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Rehabilitation and following sport preparation after LCA arthroscopic reconstruction surgery by active athletes
Lučan, Tomáš ; Vařeková, Jitka (advisor) ; Strnad, Pavel (referee)
Title of thesis: Rehabilitation and Sports folowing preparation after arthroscopic LCA reconstruction surgery by active athletes. Objective: The aim of this work is based on the latest pomatků medicine, physiotherapy and sports training to describe the structure of rehabilitation and training of athletes after arthroscopic Assisted operations of the anterior cruciate ligament of the knee kloubu.a compiled on the basis these pomatků methodology, covering the process from the initiation of outpatient rehabilitation after transition a full athletic performance. This methodology will be demonstrated on the selection of exercises using photodocumentation. Method: Evaluation or evaluation of the effectiveness of the ongoing rehabilitation program in rehabilitative care after anterior cruciate ligament reconstruction. Results: The results demonstrated a positive contribution to the rehabilitation and subsequent sports preparation for active athletes and due to the relatively low number of probands included in proposed program of 150 patients after knee traumas, who in a given period attended rehabilitation, were excluded from the research 88 because of early termination treatment .. The research was after all conditions are met situated 62 atheletes růmých disciplines. For these probands showed the positive...
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Quality of a Life of the Patient after total hip Arthroplasty
Obertová, Denisa ; Pečenková, Jaroslava (advisor) ; Šponer, Pavel (referee) ; Filková, Zuzana (referee)
Author's first name and surname: Obertová Denisa Institution: Charles University in Prague, Faculty of Medicine in Hradec Králové The Title of the thesis: Quality of a life of the patient after total hip arthroplasty Supervisor: Jaroslava Pečenková Number of pages: 100 Number of attachment: 3 The year of presentation: 2011 Keywords: quality of a life, arthrosis, hip joint, total arthroplasty, rehabilitation This Bachelor work is devoted to the problems of quality of a life after total hip arthroplasty. The theoretical part introduces the quality of a life of patiens and a total hip arthroplasty. The empirici part compares preoperative period of patiens with postoperative one, separately men and women. questionnaire method, 22 question, 70 respondents Souhlasím, aby práce byla půjčována ke studijním účelům a byla citována dle platných norem.
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Chicken antibodies as a tool of passive immunization against microbial diseases of respiratory tract
Růžička, Martin ; Hodek, Petr (advisor) ; Švédová, Martina (referee)
Pseudomonas aeruginosa and Burkholderia cepacia are opportunistic human pathogens. Hazards pose to immunocompromited patient groups, most of whom are patients suffering from cystic fibrosis, for which is the infection caused by Pseudomonas aeruginosa or Burkholderia cepacia, often lethal. Bacteria exhibit resistance to most antibiotics and the immunization of patients, paradoxically, worsens the patients' condition. Hen antibodies, unlike mammalian do not activate the complement cascade and do not cause the inflammatory response, therefore, seem to be a suitable tool to protect high risk populations as a means of passive immunization. In this work were prepared specific chicken antibodies against significant virulent factor - bacterial lectins PAIIL and BClA responsible for adhesion. Antibody specificity was demonstrated by ELISA and Western blot. Antibodies were affinity purified and cleaved to fragments. Pneumocytes type II from the lungs of patients with Cystic Fibrosis were isolated and cultured. Tests of the adhesion of bacteria cells were performed on them using ELISA. As an alternative model rat pneumocytes and tumor cell line A549 has been used. Prepared antibodies specifically detect bacterial lectins on the surface of bacteria. Antibody has been shown to reduce adhesion of bacteria to...
