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The Role of Nurses in Colorectal Surgeries
ŠULCOVÁ, Jana
Theoretical basis: The problems in rectal and anal diseases have had rising tendency, especially haemorrhoidal diseases, on which we put emphasis in our bachelor thesis. 37% of adult population suffers from this disease so we may line it up to civilization illnesses. Their treatment involves wide range of medical methods, from the conservative therapy to semi invasive ways of treatment. The semi invasive treatment is well withstood by patients and it can help up to 90% of clients. This bachelor thesis is concerned with specifics of nursing duties in a colorectal surgery. It links with topics like taking faecal specimen, basic methods of endoscopy, communication with patients and giving them information about lifestyle. The theoretical basis describes haemorrhoidal disease and gives brief introduction into causes of its developing, most common symptoms and possible treatments. The aim of the thesis: From the practical point of view we set two tasks. The first one is aimed at specifics of nursing job in a colorectal surgery and the second one tries to monitor how nurses in colorectal surgeries inform patients about healthy lifestyle. We asked two research questions regarding these aims. The first research question is: What are the specifics of the nursing job in the colorectal surgery? The second question concerns how nurses in colorectal surgeries provide information to their patients about healthy lifestyle. Methodology: Regarding the bachelor thesis we decided to choose a form of a qualitative research with using semi structural interviews with practical nurses working in colorectal surgeries. The interviews took place from February 28 2014 to March 15 2014 in five colorectal surgeries in following towns: České Budějovice, Písek, Strakonice, Jindřichův Hradec a Třemošná u Plzně. The focus group was created of 6 nurses working in colorectal surgeries. The interviews were performed and recorded with the consent of all practical nurses involved in the research. All extracted data was arranged and categorised into groups that were consequently analysed. The interviewer´s questions were prepared in advance and some extra questions were asked during the interview. The interview was divided into five areas: Identification questions, role of a nurse, examination methods, recommendation and giving information about lifestyle. Results: The results show the specifics of nursing in colorectal surgeries. We found out that nurses working in colorectal surgeries deal mainly with preparing special medical instruments and devices needed for endoscopic examination. Then they assist doctors during a medical examination and with treatment methods of RBL (Barron´s rubber band ligation) and Hemoron, they manipulate with devices in a surgery, check hygiene measures, do administrative work and keep surgery office running. In other conversation areas practical nurses mostly mentioned sampling of biological materials, mainly blood and faecal specimen taking to be given up to histological examination, preparing patients for an endoscopic exam, communication with patients and attending to the intimacy of patients. Consequently we found out that more than half of the practical nurses pay attention to psychological conditioning of the patient before rectoscopy. The research also revealed some weak spots. More than half of the nurses in the focus group do not inform patients about preparations before anoscope exam. Barely one third of the group said that they inform patients about the natural emptying before the exam. Regarding the issue of giving information about lifestyle, we came to the conclusion that practical nurses, even though they do not have enough time, try to inform patients about physical activities, hygiene care and quality of eating and they do it in sufficient rate. But because of the time constrain they put emphasis only on the essential information.
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The proposal of the evaluation and the remuneration system
Vyskočilová, Dana ; Pilař, Ladislav (advisor) ; Barbora, Barbora (referee)
This thesis deals with system of employees evaluation and rewards in the given company. Based on the information gathered from the literature it summarizes basic concepts of employee's performance management, evaluation and rewards. The analysis was performed based on the existing situation of employees evaluation and rewards in companies, as well as based on qualitative research of employees satisfaction and motivation. As the outcome of this analysis and research, the new system of employees evaluation and rewards was drafted.
