|
|
Specifics of nursing care in patients after transapical aortic valve implantation.
VOTRUBOVÁ, Nataliya
Transcatheter aortic valve implantation (TAVI) is a new and an attractive method in cardiology and as well as in cardiac surgery. It is constantly evolving method which has been developed as an alternative to standard open surgery, especially in patients with severe symptomatic aortic stenosis with unacceptably high perioperative risk or patients who are not suitable for conventional open heart surgery because of age and comorbidities.A teamwork is very importantfor this new method and approach. The choice for TAVI is discussed by the institutional multidisciplinary heart team, typically consisting of interventional cardiologists, imaging-specialists, cardiac surgeons and anaesthesiologists. The first implant in a human being was performed by Cribierin 2002. In Czech Republic this method was first used in 2008. Transcatheter aortic valve implantation (TAVI) was accepted as a minimally invasive alternative to open surgery. This method does not require the use of cardiopulmonary bypass, and cardiac arrest. Other several benefits includinglower risks of bleeding and stroke events, better wound healing, less pain, as well as more rapid early recovery due to preservation of continuity of the sternumthat result in shorter durations of stay in the hospital, earlier rehabilitation and faster returns to normal life. In the presented work was used a combination of qualitative-quantitative methods of investigation. The data was obtained by using the quantitative research. The main technique was using the questionnaires designed for nurses working at the Department of Cardiac Surgery, Hospital Czech Budejovice, a. s. These results were backed up by the implementation of qualitative research, which investigated the patients and physicians view on monitored issues. Questioning method using a semi structured interview technique was used for qualitative research. The results of the survey were processed using descriptive statistics charts in LibreOffice Calc and using diagrams created in LibreOffice Writer. Qualitative results of the research were transcribed from audio recordings and coded, and the base code was created nine categories of interviews with clients/patients and three categories of interviews with doctors. The aim of this work was to explore the specific problem of nursing care about the clients / patients after transapical aortic valve implantation. On the base of our obtained data it is evident, that the client/patient after TAVI may be positioned sideways, the use of surgical drains are less frequently, so the care about the surgical wounds is simpler, patients report less pain in the surgical wound and postoperative rehabilitation and recovery is shorter. H1 - The nurses take care about the clients/patients after transapical aortic valve implantation in the same way as about the clients/patients after open aortic valve replacement, without realizing the differences between the patients treated with different approaches, was not confirmed. The nurses'sees/reported major differences in invasiveness and extent of providing care, rehabilitation, convalescent, in the duration of the hospitalization and better cosmetic effect. The results of the research can serve as a basis for creating the standards of nursing care or educational material for clients/patients. It is also possible to present the results of this work at a specialized seminar for non medical healthcare workers and results can also increase the quality of nursing care about the clients/patients after transapical aortic valve implantation.
|
|
|
Some differences in the biology and behavior of the species eastern gorilla (Gorilla beringei) and western gorilla (Gorilla gorilla)
Kotýnková, Nicola ; Kracíková, Olga (advisor) ; Tománek, Pavel (referee)
Genus Gorilla is divided into two species includes four subspecies and one subspecies unrecognized.
Gorillas are the largest living apes and and eight million years ago, as a line, they separated themselves from family Hominidae.
These populations are found in nine African countries and they are separated by forest Congo.
Their most developer sense is vision. The body is adapted for knuckle-walking and their limbs are adapted to grip, with moveable arms and long arms. They have a mighty body with a robust skull and teeth with bumps for processing a hard food.
Gorillas excel significant sexual dimorphism, which is characterized by variously sized body.
Thanks reproduction arises extensive diversity within species in different strategies that help increase fitness. Dominant males mate with sexually mature females, while males with lower status mate with younger females because they are not fertile yet. Compared to that family groups have only one silverback male with which the female mate.
There are substantial differences in eating habits between gorillas. Dietary differences between species and subspecies are caused mainly by food availability. Gorillas are considered for herbivorous and frugivorous animals.
Gorilla groups are polygenic. With one dominant silverback male a few females and their descendants, they form a cohesive group.
They create nest for sleeping every night which different in location and stage of construction.
They communicate with each other through the auditory, visual and chemical signals. They use approximately 102 types of gestures and 17 types of audio signals to communicate.
In wild gorillas using tools is scarce, therefore mainly used to get food from difficult sources most of its body. While gorillas in captivity use tools successfully.
To protect against predators, the female consort with males who protect them.
|
|
|
True and fair view of the accounting in terms of Czech Accounting Standards and International Financial Reporting Standards
ŠTRUNCOVÁ, Kristýna
In theoretical part, information from various Czech and foreign authors about financial statements made in terms Czech and international legislation are stated. Then, true and fair view of the accounting is described according to Czech Accounting Standards and International Financial Reporting Standards and basic information about selected areas of financial statements are presented. In the end of theoretical part, possibilities of manipulation of financial statements are mentioned. Practical part of this master thesis starts with introduction of the entity and its financial statements. This part of the thesis also contains analysis of financial statements. Amount and cause of differences between Czech and international legislation in selected areas of financial statements are examined in terms of this analysis. Then, outcome of these differences on profit after tax and company´s equity is presented.
|
|
| |
|
| |
|
|
Transformation of Financial Statements in Accordance with the International Financial Reporting Standards
Bříza, Michal ; Studnařová, Leonora (referee) ; Beranová, Michaela (advisor)
Object of the thesis Transformation of Financial Statements in Accordance with the International Financial Reporting Standards is to compile financial statements of the company in accordance with internationally recognized standards International Financial Reporting Standards (IFRS) and analyse differences between presentation of accounting information compiled according to Czech Accounting Standards. First part Theoretical Grounds concentrates on general accounting reporting requirements. Second part deals with the transformation itself and serves as an interpretation of related IAS/IFRS standards’ requirements. Thesis provides fair view on company’s financial position and serves as a tool for comparison of its performance with outlandish entities that report in compliance with IFRS principles.
|
|
| |
|
|
Problems Derived from Differences between Czech Accounting Law and IFRS
Čech, Vratislav ; Jakubcová, Marie (referee) ; Beranová, Michaela (advisor)
Object of the thesis Problems Derived from Differences between Czech Accounting Law and IFRS is to analyze differences in financial reporting according to the Czech Accounting Standards and International Financial Reporting Standards (IFRS). First part of the thesis concentrates on theoretical grounds and general requirements of financial reporting. The second part separately describes fundamentals of financial reporting based on Czech Accounting Standards and IFRS. Third and the most extensive part of the thesis is devoted to an analysis of specific differences and derived problems. The thesis can serve as a guideline to creating a financial reporting transfer bridge.
|
|
| |
|
| |
guest ::
