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Inherited diseases in cattle
ALFERYOVÁ, Patricie
The bachelor thesis is worked out in the form of the research on the theme ,,Inherted diseases in cattle". The aim of this work is to highlight the known information about the selected genetically caused disease in cattle, their issues and incidence in the Czech Republic but also in other countries. First, there is described the origin of cattle, his domestication, breeds cattle and the situation in the Czech Republic. Another part deals with the basic genetic concepts of selected hereditary diseases of cattle and genetic testing methods. At the end of my work I have captured the current situation of inherited diseases in the Czech Republic and important breeding measures to eliminate this disturbances.
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Invasive methods of prenatal care from the perspective of nursing, using the system NANDA, NIC and NOC.
ŠTEFKOVÁ, Karin
In this thesis, we deal with the issue of invasive methods of prenatal care from a nursing perspective using standardized classification schemes NANDA, NIC and NOC, which offer many opportunities to streamline, simplify and improve the care of women who undergo invasive procedures. The theoretical part is focused on screening in prenatal care, individual invasive methods and the most common congenital malformations of the child. Furthermore, standardized classification systems NANDA, NIC and NOC, which represent a common nursing language. The empirical part of the dissertation is processed using qualitative strategy. To collect data, we selected the following research methods: content analysis of documents, evaluation using Fehring's model. The first goal was to detect and identify the problems that women face after amniocentesis (AMC), chorionic villus sampling (CVS) and cordocentesis and second goal was to assess the applicability of selected issues of classification systems NANDA, NIC and NOC with Fehring's model of validation of nursing diagnoses. Using content analysis, we have selected three nursing diagnosis from the NANDA International Taxonomy II, from publication of Nursing Interventions clasification (NIC) 3 nursing interventions and from Nursing Outcomes Clasification (NOC) 4 expected results, which are focused on the respondents after invasive methods. From selected nursing diagnoses of NANDA, NIC interventions and NOC expected results, we have developed a research form, specific questionnaire we submitted to the validation by respondents. The survey was carried out from January to March 2015 in the polyclinic GENNET Ltd. - Centrum of Medical genetics and reproductive medicine and in a private clinic OG Medical Center Ltd. The sample consisted of 34 intentionally selected respondents who underwent amniocentesis, chorionic villus sampling, or cordocentesis. The outcome of this thesis is the basic concept of the nursing diagnosis, according to NANDA-I, NIC and NOC aimed at women after invasive methods for prenatal care. Research has shown that with the the vast majority of respondents significantly exhibited symptoms of fear and anxiety. In contrast, in terms of the respondents reported that the knowledge of the issue is sufficient. This result is influenced by the fact that respondents find a lot of information on the Internet, but that may not always be true. Unfortunately, the results showed that it is more a problem of communication and interest of the medical staff.
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Ethics aspect in antenatal diagnostics
ŠIMKOVÁ, Petra
In my bachelor thesis I considered Ethic aspects of prenatal diagnostics. I focused on the existing care for pregnant women in the field of prenatal diagnostics. I focused on genetic examination of the fetus, which these women undergo nowadays. The theoretical part illustrates different views of prenatal diagnostics. It contains also a definition of basic conceptions and a description of genetic examinations and the most frequent genetic defects. The aim of my thesis is to identify views of some pregnant women on prenatal diagnostics and to determine to how much they were informed about the examinations they had passed. Another aim was to state, who and in what way informed them about results of the examination and if the pregnant women have got enough time for a thoughtful decision and a possible discussion with the doctor. In order to achieve the defined aims I used the qualitative research, method of an enquiry and techniques of a semi-structured interview. The interviews were made with randomly selected respondents at the age category of 27 years and older, which underwent genetic examinations during their pregnancy. The research showed that interviewed pregnant women wish to undergo the genetic examination, because they want to be sure that their baby will be born healthy. Next, I found that some pregnant women were not informed enough and the results of the genetic tests were communicated by telephone, by post or directly by their gynecologist. The women were allowed to discuss with a doctor but in most cases, although they signed an informed patient´s approval with the examination, they had not got enough time for a thoughtful decision if they should have undergone the examination. Based of this information, doctors and health workers should change their access to the pregnant women. An individual approach to each pregnant woman would ensure a real understanding of both positive and negative aspects of the genetic examination. An individual approach would enable the pregnant women to think over, if they will undergo the examination or not. This change would help to remove a persisting paternalistic approach in the health service. The results of my research can serve as a basis for a further research of the current care for pregnant women.
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