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Micronutrients in home parenteral nutrition
Petříčková, Dagmar ; Meisnerová, Eva (advisor) ; Čapková, Radka (referee)
The topic of the diploma thesis is micronutrients at home parenteral nutrition. In the theoretical part, parenteral nutrition is analyzed, including advantages and disadvantages, indications and contraindications. Intestinal failure is described as the most basic indication for the introduction of long-term / home parenteral nutrition. Following is the characterization and classification of micronutrients and a description of the consequences of their deficiency or surplus. Micronutrients are particularly important as cofactors and coenzymes in enzymatic reactions that would not be possible without them. The key question is whether the plasma levels show the actual state of the stock of the micronutrient in the organism, if the drop in most of the micronutrients that we find in patients reflects the actual deficiency to be substituted, or whether this decrease is an expression of their shift to other segments, the severity of the health condition. In the practical part of the diploma thesis are evaluated the levels of selected micronutrients (vitamin D, vitamin B12, folic acid, iron) in the group of patients with indication of home parenteral nutrition. The evaluation was based on laboratory analysis of patients' results. Key words: Parenteral nutrition, micronutrients, deficiency, surplus
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Quality of life at home enteral nutriton
Petříčková, Dagmar ; Meisnerová, Eva (advisor) ; Ševela, Stanislav (referee)
Author: Petříčková Dagmar Institution: Univerzita Karlova v Praze, 1. lékařská fakulta Title: Quality of life on home nasoenteral nutrition Tutor: as. MUDr. Eva Meisnerová Number of pages: 58 Number of supplements: 2 Year: 2016 Key words: malnutrition, enteral nutrition, quality of life, SF-36 questionnaire The theme of the thesis is the quality of life for patients at home nasoenteral nutrition. The theoretical part describes the problems of malnutrition as a frequent and serious complication of the disease. It emphasized the importance of prevention or early detection of emerging malnutrition. Various options and types of nutritional support are listed in the middle part. More detailed is characteristics and ways of enteral nutrition, its indications and contraindications . There is further elaborated the concept of quality of life, which may be significantly affected by disease or its treatment. This part includes a description of methods of examining the quality of life . The research part investigates the quality of life of patients at home nasoenteral nutrition. The results were obtained by using a standardized questionnaire SF- 36, which is a widely used tool to determine the quality of life in relation to health .
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