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Use of addictive medication in the Czech Republic
Brožková, Lenka ; Gabrhelík, Roman (advisor) ; Rolová, Gabriela (referee)
Background: The use of psychoactive prescription drugs (PPDs) in the patient population is poorly studied in Czechia. Aims: (i) To investigate the prevalence of PPDs use; (ii) to estimate the extent of doctor shopping (DS); (iii) to explore the association between the repeated use of PPD, DS and subsequent addiction care. Design and setting: Pharmacoepidemiological study using the precription database and the database of reimbursed health services of health insurance company Zamestnanecka pojistovna Skoda (2012-2021). Participants: Insurees (n=146,177; male n=71,013; female n=75,164) represented by approximately 340,000 health records. Measurements: To identify drug use in the form of DS we analyzed prescription overlaps from multiple health care providers. The association between repeated use of PPD and provided health services was determined by analyzing the drug history of insurees who received any type of addiction service. Findings: We found that more than half of the insurees who used the opioid analgesic also used anxiolytic drugs in the same year. The highest proportion of insurees with DS was related to stimulant use (3.37%). Regarding opioid analgesics and benzodiazepines, the proportions were similar (OA 2.25%; BZD 2.37%). The number of duplicit prescriptions per doctor shopper was the...
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Correlation between benzodiazepines use and quality of life in regions of the Czech Republic
Brožková, Lenka ; Chomynová, Pavla (advisor) ; Šťastná, Lenka (referee)
The objective of this study is to explore and describe current use of benzodiazepines in the Czech Republic and to identify possible correlation with quality of life in particular regions. Benzodiazepines are widely prescribed for a variety of conditions: anxiety and insomnia in particular. Benzodiazepine addiction is often latent and therefore doesn't cause social segregation as psychoactive drugs and alcohol abuse. Environment in which people live significantly impacts our psychological state. The question is how significant the influence of quality of the environment on the general wellbeing is and how is it reflected on the use of benzodiazepines. These questions were answered by analysing results of the research carried on by National Monitoring Centre for Drugs and Addiction in 2016. The Centre conducted a survey with 3601 respondents in order to gain more understanding about use of benzodiazepines, excessive playing of video games and gambling in the Czech regions. Analysis of the responses reveals that medications used to treat insomnia and anxiety disorder (benzodiazepines included) are used mostly by people living in major cities. The lowest prevalence of benzodiazepine use is in small towns and villages. Benzodiazepines are still the most frequently prescribed group of medications used...
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Option of Visual Art in Leisure Time during Mental Anorexia Therapy.
BROŽKOVÁ, Lenka
This thesis deals with the possibility of using the visual art in leisure time with the aim positively influencing treatment during hospitalization of patient with diagnosis of anorexia nervosa. The beginning of the thesis is devoted to the definition of the notion of anorexia nervosa, become familiar with anorectic reasoning and hospitalization regime. Furthermore, attention is paid to the factors that influence the physical structure of an individual person and the perception of one's own body. The stylistic period, which are viewed in the context of historical events and the development of the ideal of beauty are described at the end of the thesis. The practical part consists of qualitative research and evaluation of the ways of free time and the same categories in the perception of artworks of patients with anorexia nervosa.
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