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Comparison and validity of new criteria for the diagnosis of malnutrition by GLIM in clinical practise
Boček, Petr ; Vágnerová, Tereza (advisor) ; Topinková, Eva (referee)
Aim of thesis: The aim of this bachelor thesis was to compare the standardized nutrition screening tools and the new diagnostic criterita of malnutrition according to GLIM with the practical findings of muscle mass using BIA in the clinical practice. Methods: Recently admitted and suitable patients aged 60+ at the Geriatric clinic of the General University Hospital in Prague and the First Faculty of Medicine of Charles University were selected for this research. Age, weight, height and subsequently BMI were determined at these patients. A standardized screening MUST (according to BAPEN), MUST in the modification of the General University Hospital, MNA-SF, SGA, evaluation according to the new criteria according to GLIM using BIA to determine seriousness of sarcopenia were performed. Results: According to GLIM criteria (SMI value [kg/m2 ] is 10,76 for the diagnosis of sarcopenia and 8,51 for severe diagnosis of sarcopenia for men and 6,76 for the diagnosis of sarcopenia and 5,76 for severe sarcopenia for women), there were 80,4 % of patients sarcopenic. The average SMI for men was 8,6±1,0 and 6,3 ±1,1 for women. The MUST screening had an overall low sensitivity - 61 %. In contrast, the MNA had high sensitivity - 91 % compared to the SGA. The best validity for malnutrition and sarcopenia is given by...
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Nutritional interventions as a prevention and treatment of pressure ulcers in geriatric clients living in social services facilities
Králová, Kateřina ; Vágnerová, Tereza (advisor) ; Šišková, Ivana (referee)
Nutritional interventions as a prevention and treatment of pressure ulcers in geriatric clients living in social services facilities Introduction: Pressure ulcers are chronic wounds caused by pressure and friction. This is localized area of cell damage caused by a microcirculation disorder. Prevention is essential especially for immobile clients who are easily creating and developing these chronic wounds. Clinical practice shows that client positioning, use of anti-decubital aids and good nutritional support is necessary. It is important to increase the supply of individual nutrients, especially proteins, and monitor their sufficiency for treatment and prevention. The theoretical part of this diploma thesis was devoted to the etiopathogenesis, classification, prevention and treatment of pressure ulcers especially in terms of nutrition. The empirical part was focused on the examination of the nutritional status of clients with pressure ulcers (using the Mini Nutritional Assessment-Short Form questionnaire) and the concretization of the nutritional needs and the real balance of the clients with newly established pressure ulcers at the beginning and after three months of nursing. Objectives: The main objective of this thesis was to map, how many of institutionalized clients with pressure ulcers had sufficient...
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Nutritional and functional status of clients living in homes for the elderly
Dvořáková, Tereza ; Vágnerová, Tereza (advisor) ; Mádlová, Pavla (referee)
Objectives: The aim of this cross-sectional study was to assess the nutritional status and physical performance of the individuals over 65 years living in home for the elderly and as the main research question to assess whether there is a correlation between impaired nutritional status and worsened physical performance in older adults. Also tests whether the unwanted weight loss for the last 3 month affects impaired results in a standardized SPPB test and handgrip test. And finally, verify whether the optimal BMI valided for the elderly predispozes a good physical performance and considered as a protective factor in case of frailty - on functional status. Methods: The research was executed by a quantitative method with the investigation of respondents as a data collection technique. To elaborate the practical part and answer the research questions were used outputs from nutritional status testing (BMI, nutritional status according to MNA-FF, SMI) and functional evaluation (dynamometry, SPPB battery). The results of these variables diagnosed seniors in the norm, at risk and with pathology. Results: The resulting research sample consisted of 40 seniors, of whom 29 were women (72,5 %) and 11 were men (27,5 %). The normal nutritional status was found in the majority of participants - 67,5 %, the risk...
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Clinical reality - nutritional screening and nutritional status.
