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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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Diets for food allergies
DOBRUSKÁ, Klára
I have chosen topic Diet with Food Allergy as a topic of my bachelor thesis. This illness is quite common these days. It affect infants mostly but allergy of cow´s milk protein of children under three years disappears itself mostly. There is increasing amount of causes when patient suffers more allergies. Number of people who have the most serious reaction the anaphylactic shock, icreeases. It can end with death. Doctors recommend to patients to strictly follow the elimination diet which is basic treatment of this illness. The most accurate diagnosis of illness (immunological or not) is another important factor for effective treatment. I have chosen three aims for this bachelor thesis. First to find out if patients are informed about their illness. Second to map eating habbits of people with food allergy. Third the evaluation of correctness of daily menus. I used approach of guality research. Research group consisted of six respondents with different food allergy. Those respondents wrote down their weeks menus. Menus were evaluated with program Nutriservis and it was assessed if it follows recommended dietary value. Suitable intake of energy and essential nutrients was calculated for every respondent. It was evaluated if respondents follows priciples of rational diet and if their diet contains sufficient amount of minerals and vitamins. Questionnaires were another key point of this research. Questionnaires were about illness know-how of patients and who has instructed them about it. It was found out the patients hasn´t got enough information about their illness and half of them has no idea which essential nutrients, minerals and vitamins could lack in their diet. It resulted from menus simultaneously that five of six respondents do not follow principles of rational diet and eat very monotonously. Only one respondent follows strictly elimination diet others violate diet exceptionally. Respondets would appreciate other research would focus on creation of special centres and training of doctors and nutritional therapist who would be focused on food allergies. Spreading the information about illness not only to patients but to public also is really important. Another important point is to increase amount of books about food allergies at the market.
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Charity Projects of Organizations Providing Care for Children with Disabilities in South Bohemia
LANDOVÁ, Lenka
The bachelor thesis "Charity Projects of Organisations Providing Care for Children with Health Disability in the Region of South Bohemia" deals with those projects that were founded by non-profit organisations and that provide care for children with health disability in the Region of South Bohemia. The aim of this thesis is to chart the charity projects of above mentioned organisations and to find out what is a proper and effective way to create them and what methods and procedures are used by non-state, non-profit organisations. The first research inquiry refers to a successful implementation of these projects. The result will be not only a realisation what kind of projetcs were created by the above mentioned organisations but also what is important for an organisation itself. Within the bounds of the second research inquiry I find out wheather there is an optimal procedure for the implementation of the charity projects of non-state, non-profit organisations. A qualitative method was used for a research part of this thesis. I used a method of a half-structured interview, a technique of a personal interview. A research group was selected for bringing the research into practice, which includes nine organisations seleceted from non-state, non-profit organisations providing a care for health disabled children in the Region of South Bohemia. It is more difficult for non-state, non-profit organisations it this field to obtain enough finances for providing services and for obtaining necessary aids than for state non-profit organisations because of different ways of fundraising . A non-state, non-profit organisation has several possibilities how to obtain necessary material and non-material sources. There are charity projects that offer means of selfless help; provided they are successful, they help the organisation to obtain necessary sources. It emerged from the research that it was very important for non-state, non-profit organisations to get a multi-source fundraising and supporters of their projects, mainly donors and sponsors, to obtain available care for children with heath disability. On the basis of the research, it is possible to state that non-state, non-profit organisations providing care for children with health disability, implemented many successful projects. The results of this thesis can be used in the way of an informative material for setting a complete view of a solution of the problems of the above mentioned organisations projects.
