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Case study of physiotherapeutic care of patient after lumbal disc diseasses with radiculopathy L5/S1
Šádek, Petr ; Vrbová, Martina (advisor) ; Dušánek, Tomáš (referee)
Title: Case study of physiotherapeutic care of patient after lumbal disc diseases with radiculopathy L5/S1 Objectives: The objective of theoretical part is to summarize informations acquired by literature search to form an adequate knowledge for manual approach to the problematics. Goal of the special part is creating a case study describing possible rehabilitation care of patient after surgery because of lumbal disease with radiculopathy and afterwards evaluating the effect of chosen therapeutical approaches, which are described in theoretical part. Method: Bachelor thesis was made during a month-long work experience in FN Královské Vinohrady in Prague, where the patient had spent three weeks, from 27.1. to 15.2., which was the 25th to 44th day after the surgery. Within her stay, she had one and a half hour therapy with physiotherapist per day and free acces to the local gym for her autotherapy, where she spent approximately one hour per day. Detailed report of every therapeutic unit is described in the special part, along with effect evaluation of the chosen physiotherapeutic methods. Key words: lumbal diseases, vertebral column, radiculopathy, physiotherapy
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Clinical examination in idiopathic scoliosis
Fišerová, Eva ; Šafářová, Marcela (advisor) ; Ježková, Martina (referee)
The bachelor thesis "Clinical investigation of idiopathic scoliosis" informs about anatomy, kinesielogy and development of curvatures of the spine. Scoliosis is characterized as a three - dimensional deformity. The cause of idiopathic scoliosis is unknown. The thesis deals with two theories: the origin of scoliosis in a motor ontogenesis and biomechanical theory according to Karski. The main part treats of early signs of scoliosis, the benchmark examination, which can detect a deformity and clinical investigation of patients with diagnosis idiopathic scoliosis. The thesis informs in brief about prognosis and therapy. The thesis contain confrontation of clinical investigation of seven patients with idiopathic scoliosis and one case report. Powered by TCPDF (www.tcpdf.org)
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Influence of Trigger Point in Acromial Part of Deltoid Muscle on Lateral Humeral Epicondyalgia
Cibulková, Iva ; Vařeková, Jitka (advisor) ; Kyralová, Marie (referee)
Influence of Trigger Point in Acromial Part of Deltoid Muscle on Lateral Humeral Epicondyalgia Objective: The theoretical part brings the anatomical and kinesiological description of humeral joint including the muscles of humeral girdle. It also describes the humeral-scapular rhythm and dynamic stabilization of scapula, i.e. the basic kinematical girdles of the upper arm. The practical part focuses on the occurrence of trigger point (TrP) in the acromial part of the deltoid. Consequently, an examination and evaluation of pain in the area of radial epicondyle was performed both before and after removing TrP by physiotherapy - combined therapy. Method: The experiment was carried out within a group of patients. Patients suffering from radial epicondyalgia were examined by means of combined therapy on Phyaction device and later TrP was removed from the acromial part of the deltoid. The pain was evaluated on a visual analogue scale. The results thus received were processed and used at the conclusion of the work. Results: The presence of TrP in acromial part of the deltoid was confirmed in cases where pain in the area of humeral radial epicondyle had been reported. It was partly confirmed that the intensity of the pain had been significantly lowered in the area of radial epicondyle after removing TrP from...
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Data standard of the Ministry of Health of the Czech Republic
Homola, Rudolf ; Dvořák, Miroslav (referee) ; Fedra, Petr (advisor)
This work attempts at exploring the data standard of the Ministry of Health of the Czech Republic and the possibility of access to NIS Clinicom. The chronology of changes in the block structure and data description has been described. The web acces to NIS Clinicom has been designed and put into effect by means of CSP which can be used to generate data messages concerning patients with a selected infectious diagnosis corresponding with the compulsory report to the National Medical Information System.
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Administrative building of South Moravian Gasworks
Žwaková, Vendula ; Melcher, Jindřich (referee) ; Karmazínová, Marcela (advisor)
The subject of this Master’s thesis was recalculation and design two variants of existing supporting steel structure storey administrative building which is located in the complex of Jihomoravská plynárenská a.s. in the city center of Brno. Dimensions and disposition based on the specifications of the Master‘s thesis. The total height of the structure is 29.46 m and circular platform has a diameter of 16.088 m. The supporting structure of an existing building consists of circumferential lattice structure. The main supporting elements of both variants are columns. Option A has 8 columns. Option B has 16 columns. These two variants were preliminarily designed and statically evaluated. After that was made a comparison of variants, and one was selected for more detailed processing (Option A). This included the calculation of anchorage, draft of mounting joints, technical report and drawing documentation.
