National Repository of Grey Literature 35 records found  1 - 10nextend  jump to record: Search took 0.01 seconds. 
Mapping nursing care issues from the perspective of nurses in patients with symptoms of aggression due to substance withdrawal in selected metabolic intensive care units
Kousalová, Hedvika ; Trnková, Ivana (advisor) ; Těšínský, Pavel (referee)
The thesis deals with the issue of nursing care in patients with manifestations of aggression due to substance withdrawal syndrome in metabolic intensive care units. A questionnaire survey was carried out among general nurses, paramedics, and nurse practitioners. Three sub-objectives were established: to identify the most frequently utilized nursing interventions related to the studied issue, to assess the perceived psychological and physical burdens on healthcare staff, and to gauge their interest in further education on this matter. The theoretical background of the thesis deals with definitions of substance use, types of substance abuse, withdrawal syndrome and specifics of nursing care for patients with manifestations of aggression, including education and legal aspects of the use of restraints in health care settings. To collect data for the research part, anonymous non-standardized questionnaires (see appendix) were used for general nurses and nurse practitioners working in metabolic intensive care units in selected university hospitals in Prague. The thesis concludes with a summary of recommendations for nursing practice in the area of nursing care of patients with manifestations of aggression after withdrawal from addictive substances based on a comparison of the results of the research...
Analysis of dietary intake and major dietary sources of omega-3 fatty acids in cancer patients.
Balušková, Denisa ; Gojda, Jan (advisor) ; Těšínský, Pavel (referee)
Introduction: nutrition of cancer patients is a frequently discussed topic. Tumor growth is conditioned by the production of pro-inflammatory cytokines in the body, which leads to metabolic changes and the development of tumor cachexia syndrome. Immunomodulatory nutrition and efforts to at least partially control inflammation are essential in cancer. Aim of the study: The aim of the study was to evaluate the dietary intake of omega-3 fatty acids in the diet of cancer patients and to analyse the main dietary sources of these polyunsaturated acids. Research Methods: In this observational and questionnaire-based non-interventional study, 10 respondents who had not shown signs of cancer for more than a year, were older than 18 years and according to the highest frequency of cancer incidence were selected. Results: The average daily intake of omega-3 FAs in the study group was 1.59 g/day for both sexes, which represents 53% of the recommended therapeutic dose of 3 g/day (DLD). In contrast, the average daily intake of omega-3 FAs in men was found to be 1.47 g/day, corresponding to 49 % of the DLD. Conclusion: Analysis of the dietary intake of cancer patients in remission suggested that their intake of omega 3 fatty acids is minimal and does not even reach the recommended values for the general...
Nursing care of the patient with liver cirrhosis
Ptáčková, Eva ; Heřmanová, Jana (advisor) ; Těšínský, Pavel (referee)
The aim of this Bachelor's Thesis is to lay out the problems concerning the liver cirrhosis and the nursing care procedure for a patient having the diagnosis of liver cirrhosis. The Thesis is broken down into two main parts. The first i.e. clinical part deals with the anatomy and physiology of the liver as well as with the disease of cirrhosis including its diagnostics, complications, possibilities of treatment and general prognosis. The part also includes the anamnestic data of the patient F. V., his condition at his reception to hospital and its development during the period I took over the care of him. The first part of the Thesis is concluded by outlining the prognosis of the patient. The second i.e. nursing part is dedicated to the theory of the nursing procedure and to the nursing procedure applied to the patient in question. In the end of the Thesis there is a list of the abbreviations and the list of literature quoted herein. The enclosure consists of the form of the nursing anamnesis, the form of the nursing care scheme and the results of laboratory examinations.
Acute life threatening complications of diabetes mellitus
Hodák, Július ; Těšínský, Pavel (advisor)
Diabetes mellitus presents complex problem that every doctor meets with during his practice regardless of his specialization. Acute complication can develop also during hospitalization, for example at surgery, neurology, psychiatry and others departments. We recognize two main groups within acute complications of diabetes mellitus, namely acute metabolic complications and hypoglycaemic syndrome connected with diabetes therapy. Three clinical units belong to acute metabolic complications. They covers diabetic ketoacidosis, hyperglycaemic hyperosmolar syndrome and laktat acidosis. Lactat acidosis and hyperglycaemic hyperosmolar syndrome are the most important from the view of mortality. Lactat acidosis are uncommon complications in Czech and Slovak republic. It especially appears at diabetics during therapy with biguanids. It can appear also when contraindications with metformin are not respected. The prevention also includes rational prescription of medicine, for example with respect to their possible interaction with sulfonylureo antidiabetics hypoglycemic influence and self - monitoring of glycaemia at home environment. It is necessary to respect contraindication of individual medicines and prevent polypragmazia. Every doctor, who takes care of diabetics, must find enough time to educate so important...
Nutritional Support in Critically ill Patients
Suleiman Hussein, Nergis ; Těšínský, Pavel (advisor)
The purpose of this review is to discuss nutrition support in general with emphasis put on critically ill patients especially in regard to the metabolic changes. The physiologic consequences of the flow phase insult serve as the basis for modern critical care medicine in which key features such as support of adequate cardiac hemodynamics, optimized ventilation strategies, fluid administration, monitoring of organ function, and nutrition are supported in the critically ill patient.
