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Research study of mandible fracture reconstructions from a biomechanical standpoint
Semerák, Jaroslav ; Florian, Zdeněk (referee) ; Marcián, Petr (advisor)
This thesis deals with the treatment of mandibular fractures using splints and fixators. The topic was the development of a detailed research study based on available literature. The work also indicates basic anatomy of the surveyed area and nowadays the most commonly used materials. Then, the stress-strain analysis of the system broken mandible with angular stable fixation was performed. Stress-strain analysis solution was realized by computational modeling, in use of the finite element method in Ansys Workbench 16.2. The work is described in detail the creation of computational model system and its subsequent solutions.
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Biomechanical study on upper extremity fixation
Rafaj, Svatomír ; Marcián, Petr (referee) ; Florian, Zdeněk (advisor)
This bachelor’s thesis deals with fixation and biomechanical aspects of fractures of the upper limb. The first part of the thesis discusses anatomy, knowledge of which is necessary for effective fixation of fractures. It describes the history of inner fixation of fractures and modern curing methods of fractures with a focus on locking compression plates. The second part of the thesis discusses strain-stress analysis of assemblage of humerus and applied locking compression. Computational model was created with the support of ANSYS Workbench 16.0 and SOLIDWORKS 2016 software. Computation was executed by finite element method using ANSYS Workbench 16.0 computational systém.
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The issue of Nursing Care for the Patients with fractured Humerus.
JORDÁNOVÁ, Hana
Primary theoretical basis: The fractures of humerus are mostly results of hit or fall (15). The cure of humerus fractures is developing not only because of material options, but also thanks to medical technology development. (20). Purpose of the work: Main purpose of this bachelor work was to find out through qualitative research, if nurses have theoretical knowledge in the nursing care of the patients with fractured humerus. To this goal was defined research question: Do nurses have knowledge about nursing care for patients with fracture of humerus? Related investigation was about patients, with humerus fracture, preference needs during the time of hospitalization, according to his self-care deficit. To this goals were defined research questions: How big is the deficit rate in self-care with humerus fracture? Which patient's needs are on the first place during humerus fracture? Quantitative research with patients revealed Research questions were defined subsequently: How high is appearance of humerus fracture according to age? How high is appearance of humerus fracture according to hobby? How high is appearance of humerus fracture according to unsports or other leisure activities? Methodics: Empirical part of bachelor work was written on mixed research basis. Quantitative research was realized using data collection from Traumacentrum České Budějovice, a.s. patient's documentation. Research included 152 patient respondents. Qualitative research was realized using half structured interviews, on which participated nurses from Traumacentrum Nemocnice České Budějovice, a.s. and patients with humerus fracture here hospitalized. The research group consisted of six patients and six nurses. Data collection took place since May 2013 to June 2014. Results: From nurse research results came out following categories: Preoperative patient care, Post-operative patient care, Rebandage specifics, Rehabilitation factors, Complications and symptoms. In preoperative patient care five of six nurses focus on pain, sensitiveness, and perfusion. In post-operative on the other hand all nurses observe coverage and pain. In complication category were mostly recorded infections, nervus radialis harm and compartment syndrome. By nervus radialis harm all nurses recorded posibility of limb functional changes. As rehabilitation factors in this category five nurses mentioned as effect of infection, pain and size of the wound. By patients came out following categories: Self-care activities: Dressing, Day routine, Motions on the bed, Hygiene, Toilet, Eating, Preferred needs. In category dressing four patients can't put on T-shirt. Regarding category of eating, here all patients recorded complications with holding the food tray. Preferred needs category reveals that all six patients values family relationships. In quantitative part of work thanks to data collection formed these graphs: Percentage: Participation of patients, Average age, Age categories, Participation of age categories, Influence of activity on injury formation. As percentage participation was found out that 68% of patients are women in average age of 58 years. These data by men are 32% and 54 years. The injury is mostly appeared considering age in women category in the age of 66-70, in 9,21%. In men category in the age of 61-65, in 4,61%. Hobby injury appeared more in men category 8,55%, in women category are more frequent leisure activity injuries, 64,47% . Conclusion: From research result we can say the nurses have great knowledge. However in all categories are knowledge gaps leaving space for knowledge supplement. Patients mostly fumble with self-care activities deficit in all spheres, this category and family relationships are most preferred categories. In qualitative research is obvious that women are twice more hospitalized with humerus fracture.
