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How to prevent the proliferation of Legionella pneumophylis in hot water in the hospital Czech Krumlov
TUREK, Jan
This diploma thesis deals with microbiological quality of hot water in a hospital in Cesky Krumlov as well as hot water piping condition with respect to Legionella. It also deals with arrangements for improving the quality of hot water in this hospital. The subject and target of this thesis are the findings of the mentioned parameters based on own observations, technical documentation and analysis of warm water performed by an accredited laboratory. The hospital in Cesky Krumlov, the construction of which began in 1909, was built in 1911 as the 'Nemocnice Císaře Františka Josefa I.' As the time went by, new buildings were built up. The hospital was renamed to 'Všeobecná veřejná nemocnice' in 1942. In the following years the hospital expanded until the current condition. Water quality and presence of Legionella is a world-wide issue, which we must fight against. The thesis is divided into two parts. First, theoretical part, which includes both general and specific knowledge about Legionella, its health risks, the environment in which it occurs, possibilities of eliminating, suitability of the material for hot water pipes, gained in professional literature and a part of the Czech legislation dealing with public health protection, the law 'No. 258/2004 Coll.' in actual version and quality of drinking water and hot water. In the second, empirical part, I focus on the situation of the hospital in Cesky Krumlov from 2009 till 2015, concerning newly built boiler room and the whole distribution system of hot water regarding Legionella. Particularly I focused on materials used for ecologisation of the gas boiler room and materials used for hot water pipes and actual state of water distribution in individual buildings of this health care facility. I mentioned the analysis of the water samples performed by an accredited laboratory with corresponding technical documentation, which concerns the water distribution system, provided by the medical facility. I used secondary data analysis to evaluate these documents. Regarding the results from 2009 to 2015 the microbiological quality of warm water doesn't meet the limits defined in the Attachment No. 3 of the above mentioned law Order 252/2004 Coll. Limit value for colony forming units of Legionella is set to maximum of 100 CFU. In most of the samples this limit was exceeded by series of units up to hundred thousands of units. The last results in 2015 prove improvement of the unfavorable situation. In that year the analysis was tested three times. First in February, where the CFU units were 'only' in hundreds, with the top value of 550 CFU in the Postacute Care ward. Second analysis was performed in June that same year. Results were acceptable. The highest value was 64 CFU. Last analysis in the hospital was performed in December. Increased concentration of Legionella was again in the Surgery building. There were established of 1400 colony forming units. There were 300 CFU in the Postacute Care ward and the limit value of 100 CFU was in the ward of Internal medicine. The answers to research questions 'How to prevent reproduction of Legionella peumophylis in the water distribution system of the hospital in Cesky Krumlov?' and 'How to ensure a sufficient amount of quality hot water in the medical facility?' are included at the end of the stated recommendations. A risk factor causing the fast reproduction of Legionella is the old water distribution system in most of the buildings and low water temperature of water leaving the boiler, which is 55°C. All mentioned results and evaluations are included in this thesis as well as attached pictures, which show the environment and situation within the Health Care Institutions.
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The Public Procurement for the Supplies
Holzäpfelová, Vlasta ; Civínová, Denisa (advisor)
The thesis deals with the theme of procurement of supplies in the Czech Republic from its beginnings to the present in the context of legal and economic developments. The current situation is analyzed on the basis of the Public Procurement Act, in connection with monitoring the preparation and adoption of new legislation. Legal issues will be extended by an overview of relevant laws and evaluate the problems in the formation of tender documents for the conclusion of framework agreements for the supply and reviewing compliance with the principles of the Act on financial control in public administration. Theme in the application of profiling on public procurement, focusing on a framework agreement designed to capture recurring delivery. The study is supplemented with practical experience in the field of public procurement for the conclusion of framework agreements, provides an analysis of the positive and negative aspects of this method of procurement, including proposed solutions. The practical part is elaborated on the basis of a comparison of the specific tender documents with the statutory legislation, qualitative research and secondary data analysis of tender documents for contracts to supply a valid framework contracts signed by the selected organization in the years 2012-2016.