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Finanční analýza ŠKODA AUTO a.s.
Malyavskaya, Yulia ; Holečková, Jaroslava (advisor) ; Staňková, Anna (referee)
Hereby presented diploma thesis "Financial analysis of ŠKODA AUTO a.s." introduces the financial performance of the joint-stock company ŠKODA AUTO and attempts to provide with comprehensive in-depth analysis and to determine financial situation over the period from 2009 to 2013. The work comprises two main parts- theoretical and practical. The first part discusses theoretical issues related to financial analysis and establishes framework for further implementation of methodology. It involves purpose and objectives of financial analysis, resources employed to conduct research and methods and techniques, namely, horizontal and vertical analysis, financial ratios and models for financial health assessment. The second part describes company profile, industry analysis and particularly focuses on implementation of financial analysis of ŠKODA AUTO. This research is processed on the basis of financial data derived from the annual reports of the firm, which are available for public. In order to evaluate the company's performance and demonstrate its development various approaches are applied. Specifically, I will implement trend and vertical analysis of the balance sheet and the income statement, analyze the cash-flow statement and compute the following financial ratios: liquidity, profitability, activity, debt and solvency indicators. In addition, DuPont decomposition of return on equity (ROE) will be presented. Furthermore, analysis of financial health and credibility of the firm represented by the Beaver Test, Kralicek Quick Test and the Altman-score model will scrutinize the company's stability, profitability and creditworthiness as well as assess the threat of bankruptcy. In the conclusion all results of conducted financial analysis are summarized and evaluated.
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Delivery and the Pelvic Floor
Kališ, Vladimír ; Rokyta, Zdeněk (advisor) ; Martan, Alois (referee) ; Roztočil, Aleš (referee)
Vaginal Birth in Primiparas and Anal Incontinence Objective: An investigation of incidence and degree of anal incontinence after vaginal delivery among primiparas and characterizing of the risk factors Design: Prospective observational study Setting: Department of Gynaecology and Obstetrics, Charles University and Faculty Hospital Pilsen, the Czech Republic Methods: 346 primiparas after consecutive vaginal delivery between 2000 and 2001 were included. All delivered in lithotomy position. Questionnaires were sent few days after delivery and then 2 and 6-9 months later. Analysis of returned questionnaires. 28 obstetric parameteres assessed. Results: 46.5% women responded. 23 women registered leakage of flatus before delivery. Two months postpartum 1 (0.6%) patient reported fecal incontinence and 22 (14.3%) flatus incontinence de novo or impaired already present incontinence. 6-9 months after delivery the same patient (0.6%) reported fecal incontinence and 16 women (10.4%) incontinence of flatus. 10 of them felt impaired quality of life. Anal incontinence gradually improved during the time (in 76%). Risk factors of developing (worsening) of anal incontinence were antenatal anal incontinence (in two months period) and women weight (or BMI) meassured at 6-9 months after birth. None of nine patients after forceps...
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Influence Selecting the Type of the Bridge Structure at km 332,420 of Railway Dětmarovice-Český Těšín by the Effects of Undermining
Chaloupka, Martin ; Puchner,, Josef (referee) ; Kmošek, David (advisor)
The aim of the master’s thesis was t odevelop alternative solutions supporting steel structure of the railway bridge on the undermined area. The range of single fields were chosen based on the location of existing substructures. Reducing the width of bridge openings were not allowed. Based on the geodetic survey plans were drawn up clear of the current state. On the basis of specifications for developing a detailed process was chosen variant Gerber’s beam reinforced with an arch in mean field. For this variant was performed structural analysis of the main parts of the main structure of the bridge, which was calculated with the effects of undermining. For variant Gerber’s beam were made clear drawings and drawing details of the selected steel bridge construction (new state). Further, detailed analysis of selected structural detail was made. Specifically, connecting rod to the main beam, which was designed optimal shape and thickness of the joints plate with a suitable radius of the firing to avoid plastification of the material in this area. Variant of the continuous beam without joints was prepared to. It has been observed, what is the effect of undermining on the stress in the construction of the bridge - was confronted with the effects on Gerber’s beam. To reduce stress in the construction of the bridge and compliance of ultimate state of applicability of the main beam has been designed bearing adjustment and after considering several options its implementation too. The economic comparison between the two variants was conducted. The assembling procedure was designed for both types of bridge structures. In the technical report we can read about due to the intention of building a new bridge and further we can find there other important technical information. In conclusion of the master’s thesis there has been recommended for the construction specific variant – from the perspective of an investor, and from the static aspect-view of the designer.
