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The Topical Steroid Withdrawal and the Dependence Syndrome: Questionnaire Survey and Case Studies
Krotilová, Zuzana ; Kalina, Kamil (advisor) ; Reichelová, Lenka (referee)
Background: The topical steroid withdrawal (syndrome) or red skin syndrome is a possible topical steroid treatment complication. The bachelor's thesis looks up into patients on topical steroid dependency criteria by particularly atopic dermatitis patients treated with topical steroids. It also deals with the topical steroid withdrawal itself. Aims: The main aim is to get to know whether some difficulties and manifestations of the long-term-topical-steroid treated patients can be defined similarly like the dependency syndrome. Methods: The first method used for the research was quantitative, i.e. an anonymous online questionnaire survey among the trait carriers which included ten DSM-5 dependency criteria questions. In the research sample, there were approximately 900 potencial participants (members of a Facebook group that gathers Czech and Slovak people with RSS). 105 respondents participated. The second method was qualitative - 3 case studies (2 women, 1 man, trait carriers and the sampling was random) of participants whom the medical history were taken from and semi- structured interview were recorded. The interview consisted of some areas of interest and MKN-10 (ICD-10) dependency criteria questions. Results: The degree of fulfillment of the dependency criteria for the online questionnaire...
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Case management in the addictology service and in the mental health center with clients with a dual diagnosis
Valentová, Soňa ; Libra, Jiří (advisor) ; Reichelová, Lenka (referee)
The bachelor thesis focuses on comparison of working methods in social services (in the addiction support service and in the centre for mental health), which work together with clients with dual diagnosis, using the case management method. In the theoretical part, I am concentrating on the topic of the dual diagnosis, including integrated treatment as one of the most effective approaches in treating individuals with dual diagnosis. Further, I am describing basic principles of case management, also the use of case management in the addiction support services and in the services specializing on mental health issues. The aim of this bachelor thesis is to map out and compare the usage of case management in the addiction support service and in the centre for mental health, while working together with clients with dual diagnosis. The information were gained with a qualitative method through half-structured interviews with various service workers. The research group includes four workers from two different addiction support services and four workers from two different centres for mental health. The outcome of the research is that the workers from the addiction support services and from the centres for mental health work together with the clients with dual diagnosis using the case management method mostly...
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Problems of car-driving under alcohol intoxication focused on the driver risking behaviour
Matějková, Radka ; Šucha, Matúš (advisor) ; Reichelová, Lenka (referee)
The bachelor's work is focused on car-driving under alcohol intoxication. This work considers a risky behaviour of drivers related to alcohol consuming and reasons which lead to hazardous behaviour on the roads. It also informs about possible risks and consequences connected with this problems and statistic survey of accidents due to driving under alcohol influence. This work further informs about an alcohol influence on a human, about possibilities of prevention in traffic, and about generally attitude of Czech society to this legal drug. The survival part addressed two hundred volunteers who filled my questionnaire out. One hundred and nine people were used as a representative sample to ilustrate the situtation connected to driving under alcohol intoxication. The survival is concerned on pesonal features of the volunteers and on circumstences which determined the volunteers who drank alcohol and then drove. The survival realized on the base of the questionnaire which was either delivered by e-mail or personally. The result of this 6 survival is informations which describes a driver who tends to accept the risk of alcohol driving and resons which can be reponsible for alcohol driving.
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Motivation in the treatment of addicted clients in the mental hospital in Jemnice.
Vyhnálková, Lenka ; Vondráčková, Petra (advisor) ; Reichelová, Lenka (referee)
Motivation in the treatment of addicted clients in the mental hospital in Jemnice. This thesis describes motivations in the treatment of addicted clients in the mental hospital in Jemnice. The main aim of my work is to provide an overview of achieved changes in motivation during the treatment in various spheres of addicted client's life. The work is processed by qualitative research method. The theoretical scope of motivation and possible method of work with motivation is provided in the introductory part. Following practical part is based on theoretical part, compares the achieved changes of motivation at the beginning and at the end of the treatment and verifies achieved rate of motivation in the interviews. Keywords: motivation, client, addiction, treatment
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Person centred approach in addiction treatment: theoretical background, application possibilities and compatibility with the current system of outpatient care and practice.
