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The Case Study of a Physiotherapy Treatment of a Patient with Balance Disorder and Cognitive Impairment
Sýkorová, Jitka ; Maršáková, Kateřina (advisor) ; Hořejší, Jan (referee)
The bachelor thesis explores balance and cognitive disorders in the context of physiotherapy. Balance disorders and cognitive impairment are important risk factors for falls. The aim of the thesis is to provide fundamental information based on available evidence in literature and briefly outline the importance of physiotherapy in patients with balance and cognitive impairment. In the practical part of the thesis is presented a detailed case study of a physiotherapeutic treatment of a patient with balance disorder and cognitive impairment due to encephalopathy. The treatment focused on application of techniques which are beneficial for improvement of the balance as well as cognitive functions. At the end of the therapeutic intervention patient have improved stand and gait balance as well as coordination of motion and cognitive performance and also there was a significant reduction of fatigue and fall risk. We used standardized assessments methods to measure the effect of the treatment: The Tinetti Balance and Gait Test, Berg Balance Scale, Montreal Cognitive Assessment and Barthel Index for Activities of Daily Living.
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Case Study of Physiotherapy Treatment of a Patient with the Diagnosis of total hip replacement
Stříteská, Monika ; Neuwirthová, Svatava (advisor) ; Hořejší, Jan (referee)
Title: The case interpretation of physiotherapeutic treatment of a patient with total hip replacement diagnosis Aims: The aim of the thesis has been comprehensive arrangement of theoretical findings, their deepening and exercising of practical knowledge related to total hip replacement diagnosis and subsequent physiotherapeutic treatment. Summary: The thesis is divided into two parts. The first one includes theoretical knowledge of hip joint anatomy and kinesiology, furthermore coxarthrosis findings (the most often reason of necessity of hip joint alloplastic surgery), its phases, rehabilitation, surgical attitude and kinds of used total hip replacements. The other part is dedicated to a particular case of a female patient after the total hip replacement surgery, I had an opportunity to visit her during 8 treatments. At the end of the part there is a comparison of input and output kinesiological analysis and total assessment of the treatment effect. Key words: total hip replacement, hip joint, coxarthrosis, physiotherapy, case interpretation, rehabilitation
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Case Study of Physiotherapy Treatment of a Patient After a Stroke
Srníková, Lucie ; Neuwirthová, Svatava (advisor) ; Hořejší, Jan (referee)
Name: CASE STUDY OF A PHYSIOTHERAPY TREATMENT OF A PATIENT AFTER A STROKE Aims: The aim of this thesis is to gain and collect theoretical information about theme "stroke" and the development of the case study of a patient with this diagnosis. Methods: The thesis is devided into two main parts - theoretical and practical. Theoretical part is devoted to a knowledge about stroke gained during university studies, and to information from specialized literature. This part summarizes basic findings about diagnosis, treatment and rehabilitation. Practical part comes out of exact case study of a patient after suffering ischemic stroke with cerebellar syndrome. Case study was prepared on a bassis of practice from 22nd of January till 16th of February 2018 at Vršovická zdravotní a.s. It consists of detailed input and output kinesiology analysis and also description of individual therapeutic units. Key words: stroke, cerebellar syndrome, ischemia, rehabilatation, therapy
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Chronic vulvovaginal discomfort and quality of vaginal environment
Kestřánek, Jan ; Špaček, Jiří (advisor) ; Unzeitig, Vít (referee) ; Hořejší, Jan (referee)
"Chronic vulvovaginal discomfort and quality of vaginal enviroment" Vulvovaginal discomfort (VVD) is not a life-threatening disease, however, its impact on quality of life is enormous. The causes of the origins of the chronic form are not provably clarified. OBJECTIVES OF THE THESIS: The first aim of this thesis has been to make an attempt to reveal the etiology of chronic vulvovaginal discomfort (CVD), to characterize a group of patients with CVD and refer it to the quality of vaginal environment. The second aim has been an evaluation of a questionnaire, which had been focused on probable causal factors of CVD. The third part is experimental, focused on the issue of quorum sensing molecule (QSM) and manosa-binding lectin (MBL) polymofrisms. METHODS: The data for all three parts of the study were gained at the outpatient's department for CVD by examinig and following CVD patients. A questionnaire was used when investigating the probable CVD factors. RESULTS: The study has proved that we come across the idiopatic form of CVD in most cases. According to the results, the issue concerns mainly women at productive age, in most cases healthy, without an evident trigger moment. The study has also shown that the most noticeable finding in CVD patients is an absence of lactobacillus proved when performing a...
