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Kordarna - the first large case of reorganization under the new insolvency act
Harrer, Jan ; Richter, Tomáš (advisor) ; Gutiérrez Chvalkovská, Jana (referee)
The long awaited insolvency act in force - Act 182/2006 Coll., changed the whole insolvency process by enabling new solutions to handle corporate insolvency issues. Among the most revolutionary features is the facilitation of a reorganization process. The thesis focuses on legal and economic aspects of the reorganization framework and compares it with the possibility solution of bankruptcy liquidation. The thesis analyzes the reorganizations of company called Kordarna, a.s. and also three subsidiary firms belonging to the KORD Group companies, which have been the first major test of the reorganization framework under the current Czech Insolvency Act. After the analysis of the procedural steps throughout the insolvency proceedings, the thesis arrives at a conclusion that given the circumstances, the chosen reorganization procedure was the best possible solution to Kordarna's insolvency for all classes of creditors and also other involved stakeholders. Moreover, the slow pace of the process is also discussed in detail. An important conclusion is reached in the field of bankruptcy estate valuation, where the thesis claims that the values of bankruptcy estates valuations were unrealistically high, because the adverse impact of the current extraordinary asset market conditions was never fully considered.
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Comparison between Flow in the Left Internal Mammary Artery Harvested via Sternotomy and via a Left Anterior Small Thoracotomy with Clinical Impact for the Patient
Voborník, Martin ; Harrer, Jan (advisor) ; Lonský, Vladimír (referee) ; Rohn, Vilém (referee)
Comparison between flow in the left internal mammary artery harvested via sternotomy and via a left anterior small thoracotomy with clinical impact for the patient Introduction: In the treatment of coronary artery disease (CAD), in addition to conservative therapy and percutaneous interventions, is irreplacebly belong coronary artery bypass grafting (CABG). The gold standard in the surgical treatment of CAD is CABG from a median sternotomy access using cardiopulmonary bypass (on-pump CABG). A less invasive and economically advantageous is CABG from a median sternotomy access without cardiopulmonary bypass (off-pump CABG) and last but not least CABG through a left anterior small thoracotomy (LAST) approach (MIDCAB - "minimally invasive direct coronary artery bypass"). Although the final technical implementation anastomoses is essentially identical in off-pump CABG and MIDCAB, the difference is very important during left internal mammary artery (LIMA) harvesting, especially through a LAST approach, which can be difficult for the surgeon. Aim of the study: The aim of these two studies is to assess the effect of surgical approach on the mean flow in LIMA, including short and long term clinical impact for the patient. Methods: Study 1 (nonrandomized, prospective): In our study we included 60 patients,...
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Elective MIDCAB: Shunt or tournique occlusion? Assessment of a protective role of perioperative intraluminal shunting on myocardial damage
Šorm, Zdeněk ; Harrer, Jan (advisor) ; Straka, Zbyněk (referee) ; Lonský, Vladimír (referee)
1 Summary Elective MIDCAB: Shunt or Tournique Occlusion? Assessment of a Protective Role of Perioperative Intraluminal Shunting on Myocardial Damage. Background: To determine impact of intraluminal-left anterior descending (LAD) shunt to prevent myocardial damage in minimally invasive coronary artery bypass (MIDCAB). Methods: 38 patients were randomly assigned to external tournique occlusion (TO, n = 19) or intraluminal-LAD shunt group (ILS, n = 19). Blood samples for cardiac troponin T (cTnT), Creatine Kinase (CK), CK-MB, myoglobin and aspartate aminotransferase (AST) were collected at 30 min. prior to, 6 and 24 hours after surgery. Results: 1 patient in TO and 2 in ILS group were excluded from futher analysis due to preoperative cTnT level above the 99th-percentile (≥ 0,01 μg/l). The anastomotic time in TO group was significantly shorter than in ILS group (13.44 ± 5.06 vs 18.9 ± 6.56 min., p = 0.0094). Postoperatively, each six patients in TO (33.3%) and ILS (35.3 %) group were above the 99th-percentile. 2 patients from each group (TO 11.1 % and ILS 11.8 %) had peak values above 10-% CV cutoff (p = 1). The differences in postoperative plasma concentrations of CK, CK-MB, myoglobin and AST between groups were similar. There were no significant differences in between both groups at all studied timepoints....
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Economic and law aspects of reorganization and bankruptcy illustrated on the case of Kordarna
Harrer, Jan ; Richter, Tomáš (advisor) ; Gutiérrez Chvalkovská, Jana (referee)
The long awaited insolvency act in force - Act 182/2006 Coll., changed the whole insolvency process by enabling new solutions to handle corporate insolvency issues. Among the most revolutionary features is the facilitation of a reorganization process. The thesis focuses on legal and economic aspects of the reorganization framework and compares it with the possibility solution of bankruptcy liquidation. The thesis analyzes the reorganizations of company called Kordarna, a.s. and also three subsidiary firms belonging to the KORD Group companies, which have been the first major test of the reorganization framework under the current Czech Insolvency Act. After the analysis of the procedural steps throughout the insolvency proceedings, the thesis arrives at a conclusion that given the circumstances, the chosen reorganization procedure was the best possible solution to Kordarna's insolvency for all classes of creditors and also other involved stakeholders. Moreover, the slow pace of the process is also discussed in detail. An important conclusion is reached in the field of bankruptcy estate valuation, where the thesis claims that the values of bankruptcy estates valuations were unrealistically high, because the adverse impact of the current extraordinary asset market conditions was never fully considered.
