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Adherence in patients with diabetes mellitus 2. type
Pavlatová, Jana ; Matoulková, Petra (advisor) ; Malý, Josef (referee)
ADHERENCE IN PATIENTS WITH DIABETES MELLITUS 2. TYPE Student: Pavlatová, J. Tutor: Matoulková, P. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague, Czech Republic Introduction: Perceptions have been associated with medication adherence. Medication beliefs are explored with the use of the Beliefs about Medication Questionnaire (BMQ). Medication beliefs have been associated with underuse of antihyperglycemic medications in patients with diabetes mellitus 2. type. Czech translation of the BMQ has been validated in the cohort of chronicaly ill patients. Aim of the study: To identify medication beliefs in the patients with diabetes 2. type, to estimate adherence with medications in those patients. To identify whether there is medication underuse because of cost. Methods: Consecutive patients with type 2 diabetes who came to fill the prescriptions in the two pharmacies in Kostelec nad Orlicí during October - December 2011. Those patients were asked to fill the questionnaire that consisted of the BMQ-specific scale, MARS (Medication Adherence Report Scale) and additional background questions. Results: 73 patients with diabetes type 2 were identified and 41 filled the questionnaire. There was no medication undersue because of cost. Mean age was...
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Drug formulary in a hospital
Řízková, Magdalena ; Malý, Josef (advisor) ; Doseděl, Martin (referee)
1 .Summary Drug Formulary in Hospital Author: Magdalena Řízková1 Tutor: Josef Malý2 Consultant: Petr Horák2 1 Department of Clinical and Social Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové 2 Hospital pharmacy, Faculty Hospital in Motol, Prague Background: Drug formulary in hospital is one of the drug policy instruments, which make the pharmacotherapy safer, more efficient and more cost-effective. Aim of study: The main aim of this study is the evaluation of hospital drug formulary in faculty hospital in Motol and revise selected groups of drugs. Methods: The information about the consumption of drugs and the hospital drug formulary was taken in the Motol's hospital pharmacy. Using Microsoft Excel the retrospective evaluation of drug consumption was taken for a period of time from July 2011 till December 2011. The method DU 90% was used to define the quantitative evaluation. For model revise groups of drugs was assessed effectiveness in accordance with evidence-based medicine, costs, compliance, safety and consumption of drugs. Results: The hospital drug formulary amounted to 1 673 of medicinal products. In total 2160 of medicinal products was taken from the pharmacy, 1 540 of them was used for the evaluation process. Then 378 of products got value of DU 90%, 21 of them...
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Screening analysis of patients at risk for arterial hypertension in a pharmacy I.
Filipová, Zuzana ; Malý, Josef (advisor) ; Maříková, Martina (referee)
Screening Analysis of the Patients at Risk for Arterial Hypertension in a pharmacy I. Author: Zuzana Filipová1 Supervisor of the thesis: Josef Malý1,2 Consultant: Stanislav Havlíček3 1 Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové 2 Hospital Pharmacy Motol, Prague 3 Czech Chamber of Pharmacists, Prague Introduction: Blood pressure measurement in pharmacies is one of the options to find patients with previously untreated hypertension. A timely diagnosis of hypertension and a proper treatment may reduce the risk of cardiovascular diseases. Objectives: The aim of this study was to analyze the importance of blood pressure measurement in pharmacies as a means of detecting a previously unrecognized hypertension and as a part of the care which is provided to the patients with arterial hypertension. Methodology: The measurement of the blood pressure was carried out from April to June 2012 in a community pharmacy in Poděbrady. The pharmacist accomplished it by means of a validated and calibrated sphygmomanometer. Additional data were acquired on the basis of a controlled interview with the participants of the study. The outline of the dialogue was a questionnaire that had been created in advance. The data were evaluated in MS Excel and...
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Identification and analysis of therapy used by pregnant women
Pilková, Alena ; Malý, Josef (advisor) ; Pokladníková, Jitka (referee)
Identification and analysis of therapy used by pregnant women Author: Alena Pilková1,2 Tutor: Josef Malý2 1 Hospital pharmacy, Institute for the Care of Mother and Child, Prague 2 Department of Social and Clinical Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové Introduction and objective Pharmacotherapy in pregnancy is challenging due to the fact that when a mother uses any drug, her developing fetus is most likely exposed to that drug as well. There is not enough relevant data on the use of drugs and other therapeutic agents during pregnancy in the Czech Republic. The aim of this work was to identify and analyse drugs, food supplements, complementary and alternative medicine and information sources used by women during pregnancy. Methods An observational cross-sectional survey was conducted in three maternal wards of The Institute for the Care of Mother and Child in Prague. A questionnaire was distributed for 6 weeks during May and June 2015 to all women meeting the inclusion criteria. Comprehensibility of the questionnaire was verified by a pilot survey, these results were not included in the evaluation. The questionnaire consisted of 61 closed, semi-open and open questions and was accompanied by a letter with the inclusion criteria. The questionnaire was anonymous...
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Analysis of counseling practices in a pharmacy
Opavová, Tereza ; Malý, Josef (advisor) ; Maříková, Martina (referee)
Analysis of counseling practices in a pharmacy Author: Tereza Opavová1 Tutor: Josef Malý1,2 Consultant: Michal Hojný3 1 Department of Clinical and Social Pharmacy, Charles University in Prague, Faculty of Pharmacy in Hradec Králové 2 Hospital Pharmacy, Teaching Hospital in Motol, Prague 3 Hospital Pharmacy, Institute of Clinical and Experimental Medicine, Prague Background: In the context of modern trends in pharmaceutical care patient counselling is one of the activities, which should form an integral part of pharmaceutical care provided in Czech pharmacies. Aim of study: The aim of this study was to evaluate the rate and conditions of patient counselling in pharmacies in the Czech Republic and compare data and knowledge with the experiences gained from the literature search. Methods: Data of the prospective study were collected by questionnaire. The questionnaire was sent to 2287 Czech pharmacies in February 2011. Questionnaire consisted of 21 questions. Data were evaluated by software MS Excel and processed by frequency analysis. Results: 260 pharmacies responded (corresponding to 11 % of the total number of pharmacies in the Czech Republic). 92 % of respondents were community pharmacies and 8 % hospital pharmacies. The greatest response was from the South Moravia region (15 %). 64 (24 %) of...
