|
|
The Role of Video Games in Health Care and Medical Training
Gálíková, Markéta ; Langerová, Petra (referee) ; Šedrlová, Magdalena (advisor)
Tato bakalářská práce se zabývá možným využitím počítačových her a technologiemi s nimi spojených v rámci medicínského vzdělávání a zdravotní péči. Veřejnost často vnímá videohry jako ztrátu času, nebo je využívají pouze pro zábavu. Cílem této práce je proto prokázat jejich využitelnost a pozitivní vliv na již zmínění medicínský vzdělání a zdravotní péči. První část práce pojednává o vlivu her na vzdělávání studentů medicíny, lékařů i pacientů a zároveň jej kriticky analyzuje. Druhá část je zaměřena na využití her ve zdravotní péči, jako je například terapie dětí s autismem nebo dětskou mozkovou obrnou, dále jako možnost redukování bolesti, či způsob objevování nových biochemických látek a struktur. Záměrem práce je zabývat se nejen počítačovými hrami, ale také s nimi spojenými technologiemi jako je virtuální a rozšířená realita, které ještě násobí zkušenosti získané v medicínském vzdělání.
|
|
|
Analysis of antibiotic administration in laparoscopic appendectomies in pediatric patients.
Opatovská, Tamara ; Rejmanová, Anna (advisor) ; Malá, Kateřina (referee)
Analysis of prescribing antibiotics for laparoscopic appendectomies in a paediatric patient population Author: Tamara Opatovská Supervisor: PharmDr. Anna Rejmanová, Ph.D. Consultant: PharmDr. Petr Domecký Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Appendicitis is one of the most common acute diagnoses in paediatric population. Incorrect diagnosis, poorly performed antibiotic prophylaxis (AP) or treatment can lead to life-threatening complications such as perforation, peritonitis, periappendiceal infiltrate or abscess. The aim of this study was to analyse the administration of antibiotics (ATB) as a part of prophylaxis before appendectomy and as part of the therapy of complicated appendicitis in the paediatric population and to compare the obtained results. Specifically, 2 periods were compared - before and after the introduction of the recommended hospital procedure (RHP; 22. 06. 2017). The partial goal of the study was to identify factors that influenced the occurrence of complications and length of hospitalization in the monitored population. Methods: An unicentric retrospective study took place at the Clinic od paediatric surgery and traumatology at the University hospital Hradec Králové. Data were collected from...
|
|
|
Ectopic pregnancy and blood loss during its surgical treatment
Kolářová, Nikola ; Kužel, David (advisor) ; Hudeková, Lucia (referee)
The bachelor's thesis deals with ectopic pregnancy and blood loss during its surgical treatment. The work is divided into a theoretical part and a research part. The first part deals with the anatomy of the female genital tract, types of ectopic pregnancies and procedures for their treatment. The research part was conducted in the form of quantitative research. The data was drawn from the Medea system of the Department of Gynecology and Obstetrics of the 1st Faculty of Medicine of Charles University and the General University Hospital in Prague in the time from 2016 to 2021. The aim of the research was to find out whether various criteria affect blood loss during the surgical treatment of ectopic pregnancies. Examples of the examined criteria include parity, miscarriage or abortion, age of patients and other critera, using descriptive statistical analysis of data calculated on the basis of arithmetic mean. Keywords: ectopic pregnancy, laparoscopy, blood loss, salpingotomy and salpingectomy, transvaginal ultrasonography
|
|
|
Assessment of the endometriosis in the pelvis.
Indrielle-Kelly, Tereza ; Fischerová, Daniela (advisor) ; Zikán, Michal (referee) ; Lambert, Lukáš (referee)
Introduction: The main goal of our work was to compare the diagnostic accuracy of ultrasound examination and magnetic resonance imaging (MRI) in the assessment of deep endometriosis in the pelvis. Our second aim was to establish a learning curve of a sonographer and a radiologists (non-experts). As an introduction to the subject we have published 3 reviews on the diagnosis and one narrative review on the classification systems in the evaluation of endometriosis has been submitted for publication. Methodology: Reviews were written as narrative reviews based on PubMed search and scientific societies recommendations. We have offered participation to all patients in the endometriosis centre with high suspicion of deep endometriosis, who then underwent examination by ultrasound and MRI by expert and non-expert before their surgical treatment, all findings described according to the consensus IDEA (international Deep Endometriosis Analysis group, 2016). Surgical and histological findings were used as a reference standard. Learning curve was defined as an improvement in accuracy in three blocks, into which the patients were assigned in the chronological order. Results of the scientific studies: From 07/2016 to 02/2018 the participation was offered to 111 patients, 51 underwent both imaging examinations...