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Metabolic aspects of the hormone replacement therapy in menopause
Fait, Tomáš ; Cibula, David (advisor) ; Češka, Richard (referee) ; Hořejší, Jan (referee)
The aim of project was to evaluate which of aplication forms of estrogen replacement therapy (in daily doses 2 mg estradiol orally or 0,05 mg estradiol transderma) is better for postmenopausal women from the view of cardiovascular risk. Oral aplication was conected with favourable elevation of HDL-cholesterol level and lowering of prothrombin activator inhibitor (PAI-1). On the other side there were elevation of tigylcerides and high selective C-reactive protein (hs CRP) and lowering of tissue factor pathway inhibitor (TFPI). Transdermal therapy was conjoined with elevation of HDL-cholesterol. Other markers were not influenced by this aplication form. Transdermal estrogen replacement therapy is more favourable than oral estrogen replacement therapy from the view of cardiovascular risks. The choice of hormone replacement therapy must be strongly individual. The knowledge of level lipids and other factors of cardivascular risk, could be helpfull during choice of aplication form, dose and contents of hormone replacement therapy.
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Autoimmune ovarian damage in adolescent girls, the impact antiovarian antibodies to irregular menstrual cycles and fertility
Kosová, Hana ; Hořejší, Jan (advisor) ; Grim, Miloš (referee) ; Fučíková, Terezie (referee) ; Ulčová-Gallová, Zdeňka (referee)
pou~i II "Iaylnr madt: Ihcra ", ledy pouá\ <iní malých, kontrolm':lné individuálních djvek lmg"nú. mbJcuovaných po I. ji ~ li:' lIf pOLdní pl'<Jlilerac \ honnonálni fun kč n í cytol(lgii rroge~lt:rnnCIl1 O ú...pé hu na~ í terapie jsme se pfcw~ dč iJi pn detekl: hladin) antio\'ariálních protilmek. kdy Isme v 40. 16 r l<unamell"li ...níLení a u J ().9~'k pac'ientck ymiLenl protiljtek. lento rakt je Jol ,zen i tim. ze u , ě l šiny paci nt k pi'i této terapii se objekt i vně I.lcpšil ,tav vnitr'ních rodidel, seKundární h p0hlavn ích znakú . Za zcela zjsadoí PO\ 37Ukjc "Ol/čas né Lkpšení koslní d' n, i t~" 8, SHRNUTÍ );,Iedky naší studie a mapování výskytu sérových anlio\'ari:ílních prulil51c:k mis vcde k přesvědče n í. ze výskyt autoprotilátek proli ovariu kore<;pondujc , dříve č i pOldiíji ,e prclcntu jícími klinickými přízn ak y . On ' mocnění múže propuknou v obdohí od puherty po celé reprod u kč ní období. Zavedení adekvátní léč by (v na' i studi i s ' osvědčilo použití HRT) podle našich poznatku vedlo ke snížení autoimunního ro ~ kole ní ovaria na minimum, k L:lchování jeho hormonáln ích funkcí a pIedevším k zachování zdl'avé ovariální tkáně, n.:Lb)lné pro budoucí rertilitu pacientky. Naše tudie tedy potvrdila nepochyhně obrovsky význam vča s n é diagnostiky a léčb y autoimunitního one muc ně ní uvaria, Z...
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Internet in Cuba and Censorship
Hořejší, Jan ; Veber, Jaromír (advisor) ; Luc, Ladislav (referee)
This paper focuses on issues related to Internet in Cuba, their development, current trends and tendencies and nowadays course of events in the Cuban network also with regard to the United States - Cuban thaw. Further on, the methodology of limiting the access to the open Internet including Internet censorship is explained and the analytical part determines how much freedom of an Internet user in Cuba is actually limited.
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