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Accelerometer-based quality estimation and segmentation of ECG signal and compression of high-quality segments
Opravilová, Kamila ; Smital, Lukáš (referee) ; Němcová, Andrea (advisor)
This diploma thesis is devoted to segmentation of ECG signal based on its quality and compression of quality segments suitable for diagnostics (in telemedicine). A completely new approach is to use accelerometer data to estimate ECG signal quality. This is possible thanks to the Bittium Faros mobile recorder. It records both the ECG signal motion – accelerometric data. A total of 34 features were extracted from accelerometric data. Using these features the predictive model was taught to classify the ECG signal into 3 quality groups according to the level of noise. Quality segments were compressed. The wavelet transform in combination with high-frequency bands zeroing and length encoding was used as a compression method.
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Application for heart rate estimation using smartphone
Šara, Kryštof ; Vítek, Martin (referee) ; Němcová, Andrea (advisor)
This student work deals with the issue of heart biosignals, their processing, the possibility of their acquisition using conventional and smart devices, and the regulation of mobile devices in healthcare. The work also includes the design of a mobile application, which can be used to a quick estimation of the human heart rate (HR). The optimized functional application algorithm was tested on a sample of independent subjects and a mean deviation of 0.74 beats per minute (BPM), relative to the ECG reference record, was reached.
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Modern technology in prehospital emergency care
BRŮŽKOVÁ, Nikola
This bachelor thesis deals with the topic of modern technologies in prehospital emergency care. The bachelor thesis is divided into theoretical and practical part. The theoretical part is focused on individual technologies, which are, according to available sources, considered modern. The set goal, which the bachelor thesis should fulfil, is to find out about applicability of modern technologies in prehospital emergency care. Two research questions were also established: which modern technologies are used in prehospital emergency care and what impact do modern technologies have on the providing of prehospital emergency care. To fulfil set goal, research study was conducted in a qualitative form via the semi-structured interview technique. These interviews were processed using open coding and after that, the analysed data were sorted into individual categories. The research sample consisted of paramedics of the South Bohemia region. The practical part of the bachelor thesis contains results of the research study, in which the answers to the previously mentioned research questions were found and in addition to that also the opinion on modern technologies in prehospital emergency care from the point of view of a paramedic. In the answers of the paramedics was found, among other things, that they all agree on the fact, that the app Záchranka benefits prehospital emergency care. On the contrary, a drone, as an unmanned aerial vehicle, does not have that much of a significance for the prehospital emergency care of the Czech Republic, actually exactly half of the respondents did not have any knowledge about this medium. It was also found, that, according to the respondents, modern technologies overall significantly influence prehospital emergency care, however the experience was not always a positive one. This bachelor thesis can be beneficial due to the processed information in the theoretical part and following results in the practical part.
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Distance form of speech therapy intervention in preschool children during the COVID-19 pandemic
KOREŠOVÁ, Eliška Gabriela
The objective of this bachelor thesis is to analyze a distance form of the speech therapy intervention by preschool age children during the COVID-19 pandemic, reveal the problems and benefits appeared during its use. The text is composed the theoretical and practical part. The theoretical part defines the field of speech therapy, the speech development, communication disorder in preschool child. This section also describes a telemedicine during the COVID-19 pandemic, a distance speech therapy intervention and a communication channels for its implementation. The practical part contains the results of research investigation. It consists of quantitative research, implemented using an online questionnaire and the qualitative research implemented using an interview with clinical speech therapist. During the pandemic, the therapist offered a distance speech therapy intervention using the videoconferencing.
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Weight Predictor
Kaiserová, Iveta ; Kádě, Ondřej (advisor) ; Šefc, Luděk (referee)
The incidence of obesity is rising worldwide, and one of the major challenges in its treatment is sufficient motivation to persist in the therapeutic process. The factors determining the success of a reduction attempt are also not entirely clear. Therefore, the aim of the "Weight Predictor" project is to develop software that predicts weight change over time in response to lifestyle interventions, and the aim of the thesis was to define the factors influencing weight reduction by testing two hypotheses: "Younger patients reduce their weight more easily than older patients." and "A cooperative patient reduces their weight more easily than a non-cooperative patient." The daily weight, diet, and steps of 29 patients were collected via mobile and web apps, and body composition was measured at regular nutritional consultations. The collected data were processed through exploratory and correlation analysis. Due to insufficient number of records, two patients were excluded from the analysis of daily records and three patients from the analysis of body composition. First hypothesis was not confirmed, while correlation analysis indicated a higher success rate in older patients, which can be explained by the positive correlation found between age and self-monitoring (r = 0.45, significant at p < 0.05). For...
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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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