Mikhaylova, Olga ; Meisnerová, Eva (advisor) ; Vágnerová, Tereza (referee)
(v AJ) Malnutrition is serious problem, increases patient morbidity and mortality. It is important to find patients at risk of malnutrition in time to start nutritional support. Nutritional screening should be clear, simple and easy to find as many individuals as possible at risk of malnutrition. Current nutritional screenings - NRS 2002, MUST, MNA that we use in clinical practice fail. The topic of my bachelor thesis is the evaluation of nutritional screening on the internal separation of unselected internal income. The aim of my bachelor thesis was to evaluate nutritional screening of NRS 2002 recommended for nutritional screening of adult patients in ESPEN guidelines and new GLIM criteria for diagnosis of malnutrition. In the theoretical part the thesis deals with the issue of malnutrition. It focuses on the causes and mechanisms of formation, consequences and diagnosis of malnutrition. Existing nutritional screening, its structure, use in practice and results of studies comparing its effectiveness are described in more detail. The pivotal point of the theoretical part is the introduction of the new GLIM criteria for the diagnosis of malnutrition from 2018. The practical part deals with the main objective of which is to compare the results of the evaluation of nutritional status of hospitalized...
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Eating habits of health care professionals
Bičianová, Michaela ; Meisnerová, Eva (advisor) ; Vágnerová, Tereza (referee)
This bachelor thesis deals with eating habits of nutrition therapists and nurses and with influence of shift work on boarding of nurses. It also dedicates to risks of eating disorders in both groups. It consists of two parts. In the theoretical part are described principles of healthy eating, issues of shift work and characteristic of eating disorders. The practical part uses the questionnaire to find out how the dietary habits of nutrition therapists and nurses differ. The aim is to find out whether nutrition therapists eat better than nurses on the basis of their education, and how shift work affects boarding of nurses. The results are processed into graphs and tables. The results show that general nutritional recommendations follow more nutrition therapists than nurses. Furthermore the questionnaire shows that more than 50% of nurses eats irregularly and the main reason for skipping meals during the night shift is lack of time. It has also been found that a large percentage of nutrition therapists have begun to study their field to get more information about nutrition. It has been confirmed that both nutrition therapists and nurses are in risk group for eating disorders. keywords: eating habits, nutrition, dietary recommendations, nutritional therapy, nurses, eating disorders
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The Effect of Media on the Protection of Cultural Heritage: A Case Study of the Jewish Museum in Prague
Vágnerová, Tereza Aster ; Dolanský, Pavel (advisor) ; Bednařík, Petr (referee) ; Jirák, Jan (referee)
The Jewish Museum in Prague was founded in 1906, and it counts among the oldest Jewish museums in Europe. Visited by more than half a million people every year, it is one of the most visited museums in Prague. The former Jewish Quarter of Prague, where the museum is situated, was entered on the UNESCO World Heritage List in 1992. The museum administers four historical synagogues, a Ceremonial Hall, the Old Jewish Cemetery, a number of depositories and archives, the Robert Guttmann Gallery, and a library with a multimedia center. This specialized Jewish studies library owns a rich book and archive fund, which contains more than 130,000 volumes about the history and culture of the Jews. Most Judaica and other items in the collection come from the property of Jewish communities and families murdered in the Holocaust. Therefore, the collection tells a lot about the history, traditions and customs of the Jewish inhabitants of Bohemia and Moravia. The above facts make the museum a guardian of not only Czech, but also of international cultural heritage. The year 1994 was a turning point for the Jewish Museum in Prague - it was the year when all the buildings of the museum were returned by the state to the Federation of Jewish Communities in the Czech Republic. The museum thus became a non-government...
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Musical as a Marketing Product
Vágnerová, Tereza Aster ; Dolanský, Pavel (advisor) ; Halada, Jan (referee)
The bachelor thesis "Musicals As a Marketing Product" is dedicated to marketing communication in the field of musical-dramatic arts. It provides a description of marketing communication in the licensed musical "Les Misérables", produced by the GOJA agency. "Les Misérables", in terms of marketing and ticket sales, is a musical phenomenon in the Czech Republic. The purpose of this work is to characterize marketing communication of musical-dramatic arts and furthermore, to describe the marketing specifics of the Czech musical environment through the application of theoretical knowledge. It will also give a detailed description of marketing communication in musical-dramatic arts which is then analyzed and evaluated. At the end of the study it provides possible recommendations and suggested changes to make marketing communication of musical arts more efficient.
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Influence of media on human behaviour
Vágnerová, Tereza ; Hubinková, Zuzana (advisor) ; Pauknerová, Daniela (referee)
Práce se zabývá podstatou a vlivem médií na člověka z hlediska časového, prostorového, rituálního, společenského a omezujícího, přičemž mediální sféra je zúžena zejména na televizi. Práce zkoumá, jak se lidé vystavují televiznímu vlivu, nechávají se omezovat a nakolik si toto ovlivnění uvědomují. Součástí praktické části je výzkum provedený mezi mladými lidmi, zjišťující přímý i nepřímý vliv televize.
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