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The role of nurses and their impact on the care of patients with total hip arthroplasty.
SLABÁKOVÁ, Květoslava
Total hip replacement is one of the most extensively and highly effective operating methods in orthopaedics. The patients are brought back the self-sufficiency, life without the pain and noticeably motion restriction. Irreplaceable function here is a role of the nurse, who helps the patient to return back to his common life...The aim of this work was to find out, how the patients feel the role of the nurse and its influence to given nursing care before and after the total hip replacement as the less fulfilled. There were following research questions set: How the patients feel the role of the nurse before and after the total hip replacement? How the patients before and after the total hip replacement feel the interpretation of the nurse roles? How the patients before and after the total hip replacement feel the role of the nurse and its influence to given nursing care. Which of the nurse roles are felt by the patient as the unsatisfactory in postoperative care? The patients before and after the total hip replacement feel through the everyday nurse activities the nurse in her role of the caregiver and education giving person, following the nurse vindicator and the nurse bearer of changes. The patients feel the care thanks these roles as a quality, holistic and continual. Nevertheless was the role of the education giving named as the least fulfilled. In connection with these research results was created a manual, a Guide book for the patients before and after the total hip replacement. This Guide book was given to testing purposes. This Guide book was appreciated by the patients very positive despite a large amount of information, which were surprising for many of them. We gained some data, which gave the impulse to complete the information in the Guide.The created Guide book can´t replace the effective communication of the patient with the medical staff, which could be always the most suitable "source" of information.
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Coping strategies in children´s fear and pain in relation to nursing care
PROCHÁZKOVÁ, Zuzana
For the nurse, taking care of hospitalized children is important not only pediatric nursing knowledge, personal and social preconditions, but also the theoretical and practical competency of methods and techniques, which are used for identification and effective influencing of pain and fear. The aim of this thesis was to identify the main sources of fear of the hospitalized preschool and young school age children and to find out the effective methods and principles of the cooperation with children, alternatively with their accompanying parents in order to moderate the fear of the small patient. Then the thesis tried to chart the nursing diagnostic and evaluation procedure of the pain and get the most used nursing methods of non-pharmacological pain relief. To obtain the necessary data, the qualitative research was used with a semi-structured interview as a research instrument. The first research group consisted of 12 nurses, the second group consisted of 12 children ´s patients of preschool and young school age. The majority of the asked nurses thinks, that children´s patients are afraid especially of non-familiar environment, then of the awaited pain and of the solitude without parents. However, the most patients said, that they were afraid especially of pain, then of non-familiar environment, restriction of their needs, hostile attitude of the medical staff and of the other neighbouring patients. They were also frightened of the death and of the darkness. Most reported nurses mean, that the most effective solution of the children ´s fear is the friendly attitude of the medics. They also mentioned the fact of taking the focus off the fear and the presence of the parents is also beneficial. The nurses ´ answers were in conformity with patients opinion in two fields - friendly attitude of the medics and taking the focus off the fear. Then the children mentioned abiding of their specifics in connection to falling asleep and the demand of beying treated by the same sister or by few same sisters. All respondents also talked about the benefit of parents presence. Regarding the principles of the cooperation, nurses answered the importance of united medical procedures, especially the proper way of information transfer. Then the respondents nurses mentioned the psychical and emotional support for children and their accompaniments, the atmosphere of confidence and the value of well done education. Also the need of calm, silence and privacy was stated. Unlike nurses, children and their parents regarding to principles of the cooperation prefer the psychical and emotional support, then the importance of enough information was mentioned. The fourth research question bears on the methods used for children pain monitoring. The nurses said, that the intentional interview with the patients or with the parents was used as a main technique, that was stated by patients as well. Research question number five said: What are the most used nursing methods of non-pharmacological pain relief at children? Most responded nurses mentioned the distraction of children attention from the painful incentive, then the importance of physical methods, relief position and purposeful preparation for the unpleasant intervention. Nurses also named the helpful contribution of the parents, relaxing exercises and the method of imagination. Regarding the pain treatment, it was noted, that all patients prefered the analgesic therapy. Then they quoted the distraction of their attention from the painful incentive, the friendly attitude of the medics, using the ice compress and the relief position. In the pain acute phase, children required mostly calm, comfort and privacy. All children also considered the presence of parents as very helpful. The theoretical and empirical part of the thesis are suitable for being studied by nurses taking care of children and it can be helpful for nursing quality improvement at children ´s wards in hospitals.
