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Crisis readiness of the hospital Jihlava relating to selected extraordinary events
VILÍMKOVÁ, Zuzana
There are currently many emergencies that may affect the security environment of the Czech Republic. No extraordinary event chooses time or place to intervene. Among the most vulnerable people we can rank people in social facilities or health facilities because these people are dependent on the help of others. Healthcare facilities have their own specificities, which need to be given increased attention, especially in the event of emergencies. Currently, patients' entitlement to health care is high. Care should be provided in its entirety and at a high level. The aim of this thesis is to increase the readiness of Jihlava Hospital for selected emergency events. A research question has been set for this work: What is the readiness of Jihlava Hospital for selected emergencies? Data acquisition will take several forms. The research and analysis of legal norms and documents related to the issue will be crucial. Analysis of synthesis, document induction and environmental observation will be used. Subsequent interviews with employees of Jihlava Hospital and other relevant people will also play an important role. To evaluate the readiness of Jihlava Hospital, a risk analysis will be performed using the KARS method. The result will be a Plan of Emergency Preparedness, which will be given to the hospital. Thesis can also serve research purposes for hospitals to increase their preparedness for emergency situations.
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Standards of periradicular therapy under CT control of the department of imaging in the Hospital Jihlava
DOLEŽALOVÁ, Jarmila
The topic I have chosen for my bachelor thesis is treatment of backaches. I have focused on treatment options of radicular pains. The thesis is divided into theoretical and practical part. The first part focuses on description of spinal anatomy, neuroanatomy and spine functions. Backaches belong to the most common diagnosis of not only general practitioners but also specialists. Almost everyone, at least once in their life, visits a doctor with pains related to their back. There are a lot of factors involved in the rise of backaches. The permanently developing non-vascular part of the intervention radiology helps, thanks to its therapeutic methods, with backache treatments where conservative treatment procedure is inefficient for a patient. Current medicine offers a whole range of minimally invasive treatment algorithms. One of the possible minimally invasive treatment procedures in the area of cervical and lumbar segment of the spine is a periradicular local injection. The medical treatment into intervertebral area surrounding the spinal nerve is intended and performed under regulated CT control in sterile conditions. Another newer minimally invasive method is oxygen ozone therapy. This method exploits biochemical propertiesof ozone. Minimally invasive treatment methods are being successfully carried out at the ward of imaging methods in Jihlava's hospital. The difference between the two methods presented is the contents of the curative mixture. Both methods, closely described in the theoretical part, are accessible for the patient as well as well tolerated with minimal negative reactions related to the treatment. The conclusion of the theoretical part contains the description of the indication for an examination, the contents of a particular curative mixture, the information related to contraindication of this treatment as well as possible complications and also the description of therapeutic effects it has on a patient. It includes evaluation methods and comparison from time and financial point of view and an opinion of a radiology assistant. The practical part includes a detailed procedure and performance of medical treatment where the output shows the process of local radiology standards of individual methods designed for the needs of the ward of imaging methods in Jihlava's hospital. The processed standard will improve awareness from other hospital wards about this medical treatment. Subsequently I am comparing both methods which was the given aim of this thesis. The methodology of this assignment includes the evaluation of achieved results. The observed database was a group of patients that underwent a curative therapy in 2011 to 2013. The database includes the medical treatment, the age and gender of a patient and the treated part of the spine. It also shows the overall amount of treatments divided into individual years. The final assessment was based on a total number of 668 patients and is shown in graphs and charts. The explorative question of this assignment whether the number of patients of the minimally invasive therapy will grow while their age will decrease has proved to be true. These are some of the results shown in the graphs: the overall number of patients in the observed time period of 2011 2013 grows, however in 2013 we can notice the increasing number of female patients as opposed to the decreasing number of male patients in the area of lumber spine. Dividing patients into age categories shows that the number of patients increases up to the age group of 51 to 60 years of age, after that it decreases. The above mentioned age group formed more than 35 % of all patients. Minimally invasive medical treatments performed in the spine area improve the patient's life comfort and the positive healing effect makes their physical and mental condition as good as it was before.
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