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Kinesiotherapy in patiens with osteoporosis
BRAŠNIČKOVÁ, Jana
Abstract The theme of this bachelor's thesis is kinesiotherapy in patients with osteoporosis. Osteoporosis is the disease of metabolism which causes the density of bone mass, the bone becomes less firm and tough. This disease can be asymptomatic in the long term, but it causes many physical and mental problems later, which markedly get worse the quality of life. The first symptoms of osteoporosis are chronic backaches and fractures caused by minimal strain. These pains often raise feelings of depression, anxiety and fear. The preconditions of origin of osteoporosis are genetic but they are formed also from the early childhood, that's why it is very important to follow healthy lifestyle which includes sufficient calcium and vitamine D intake, activity, proper diet and avoiding toxic influences from the birth. Kinesiotherapy is one of the most important ways of preventive and medical care of patients who are endangered by osteoporosis or suffer by this disease. It is aimed at the improvement of motoric stereotypes, muscular strenght, mobility, coordination and activation of deep stabilizing system. It teaches proper breathing, lying, sitting, standing, lifting and carrying loads, forward bend and relaxation. World Health Organization considers this disease as one of the biggest health problems of mankind. Therefore I think it is important to pay attention to these issues. The first part of this bachelor's thesis is aimed at theoretic knowledge, divided into general and special part. The general part includes knowledge about structure and function of a bone, defines osteoporosis, deals with its classification, its clinical symptoms, its diagnosing and risk factors. Next there are described the possibilities of therapy, preventive measures and the impact of osteoporosis. In the special part there is introduced the definition of kinesiotherapy, its medical effect and general principles which is important to follow during kinesiotherapy procedure. It deals with possibilities of kinesiotherapy according to clinical phases and then describes particular kineziotherapy methods suitable for patients with osteoporosis. The aim of a theoretical part was to outline the possibilities of kinesiotherapy of patient with osteoporosis. The second part of this thesis is my research. For this part was chosen the method of qualitative research. It was done as case history including anamnestic data, initial and final kinesiological analysis, the progress of therapy, conclusion and long-term rehabilitation plan. The data were collected during the interviews with patients, by observing of them, sampling of anamnesis, kinesiological screening and the analysis of data from medical documentation. The research set was formed by two patients diagnosed with osteoporosis. The research was carried out in rehabilitation ward Poliklinika Jih in České Budějovice during four weeks. Exercising took place twice a week for 20-30 minutes. Soft tissue techniques, mobilisations, post isometric relaxation, stretching, fitness, breathing and relaxation exercising, elements training of the back, exercising with a big ball, proprioceptive neuromuscular facilitation, sensomotoric stimulation and the activation of deep stabilizing system. The aim of the research was to compile and realize the most effective kinesiotherapy procedures for chosen patients diagnosed with osteoporosis. The results show that the chosen kinesiotherapy methods influenced positively the condition of both patients. It is evident that their backache and posture are much better. They evaluate the therapy as positive and useful for their health. From the kinesiologic point of view it is evident the improvement in breathing stereotype, posture and reduction of some asymmetry and muscular unbalance which negatively influenced physical and mental aspects of patients.