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Passive rehabilitation affecting on spasticity of multiplex sclerosis
Prášil, Jakub ; Bunc, Václav (advisor) ; Foubíková, Bohdana (referee)
Title: The influence of a passive rehabilitation on spasticity in multiple sclerosis Objectives: The main objective is to summarize the current knowledge about multiple sclerosis and the possibilities of influencing the spasticity as a serious symptom. Another objective is to verify the effectiveness of the antispastic passive rehabilitation of the lower limbs of selected patient in practice. Methods: Verification of the effectiveness of the system of antispastic passive rehabilitation of the lower limbs was through a qualitative research. For the work design is used the type of qualitative experiment. The research sample is a person with spasticity in the lower limbs. In the first two parts of the work was used an analysis of scientific literature and a content analysis. The strategy of data obtaining is also in the form of observation, interviewing, measuring, scale and variety. A medical documentation, anamnesis, casuistry and a secondary analysis were used. Results: Individual use of each method resulted in the influence of spasticity only for a short time. Mobility was affected in the sense of passive movement the most after the soft techniques and massage therapy. The most striking results were achieved after the use of all methods when the spasticity was positively influenced in accordance...
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The subjective perception of quality of life by chronically ill patients
MOZOROVÁ, Jitka
This bachelor work focuses on the quality of life of chronically ill patients from the point of view of their subjectively perceived life satisfaction and meaningfulness of life. The theoretical part is devoted to mapping out the term quality of life. It investigates the development of the term, the differences in the outlook on the term by various science disciplines and fields, the difficulties of scientific definition of the term and the ways of evaluation and measuring. Individual chapters are devoted to the quality of life in the health care system, to the psychological outlook on the quality of life and to the problems of quality of life and meaning of life. The aim of the work was to establish the extent of satisfaction with life and some of its parts of chronically ill patients and to compare the results with a sample of healthy population. The parts of life in question were defined in advance and they were: mood, work, family relationships, free time, social life, relationship with a partner. The research was carried out using a quantitative method of an anonymous questionnaire. The sample consisted of 30 patients of the Cooperative Rehabilitation Ambulance of MUDr. Veselý in Třebíč. This sample was compared with a sample of 30 randomly selected representatives of healthy population. The research results show that the extent of life satisfaction of chronically ill patients is not significantly lower than that of healthy population. State of health is therefore not the most important factor determining the quality of life. Satisfaction with relationships in the family and with relationship with one{\crq}s partner, positive self-appraisal and feelings of meaningfulness of life play a much more important role at subjective evaluation of quality of life. It is important to take into account a whole set of indicators when measuring the quality of life. It is important to investigate especially subjective factors which indicate how people themselves evaluate their lives.
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The doctor and nurse cooperation in the center for patients undergoing a principal joint aloplasty
RAZIMOVÁ, Lada
Motoric system diseases belong to the most frequent ones in the present days. All age categories are affected. Congenital defects are included and also injuries, inflammations, degenerative illnesses and others. In the Czech republic are many centers gathering patients with the same diseases. However the centers for orthopedic patients are missing. The dissertation is divided into a theoretic and empiric parts. The theoretic one is focused generally on problems with joint replacements, rehabilitation and relation between a medic and a patient. The dissertation was targeted on: 1. To verify if the informing about the subsequent postop nursing care provided in the center for patients undergoing aloplasty comes up to a patient?s expectations and fulfils their needs. 2. To find out if hospital nurses perceive the difference in the patient engagement in the nursing care according to if he had visited the center before or not. 3. To reveal potential problems in the center running from the patient, nurse and doctor point of view. The research part of the dissertation was implemented with a combination of both qualitative and quantitative survey. For quantitative survey was chosen a method of questioning with a form technique for patients (after a hip or a knee aloplasty) in the Czech republic and Austria and also for nurses working in the orthopedic department and intensive care unit in the Pelhřimov hospital. Three hypotheses were established. 1. The given nursing care informations provided in the center for patients undergoing aloplasties fulfil the patient?s needs. 2. The hospital nurses assess a significant difference in the patient?s collaboration between those who had visited the center before and who had not. 3. In the center for patients waiting for aloplasty daily running there exist problems from the nurse?s point of view. As for the qualitative part of survey a method of questioning with the technique of a semistructured dialog with open questions was used. The research file was created by patients after principal joints aloplasties. In this part we have tried to answer three main questions. 1. What is the relationship between both hospital and the center nurse activities and the patient?s contentment in the sphere of his needs? 2. What sorts of informations for the patients in the center are missing? 3. The patients evaluate the informations provided in the center as orientational or as significant for easier postop care managing? The results of the research survey were analysed and taken in schemes. Patients suffer from disturbing their both physical and psychological needs and so the goal of collaboration is a satisfied and fully informed patient. From the results it is apparent that a nurse in the center closely cooperates with a hospital nurse. The survey revealed that the patients in the center are missing no informations. The patients are prepared for the operation, orient themselves in the related problems know what comes with the rehabilitation as an important part of the postop care. To be concluded: patients are prepared for easier postop care managing. On the basis of analysis of respondent?s answers it was found that the patients undergoing a principal joint aloplasty are sufficiently informed. Although hospital nurses and doctors sense the difference between a patient who had visited the center before and who had not the stimulus for subsequent survey could be how the patients perceive the differentness of info provided within the center and out of it. The survey results could be a stimulus for establishing new centers not only within Vysočina but also in Austria. In the relation with the dissertation results and on the basis of info provided in the center when the patients assessed the info as sufficient for them an informing prospectus was created. The dissertation could serve as an informational material for students not only in the nursing profession.
