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Premature Newborns and Body Contact Issue
Dvořáčková, Lucie ; Pavlíková, Pavla (advisor) ; Houšťková, Hana (referee)
The thesis provides comprehensive insight into the issue of body contact in premature newborns. Having been born prematurely, the baby has suddenly and unexpectedly lost the contact with the mother. A parental touch full of love is one of the first ways of helping the newborn and renewing the contact with it. The thesis consists of a theoretical and an empirical part. The theoretical part presents a brief overview of certain aspects of neonatology and body contact issues. This part, in the form of a coherent text, provides the reader with a comprehensive introduction into the topic. The empirical part aims to map active participation of mothers in premature newborn care. It explores the techniques of kangaroo care, their availability to premature newborns' mothers and support of these techniques by nurses. It evaluates the extent of nurses' awareness of the technique of butterfly touch massages and its practical use. It contains research carried out in five perinatological centers in the Czech Republic. The method used to collect necessary data and verify the hypotheses was questionaire. I had formulated eight hypotheses - five in relation to nurses caring for premature newborns and three applying to their mothers. The research sample contained 166 respondents, nurses working in the newborn section...
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Pendrin in the pathogenesisof congenital hypothyroidism
Banghová, Karolína ; Lebl, Jan (advisor) ; Límanová, Zdeňka (referee) ; Houšťková, Hana (referee) ; Stárka, Luboslav (referee)
Pendrin is an anion transporter that is expressed in several organs. In the thyroid gland, pendrin is localized at the apical pole of thyrocytes and it is responsible for the iodide efflux from thyrocytes into the colloid in the follicular lumen where iodide is organificated. The extrathyroidal expression was shown in the inner ear, kidney, placenta and mammary gland. Carriers of mutations in the pendrin gene (PDS, SLC26A4) display variable phenotypical features following the autosomal recessive manner of the inheritance: combined thyroid and hearing affection (Pendred syndrome - OMIM274600), nonsyndromic autosomal recessive neurosensory deafness (DFNB4 - OMIM600791) or isolated enlarged vestibular aqueduct (EVA - OMIM603545). The thyroid affection is usually manifested as euthyroid or hypothyroid goitre in the second decade of life. In a minority of patients, dyshormonogenesis is present at birth, and the disease is diagnosed in the frame of the nation-wide neonatal screening for congenital hypothyroidism.
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Nursing Case of Premature Newborn
Zichová, Radka ; Pavlíková, Pavla (advisor) ; Houšťková, Hana (referee)
For the bachelor work, I chose the theme "Nursing case of premature newborn". The thesis is divided into theoretical and practical parts. In the beginning I focused on the selection of the topic, why I took a strong interest of the issue of premature newborns. In the clinical part, I focused on the processing of premature newborn problems from the medical andnursing perspective in general. ln nursing, I have processed diagnostic and therapeutic care, nursing history of mothersand newborns. Based on the information I have formulated nursing diagnoses, which Ideveloped into a plan of nursing care. Part of the process in the nursing part was also educationof maternal care of the premature newborn. In conclusion ofthis bachelor work is given a forecast ofthe premature newborn.
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The impact of IGF1 and selected IGF1 gene polymorphisms on postnatal growth in children SGA/IUGR and extremely preterm newborns.
Kytnarová, Jitka ; Zeman, Jiří (advisor) ; Baxová, Alice (referee) ; Houšťková, Hana (referee)
Long-term outcome of extremely preterm neonates depends on many endogenous and exogenous factors. Long-term follow-up of extremely preterm neonates during childhood and analyses of IGF1 gene polymorphisms may help to better understand the problems connected with delayed postnatal growth and the progression of cardiovascular diseases and diabetes mellitus type 2 in adulthood. The aim was the long-term follow-up of anthropometric parameters in children born at 22−25th and 26−27th week of gestation and to study the association between postnatal growth of extremely preterm children, children small for gestational age (SGA) and children born at term with appropriate birth weight/length (AGA) and IGF1 gene polymorphisms: (CA)10-24 repetitive polymorphism in promoter, microsatellite marker D12S318 and 185 bp in 3'UTR, (CT)n polymorphism (CA)n polymorphism 216 bp in the intron 2. Methods. 242 infants born at 22-27+6 weeks were enrolled. Anthropometric parameters were measured at the ages of 2 and 5 years in 72 children born at 22-25+6 week (group I) and 85 children born at 26-27+6 week (group II). Polymorphisms of IGF1 were analysed in 51 extremely preterm, 208 AGA and 59 SGA children using fragment analyses. The data of postnatal growth data in AGA children were obtained at 18 months, in SGA and extremely...