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Relationship between the coat colour and melanoma occurrence in horses
Hovorková, Kristýna ; Hofmanová, Barbora (advisor) ; Majzlík, Ivan (referee)
The literary review is divided into two main parts, the first part is dealing with the coloring of horses and their genetic base and the second part is dealing with melanoma formations of horses and their division. In the chapter about several color types of horses there is a description of forming basic color types which is done by three locuses: COLOR, EXTENSION and AGOUTI. Locus COLOR (CREAM) controls whether or not to create pigment. EXTENSION locus controls about the type of pigment and AGOUTI locus controls the distribution of pigment.
The next subsection gives a breakdown of the white color in horses. Greying proces is related with locus GREY where there is a loss of pigment and the coat itself. This process and mutation is commonly connected with dermal melanoma. Non-pigmented spots called vtiligos are connected with the greying process, which is more intense with increasing age. Vtiligios are commonly found in grey horses, at the same locations as dermal melanoma. The places are perianal area under the tail, around the vulva, lips, eyes and around the penis.
Melanoma formations are divided according to whether they occur in Grey horses or other colored horses and whether they have a benign or malignant potential. A further breakdown of melanomas at grey horses is whether it is a separate, smaller segments or large, associated lesions, when this condition is called dermal melanomatosis.
At the end of the thesis there is a description of the treatment options for melanoma. The most effective appears to be a surgical removal of smaller formations. There were studies which have examined the anticancer action of the drug cimetidine but the results are not yet sufficiently conclusive. As preventing the occurrence of melanoma in grey horses it is appropriate to implement the necessary measures and individuals who are concerned should not be included in the next breeding.
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The use of (nano)oxides for metal and metalloid stabilization in contaminated soils
Michálková, Zuzana ; Komárek, Michael (advisor) ; Luke, Luke (referee)
The main objective of the thesis was to evaluate the potential of selected Mn and Fe (nano)oxides for the stabilization of metals and metalloids in contaminated soils. The research was focused basically on three materials - commercial nanomaghemite (Fe III), nanomagnetite (Fe II,III) and a synthetic amorphous Mn oxide (AMO). The main aim of the work was to provide a complex view on the chosen stabilizing amendments regarding not just their direct influence on contaminants mobility and stabilization mechanisms, but also their stability and alterations in soil conditions together with influence on soil microorganisms and higher plants. Firstly, adsorption properties of the tested materials towards Cd, Cu, Pb and As were investigated. In this context, the most effective material showed to be the AMO reaching one to two orders of magnitude higher adsorption capacities than Fe III and Fe II,III under given experimental conditions. Interestingly, the rate of As(V) adsorption onto AMO was increasing with increasing pH as a result of high pHzpc of the AMO (8.1) and significant dissolution of this phase at lower pH values. As a next step, the influence of (nano)oxides on metal(loid)s mobility and other physico-chemical soil characteristics after application to contaminated soil was examined. Again, the AMO proved to be the most efficient in reducing mobile pools of Cd, Cu, Pb, Zn and As. On the other hand, Fe III and Fe II,III addition had generally less significant effects on contaminants mobility. AMO application further resulted in an increase of soil pH connected with AMO dissolution and unwanted decomposition of soil organic matter. When (nano)oxides alterations in soil conditions were observed, MnCO3 coatings were identified on AMO surface while no significant changes were recorded for Fe III and Fe II,III. As the MnCO3 formation was connected with increased AMO stability, AMO particles synthetically covered with MnCO3 coating (denoted as SM AMO) were prepared. Although the SM-AMO had a lower mass loss in soil than pure AMO, the stabilizing efficiency was almost the same for both materials. The differences in surface composition of both materials were decreasing with time as MnCO3 naturally precipitated on the AMO surface in soils while the SM AMO coating was gradually dissolving. When investigating the effect on soil microbiota, AMO efficiently promoted soil microbial activity while no significant changes were observed in the case of Fe III and Fe II,III. The AMO was also able to reduce the uptake of Cd, Pb and Zn by sunflower (Helianthus annuus L.), eliminate Zn phytotoxicity symptoms and increase biomass yield. On the other hand, toxic levels of Mn released from the AMO in an acidic soil were found in sunflower tissues. AMO application is thus recommended for contaminated neutral or slightly alkaline pH with a higher cation exchange capacity in order to avoid unwanted release of Mn. Finally, various types of AMO-biochar composite sorbents were recently prepared and field experiment focused on stabilization of Cd, Pb, Zn and As using studied materials is currently under preparation. The combined results from the thesis highlight the importance of a complex experimental approach dealing with all parts of the contaminated soil environment in order to obtain complete information about the efficiency and usefulness of any newly developed stabilizing amendment.