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Non-invasive methods for sex and steroid homones determination in gibbons of the genus Nomascus
Bolechová, Petra ; Bartoš, Luděk (advisor) ; Pavel, Pavel (referee)
The gibbon primates of the family Nomascus are classified as critically endangered species, and, to date, basic understanding and information about their biology is missing. With regard to the status of these animals in the wild and captive populations in zoos, being familiar with their reproduction, may improve captive breeding programs. Data collection in this study was to be carried out by the practical use of non-invasive methods (polymerase chain reaction for DNA extraction and enzyme immunoassays), using faecal samples for analysis. The first method, polymerase chain reaction, was used for sex determination in juveniles, because of their coat colour and visual similarity of secondary sex characteristic in both sexes; it is not possible to determinate sex without handling the animal. Another main purpose of this study is to try and answer the hypothesis regarding the ovarian cycle of females, factors influencing their hormone concentration and also the onset of sexual maturity in females and the timing of their fur colour change. Hypotheses were checked by monitoring the concentration of progesterone and oestrogen faecal metabolites and by evaluation of the composition of breeding groups of gibbons with the ZOO influence. During a four year period (from 2010 till 2014), there were a total of 51 animals analysed from 16 different zoos with a faecal sample count totalling 1618 samples. The results confirmed the use of noninvasive methods for sex determination, and thus ensuring the maximum welfare standards. Endocrinological analysis confirmed the hypothesis of the influence of the environment (ZOO) to the hormone concentrations and female´s pregnancy effect in conjunction with her age on the final results of the male - father hormone concentrations. The initial information in this study is the confirmation of the onset of ovarian cycle in young females without connection to their fur colour change and a significant factor of a mother´s impact and her territoriality. This study is the first to present a long term monitoring of ovarian cycles in females and hormone concentrations of other individuals, both male and female, and from various age groups. The results allow us to understand the possible impact of zoo environments on the reproductive status of these gibbons and contribute to the general improvement of breeding management.
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Vývoj metodologické a technologické platformy pro neinvazivní odhad fenolických látek v listech a bobulích
ŠEBELA, David
Plant optical signals can serve as important source of information about biochemical and physiological processes in plants. These signals are influenced by compounds synthesized by plants during primary or secondary metabolism and thus, can also serve as their qualitative and quantitative indicators. Light reaching plant surface (leaf or fruit) can undergo three main pathways- it can be (i) reflected, (ii) absorbed or it can (iii) transmit through plant material. The probability of these three processes depends on particular wavelength of incident irradiation and on the morphological characteristics of plant tissues themselves. As such, plant contains various spectrum of photosynthetic pigments and fluorescent compounds which can either reflect, absorb or pass incident irradiation through at specific wavelengths. Biophysical techniques working with these optical properties of plant pigments and/or other compounds have become universal and common tool in basic and applied research. To quote some example, chlorophyll fluorescence imaging, UV induced fluorescence or spectroscopic techniques are on the top of interest thanks to its non-invasive nature, allowing maintain the integrity of measured cells or the whole plant constituents. The main aim of this thesis is to provide a comprehensive study on the possibility of non-invasive monitoring of phenolic compounds in the leaves and fruits.
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Identification opportunities for the selected company
FEIKLOVÁ, Michaela
The main aim of this Diploma thesis called "Identification opportunities for the selected company" is to identify the opportunities on market and to provide possible solutions how to use these opportunities. The Diploma thesis is divided into two main parts. First part is a literature overview that should give the reader the basic knowledge and understanding of the topic. Where the information was gained by studying different sources related to the main aim of the thesis. Second part is the analytical part of the thesis. Different analysis has been chosen to support the work. The marketing situation analysis was used and included the analysis of the macroenvironment (the STEP analysis), the microenvironment, market and sales. This analysis was followed by the analysis of part of the external environment (Porter's model of five competitive forces). The last part of the analytical part is focused on the internal analysis. The human resources, finance, sales and products were analysed. The findings from the analytical chapter were used for the final SWOT analysis.
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The importance of information management company for marketing
VOLÁROVÁ, Veronika
The thesis is focused on the issue of the importance of information for marketing management. The aim of this thesis is to identify and analyze information relevant to marketing management in a company. The work is divided into two parts theoretical part and practical part. The theoretical part of the thesis defines the basic terms and defines the building of marketing information system. The practical part on the knowledge gained from the theoretical part describes in detail the process of the building practical marketing information system in real company, using the specific practical examples. The last part of the thesis presents own research, which confirms correct functioning marketing information system in the company. Conclusion of the work confirms the stated main hypothesis.
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Organization and management of production in selected enterprise
DRNOVÁ, Markéta
The topic of my dissertation is "Organization and management of production in selected enterprise". The main goal of this dissertation is mapping of selected enterprise in one year period and obtain sufficient amount of information for future analysis and suggest possible improvements. The identification data, characteristic, products and services and production planning of selected enterprise are provided in introduction of practical part of this dissertation. Analysis of present state with mapping of present state for individually semi-finished products is introduced in the next part of dissertation. For analysis of present state was calculated VA index and for each semi-finished product was created diagram of material movement in next chapter. The goal of analyses and diagram is the finding of narrow spaces in the material flow. The target map of future state was created in the next part. This map is based on present map. The future map presents critical factors that need to be improved. Finally it defines a new VA index, which should be approach to the current state. The penultimate section includes recommendations methods and elements of lean production to the new production hall which the company wants to build. Among the recommended methods are mainly the 5S method, visualization, standardization, SMED and Bottleneck. The last chapter contains a number of measures. For example employee motivation, continuous improvement, personal responsibility, introduction of EDI and ergonomics which would lead to the improvement of the business this enterprise.
