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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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Patients satisfaction with the provided services. An important indicator of the quality of health care facilities.
MALANÍKOVÁ, Jana
My master's thesis which topic is "Satisfaction of patients with the services provided. An important indicator of quality of medical equipment " is mainly focused on satisfaction of patients with the services provided in the Hospital České Budějovice, a.s. Furthermore, the mapping focused on overall satisfaction with care in the already mentioned Hospital České Budějovice and on exploring whether patients evaluate the quality of information provided by a medical doctor in this hospital affirmatively and whether they are satisfied with care of local nurses. The satisfaction of patients is an important indicator of the quality of care provided, which has an impact on their status of basic human needs. One main purpose was determined: Monitoring the satisfaction of patients with the services provided in the Hospital České Budějovice, a.s. and this purpose was fulfilled. Quantitative research was executed, to its realization the interview method was used. By means of the technique of standardized anonymous questionnaires on the basis of the above-mentioned purpose,the 3 following hypothesis were verified: 1) Patients are satisfied with the overall care in the Hospital České Budějovice, a.s. 2) Interviewed patients evaluate the quality of information provided by a medical doctor in the Hospital České Budějovice, a.s. affirmatively 3) Interviewed patients are satisfied with the care of nurses in the Hospital České Budějovice, a.s. I processed the data to confirm or refute the pre-established hypotheses. The evaluation of the data was carried out using statistical nonparametric methods, Chi-square test and the chosen level of significance of p=0.05. The results of the research have been clearly processed into the tables and graphs. The program Microsoft Office Excel 2010 was used to process the results.
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Analysis of the financial funds drawing to improve of the forestry infrastructure
Pávek, Jindřich ; Dudík, Roman (advisor) ; Bystrický, Roman (referee)
In the program period 2007-2013 the area of forestry subsidies is divided into several operations. Operation of financing the forest roads is socially the most beneficial one and therefore I decided to perform analysis of subsidies money from EU funds so that in the next period the finances could be distributed in better and more efficiently way. The starting point of the research is analysis of documents and data provided by SZIF, ÚHUL and published on the internet PRV 07-13 under operation 1.1.2.3 Forest infrastructure. The result is a synthesis of data in numerical and graphical form about the size of investments per hectare PUPFL and m LDS in every NUTS 2 region for all rounds income subsidies.
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Regional Policy and its Role in Development of Pardubický Region
Pluhařová, Iveta ; Husák, Jakub (advisor) ; Martina, Martina (referee)
The Czech Republic through its European Union membership obtains a possibility at development projects to draw on financial support from the European funds. This diploma thesis deals with the regional policy in context of the European funds and the regional policy effect on the Pardubice Region development. The Regional policy (including its principles, tools and targets) and an evaluation of draw on possibilities of European subsidy instruments for regional development (in framework of Regional Operation Programmes) are described in the first part of the thesis. The second (main) part deals with an analysis of the projects realized in particular counties of the Pardubice Region during programme period 2007 2013. This analysis is realized with theoretical and practical experiences and based on available data and documents from Regional Council NUTS 2 Northeast. The main part of the thesis also contains a particular projects comparison based on information which had been obtained in interview with managers of the projects. This comparison gives information related to the impact on regional policy in the Pardubice Region.
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Processing and utilization of by-products of brewery operations for energy purposes
Foltis, Marek ; Malaťák, Jan (advisor) ; Bradna, Jiří (referee)
The diploma thesis called Processing and using of co-products from brewery for energetic purposes. The thesis concerns it self with analysis current situation on field of processing waste from brewery industry. The thesis is focused on possibility of using brewery waste for energetic purposes. The thesis is divided in to two parts. First part features literature research of the topic, using all available resources. Second part features real data from element analysis done on samples of brewery waste and calculation of main characteristics of brewery waste. All calculations concerns them self in using brewery waste like substitution for fossil fuel. Goal of second part of thesis also is evaluate possibility of using brewery waste to make brewing more efficient.
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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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Small sacral buildings in the area Macha region
Sobotková, Lenka ; Zilvar, Josef (advisor) ; Tomáš, Tomáš (referee)
Abstract
The thesis maps and identifies a small religious monuments in the countryside and smaller settlements in the cadastral area municipalities Association Macha, which is located in the southwestern part of the Liberec region and its southern edge, which is Kokorin, extends into the Central Region. These small structures of sacred significance were set up at intersections of roads, trade routes, near Wells, but as expressions of gratitude and remembrance to joyful, significant and tragic event. Each of these small sacred building affects perception of a person's environment, enriching area villages and landscapes, along with accompanying greenery which acted as a refuge on the road, landmark or feature lightning form a common artistic and traditional value. His mission lost partially or completely inappropriate transfer.
The main benefit and purpose of this work is to determine the current state of these monuments in the area, and create a detailed catalog, serving as a source of information for tourism, regional development, such as integration into existing and also into emerging hiking, biking and nature trails, but also as the basis for a partial analysis in the evaluation of the landscape, the creation of the zoning plan, the draft plan during land consolidation or the needs of a particular community.
The catalog is compiled on the basis of professional and regional literature, detailed field survey, including cadastral territory of the municipalities that are part of the voluntary association of municipalities Macha maps and testimonies of some residents is compiled catalog of small sacred buildings. Buildings are photographically documented and described both in terms of the status quo, and in terms of landscape significance here is the location of the building indicating the GPS coordinates and plotting the current actual map of the selected area.
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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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