|
|
Hypoglycaemia detection using smart devices
Stránský, Matyáš ; Vargová, Enikö (referee) ; Němcová, Andrea (advisor)
This work explores the possibility of using a smart device for hypoglycemia detection. Hypoglycemia is a dangerous condition in individuals with diabetes mellitus. The problem mainly occurs during sleep when a person is unable to react promptly. The aim of this study is to capture data to determine which symptoms (heart rate or electrodermal activity) are influenced by hypoglycemia. Data was collected during sleep using a smart device. Simultaneously, blood glucose levels were measured as a reference using a glucose monitoring sensor. The values were preprocessed, and subsequently, features were selected to identify hypoglycemia. Based on these selected features, a model for detecting hypoglycemia was created.
|
|
|
Hypoglycemic and hyperglycemic states of prehospital care
TOLINGER, Daniel
Diabetes mellitus is a frequently discussed lifestyle disease in today's society. Therefore, I decided to create this bachelor's thesis, which focuses on acute diabetic states in emergency medicine and pre-hospital care by the emergency medical service. The aim of the thesis is to provide an overview of standardized therapy in pre-hospital care and the most common causes of acute diabetic complications that can lead to hospitalization and even life-threatening situations for patients with diabetes. This goal was achieved by collecting data from emergency medical responders from the Emergency Medical Service. The knowledge gained from this work shows that the majority of acute diabetic states were caused by patient errors, whether in inappropriate increases in physical exertion or application of exogenous insulin outside of the prescribed regimen. For successful treatment of acute diabetic states, proper and quick diagnosis is crucial, based on a well-taken medical history and the use of available techniques. Targeted therapeutic procedures help manage these conditions without serious health consequences for patients. The scientific contribution of this work lies in its comprehensive and up-to-date approach to the topic, which enables a better understanding of the issue of acute diabetic states and provides a comprehensive view of current diagnosis and therapy in pre-hospital care. This work may be useful for physicians and nurses working in emergency medicine or emergency medical responders who encounter these conditions in practice. In conclusion, this bachelor's thesis serves primarily to improve the care of patients with acute diabetic states.
|
|
| |
|
|
Analysis of hypoglycemia by Continuous Glucose Monitoring in patients with Type 1 diabetes
Hrubantová, Tereza ; Šoupal, Jan (advisor) ; Flekač, Milan (referee)
This bachelor's thesis presents an analysis of type 1 diabetes patients' hypoglycemia using continuous glucose monitoring. The thesis aims to evaluate the occurrence of hypoglycemia, the prevalence of impaired awareness of hypoglycemia and to investigate how patients treat hypoglycemia. The theoretical part of the thesis presents a summary of the general knowledge of type 1 diabetes diagnosis, focusing on the hypoglycemic issues and diabetes compensation improvements using continuos glucose monitoring. The practical part analyses hypoglycemia frequency and duration using continuous glucose monitoring. Occurrences of the impaired awareness of hypoglycemia, as well as the ways in which patients treat hypoglycemia, are evaluated according to a modified Clark Method. The research shows that the actual occurrence of hypoglycemia is significantly higher than its occurrence as perceived by the patients. Continuous one-week blind glucose monitoring shows that hypoglycemia occurs in 85 % of patients at night and 95 % of patients during the day. In total, patients suffered hypoglycemia 7.2 % of the week, i.e. approx. 12 hours, of which 4 hours and 40 minutes occurred at night while 7 hours and 21 minutes they were experiencing hypoglycemia during the day. The impaired awareness of hypoglycemia prevalence...
|
|
|
Fear of hypoglycemia in adults with diabetes I. type in nursing process
Tomanová, Iva ; Javůrková, Alena (advisor) ; Raudenská, Jaroslava (referee)
This bachelor thesis discusses the fear of hypoglycemia at patients who have diagnosed diabetes mellitus of first type. This thesis is divided into two parts. There is a theoretical part, which deals with problematic of diabetes mellitus, with its characteristic, symptoms, diagnostic, treatment and complications. Next theme of this theoretical part is deals with fear, anxiety, depression and emotional structure or attachments. Empirical part of this bachelor thesis is dedicated to fear of low level sugar in blood in relation to depression, anxiety, emotional attachments and other demographic and clinic factors. The conclusion of the practical part describes the sample of respondents and determines the results of the research. The research for this thesis was based on six questionnaires, which respondents received in this order - a non-standardized anamnesis questionnaire, research of low level of sugar in blood at adults (HFS - II), Beck's self-judged scale of anxiety (BAI), Beck's Depression Scale (BDI- II), Experiences in close relationships (ECR) and Generalized Anxiety Disorder - 7 (GAD - 7). After evaluating the questionnaire according to their scoring manual, were used statistical tools. The methods that were used were based on established hypotheses about a relationship between the given...
