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The Awareness of South Bohemian Public about Cardiopulmonary Resuscitation
Mikšíčková, Věra ; Vrábelová, Petra (advisor) ; Maffei Svobodová, Ludmila (referee)
INTRODUCTION: One of the most frequent causes of sudden death in Europe is a sudden cardiac arrest. First above all providing urgent cardio-pulmonary resuscitation (CPR) is necessary for rescue of life. One of preconditions of successful resuscitation is its early start and knowledge of basic techniques. The level of knowledge of urgent resuscitation techniques, its proper performance, skillfulness and willingness of non-professional rescuers can decide about next life of people affected by sudden cardiac arrest. Every minute that the resuscitation is not performed a chance of survival of people affected with sudden cardiac arrest decreases by 10 - 12%. GOALS AND METHODOLOGY: The main research problem was an evaluation of the level of knowledge of techniques of cardio-pulmonary resuscitation with public in South Bohemia. The next goal was to map the interest of the public in South Bohemia in education in CPR. For working out of the empirical part the method of quantitative research was chosen in the form of a questionnaire which I made. The questionnaire contained 35 questions. The research sample was made of nonselected public in South Bohemia and the choice of informants was random. The collection of data was performed by direct questioning of passers-by in streets, shopping centres, in towns and...
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Sudden Infant Death Syndrome
DOLEJŠÍ, Andrea
This bachelor thesis is dedicated to a sudden infant death syndrome (SIDS). A theoretical part of the thesis describes the history and the latest findings about SIDS, its causes and risk factors. It also summarizes midwifery education within the prevention of SIDS and cardiopulmonary resuscitation of infants. A research part of the bachelor thesis deals with the awareness of SIDS and resuscitation of newborns and infants among women. Two research goals were set in advance. The first aim of the bachelor thesis was to determine a level of SIDS knowledge of pregnant women and mothers of children up to 1 year of age. The second objective was to determine a level of knowledge of pregnant women and mothers of children up to the age of 1 on basic resuscitation of newborns and infants. At the same time, two hypotheses were established. Hypothesis 1: There are differences in SIDS awareness among primiparas and secundiparas women. Hypothesis 2: There are differences in awareness of newborn and infant resuscitation between primiparas and secondiparas. The research was conducted through a social network, using a survey of 170 pregnant women and mothers of children under the age of 1 year. In order to achieve the set goals and verify the hypotheses, a quantitative method was chosen. Anonymous questionnaire survey was conducted in order to collect data. Results of the research are graphically processed and supplemented with a verbal commentary. Verification of hypotheses was performed using a chi-squared statistical test. By analyzing the data obtained, the hypotheses were confirmed by the statistical chi-squared test. Null hypotheses were tested against alternative hypotheses at 5% significance. The chi-squared value of the test was compared with the signifikance level. For hypothesis 1, the chi-squared test was determined 0.6%, and for hypothesis 2 the result was 1%. The results show that primiparas are more informed about SIDS and problems of newborn/infant resuscitation than secondiparas. Sufficient awareness of SIDS was found within 34% of the primiparas and 30% of the secondiparas. Sufficient awareness of newborn/infant resuscitation was demonstrated by 23% of the primiparas and 12% of the secondiparas. This bachelor thesis may serve as an information material for students of health care field and midwifery, or as a presentation at a specialized seminar.
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Resuscitation of the patient with LUCAS II
CHRT, Michal
The thesis deals with a mechanical resuscitation system LUCAS II. The LUCAS system is one of the most frequently used devices for a mechanical cardiac massage. The thesis introduces readers to the most current knowledge about its effectivity and safety. The opening chapters are dedicated to sudden cardiac arrest and cardiopulmonary resuscitation. The following chapter are introducing the reader to the use of the LUCAS system during urgent resuscitation. They are describing its application in specific cases, which could be transport or resuscitation in catheterization laboratory. The thesis is formed theoretically. The main sources are formed by clinical studies and other professional articles. The main goal of the thesis is to summarize existing knowledge about mechanized cardiac massage with the LUCAS II device while giving cardiopulmonary resuscitation. The use of LUCAS system doesn't show improvement in the survival rate of patients in comparison with manual heart massage. Its main benefit is applied in complicated situations, when it is not possible to carry out manual chest compression. During transport and in cath lab the LUCAS system seems like an effective tool, which can raise the chance of cardiac arrest survival. The thesis provides up-to-date summary of given problematics and can serve as a study material for medical study programs.
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Knowledge od secondary school pupils in the field of first aid in a selected locality of the South Bohemian region
PETROVIČ, Pavel
This diploma thesis was compiled on the topic of first aid. First aid is always actual problem, which needs attention. It is suitable to start with the first aid education at a very young age and throughout the years add more difficult situations first aid in CBRNE substance attack, first aid in extraordinary situations (floods, car accidents with a big number of injured). The aim of the thesis was to find out the knowledge of the pupils in secondary schools about providing the first aid, and subsequent comparation of the results between secondary medical school and other, nonmedical schools. The knowledge of the first aid was found out by means of questionnaires. In this statistical research were involved 400 pupils form 5 secondary schools in the South Bohemian region, including one secondary medical school. The questionnaires were evaluated and processed. To verify the hypotheses, x2 test of a good match was used (to verify the normality) and a t-test was used as well, to verify zero and alternative hypotheses. The pupils of secondary medical school reached in questioning research better results than pupils of nonmedical schools. Therefore it was possible to accept set hypotheses. The secondary schools, which took part in the statistical research, were provided with a feedback. This diploma thesis could serve as a study material, eventually also as a motive for other qualification theses. According to my opinion, a thesis about knowledge of pedagogues about providing the first aid would be beneficial.