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The memorandum of association (deed of incorporation and by-laws of a joint-stock company)
Karásek, Radim ; Štenglová, Ivanka (advisor) ; Čech, Petr (referee)
in English The thesis analyzes memorandum of association and by-laws of a joint-stock company, from both general point of view as well as from the point of their required particular informations. The part concerning general point of view describes and evaluates memorandum of association as document incorporating a joint-stock company, it is described what role is performed by this document throught the whole process of incorporation of a joint-stock stock company and what role is assigned to this document after the company has been established. The part concerning general point of view then covers the by-laws as a document which is a basic norm for functioning of a particular joint-stock company. The functions of a by-laws in relation to the chosen subjects are described and evaluated. The two general parts are connected through the tract about the relation between a memorandum of association and by- laws, where the relation is evaluated and the role and significance of the two documents is compared. The other part of the thesis concerns itself with particular required informations, every one of the information describes and evalutes relevant legal regulation which is confronted with the opinions contained in the scientific literature, in the court decisions and my opinions. Eeach required...
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Analýza zásob a možnosti optimalizace zásob ve společnosti TE Connectivity
Kocourková, Blanka ; Pánková, Ludmila (advisor)
Ve své práci se chci zabývat možnostmi optimalizace zásob ve společnosti TE Connectivity.
Nadnárodní společnost TE Connectivity se zabývá jednoduše řečeno "propojováním" ve dvaceti různých odvětvích (aerospace, automotive, industrial, healthcare, medical, military, sensor solutions, rail atd.).
Mým cílem je zaměřit se na odvětví Appliances, které je součástí výrobního závodu působícího v Trutnově. TE Connectivity se zde zabývá výrobou teplem smršťovacích hadiček, identifikačních štítků a speciálních konektorů.
V první části práce se snažím: popsat činnosti společnosti, její globální cíle a analyzovat stávající systém zásobování výroby. Druhá část práce je zaměřena na možnosti optimalizace zásob.
Cílem této práce je najít optimální způsob zásobování a skladování s ohledem na globálně stanovené cíle společnosti, který vede ke snížení hodnoty zásob, zvýšení obrátkovosti zásob a snížení nákladů na skladování.
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Role of a Nurse during an Acute Hospital Admission of a Patient with Trauma
KOTRČOVÁ, Ivana
Incidence of injury is currently the third leading cause of death in the Czech Republic. A good link between pre-hospital emergency care and hospital care becomes a priority. Nurses play an important role during an acute admission of patients with trauma to in-hospital care, they are the connecting link of all members of the multidisciplinary team, whose common mission is the patient and saturation of his /her needs. With the changing role of nurses in the modern concept of nursing, nurses become equal partners of physicians and other health care professionals. To be accepted by other members of the team and to be able to work with the full extent of her sphere of action in the acute phase of a trauma patient admission, she has to know perfectly her competencies under the applicable legislation. In the theoretical part the roles and responsibilities of nurses under the applicable legislation are defined. There are also chapters dealing with individual injuries and the organization of care for patients with trauma. In the final section of the theoretical part there is a chapter dealing with the holistic care for patients, including ethical care issues, the role of a patient and the importance of cooperation with the family of the trauma patient who is acutely admitted into the hospital. In the empirical part of the thesis three objectives were stated. To determine the cooperation of nurses with other members of the multidisciplinary team, as well as to find out whether the nurses involved in the admission of a trauma patient into hospital know their own competencies under the Decree No. 424/2004 Coll. The third objective was to determine how trauma patients perceive the process of admission to the hospital. Based on these objectives two hypotheses and two research questions were established. The objectives were successfully met, both hypotheses were confirmed and the questions answered. The research was conducted on the basis of a quantitative qualitative survey at departments of selected hospitals where the patients with acute trauma emergency were directed by emergency medical services. For the quantitative research the interviewing method using questionnaires was selected. Interviews with patients were conducted by the qualitative research method. The respondents were 117 nurses and 5 patients.