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Life with mechanical Heart
Provazník, Miroslav ; Doležalová, Pavla (advisor) ; Harrer, Jan (referee) ; Vlášková, Dana (referee)
Author: Miroslav Provazník Institution: Department of Social Medicine, Medical Faculty of Charles University in Hradec Králové, Department of Nursing Title: Life with mechanical heart Supervisor: Mgr. Pavla Doležalová Number of pages: 94 Number of attachments: 4 Year of defense: 2011 Keywords: heart failure, cardiac mechanical support, Heart Mate II, the quality of life, qualitative research, content analysis This bachelor's thesis deals with the life of patients with implanted mechanical cardiac support HeartMate II. It views the patients' life from several angles and examines in particular the changes caused by the presence of cardiac support in their body. The work is divided into three main parts. The clinical part is an overview of etiology and treatment of the heart failure. It also contains chapters devoted to the mechanical cardiac supports. The methodological part deals with methods for evaluation of the quality of life and describes the methodology of the qualitative research which is often applied in empirical practice. Identification of patients' view on quality of their life was held by the half standardized interview. After analyzing these interviews, it has clearly shown that despite of slight limitations, the patients with HeartMate II live full-value life, resembling to the life...
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The clinical relevance of implementation of new technologies in extracorporeal circulation
Svitek, Vladimír ; Harrer, Jan (advisor) ; Tošovský, Jan (referee) ; Černý, Jan (referee)
The clinical relevance of implementation of new technologies in extracorporeal circulation Summary Background: An organism's inflammatory response related to cardiopulmonary bypass (CPB) use is caused by activation of immune system cells with the production of a whole spectrum of mediators, whose activity can result in organ dysfunction. Current research, in trying to eliminate the negative effects of CPB, is engaging in innovating technology of systems for CPB. One of the last complex innovations is the so-called miniinvasive cardiopulmonary bypass. Till now though, the clinical benefits of using this system has not been clearly proven. Methods: A group of 54 patients, who were indicated for elective coronary surgery were randomised into two groups - group cCPB (patients operated on using classic CPB in the open modification) and group mCPB (patients operated on using minicircuit). We monitored and compared concentration of interleukin-6, polymorphonuclear elastase, monocyte chemoattractant protein-1, interleukin-10 and soluble receptors for tumour necrosis factor-α in both groups during operation and postoperatively. At the same time we compared the postoperative clinical course. Results: Both groups did not differ in the basic pre and peroperative characteristics (age, EuroScore, ejection fraction,...
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Kordarna - the first large case of reorganization under the new insolvency act
Harrer, Jan ; Richter, Tomáš (advisor) ; Gutiérrez Chvalkovská, Jana (referee)
The long awaited insolvency act in force - Act 182/2006 Coll., changed the whole insolvency process by enabling new solutions to handle corporate insolvency issues. Among the most revolutionary features is the facilitation of a reorganization process. The thesis focuses on legal and economic aspects of the reorganization framework and compares it with the possibility solution of bankruptcy liquidation. The thesis analyzes the reorganizations of company called Kordarna, a.s. and also three subsidiary firms belonging to the KORD Group companies, which have been the first major test of the reorganization framework under the current Czech Insolvency Act. After the analysis of the procedural steps throughout the insolvency proceedings, the thesis arrives at a conclusion that given the circumstances, the chosen reorganization procedure was the best possible solution to Kordarna's insolvency for all classes of creditors and also other involved stakeholders. Moreover, the slow pace of the process is also discussed in detail. An important conclusion is reached in the field of bankruptcy estate valuation, where the thesis claims that the values of bankruptcy estates valuations were unrealistically high, because the adverse impact of the current extraordinary asset market conditions was never fully considered.
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The incidence of heparin resistance in patients operated with the use of extracorporeal circulation
Brzek, Vladimír ; Harrer, Jan (advisor) ; Tošovský, Jan (referee) ; Gwoździewicz, Marek (referee)
Heparin resistance occurs in about 20% of population. In that case, after application of a usual dose of heparin (2-3 mg/kg) ACT will not be sufficiently extended. Aim: To determine the real incidence of heparin resistance in patients scheduled for a cardiac surgical procedure. To determine whether there is an association between preoperative treatment with heparin and the incidence of heparin resistance. Also, to establish whether there is an association between platelet count, patients' age, and heparin resistance. Patients and methods: A total of 624 patients scheduled for on-pump surgery were included into a prospective study over a period of three years. Preoperative and intraoperative activated clotting time (ACT) values were recorded. Additionally, four factors referred to in the relevant literature as potential causes of developing heparin resistance were monitored in all patients: age 65 years, preoperative platelet count ≥ 300 × 109/l, preoperative administration of various types of heparin, antithrombin concentration ≤ 60%, and a combination of all. Patients were considered heparin-resistant if a heparin dose ≥ 5 mg/kg had not produced an anticoagulation response with ACT ≥ 480 s. Our data were evaluated using the test of agreement of relative frequency and the χ2 test. Results: In our...
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Postoperative pain after cardiac and thoracic surgery
Pospíšilová, Lenka ; Mareš, Jiří (advisor) ; Dostálková, Šárka (referee) ; Harrer, Jan (referee)
POSIPÍŠILOVÁ, Lenka Postoperative pain after cardiac and thoracic surgery The bachelor dissertation is divided into theoretical and empirical part. The pain is defined generally in theoretical part, description of the cardiosurgery and the thoracic surgery is in the next part and finally the separate chapter about postoperative pain. This part is finished by demonstration of improving the postoperative analgesia. The level of present postoperative analgesia on the ICU is evaluated through the use of the anonymous questionary and in next part results and suggestions for improving postoperative pain are presented. Results: average value of intensity of pain, which was evaluated by use of the VAS (visual analog scale), is 5,1 in category A, 6,8 in category B and 5,8 in category C. These values are high. On the contrary the patients are almost satisfied with postoperative analgesia care on our ward.
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