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Whey-based enteral nutrition and its effect on glycemic variability in intensive care
Jirků, Jitka ; Křížová, Jarmila (advisor) ; Zlatohlávek, Lukáš (referee)
Background: The most patients in intensive care experience hyperglycemia. These may include patients with pre-existing diabetes or stress hyperglycemia as an organism's offense reaction. Our aim is not only to correct this hyperglycemia early by a reserve, but also to prevent acceleration of hyperglycemia above their commended level. In addition to insulin, the correct choice of enteral nutrition can prevent not only hyperglycemia but also glycemic variability, which seems to be a much greater risk for these patients than stable tolerable hyperglycemia. In addition to diabetic-specific formulas, whey-based enteral nutrition can support our pursuit of optimal glycemia, due to its insulinotropic effect and its ability to stimulate incretin release. Much evidence will still be needed to confirm these benefits, but we can already look at whey not only as a source of quality protein, but also as a diet with a potential to limit glycemic variability. Objective: The aim of the study was to evaluate the effect of enteral nutrition based on whey (Peptamen Intense) on parameters associated with the assessment of glycemia in intensive care patients. Assess whether there is a relationship between the variables and draw conclusions with possible application in practice. Methods: Thirty-seven patients were...
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The effect of high protein enteral nutrition on the nutritional status of the patients in intesive care
Jirků, Jitka ; Křížová, Jarmila (advisor) ; Zlatohlávek, Lukáš (referee)
Background: The paper presents a broad view of the issue of providing sufficient nutritional support (enteral nutrition) with a high level of protein for the target group of patients in intensive care. Patients in these types of departments (ARO, ICU) have different metabolic requirements at different time intervals of their acute illness. Understanding the essence of metabolism of essential macronutrients with all the consequences on the organism is the basis for understanding metabolism in intensive care with a significant influence on the different nutritional requirements of these patients and maximizing our efforts to adapt the type of enteral nutrition to the needs of intensive care patients. Objective: The aim of this work was to evaluate the effect of the new enteral formula Peptamen Intense on the nutritional status of patients in intensive care. Assess the possibility of achieving the nutritional target of proteins (energy) according to the guidelines. Evaluate other parameters that influence management of nutritional support in patients with intensive care. Methodology: Ten patients were selected from the workplaces (ARO, JIP) throughout the Czech Republic according to clearly defined input criteria between November 2017 and March 2018. Subsequently, all patients were enrolled in the...
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Marketing Communication in Pharmaceutical Industry
Jirků, Jitka ; Lešetický, Ondřej (advisor) ; Hodek, Jiří (referee)
The object of this thesis is to give a self-contained theoretical basis for understanding of the specifics of the communication in marketing of pharmaceutical companies. To formulate a marked differences in this field and to summarize the main acquired information towards the plan of optimal marketing communication for pharmaceutical companies.
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Originální farmaceutická firma na trhu v České republice
Jirků, Jitka ; Lešetický, Ondřej (advisor)
Cílem práce je představení britské farmaceutické firmy Montrose a jejího produktového portofia s důrazem na skupinu R03. Zhodnocení trendů ve spotřebě této skupiny v ČR a Praze. Prognostika na budoucí období pro tuto skupinu.Seznámení s problematikou Astma a CHOPN.Závěrem zhodnocení přínosu léčby pro pacienta, lékaře, společnost a firmu Montrose.
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