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Standardization of nursing care as an integral part of preparation for the accreditation survey
ŠIMÁČKOVÁ, Alexandra
The Diploma thesis deals with standardisation of nursing care in the context of preparatory work for accreditation survey, i.e. a mutual harmony between standards developed in health care institutions and those developed by the SAK ČR accreditation commission. Standardisation is a process of setting essential rules which should guarantee providing a high quality nursing care. These rules (standards) enable to evaluate the quality of all nursing activities. Nurses should be aware of standardisation process and be actively engaged in it. The theoretical part describes the part of Czech nursing system concept focused on the quality of nursing care, defines the quality itself, maps the systems which help improve the quality of nursing care in health care institutions and refers to the formation of nursing standards. Practical part deals with five aims stated at the beginning: To map the quality of standardisation in nursing care as a preparatory part of accreditation survey. To find out if nursing care in hospitals is carried out through the method of nursing process. To find out if nursing care is supported by properly kept documentation. To find out if the needs of education were considered for all patients. To find out if nurses are aware of the importance of nursing care standardisation. We chose a quantitative research method. To collect the research data we used anonymous questionnaires. Each of the hospitals was given 50 questionnaires, i.e. 250 in total as the research group was made by respondents from the hospitals in Jindřichův Hradec, Pelhřimov, Tábor, Písek a Havlíčkův Brod. 230 completed questionnaires were returned and 204 of them represented then the research group. Within the research, we accomplished the aims stated, and proved these hypotheses: Hypothesis 1 (H1): The hospitals meet all requirements of accreditation survey of nursing care standardisation. H2: Nursing care in the hospitals is carried out through the method of nursing process. H3: Nursing care in the hospitals is supported by properly kept documentation. H4: The needs of education were considered for all patients and recorded in the nursing documentation. H5: The nurses are aware of the importance of nursing care standardisation. The quantitative research resulted into the statement that all hospitals meet the requirements of accreditation survey of nursing care standardisation. Nursing care in the hospitals is carried out through the method of nursing process which is properly recorded in nursing documentation. It was also found out that the needs of education were considered for all patients and properly recorded in the nursing documentation. The nurses are aware of the importance of nursing care standardisation. The facts resulted from the research prove that the quality of nursing care in the chosen hospitals is very high and meets the requirements of accreditation standards. The research findings will be offered to the hospital managements as an educational material for nurses and midwives.
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Individual production of caravan
Kollar, Jan ; Lachnit, František (advisor) ; Kotek, Martin (referee)
The topic of this thesis is individual construction of the O1 category caravan on
mass produced cargo trailer chasiss. For simplifying administrative processes, the whole
construction is done as a rebuild. Thesis is about workflow of construction, legislative
requirements and documents that need to be present to all neccesary autorities. In thesis the
whole idea of building a caravan is covered. It starts from documentation, then buing of mass
produced chasiss is described, the build itself is described and in the end there is information
about registering of completed caravan according to czech law 56/2001 Sb. - o podmínkách
provozu vozidel na pozemních komunikacích (law about requirements for road driven
vehicles). In the thesis the choice of ideal mass produced chasiss is described, materials used
for construction are defined and necessary homologated parts needed for legal registration are
labeled.
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Appaloosa breeding and their utilization
Zuzjaková, Eva ; Neumann, Cyril (advisor) ; Starostová, Lucie (referee)
This bachelor thesis is a summary of the basic information about breeding and utilization of appaloosa. A dominant characteristic of appaloosa is an attractive color coat pattern, which is caused through a set of genes called Leopard Complex (Lp). That is the reason, why in this thesis, at first, the history of presence of the Lp in genus Equus takes place. The presence of Lp can be found already in many cave paintings of prehistoric horses. During domestication, the coat pattern became important. The horses of the same color coat pattern, which have today appaloosa, are depicted in the Celts, Scythians and Etruscans tombs, as well as in murals of Chinese and Egyptian cultures. Significant breeding of the spotted horses are also documented in the Ferghana Valley in eastern Uzbekistan. In Europe at 16th century horses were expanded and a lot of them have spotted coat pattern. Then the Spanish settlers imported these horses to the America, where Nez Perce Indian tribe bred horses, which we know today as Appaloosa.
