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Case Study of Physiotherapy Treatment of a Patient with the Unilateral Transmetatarsal Amputation
Pěničková, Anežka ; Kučerová, Ilona (advisor) ; Valentová, Zuzana (referee)
Author: Anežka Pěničková Supervisor: Ilona Kučerová, M. A. Title: Case Study of Physiotherapy Treatment of a Patient with the Unilateral Transmetatarsal Amputation Objectives: The objective of this bachelor's thesis is an overview of information about diabetes in connection to lower limb amputation. It presents an in-depth case study of a patient with this diagnosis and her physiotherapy. Methods: This bachelor's thesis consists of two parts. The first part is a theoretical introduction with an overview of the body of knowledge about diabetes mellitus, its treatment, and about the diabetic foot syndrome. Furthermore, this part is a comprehensive introduction into the problem of lower limb amputation and the care patients with this diagnosis receive. The care is viewed through the prism of physical therapy, which can be beneficial also when complications associated with amputation occur. The second part offers a case study focused on physiotherapeutic care of a patient with the unilateral transmetatarsal amputation diagnosis. It includes the initial kinesiological analysis, detailed description of the therapy units, the kinesiological analysis at the end of the therapy and the evaluation of the outcome. The case study resulted from the author's practical training at the local hospital in Kladno...
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Type 1 diabetes mellitus in children and its impact on quality of life
KUČEROVÁ, Ludmila
This bachelor's thesis focuses on children suffering from type 1 diabetes mellitus and their parents. The aim of the bachelor's thesis was to assess how the parents of type 1 diabetic children evaluate the quality of life in connection with their children's disease and how the type 1 diabetics themselves evaluate it. A combination of qualitative and quantitative research strategies was chosen in the research. The structured interview technique was used in the qualitative strategy, and the PedsQLTM questionnaire was used in the quantitative part. Interviews were conducted with parents of children with type 1 diabetes and with the diabetics themselves. The interviews were recorded on a voice recorder and subsequently transcribed into a textual format in an electronic version. The questionnaire was used in both the version for children suffering from diabetes mellitus and in the version for parents of diabetics. The interviews were evaluated using open coding. Codes were then assigned to individual statements. The questionnaire was evaluated using descriptive statistics. The bachelor's thesis serves to increase public awareness of type 1 diabetes mellitus and its impact on the family.
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Hypoglycemic and hyperglycemic states of prehospital care
TOLINGER, Daniel
Diabetes mellitus is a frequently discussed lifestyle disease in today's society. Therefore, I decided to create this bachelor's thesis, which focuses on acute diabetic states in emergency medicine and pre-hospital care by the emergency medical service. The aim of the thesis is to provide an overview of standardized therapy in pre-hospital care and the most common causes of acute diabetic complications that can lead to hospitalization and even life-threatening situations for patients with diabetes. This goal was achieved by collecting data from emergency medical responders from the Emergency Medical Service. The knowledge gained from this work shows that the majority of acute diabetic states were caused by patient errors, whether in inappropriate increases in physical exertion or application of exogenous insulin outside of the prescribed regimen. For successful treatment of acute diabetic states, proper and quick diagnosis is crucial, based on a well-taken medical history and the use of available techniques. Targeted therapeutic procedures help manage these conditions without serious health consequences for patients. The scientific contribution of this work lies in its comprehensive and up-to-date approach to the topic, which enables a better understanding of the issue of acute diabetic states and provides a comprehensive view of current diagnosis and therapy in pre-hospital care. This work may be useful for physicians and nurses working in emergency medicine or emergency medical responders who encounter these conditions in practice. In conclusion, this bachelor's thesis serves primarily to improve the care of patients with acute diabetic states.
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Determination of glucose by different analytical systems
ŠTECHEROVÁ, Monika
The determination of blood glucose by three different analytic systems - Abbott Architect c16000, glucometr SensoStra GL 30 Touch and the self-monitoring glucometer Contour Plus. overall 30 random patient samples were measured at four analyzers. The mesured values for the internal control quality were evaluated and the regular verifications of the methods were realized at the analyzer Abbott Architect c16000 and glucometers SensoStar GL 30 Touch.
