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Physiotherapy of fine motor skills for patiens after cerebrovascular stroke
DAMBOROVÁ, Barbora
The theme of this bachelor thesis is "Physiotherapy of fine motor skills for patiens after cerebrovascular stroke". Stroke is a neurological disease that is caused by a vascular disorder with symptoms corresponding to the affected part of the brain. This disease is the most common and its occurrence can not be reduced despite a great awareness of the risk factors that anyone can affect. The main target of this work is mapping of this stroke issue and its influence on fine motor skills of affected individuals. Than this thesis describe suggestion, implementation and evaluation of therapeutic methods in three probands. Based on those targets a research question was set: What changes in kinesiological testing might occur after the implementation of the proposed therapeutic methods by patiens with impaired fine motor skills after a stroke? This thesis is devided into two main parts: the theoretical part and practical part. The theoretical part deals with the stroke issue and its manifestation by the affected part of the brain as well as its impact on a man. This part describes fine motor skills, manipulation, grasps and fine motor skills testing. The last chapter introduces the therapy from the perspective of physiotherapy, occupational therapy and therapy using the robotic technology Armeo Spring and Amadeo. The practical part is based on qualitative research, which includes a complete kinesiology and neurological testing and analysis functions of individuals grip. Short and long term rehabilitation plans have been done. Both are based on the testing results. The research was conducted for patients with subacute phase of stroke who were hospitalised on the Rehabilitation or Neurological Department of Hospital České Budějovice a.s. Physiotherapy lasted for two weeks in the hospital each probands at the department. During therapy fine motor skills at all probands have been improved. The research could be considered beneficial.
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Strokes and the protocol of a stroke for Emergency Medical Services of the South Bohemian Region
SCHWARTZ, Kamila
The topic of this thesis are the Stroke and the Protocol of a Stroke for Emergency Medical Services of the South Bohemian Region. The teoretical part of this thesis includes basic anathomy and pathophysiology facts of brain necessary for understanding of a cerebrovascular accident. Afterwards the chapters are focused on the CVA itself. First of all are described the definition and a basic division of Strokes. In the next chapter are described possible high-risk factors leading to an inception of a cerebrovascular accident. The following topic is the Clinical Picture of Ischemic and Hemorrhaging CVA, diagnostic method used in a hospital facility. The important chapter is the therapy of a cerebrovascular accident in a preliminary medical care, there is also described the Protocol of a Stroke and potential patient's aiming to an acute medical treatment. The two last chapters are focused on a hospital medical treatement and after-care. The intention of this thesis is the maping of theoretical knowledge and differences in application of the Protocol of a Stroke aplicated by paramedics and nurses working in the Emergency Medical Service of the South Bohemian Region. We also wanted to evaulate a cooperation with Stroke Centers that can help to get the patient to undergo a medical performance as fast as it is possible which is essential for the patient and improves many times a future quality of life. Practical part tooks place by the method of a qualitative research. There were used semi-structured interviews with paramedics and nurses employed by Emergency Medical Services of the South Boheminan Region. The interviews included twelve questions concerning theoretical knowledge about the Cerebrovascular Accident, knowledge of the Stroke Protocol and filling in of of it, evaulation of co-operation and a telephonic consultation with Stroke Centers in the South Bohemian Region. Furthermore there was led a semi-structured interview with the doctor of the Complex Cerebrovascular Centre in České Budějovice and with the doctor of the Stroke Centre in Písek. The interviews consited of five questions concerning primarily a frequency of occurrence of the Stroke Protocol during the submittig of the patient and the evaulation of the consultation of patient's condition using the Stroke Telephone. Transcribed interviews are the component of practical part. The evaulated answers were catalogued into the charts for a better arrangement and orientation.