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Informing a Patient during Medical Treatment
Dufková, Pavla ; Valášek, Daniel (referee) ; Prošková, Eva (advisor)
This bachelor thesis deals with the issue of providing foreknowledge to a patient being provided with health care and nursing. The theoretical part is focused on the description of the patient's lawful right to be provided with information on his health condition in connection with health care, on written informed consent, health documentation as a file with personal information, and the obligatory confidentiality of the medical staff. In the practical part, methods of qualitative and quantitative research for data acquisition were used to obtain data to find out which information nurses provide during their practice, and whether the information corresponds to their competences. Further, the research was aimed at obtaining data on the process of signing the written informed consent, determination of nurses' theoretical knowledge, detection of possible data leak during nurse reporting, nurses' acquaintance with the rules of the obligatory confidentiality of the medical staff, and finding out if nurses are interested in providing patients with information.
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The evaluation of threats resulting from Sinanodonta woodiana invasion in the Czech Rep. with focus on the fish growth modifications
Málková, Lucie ; Douda, Karel (advisor) ; Karbanová, Eva (referee)
The main task of this bachelor thesis is to inform about Chinese pond mussel (Sinanodontawoodina) invasion in the Czech Republic ecosystems of aquaculture. We provide both the literature review and risk evaluation. More we have presented impacts to other fish growth. At first we interested ourselves in the invasive species description. Then we have presented the threats for ecosystems caused with the existence of bivalve. We present the bivalve life cycle with all its impacts to the life cycle of fish. There are presented all function of bivalve in ecosystems and the risk evaluation appearing after these are overpopulated. These invasive species are worldwide problem. They are endangering the biodiversity in the nature. There are also negative impacts to economy and peoples´ health.
The bivalve are said to be ecosystem engineers. Their usefulness depends on their quantity. Invasive bivalve appear in a great densely. These produce great damages. I have presented all problems connected with the existence of threatened species and more have discussed all risks connected with extension of invasive bivalves.
We provide essential remedies and evaluate potential impacts in order to protect original species and lower damages in the economy of fishery. The essential part is the summary of legislatives.
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Asymmetric Information in the Process of Investing to Funds of Qualified Investors
Veselá, Kamila ; Soukup, Alexandr (advisor) ; Severová, Lucie (referee)
The submitted paper focuses on information asymmetry in the area of investments in qualified investors' funds. The paper focuses on qualified investors' funds in the form of open-end mutual funds that allow the subscription of allotment certificates, i.e. they offer investment opportunities. The nature of qualified investors' funds allows, compared to standard funds, the execution of more venturous investment strategies, which, however, includes much higher risk connected to the information asymmetry. The paper is based on the assumption of information asymmetry between Investment Company and potential investors. The quality of the provided information is therefore critical; however, the investor cannot be expected to have the same knowledge of the fund as does the manager of the fund. The assumption of information asymmetry is based on the differences of interests of Investment Company and potential investor. Investor's interest is to maximize his own profit (net present value), but the interest of Investment Company is to maximize his profit (fee for managing the fund). The manager, maximizing the profit (his fee for managing the fund), may try to contort information towards the investor to "lure" him into an investment and thus achieve his goal. The objective of this dissertation paper is therefore the identification of risks connected to investing in QIF (qualified investors' funds) as result of the existence of IA (information asymmetry) on the side of the investor, qualitative analysis and proposal of measures leading to the elimination of IA. It's meant (in this paper) that information asymmetry is misrepresentation of information and also the incompleteness of information. The results are the basis for two outputs of this paper: investments recommendation for potential investors and information duties recommendation focused for Investment Companies. The aim of these outputs is to eliminate the influence of IA in the process of decision -- making of potential investors.
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