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Education as a part of modern nursing in patients with heart failure
CHÁROVÁ, Martina
Introduction: The submitted bachelor's thesis deals with the issue of education of patients with heart failure syndrome. The theoretical part mainly contains a brief insight into the anatomy and physiology of the heart, which is followed by a detailed description of the heart failure syndrome, its division according to various criteria, types of its diagnosis, clinical symptoms, its consequences and methods of treatment. The theoretical part also contains the theoretical basis with an emphasis on modern methods of patient education in general, including special procedures for the education of patients with heart failure syndrome. The theoretical part on education also discusses, among other things, the possibilities of using information and communication technologies in patient education and the involvement of the aforementioned technologies in the care of patients with heart failure and in their treatment, i.e. the use of a remote version of education, monitoring and implementation of treatment. Target: The empirical part of the work deals with the influence of education on the awareness of patients with heart failure and the level of their knowledge about the said disease. The methodology: To carry out the research, a special questionnaire was created, through which data was obtained documenting the level and quality of currently conducted education of patients regularly visiting heart failure clinics, the extent of their knowledge about the mentioned disease, and the respondents' satisfaction with the content of the education and the methods of its implementation. Since the created hypotheses following the established research questions work significantly with the gender of the respondents, the aforementioned questionnaire contained a question regarding the gender of each individual respondent. The results: The answers of the respondents, obtained from several specialized workplaces, were subsequently subjected to statistical investigation. The results of the evaluation show that the gender of the respondents does not significantly affect the degree of their education and does not play a fundamental role in the evaluation of how satisfied the patients are with the education provided. Conclusion: On the basis of the obtained results, graphs were prepared, illustrating in detail the evaluation of the respondents' answers to the individual parts of the created questionnaire. The results of the work can serve as study material for any health professional or student who shows a deeper interest in this issue.
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Use of Mobile Applications in Vestibular Rehabilitation
Batelková, Barbora ; Kučerová, Klára (advisor) ; Bárta, Martin (referee)
The bachelor's thesis focuses on the use of mobile apps in vestibular rehabilitation. The main purpose of this thesis is to provide market research of mobile apps currently available at Google Play Store. Additional goal is to provide an overview of current literature relating to the use of the mobile apps in vestibular rehabilitation. Theoretical section summarizes knowledge of the anatomy and physiology of the vestibular system, vestibular compensation mechanisms and vestibular rehabilitation practice. It also provides a brief information about mHealth apps and rehabilitation apps. Following topic is a retrieval of the literature scoping mobile apps in vestibular rehabilitation and a search of mobile applications available on the Google Play Store, that are or may be intended for use in vestibular rehabilitation. Experimental section consists of two case reports of patients with vestibular hypofunction using mobile app for 4-week therapy. Patients underwent 3 measurements (before, during and after the therapy) including Clinical Test of Sensory Interaction and Balance (CTSIB), Functional Gait Assessment (FGA), and Dynamic Visual Acuity Test (DVA). Also, a standardized questionnaire The European Evaluation of Vertigo scale was used and finally, patients were asked about satisfaction with the...
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Evaluation of effect of mobile application CF Hero on compliance of inhalation treatment and respiratory physiotherapy of pediatric and juvenile patients with cystic fibrosis
Jirásek, Martin ; Plešková, Jana (advisor) ; Pokorný, Jan (referee)
This diploma thesis deals with the adherence to inhaled treatment, its measurement, telemedicine and telerehabilitation and the possible use of the CF Hero mobile app in paediatric patients with cystic fibrosis. In the theoretical part, it presents knowledge about cystic fibrosis, adherence to treatment in patients with cystic fibrosis and possibilities of its measurement, telemedicine and telerehabilitation. The practical part describes the CF Hero mobile app, which has been the target of measurements on several patients. At the same time, a questionnaire was developed focusing on satisfaction with the use of this mobile application. Methods: The practical part was conducted as a multicentre prospective cross-over study investigating the effect of the CF Hero mobile app on adherence to inhaled treatment, respiratory quality of life and chest excursion The evaluation was conducted over a 6-month period, with the primary objective being to measure the amount of exhaled solution relative to the prescribed amount. Simultaneously, each patient underwent 3 identical examinations. These examinations included spirometric testing (FEV1, FVC, MEF50), measurement of chest excursion (axillary, mesosternal, xiphoid) and quality of life assessment using the CFQ-R questionnaire. It also included measurement of...