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Physiotherapy in patients after fracture of the ankle joint
ROKŮSKOVÁ, Pavla
This Bachelor?s thesis deals with the theme of physiotherapy of patiens with a fractured ankle joints. An injury of ankle joint is one of many kinds of musculoskeletal injuries. As a result of an injury in this area appears a pathological situation for human organism which results in changes of local and distant parts of human body. Among important local problems of the physiotherapy treatment belong pain, swelling, limited mobility of the surrounding tissue and malfunction of muscles. The main role of physiotherapy is an elimination of local problems and a restoration of the proper function of ankle joints. Then the techniques of physiotherapy aim to the reeducation of walking and to avoid any incorrect movement streotypes and compensatory mechanisms. Therefore this therapy does not focused only on the ankle joint itself, but contains whole postural function of muscles in the whole human body. In the theoretical part of this thesis I describe the anatomy of human feet and ankle joints, the kinesiology of ankle joint and the biomechanism of human walking. Then etiology, diagnostics , treatment and complications of traumas of the ankle joint are mentioned. As an individual chapter there are therapeutic guidelines used at the time during healing, and of course, after healing of the fractures. In the research part of this thesis the qualitative method of research was used. This chapter was prepared as a list of case reports, which contain case history, initial examination, design and description of the therapy, final examination and long term physiotherapeutic plan. The utilized techniques for collecting data were interview and observation. The researched group consisted of two patients with diagnosed fracture of the ankle joint. These patients were selected from two ambulatory departments. One of the department is part of the Nemocnice Ceske Budejovice, a.s., and the other is part of Centrum lecebne rehabilitace Marie Kotrbove, s.r.o. Total duration of therapy was four weeks in both cases. At the beginning of therapy these patients were informed about the procedure the goal of therapy. The goal of this thesis was using theoretical and practical knowledge gained during studying of physiotherapy for the most effective treatment of patients. The first goal was to introduce complete knowledge of kinesiology and physiotherapy of the fractures of ankle joints. This part was achieved in the theoretical chapter of my thesis. The second goal was describing the possibilities of the therapeutic care and the following practical effectinevess. At the beginning of the study the question was set: Are the recommended methods of physiotherapy of patiens with fractured ankle joints effective?. The progress and outcome of therapy was judged in conservative treated cases as well as surgical treated cases of fractured ankle joints. In the conservative treated fracture the terapy was effective, swelling has been gone, the muscle strenght increased and the motion range extended. In the surgical treated case terapeutic progress was slowed down. But even there after the complex physiotherapy treatment success was achieved. Maximum level of all functions will be matter of further therapy. The results of research part has shown, the proper terapeutic methods were chosen. The results of this thesis will be provided to the whole physioterapic community. Benefit in clinical practice is in present processing and pointing out all possibilities of local and complex therapy of fractures in the area of ankle joint.
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Nursing Care of Klients with Fractured Distal Femur
VOPÁLKOVÁ, Milena
The name of this Bachelors thesis is "Nursery Care of Patients with Fractured Distal Femur". With view to the lengthening of the populations age, increasing popularity of adrenalin sports and development of traffic we can expect an increasing number of this serious type of injury, and therefore it is time to address the issues of nursery care of the clients with this type of fracture. Fracture of the distal part of femur often happens suddenly and unexpectedly and the client has to deal with a health problem, which brings about a lot of changes as regards his/her health, psychic and social situation. The purpose of this thesis is to map the nursing specifics and nursing problems experienced by clients with a fractured distal femur from the nurses point of view. Through an analysis of a research survey we will summarize the thesis outcomes and determine the specifics of possible complications under the nursery care of such clients. Hence, the thesis contains two fundamental parts: theoretical and empirical. The theoretical part deals with the historical development of nursing and care provided as regards these fractures, the anatomy of lower limbs and causes of such fractures. It also addresses the basic classification of such fractures, principles of an osteosynthesis therapy, education, nursing and rehabilitation care. The empirical part includes a research survey with two predetermined goals mapping the specifics and complications within the nursing care of clients with a distal femur fracture. With view to the fact that various specifics and complications within the nursing care in the period before and after surgery were ascertained, they were categorized as pre-surgery and post-surgery specifics and complications. The research survey found out that one specific is differing pre-surgery nursing care of the clients with a fractured distal femur, mainly provided that stabilisation of the fractured part is executed by means of a skeletal traction or a patch traction or through a knee brace. The ascertained nursing complications are related to such immobilization interventions. According to the interviewed nurses the nursing procedure is even more diverse, mainly as regards the injured clients mobility and the nursing care. Other specifics of the nursing care are monitoring of locomotion and sensitivity of the traumatized lower limb, antidecubitus care, aself-care deficit and a possible risk of the lever action impact on the distal femur when moving on the bed. Specifics of the post-surgery nursing care regarding clients with a knee brace are: monitoring of locomotion and sensitiveness of the lower limb, correct manipulation with the knee brace, care of the locomotion, a risk of the lever action impact on the osteosynthesis area mainly when the client is sitting on the bed with lowered limbs or doing exercise on the motor splint. Nursing complications ascertained during the post-surgery period are mainly an oedema and a haematoma of the surgical wound place, urine and faeces emptying disorders, inadequate relief of acute pain, decubites under the knee brace or on the heels, long-term deficit of the clients self-care due to the traumatic consequences and other possible complications as described in this thesis. Outcomes of this thesis are two simple mind maps, which are a part of this thesis. The first mind map shows the nursing care specifics as regards a client with a fractured distal femur and the second describes the most frequent complications and interventions of a nurse within the nursing care as regards a client with a fractured distal femur. The outcomes of this thesis can serve as an information material for traumatology unit nurses and also for nurses working in other complements.
