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Emergency water supply in crisis situations
DUŠKOVÁ, Radka
The following diploma thesis deals with those problems related to the emergency water supply in crisis situations in the South Bohemian Region and with working procedures related to protection of residents during preparation and application of the emergency water supply. The objective of this diploma thesis is to determine those special characteristics of the emergency water supply in crisis situations and to compare the possibilities of the emergency water supply in crisis situations in selected regions. The theoretical part provides a basic survey of legislation related to the topic, as well as that of other methodical documents which are necessary for solving this type of crisis. Furthermore, the theoretical part unifies selected specialised terminology and characterizes the system of the regular (non-emergency) water supply, which represents the basic pillar for the emergency water supply. Last but not least, the theoretical part summarises those problems related to the emergency water supply and risk factors that can cause or significantly influence it. The practical part deals with those characteristics and their comparison of the selected regions in the South Bohemian Region, by using those specific indicators that are related to the water supply. The quantitative research was carried out by using the definition of what the special characteristics of the emergency drinking water supply are, in 17 administration districts of municipalities with extended competence in the South Bohemian Region. The data provided by the Czech Statistical Office were also used. Furthermore, a description statistics of the differences between the individual administrative districts of these municipalities with extended competence in the South Bohemian Region was carried out, as well as the quantification of those identified special characteristics of the emergency water supply. Finally, a statistical investigation of the identified special characteristics was carried out, as well as a test of a distribution-free hypothesis about the division of statistical data. Based upon the research that has been carried out, the final part of this thesis confirms two stipulated hypotheses about the dependence of the emergency water supply in crisis situations, based upon specific local conditions and about preparedness of the crisis management authorities for situations which would require an emergency water supply.
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The Imaging in Cases of Obesity and the Metabolic Syndrome
DUŠKOVÁ, Radka
This thesis deals with imaging in cases of obesity and the metabolic syndrome. It mainly focuses on the diagnostic imaging using imaging modalities, such as skiagraphy,skiascopy, ultrasonography, computer telegraphy and magnetic resonance. The objective of this thesis was to determine the characteristic and specific qualities of various diagnostic procedures of a radiological assistant when imaging patients suffering from obesity and the metabolic syndrome, especially when a contrast medium is used during the treatment, and then to compare the diagnostic possibilities of imaging when different imaging modalities are used. The theoretical part describes obesity and the metabolic syndrome, with the special focus being done on their possible extent and resulting complications. Theimaging modalities do not image obesity and the metabolic syndrome as such, but deal with the diagnostics and the treatment of various illnesses caused by metabolic dysfunctions. The issue of diagnostic imaging is complicated by the differences in methods caused by the use or non-use of ionizing radiation. The increased risk of complications during the treatment of patients suffering from obesity and the metabolic syndrome can be caused by the use of a contrast medium, which is mostly used in diagnostic imaging and it is also sometimes used in therapeutic imaging, such the invasive treatment of the cardiovascular system. For this reason, this issue has also been dealt with in this thesis. The practical part contains an evaluation and a comparison of 100 questionnaires that have been filled in by randomly selected patients of the Radiological Department.The questionnaires were anonymous and those questions were created so as to determine the prevalence of obesity in the investigated sample, which would then provide information about the possible complications that can occur during an examination which have been caused by obesity and the metabolic syndrome. After completion of the questionnaire by these patients, I also participated in their examination and verified my presupposed hypothesis in practice. The results of the questionnaire research and the participation in the examination of respondents confirmed my hypothesis that imaging in obesity and the metabolic syndrome requires a special approach, especially when contrast mediums are used during the treatment. Attention has to be paid not only to the technical modifications of procedures in individual imaging modalities, but also to the specifications connected with organ polymorbidity and the related complicating pathological conditions. Since the prevalence of obesity and the metabolic syndrome is increasing, it is very probable that we will meet patients suffering from this type of illness increasingly more often at the Radiological Department. This is another reason why the specificities of imaging patients suffering from these illnesses should be gradually implemented into regular radiological imaging procedures.
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