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Improving labour productivity: How to determine standard time for performing specific tasks in the selected organization
BARTOŠKOVÁ, Martina
This bachelor thesis focuses on the standard time needed for specific tasks in the selected organization, as well as on the appropriate methods for its determination. The findings serve as a basis for the formulation of measures which should be taken to improve labour productivity. The methods include the standardization of tasks, time study and computer-based data analysis (Microsoft Excel spreadsheets). The theoretical part of the paper discusses the nature of job production, the methods appropriate for the calculation of standard production time and the ways to ensure efficient work and time management in the given factory. Apart from these, a complete description (history, facility layout, pre-production and production stages, machines and materials) of the selected organization is provided to serve as a background for the case study presented in the practical part. This includes the list of production tasks, production time tables and time standards along with materials necessary to facilitate production. The aim of the thesis is to help the organization improve its labour productivity and provide it with the algorithm which can be used to determine production time for similar orders.
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Specifics of nurse care at the patient with MRSA on surgery from nurses' point of view.
KALÁBOVÁ, Miroslava
Title of the thesis: Specifics of the nursing care of patients with MRSA in the operating room from an anesthesiology nurse perspective. The aim of this thesis was to identify the specifics of nursing care of a patient with the MRSA in the operating room from the perspective of nurses working in the operating room. In the theoretical part focus is given to nursing care and its specifics for a patient with MRSA. Chapters relating to the regime measures, barrier nursing procedures and the use of specific aids, instruments and tools are treated in detail. The nursing care provided by anesthesia nurses and perioperative nurses in the operating room is defined. To reach the goals the quantitative research through questionnaires was chosen. The research sample consisted of anesthesia nurses and perioperative care nurses. Two types of standardized questionnaires were used, consisted of closed questions where respondents chose an appropriate answer, and from semi-open questions where respondents could specify their answers, and in one case open questions. Both questionnaires were completed by 12 test questions, where respondents had the choice of three possible answers, where one answer was correct. The results of the investigation are summarized in two types of graphs. Bar charts were used in questions where more answers were possible to mark, and for a better clarity the results were supplemented by tables. Results to other questions, where options were limited by one answer, are shown in percentages in pie graphs. Our thesis is very narrowly focused, because we concentrated on specifics of nursing care in a patient with MRSA in the operating room. We have determined the specifics of barrier nursing, nursing problems in a patient with MRSA in the operating room. We have discovered barrier nursing procedures in a patient with MRSA in the operating room. We have also succeeded in assessing the knowledge of nurses working in the operating room. The goal was met. An interesting finding was that most of anesthetic nurses and perioperative nurses had responded that the structural and technical arrangement in the operating room was not satisfactory in terms of barrier nursing of a patient with MRSA. This problem was expected, owing to the author´s experience in operating theaters. Thus Hypothesis 1 is confirmed. In total five hypotheses were stated, four of which were confirmed and one was disproved. The aim of the thesis was to draw attention to problems in the operating room during nursing a patient with MRSA. In the course of the research work there were no problems, however, it is necessary to mention the lack of literature on MRSA with regard to nursing care in operating theaters. The theoretical section of this thesis could be recommended as a resource for the education plan created on the basis of information collected and the results of this research. The results of the research survey may serve for general public, anesthesia and perioperative nurses who could benefit from the educational plan in practice while providing nursing care for a patient with MRSA.
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Distribution management in a large company (warehouse)
MICHALOVÁ, Jana
Distribution management in a large company. This Master´s Thesis examines the company Fruko-Schulz, s. r. o. This company has been making spirits. The goal is to map out the information and material flows toward the warehouse and from the warehouse. Subsequently, to analyze the current state of the company. Based on the information propose measures for improvement. In own work is described in detail and enterprise activities in a company. After ideas are designed to change. These proposals relate to distribution to the end customer through the gastronomical exhibitions and fairs. Other proposals are aimed at end users in the Russian market. Ideas for packaging or new products are designed, but is backed that do not make sense. Company Fruko-Schulz, s. r. o. sas a long tradition and reputation. But that's not enough, the competition is great and it isalso at a high level. The idea to focus on the Russian market is very good and there is great potential.
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