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Physiotherapy for patients with LCA rupture during surgical and conservative therapy
PÍCHA, Radek
The bachelor thesis deals with the issue of an anterior cruciate ligament (ligamnetum cruciatum anterius ? LCA) trauma. The anterior cruciate ligament is an important stabilizer of the knee joint. During the LCA lesion serious biomechanical changes occur. The LCA trauma most frequently happens due to forced hyperextension or rotation of the knee joint. Nowadays this injury is quite frequent, in the sports medicine it occurs in the incidence of 1 / 1750 inhabitants. The therapy of the injured LCA has been very efficient recently mainly due to modern approaches both in the medicine and the following rehabilitation. The thesis contains the analysis of the anatomy and biomechanics of the knee joint, the next part describes LCA trauma mechanisms, methods of its examination and possibilities of the successive therapy. One part of the thesis is focused on the comparison of the conservative and the surgical therapy, there are described the circumstances under which it is decided which one of these therapies will be chosen. It is necessary to mention that the most important criterions for the proper therapy choice are the individual needs of the patient. The basic aim of the thesis is the comparison of the efficiency of therapeutic procedures for particular patients and the assembly of the short-term and the long-term treatment plans. The practical part of the thesis is processed by the qualitative research method. Three probands after the surgical therapy and two probands after the conservative therapy were examined. The observation and the therapy for surgically treated patients were carried out between the second and the sixth post-operative week, the examination for conservatively treated patients was carried out for six weeks. Patients were predominantly athletes in the age of 18 ? 24 years. They passed the initial and the final kineziologic examinations and the rehabilitation therapy; the treatment efficiency was rated by the Lysholm score. The initial Lysholm score for surgically treated patients varied between 32 and 34 points and after the therapy it increased to 48 ? 75 points. For conservatively treated patients the initial score varied between 73 and 76 points and the final score was 76 ? 81 points. There is one more important detail in the thesis ? the anthropometry results. The quadriceps femoris perimeter increase was around 1,5cm and the triceps surae perimeter increase was around 1cm. The final examination showed that the majority of the patients is missing minimally 1cm in the quadriceps femoris perimeter compared to the healthy leg. The similar indicator has been found also for the muscular strength testing. The examination was focused mainly on the knee joint extensors and flexors testing. All patients proved the increase of the muscular strength; surgically treated patients reached muscular strength maximally 4+. The short-time rehabilitation plan is initially based on the edema and pain elimination. Subsequent rehabilitation step is the training of the walking with the help of French canes and the knee joint motion range recovery and its stabilization. The aim of the long-term rehabilitation plan is the gradual return to social and sport activities. The basic factor of the long-term rehabilitation plan is good muscular training. In the conclusion it is important to mention that it is not possible to state which therapy (surgical or conservative) is more suitable or efficient, during the decision making process it is necessary to consider individual needs of a particular patient. The thesis may be utilized in the clinical practice of physiotherapists for the improvement of the care of the patient who is diagnosed with rpt. LCA.
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Changes of current partner cohabitation habits in family
Pešková, Lucie ; Lorenzová, Jitka (advisor) ; Vítečková, Michaela (referee)
Thesis on the theme Changes of current partner cohabitation habits in family is desk study. Its goal is to transdisciplinary map the current forms of life of couples, with emphasis on their educational potential. The work is divided into seven chapters, which are subdivided. The first chapter contains a brief introduction of the contemporaneousness with emphasis on its post-modern aspect. The second chapter follows the definition of family in the elementary context (basic stages of the family evolution after the Second World War, the definition of family, the family and the basic notions, characteristics of contemporary family, functions a nuclear family, the importance of family for the child). The third chapter is dealt with the education of the child en famille (educational styles, changes of the father role in child care) and child socialization. At the end of this chapter, the basic needs of the child are presented. The fourth chapter treats of the current alternatives of partner cohabitation and it is focused on the legislative aspect. Three chapters, which are dealing with the child education in an incomplete family, bringing up a child in homoparental family and child education in the supplemented family and by more obvious attributes such families, are included after fourth chapter.