|
|
|
Risks and limits of laparoscopy in the treatment of gynecological cancers
Charvát, Martin ; Robová, Helena (advisor) ; Kužel, David (referee) ; Mlynček, Miloš (referee)
The thesis evaluates the results of experimental protocol involving the fertility sparing treatment procedure in early stage cervical carcinoma (LAP I protocol). Sentinel lymph node detection and experimental extirpation of afferent channels using laparoscopy and its technical aspects were analysed in prospective group of 85 women. The oncologic results and early/late morbidity show that established surgical procedures can be considered safe with minimal morbidity, provided that the indication criteria are met. The second part analyses the results of 148 women with no further pregnancy plans suffering from cervical tumors less than 2 cm in size with invasion less than half of the stroma (LAP II protocol). The oncological results in our defined group are very good and comparable to 'standard' procedure of modified radical hysterectomy type B or C with lower morbidity. In the separate section the thesis analyses the possibilities of laparoscopy in endometrial cancer treatment including the potentials of use of sentinel lymph node detection and technical aspects of laparoscopy in obese women. Currently the biggest controversy is the use of laparoscopy in malignant ovarian tumors. Our oncogynaecological study group at FN Motol prefers the laparotomic approach and we chose to include the set of advanced...
|
|
|
Assessment of the endometriosis in the pelvis.
Indrielle-Kelly, Tereza ; Fischerová, Daniela (advisor) ; Zikán, Michal (referee) ; Lambert, Lukáš (referee)
Introduction: The main goal of our work was to compare the diagnostic accuracy of ultrasound examination and magnetic resonance imaging (MRI) in the assessment of deep endometriosis in the pelvis. Our second aim was to establish a learning curve of a sonographer and a radiologists (non-experts). As an introduction to the subject we have published 3 reviews on the diagnosis and one narrative review on the classification systems in the evaluation of endometriosis has been submitted for publication. Methodology: Reviews were written as narrative reviews based on PubMed search and scientific societies recommendations. We have offered participation to all patients in the endometriosis centre with high suspicion of deep endometriosis, who then underwent examination by ultrasound and MRI by expert and non-expert before their surgical treatment, all findings described according to the consensus IDEA (international Deep Endometriosis Analysis group, 2016). Surgical and histological findings were used as a reference standard. Learning curve was defined as an improvement in accuracy in three blocks, into which the patients were assigned in the chronological order. Results of the scientific studies: From 07/2016 to 02/2018 the participation was offered to 111 patients, 51 underwent both imaging examinations...
|
|
|
The Role of Video Games in Health Care and Medical Training
Gálíková, Markéta ; Langerová, Petra (referee) ; Šedrlová, Magdalena (advisor)
Tato bakalářská práce se zabývá možným využitím počítačových her a technologiemi s nimi spojených v rámci medicínského vzdělávání a zdravotní péči. Veřejnost často vnímá videohry jako ztrátu času, nebo je využívají pouze pro zábavu. Cílem této práce je proto prokázat jejich využitelnost a pozitivní vliv na již zmínění medicínský vzdělání a zdravotní péči. První část práce pojednává o vlivu her na vzdělávání studentů medicíny, lékařů i pacientů a zároveň jej kriticky analyzuje. Druhá část je zaměřena na využití her ve zdravotní péči, jako je například terapie dětí s autismem nebo dětskou mozkovou obrnou, dále jako možnost redukování bolesti, či způsob objevování nových biochemických látek a struktur. Záměrem práce je zabývat se nejen počítačovými hrami, ale také s nimi spojenými technologiemi jako je virtuální a rozšířená realita, které ještě násobí zkušenosti získané v medicínském vzdělání.
|
|
|
Risks and limits of laparoscopy in the treatment of gynecological cancers
Charvát, Martin ; Robová, Helena (advisor) ; Kužel, David (referee) ; Mlynček, Miloš (referee)
The thesis evaluates the results of experimental protocol involving the fertility sparing treatment procedure in early stage cervical carcinoma (LAP I protocol). Sentinel lymph node detection and experimental extirpation of afferent channels using laparoscopy and its technical aspects were analysed in prospective group of 85 women. The oncologic results and early/late morbidity show that established surgical procedures can be considered safe with minimal morbidity, provided that the indication criteria are met. The second part analyses the results of 148 women with no further pregnancy plans suffering from cervical tumors less than 2 cm in size with invasion less than half of the stroma (LAP II protocol). The oncological results in our defined group are very good and comparable to 'standard' procedure of modified radical hysterectomy type B or C with lower morbidity. In the separate section the thesis analyses the possibilities of laparoscopy in endometrial cancer treatment including the potentials of use of sentinel lymph node detection and technical aspects of laparoscopy in obese women. Currently the biggest controversy is the use of laparoscopy in malignant ovarian tumors. Our oncogynaecological study group at FN Motol prefers the laparotomic approach and we chose to include the set of advanced...