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Diabetes mellitus and related conditions
Kurková, Simone ; Kara, Tomáš (advisor) ; Hubáček, Jaroslav (referee)
Diabetes mellitus is one of the non-communicable diseases of mass occurrence. Other diseases, such as diseases of the nervous or vascular system, are often associated with diabetes itself. This thesis discusses diabetes and these associated diseases, which occur most often together with diabetes. The aim of the thesis was to describe the development and therapy of diabetes itself and the resulting oncological disease of the pancreas. Another goal was to capture the dietary habits of interviewed persons with a newly diagnosed pancreatic tumor and determine nutritional interventions depending on the diet record. As these cases were very specific, the practical part was processed in the form of a case study. The work includes 4 case studies of patients with diabetes mellitus together with oncological disease of the pancreas. Each case study also includes nutritional recommendations for improving or maintaining the quality of life and compensating for the disease. The topic of diabetes and oncological disease of the pancreas is not sufficiently explored and therefore there is a need for further research that would deal with these topics. keywords: diabetes mellitus, diabetes mellitus and related conditions, complications of diabetes, diabetes mellitus and pancreatic cancer
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Gestational type diabetes of mellitus and it´s laboratory determination
SVOBODOVÁ, Nikola
Abstract I am a medical laboratory technician working in a biochemical-immunological laboratory, and almost every week I come across the results of screening tests that reveal impaired glucose tolerance in pregnant women. Some of them are then diagnosed with gestational diabetes mellitus. The global incidence of gestational diabetes mellitus is reported to be approximately 14% of all pregnancies and usually resolves spontaneously by the end of the sixth trimester. Of course, there are also cases when the condition persists and due to long-term consequences, besides other things, the risk of developing type 2 diabetes increases. (Goldmannová, 2019) Such women continue to be treated and monitored when switching to the classic diabetes mellitus disease. In my work, I decided to provide a comprehensive overview for the medical laboratory technicians, as well as to collect data on gestational diabetes in the vicinity of Nový Bor. This work aims to create an overview of gestational diabetes and risks for mother and fetus, to describe the course of screening laboratory examination and determination of gestational diabetes mellitus on its own tested group. For the last year and a half, I have monitored the conditions of pregnant women who come to our outpatient department to undergo an oral glucose test. Before the examination, I had the patients fill out voluntary questionnaires. I created the questions based on the risk factors I was looking for, which could have influenced the course of the pregnancy or the development of gestational diabetes. After an overall evaluation of the examined results from the examination and comparison with questionnaires, I evaluated which risk factors are present in women with proven GDM to a greater extent and therefore, depending on their occurrence, could lead to the development of the disease.
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Education By A Nurse In The Primary Care Of Patients Suffering From Chronic Diseases
JUNGOVÁ, Viktorie
This bachelor thesis deals with nurse education in the primary care of patients suffering from chronic diseases, specifically diabetes mellitus, hypertension and obesity in paediatric patients. The thesis consists of two parts, a theoretical and an empirical. The theoretical part first focuses on education, basic concepts, the process of education, design and preparation for education, implementation and evaluation. It also deals with primary care, its goals and scope, and finally education for diabetes mellitus, hypertension and obesity in paediatric patients. The empirical part has been carried out in the form of qualitative research through interviews with nurses from GPs for adults and GPs for children and adolescents. The aim was to find out how nurses in primary care actually educate patients with selected chronic diseases. The interviews have been conducted according to pre-prepared questions in which the nurses participated. The research group consisted of five nurses from a general practitioner's office for adults and five nurses from a general practitioner for children and adolescents. The results of the research survey have been categorized into seven categories. The result of the research survey points out that education is most often carried outintheform of a short interview, recommendations and subsequent publication of information leaflets. The nurses cannot rely on whether these leaflets are effective and patients really take them home and study them. The results of the thesis can serve as an aid for orientation in the education of patients with chronic diseases. They can be beneficial to nurses in primary care and can also serve as information material for the public.