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The impact of IGF1 and selected IGF1 gene polymorphisms on postnatal growth in children SGA/IUGR and extremely preterm newborns.
Kytnarová, Jitka ; Zeman, Jiří (advisor) ; Baxová, Alice (referee) ; Houšťková, Hana (referee)
Long-term outcome of extremely preterm neonates depends on many endogenous and exogenous factors. Long-term follow-up of extremely preterm neonates during childhood and analyses of IGF1 gene polymorphisms may help to better understand the problems connected with delayed postnatal growth and the progression of cardiovascular diseases and diabetes mellitus type 2 in adulthood. The aim was the long-term follow-up of anthropometric parameters in children born at 22−25th and 26−27th week of gestation and to study the association between postnatal growth of extremely preterm children, children small for gestational age (SGA) and children born at term with appropriate birth weight/length (AGA) and IGF1 gene polymorphisms: (CA)10-24 repetitive polymorphism in promoter, microsatellite marker D12S318 and 185 bp in 3'UTR, (CT)n polymorphism (CA)n polymorphism 216 bp in the intron 2. Methods. 242 infants born at 22-27+6 weeks were enrolled. Anthropometric parameters were measured at the ages of 2 and 5 years in 72 children born at 22-25+6 week (group I) and 85 children born at 26-27+6 week (group II). Polymorphisms of IGF1 were analysed in 51 extremely preterm, 208 AGA and 59 SGA children using fragment analyses. The data of postnatal growth data in AGA children were obtained at 18 months, in SGA and extremely...
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The knowledgeability of parents about Sudden Infant Death syndrome (SIDS)
Škvorová, Denisa ; Kulhavá, Miluše (advisor) ; Houšťková, Hana (referee)
This bachelor thesis deals with the awareness of parents about the problems of sudden infant death syndrome. It describes not only the etiology and incidence of SIDS, but also risk factors, prevention and eventual first aid to infants. The thesis is theoretical - practical. The theoretical part is divided into four chapters. The first chapter deals with the history of sudden infant death syndrome, incidence and etiology. The second chapter examines risk factors. The preventive steps are described in the third chapter. The fourth chapter deals with the first aid in case of SIDS - resuscitation of infants. The practical part contains the results of the research, which was conducted via questionnaire. All the respondents are parents from 20 to 45. A questionnaire survey was intended to find out whether these parents are informed about the problems of SIDS and if they know preventive steps and whether they follow these steps and whether they know the correct procedure of providing the first aid the infant in case of SIDS. The final aim of the survey was to compare the responses of mothers and fathers and determine whether their knowledge on this issue is the same. The research results are shown in tables and graphs and with additional explanations. The results of my survey showed that only 65% of...
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Psychosocial factors influencing the experience of parents of premature babies
Stránská, Monika ; Pavlíková, Pavla (advisor) ; Houšťková, Hana (referee)
The thesis is focused on psychological experience of premature newborns parents. The theoretical part deals with psychosociological factors: stress, social environment of a newborn resuscitacion department, needs of parents and their emotion, nurse-parent relationship, parent-child relationship developement, communication and psychological parent support. To provide a complex view of the problemacy, one single chapter deals with premature birth, premature newborn and ilnesses that put the newborn due to the premature birth into major risk. The empirical part aim were findings concerning: what factors influence the parent experience of newborns most, how an healthcare team and a premature newborns department affect parents. The research was also aimed at finding if men and women experience this demanding life situation the same way or not and how can the healthcare team help to improve the psychological condition of paretns. To implement the researcch a non-standardized questionnaire method was applied. The research sample contained 43 respondents. The findings show clear differencies between men and women concerning settling with a premature birth of a child and in needs of psychological support. There were found reserves on the side of medical workers.
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