Background: Various follow-up studies show that there are deficiencies in the care of patients affected by stroke. In order to provide good care according to the National Board of health and welfare and national guidelines for stroke care systematic quality audits need to be carried out. Purpose: To investigate if the local guidelines for stroke care in Örebro County are followed and to explore how people with stroke experience care and rehabilitation in hospital, primary care and community. Method: Primary health care records were reviewed using quality indicators in the local stroke guidelines. Samples of patients were obtained from the County´s three hospitals. Differences between men and women, younger and older, were analysed with chi-squared test. Eleven people were interviewed about their experiences of care, rehabilitation, support and participation. The interviews were analysed with qualitative content analysis. Result: 123 records were reviewed and for 69% referrals had been sent to the primary health care. Of the referred patients 78% were followed up within 6 months. Men were treated in significantly higher extent with lipid-lowering medicines compared with women, and people below 75 years in significantly higher extent than those over 75 years. Diagnosis was significantly more frequent registered in records for younger people. The interviewed people were at large satisfied with the hospital care. Those who lived in municipal residents enjoyed company of the staff and the other people living there but could also feel restricted by the ward routines and partially lose their autonomy. Some experienced the primary health care as a security while others experienced a lack of follow-up despite the fact that it happened.  Several felt not involved in the health care planning, but instead relied on staff´s judgement. Conclusion: Quality indicators were met in large in the primary health care but there were differences between gender and between older and younger. People were generally satisfied with care but they did not feel involved in the health care planning. People living in municipal  residents experienced some shortcomings and described loss of autonomy.

Name: Alice Oktábcová Supervisor: Mgr. et Mgr. Jaromíra Uhlířová Oponent: ……………. Diploma thesis: The Application of Robot-Assisted Therapy of Hand after Stroke: Follow-Up Trial of Application of AMADEO Instrument Key words: stroke, robot-assisted therapy, Amadeo Instrument, follow-up study, upper extremity In recent years, western countries noted a gradual increase in stroke survivors. Stroke can cause motor activity impairment and also senzoric and cognitive disorders which lead into restriction of participation of activities of daily living and also reduction of social and community activities. Functional improvment of upper and lower extremity after stroke is a very complex proces which has to be solved in multidiscplinary and multifactorial approach in result of every stroke survivor to live in the most independent way as possible. Robot-assisted therapy for motor recovery could be a successful way to improve motor activity of stroke survivors. Amadeo Instrument is one of robot-assisted therapy for hand rehabilitation of stroke survivors. This instrument can be described as final effector without exoskeleton which allows functional motor therapy for fingers and also a motivational feedback. Amadeo therapy can be passive, assisted, active and also interactive. The aim of this thesis is to...

Title: Development of methamphetamine (ex)users that decided to cease without professional intervention - follow-up study Abstract: BACKGROUND: This work relates to author's research in 2011/2012, in which author captured experience of (ex)users with ceasing drug using without professional help through narrative interviews. Findings shown, that respondents keeps in their narration space for reusing of methamphetamine, so author decided to work with respondents also in future. This work is theoretically based in idiographic and narrative approach, which focus on AIMS: To capture development of methamphetamine (ex)users that decided to cease using methamphetamine without professional intervention after 3 years. RESEARCH QUESTIONS: To capture users' answers about future aiming of individuals, based on preceding research, to catch biography-time development of respondents and to analyze reasoning according to (non)returning to using methamphetamine. METHODS: With those individuals, which were cooperating enough, interviews were held about their current situation. It creates set of interviews from 2011/2012 and from 2015/2016. Interviews were analyzed through narrative-oriented analysis, specifically through categories of values and beliefs. According to demandingness and comprehensiveness of approach, only two...