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Restaurants in Prague suitable for people who suffer from celiac disease
Kuncířová, Sabina ; Abrhám, Josef (advisor) ; Musílková, Hana (referee)
The main aim of this thesis is to analyse restaurants in Prague which offer special dishes for people who suffer from celiac disease. Theoretical part consists of definition and history of celiac disease, symptoms of celiac disease etc. One of the aims of the practical part is to create a free city map with marked restaurants suitable for people who suffer from celiac disease. The author conducted a survey among tourists whether they would appreciate this kind of map.
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Diet for children with the celiac disease
JUROSZOVÁ, Michaela
Entitled the "Diet for Children with the Celiac Disease", this Bachelor paper aims to map the quality and quantity aspects of a two-week menu served to children suffering the condition. Thus monitored was primarily the intake of energy, proteins, fats and saccharides, and assessed was also the intake of gluten. The theoretical section explains the term of "gluten" and, describing the relevant symptoms, diagnostics, possible complications and prevention practices, it characterizes the disease, including its different forms. Subsequent chapters of the section treat the subject of gluten-free diet and enlist gluten-free and very-low-gluten-containing foods as opposed to those impermissible. Moreover, the section depicts the situation with food additives and controversial foodstuffs. The practical section of the paper relied on the method of qualitative research. The population being researched consisted of 7 respondents who were asked to record in a special sheet all foods they ate within 14 days. The results were processed using the Nutriservis Professional program and then compared with the recommended daily intake of energy, proteins, fats and saccharides. Attention was also paid to the composition of respondents' diet and the types of foodstuffs that they preferred. Each respondent had his or her overall daily intake of gluten evaluated according to the Database of Gluten-Free Products. The data thus collected have been supplemented with those obtained from a questionnaire filled out by the parents. The questionnaire inquired about the school lunchroom meals and the availability of gluten-free foodstuffs on the market. The research results were tabled together with the intakes of individual nutrients recommended to each respondent. As follows from the results, most children are fed twice the recommended energy intake - only two had the energy intake slightly lower than recommended. Five respondents were found to have also the intake of saccharides two times above what is recommended. Conversely, the intake of fats was observed reduced, in some cases to as much as 50% of the recommended figures. As regards the value of gluten intake recommended as maximum, most of the children have not reached one half of the figure. Concerning the gluten-free products available in stores, all parents perceived the situation as good, but quoted as an unpleasant fact the prevailing unavailability of gluten-free meals at public catering facilities. Only two respondents took their meals regularly and one occasionally at such facilities.
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Gluten Free Food Market Segmentation
Gruberová, Anna ; Koudelka, Jan (advisor) ; Černá, Jitka (referee)
This thesis contains information about gluten free food market. It describes all main actors and also different types of business which can sell or manufacture gluten free food. Great emphasis is placed on understanding needs of "gluten free" customers identifying behavior which differentiate them inside this segment and also between regular customers. It also discovers opportunities and challenges on this market. Based on collected information it predicts possible future development.
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Primary, Secondary and Tertiary Prevention in Children with Coeliac Disease.
