Analysis of care in patients at risk for arterial hypertension in pharmacy III. Author: Petra Smíšková Tutor: PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague Introduction: Arterial hypertension belongs to the most common diseases of cardiovascular system, not only in the Czech Republic. Therefore it is very important to focus on its prevention and early diagnostics before the stage of health complications shows up. Objectives: The aim of this thesis was to realize and evaluate consulting activities in pharmacy focused on patients who have high risks of arterial hypertension or have been already diagnosed with it. Methodology: Data were collected in a public pharmacy in Prague from the end of April 2013 until the beginning of April 2014. The actual blood pressure measurement was preceded by obtaining of answers to selected questions through controlled interview. Acquired statements were written into the printed forms. It was focused on particicipant's socio-demographic characteristics, his relationship to the blood pressure measurement; occurrence of risk factors of arterial hypertension, it means atherosclerosis; disease in the anamnesis and the usage of drugs including food supplements. The results of blood...

Drug interactions of cardiovascular drugs and their analysis in the patients of community pharmacy II. Author: Lenka Skořepová1 Tutor: PharmDr. Josef Malý, Ph.D.1 1 Department of Social and Clinical Pharmacy, Charles university in Prague, Faculty of Pharmacy in Hradec Králové Introduction: Drug interactions are a major cause of toxicity, side effects of drugs and increase the risk of harm to the patient. The pharmacist has an indispensable role in the process of minimizing risks and resolving of drug interactions. Objectives: The aim of the thesis was to carry out a research focused on drug interactions of selected groups of cardiovascular drugs and to describe their management in clinical practice, which could be used during dispensing medicine. Then was evaluated occurrence of these drug interactions in pharmacotherapy of community pharmacy patients. Methods: With the help of selected databases were described individual drug interactions of ACEI and created their management in clinical practice. Sample of patients of community pharmacy was screened for drug interactions. The data were processed by retrospective analysis. For 12 patients with drug interactions were processed case reports and tested solution of drug interactions with using of described management of drug interactions during the...

Introduction: Arterial catherer placement by a general nurse at the departments of intensive care, resuscitation and anaesthesiology is still rather exceptional, despite the fact that this competence was defined in our legal system for the first time already in 2004 by the Decree no. 424/2004 Coll. of the Ministry of Health. The authorisation to execute this highly professional operation by a nurse specialised in intensive care is generally not reflected by the employer in the job description, although it might be one of the possible ways to increase the prestige of this profession. Objectives: The main objective of the thesis was to determine the current state in the area of arterial line placement from the perspective of intensive care nurses, to quantify their interest and clarify their readiness to execute the operation. Methodology: The quantitative method of anonymous questionnaire of own design was selected for the research survey. The questionnaire was distributed in electronic way to hospitals established by the Ministry of Health, regional government or private owners. We contacted one large hospital in every region, with the exception of Prague. The research sample consisted of general nurses working at the departments of intensive care, resuscitation and anaesthesiology, who at the same...

The thesis analyses factors influencing medical tourism within the Czech Re- public where districts ("okresy") and regions ("kraje") are considered as the units where the patient can travel to receive health care. The dataset was pro- vided by the Czech general health insurance (VZP). The research covers the period 2011-2014 and reveals the differences between "medical tourism" for hospitalizations and for medical treatments and between travelling into other districts ("okresy") and travelling into other regions ("kraje") for medical ser- vice in the analyzed regions of the Czech Republic. The results statistically approved how particular diagnoses, their seriousness, age, gender, availability of health care and other factors influence travelling for health care in the Czech Republic. JEL Classification A12, C22, C55, I11, I12, I19 Keywords medical tourism, the Czech Republic, health care Author's e-mail eva7.nemeckova@seznam.cz Supervisor's e-mail jana.votapkova@fsv.cuni.cz

Diploma thesis deals with historical formation of neonatal intensive care in the Czech Republic. Its aim is to map the evolution of intensive care, from the very beginning up to the contemporary period, and provide a concise overview of events leading to Czech Republic being one of the countries where level of neonatal care is considered to be most advanced. Theoretical nature of the thesis required a study of historical and contemporary literature, particurarly artticles and books. As an extra supplement, authentic information have been gathered from the pathfinders. In the introduction to the thesis, reason for choosing the topic is described, then current status of knowledge in this area is summarized. Following that, process of creating of the historical analysis is described. Chapter on neonatology introduces and explains terms that are crucial for comprehending the context stated in the historical part of the thesis. Chapter which maps the historical evolution itself is divided into seven sub chapters which describe course of events in the particular periods. Evolution of perinatal care abroad is also shortly described. Thesis reviews an extraordinary evolution of neonatal intensive care which has occurred in very short period of time. During this period pioneers had to overcome many hurdles,...

The Diploma paper " The Health Care Providing System in Switzerland" describes the development, structure and typical aspects of health care providing system in Switzerland. The Diploma paper concentrates on identification of the key factors which helped Switzerland health care providing system to reach very high quality and also ensured large availability of the services. The work is divided into theoretical and practical part. Theoretical part describes Swiss Confederation and its health care providing system. The practical part offers the comparison with the system in Czech Republic. The finale part is devoted to the key factors which could be implemented into the Czech system and which would be helpful for its further development.