Furthermore, in this thesis the Appaloosa breed organization, which belongs complete to Appaloosa Horse club of America, is described. The breeding standard and characteristics, which are color coat pattern, mottled skin, visible white sclera and striped hooves are inducted. Seven various types of coat pattern and tree types of registration are also described.
The major problems in the appaloosa breed are inherited diseases. In this thesis the most serious five of them are identified. It is CSNB, congenital stationary night blindnes associated with a homozygous variant of LP gene. HYPP, hyperkalaemic periodic paralysis, which causes muscle spasm of affected horses. This disease was obtained from quarter horses. HERDA - Hereditary Equine Regional Dermal Asthenia which causes irreversible damage to exposed skin. Another serious disease is PSSM, polysaccharide storage myopathy, which is one of many myopathy occuring in horses. The latter disease is lethal GBED. Affected foals lack the enzyme GBE which is necessary for the synthesis and storage of glycogen. In spite of the improving precautions, these diseases have not been fully eliminated from breeding.
Further, there are given the possibilities of using Appaloosa horses in sports, hobby and ranch works. The system of shows and their ratings is described as well.
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"Sie sind Aristokratin?" Noble women in 20th century on example of Sternberg family
NEMRAVOVÁ, Lenka
The Diploma thesis aims at lives of the aristocratic women in the 20th century. The focus is placed on their perception of the political events of the period and changes of their role both within family and society. This issue is analyzed with help of the example of three female aristocrats who married into the old Czech family of the Sternbergs, more specifically, three ladies belonging to three different generations Karolína Sternberg, b. Thurn-Valsassina-Como-Vercelli (1863-1944), Kunhuta Sternberg, b. Mensdorff-Pouilly (1899-1989), and Alžběta Sternberg, b. Hrubá z Gelenj (*1929). The description of their lifetimes follows after the more theoretical part dealing in general with the position of women in the 20th century as well as with a brief history of the Sternberg family. The environment in which the ladies grew up is taken into account, too. Apart from the private written documents, the thesis is also based on some interviews with several living members of the family. The concluding part comprises a comparison of the ladies´ lives towards each other and towards the non-aristocratic society.
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The Public Procurement for the Supplies
Holzäpfelová, Vlasta ; Civínová, Denisa (advisor)
The thesis deals with the theme of procurement of supplies in the Czech Republic from its beginnings to the present in the context of legal and economic developments. The current situation is analyzed on the basis of the Public Procurement Act, in connection with monitoring the preparation and adoption of new legislation. Legal issues will be extended by an overview of relevant laws and evaluate the problems in the formation of tender documents for the conclusion of framework agreements for the supply and reviewing compliance with the principles of the Act on financial control in public administration. Theme in the application of profiling on public procurement, focusing on a framework agreement designed to capture recurring delivery. The study is supplemented with practical experience in the field of public procurement for the conclusion of framework agreements, provides an analysis of the positive and negative aspects of this method of procurement, including proposed solutions. The practical part is elaborated on the basis of a comparison of the specific tender documents with the statutory legislation, qualitative research and secondary data analysis of tender documents for contracts to supply a valid framework contracts signed by the selected organization in the years 2012-2016.