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An Isolated Island : West Berlin under Willy Brandt (1961-1966). The City behind the Berlin Wall
Nigrin, Tomáš ; Pešek, Jiří (advisor) ; Křen, Jan (referee) ; Ledvinka, Václav (referee)
This thesis "An Isolated Island: West Berlin under Willy Brandt (1961- 1966). The city behind the Berlin Wall" concentrates on West Berlin between 1961 and 1966 and on the political initiatives of Willy Brandt as a Governing Mayor of the city. The city, which became immediately after World War II a central point of Cold War tensions between the East and the West, remained after the first Berlin Crisis the last gap in the Iron Curtain, where the two worlds - the East and the West - met face to face. After the construction of the Berlin wall the city experienced a shock, which it overcame very fast, and benefited from the subsequent changes thanks to extraordinary work of the Mayor Willy Brandt. His new political style and new communicative approach to politics transformed the situation in the city and led to rapid modernization and development. He was able to secure moral, political and above all financial support for the city for a long time period, which enabled to turn the city into a "showcase of democracy in the middle of the communist sea". Such a success in West Berlin elevated Willy Brandt into the highest political posts in Federal Republic of Germany.
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Identification of cadavers and skeleton findings
Maťašová, Mária ; Štourač, Petr (advisor) ; Musil, Jan (referee)
IDENTIFICATION Of CORPSES AND SKELETAL FINDINGS For a topic of my thesis I chose Identification of dead bodies and skeletal findings. This topic is one of issues which belong to criminal science. My work consists of eight chapters including the Introduction and Conclusion. In the beginning I described the basic terms of Forensic Science which relate to death as post-mortem changes, mummification and algor mortis. In the Chapter three I deal with a general procedure when a dead body occurs. In this part you can find the legal regulations of coroner's inquest, autopsy and search of premises. Next chapter is devoted to regulation of a medicine doctor's activity as an expert and following chapter describes exhumation procedure. Chapter six deals with identification process generally. Chapter seven describes particular methods of identification. The first method what I describe is forensic anthropology. This method use external features of a man for the identification process. These features are: sex, age, body height, DNA analysis or blood group. Then I define method of superprojection which use the skulk and photography of dead persons. With the technical progress this method use nowadays equipment of modern technique as special scanner or digital pictures. After that I define method of portrait...
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Nursing care as provided to ante finem patients
JANSOVÁ, Markéta
The subject of death and dying is still considered a taboo in our society. It is awkward and anachronistic since our times require people full of life and vigor. The terminally ill are often snubbed by the society. Though being well aware of the unfavorable prognosis, many a doctor tries to treat the patients to the very last moment, and he or she perceives the death as a personal defeat. In 1967 Cicely Saunders, an English doctor familiar with the dismal conditions of dying in the then society, founded in London the St. Christopher's Hospice, the first modern facility of this kind. The philosophy of this effort has been perpetuated in the Hospice of the Agnes of Bohemia established in 1995 as the first hospice in the Czech Republic. The Bachelor Paper aimed to assess the possibilities of providing the ante finem care by health-care personnel at a hospital and a hospice. The Paper investigated these hypotheses: H1 - Health-care workers provide the ante finem patients with health care in conformity to the standards applicable to both types of the facilities; H2 - Approach of the personnel to the care is dependent on their emotional stability; H3 - Health-care personnel in hospitals are not aware that the art of accompanying is a part of the nursing process. The surveyed sample was compiled of nurses on the staff of the Internal Medicine Ward and the Post-Treatment Ward of hospitals in České Budějovice, Jihlava and Třebíč and the hospices in Prachatice, Červený Kostelec and Brno. The data were gathered through a questionnaire. Altogether 170 questionnaires were distributed and 136 out of them were processed in the final assessment. As follows from the assessment results, the care provided to the terminally ill patients in hospitals is affected primarily by time pressures and by the fact that the nursing staff are not fully aware of the possibilities that palliative care offers, while in hospices the conditions available for the palliative care have a quality basis. Results of the Paper will be given to one of the hospitals and two hospices specified above, where they can inspire some new ideas about possible improvement in providing the palliative care.
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Social-pedagogy Approaches in the Issue-based Youth Work Centres Dealing with the Unattached Youth
SVOBODA, Michal
The presented work deals with social-pedagogy approaches in the issue-based youth work centres. The first part attends to the analysis of the idea {\clqq}unattached youth``. It takes aspect of the lifestyle sociology, the social education and the developmental psychology. The viewed group of the unattached youth is presented as a group of the adolescents; they have problems with the coping strategies in the post-modern society. The second part of the work takes their problems as a starting-point for the next reflec-tion. It determines criteria of the effective youth work dealing with the unattached youth. Finally the third applied part evaluates the four current types of the issue-based youth work: the German open youth work (Offene Kinder- und Jugendarbeit), the British youth work, the Czech issue-based youth work centres and the Czech open youth centres. The evaluation is focused on the criteria of the effective youth work dealing with the unat-tached youth; we derived in the second part. Overall the main aim of this work is to point out the effective issue-based youth work has to take into account the social and developmental needs of the target group.