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Effect of N-acetylcysteine and therapeutic hypothermia on ischemia-reperfusion injury after experimental cardiac arrest
Pinterová, Nikola ; Škulec, Roman (advisor) ; Kučera, Karel (referee)
Therapeutic hypothermia (TH) is the only clinically used intervention that suppresses nearly all manifestations of ischemia-reperfusion injury after cardiac arrest. Experimental models has proven that exogenous antioxidants have positive impact on ischemia-reperfusion injury and it is able to prevent it as well. Results in this thesis are based on application of high dosages of N-acetylcystein (NAC) on ischemia-reperfusion injury after experimental cardiac arrest in a porcine model. It was used as a form of monoteraphy or in combination with TH. During the experiment animals were randomized into 5 groups: administration of NAC and TH (group A), administration of NAC during cardiac arrest (group B), induction of TH (group C), without any intervention (group D) and administration of NAC after return of spontaneous circulation (group E). We were not able to confirm additive effect of NAC in combination with TH. Administration of NAC during cardiac arrest led to statistically important reduction of oxidative stress but in the same time anafylactic reaction led to higher mortality in group B and changes in hemodynamical parameters in group E. Key words: Therapeutic hypothermia, cardiac arrest, N-acetylcysteine, ischemia-reperfusion injury, cardiopulmonary resuscitation, oxidative stress, oxygen radicals
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Knowledge of procedures and skills in cardiopulmonary resuscitation on nurses working in the field of anesthesia and intensive medicine
Kšírová, Magdalena ; Toniková, Silvie (advisor) ; Novák, František (referee)
This thesis deals with the knowledge of processes and practical skills of cardiopulmonary resuscitation among nurses working in the field of anesthesia and intensive medicine. The theoretical part of this paper defines the notion of cardiopulmonary resuscitation, deals with its history, changing definitions, and the latest recommendations. It also describes and specifies terms such as competence, knowledge of the processes and the role of the nurse in the system. The empirical part, using a questionnaire survey, assesses orientation of nurses and nurses specialists in the latest recommendations in cardiopulmonary resuscitation and the related knowledge and competences in the use of resuscitation itself. The questionnaire survey was answered by 152 respondents from 3 large hospitals in Prague. There were also the results of its investigation, compared with the results of research conducted by Václav Kukol in 2010 - 2011 as part of their thesis. In the final discussion paper evaluates the confirmation of the hypotheses. Then attach the recommendations for practice.
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Nursing Process for a Patient with Post-resuscitation Therapeutic Hypothermia after Acute Myocardial Infarction
Viktora, Jan ; Vytejčková, Renata (advisor) ; Petrák, Ondřej (referee)
The bachelor's thesis deals with acute cardiology, namely with casuistry of a patient after acute myocardial infarction with successful cardiopulmonary resuscitation in the field, artificial pulmonary ventilation and therapeutic hypothermia. The thesis wants to present the highly specialised and demanding nursing care of resuscitated patients from the nurse's point of view with the use of the most modern procedures and technology. The theoretical part of the thesis is divided to several chapters describing anatomy and physiology of the cardiac muscle, acute myocardial infarction, cardiopulmonary resuscitation and therapeutic hypothermia. The main focus of this part of the thesis is on the diagnosis of the acute coronary syndrom itself. The theoretical part describes in more detail therapeutic hypothermia and nursing care of patients after cardiopulmonary resuscitation. Very important chapter is also introduction of a patient on whom is concentrated the nursing care in the practical part of the thesis, and presentation of his hospitalization. The practical part deals with creating, planning and implementation of the nursing care by means of biomedical model and nursing process. The practical and theoretical part alike is divided to several chapters. The main one is focused on nursing anamnesis with...
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Assessment during the course and effects of cardiopulmonary resuscitation
Matušinová, Monika ; Vachková, Eva (advisor) ; Kupečková, Ivana (referee)
The objective of this bachelor thesis is the assesment during the course and the effect of cardiopulmonary resuscitation in Hospital Kolin, a.s. The theoretical part contains chapters describing cardiopulmonary resuscitation according to the current recommendations, adult education, competencies of the general nurse and lifetime education in the organization in general. The empiric part is focused on the didactic evaluation of the course as well as participants' evaluation, evaluation of skills and knowledge of the participants as the effectiveness indicator. Lastly, in the final part there are suggestions for changes which could optimize the course. The target group was the participants of the CPR course - doctors and general nurses of Hospital Kolin, a.s.
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Knowledge of the younger schoolchildren about life emergency staets
Procházková, Jana ; Eislerová, Iva (advisor) ; Burišková, Klára (referee)
The bachelor's thesis concerns the research of the knowledge of the younger school children about life-saving situations. A group of fourteen children visiting the second school class in the Prague West district was used as a sample. The goal of my thesis was to gain a picture about the knowledge of the eight years old children about urgent first aid as well as to give the children a quide how to act in the unfamiliar crisis situations. The thesis is divided into two parts. Theoretical part is divided into separate chapters. The beginning is devoted to an introduction into the topic of the urgent first aid, to present the components and function of the integrated rescue system and there are as well some statistics mentioned here. The second chapter deals with general procedures recomended when providing first aid. In the last chapter I describe particular selcted life-threatening situations and methods of first aid provision. In the empirical part the methodology and organization of the research is decribed. I have used a qualitative focus group method in connection with practical training of some urgent first aid techniques. Also the percentage and graphical evaluation of the research outcomes and goals is enclosed here. This part of the thesis is wrapped up by a discussion. Key words: life...
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