PAPOUŠKOVÁ, Helena
Celiac disease is a lifelong disorder characterised by permanent intolerance to gluten and typical inflammatory changes in the small intestine. These changes lead to malabsorption of all nutrients, minerals, vitamins and water. The first attack of this disorder mostly occurs in childhood because the small intestine is greatly stressed by other nutrition supply. The only effective treatment is a lifelong gluten-free diet. This thesis, called Primary, secondary and tertiary prevention in children with celiac disease, consists of two parts; a theory part for which both professional publications and internet have been used and an empirical part, that comprises research itself with its results. The research target of this thesis was the sector of celiac disease occurring in children. Within the research, there were determined four objectives. The first objective was about to find out how primary, secondary and tertiary prevention is provided to children with celiac disease in GP ambulances for children and teenagers. Another task was to trace what profits the regime education brings to parents of children having celiac disease. We also dealt with the impact of the disease on the life of the child, his/her family and surrounding society. Then we investigated whether respondents take the help from outside, state support, institutions and in-kind assistance. In the empirical part of the thesis we used a method of qualitative research. For this research we chose a method of questionings through individual semi-structured interviews with two groups of respondents. The first group was made of nine nurses working in GP ambulances for children and teenagers having celiac disease. The second group was formed by nine children with celiac disease and their parents. The outcome of the research indicates that for quality health care supply it is important to obtain family anamnesis, carry out regular physicals in stated intervals within growth measurement monitoring and breastfeeding education and add other nutrition to diet. Monitoring suspicious symptoms, such as failure to thrive, inexplicable weight loss, growth retardation, abdominal pain, recurrent diarrhoea, digestive discomfort, dermatitis, stomatitis, anaemia, can soon detect celiac disorder. The secondary prevention is expressed by the work of nurses, such as biological material analysis, education, advice, help and support. Great urgency is given to risk factor monitoring, such as diabetes mellitus, Down syndrome, thyroid disorder, or genetic predispositions. The tertiary prevention is focused on the adaptation support of the child and his/her family to this chronic disorder, normal growth, and whole constitution examining and complication prevention. The outcomes indicate that the biggest problem of celiac people is financial burden of gluten-free food and also frequent limits in out-of- home eating. The financial burden of the diet influences, for example, vacation planning. It is necessary for the society to respect their disease, for example, canteens and teachers should have knowledge of the diet restrictions and provide suitable feeding. Furthermore, our findings show that only few families use financial support, because they are afraid of negative allowance examination because of their comfortable income. They mainly use allowance from Health Insurance Companies. On the grounds of the acquired information has been created an informative handout for the parents of the children with the celiac disease. The results of our research will be provided to the nurses who work in general practitioner ambulances.
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Coeliac disease and its impact in the life of a child at younger school-age.
MIKEŠOVÁ, Annemarie
Celiac sprue or celiac disease leads to a lifelong adherence to the diet, i.e. to a total exclusion of gluten from the diet. In celiac disease antibodies are released, that act autoimmune and affect the inherent small intestinal tissue, while the detachment of antibodies is caused by the presence of gluten in food. In pathological process the disorder of the morphology of small intestinal walls occurs, causing the reduction of intestinal villus height, which are physiologically present on every intestinal mucosa. In a critical state the subtotal or total atrophy of intestinal villi rises means their partial or complete disappearance. This damage of mucosa results in chronic inflammatory processes, which cause malabsorption.Celiac sprue is a chronic, autoimmune disease developing either on genetic background or due to the immune response.The basic and only treatment consist in longlife exclusion of gluten from the diet., i.e. the suppression of toxic protein occurring in cereal grain. Celiac sprue belongs to the incurable diseases and preventing the complications, which may occur in relation to a bad regime, is a matter of course. Nowadays the importance is attached to prevention, which is divided into three basic levels: primary, secondary and tertiary. The primary prevention is crucial, it is when the incidence of the disease is sought out. The time, when the gluten gets into the child´s body for the first time, has a great influence on the development of the disease. The main goal of this thesis was to map the issue of celiac disease of early-school-age children with a focus on the specifics of nursing using the literature available. The celiac disease issue was searched out in bibliographic publications and on the Internet. Based on the stated objective, the synthesis method, explanation or data demonstration was chosen for this bachelor thesis. Economic point of view is regarded as a fundamental issue of the disease. It turned out that only a small number of czech health insurance companies provides a catering allowance to celiac patients. It was found out, that in many EU states so called community care provided by community nurse, exists. There is no trend like this in Czech republic despite the fact, that this field can be studied in the master study. The nurse is an unsubstitutable member and fundamental pillar of a multidisciplinary team. She also has significant competencies in patient care and constitutes an irreplaceable place in nursing. The output of this theoretical thesis is to create a comprehensive view of the range of problems related to celiac disease of early-school-age children.
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Gluten-free diet and the possibility of enriching the diet coeliacs
BLAŽKOVÁ, Klára
This thesis deals with the gluten-free diet and its possible enrichment. It is divided into two parts. The first part includes chapters such as history of gluten-free diet, basics of a gluten free diet, the first step in the introduction of a gluten-free diet, gluten-free food labeling legislation and the use of alcohol on a gluten-free diet. The practical part is focused on enriching the diet celiac patients. I focused on the preparation of bakery products for celiac, I have designed and practically tested recipes gluten-free pizza, buckwheat corpus, gluten-free sourdough seedcake and gluten-free cake with homemade pudding and caramel. The finished gluten-free products were submitted after baking consumers who rated their sensory quality. If necessary, an adjustment was made to the recipe and re-perform sensory evaluation. The prepared products were evaluated positively. Selected coeliacs decided suggested products to include in their diet.