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KNOWLEDGE OF PREMEDICAL FIRST AID REQUIRMENTS FOR TEACHERS IN NURSERY SCHOOL
KOVÁŘÍK, Ondřej
Bachelor thesis ?Premedical First Aid Knowledge Requirements for Teachers in Nursery Schools? summarises urgent conditions and diseases occurring primarily among preschool children. The theoretical part deals with selected injuries, from the most serious injuries (resuscitation, disorders of consciousness, suffocation) to the less serious ones (eg fractures). Pathophysiology, symptoms and finally providing of first aid is briefly described for each of the injuries. This part was described mandatory legislation for teachers regarding first aid education in this section. I used a content analysis of professional publications in this part of my thesis. The second part is practical and related to my research. The aim of the research was to find out level of first aid knowledge among teachers in nursery schools. I used a quantitative method in the form of questionnaires in my research. The questionnaire consisted of fourteen questions. These questionnaires were filled mostly by teachers during personal meetings in nursery schools near my residence in Brno. The research is processed with the charts and descriptions. The results of the answers are given as a percentage in each graph. The hypothesis, established at the beginning of the research, was not confirmed. Teaching staff have sufficient knowledge of first aid. However, they have lacks in innovations piece of knowledge first aid (CPR, choking). In these cases, most teachers would act based on outdated standards. Primarily right answers dominated in further points of the questionnaire. My surprising finding was that half of those surveyed teachers had never undergone any first aid training.
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Physiotherapy after the forearm and the hand injuries
POLÁKOVÁ, Jana
My bachelor thesis dealing with the topic Physiotherapy after forearm and hand injuries, describes not only the complete anatomy of the forearm and hand, characteristics of the particular injuries and the complications thereof, but also examination methods and possibilities of rehabilitation, by means of which the patients frequently regain former functions of the extremity affected. The thesis aims to find out whether patients are able to return to their original occupations as well as their original hobbies. The research part, in which the casuistic method and that of a free conversation with patients in the course of their attendance to rehabilitation procedures were used, contains descriptions of diagnoses and examinations of two patients with a different therapy success. The conclusion of the thesis resulted in the fact that the convalescence success of patients and their return to work largely depends on how complicated their diagnoses are and on the character of their work. In my opinion patients should be provided with a complex care, which includes timely medical help and subsequent physiotherapy and ergotherapy. A very substantial problem that is omitted is the patients{\crq} mental state, and for that reason the convalescence process should involve possible visits to a psychologist. Another essential thing is to inform the patient systematically on his/her state and future, and his/her motivation for his/her effort of improvement.
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The conventional imaging techniques in radiology with a view to the musculosceletar system (the educational program)
NEUMANN, Petr
This paper provides information on the role of an X-ray technician in conventional imaging techniques in musculoskeletal system affections. An X-ray technician is expected to provide imaging of the demanded part of human body at least on the level of diagnostic acceptability while all principles of radiation protection, ethic rules, and the rights of a patient are respected. The first part of the paper describes the formation and creation of an X-ray image, it provides a short history and describes the X-ray equipment needed to provide a quality imaging of musculoskeletal system. In the next part the description of imaging techniques is given in dependance on the demand of the indicating physician and also of the folowing medical treatment when, in many cases, the assistence of an X-ray technician is necessary. Better training and information of the the X-ray technician result in higher quality care for patients, in better communication between the personnel and the patients and it may also result in decrease of radiation charge of patients while a high quality of imaging is preserved. In the conlusion of the paper mistakes in imaging are shown that arose from poor communication between the physician and the X-ray technician, ignorance of the therapeutic procedure by the X-ray technician respectively. The false X-ray images are taken from a file of patients who were treated in the radiodiagnostic department of Oblastní nemocnice Kolín, a.s. in the period from 1st January 2007 to 30th June 2007. They were diagnosed with hip joint affection or affection of proximal part of femur.
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