|
|
|
Special needs of children with Type 1 diabetes at primary school
Polnická, Veronika ; Hanušová, Jaroslava (advisor) ; Váchová, Alena (referee)
This thesis, entitled The Specific Needs of a Child with Type 1 Diabetes Mellitus in Primary School, is divided into two main parts. The theoretical part deals with the disease of diabetes mellitus, mainly type 1 diabetes mellitus and the specifics of childhood diabetes. In the practical part I focus on identifying the specific needs of children with type 1 diabetes mellitus attending the first level of primary school. Research information was obtained through interviews with parents of these children. The aim of the research was also to determine the level of satisfaction of parents with the schools' approach and whether and what they would like to change about the schools' approach. According to the responses, all school staff should know that a child is diabetic and be able to help them with hypoglycaemia. The child should be able to tell their classmates about the illness, respond to glycaemia at any time and contact parents if necessary. A negative experience associated with diabetes in the school environment was reported by 6 out of 15 children. In contrast, the same number of parents were satisfied with the approach and found nothing they wished to change. Parents would like teachers to be more empathetic and better educated. As a didactic output, an educational lecture was developed for...
|
|
|
New trends in perioperative monitoring and glycaemic control.
Lipš, Michal ; Kunstýř, Jan (advisor) ; Bešík, Josef (referee) ; Beneš, Jan (referee)
Glycaemic control in critically ill patients has been a topic of considerable attention for the past 20 years. In literature and at scientific meetings, there have been ongoing debates regarding the efficacy of glycaemic control in these patients with frequently entirely opposite opinions. These range from a strict invasive approach with target glycaemia 4-6 mmol/l to a liberal approach tolerating even values higher than 12 mmol/l. In the preview of this PhD thesis we have analysed so far published literature and describe the reasons for this inconsistency. According to the results of recent studies, the most significant efficacy of tight glycaemic control has been observed in cardiac surgical patients. If we consider the concept of tight glycaemic control as efficient strategy, there are three important questions remaining unanswered as follow. Does the specific algorithm-protocol play a key part in the concept of tight glycaemic control alongside the knowledge and skills of nursing staff in safe and efficient blood glucose control? What is the ideal timing of starting the strategy of tight glycaemic control (TGC) in cardiac surgical patient? And is there any benefit in outcome respect to mortality or morbidity? Do we have any more safe and efficient option or add-on to standard perioperative...
|
|
|
Specific needs of a child with type 1 diabetes mellitus in pre-primary and primary education
PRAGEROVÁ, Kateřina
This bachelor thesis deals with the issue of children and pupil´s education and with type 1 diabetes mellitus. It focuses on the ways to meet the specific health disadvantages needs and how the child with diabetes is integrated into the school activities. At the beginning of this work, the substance of this chronic disease, its treatment and methods of compensation using the latest technologies in blood glucose monitoring and insulin administration is characterized. Furthermore, the possible risky situations that can be encountered during the child's educational process and how to respond to these situations are described. The practical part is based on the direct experience of parents whose diabetic children attend a kindergarten and a primary school.
|
|
|
Fear of hypoglycemia in adults with diabetes I. type in nursing process
Tomanová, Iva ; Javůrková, Alena (advisor) ; Raudenská, Jaroslava (referee)
This bachelor thesis discusses the fear of hypoglycemia at patients who have diagnosed diabetes mellitus of first type. This thesis is divided into two parts. There is a theoretical part, which deals with problematic of diabetes mellitus, with its characteristic, symptoms, diagnostic, treatment and complications. Next theme of this theoretical part is deals with fear, anxiety, depression and emotional structure or attachments. Empirical part of this bachelor thesis is dedicated to fear of low level sugar in blood in relation to depression, anxiety, emotional attachments and other demographic and clinic factors. The conclusion of the practical part describes the sample of respondents and determines the results of the research. The research for this thesis was based on six questionnaires, which respondents received in this order - a non-standardized anamnesis questionnaire, research of low level of sugar in blood at adults (HFS - II), Beck's self-judged scale of anxiety (BAI), Beck's Depression Scale (BDI- II), Experiences in close relationships (ECR) and Generalized Anxiety Disorder - 7 (GAD - 7). After evaluating the questionnaire according to their scoring manual, were used statistical tools. The methods that were used were based on established hypotheses about a relationship between the given...
|
|
|
Impact of the disease on the socialization process
BOJKOVÁ, Alena
The work deals with the influence of diabetes mellitus type I on the socialization process of a child in a family, where the child grows up. It describes the treatment regimen, which results from small individual needs of the patient and the specifics due to the age of the individual periods. An important element of socialization is shaping attitudes towards leisure activities. Part of the education diabetic child is meeting the distinctive needs, treatment-related illnesses, to be able to gradually take responsibility for individual medical actions and compensated diabetes. The final section includes two case reports of diabetic boys.
|
guest ::
