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Analysis of care in patients at risk for arterial hypertension in pharmacy III.
Smíšková, Petra ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Analysis of care in patients at risk for arterial hypertension in pharmacy III. Author: Petra Smíšková Tutor: PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague Introduction: Arterial hypertension belongs to the most common diseases of cardiovascular system, not only in the Czech Republic. Therefore it is very important to focus on its prevention and early diagnostics before the stage of health complications shows up. Objectives: The aim of this thesis was to realize and evaluate consulting activities in pharmacy focused on patients who have high risks of arterial hypertension or have been already diagnosed with it. Methodology: Data were collected in a public pharmacy in Prague from the end of April 2013 until the beginning of April 2014. The actual blood pressure measurement was preceded by obtaining of answers to selected questions through controlled interview. Acquired statements were written into the printed forms. It was focused on particicipant's socio-demographic characteristics, his relationship to the blood pressure measurement; occurrence of risk factors of arterial hypertension, it means atherosclerosis; disease in the anamnesis and the usage of drugs including food supplements. The results of blood...
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Analysis of drug-related problems in ward health care facility I.
Nováková, Kateřina ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Charles University in Prague, Faculty of Pharmacy in Hradec Králové Department of Social and Clinical Pharmacy Candidate: Kateřina Nováková1 Tutor: Josef Malý1 1 Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové Title of Thesis: Analysis of drug-related problems in ward health care facility I. Indroduction: Use of drugs in clinical practice is accompanied by the risk of occurence of drug-related problems. Drug-related problems can have negative influence on patients health and the economic side of the treatment. Therefore their monitoring and elimination are needed as well as indicating and efforts to preventing. Objective: The aims of this thesis were to revise medical records, identify and classify potential drug-related problems, describe management of selected drug-related problems. Methods: The revision was carried out from 10th to 13th December 2013 in rehabilitation institute in the Czech Republic. Complete medical records of randomly selected patients were used as a source of information. All data were recorded into database prepared for the needs of revision. The revealed drug-related problems were then replenished into the database and in the same time they were classified according to PCNE modified classification V5.1 and...
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Beliefs about medicines, Complementary and Alternative Medicine Use and Medication Adherence
Drapáková, Tereza ; Matoulková, Petra (advisor) ; Malý, Josef (referee)
1 ABSTRACT BELIEFS ABOUT MEDICINES, COMPLEMENTARY AND ALTERNATIVE MEDICINE USE AND MEDICATION ADHERENCE Student: Drapáková Tereza Tutor: PharmDr. Matoulková Petra, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague, Czech Republic Introduction: Medication non-adherence is a very complex problem across different diseases leading to failure of treatment and increasing costs for medical care. Medication adherence is influenced by various factors and is also connected with different patients' attitudes to classical pharmacotherapy and complementary and alternative medicine (CAM). CAM is nowadays quite often used option for chronically treated patients. Aim of the study: The aim of the study was to analyse medication adherence at chronically treated patients visiting pharmacies in the Czech Republic, their attitudes to CAM including percentage of using CAM, the most common reasons using CAM and which types of CAM are the most spread among asked patients. Methods: Questionnaires were distributed in pharmacies in the Czech Republic among patients 18 years old and older who were chronically treated for at least 3 months. Selected patients were asked to complete a questionnaire containing questions about CAM, Czech version of Medication Adherence...
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Generic drugs and generic substitution from the patient perspective II.
