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Avascular necrosis by adults
Kunešová, Martina ; Kreuzberg, Boris (advisor) ; Šprindrich, Jan (referee) ; Mechl, Marek (referee)
The author evaluates the role of imaging methods in diagnosis of AVN of the femoral head. She foccuses especially on MRI, she finds this imaging modality the most suitable in diagnosis of early stages of AVN. In therapy of AVN, revitalizing operation on the femoral head with using surgical diamond instruments is a promising therapeutical procedure. The author summarizes short term results in group of pacients who underwent revitalizing operation. The special attention is given to pacients after renal trasplantation. In this group of renal transplant recipients the author suggests MRI as a screening method for early detection of AVN of femoral head during the first year after transplantation. In the last part of report, the author evaluates using MRI in acute fracture of proximal femur. She suggests MRI of the hip as a method of choice in concrete age group of pacients (about between 40-65 years). Considering this pacients, the method significantly helps in choosing of adequate therapy and the proper type of surgical approach.
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Women's rights in interwar Japan
Kunešová, Martina ; Sýkora, Jan (advisor) ; Labus, David (referee)
(in English) The purpose of the thesis is to analyse and evaluate the first wave of feminism in Japan and to compare it with similar movements in the world. In the beginning, the thesis describes the key characteristics of the first wave of feminism in the world; then it outlines the features of the social development in the modern Japan that created the context of the first wave of feminist activities. Further on, the thesis analyses the process of the formation of the women's rights movement, with a special attention to its institutional aspects and the role of the leading figures of the movement. Finally, the thesis compares the extent to which the Japan's interwar feminism resembled the similar processes in the world and identifies the specifics of the first wave of feminism in Japan.
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Avascular necrosis by adults
Kunešová, Martina ; Kreuzberg, Boris (advisor) ; Šprindrich, Jan (referee) ; Mechl, Marek (referee)
The author evaluates the role of imaging methods in diagnosis of AVN of the femoral head. She foccuses especially on MRI, she finds this imaging modality the most suitable in diagnosis of early stages of AVN. In therapy of AVN, revitalizing operation on the femoral head with using surgical diamond instruments is a promising therapeutical procedure. The author summarizes short term results in group of pacients who underwent revitalizing operation. The special attention is given to pacients after renal trasplantation. In this group of renal transplant recipients the author suggests MRI as a screening method for early detection of AVN of femoral head during the first year after transplantation. In the last part of report, the author evaluates using MRI in acute fracture of proximal femur. She suggests MRI of the hip as a method of choice in concrete age group of pacients (about between 40-65 years). Considering this pacients, the method significantly helps in choosing of adequate therapy and the proper type of surgical approach.
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The treatment of pain in patients in terminal stage on the ward of follow-up care from the nurse point of a view
KUNEŠOVÁ, Martina
This bachelor's thesis is focused on chronic pain in dying patients at the aftercare department. The theoretical part focused on chronic pain description and its division, chronic pain treatment possibilities, characterization of a terminal stage and work done by nurses at the aftercare department. This part is supposed to present the most important information concerning chronic pain in dying patients. The practical part provides results of a gualitative research. This research had four objectives. The first objective was to identify the benefits of nursing care provided to dying patients with chronic pain in palliative care. The second objective focused on the attitude of nurses towards the patients in the terminal stage. The third objective was to identify the nursing methods used during the provision of care to a patient with pain in palliative care. The fourth objective was to assess the knowledge of nurses working at the aftercare department regarding the up-to-date treatment of pain in palliative care. Four research questions were established based on these four goals: What is the benefit of nursing care in treatment of pain in palliative care? What is the attitude of nurses towards the patients in the terminal stage? Which new nursing methods possibilities can palliative care provide to patients with pain? What information on treatment of pain in palliative care do nurses have? The research was performed using an in-depth structured interview, which is a method of the gualitative research. The research samlpe consisted of eight practice nurses working at the Aftercare Department in Nemocnice České Budějovice a. s. The interview was aimed at information on benefits of nursing care, the attitude of nurses towards dying patients, nursing procedures used and also knowledge of the nurses working at the aftercare department. The interviews were recording in writing. The records were analysed and coded using an open coding method. Six categories were established as follows: Nursing care procedures in treatment of chronic pain in dying patients, Effectiveness of chronic pain treatment in dying patients, Benefits of nursing care, Attitude of nurses towards dying patients with chronic pain, Collaboration with families and Nurses' knowledge. It was found out during the research that the benefit of nursing care is enormous, the care brings satisfaction of patients, safety, communication, sufficient amount of information, ensuring of basic needs, contact, information on current changes in the state of health, offer of better care, psychological support, better collaboration between nurse and a patient and a family, and also promixity of personnel. Thereforte, I think it is possible to consider the nursing care to be very beneficial. Furthermore, the following attitudes of nurses towards the dying patients were discovered: Trust or distrust of nurses in ability to display pain, active interest by nurses, approach to patients and communication. The research also discovered the following nursing procedures used in treatment of chronic pain in dying patients: positioning, heat application, cold application, massages and refraining from needless manipulation. The knowledge of nurses regarding the current treatment of pain in palliative care contains extensive information on principles of analgesic and opiate administration, which are applied by the nurses working at the aftercare department. A practical output of this thesis is a handbook called Administration of Opiates and Usage of Intoxicants Record, which is intended for use by practice nurses.
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