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Analysis of educational materials for patients with coeliac disease
ZIMMELOVÁ, Hana
The Dissertation deals with educational materials for patients with celiac disease. It describes general requirements for teaching materials and the didactical principles suitable for educational materials for patients with celiac disease. It presents a draft criteria for assessment of web sites intended for people suffering of celiac disease. Five Czech, as well as foreign Internet-based resources, have been selected and assessed for compliance with the criteria given by technical properties, contents, page structures, criteria evaluating credibility of the sites and educational criteria. All the sites assessed can be used for education of patients with celiac disease, but they are rather information sites with a low content of educational characteristics.
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Prevalence of obesity in children in a classical kindergarden and a healthy life style kindergarden in České Budějovice
HORNÁTOVÁ, Klára
Children obesity is a frequently discussed issue nowadays as it becomes the extents of an international epidemic. It occurs in greater frequency in lower age categories, which is caused mainly by change in eating habits, a wrong composition of meals and great lack of motion. Children nowadays prefer sitting in front of their computers or television. Children obesity brings along mental harm to the child. He/she is often being laughed at for his/her weight and causing the child to feel alone and seeking solitude and many children thus succumb to overeating. Besides obesity causes health problems such diabetes mellitus, hypertension, asthma, locomotive organs disease and mental problems. Therefore kindergarden is so important since children meet other eating habits than at home. The family is often the trigger of unhealthy eating habits. Quantitative research was applied in the bachelor thesis by means or a questionnaire for the parents. The researched file represented preschool children in the age of 3 to 6 years of age. The questionnaires were distributed in two kindergardens, one of which was a healthy life style kindergarden and the second was a classical kindergarden. Two goals were set in the paper. To assess the rate of obesity growth in children in kindergardens and to monitor the attitude of children and parents to the topic of food and obesity. The research has shown that obesity rate keeps increasing, however there is a smaller rate of obesity in the healthy life style kindergarden than in the classical one. In general, parents are well informed on the food and obesity topic in both kindergardens but in practice they do not adhere to the correct principles. Further, two hypotheses were set. Children in healthy life style kindergarden eat healthier food according to principles of rational nutrition (taking account of food in the kindergarden) and have lower BMI than other children of the same age. The first hypothesis was thus confirmed. The second hypothesis that parents are not sufficiently informed on the right eating habits for children was not confirmed. The results of the research in the bachelor thesis can be applied as study material and they were offered to parents who took part in the research.
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Education the parents of children with malabsorption syndrome
ADAMOVÁ, Erika
Celiac disease, which is the most frequent cause of the malabsorption syndrome in children, is a common term for a worldwide occurring disease affecting both children and adults. It is a chronic disease characterized by a permanent gluten intolerance, malabsorption in consequence of typical inflammatory changes of the small intestine mucosa, and clinical improvement when a gluten-free diet is followed. The only casual treatment is a permanent and strict gluten-free diet.The objective of this thesis was to survey the knowledge of parents of children with the malabsorption syndrome. The other objective was to describe the role of a nurse in education of parents of children with the malabsorption syndrome. Two hypotheses were stated, one of them was confirmed, the other was rejected.One part of the thesis is formed by two research investigations aimed at finding the awareness of parents of children with celiac disease and also to assess how the knowledge and application of principles of an educational system have been implemented by nurses who take care of children with celiac disease and their parents.The survey was carried out by a quantitative research method. The data were collected by the anonymous questionnaire technique. The research set was comprised of parents of children with celiac disease and nurses working in paediatric and gastroenterology clinics.In the thesis two hypotheses had been set up, one of which was confirmed, the other was rejected.The first hypothesis assumed that parents of children with the malabsorption syndrome were informed about the nature of the disease and the need to follow a gluten-free diet. The results have shown that parents are sufficiently informed in these points, and therefore the hypothesis was confirmed.The other hypothesis assumed that nurses apply the principles of an educational process while providing information. But the research has shown that the vast majority of nurses do not know those principles and that is why they do not use them in practice. The hypothesis was not confirmed in this case.Enhancement through the use of educational principles in practice is recommended to improve the present care for children with a celiac disease and their parents. Nurses´ proficiency should be constantly boosted and deepened. The outcomes of this thesis can be presented at professional seminars and workshops in order to contribute to the improvement of this condition.
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