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The patronage of the Schwarzenberg family in the 18th century on the example of the parish of Němčice
HOSPASKOVÁ, Eliška
This diploma thesis deals with patronage of the Schwarzenberg family in the 18th century over the parish of Němčice, which fell into the Netolice Manor, and tries to describe the patronage administration of the Schwarzenbergs in general. For basic explanation of its topic the thesis is prefaced by chapters about the patronage in general and the history of Němčice and of the local parish. Basic spheres of the patronage of the Schwarzenberg family over parishes in their manors (on the example of the parish of Němčice) are presented after that. This thesis studies the rights of patronage primarily with respect to the administration. It also deals with the symbolic manifest of the patron's authority and focuses on the analysis and interpretation of the most important types of documents of the patronage administration and communication of the patronage offices. Next chapters deal with founding of the parish of Němčice as an example of parish foundation and with its incomes. They also analyze granting of presentations, installations of the parish priests, involvement of the patronage officers in canonical visitations and with the pendency of the estates of the deceased parish priests. The addendum supplements the text of this thesis by an edition of the founding charter of the parish of Němčice, by a table of local parish priests and by reproductions of some sources.
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Minimal standard for making land-use plans and their follow utilization
Slánková, Pavla ; Zilvar, Josef (advisor) ; Radim, Radim (referee)
The MA thesis deals with the issue of creating a spatial plan as one of the most important documents which regulate the state of using individual spaces within the Hradec Králové Region from the viewpoint of a Hradec Králové Region Regional Office employee who deals with spatial planning activities as part of his workload. The introduction of this thesis describes the process and the very creation of spatial plans with reference to current legislation that regulates this issue in the Czech Republic. The thesis introduction also describes the Minimum Standard for the Digital Creation of Spatial Plans in the GIS,MINIS project, which is being applied in the Hradec Králové Region as a recommended methodic for creating spatial plans on its territory. The second part of the thesis focuses on the development and evaluation when putting the aforementioned project,methodic in the Hradec Králové Region into practice. As part of the development and evaluation, the impact of creating spatial plans per the cited project,methodic, which concerns all the affected subjects dealing with the issue of creating and subsequently using a spatial plan, will be evaluated. An analysis has also been made based on these evaluations and analyses, whether the Hradec Králové Region selected an appropriate strategy concerning support, which recommends the MINIS methodic when creating spatial plans on its own territory.
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The documentation of the educational trail "Dobrošov" fort (Czech Republic)
Kopecký, Tomáš ; Skalický, Milan (advisor) ; Jan, Jan (referee)
The educational trail Dobrošov fort is situated in the village of the same name. It is an advance specified marked route which leads in the footsteps of the border fortification from 1935 - 1938.
The length of the route is approximately 4 km and visitors are mainly informed about historically interesting places in the surrounding and about the events before World War II. Historical affairs are presented in the form of information panels at individual stops. The panels tell visitors not only about historical military facts of 20th century but also about the building of the fortress fortification Dobrošov.
The educational trail has eight official stops. On the route, visitors can see additional panels with the description of the light fortification and they learn interesting things about the surrounding.
The content of this thesis is a brief characteristic of events in Czechoslovakia before World War II. There is a description of the fortification system of a fort at that time in Europe and Czechoslovakia. Furthermore, this thesis deals with educational trails in general from the viewpoint of their functionality and equipment. This study points out legislation and illustrates new trends of this form of tourism.
The aim of this thesis was to document the educational trail Dobrošov fort, with the focus on historical events of fortification building in Czechoslovakia before World War II. The analysis of the trail and information panels was conducted. A questionnaire survey found out the needs of visitors and highlights the usefulness of this trail. The questionnaire survey had another important role for findings of stated hypotheses. Four scientific hypotheses were formulated. The first one is if the access to more objects increases, its attractiveness and attendance will also increase. The second hypothesis is whether the visitors are satisfied with the infrastructure of the educational trail. Furthermore, the awareness of the educational trail helps to its high attendance, and both citizens and tourists will be happy about a fortification extension which also includes the preservation of decaying objects in the surrounding. The used methods for achieving these aims were the observation and questionnaire survey in the location of the educational trail.
The conclusion shows that the access to more objects will increase the attractiveness and attendance of the trail. However, the visitors are not satisfied with the infrastructure of the trail. The awareness of the educational trail contributes to the high attendance. The hypothesis that local citizens and tourists will be happy about the trail extension which includes the preservation of decaying objects in the surrounding was disproved.
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