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Health and social risks in children predisposed to metabolic syndrome
SLADKÁ, Alena
Metabolic syndrome was defined for the first time in 1988 by Reaven, who defined it as a hormonal-metabolic syndrome - with symptoms of resistance to insulin , hyperinzulinismus, hypertension and with laboratory-proven higher level of lipoproteid VLDL and lower level of HDL and LDL cholesterol. Obese children have big troubles concerning social relationships. Overweight children are often an object of ridicule, teasing, verbal bullying, physical bullying, cyberbullying and sexual abuse. First goal of this thesis is to find out, whether obesity (mainly of android type) in children and adolescents (aged 10-18) having BMI higher than 28 and waist size for boys over 103 and for girls over 93, overall cholesterol level over 6,5, blood pressure higher than 130/70 are predispositions of manifestation of MS in adulthood and to find out what are the social and health impacts of the obesity in the childhood. Second goal of this thesis is to find out, whether patients with metabolic syndrome (MS) had predispositions for obesity or were obese in the childhood and what are the health and social impacts of MS in their life. The first research group consisted of ten children aged 10-18 with predispositions to manifestation of MS. Methods of accomplishing goals of this thesis: Survey of health and family anamnesis. All ten children aged 10-18 were repeatedly checked during six mounths for their body weight, waist size, blood pressure and cholesterol. Surveyed values are shown in the table. I Used a structured interview to survey relationships of obese ones with same-age children, whether they are an object of ridicule and bullying and what are other troubles caused by the disease. At the same time I gave questionnaires to parents to ascertain the eating habits and life style of the family. Health and social impacts for life of people with diagnosed MS, when they were diagnosed MS and their childhood condition were examined using structured interviews in the metabolic advice centre. The research group consisted of ten patiensts of metabolic advice centre. After analysis of data and health anamnesis it was proven that 60% of researched children suffer from higher morbidity (breathing issues, upper respiratory tract infection, and easier fatigue during physical exertion). 60% of children have serious issues to establish relationships and suffer from verbal and physical bullying. 40% of adult patients of metabolic advice centre had troubles with obesity already in their childhood. All of them suffer from type 1 diabetes. Two of them recieve disability pension due to MS. 90% of them told, that they regulary go see a doctor und regulary take cures. These facts cause worse financial situation (lower income, expenses for cures and travel to a doctor). Two respondents mentioned discriminating behaviour of medical staff, however they didn't mention the type of discrimination. According to the questionaries only one person considers the MS is caused by his lifestyle. Research group consisted all the time of ten children and ten adults with MS, because 'Snowball sampling' research methods didn't survey any new facts, which would be needed to verify.
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Health and social strokes by pacients after acute myocardial infartion.
HAVLÍČEK, Robert
The clinical hallmark of acute myocardial infarction is chest pain, typically located in the substernal region or sometimes in the epigastrium which frequently radiates to the neck, left arm and left shoulder. Anginal equivalents such as dyspnoea and epigastric discomfort may also occur. The physical findings can include diaphoresis, pale cool skin, sinus tachycardia and sometimes hypotension. The objective of my thesis is to describe the health-social overall impact. I have been interested in acute myocardial infarction problems since my first education as a rescuer. I used the method of classificatory frequency analysis of documents, comparing and analogy results each other. The main task was to show how the people live after acute myocardial infarction, if they are able to work or not. Graphical analysis shows patient{\crq}s social anamnesis, productivity, gender ratio and etc. Sample for analysis forms 109 patients, from that 16 forms employment history results, which are made separate.
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