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Iniciace pohybu byčíku, signalizace a regulace pohyblivosti spermií ryb: fyzikální a biochemické řízení
PROKOPCHUK, Galina
The current study attempted to shed light on the regulatory processes and response arrangements of fish spermatozoa during the course of maturation and motility initiation. The first intent of this study was to improve the understanding of the mechanism underlying the acquisition of potential for sperm motility in sturgeon. Up to present work, the physiological process underlying sperm maturation in this species has not been described at all. Our results showed that sperm maturation in sturgeon occurs outside the testes because of dilution of sperm by urine and involves the participation of high molecular weight substances as well as calcium ions present in seminal fluid and/or urine. The second aim of the present study was to investigate the coping mechanisms in fish spermatozoa with osmotic and ionic activating mode, as well as in spermatozoa of euryhaline fishes, to various environmental conditions. We showed that alteration of environmental osmolality might affect the fish sperm in different ways, depending on fish species and modes of spermatozoa motility activation either osmotic or ionic mode. In response to osmotic stress caused by hypotonicity, carp spermatozoa regulated the flow of water across their cell membrane and increased their cytoplasmic volume during their short motility period. In contrast, no indications of sperm volume changes were observed neither in sterlet nor in brook trout spermatozoa, both of which having an ionic mode of motility activation. We also examined the mechanism by which sperm motility triggering in euryhaline fishes can adapt to a broad range of environmental salinity. Our results demonstrated that spermatozoa of euryhaline tilapia, Sarotherodon melanotheron heudelotii, reared in fresh-, sea- or hypersaline water can be activated in hypotonic, isotonic or hypertonic conditions of swimming milieu, provided Ca2+ ions are present at various levels. It was established that the higher the fish rearing salinity or the more hypertonic ambient media at spermatozoa activation, the higher extracellular concentration of Ca2+ ions is required. The results obtained in the present study allow suggesting that osmolality is not the main factor inhibiting sperm motility inside the testis in the S. melanotheron heudelotii. A third aim of this study was investigation of the regulation of motility initiation process and description of flagellar beating initiation in chondrostean spermatozoa. We detected that K+ inhibition of sperm motility in sturgeon can be by-passed due to the pre-exposure of sperm cells to a high osmolality shock prior to its transfer to K+-rich swimming media. Thus, we hypothesized that sturgeon spermatozoa may be activated by use of an unexpected signaling pathway, independent from regular ionic stimulation. The successive activation steps in sturgeon spermatozoa were investigated by high-speed video microscopy, using specific experimental situation, where sperm motility initiation was delayed in time up to several seconds. At motility initiation, the first couple of bends formed at the basal region begins to propagate towards the flagellar tip, but gradually fades when reaching the mid-flagellum. This behavior repeats several times until a stage where the amplitudes of bends gradually reach similar value, what eventually leads to sperm progressive displacement. The total period needed for the flagellum to switch from immobility with rigid shape to full activity with regular propagating bends ranges from 0.4 to 1.2 seconds. In conclusion, the results of the current study bring valuable pieces of information into the general understanding of the processes of maturation of fish spermatozoa, their adaptability to different physical and biochemical circumstances, the extra- and intra-cellular signaling as well as the regulatory mechanisms of motility activation in fish spermatozoa.
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Review of the management of forest property
Šimková, Michaela ; Dudík, Roman (advisor) ; Šmída, Zbyněk (referee)
The bachelor thesis deals with the review by the forest property. At first the audit is presented. The steps that are necessary to complete in the process of auditing are described. Another part is devoted to the sustainable management of forest management and related forest certification. The issues related to the system of due diligence and regulation EUTR are outlined here. Subsequently the financial analysis and it´s indicators are described. In the practical part, suggest of the auditing process and the range of information collected during the review of management on the forest property of 500 hectares are suggested there.
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The use of unmanned aerial vehicles in agriculture.
Starý, Karel ; Kroulík, Milan (advisor) ; Petrásek, Stanislav (referee)
Unmanned aerial vehicles has been a fast developing field over the last couple of years Farmers have been trying to take profit from this development and are interested in various options of applications. Demands on the area of agricultural production have been increasing, especially higher effectivity and the economical aspect of production are in focus. Farmers seek for the information about crop statuses and cattle in pursuit of economical rentability and enviromental sustainability. Due to this awareness farmers can take measures to reach economical profit. In the form of literature review the thesis describes construction types, their power options and the suitability for particular application is evaluated. Furthermore, scanning varieties and particular examples of applications are mentioned.