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Pig (Sus scrofa domestica) as a laboratory animal and its use in experiments
Šlajerová, Markéta ; Masopustová, Renata (advisor) ; Jan, Jan (referee)
The thesis on the topic of the use of laboratory swine in biomedical research is focused on the detailed description of phylogeny and domestication of the species Sus scrofa and the origin of its domesticated form Sus scrofa domestica, a laboratory breeding, nutrition, requirements for space and the animal health conditions. Physiological and anatomical similarities pig with the human organism offers a wide range of the applications in various sectors of the medical research. Pigs, or rather the mini pig breeds are part of the preclinical testing of drugs in toxicology. In dermatology tend to be an experimental model in the healing wounds and burns, or the study of melanoma. Cardiovascular system of pigs is used in connection with the formation of atherosclerosis and congenital heart defects. The omnivorousness of pigs to test of dietary supplements; is also monitored in experimental diabetes, gastric ulcer or cirrhosis of the liver. Just the liver and their ability to regenerate them is in the laboratory pigs the focus of many research groups around the world. The central nervous system offers the opportunity to study stroke, or spinal cord injury. In transgenic animals is studied Huntington's disease and its treatment in humans. Titanium implants and various types of biomaterials are injected into the skeletal system of a pig, then reactions and bone healing are examined. In the area of experimental xenotransplantation could in the future be strains of genetically modified pigs become a source of organs for humans. While unresolved problem is the HAR-Hyperacute Rejection so rejection of the implant, and the risk of transmission of certain diseases from pigs to humans. Payoff experimental pigs is of undoubted importance and need this potential wisely and purposefully use, without wasting experimental animals and unnecessary pain. Emphasis should be placed on adherence to regulatory compliance and the concept of 3R.
Actual laboratory pigs breeding is at a high standard. Unfortunately, his major weakness on global scale is incomplete reported data related to exact values used pigs in experiments.
In the Czech Republic was the most laboratory pigs used in 1994 exactly 6882 pieces, in 1998 has been used 7122 pieces, higher number of laboratory swine was also reported for the year 2009, namely 4445 pieces. In recent years, the numbers of used laboratory pigs in the Czech Republic have settled around an average value of 2,400 pieces. Using the Mann-Whitney U test were compared to the values used in the laboratory pigs Czech Republic and the European Union, on a per capita basis. From the resulting value of p = 0.486, bigger than alpha = 0.05 it follows, that was not proved a difference in the use of experimental pigs between the Czech Republic and the other member states of the European Union. On the basis of the carried out statistical survey, it can be concluded that the fluctuations and trends in the use of laboratory pigs in the Czech Republic do not replicate those european. The established hypothesis was confirmed.
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Effect of the animal assisted activity and therapy on the children with autism
Šámalová, Magdaléna ; Chaloupková, Helena (advisor) ; Machová, Kristýna (referee)
This bachelor thesis provides a comprehensive overview of the impact of Animal assisted activity and therapy on the children with autism (especially to the quality of their lives). All the information included in this thesis are obtained from the latest sources.
Animal assisted activity and therapy is a therapeutic approach based on the interaction between human and animal. Even though the nomenclature in the field of animal assisted activity and therapy is not yet fully solved, many studies indicate that this approach has a positive impact on patients with psychic, psychosomatic and somatic disorders. Animal assisted activity and therapy finds its applications in many fields, for example in psychology, psychiatry, social pedagogy and so on.
Children with Autism Spectrum Disorder may be positively affected by animal assisted activity and therapy. Studies show that improvement of the quality of some aspects of their lives can be achieved by contact with dogs, horses, guinea-pigs and some other animals. Because positive impact has been reported for many different kinds of animals, animal assisted activity and therapy has become popular supportive therapeutic technique ant its popularity is still increasing. The therapy is focused mainly on social behavior and communication abilities.
Even though we still do not have sufficient experience with this approach and also have to deal with many problems such as insufficient number of patients with the same diagnose or biased measurements, the results are optimistic and the number of studies dealing with this approach is increasing.
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