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Role of media in international politics and conflicts
Bartošová, Simona ; Lustigová, Martina (advisor) ; Balcerová, Zdeňka (referee)
Bachelor thesis "Role of the media in international politics and conflicts" pursues position and influence of media in either international and common politics, impact of political events on the media themselves and mutual interaction of media and politics. Further follows war conflicts and their processing and submission throughout different types of media. The thesis also addresses influence of media on development in war areas, and within the study specializes on concrete territories in which so far gained theoretic knowledge is utilized to comprehend the particular situation, application of the knowledge on the particular conflict including obtaining new theoretical skills through critical evaluation of praxis in the problem area. The thesis addresses media phenomenon as itself, basic history of each kind of media, outlines common dilemma of relation politics - society, political communication and marketing role of the media (impact on voters through medial campaign or propaganda). The basic question of the thesis is how strong is medial impact within political events including armed conflicts, and whether modem (even post-modern) vision of media as a world superpower really complies with empirical praxis of present time.
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Culturological reflexion of architectonic evolution of Paris
Kozel, Petr ; Czumalo, Vladimír (advisor) ; Ortová, Jitka (referee)
V soucasnosti vice nez polovina lidf poprve v historii lidstva zije v urbanizovanem prostredf. Soucasny Clovek modernou osvobozeny ze vsech vazeb tradicnf spolecnosti se tez znatelne odpoutal ze sveho prostredf tfm, ze mu prestal rozumet. Architektonicky ztvarneny prostor, jakozto majoritnf zastupce soucasneho lidskeho zivotnfho prostredf prestal s Clovekem srozumitelne komunikovat. Lze ovsem toto tvrzenf postavit i opacne, Clovek v soucasnosti zahlceny informacemi prestal vyvfjet snahu 0 zfskavanf informad podstatnych, mezi ktere bezesporu pochopenf okolnfho sveta a starost 0 nej nalezl. Architektura a jejf esteticky a ontologicky vliv zaCfna opravdu u jednotlivce doma tfm, jak a v cem bydlf, a pokracuje do vsech sfer lidskeho zivota. Na zaklade pochopenf sve zivotnf niky muze Clovek pochopit svet. Na predchazejfdch strankach se objevily dYe roviny lidskeho prostredf: spolecny, verejny prostor na prfkladu prostoru Les Halles a jednotlivou budovu, obytny dum Bois-Le-Pretre. Jsou to prfklady prfstupu, ktere se snazf 0 zlepsenf podmfnek lidske existence tfm, ze chapou lidskou bytost jako komplexnf jev a ne pouze parciatne jako uzivatele, chodce, zakaznfka ad. Parfz jako modelove post-industrialnf velkomesto, toto hlavnf mesto 19. stoletf receno s Walterem Benjaminem, se ve svem vyvoji potykala s mnozstvfm...
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"Stay elsewhere" or international mobility percieved by experienced actors
Voldánová, Iva ; Šmídová, Olga (advisor) ; Vodáková, Alena (referee)
The aim of the thesis was to identify how the actors (young Europeans) perceive travelling, more specifically staying abroad organised/establish by an institution, and what are attributes assigned. Therefore, an analysis of these actors' responses is applied. For the first, influences and aspects of the actors' departure abroad viewed by themselves as significant were focused on. The assumptions is that their experience is caused by their capacity / tendency to leave, which is based on their biographic preconditions, especially by the family and by "similar reference groups". Other factors affecting are privileged European origin, language and institutions. Later, specifics of staying elsewhere, which affects the life trajectories of the actors were dealt with. The actors assess travelling, its main sense and the value of their active approach that enables that. The analytical part concludes that this way of acting is in compliance with searching for themselves related to typical absence of identity at the post-modern period. The motivation for travelling is travelling itself; the motivation is becoming. Based on the above findings and analysis, the main traces of the a "staying abroad concept" have been stressed out. In this point of view the staying abroad should be perceived as a certain form of...
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