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Population and Drugs
Križanová, Lucia ; Práznovcová, Lenka (advisor) ; Malý, Josef (referee)
PEOPLE AND DRUGS II. Author: Križanová L. Tutor: Práznovcová L. Dept. of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Kralove, Charles University in Prague, Czech Republic Background: It is necessary to rationalize the system of funding of health service. One of the ways how to achieve this aim is monitoring of drug prescription and patient's financial participation on the therapy. Aim of study: Observation and analysis of drug prescription aimed at the prescription of the drugs used in the therapy of diabetes mellitus. Analysis of bought of preparations bought without a prescription. Finding out how much pay patients as supplementary fees connected with provided health care. Methods: The research was made in November and December 2007. 150 patients, 65 male, 85 female were chosen randomly of the patients who visited The Pharmacy Medica in Povazska Bystrica. Patients answered the questions connected with the prescribed drugs they took, the preparations they buy without a prescription and supplementary fees connected with provided health care they pay. Results: As many as 35,4 % of the patients pay supplementary fees for prescribed drugs between 0 - 100 Sk a month . 70 % of the patients don't pay for preparations they buy without a prescription more than 200 Sk a month. Supplementary...
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Analysis of the Pharmacotherapy in Patients in Aftercare Health Facility I.
Šturcová, Klára ; Malý, Josef (advisor) ; Malá, Kateřina (referee)
Analysis of the Pharmacotherapy in Patients in Aftercare Health Facility I. Author: Klára Šturcová1 Tutor: Josef Malý1 1 Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Falls of hospitalized patients are one of the most common problems in the healthcare institutions. In terms of prevention of drug related problems (DRP) including falls is necessary to search for all risk factors that may contribute to the emergence and clinical manifestation of DRP actively and subsequently minimize these risk factors. Objectives: The aim of the thesis was to describe a group of patients who experienced a fall during the hospitalization in a certain rehabilitation institution, to analyze the possible drugs and other causes of falls and to identify and analyze other non-fall DRP. Methods: The evaluated group of the retrospective cross-sectional observational study consisted of patients who experienced a fall during the hospitalization in an institution providing rehabilitation care in the term from 21 March 2014 to 30 November 2014. The basis for the analysis was medical documentation containing personal and medication history and information about the falls. The analysis of falls and their relationship to the pharmacotherapy was performed in...
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The analysis of management of dyslipidemia by outpatients in 2002-2007
Lancmannová, Lenka ; Vlček, Jiří (advisor) ; Malý, Josef (referee)
The analysis of managment of dyslipidemia by outpatients in 2002 - 2007 Student: Lenka Lancmannová Dissertation supervisit: Prof. RNDr. Jiří Vlček, CSc Training Specialist: Mgr. Martin Doseděl Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec kralove, Charles University in Prague, Czech Republic Introduction: Atherosclerosis and the resulting cardiovascular disease (ICHS, IM, ICHDK, CMP) are the main cause of morbidity and mortality of adult population in developed countries. The introduction of lipid lowering medicaments in clinical practice is one of the most therapeutic procedures affecting the prognosis and quality of life of patients Aim: Monitoring during treatment of patients with dyslipidemia, standardization of lipid levels, achieving the targets in the blood lipid levels. Monitoring prescription lipid lowering in the years 2002-2007 Methods: 177 patients were monitored (92 men, 85 women, average age 59 years) in the form of retrospectives, the period of 5 years. Data were drawn from the records from 3 patients of general practitioners and 1 internists. Results: The largest representation of patients have the mixed dyslipidemia, 91%. Most patients fell within the primary prevention of 54,2%, in secondary prevention 28.8% in secondary prevention with DM2 type 6.2%,...
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Marketing strategy of Skiareal Rokytnice nad Jizerou
Votočková, Pavlína ; Halík, Jaroslav (advisor) ; Malý, Josef (referee)
The aim of my bachelor thesis is to analyse present marketing strategy of Skiareal Rokytnice nad Jizerou. Threats that influence the company externally will be identifyied on the basis of results of macroeconomical analysis. Evaluation of microeconomic environment proceeds from analysis of competition and attendance. In following chapters the thesis concentrates on marketing mix and SWOT analysis. In the last part, I will make recommendations and suggestions that the company can implement in the future tob increase attendance and atractivity of the Skiareal Rokytnice nad Jizerou.
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Strategy of Hyundai Motor Company in the international markets
Řehoř, David ; Machková, Hana (advisor) ; Malý, Josef (referee)
The thesis deals with the current form and determinants of further development of the automotive industry and strategy of Hyundai Motor Company, the fastest growing automaker in the international markets of these days. The thesis is divided into four chapters. The first one is devoted to recent development of the automotive industry with a closer focus on the main characteristics of the Czech market and mentions the major trends affecting the industry. Next part introduces HMC and analyzes the development of its position in the global automotive market. Subject of the third chapter is an analysis of the company's business strategy, which has become the key factor of its growing importance. It mentions the main company objectives, the process of creating a strategic plan, different strategic approaches in the international market, phases of strategic brand management and discribes history of the company strategy. The final part focuses on the reasons of the construction of Hyundai factory in the country, evaluates it's position in the Czech market and the analysed strategy.
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