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Dog Shelter with Veterinary Facilities
Hulenková, Barbora ; Oravec, Pavel (referee) ; Fišarová, Zuzana (advisor)
The aim of this diploma thesis is the design of this closed area of the shelter dogs with veterinary facilities and administration shelter in a specific location in the outskirts of Bystřice pod Hostýnem, street Meziříčská. It is a building amenities. In addition to the project itself is part of the job specialization - health and technical installations and connections. The work was developed in response to a bachelor thesis. The intention is to create a functional device with everyday hour, which will be provided by 7 employees. Given that the region is not represented such a device, its implementation will meet the requirements and demands of citizens of the town but also surrounding communities. The capacity of the shelter is designed based on the client's requirements with the possibility of placing domestic animals in max. Of 50 dogs, 50 cats and 16 small animals. Unless capacity is full, the device can be used as an animal hotel. In its own proposal, the emphasis was on the overall architectural character and design solutions. Structures in the area are designed from the structural system KM BETA with a contact system.The aim of this diploma thesis is the design of this closed area of the shelter dogs with veterinary facilities and administration shelter in a specific location in the outskirts of Bystřice pod Hostýnem, street Meziříčská. It is a building amenities. In addition to the project itself is part of the job specialization - health and technical installations and connections. The work was developed in response to a bachelor thesis. The intention is to create a functional device with everyday hour, which will be provided by 7 employees. Given that the region is not represented such a device, its implementation will meet the requirements and demands of citizens of the town but also surrounding communities. The capacity of the shelter is designed based on the client's requirements with the possibility of placing domestic animals in max.
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Ventilation of a storey in a hospital building
Křenek, Ondřej ; Štětina, Josef (referee) ; Charvát, Pavel (advisor)
The diploma thesis is focused on the design of air-conditioning systems for two operating theatres and their auxiliary facilities. An introduction to ventilation of clean rooms and other indoor environments with special requirements on environmental conditions and air cleanliness is given at the beginning of the thesis. The thesis contains calculations and proposed design solution of the air-conditioning systems. The calculations include determination of the air flow rates of air supplied into the ventilated spaces, heating and cooling loads of the operation theatres, the psychometric calculations for summer and winter operational conditions and sizing of equipment, piping and ductworks. The design part also includes air distribution elements, pipeline and ductwork routing and packaged air-handling units. The complete drawing documentation is also included in the thesis.
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Potential health and hygiene risks of staff work in the orthopedic operating room
SVOBODOVÁ, Viera
Work in operating theatres is very demanding. The specifics of operating theatre operations imply a number of potential risks to which operating theatre staff are exposed. The aim of the Bachelor's thesis was first to briefly describe the possible risks, to find out the opinion of general nurses on the occurrence of selected risks in the orthopaedic operating room and then to compare the level of concern in relation to age. In order to achieve the stated aim, we developed a questionnaire based on the theoretical part of the thesis and conducted a survey among general nurses working in the orthopaedic ward. A total of 110 questionnaires were completed by perioperative and anaesthetic nurses. The results were then evaluated including statistical processing. Three hypotheses were set in relation to the objectives. For all three hypotheses, we hypothesized that the perception of the difficulty of the work and the level of risk apprehension in the orthopedic ward would be related to age. The results obtained can be briefly summarized as follows: in the perception of the individual respondents of risks and stressful situations, in relation to the age of the respondents, the dependence on age was demonstrated in only one category. Only in the evaluation of the question on the observance of meal breaks, a link with age was demonstrated. Thus, only in this single category did the level of negative perception decrease with increasing age. The result of the research showed that the older the OR staff is, the less stressful this particular situation is for them. The negative perception of the physical stress associated with the work increases with age. Similarly, the questionnaires confirmed a higher perception of the psychological demands of working in the operating theatre in relation to age. Furthermore, there was evidence of a high prevalence of health and psychological problems that staff associated with working in an orthopaedic operating theatre. Accurate knowledge of the perception of health and hygiene risks and stressors by operating room staff can provide useful information when trying to improve working conditions in a targeted manner.
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The role of the radiology assistant at operating rooms
KLEMENT, Jan
This bachelor thesis deals with work of radiology assistant in different operating theatres in Nemocnice České Budějovice, a.s. History and the invention of X-ray radiation is summarised in theoretical part. Individual mobile C arms used in operating theatres are described here. Starting with construction, movement to skiassopic modes in which they can operate. A short description of operating theatres in which radiology assistant can work are described here as well. It is Accident and plastic surgery (hereinafter referred to as Traumatology), Neurosurgery, Orthopedic and Urology department. Radiation protection which is very important in protecting personnel from ionising radiation is summarised in the last part. The aim of the thesis was to describe the role of radiology assistant in chosen operating theatres of Nemocnice České Budějovice, a.s. This aim was fulfilled in practical part where procedures of radiology assistant during chosen operations were described. Practical part also includes individual analysis of number and types of most carried out procedures under skiassopic control in the year 2021 from chosen departments. And statistical comparison of increase of operating procedures carried out under skiassopic control in a period of five years. All according to increase of number of new types of operation procedures. The thesis in itself should, from my point of view, be used as an educational text mainly for students and future radiology assistants who will carry out work in operating theatre.