Sklenářová Francová, Kateřina ; Nevoralová, Monika (advisor) ; Reichelová, Lenka (referee)
Univerzita Karlova v Praze 1. léka ská fakulta Studijní program: Specializace v léka ství Studijní obor: Adiktologie Bc. Kate ina Sklená ová Francová ístup zam ený na lov ka (PCA) v psychoterapii závislostí: teoretická východiska, aplika ní možnosti a kompatibilita se sou asným systémem ambulantní pé e a jeho praxí. Person centred approach in psychotherapy of addiction: theoretical background, application possibilities and compatibility with the current system of outpatient care and practice. Diplomová práce Vedoucí práce: PhDr. Monika Nevoralová Praha, 2013 Abstrakt diplomové práce: Východiska: Mezi základní charakteristiky p ístupu zam eného na lov ka (PCA) ve vztahu klient- terapeut pat í mimo jiné pojmy bezpodmíne né p ijetí, empatie a autenticita. V minulosti se tento psychoterapeutický sm r nazýval nedirektivním. Dnes je tento název p ekonán pro jeho redukující edur ení, nicmén pojem nedirektivita by se dal ozna it jako další z jeho p ízna ných rys . Sou asný systém lé by a rehabilitace závislých v psychiatrických lé ebnách, terapeutických komunitách i ambulantních typech lé by je založen na kontrole, režimu, vedení, tvorb terapeutického plánu a jiných, zejména kognitivn -behaviorálních metod, které jsou v sou asné adiktologii "dominantní". Nabízí se proto otázka, zda PCA m že najít v adiktologii...
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Misuse of Suboxone
Mladá, Kateřina ; Kalina, Kamil (advisor) ; Reichelová, Lenka (referee)
The bachelor thesis has these targets: (1) to demonstrate that the misuse of Suboxone also occurs in the Czech Republic; (2) to question the common myth that Suboxone cannot be applied in an i.v. form, and (3) to disclose some circumstances of Suboxone misuse ( e.g. if the i.v. application of Suboxone has any aversive effect; if the clients are able to prevent this kind of effect; to what change in the client's life the Suboxone use or misuse can lead , the availability of Suboxone in the black market, demand of this substance in the black market, etc.). The thesis is divided into the theoretical and practical parts, and subsequent discussion and conclusion. The theoretic part presents essentials on substitution programmes, information on the substitution substance Suboxone, and the introduction of the treatment centre where I collected data for my thesis (specialized out-patient programme CADAS). References to the recent research studies on this topic are also mentioned. The practical part includes two case studies of the clients who both misuse Suboxone in an i.v. form, and subsequent comparison of those case studies based on the set criteria. Through the case studies and the comparison of them the determined research questions should have been answered. The discussion and the conclusion are oriented...
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Co-morbidity of eating disorders and alcohol use among female patients in the Psychiatric Hospital Bohnice
Vycpálková, Veronika ; Čablová, Lenka (advisor) ; Reichelová, Lenka (referee)
Co-morbidity of eating disorders and alcohol use among women is topical, because eating disorders can be seen as a disease of modern women and alcohol use as a very frequent and tolerated by society. Despite the seriousness of this issue there are not enough studies on this topic. Unfortunately, interest in this issue is not large in Czech Republic and literature comprehensively addressing this subject is not available. This work defines the basic terms important in the field of eating disorders, alcohol abuse and alcohol dependence and co- morbidity of these two disorders. The results of a questionnaire study findings in the Psychiatric Hospital Bohnice, Prague, Czech republic, helped me in getting answers to research questions. The object of these research questions are prevalence of alcohol use in women with eating disorders in the Psychiatric Hospital Bohnice and the existence of a predisposition to alcohol use in women with various eating disorders. Result of the study is the finding that alcohol use in women with eating disorders in Psychiatric Hospital Bohnice is frequent and the prevalence is much higher than in the general population. Bulimia nervosa has proved to be an eating disorder with a predisposition to more frequent alcohol use than those with other eating disorders. I believe that...
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Suicide Risks in Connection with Depressive Symptoms of Non-alcoholic Substance Addicts - men in Some Health-service Institutions in the Czech Republic
Rotreklová, Anna ; Šťastná, Lenka (advisor) ; Reichelová, Lenka (referee)
Starting point: Risk factors associated with suicidality are, for example, severe depressive phase in anamnesis, low self-esteem, feelings of hopelessness, aggressiveness, impulsivity, suicidal thoughts during depressive phase, severe anxiety, personality disorders (border, narcissistic, histrionic personality), nicotine abuse, alcohol or other substance abuse, stress, problems at work, sexual or psychical violence, conflicts with relatives or life partners, absence of the person who the pacient can trust (Látalová, & Praško, 2009). These risk factors can undoubtedly occur in non-alcoholic substance addicts, patients in hospitals or those without treatment. Thaťs why the work has been devoted to the topic of suicide, depression and addiction. In the research part I wanted to verify connection of depressive symptoms and suicidal risks in patients - men in some psychiatric hospitals in The Czech Republic. Aims: The main aim of my work was to map the topic of suicide and depression and connect it with the theme of addiction. The thesis has been compared suicidal risks and depressive symptoms in non-alcohol substance addicts - men in some psychiatric hospitals in The Czech Republic. Methods: We used Beck Depression Inventory and Pöldinger questionnaire for comparison of depressive symptoms and...
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