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Specifics of nursing care of a child patiens with oncological pain.
ČAŇKOVÁ, Helena
The topic of the thesis is: Specifics of nursing care of a child patient with oncologic pain. Children{\crq}s pain is a phenomenon surrounded by many myths and false information. It is also not sufficiently assessed and treated and often bagatelized by both nurses and doctors. Nurses play irreplaceable role in pain treatment, they are with the child patient more frequently then the doctor and are in close touch with the child{\crq}s parents. The care of a suffering child is a serious task in nursing. Treatment of a patient in pains requires a complex, holistic approach. Nurses, even if they diagnose pain properly, do not set an adequate nursing care plan and do not carry it out. Nurses have to defend interests of the sick child and must not let him/her suffer. The data was obtained by quantitative and qualitative research. The quantitative research was carried out by the technique of anonymous questionnaire. The questionnaire was made for the parents of children with oncologic disease. The qualitative research was carried out by the technique of semi-structured in-depth interview. The research sample consisted of nurses working at the Department of children{\crq}s oncology One of the aims of this thesis was to outline the problems in nursing care of a child patient with oncologic pain from the point of view of the parents. We observed if the parents had been informed about their child{\crq}s pain, if they know what symptoms they should watch in their child, if they know all the aspects of pain to be assessed and treatment methods to relieve the pain and also how nurses respond to their child{\crq}s pain. For this aim, a following hypothesis has been set forth: The parents of children patients with oncologic pain are educated about the possibilities of nursing care focused on relieving the pain. This hypothesis was confirmed by statistic testing. Another aim of this thesis was to find out the specifics of nursing care of a child patient with oncologic pain. Nurses think that the specifics of nursing care of a child patient with oncologic pain are not different from any other care of a child in pains. They just state that an oncologic disease is associated with pains caused by the disease itself or by diagnostic or therapeutic procedures. Therefore they consider a specific feature the fact that the pain is observed more intensively and the staff is more precise in relieving the pain. It is obvious from the research that it would be effective for both parties, both for the nurses and the parents, to use educational materials on pain intended for them. I suppose that if there were such materials available, the parents would not need to contact nurses repeatedly. There was also a positive finding in the research that 92.5% of parents stated that nurses respond to children{\crq}s pain within 10 minutes. Further, that nurses believe that the child has pains, which was stated by 98.2% of the parents.
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Transformation of Network Data Reporting Process
Tolar, Tomáš ; Matuštík, Ondřej (advisor) ; Malinová, Ludmila (referee)
This thesis deals with transformation of network data reporting process in a Telecom company. The current process is MS Excel based and is inadequate and inefficient. The goal is to find the right tools and to implement them. The thesis is divided into three parts. First part is focused on theoretical background of reporting, i.e. Business Intelligence and other approaches. Second part explains general Network reporting principles and trends. In contrast with these theoretical recommendations, the actual level of the company's process is depicted. The last part of this thesis covers a practical implementation of selected applications. First, a choice is made within a variety of tools based on department's needs then the architecture is proposed and applications are implemented. The final part of the thesis provides an assessment of the benefits attained by this project.
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Analysing company's behaviour and communication on social networks
Němec, Milan ; Molnár, Zdeněk (advisor) ; Jelínek, Ivan (referee)
This thesis focuses on measuring company´s communication and behaviour on social networks. To capture the interaction between the company and its users the thesis uses web analytics tools. Therefore, the main objective of the thesis is analysis of these tools. To achieve this goal, the thesis characterizes social networks and their marketing opportunities for business promotion. Thanks to this, needs of using these tools is identified. The needs are: competitive analysis, optimizing communication, measuring achievement of objectives or detection competitive viral content. Research questions were determined and then analysis tools found answers to research questions. It was found that the tools provide various views of data and create a complete system for measuring and analysing behaviour and communication companies on social networks. The results were validated in a case study focused on the Facebook profile of the University of Economics in Prague. The study analysed the interaction profile of the school and its users and compared with others schools. In the results the analysis tools are validated and it is designed recommendation for improve engagement. This thesis revealed strengths and weaknesses of tools for measuring company´s communication and behaviour on social networks. It was found that these tools have wide range of use. They can be used for understanding the company's profile, its users, for purposes of competitive analysis, monitor corporate goals and optimize communications on social networks.