Kůtková, Martina ; Malý, Josef (advisor) ; Babica, Jan (referee)
Generic drugs and generic substitution from the patient perspective II. Autor: Martina Kůtková Tutor: PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmay, Faculty of Pharmacy in Hradec Králové, Charles University in Prague Introduction and aim: Generic drugs and generic substitution are an integral part of the healthcare systems of many countries. The aim of this thesis was to carry out an research which was focused on attitudes, opinions and experiences of patients (general public) regarding generic drugs and generic substitution and to analyze extracted results. Metodology: Data were collected since February to June 2016 in a workplace practicioner in Jičín. We asked all patients who came to the doctor's office during that period. Data were collected through printing anonymous questionnaire. The questionnaire was piloted. Patients got a cover letter with questionnaire together. Respondents were categorized based on the cover letter and the questionnaire was filled out by the respondents who the survey was focused on. The questionnaire included 36 questions (26 closed, 7 open and 3 half-open). The first part of the questionnaire (first 10 questions) was focused on socio- demographic characteristics of respondents. The rest of the questionnaire detected patient's knowledge of...
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Analysis of drug-related problems in a health facility I.
Bahnerová, Michaela ; Malý, Josef (advisor) ; Matoulková, Petra (referee)
Analysis of drug-related problems in a health facility I. Author: Michaela Bahnerová1 Tutor: Josef Malý1 1 Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové Intoduction: Drug-related problems (DRPs) lower the quality of health care and present a risk factor in patient's safety. Objectives: The aim of this thesis is identification, classification and further analysis of DRPs in health care facility. Methods: Revision of pharmacotherapy was performed in health care facility in term 6. 8. - 10. 8. 2012. The pharmaceutical team which contained two pharmacists and diplomant examined health documentation of patients hospitalized in the facility. We collected information from personal, allergic, family, and labor-social anamnesis of patients. This data were noted into electronical database and after revision were DRPs classified and evaluated. The results of DRPs identification were evaluated by frequency analysis. In ten randomly selected patients was described DRPs resolution. Results: In total we noticed medical therapy in 175 patients (61 % women). Average patient's age was 58 years. 482 DRPs were identified. Of the patients, 84 % had DRPs and an average of 2,75 DRPs were recorded per patient. Conclusion: Appearance of DRPs is very frequent and...
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Analysis of blood pressure measurement in Czech pharmacies I.
Prouza, Jakub ; Malý, Josef (advisor) ; Marešová, Helena (referee)
Analysis of blood pressure measurement in Czech pharmacies I. Author: Jakub Prouza Tutor: Josef Malý1 1 Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové Introduction: Arterial hypertension is one of the most serious health problems of today and its therapy must be approached comprehensively. In addition to medical care, to the improvement of the health status of the patient significantly contribute properly implemented pharmaceutical care and blood pressure measurement in pharmacy. Objectives: The aim of the thesis was to describe and analyse conditions of blood pressure measurement in a sample of Czech pharmacies. Methods: Data were collected via questionnaire survey in 2012 and 2013 in three districts. The survey was conducted using two questionnaires, which were filled at pharmacies with possible help of trained interviewer. The first questionnaire was completed by the authorized employee representative of the pharmacy and included questions characterizing the pharmacy. Furthermore the question whether they provided blood pressure measurement in the pharmacy. If they did, further questions were on the frequency of measurement, instrumentation and space equipment in pharmacy. The second questionnaire was completed by the pharmacy...
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Generic drugs and generic substitution from the patient perspective I.
Novotná, Jana ; Malý, Josef (advisor) ; Babica, Jan (referee)
Generic drugs and generic substitution from the patient perspective I. Autor: Jana Novotná Supervisor: PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague Introduction: Generic substitution and generic drugs are important instruments of drug policy in many countries, which allow to reduce price of medicines, while maintaining their quality. Experience shows that a prerequisite for the rational use of both instruments is sufficient awareness among both health professionals and patients. Objective: The aim of this study was to analyze the opinions, knowledge and experience of patients regarding generic drugs and generic substitution. Methods: Data were collected between 1 March 2015 and 31 March 2015 in a workplace practitioner in Prague. It was an observational survey. We contacted all patients who visited a doctor during that period. Patients had to agree to their inclusion in the investigation and also meet "inclusion criteria" (e.g., at least 18 years old, literate in Czech, long-term use at least one medicine). The questionnaire included 28 questions (4 open and 24 closed), focusing on socio-demographic characteristics and knowledge, opinions, experiences and self-activity of the respondent regarding generic...