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Importance of Education in the Care of Patients with Implantable Cardioverter-Defibrillators with the Possibility of Remote Monitoring
ŠAFAŘÍKOVÁ, Iva
Remote monitoring is a type of telemedicine for patients with implantable cardioverter-defibrillators (ICDs) that has already become the standard of care; however, it requires more efficient methods of patient education. The main goals of our study were to determine the current level of knowledge of patients with ICDs regarding the use of remote device monitoring and determine if an intensive education program would be beneficial for ICD patients. 163 patients (122 men, 41 women, mean age 64?77 years) in whom a single chamber, dual chamber, or biventricular ICDs were implanted in 17.8%, 5.5%, and 76.7%, respectively, were included in the trial and followed using the Home Monitoring? (HM) system (Biotronik, Germany). Patients were randomized either into a group with standard physician-led education program (control group) or into a group with an intensive nurse-led educational program using in-person content, along with written and video material (intervention group). All education sessions were carried out during the primary hospitalization. Enrolled patients were approached the day after ICD implantation with the request to fill in a detailed questionnaire (baseline), which investigated the general and technical knowledge as well as the patient?s awareness of the clinical advantages of using an HM system. After three months of follow-up, both groups of patients were surveyed again, using the same questionnaire with the same questions. Using a different questionnaire, patient satisfaction with the provided education programs was also surveyed. Furthermore, patient opinions regarding adding a nurse educator position to daily clinical practice were also assessed.The day after ICD implantation, we found that patients had little understanding of the ICD type they had received and poorly understood the advantages of remote monitoring of their device. After the three-month follow-up, 100% of the nurse-educated group vs. 44% of the control group had a good understanding of the follow-up possibilities of their ICD (p<0.001). Altogether 88% of nurse-educated group vs. 59% of control group were able to correctly define the term ?telemedicine? (p<0.001) and the former group also demonstrated a better understanding of remote monitoring (p<0.001).The technical functions of patient units (i.e., the CardioMessengers) were also better understood by the educated vs. control group (p<0.001). Patients in the nurse-led education group were able to list and describe more clinical advantages of remote ICD monitoring than the control group (p<0.001). Regarding patient satisfaction with HM information, educated patients were more satisfied with all types of education than patients in the control group (p<0.001). Most patients assessed the educational video positively, with a mean grade of 1.2 ? 0.7 on a scale from 1 (best) to 5 (worst). The vast majority (97%) of patients, undependently of the educational program group, reported that they would ?definitely? or ?most likely? welcome receiving information on remote monitoring of their ICD devices from a qualified nurse-educator as part of routine clinical practice.Intensive education of patients regarding remote monitoring of their ICDs contributes to better overall technical knowledge of the HM system and a better understanding of telemedicine in general. It also leads to greater awareness regarding the clinical advantages of HM. However, patients not in the nurse-led education program reported that they were not satisfied with the remote monitoring education they received; most of these patients reported that they would also prefer an intensive education program led by a qualified nurse as part of routine in-hospital education regarding HM devices. Therefore, we recommend creating a nurse-led educational program in telemedicine (i.e.,remote monitoring care) for ICD patients. Such a program would guarantee the provision of timely and accurate information for ICD patients and their families.
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Telemedicine as a means of strengthening the role of patients
Špalek, Jakub ; Dobiášová, Karolína (advisor) ; Kotherová, Zuzana (referee)
This bachelor thesis focuses on how physicians perceive the use of telemedicine and information and communication technologies (ICT) in their practice. The work responds to the situation associated with covid-19, which has had an impact on increasing of ICT and telemedicine in healthcare. The aim of this work is also to find out how physicians can strengthen the role of patients in the physician-patient relationship and whether ICT or other digital technologies help them with this. The whole theoretical part is devoted to the relationship between physician and patient, where the shift of medical care from paternalism to consumerism is reflected and the theoretical concepts of patient centered care and patient empowerment are presented. The research data were obtained through semi-structured interviews with 9 physicians who are in regular contact with their patients and have at least minimal experience with the use of ICT in their practice. The interviews were then analyzed using a thematic analysis, which showed that telemedicine and ICT contribute to strengthening the role of patients. Keywords telemedicine, patient centered care, patient empowerment, ICT, self-monitoring, paternalism, consumerism, physician-patient realtionship Title Telemedicine as a means of strengthening the role of patients
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Application For Heart Rate Estimation Using Smartphone
Šara, Kryštof
This work deals with estimation of the human heart rate (HR) using a mobile phone camera. The goal was to create a functional application for a smartphone with a real-time HR detection. A preliminary functional algorithm was tested on a sample of 10 independent subjects and a mean deviation of 8.3 beats per minute (BPM), relative to an ECG reference record, was reached. Considering only visibly calm subjects, the mean deviation was 1.5 BPM.