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The role of the nurse is to aid in the improvement of the quality of life for children who have been through meningitis
ŠPAČKOVÁ, Jana
The role of the nurse is to aid in the improvement of the quality of life for children who have been through meningitis. In recent years, the issue of quality of life has become of interest in many disciplines and the general public. In health care, the quality of life is known as HRQoL - Health Related Quality of Life - loosely translated as ?the quality of life related to health?. The term of ?diagnostic quality of life in children and adolescents? is primarily used for the area of professional health care and it is an important indicator of disease severity and the outcomes of provided care. The objective of this thesis was to assess the quality of life of children who have been through meningitis, to identify the main areas in which the quality of life of these children is reduced, and to suggest nursing interventions aimed at improvements. The data collection took place in the period November 2009 - June 2010 at the Clinic for Childhood Infectious Diseases, University Hospital Brno. A qualitative research used the technique of studying written documents and, subsequently, non-standardized in-depth interviews with respondents were carried out. Prior the beginning of the qualitative survey, five research questions were established. Question 1: What kind of care and what interventions do children expect from nurses? Question 2: What kind of care and what interventions do parents expect from nurses? Question 3: How to evaluate subjectively the quality of children?s? life after meningitis as compared to the state prior the disease? Question 4: How do parents see the quality of life of their child after meningitis as compared to the state prior the disease? Question 5: In which areas is the quality of children?s life reduced most? Question 6: What nursing interventions can help nurses to improve the children?s lives? All of the questions were answered using a quantitative research method involving a standardized questionnaire named ?HEALTH AND SATISFACTION QUESTIONNAIRE?. This questionnaire is used in the project ?QOLOP? ? Quality of Life Longitudinal Study of Paediatric Oncology Patients. Hypothesis H 1 was defined prior the start of the quantitative research: The quality of life of children who have been through meningitis is lower than in healthy children. This hypothesis was not confirmed. It is clear, from what has been mentioned above, that the objective of this thesis has been met. This project will be useful in practice. The generated ?Algorithm of Initial Care for a Child with Meningitis? and ?Subsequent Care of a Child with Meningitis? should help nurses orientate and identify the basic needs of children with this disease. Moreover, this thesis can be used as a theoretical basis for the education of nursing students.
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Dietary supplements and iodine supplementation for children 11-12 years in the Czech Republic
HALÁSZOVÁ, Monika
Bachelor Thesis called "Dietary supplements and iodine supplementation for children 11-12 years in the Czech Republic" deal with the intake of dietary supplements containing iodine and intake of other significant dietary sources of iodine in relationship to saturation with iodine in the monitored group of 300 children aged 11-12 years . The thesis is divided into theoretical and practical part. Theoretical part deal with established issues in light of current situation and uses the knowledge of specialized literature in these areas: iodine and his dietary sources, influence of deficient or excessive intake of iodine on thyroid gland and its function, and also the solution to iodine deficit in Czech Republic. The thesis also deals with dietary supplements and nutrition of school-aged children. Practical part is focused on quantitative research. This research was done on selected group of children who had low level of ioduria (iodine in urine) according to State health institution. Statistical file included 300 children of both gender in age from 11 to 12 who live in Czech Republic. The reason why children of this age were chosen is because of importance of optimal intake of iodine in period of physical and sexual evolution. The children were divided into two groups. One group had ioduria up to 300ug/l and the second group had ioduria over 300u/l. Data were collected through questionnaire. Because of age of respondents, the questionnaire was filled in presence of at least parent. The questionnaire should have also served to parents as information about iodine importance for their children. The individual evaluation of ioduria and questionnaire was given to parents upon their request. Collected data were evaluated in Microsoft Excel. In practical part, two main goals and two research questions are set. Their task is to determine the rate of usage of dietary supplements with iodine and to find out what significant sources of iodine the children with ioduria over 300u/l take in. The milk and milk products, salt with iodine, salted delicacies, sea products and dietary supplements with iodine were observed as probable main sources of iodine intake. The first goal was to find out the amount of iodine intake from dietary supplements for previously mentioned group of children. The second goal was to find out if the dietary supplements with iodine (or any other combination of food rich on iodine) are used by observed individuals with ioduria over 300u/l. The results of research show if the respondent's level of ioduria is affected by in taking the dietary supplements or food with significantly higher content of iodine. My own research proved relatively frequent (but irregular) intake of dietary supplements with iodine by whole examined population. On the other hand, usage of dietary supplements with iodine is probably not correlated with usage of table salt without iodine or with thyroid gland illness by individual respondent or in his family. The milk and milk products and table salt with iodine proved to be the main source of iodine. According to research, children with excessive ioduria consume sources of iodine as frequent as other children. Deeper insight into results shows that reason for excessive saturation with iodine is combination of intake of dietary supplements as well as other significant food sources of iodine, especially milk and its products. By several respondents, the higher level of ioduria can be caused by higher consummation of sea products or by usage of dietary supplements with iodine in last two days. The need for better awareness about suitable rate of iodine dietary supplements intake as well as medical importance for lowering the amount of (iodine) table salt in food was discovered by research. The optimal supply of iodine by higher percent of observed population could be also achieved by optimizing the content of iodine in milk.