|
|
|
Peroperative nurse work demands
VELÁTOVÁ, Simona
My thesis has two parts. Part One explains the concept of "perioperative nurse" and her competences set forth in the Decree no.55/2011 Coll., on the activities of healthcare workers and other professional workers. The following chapters discuss the working environment of perioperative nurses, job principles of perioperative nurses, preparation of the operating room, treatment and preparation of instruments and technical equipment. Theory Part One is concluded by the chapter that explains the concept of perioperative care. Part Two is focused on education and training of perioperative nurses. It provides historical information, conditions and opportunities for specialized training of perioperative nurses. The last chapter deals with lifelong learning. Objectives of the Thesis The first objective was to map the range of activities performed by perioperative nursesduring selected types of surgery. The second objective was to identify differences in perioperative nurses' activities during standard and laparoscopic surgery. The last objective was to identifyopportunities for further training of perioperative nurses. The method of qualitative research was used. Research data were collected from non-standardized in-depth interviews. The research covered perioperative nursesof three operating rooms in the Hospital of České Budějovice a. s., namely surgery, urology and gynaecology. The research was carried out in collaboration with 3 perioperative nurses of each of the above mentioned operating rooms. Responses were recorded in writingand interviews with individual nurses were numbered followed then by verbatim transcriptionof interview data. The evaluation and analysis of interviews were categorized and categories were supplemented with subcategories. The results of research focused on duties of perioperative nurses show that perioperative nurses' workencompasses many duties they have to performandfollow. The duties of perioperative nurses include activities before, during and after surgery. They smoothly follow one after another and have a predefined sequence. The Scrub Nurse and CirculatingNursejointly perform most activities. Checking was identified as the most frequent activity of perioperative nurses. Checking on the patient, checking on instruments, checking on equipment / devices, but no surgery check-listsare used in the workplaces fornow. For laparoscopic surgery, no great differences in activities were mentioned by perioperative nurses. There would only be some additional activities related to deployment, checking and control of devices. The spatial arrangement must ensure safety of the patient as well as personnel. The operation and control of devices and equipment is very challenging for perioperative nurses in terms of their technical skills and competences. The research concerning opportunities for further training of perioperative nurseshas showed that perioperative nurses prefer specialized training. As another method to refresh their knowledge, participation in workshops was mentioned by perioperative nurses. No other activities are pursued. The purpose of my thesis was to describe activities (duties) performed by perioperative nurses in their daily routine work and establish how they learn and addnew information and knowledge. Perioperative nursesmanage theactivities / operation of operating rooms. They are required to be familiar with the technique and operating procedures and faultlesslyhandle various types of instruments. Professional knowledge supports a smooth course and good quality results of surgery. All of that requires continuous control, training and expanding their knowledge. This thesis points out the need for employer'sinvestments in training and more proactive approach of perioperative nurses to lifelong learning. The research results could provide the basis for preparation of a lecture for perioperative nurses.
|
|
|
Patients awareness before endoscopic examination
BERNÁTOVÁ, Ivana
Abstract Patients awareness before endoscopic examination This baccalaureate thesis deals with informedness of patients prior endoscopic examinations. The theoretic part deals with the issues of informing and preparing endoscopic examinations. Generally, informedness is a broad issue that can be discussed in professional circles as well as by the laic public. As the patient is considered an active element of the treatment process nowadays, informedness has gained an important role. This work tried to explain endoscopic methods, to map preparation for individual endoscopic examinations, and to stress the importance of information and communication skills when providing such information. Two objectives were set down. The first one was to find out the details about informedness of patients prior endoscopic examinations. The other one was to find out what method is used to inform patients prior endoscopic examinations. Two hypotheses were set down in the practical part. The first hypothesis is based on the presumption of sufficient patient informedness and it was defined as follows: Patients are informed sufficiently prior endoscopic examinations. The other hypothesis was based on a presumption defined as follows: The most frequently used method of informing patients prior endoscopic examinations is oral explanation. To find out about the current situation, the quantitative method using an anonymous questionnaire was employed. Only one kind of questionnaire containing 25 questions was used. The questions were closed, semi-closed and one open. Introductory questions were informative ones, the others focused on informedness prior an endoscopic examination and on the methods of providing information. A hundred questions were distributed at preselected wards at Nemocnice Tábor, a. s. (Hospital Tábor). The research group consisted of patients at the surgical, internal and gynaecological departments. The results were processed into graphs showing the percentage of the distribution of the respondents{\crq} answers. The discussion was assessed and compared with professional literature. At the end of this thesis, the project summation results are presented as well as confirmed or unconfirmed hypotheses and possible proposals that may lead executive workers to consider what ways could be taken in the future to better patient informedness prior endoscopic examinations.
|
guest ::