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Medical Robotics
Herman, Michal ; Rujbrová, Šárka (referee) ; Ellederová, Eva (advisor)
Lékařská robotika je oblast robotů používaných v medicíně a jejím hlavním účelem je poskytovat pomoc a rozšiřovat možnosti zdravotnického personálu. Dále se používá pro pomoc a asistenci pacientům a starším osobám, kteří jsou závislí na pomoci druhých. I když je to stále velmi mladý obor, lékařská robotika změnila způsob, jakým je medicína vnímána v posledních několika desetiletích. Díky jeho vysoké přesnosti a schopnosti pomáhat lidem je jeho potenciál obrovský. Specialisté a vývojáři se proto snaží tuto oblast dále rozšiřovat a zlepšovat. Cílem této práce je poskytnout komplexní přehled vývoje robotů používaných v medicíně, uvést konkrétní příklady robotů, které se v této oblasti používají, a vysvětlit, jak jednotliví roboti fungují a jak jsou někteří z nich naprogramováni.
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Airconditioning of surgeries
Znebejánek, Jiří ; Andrys, Petr (referee) ; Rubina, Aleš (advisor)
The subject of this bachelor thesis is the design of air-handling equipment of surgeries, consisting of three air-conditioning units. The equipment is designed to meet hygienic, operational and functional requirements for indoor cleanroom environments. Air handling equipment provides air exchange, heat loss coverage, heat gain removal, humidification and, in the case of one unit, dehumidification of the air. The theoretical part is focused on ways of regulation in air conditioning.
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Aerosol and microbial microclimate of clean rooms
Stojanová, Barbora ; Andrys, Petr (referee) ; Rubina, Aleš (advisor)
Master´s thesis deals with the issue of internal microclimate of clean rooms. The experimental part focuses on aerosol and microbial microclimate. Different operating and intervention rooms were measured and then evaluated whether the cleanroom would comply with the standard cleanliness class even in normal operation after previous validations. The microbial examination of different clean spaces investigated the extent to which the exact passive fall method and its evaluation were time-dependent. From the data the correct desing of the air-conditioning system and its subsequent realization and regultion were verified. The theoretical part describes requirements for clean rooms according to SÚKL-LEK 17 and ČSN EN ISO 14644-1. In addition, a detailed methodology of the procedure of air-conditioning implementation is elaborated to the final validation and testing of clean rooms.
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Centralization of operating rooms from the perspective of nurses
DRAŽANOVÁ, Monika
The aim of the work: The aim of this thesis is to provide detailed information about organization and operation of today's operating rooms from nurse´s point of view. Operational treatment requires high demands on technical and material equipment, special staff training, perfect adherence to asepse, antisepsis, sterility as well as work organization. The thesis should also introduce the most urgent problems of the current situation of the operating rooms management. The most recent discoveries and proven methods are summarized in a simple and comprehensible form that will serve as a guide for perioperative nurses. Method: Qualitative research methods in the form of a semi-structured interview have been used. This thesis will use the qualitative survey method in the form of a semistructured interview along with snowball sampling. The research consists of respondents with finished specialization in instrumentation for the operating room who are still active in the given field. Current status: The organization and operation room management consists of two functional models. These are so called "sideline sterilization" versus central operating rooms. Both ways have their advantages and disadvantages related to workload, general nursing education, and operating rooms management. However, the least preferred option is a combination of both perioperative operations. Results: The results of the research focused on the centralization and operating rooms management show that "sideline sterilization" is considered an obsolete model of tool sterilization for operating rooms. The results also show that the model of central operating rooms with the combination of central sterilization is more modern and efficient both in terms of expenses and effort, not just for nurses but for all healthcare professionals. Conclusion: In accordance with the aim of this work the issue of centralization of operating rooms is pointed out, considering both the construction with the necessity to follow all known procedures in compliance with aseptic conditions, as well as the need of good management or nurse education. The results can be used for further research and as a further source of information for non-medical fields, mainly perioperative care.
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Skin lesions prevention in perioperative care
POHLOVÁ, Lucie
Thesis objectives: The diploma thesis deals with the issue of prevention of skin lesions in perioperative care. In the theoretical part, the current state of knowledge is presented concerning the pressure ulcers identification due to the persisting real problems in differential diagnostics in clinical practice. Further, the thesis deals with the issue of wet and thermal lesions, which occur also during the perioperative care. In the empirical part of the diploma thesis, the first objective was to find the frequency of documented occurrence of decubital lesions in connection with the surgery in Jihlava Hospital for a period of one year. The second objective of the thesis was to find out whether, and what barriers exist when using specific preventive measures. The last aim of the diploma thesis was to compare the efficiency of preventive measures from the point of view of perioperative nurses and nurses from service units. Three hypotheses were formulated to meet the objectives of the thesis. Method for achieving the objectives: The set objectives were achieved through a retrospective analysis of the hospital information system data and a quantitative questionnaire survey. The study included nurses working in surgery, orthopaedics, traumatology, intensive care units and perioperative nurses in Jihlava Hospital. The total number of respondents was 140. Scientific benefits of the thesis: The research implies that the use of prophylactic aids in pre-operative preparation contributes significantly to reducing the risk of skin lesions. The addressed set of nurses did not indicate any serious barriers to their application and, on the contrary, considered it to be very effective. The results of the thesis can be used in practice, especially in a specific health facility for further care improvement. The findings and conclusions: On the research group we have verified that the declared use of preventive strategies in the area of prevention of lesions in perioperative care differs according to the type and focus of the workplace; (p = 0.000) the least frequent use was declared by the general nurse from orthopaedics, however, the methods used did not differ (p = 0,220). In addition, we found out that there was a statistically significant difference in the opinion on efficiency of prophylactic covering in lesion prevention (p = 0.001, the worst evaluation was by the respondents from orthopaedics) but only 2 respondents stated negative experience with their use.
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