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Cooperation of a stoma nurse with multidisciplinary team
VOTRUBOVÁ, Veronika
A stoma is an opening of a hollow organ on the surface of the body. The care for a stoma aims at returning a patient to ordinary life and it is exactly in this process that a stoma nurse should help the patient. The stoma nurse guides the patient through the pre-operative preparation, the post-operative preparation and also through the outpatient preparation in which the patient visits the stoma nurse in a stoma clinic. Cooperation of the stoma nurse with other members of the multidisciplinary team is important because it makes it possible for the stoma nurse to meet all the needs of the patient. The theoretical part deals with the anatomy and physiology, definitions stoma stoma and also the history of its development in nursing. The next chapter deals with the indications, types of stoma and possible complications. The chapters on preoperative and postoperative care, nutritional advice and clubs for stoma patients. Other chapters are devoted to stoma nurses. The primary intention of the thesis is to meet one objective which is to find out how a stoma nurse cooperates within the framework of a multidisciplinary team in various departments of a healthcare facility. The following hypothesis was set for this objective: "The integration of a stoma nurse in a multidisciplinary team is different in every department." The research question was: "How is a stoma nurse integrated in a multidisciplinary team?" The research was carried out by means of a quantitatively qualitative investigation. A method of questioning using the technique of questionnaires was used for collecting data in the quantitative research of the bachelor's thesis. The questionnaires were addressed to nurses in the internal medicine and surgical wards. The collected data were evaluated by means of processed graphs. The qualitative research was carried out with stoma nurses in the surgical ward by means of interviews. The quantitative survey implies that the shift nurses in a surgical ward cooperate much better with the stoma nurse than nurses in an internal medicine ward. In the surgical ward the cooperation is better in terms of communication with shift nurses because they exchange information about patients with stomas, the occurrence of complications and the nursing procedure. On the other hand, in the internal medicine ward this communication in many cases does not work. In most cases the nurses at the internal medicine ward do not feel a need to communicate and discuss the care for a patient with the stoma nurse. The stated objective was achieved using the research question and the confirmation of the hypothesis. From a qualitative investigation implies that stoma nurses are integrated in the education of patients before and after operations. The pre-operative preparation includes also the drawing of a suitable place for a stoma on the body of a future stoma patient. In most cases they discuss a suitable procedure of caring for a stoma patient with shift nurses and inform each other about the occurrence of complications. If they are interested, the stoma nurse informs the nurses of new appliances and findings from seminars. She has got also her own specific documentation where she writes down details about patients. Two stoma nurses also point to the option of cooperating with a nutritional therapist as a part of the nutritional consultation of a patient with a stoma. When cooperating with a physical therapist the stoma nurse informs him of the patient's overall condition and the physical therapist provides total rehabilitation. The results of the findings established by this bachelor's thesis will be provided to the management of hospitals where this research took place.
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Association of Idependent Theatres of the Czech Republic – Analysis and Description of the Current State
Bodoríková, Markéta ; KAŠPAR, David (advisor) ; PROKOP, Petr (referee)
The thesis is focused on newly established Association of Independent Theaters of the Czech Republic, officially using the abbreviation AND ČR. The aim of the thesis is to describe formation of the association, its current state, future plans and its functioning. The first part examines the term “independent professional theater” and briefly characterizes selected organizations from the Czech Republic and Europe with the potential to meet with the AND ČR in the cultural area in future. In the following parts were researched needs of independent professional scene in Prague and was described the needs analysis for the field of “independent” theater from the year 2013. The thesis describes the development of AND ČR, its activities up to current stage, organizational structure and future short-term plans. In the final part of the thesis, there is defined the management system of the association and established its possible improvements so the AND ČR would become the leading organization representing independent professional theaters in the Czech Republic.