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Frequency of blood groups at the AB0 blood group system in patients diagnosed with gestational diabetes mellitus
FÜRSTOVÁ, Petra
The bachelor's thesis "Frequency of blood groups at the ABO blood group system in patients diagnosed with gestational diabetes mellitus" focuses on the issue of blood groups at the ABO blood group system and gestational diabetes mellitus. Today, the number of pregnant women diagnosed with gestational diabetes mellitus is still growing. This is mainly due to the increasing age of pregnant women, which is the current trend. Another risk factor is an overweight, which more and more Czechs and especially Czech women suffer from, as a result of their unhealthy lifestyle. The context between the blood group at the ABO blood group system and the diagnosis of gestational diabetes mellitus has not yet been sufficiently investigated in the conditions of the Czech Republic. The main aim of the study was to determine whether there is a connection between the blood groups at the ABO blood group system and the diagnosis of gestational diabetes mellitus. The aim has been met. The results of the study show that there is no connection between the blood groups at the ABO blood group system and the diagnosis of gestational diabetes mellitus. In the investigative part of the bachelor's thesis, a set of pregnant women´s blood samples was examined in laboratory examinations. The blood group from the blood group system ABO (A, B, AB and O) was identified for each woman. Pregnant women were also examined for diagnosis of gestational diabetes mellitus - that is, whether or not pregnant women were assigned a diagnosis of gestational diabetes mellitus. The frequency of diagnosis of gestational diabetes mellitus at particular blood groups of the ABO blood group system was statistically evaluated, for example, using the chi-square test and Fisher's exact test. The investigative results of the bachelor thesis can serve as an information source and can be used for other investigative purposes.
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Diabetic versus eating in public establishments (candy store) - production of ice cream for diabetics.
KRČMÁŘOVÁ, Lucie
In my bachelor thesis I deal with one of the most common diseases of civilization, diabetes mellitus. The theoretical part contains historical facts, information about anatomy of the pankreas, epidemiological characteristics and types of diabetes, as well as diagnosis, treatment and complications of this disease. In the part dealing with nutrition, I deal with macronutrients and micronutrients found in diabetic nutrition, glycemic index, recommendations for diabetics and the main topic of my bachelor thesis, sweeteners. In the practical part I deal with the production of two types of fruit sorbets (strawberry and raspberry) with the addition of artificial sweetener - sucralose. This ice cream is tested on five healthy volunteers and five volunteers with 1. and 2,. type of diabetes compared to strawberry and raspberry sorbet with sugar. The result of the research is to found out how individual types of the ice cream affect the glycemic curve of healthy volunteers and volunteers with diabetes.
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The role of the teacher´s assistant in child with diabetes mellitus at the first grade of primary school.
SILOVSKÁ, Lucie
The goal of this bachelor´s work is to describe position of the assistent of the pedagogue at the student with diagnosis diabetes mellitus and suggest reducement of negative impacts of special educative needs of the student to the ecucation with a help of assistant of the pedagogue. Bachelor´s work consists of two parts. Teoretical part relyes on special literature. First part specialises in diabetes mellitus, its history, type of diabetes, its acute and chronic complications, aids for treatment of diabetes mellitus 1st type, treatment by insuline pump, nourishment and sport, last two chaptures are interested in student with diabetes at the elementary school. Second part of teoretical part is dedicated to the assistent of pedagogue, his/her aktivity and personal assumptions. Practical part is refering to own qualitative research, when research group was made up from students of chosen elementary schools. Students were chosen from 3 different elementary schools in Prague. Practical part consists of 3 case studies refering to the students at 1st level elementary school with diagnosis of diabetes mellitus. The data collection took place with a help of document study, interviews with parents, teachers and asistents of pedagogues and will be completed by observing. Preparation of this work came out from professional literature and publications, from laws and results of performer research.
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