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Telemedicine
Vaněrka, Jakub ; Baumgartnerová, Alena (referee) ; Rujbrová, Šárka (advisor)
Tato bakalářská práce pojednává o Telemedicíně a jejím využití v dnešní společnosti s přihlédnutím k sociálním a technologickým aspektům minulosti, současnosti a budoucnosti. Hlavním účelem této práce je informovat širokou veřejnost o možnostech telemedicíny a zvýšit tak jejich povědomí o moderním systému péče o zdraví. Práce se v první řadě zabývá rozdělením virtuální medicíny do oborů ehealth, telehealth a telemedicíny. Následně historickým vývojem tohoto oboru spolu s technologickým postupem a vzájemným propojováním. Soukromé a bezpečné propojení mezi pacienty, doktory a specialisty je velmi důležité. Proto jsou metody přenosu dat v tomto odvětví klíčová nejen v dnešní době ale i v budoucnu. Telemedicína je následně rozdělena do oborů, jež ji využívají s přihlédnutím k sociálním aspektům. V neposlední řadě je zde budoucí vývoj z hlediska ekonomiky, lidských faktorů a technologie.
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Drones (UAVs) in the area of emergency services (Integrated Rescue System)
Bobek, Jan ; Baumgartnerová, Alena (referee) ; Rujbrová, Šárka (advisor)
Drony jsou v oblasti integrovaného záchranného systému používány stále častěji, díky jejich lepší dostupnosti a ceně. V policejní oblasti jsou drony využívány k monitorování různých akcí nebo hlídání podezřelých oblastí. Policie drony také využívá k rekonstrukci dopravních nehod. V hasičské oblasti se drony používají hlavně k monitorování požárů a předávání informací pilotovi dronu, ale jsou vyvíjeny i drony určené k hašení požárů. V urgentní medicíně jsou drony využívány k přepravě vybavení a krevních vzorků v místech, kde to pozemními prostředky není možné nebo to je obtížné. Cílem této bakalářské práce je poskytnout přehled dronů využívaných v oblasti integrovaného záchranného systému a popsat technologie související s těmito drony.
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Compression and Quality Assessment of ECG Signals
Němcová, Andrea ; Tkacz,, Professor Ewaryst (referee) ; Kudrna,, Petr (referee) ; Vítek, Martin (advisor)
Ztrátová komprese signálů EKG je užitečná a v současnosti stále se rozvíjející oblast. Stále se vyvíjí nové a nové kompresní algoritmy. V této oblasti ale chybí standardy pro hodnocení kvality signálu po kompresi. Existuje tedy sice mnoho různých kompresních algoritmů, které ale buď nelze objektivně porovnat vůbec, nebo jen zhruba. V oblasti komprese navíc nikde není popsáno, zda mají na výkon kompresních algoritmů vliv patologie, popřípadě jaký. Tato dizertační práce poskytuje přehled všech nalezených metod pro hodnocení kvality signálů EKG po kompresi. Navíc bylo vytvořeno 10 nových metod. V rámci práce byla provedena analýza všech těchto metod a na základě jejích výsledků bylo doporučeno 12 metod vhodných pro hodnocení kvality signálu EKG po kompresi. Také je zde představen nový kompresní algoritmus „Single-Cycle Fractal-Based (SCyF)“. Algoritmus SCyF je inspirován metodou založenou na fraktálech a využívá jednoho cyklu signálu EKG jako domény. Algoritmus SCyF byl testován na čtyřech různých databázích, přičemž kvalita signálů po kompresi byla vyhodnocena 12 doporučenými metodami. Výsledky byly porovnány s velmi populárním kompresním algoritmem založeným na vlnkové transformaci, který využívá metodu „Set Partitioning in Hierarchical Trees (SPIHT)“. Postup testování zároveň slouží jako příklad, jak by měl vypadat standard hodnocení výkonu kompresních algoritmů. Dále bylo statisticky prokázáno, že existuje rozdíl mezi kompresí fyziologických a patologických signálů. Patologické signály byly komprimovány s nižší efektivitou a kvalitou než signály fyziologické.
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