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Taxonomic review Pinus contorta subsp. Latifolia (Engelm.) on dumps habitats and possibilities its usage
Vanc, Ondřej ; Kunt, Miroslav (advisor) ; Konstantin, Konstantin (referee)
Lodgepole pine is exotic species of pine originating from North America (Canada, United States, United Mexican States), where it occurs along the Pacific coast. This is a very compatible species because, despite a plethora of geomorphological habitats has created a total of five subspecies, while the Czech Republic there are three of them. They are: Shore pine (Pinus contorta subsp. contorta), Lodgepole pine (Pinus contorta subsp. latifolia), Murray pine (Pinus contorta subsp. murrayana). Occurrence of Pinus contorta was recorded in nine counties, twenty and twenty-three districts of municipalities with extended powers. The total stand area was found to 128.66 hectares. When finding that Pinus contorta in our conditions is described as exotic plants. As a gateway for non-native landscape landscape that is post-mining areas. Use of Lodgepole pine was thus deemed appropriate. Uncultured landscape together with wood unoriginal see to it that the uncultured landscape becomes a landscape rich in diversity. Lodgepole pine, of course, is not the only species that was about it all taken care of. Its suitability was chosen because of its low demands on soil, hydrological and climatic conditions, including frost hollows at elevations 2,500 meters above sea level. Which in the Czech Republic or cannot be used because it is our highest point 1,602 meters above sea level. The effort was to map Lodgepole pine throughout the Czech Republic, where it would be clearly seen where the forest vegetation on which the administrative territory of the Lodgepole pine occur. This reliance on the willingness of administrators data information, which for our purposes were considered Institute of Forest Management, where we were given virtually everything to us this institution has been able to provide. Another institution, where we were given also all the military management of forests and farms. Unfortunately, the state enterprise Forestry of the Czech Republic, as majority owner of primary forests in the Czech Republic, was not willing to provide the requested information on the matter on Lodgepole pine, forest management Děčín only the necessary information. Given that this work was originally conceived to Pinus contorta subsp. latifolia, while work was concluded that Pinus contorta subsp. latifolia is a segmentation occurring geographic subspecies that was not able to clearly identify the data that we had available so this work deals with Lodgepole pine at the species level and the resulting map outputs in the results of the work
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were processed in the geographic information systems, which managed to get stand up to the level surface (ha) in the regions of municipalities with extended powers.
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Project Risk Management
Soukupová, Eliška ; Fejfar, Jiří (advisor) ; Bohumír, Bohumír (referee)
The thesis deals with project management with a closer focus on risk management in the selected company. First it was necessary to establish cooperation with the company. The work is divided into two parts: theoretical and practical. First I describe the approaches of existing methodologies using common professional literature in the theoretical part. Then in the practical part I start with characterizing the company. I study current state of project management that I determine on the basis of internal corporate methodology, my own observation, and interviews with the Head of Strategic Projects Unit. I also study the status of project risk management that I determine on the basis of my own observation, structured collection of information, and follow-up interviews with employees. After that I design Project Risk Maturity model in the company. At the end of my work I evaluate existing information and propose improvements: risk management methodology for the company.
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Purpose of the educational trail in a park in Ostrov, "Horažďovice": evaluation, proposals
Lávička, Miroslav ; Skalický, Milan (advisor) ; Jan, Jan (referee)
The thesis deals with educational trails (ET) of various thematic focuses, their purpose and ways of information presentation to visitors through various information panels.
The aim of the thesis was to document an area for a new educational trail in a park in Ostrov in the town Horažďovice. To achieve the goal a sociological research in the town public, employees of educational institutions and municipality was made. Making analyse and evaluation of the place for the educational trail, its madialisation and making an exemplary educational panel was very important.
The thesis suggests several hypothesis: whether town citizens visit educational trails, whether the trail needs an advertisement and if the increased interest has a negative influence in environment of the Ostrov park, whether people accept the educational trail in Ostrov park and if it is convenient for all population groups.
Through the questionaire it was found out that 71% of public visit the trails, 76% of teachers use it as a part of educational process. The public (69%) and the teachers (75%) agree with creating an educational trail in the Ostrov park. Only 11% of public and 19% of teachers know all the ET in the Horažďovice region. The public (78%) and the teachers (89) asked for more information and medialisation of ET. While making a new proposal of the trail and information panel the results of the survey were taken in the account.
Considering the regular upkeeping, facilities, and wheelchair roads, the park was found suitable for people of all ages (families with children, groups of teenagers, seniors, etc.) and disabled people.
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