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The use of assistive devices for patients with Bechterev disease
KULHÁNKOVÁ, Barbora
The theoretical part of the thesis describes the actual disease. It is a rheumatic disease which includes inflammatory processes located in the spinal area. The disease is also called Ankylosing spondylitis. Typical symptom of the Bechterew's disease is stiffness and consequent back pain. Successful treatment must include use of nonsteroidal antirheumatic drugs and pain-relievers. However, the most crucial element is regular physical training, which must not be avoided otherwise the client may become permanently disabled and need assistance. The successful treatment also in cludes repeated spa stays. The thesis also deals with the role of a nurse, who together with a professional team, including physiotherapists, ergotherapists and social workers, care for the client's needs as well as for his/her education and his/her family members' education. The nurse should emphasize the importance of regular physiotherapies and use of prescribed drugs to the patients with such diagnosis. The most crucial part of the thesis deals with compensation aids which allow the clients relieving pain when moving and which get the patients back in their common lives. The patients start to use the compensation aids, such as walking sticks, wheeled walkers, and hygienic aids with long handle, in advanced stages of the disease, when common movements are difficult and painful for them. Furthermore, I am writing about the possibility of renting or purchasing such aids. There are compensation-aid rental companies and shops which offer such aids. Another part of the thesis deals with compensation allowance, which the clients may receive from their insurance companies.It also describes changes in the patient's life and environment, which may occur after receiving the compensation aids. The major goal of the thesis is to describe the possibilities of usage of compensation aids by the Bechterew's patients. To reach that I have chosen two survey questions. The first one reveals the type of compensation aids the clients prefer using and the way how they get these. The latter question explores influence of the compensation aids to the clients' lives. The survey was done by qualitative research method. For this purpose, semistructured in-depth interview was conducted with clients who suffer from the Bechterew's disease and who use compensation aids for their everyday routines. The obtained information shows that the most used aids are those which we are typical for people with movement disorders. Mostly, the clients pay for their aids by themselves. Vouchers prescribed by doctors are only used to get the forearm crutches. The Bechterew's disease is still an incurable disease. It may have very serious consequences for the patients unless they execute regular physiothe rapy, repeated spa curative stays and use the medicaments. The thesis may be used as a source material for special brochures created for mobility-impaired clients.
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Polysemy of the Courtly Love: Inversion in the Aucassin et Nicolette
Herčíková, Barbora ; Christov, Petr (advisor) ; Sarkissian, Alena (referee)
Purpose of my thesis is create a precise register of inversion in chante-fable from XIIIth century: Aucassin et Nicolette. Main point of view is connected with a converse of woman and man part. This noticeable destabilization brings an inversion of further rules defined by literary discourse of medieval literature, above all by courtly culture. The first part included a basic definitions of misogyny, courtly love, chivarly and carnival principle. Following analysis of Aucassin et Nicolette indicates medieval need to show aberrations from social order and tries to find way to cure that "illness" of age.
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Puppies and young dogs nutritions
Šabatová, Kateřina ; Hučko, Boris (advisor) ; Plachý, Vladimír (referee)
Puppies and young dogs nutritions Summary In this work I have attempted to summarize the most important aspects in nutrition of puppies and dogs in growth. The introduction describes the digestive tract and also the changes that have occurred due to domestication. Next is explained the importance of nutrition and water in nutritional requirements of a dog. Important are needs of nutrients and energy that are necessary to maintain the provision of the necessary vital functions. The basic components of food are proteins, saccharides, lipids, minerals and vitamins. I explain the necessary proportions, the amounts and the possible consequences of their lack in food. I focus on essential fatty acids, which in recent years are subject to frequent explorations and their pros and cons are not yet fully understood. I also mention ballast and significant specific active substances. Nutrition of pregnant and lactating females is often neglected, but for puppies it is a very crucial period. The influence of nutrition of pregnant females to the size and weight of newborn puppies has been proved. Further I deal with nutrition of puppies immediately after birth, I explain the composition of colostrum and its effect on the immunity system of the puppy. I also compare ratios of nutrients in the colostrum and milk. Further, I deal with the feeding of the individual at the time of weaning and in different growth periods. There are many possibilities of feeding puppies from after weaning until adulthood described in books. With the new knowledge about nutrition the ways of feeding our dogs have inevitably changed , but also the dogs' nutritional requirements have changed due to the conditions where and how they live and what their nutrient needs are according to their sport, breeding or other use. Currently, there is a possibility of a commercially produced complete nutritional diet or home-prepared fresh food - cooked or raw- barf. In the last chapter, I summarized possible aspects of malnutrition and its potential consequences. I described the most common problems associated with inadequate nutrition of growing dogs such as obesity as well as malnutrition, which also adversely affects the individual. The influence of proper nutrition of the puppy on its growth is clear. If we neglect the nutrition of the dog in the first two years of its life, the consequences are often irreversible.
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