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Effect of a comprehensive rehabilitation program of children with asthma bronchiale
Vránová, Eva ; Hošková, Blanka (advisor) ; Majorová, Simona (referee)
Title: Effect of a comprehensive rehabilitation program of children with asthma bronchiale Objectives: The main objective of this thesis is to show the usefulness and necessity of physical therapy in children with bronchial asthma and how does it affect them. Another objective was to summarize the possible available methods with demonstrations of examples of individual exercises that can be used for this disease. The aim was also monitoring and evaluation of the patient's subjective feelings. Methods: In the thesis we carried out a single arm experiment, where we used comprehensive kinesiology analysis of individual subjects and the methods of lung function tests. From the lung function test, we chose the spirometry test by method of curve flow / capacity and also we used the peak expiratory flow monitoring using peak-flow-meter. We compared the subjective feelings of clients at the beginning and the end of the treatment program. In the period we watched the changes of value in individual measuring techniques. Results: We found that a comprehensive treatment of children asthma has a significant impact on their posture and also on the respiratory functions and subjective perception of individual symptoms investigated clients. All clients received the same treatment and each of them occurred in...
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The importance of myofeedback rehabilitation in faecal incontinence
Černovská, Markéta ; Nováková, Tereza (advisor) ; Neuwirthová, Svatava (referee)
Title: The importance of myofeedback rehabilitation in faecal incontinence Introduction: Faecal incontinence is a serious symptom significantly worsening quality of life. Following results of international studies myofeedback has been considered an effective option of conservative treatment of this disease. Despite that it has so far been used at just a few centres in the Czech Republic. Purpose: The main purpose of this thesis was to assess the relevance of myofeedback as part of recovery therapy. Other objectives included assessment of use of a vaginal electrode instead of an anal one and comparison of the result correlations between examination by anal manometry, surface EMG and subjective improvement of continence for the patients. Methods: The research project included 8 females. The objective method of assessment of effects of the treatment involved examination of pelvis bottom muscles with the help of anorectal manometry and surface EMG. Success of the therapy was evaluated through the St Marks incontinence score and by the test population themselves filling out a quality of life questionnaire. Results: In the course of three-month recovery most patients experienced improvement of subjective as well as objective parameters. The results of the study are comparable to results of international...
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Social therapeutic workshop from the users´ point of view
SEVEROVÁ, Simona
The thesis focuses on satisfaction of users of o.s. FOKUS Tábor with the services provided by the social therapeutic workshop. The theoretical part introduces two basic groups of a mental illness. Further on, this part describes rehabilitation of long-term mentally ill patients. The thesis aims at obtaining an overall review of services provided by social therapeutic workshop o.s. FOKUS Tábor from their users. The practical part concludes by a presentation of gathered information. Three following parts are elaborated the most ? satisfaction survey of the services provided, users´ awareness of the rules to submit suggest ons, complaints and suggestions from the users to the activity offer of the social therapeutic workshop.
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