who educate patients after implantation of the HeartMate II at the cardiovascular surgical intensive care unit. To create the feedback I complemented a quantitative research with structured interviews with patients after implantation of the HeartMate II. The aim of the research was to determine the status and range of education of patients with left ventricular assist device HeartMate II. This thesis further maps the topics on which is placed the emphasis in education and vice versa topics that would need to focus more on....
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Specifics of care for women with postpartum in intensive care
Kučerová, Klára ; Kulhavá, Miluše (advisor) ; Hošťálková, Monika (referee)
The thesis is focused on the specifics of care for women with postpartum bleeding in intensive care. Part of this work are two segments, theoretical and empirical. The first segment focuses on the theoretical part, which lists the existing knowledge from literature approaching the issue of bleeding complications accompanying childbirth, especially postpartum period, when the lack of timely solution can endanger the woman's life. This section defines the terms postpartum bleeding, hemorrhagic shock, DIC, intensive care and severe postpartum bleeding complications. The work also focuses on nursing care for women with postpartum bleeding. The theoretical part is concluded postoperative nursing care. The second segment of the work is of empirical character. The main objective of this thesis was to investigate how the care provided to the ARO / ICU for women with problems postpartum bleeding. This part of the non-standardized using an anonymous questionnaire identifies issues of bleeding complications in postpartum period. The work deals with the level of care provided in intensive care for women with severe postpartum bleeding complications, knowledge of the healthcare paramedical personnel in the care of patients with postpartum bleeding and acquiring new information on nursing care in case postpartum...
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Metabolically syndrome - threat of civilisation diseases
Březinová, Marie ; Kulhavá, Miluše (advisor) ; Podaná, Jana (referee)
The aim of the bachelor's thesis is the metabolic syndrome as a threat of civilization diseases. The thesis is divided into a theoretical and an empirical part. The theoretical part is divided into two chapters . The first chapter deals with very general civilization diseases, the causes, and the prevention of various diseases. The second chapter is devoted to comprehensive metabolic syndrome, its characteristics, etiology, occurrence, diagnosis, treatment and prevention. The empirical part, implemented quantitative research, based on a questionnaire survey of 102 randomly selected respondents, patients of internal departments and private ambulance Hospital Brandys nad Labem with the objectives to determine how patients are informed about MS who provided them the information and whether they are interested in a greater awareness of the issues. It also determines whether observance of the regime measures for the prevention of MS. The survey shows that respondents are informed about MS the most from the medical staff and the media. There was less than half of them who expressed interest in additional information about MS. From the results it is also clear that respondents fully respected preventive measures regime. For a better awareness of MS I suggest in patient care, regular group meetings of...
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The Lifestyle of People with Diabetes Mellitus
Roučková, Petra ; Marková, Eva (advisor) ; Kulhavá, Miluše (referee)
This bachelor thesis discovers how patients live with chronic diseases diabetes mellitus and whether they comply with the principles of a healthy lifestyle, which was mapped by using qualitative research. In the practical part there are four aims: To focus on nutrition, mapping physical and leisure activities. Determine whether they are adequately informed about the development of possible complications during non proper diet, find out how changed their lifestyle after a diagnosis of diabetes. The data were obtained by using a semi-structured interview with persons with diabetes mellitus. The research was conducted specifically in 8 respondents. These respondents answered the questions prepared in advance. Interviews were transcribed verbatim and then research results were summarized in tables. The evaluation was found that people with diabetes are adequately informed about the development of possible complications that can occur due to poor diet. I could gain insight to the lifestyle of type 1 and type 2 diabetes, the research showed that type 1 diabetics in particular are firmly consciousness about their illness, and they know about the need to observe the recommended doctor's measures. In contrast, type 2 diabetics aren't too much conscious to the regime that should comply in their disease,...
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The influence of breastfeeding on the development of obesity of children in late life.
Zapletalová, Petra ; Kulhavá, Miluše (advisor) ; Strnadová, Alice (referee)
This Bachelor's Thesis deals with the description, how the development of children's obesity is influenced by the breastfeeding's period and other factors. Firstly, the theoretical part is dedicated to these four topics: breastfeeding and its importance, benefits, potential risks and also practical matters related to breastfeeding - e.g. methods or the basic principles. Secondly, there is depicted substitution of milk nutrition and vegetables. The third topic focuses on obesity in children - possibilities of diagnosis, causes, consequences and precaution against it. Finally, the last part presents various studies where relations between a period of breastfeeding and development of obesity during childhood are being investigated. The practical part brings evaluation of factors which could influence the obesity in case of children under three years of age. This part was realized using quantitative inquiry, where anonymous non-standardized questionnaire, containing fourteen questions, was used for data collection. The questionnaire was mainly focused on the period of full or partial breastfeeding and finding out, how children prospered over the years. The research shows that 49 % of the children breastfed to 6 months. But the best provided group was children breastfed to 4 months. This group was...
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