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Comparison of postoperative analgesia in ICU
Trojanová, Eva ; Bruthans, Jan (advisor) ; Pavlíček, Bohumil (referee)
The thesis deals with comparing the postoperative analgesia with a focus on pacients after hip replacement surgery at the intensive care units. The quantitative study realized at the Fakultní nemocnice v Motole and Nemocnice Třebíč during November 2012 and February 2013. The main task of the theoretical part is to analyze the current trends in the field of post- operativeanalgesia by the patients undergoing hip joint surgery as well as the explanation the basicconcepts of this issue and overviewing the international postoperative pain treatments. The practical part is an objective comparison the postoperative analgesia byselected patients at the Fakultní nemocnice v Motole and Nemocnice Třebíč determined by questionnaire. The results of the questionnaire are processed into graphical representation and subsequently evaluated. The work serves to clarify the overall issue of post-operative analgesia. The focus is mainly on ensuring the quality of postoperative analgesia, the financial requirements administered analgesics and the possible complications associated with the use of analgesic therapy. Key words: Analgesia, pain, hip surgery, visual analogue scale, analgesics
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Evaluation of surgical treatment of hip joint with diagnosis of femoroacetabular impingement syndrom.
Zahradník, Petr ; Otáhal, Jakub (advisor) ; Chládek, Petr (referee)
Title: The evaluation of surgical treatment of the hip in the diagnosis of femor- acetabular impingement syndrome. Objectives: The main objective of this work is to evaluate the effect of the surgery of the hip in diagnosis of femor-acetabular hip impingement. Methods: In our work we have cooperated with 103 patients who have been operated on hip with the diagnosis of femor-acetabular hip impingement (FAI). We used standardized questionnaires of WOMAC and NAHS, which assesses functional self- care, limitations in motion and painfulness. Patients completed questionnaires twice. For the first time before surgery and second time at least one year after the surgery. The specimens of questionnaire are attached in the Annex. Results: We found out that postoperative condition is significantly different from the preoperative state in terms of improved self-care, increased range of motion and reduction of painfulness. Keywords: Femor-acetabular impingement, hip surgery, WOMAC, NAHS
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Evaluation of short-term and long-term effects of surgical treatments in patients with femoroacetabular impingement syndrome
Janáková, Daniela ; Tolar, Jan (advisor) ; Zahradník, Petr (referee)
This thesis is dedicated to femoroacetabular impingement syndrome (FAI), which is lately being related to hip preservation surgery. There are three major types of surgical approaches to address pathological contact of the proximal femur and acetabulum: arthroscopy, surgical hip dislocation and minimally invasive hip surgery. The first part provides summary of hip anatomy, biomechanics and kinesiology. Further, we present current findings about FAI etiology, pathogenesis, clinical examination and management options. The main part introduces findings of up-to-date published studies regarding the surgical outcomes. In the second part we presented three case reports of patients with FAI, who underwent one of the above mentioned surgical procedures. They were repeatedly physically examined and asked to fill in the West Ontario MacMaster Universities Osteoarthritis Index (WOMAC) questionnaire.
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Comparison of postoperative analgesia in ICU
Trojanová, Eva ; Bruthans, Jan (advisor) ; Pavlíček, Bohumil (referee)
The thesis deals with comparing the postoperative analgesia with a focus on pacients after hip replacement surgery at the intensive care units. The quantitative study realized at the Fakultní nemocnice v Motole and Nemocnice Třebíč during November 2012 and February 2013. The main task of the theoretical part is to analyze the current trends in the field of post- operativeanalgesia by the patients undergoing hip joint surgery as well as the explanation the basicconcepts of this issue and overviewing the international postoperative pain treatments. The practical part is an objective comparison the postoperative analgesia byselected patients at the Fakultní nemocnice v Motole and Nemocnice Třebíč determined by questionnaire. The results of the questionnaire are processed into graphical representation and subsequently evaluated. The work serves to clarify the overall issue of post-operative analgesia. The focus is mainly on ensuring the quality of postoperative analgesia, the financial requirements administered analgesics and the possible complications associated with the use of analgesic therapy. Key words: Analgesia, pain, hip surgery, visual analogue scale, analgesics
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Evaluation of surgical treatment of hip joint with diagnosis of femoroacetabular impingement syndrom.
Zahradník, Petr ; Otáhal, Jakub (advisor) ; Chládek, Petr (referee)
Title: The evaluation of surgical treatment of the hip in the diagnosis of femor- acetabular impingement syndrome. Objectives: The main objective of this work is to evaluate the effect of the surgery of the hip in diagnosis of femor-acetabular hip impingement. Methods: In our work we have cooperated with 103 patients who have been operated on hip with the diagnosis of femor-acetabular hip impingement (FAI). We used standardized questionnaires of WOMAC and NAHS, which assesses functional self- care, limitations in motion and painfulness. Patients completed questionnaires twice. For the first time before surgery and second time at least one year after the surgery. The specimens of questionnaire are attached in the Annex. Results: We found out that postoperative condition is significantly different from the preoperative state in terms of improved self-care, increased range of motion and reduction of painfulness. Keywords: Femor-acetabular impingement, hip surgery, WOMAC, NAHS
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Health care financing- Total hip replacement surgeries
Kutlák, Štefan ; Szabová, Lucia (advisor) ; Krebs, Vojtěch (referee)
This Bachelor thesis deals with the imperfections in the functioning and financing of public health care on the example of the total hip replacement surgeries. It summarized findings from foreign studies on the phenomenon of informal payments and disadvantages in public health insurance system. Based on the data from the Czech healthcare system describes the differences and inefficiencies between health care providers and suggest the mechanism, which can be helpful with increasing efficiency in spending funds for total hip replacement surgeries.
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