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Nursing care of patients with stroke
BALGOVÁ, Veronika
This thesis is divided into a theoretical and an empirical part and it deals with nursing and patient care after a stroke. The theoretical part comprehensively summarized the issues related to stroke. It deals with the definition of the disease given, its causes, symptoms, diagnosis, complications and therapy. Very important part is the area of nursing care that due to the nature of the disease, carries many specifics and includes comprehensive care, which may include stroke centers. There were stated objectives for this bachelor thesis: 1. To identify the problematic areas when providing nursing care to the patient after a stroke. 2. To secure the patient´s satisfaction with nursing care. Based on these objectives there were asked two research questions: 1. What are the problematic areas in nursing care of patients after a stroke? 2. Are patients satisfied with nursing care? The empirical part of this bachelor thesis presents the results of a qualitative research. The form of a semi-structured interview and a hidden observation was used. The interview with five nurses working in the neurology department and with five respondents who have had a stroke was conducted on the basis of questions prepared in advance. When analyzing the results, the method of "paper and pencil" was used. The processed results were categorized and then split into subcategories. The hidden observation was focused on five nurses working in the neurology department. Observation results were recorded into an observation diary and eventually evaluated. All of the research questions asked were answered by realizing and processing the survey. The results of the survey point to a very good quality of nursing care provided in the neurology department. However, based on interviews and observations, some minor flaws occurred. One of them is the lack of respect for privacy and intimacy while providing nursing care and inadequate defecation reflex training. It was further found that nurses presented the rehabilitation as the most important part in providing nursing care, but they unfortunately did not take part in it. Another problem mentioned by nurses is the lack of time to be able to individually work on all interventions that have been chosen. As a great positive we can present big satisfaction of respondents with the approach of nurses in providing nursing care. Based on the result of this research an informative brochure was created. This booklet can serve to the nursing staff as a kind of summary of the principles needed to be held when giving nursing care about patients with the issues mentioned above. It can also be used as a teaching tool for students.
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Manipulator for cylinder heeling
Kadlec, Miroslav ; Kalhotka, Jiří (referee) ; Kašpárek, Jaroslav (advisor)
This diploma thesis discusses a proposal of "a manipulator for casting of cylinders". This manipulator is a part of a brushing machine complex, which is not a part of my diploma thesis. With the aid of the manipulator it is possible to exchange cylinders of brushing machines. The computational section includes calculations of traversing mechanism, stroke mechanism and electric drive. Furthermore, a calculation of the main constructional elements is solved. One part of the diploma thesis is, indeed, dedicated to the partial graphic documentation, which is in the range of the assembly reports of the manipulator main parts.
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Honda B Engines
Smělý, Jiří ; Bradávka, Marek (referee) ; Svída, David (advisor)
This bachelor’s thesis deals with four-stroke internal combustion gasoline engines series B by manufacturer Honda (marked B-series) focusing on their characteristics, construction and use of models in the course of production. Attention is also given to applicability of these engines for racing cars.
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Stroke mechanism of crane trolley
Dokoupil, Jan ; Pokorný, Přemysl (referee) ; Hloska, Jiří (advisor)
The Bachelor thesis solves design of a stroke mechanism with rated capacity of 20000 kg. The calculations are determined by parameters of hoist, rope drum sizes, its bearing and stress analysis. Drive mechanism is designed and project documentation of mechanism assembly, welding rope drum assembly and the production drawing of head of rope drum are worked.
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Stroke mechanism of crane trolley
Juda, Lukáš ; Kašpárek, Jaroslav (referee) ; Škopán, Miroslav (advisor)
Bachelor thesis deals with design of stroke mechanism of crane trolley with load capacity 16 000 kg. The thesis contains calculations of basic parameters of stroke (rope diameter, diameters of pulleys, overall dimensions of rope drum, calculation of electric motor, parallel gearbox, frequency inverter, gear couplings and brake of hoist mechanism), strength check of rope drum and calculation of drum bearing. Part of the thesis is assembly drawing especially assembly drawing of complete hoist mechanism and weldment drawing of rope drum.