The aim of this thesis is to cover the issue of human dignity and the values of human life of a patient in the intensive care unit. The goal is achieved through a quantitative research, using the data collection technique through questionnaires. The purpose of the research was to determine what areas of human dignity do the patients find hard or problematic. A standardized questionnaire was used for this purpose. Based on theoretical knowledge, a questionnaire of its own design was compiled for the nurses' research group. It focused on the nurses' perception of a patient's dignity and also the value of his or her life during hospitalization in the intensive care unit. This information was quite difficult to determine, which is primarily due to the fact that it deals with topics and opinions which are philosophical, individual and perhaps even personal. The research found that the patients feel a problem only in certain areas that we had investigated in a standardized questionnaire. The patients' evaluation revealed that they do not feel most issues as too much of a problem. The nurses' research group found that the dignity of a patient and the value of his or her life mean something completely individual to each nurse. However, a large number of the nurses said that a patient's dignity is an important aspect, and the value of a patient's life in the intensive care unit is high or even priceless. This thesis could bring the nurses, who work in intensive care units, an incentive to think about the dignity of a patient, the high and untouchable value of his or her life and, last but not least, the individuality of each human being.

The thesis deals with the effects of professional failure and helplessness experienced by nurses working in palliative care. The objectives of this thesis were to find out whether nurses often suffer from the negative feelings, to examine the influence of the job on their personal lives, to identify the most common problems related to their jobs and to find out if they regret choosing this type of job. To achieve these objectives, the following questions were asked: What is the influence of palliative care environment on nurses' lives and personalities? What factors influence nurses' professional performance? Why did they choose this type of job? What are the most stressful situations they experience? Does the workload make them feel helpless? What helps the nurses cope with stressful situations? We used qualitative research methods and conducted half structured interviews with fifteen research participants; eight of them work in non-hospice palliative care and seven participants work in hospices. The research results showed that palliative care has an influence on nurses' personal lives to a large extent; however, not only in negative ways. The research participants find their jobs mentally demanding and hard to separate from personal lives but they do not regret choosing the job. The participants responded that they often feel helpless but not hopeless. The feeling of failure is rather rare and occurs only under specific conditions. The most common and serious problems the participants encounter were characterized as conflicts at work, work stress, patient´s worsening state of health or patient's death, communication with family of a patient who passed away, big responsibility, misunderstandings with patients or their families, taking care of confused or aggressive patients and of patients with persisting pain, death of a young patient, patient's inability to find reconciliation with their condition or patient's unawareness of their state of health. This thesis also outlines a close relationship between high demands of palliative care and burnout syndrome and could be used for further research on this topic. Simultaneously, the data received from the research participants provides an analysis of palliative care nurses' feelings and work satisfaction and will be communicated to the management of given facilities. The findings of this work could be also presented at a conference in the future.

Introduction: Lower limbs are ones of the most strained body parts to which people do not pay much attention. Conscientious care is absolutely vital for their right functioning. Main aims of the thesis: This thesis is focused on gathering the knowledge and skills in care of lower limbs with people at their adult and old age; and on describing how the care is being performed with the target group of people. The next aim is to describe the health care from the podiatry nurse´s point of view. Methodology: A qualitative research by means of half-structured interviews was chosen as the main method of the survey. People at their adult and old age from České Budějovice were interviewed, as well as a nurse working in the centre of podiatry. Results of the thesis: The research proves some level of knowledge in the field of care of lower limbs both with the adult and elderly citizens. Both these groups of people take care of their lower limbs. The results show conscientiousness with washing their feet and drying them especially in the spaces between their toes. On the one hand, the interviewed people take care of their feet by means of using lotions and by means of pedicure. However, they do not go to see specialists in pedicure. On the other hand, the results show that this kind of skin care is not very regular. The care devoted to nails seems to be problematic, it is necessary to add some information about a more appropriate way of cutting them. The results of choosing shoes; when the choice is based mainly on a fashionable look of shoes; show a bigger need of repeated and more accurate education in this field. The impacts of improperly chosen shoes, irregular care of the lower limbs and also underestimating of prophylactic medical checks were all evident on our informants´ feet. The outputs gained in practice: The intermediate results of this thesis were presented at the Students Scientific Conference. The results of the research were used as the basis for a workshop intended for people at the adult and old age. A suggested educational mental map can be used as a practical tool.

V ANGLICKÉM JAZYCE The diploma thesis deals with psychosocial problems of seniors' alimentation. The theoretical part focuses on the area of health, healthy lifestyle of elderly people, and also on the diseases and physical problems typical for old age. The geriatric syndromes, which occur in old age, as well as psychosocial aspects of the nutrition of seniors, are described there. The fourth chapter presents up-to-date documents that are closely related to alimentation. The nutrition of seniors is a crucial chapter of the whole thesis, because it describes how the alimentation of seniors is carried out in the home environment and how in residential care. The aim of the last chapter in the theoretical part is to present to the reader the "Domov ANNA", where the research survey (which is a part of the thesis) was realized at the beginning of the year 2019. The survey was carried out using a questionnaire method among clients of the above-mentioned "Domov ANNA" and also seniors living at home in Český Brod. The aim of the research was to find out if the elderly in residential care have better (more varied and balanced) diet in comparison with the elderly who live and eat at home and how psychosocial and economic factors influence the quality of their nutrition.