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Mammary diagnostics - attitude and awareness of women
HRBKOVÁ, Jana
Over 7000 cases of breast cancer are diagnosed each year, which makes it the most common malignant disease in women in the Czech republic. Despite its constantly increasing incidence, mortality rates are stagnating and recently these rates even have tended to decrease slightly. The most common methods used for breast examination are mammography and ultrasonography. Nationwide breast cancer screening programme was launched in the Czech republic in 2002. This screening helps to detect cancer at an early stage. Mammography screening is covered by public health insurance for all women over the age of 45 once per two years. Breast self-exam is also a big part of secondary prevention. The purpose of this bachelor thesis was to analyze breast cancer prevention and mammary diagnostic awareness of women over the age of 18. In order to collect necessary data for my thesis a questionnaire survey was conducted. The electronic survey, which I created on website www.vyplnto.cz, was filled in by 533 female respondents. All the results of the survey were displayed in pie charts. Questions no. 10-23, which were focused on awareness, were also displayed in bar charts. These bar charts show the percentage of correct answers by age category. Thanks to the data from the survey I was able to answer research questions. In the first research question, I asked which age group has the least awareness of breast cancer prevention and mammary diagnostic; in the second research question, I wanted to know if more than 50 % of interviewed women perform breast self-examination. I evaluated that the oldest age group, i.e. respondents over the age of 65, has the least awareness of breast cancer prevention and mammary diagnostic. The survey also revealed that more than 50 % of interviewed women perform breast self-examination.
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Economic effects of the health promotion at the example of mammographic screening examination introduced in Czech republic in 2002
Fabová, Lucia ; Bartůsková, Lucia (advisor) ; Kotýnková, Magdalena (referee)
The topic of health is currently very up-to-date and the need for population health promotion and disease prevention is becoming increasingly important. The consequences of neglecting prevention and health promotion on the state's economy are clear, whether it is about increasing public spendings on health care or indirect effects on the level of human capital. The aim of this work is to analyze health promotion in the Czech Republic with a focus on mammographic screening programme introduced in 2002. The study demonstrates a decrease in breast cancer mortality following the screening examination and an increase in the number of tumor findings in earlier stages of the disease. It also analyzes the effect on costs of health care and the impact of screening on them. It also proposes to extend preventive screening examinations to other areas where their implementation could be useful in the future.
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Level of prevention tumors in breasts in the Strakonice region
NEDVĚDOVÁ, Jana
The number of women newly diagnosed with breast cancer is about seven thousand annually, which means slightly increased incidence. The causes of this disease are not quite clear. What is known, however, are the risk factors. Primary prevention focuses mainly on the suppression or elimination of risk factors. Secondary prevention aims at diagnosing the cancer at an early clinical stage, which enables more efficient treatment. The first preventive mammographic screening was introduced in the Czech Republic in 2002. It is a preventive examination of mammary glands by means of Mammogram, which is covered by health insurance for all women over the age of 45 once in two years. The survey on the level of prevention of breast cancer in the region of Strakonice was conducted by means of a questionnaire which was distributed among the patients of general practitioners in the selected towns and districts. The objective of the paper was to find out whether the women in the Strakonice region are informed of the risk factors of the disease. Another topic addressed was the breast self-examination. Women under 45 depend purely on it, as they are not entitled to free screening covered by health insurance. Women have been found to carry out breast self-examination quite rarely, and therefore, it would be beneficial to familiarize these women with the self-examination technique via general practitioners, gynecologists, or through the media. Self-examination should be commonly conducted by every woman over 20. Another goal of the paper was to find out what experience women had with imaging screening technologies in mammography, especially whether women over 45 undergo regular preventive mammographic screening. Also, how accessible such an examination is in the Strakonice region. At present, there are only three mammography centers in the South Bohemia region, none of which is in Strakonice. It was found that 82% of respondents over 45 take part in the screening program, and 78% of them would appreciate if a mammography center were established in Strakonice.
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The Relation Between Mamma Tumor Size and Remission Length
ŠPAČKOVÁ, Eva
Brest cancer is one of the most frequent malign types of cancer women suffer from. Its occurrence has been rising. It can be found more and more among younger generation and it has thus become a public health problem as well as social, economical and in general a problem for the whole society. In the Czech Republic each year over 5 500 new cases is being diagnosed. 2 000 Czech women die every year of breast cancer. In my dissertation I have analysed a current state of mammal diagnostics and prevention. I have analysed and evaluated data from 238 women, who were diagnosed with breast cancer from 2003 until 2007 at the accredited mammographic department in Havlíčkův Brod at Vrabčí trh. The aim of the dissertation was to find out whether the length of remission depends on the size of tumour when it is diagnosed malign. Even though there was rather small number of women who had tumour of size smaller than 1 cm and it did not influence the length of remission, the illness went forward, the results of my dissertation confirmed my hypothesis {--} the length of remission depends on the size of tumour when it is diagnosed malign. The results of my dissertation will help support mammographic screening in the Czech Republic.
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