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Cylinder unit of motocycle two-stroke engine
Stejskal, Miroslav ; Novotný, Pavel (referee) ; Píštěk, Václav (advisor)
Miroslav STEJSKAL Cylinder unit of motorcycle two-stroke engine In the beginning is briefly described two-stroke engine features. Furthermore, according to the set of basic geometric and thermodynamic parameters, the maximum pressure in the cylinder during one engine cycle. For the selected operating modes are carried out strength tests of the upper piston and connecting rod eye. In conclusion, the results are evaluated.
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Powertrain of in-line four-cylinder spark ignition engine
Mačuga, Martin ; Rauscher, Jaroslav (referee) ; Píštěk, Václav (advisor)
According to given to cylinder diameter, stroke and ideal indicator diagram we will investigate with maximum cylinder pressure and further design for proportions piston insider ( piston and piston - pin) as well as piston rod. Then shall do strength calculation upper connecting-rod eye according to given to calculations namely for the select material of piston rod. In the end we evaluate the select material whether is for suggested piston rod fit.
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The issues of patient´s self-sufficient after cerebrovascular accident at ward of subsequent care
MACHKOVÁ, Marcela
Cerebrovascular accident is a serious destructive condition with suddenly formed infliciton of cerebral blood vessel. There might appear obstruction and taper of them or defect on wholeness of vascular wall which result into hemorrhage to brain tissue. Sings of this condition might be termporary with physical and psychical changes or fatal which end up with serious paralysis, unconsciousness or even death of individual. Cerebrovascular accident problematics is currently a big challenge for the entire society, because progressiveness of European society´s aging is likely to bring increase in total amount of this disease´s causes. The first important step in problematics of the disease is to reduce the risk of stroke by consistent prevention; general lifestyle changes; blood pressure controls and treatment; lipid, coagulation factor and heart disease observation and compensation. The second step, when speaking about already formed disease, is to start well-timed and complex therapy which provides the patient with distinctly higher chance of better final clinical status without permanent harm. After overcoming the acute phase in neurology department the patient carries on with another therapy acorrding to seriousness of his/her condition in rehabilitation or aftercare department. Therapeutic, nursing and rehabilitation care should be set to contain all aspects of lost self-sufficiency encouragement and should be oriented mainly on person who has, even after stroke, his/her own needs, motivations, leisure time activities and skills. The bachelor thesis starts with medical part which describes brain anatomy, deals with epidemiology and stroke history. More detailted stroke characteristics and disease itself are defined by etiology, clinical picture, diagnostics and treatment. This part is then ended up with stroke consequences, factors influecing patient´s recovery, patient´s needs and self-sufficiency after stroke. Multidisciplinary team and aftercare deparment create an independent chapter and after this starts a new chapter interested in the role of nurse and needed nursing interventions, evaluation techniques during basic needs saturation of patients after stroke. Therapeutic rehabilitation creates almost the last important part of the bachelor thesis, on which depend gradual recovery and patient´s future life quality after this desease. The recovery part includes physiotherapy, occupational therapy, speech-language pathology, neuropsychology, spa treatment and prosthetic security of patient. Then, the whole thesis is ended up with patient´s preparation on release into home environment. The first set aim is to find out patient´s needs to reach the maximal functional independence and self-sufficiency after stroke according to previously studied sources. The second aim is to find out the nurse´s role in the encouragement of patient´s self-sufficiency and the third aim is to find out nursing interventions in the encouragement of patient´s self-sufficiency after stroke according to previously studied sources. The whole bachelor thesis is mainly taken as theoretical. It tries to insight into problematics of all needs, self-sufficiency encouragement and patient´s maximal functional independence after stroke according to previsously studied sources and information obtained from consultants, physiotherapists and general nurses. Then, the thesis deals with the role of nurse and nursing interventions in patient´s self- sufficiency encouragement on aftercare department to satisfy his/her essential needs of life without someone else´s help after the disease. After a gradual improvement of functional disability, the whole life quality and the independence of patient, it is necessary to follow all nursing, medical and rehabilitation procedures very carefully without their neglect with a sufficient amount of medical staff and specialized doctors.
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