Implantation of artificial corneas AlphaCor and KeraKlear in patients with severe corneal disorder: long-term outcomes
Burova, Mariya ; Jirásková, Naďa (advisor) ; Těšínský, Pavel (referee) ; Baráková, Drahomíra (referee)
Implantation of artificial corneas AlphaCor and KeraKlear in patients with severe corneal disorder: long-term outcomes. Purpose: To assess the long-term results of AlphaCor and KeraKlear implantation, to evaluate the main complications and risk factors. Methods: An artificial cornea AlphaCor was implanted in 15 eyes of 15 patients. KeraKlear has been used in 4 eyes of 4 patients. All patients before the surgery were examined in detail. The evaluation of best corrected visual acuity (BCVA) and slit-lamp examination of anterior segment of the eye were performed. The status of posterior segment of the eye was assessed with B-scan ocular ultrasaund examination. Corneal pachymetry was performed in patients before the KeraKlear implantation. Digital photographs of anterior segment of the eye in all cases were obtained. Intraocular pressure (IOP) was satisfactory controlled before AlphaCor and KeraKlear surgery in all eyes. Postoperatively evaluation of BCVA and IOP, slit-lamp examination with digital photography of anterior segment of the eye and B-scan ocular ultrasaund examination were regularly performed. Results: Best corrected visual acuity after AlphaCor surgery ranged from hand movement to 0.8. The survival rate of the AlphaCor at 1, 2, 3 and 4 years was 80%, 53%, 40% and 27%, respectively. The...
Evaluation of posterior capsule opacification after cataract surgery
Kalfeřtová, Marie ; Jirásková, Naďa (advisor) ; Baráková, Drahomíra (referee) ; Těšínský, Pavel (referee)
Purpose: To study effect of AquaLase method used for final management of posterior capsule during cataract surgery on the posterior capsule opacification (PCO) creation and to verify safety of this method for the corneal endothelium. Methods: The prospective clinical study involving 56 patients with bilateral cataract having lens removal at the Department of Ophthalmology, University Hospital Hradec Králové in the period from September 2007 to March 2009. During the surgery lens was removed using torsional phacoemulsification and bimanual irigation/aspiration. Cleaning of the posterior capsule of the right eye was performed using AquaLase method (Alcon Laboratories, Forth Worth, Texas, USA) based on pulsed warm, naturally balanced surgical solution. Intraocular lens AcrySof SA60AT was implanted bilaterally to all patients. All patients were examined preoperatively and 3, 6, 12 and 24 months after surgery. Each examination covered best corrected visual acuity (BCVA), endothelial cell count (ECC) and corneal pachymetry. Moreover postoperatively digital retroillumination photographs of the anterior segment focused on the posterior capsule were always obtained. The Evaluation of Posterior Capsule Opacification (EPCO 2000) software and the Open-Access Systematic Capsule Assessment (OSCA) system were used...
Research of the secondary cataract, the possibilities of it's prevention by the choice of surgical techniques and intraocular implants
Stepanov, Alexandr ; Jirásková, Naďa (advisor) ; Baráková, Drahomíra (referee) ; Těšínský, Pavel (referee)
Research of the secondary cataract, the possibilities of it's prevention by the choice of surgical techniques and intraocular implants Summary Aim: To compare the degree of posterior capsule opacification (PCO) in two groups of patients after cataract surgery using two types of software. Design: Prospective clinical trial. Methods: Best corrected visual acuity vas evaluated using Snellen optotypes, biomicroscopy of the eye on the slit lamp, keratometry and axial length was measured preoperatively. AquaLase was used in the right eye and NeoSoniX in the left eye of each patient in the first group. The same hydrophobic acrylic artificial intraocular lens AcrySof SA60 (Alcon Laboratories, Fort Worth, Texas, USA) was implanted in all eyes, and evaluation was conducted during eight-year follow-up. Torsional mode (OZil) phacoemulsification was used in the second group and hydrophobic-hydrophilic intraocular lens EriFlex FAB 877 (Videris, CZ) was implanted. Evaluation of the second group was performed 1 year after cataract surgery. PCO quantification was done using a subjective PCO software - EPCO 2000 (Evaluation of Posterior Capsule opacification) and objective system - OSCA (Open-Access Systematic Capsule Assessment) with open access. Results: Thirty seven patients were analyzed 8 years after cataract surgery in...
Evaluation of visual functions after laser correction of ammetropia
Kyprianou, Georgia ; Langrová, Hana (advisor) ; Baráková, Drahomíra (referee) ; Těšínský, Pavel (referee)
Summary: Evaluation of visual functions after laser correction of ammetropia 1. We evaluated the quality of vision of 55 pacients (110 eyes) with myopia from - 0,5 dpt to -6,00 dpt after laser correction with PRK and LASIK. We compaired the results between group A after laser correction with the excimer laser Esiris (Schwind, Germany) and group B after correction with Amaris (Schwind, Germany). We investigated subjective visual perception, standardized visual acuity and contrast sensitivity under photopic and mesopic conditions as well as glare sensitivity at 1, 3, 12 and 24 months postoperatively. 2. Subjective perception: One month after the procedure, there were significant differences in questions concerning the overall visual quality, while watching TV and driving during the day and at night, with group B patients significantly more satisfied. Twelve months after the procedure, 100% of the patients of both groups were satisfied with their quality of vision. 3. Visual acuity: In group A, photopic and mesopic visual acuity significantly decreased 1 month after the procedure and then increased and differed only insignificantly from the preoperative values. In group B, photopic and mesopic visual acuity was changing insignificantly upto 3 months after the procedure and then increased significantly to...

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