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Psychosocial situation of siblings of chronically ill children
Lukšíková, Lenka ; Hrachovinová, Tamara (advisor) ; Šturma, Jaroslav (referee)
Chronic illness of a child has an influence over the whole family system. Despite this fact healthy siblings have been overlooked by the majority of research. Some foreign studies declare that this population is in higher risk of developing psychsocial problems. The purpose of this thesis is to conduct a closer study on psychosocial characteristics of the siblings of children with diabetes mellitus type 1. The main concern of the theoretical part is the review of current literature dealing with the topic of siblings of chronically ill child and their families. The conducted research included quantitative and qualitative methods exploring sibling psychosocial problems and prosocial behaviour, self-esteem, siblings attitude towards illness and family functioning. The results stress out the important relationship between sibling adjustment, self-esteem and individual and family characteristics. The results also present the main themes connected with siblings feeling of fear, sadness and anger, with applied coping strategies and perceived rewards and costs of the illness for family. Keywords: siblings, diabetes mellitus type 1, psychosocial situation
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Changes in eye tissues in patients with diabetes mellitus, with emphasis on the tissue surface of the eye
Česká Burdová, Marie ; Mahelková, Gabriela (advisor) ; Kalvodová, Bohdana (referee) ; Kvapil, Milan (referee)
Introduction: Relation of diabetes mellitus (DM) to the diabetic keratopathy and various stages of corneal nerve fiber damage has been well accepted. A possible association between changes in the cornea of diabetic patients and diabetic retinopathy (DR), DM duration, and age at the time of DM diagnosis were evaluated. Neuropathies are among the most common long-term complications of diabetes mellitus. Good glycemic control is essential in prevention of this complication. DM patients with similar mean glucose levels or glycated hemoglobin (HbA1c) levels often exhibit differences in evaluation of diabetic complications. One reason for these differences may be the differences in glucose variability. DM patients with similar mean glucose levels or HbA1c levels often exhibit differences in glucose variability Hypothesis: Diabetes mellitus damages the subbasal nerve fibers of the corneal and affects the density of epithelial, endothelial and stromal cells. Corneal changes in patients with DM are dependent on the degree of diabetic retinopathy (DR), age at diagnosis, duration of DM, and compensation parameters. Purpose: To compare changes in cell density in individual layers of cornea and status of subbasal nerve fibers in patients with type 1 DM (DM 1) and in healthy subjects. To evaluate the dependence...
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Nutrition in pregnancy with type 1 diabetes mellitus
Dolejšová, Lenka ; Flekač, Milan (advisor) ; Polák, Jan (referee)
Pregnancy is a very important period in every woman's life, especially for women with type 1 diabetes mellitus. It brings many changes that affect the level of blood glucose, whose stabilization is the main point of a successful pregnancy. Glycemic stabilization should ideally occur at least three months before conception. Its achievement is mainly due to a properly composed diet, which also has an irreplaceable influence on healthy fetal development. Insufficiently compensated diabetes may be associated with complications for both the baby and the mother. The aim of this bachelor thesis was to summarize available information and find out the knowledge of women with type 1 diabetes mellitus in the topics of nutrition and diabetes compensation during pregnancy. Thereafter to compare the found knowledge of women with the recommendations and depending on the relationship of the respondents to pregnancy, ie whether they were pregnant, do or do not plan pregnancy. The theoretical part of the thesis summarizes the basic facts about relation of diabetes to pregnancy - recommendation for treatment in the period before conception and during pregnancy and related complications for mother and child. It also provides an overview of essential nutrients and micronutrients affecting maternal and fetal health. In...
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Psychosocial situation of siblings of chronically ill children
Lukšíková, Lenka ; Hrachovinová, Tamara (advisor) ; Šturma, Jaroslav (referee)
Chronic illness of a child has an influence over the whole family system. Despite this fact healthy siblings have been overlooked by the majority of research. Some foreign studies declare that this population is in higher risk of developing psychsocial problems. The purpose of this thesis is to conduct a closer study on psychosocial characteristics of the siblings of children with diabetes mellitus type 1. The main concern of the theoretical part is the review of current literature dealing with the topic of siblings of chronically ill child and their families. The conducted research included quantitative and qualitative methods exploring sibling psychosocial problems and prosocial behaviour, self-esteem, siblings attitude towards illness and family functioning. The results stress out the important relationship between sibling adjustment, self-esteem and individual and family characteristics. The results also present the main themes connected with siblings feeling of fear, sadness and anger, with applied coping strategies and perceived rewards and costs of the illness for family. Keywords: siblings, diabetes mellitus type 1, psychosocial situation
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