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Drug interactions of gastrointestinal drugs
Lapka, Marek ; Malý, Josef (advisor) ; Marešová, Helena (referee)
Drug interactions of gastrointestinal remedies Author: Marek Lapka Tutor: Josef Malý1 1 Department of Clinical and Social Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové Background: Drug interactions may be a serious cause of toxicity and undesirable drug effects. There is a direct proportion to side effect incidence caused by drug interactions and number of used drugs. The issue is a significant constituent of pharmaceutical care. The aim of dissertation: The aim of the thesis was to process available information, suggest a posible solution and create compact overview which can be taken into consideration by pharmacist in order to achieve optimal pharmacotherapy. Methods: Drug combinations, which interactions had clinical evaluation from "moderate severity" to "major severity" were collected from the fundamental information source, Vademecum infopharm aplication. Only currently registered drugs to 1st September 2013 by State Institute for Drug Controle were chosen and then medicinal products of which route of administration enables systemic effect. Furthermore the combination was compared with Micromedex database or Stockley's Drug Interactions Pharmaceutical Press, or both. Pubmed database (www.pubmed.gov) with entering key words "drug interaction", "basic drug" and...
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Incidence and Analysis of Drug-Related Problems in A Long-Term Care Facility
Králová, Anna ; Doseděl, Martin (advisor) ; Malý, Josef (referee)
Incidence and Analysis of Drug-Related Problems in A Long-Term Care Facility Author: Mgr. Anna Králová Thesis Supervisor: PharmDr. Martin Doseděl, Ph.D Charles University in Prague, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy BACKGROUND A drug-related problem (DRP) is an event or circumstance involving drug therapy that actually or potentially interferes with desired health outcomes. AIM The aim of this thesis is to analyse and evaluate the incidence of drug-related problems in a long-term care facility. METHODS This research was conducted in the long-term care facility of the Military University Hospital in Prague between March and August 2014. Data were gathered from medical records and healthcare workers. In particular, the patient case history, laboratory and physical parameters, and drug therapy data were collected. The modified PCNE-DRP Classification (Pharmaceutical Care Network Europe), version 5.01, was used to classify the detected DRPs. Recommendations to eliminate DRPs have been suggested by a pharmacist and presented orally during ward rounds. The results of these recommendations have then been recorded. Descriptive statistics were used to evaluate research results. RESULTS The medical records of 75 patients with an average age of 82.76 were...
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Opinions, knowledge, perception of risks and compliance of patients using non-prescription drugs and dietary supplements II.
Hrabcová, Veronika ; Malý, Josef (advisor) ; Doseděl, Martin (referee)
1 ABSTRACT Opinions, knowledge, perception of risks and compliance of patients using non- prescription drugs and dietary supplements II. Author: Veronika Hrabcová1 Tutor: Josef Malý1 1 Department of Social and Clinical Pharmacy, Charles University in Pague, Faculty of Pharmacy in Hradec Králové Introduction: In recent years, the self-medication in the Czech Republic has become an important part of health care of citizens who are actively involved in this process. OTC drugs and dietary supplements are an integral part of it. With their increasing supply in pharmacies, the cooperation of patients and professionals in pharmacies has become more important. Objectives: The aim of the thesis was to investigate the current opinions, attitudes, awareness and knowledge of the Czech patients who come into contact with OTC drugs. Methods: The data were collected from September 2013 to February 2014. The directed interview was conducted according to a prepared questionnaire.The data were collected in two surgeries of general practitioners for adults in the town of Uherské Hradiště. The obtained data were transferred to an electronic form using Google and subsequently processed using Microsoft Excel 2010. In this program, the data were evaluated by means of the frequency analysis and converted into tables and graphs,...
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