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A nursing issue: peripheral venous catheter
TOMÁNKOVÁ NOVÁKOVÁ, Monika
Peripheral venous catheter is used to access the venous system. It is one of the most commonly used invasive procedures in health care facilities. This procedure falls within the competence and daily tasks of nurses. Therefore this type of nursing care is susceptible to risk of proceeding routinely which might result in conscious or unconscious errors. Peripheral venous catheter needs to be introduced into the patient's vein in the following cases: planned parenteral nutrition, infusion or transfusion therapy, application of intravascular medication or contrast media, rehydration, blood sampling (which can be performed immediately after introducing the peripheral venous catheter and before administrating medication) and also during an emergency care for critically ill (such as cardiopulmonary resuscitation). Nurses should be as knowledgeable as possible about this issue so that the peripheral venous catheter can be introduced well and fulfil its purpose. It is important to ensure that nurses obtain all the necessary information about their patients before inserting the catheter and that they are able to properly inform the patients about the procedure and to communicate with them. Next, nurses should be familiar with the correct procedure for inserting catheters, they should be informed about possible contraindications and know how to choose the correct type of catheter as well as where to place it. Furthermore, nurses should care for this vascular access correctly and provide the patient with enough information about taking care of the catheter after the procedure. Finally, nurses should be aware of their own potential errors and also of possible complications. Therefore they should employ aseptic technique so that they can eliminate nosocomial infections. The thesis is divided into a theoretical and an empirical part. The theoretical part focuses on the history of peripheral venous catheters and their types, indications and contraindications, necessary equipment, nursing care, complications, etc. The empirical part consists of a research. The aim of the thesis was to map the use of peripheral venous catheters in hospitals as well as to identify factors that may lead to problems among the patients with peripheral venous catheters. Four research questions were assigned to these aims. 1. What is the procedure prior to inserting a peripheral venous catheter? 2. What are the standards of caring for patients with an inserted peripheral venous catheter? 3. In which steps of caring for peripheral venous catheters do the nurses lack knowledge? What equipment do the nurses prepare in order to insert a peripheral venous catheter? The Bachelor's thesis was conducted using a qualitative research survey. The methods of collecting data included semi-structured interviews and participant observations. The research was carried out only in one hospital ward and it was anonymous. First, the data were collected by means of a semi-structured interview. The nurses were asked 14 questions (see Appendix 8). During this interview, several more subquestions were added. The results of the interviews were then grouped into several categories for the sake of clarity. The second method of collecting data was participant observation. The observed facts were recorded into an observation sheet (see Appendix 9). The same nurses who were interviewed were also observed. This Bachelor's thesis has been written in order to provide a basic overview of the peripheral venous catheters. It could be used as an information source for more experienced as well as novice nurses. The practical output of this Bachelor's thesis is a nursing care standard concerning peripheral venous catheters. This standard was missing in the hospital ward and could help the nurses to take care of these vascular accesses, to proceed correctly and eliminate possible errors (see Appendix10).
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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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Effect of water deficit on the energy content of individual plant organs in selected species of leafy vegetables
Šimůnková, Petra ; Hnilička, František (advisor) ; Česká, Jana (referee)
This work presents the impact of water deficit on dry mass production and photosynthetic accumulation of energy on every single plant´s organs of selected plant species. As a chosen experimental material were taken plants of Spinacea oleracea "Matador" sort and Tetragonia tetragonioides.
Spinacea oleracea and Tetragonia tetragonioides plants were grown in containers 11x11cm large in mixture of garden substrate A with silicon sand (2:1) in 2 variations placed in FAPPZ greenhouses. One variation was for control and second was exposed to stress reaction. Control variation had been watered for whole time of experiment with 50ml of water 2 times per week. Stressed one had been watered after puncturing and 6. taking until the end of experiment.
During the plant´s ontogenetic evolution had been monitored dry mass´s weight on singular plant´s organs. With usage of burnt calorimetry method had been monitored capacity of photosynteticaly accumulated energy in dry mass. Quantity of netto energy had been found out by dry burning adiabatic calorimeter LAGEST MS 10A.
From the gained results emerge, that plants of Tetragonia tetragonioides have 2 times higher weight growth apart from Spinacea oleracea. Control plants of Tetragonia tetragonioides have higher weight by 25,5% (123 mg) compared to the plants growing in water deficit. Likewise higher weight of roots had been observed on control plants (41 mg) compared to the stressed plants (40 g). Control spinach plants had higher weight of above-ground biomass by 19,5% compared to the stressed ones (43 mg). Roots of control plants had lower weight compared to stressed variant by 2960 mg.
From the results emerge, that plants of Tetragonia tetragonioides have higher weight of roots dry mass and above-ground biomass compared to the Spinacea oleracea plants.
Burning heat without ashes was on above-ground biomass of control plants Tetragonia tetragonioide on 15,96 kJ.g-1 level and on stressed plants 14,93 kJ.g-1 . In case of Spinacea oleracea plants was amount of control plants energy 14,98 kJ.g-1 and on stressed 14,21 kJ.g-1.
Burnt heat without root ashes of Tetragonia tetragonioides control plants was higher by 1.11 kJ.g-1 then on stressed ones (13,19 kJ.g-1). In case of Spinacea oleracea plants was amount of roots energy on control plants 11,90 kJ.g-1 and on stressed 11,72 kJ.g-1 .
Based on measurement were verified differences between species in reaction on water deficit and observed characteristic. From measuring emerged, that Spinacea oleracea plants are more sensitive on effect of water deficit compared to the Tetragonia tetragonioides
plants, which is more tolerant. Next thing observed is, that there are differences in amount of dry mass and rate of burnt heat in relation on effect of water deficit.
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Effect of dairy cows housing technology on mastitis occurrence
Brzáková, Lenka ; Stádník, Luděk (advisor) ; Jan, Jan (referee)
The objective of my bachelor thesis was evaluation of quality of housing, milking and making analysis of mastitis on chosen farm.
First part of the thesis contains of literature summary about housing technologies, mastitis issues, their detection, originators, therapy and factors affects against their incidence. Thereafter is this part focused on tipes of milking parlours, corect milking procedures and mechanized milking.
Materials and methodes of the thesis contains the characteristics of chosen farm where the quality and technology of housing, milking and nutrition of milk cows and other factors affecting presence of mastitis such as taking care of cloven hooves was watched in 2014. The incidence, detection and curation of mastitis was watched afterwards. Montamilk s.r.o. farm cradles 1,200 pieces of cattle and milk cows are about 419 out of it.
In the part of thesis named results was watched and evaluated inspection of efficiency in inspecting year 2013 - 2014, which was stated on first lactated cows and on cows which are on second and further lactation. Milk yield was far better with cows on second or futher lactation according to data gathered during the study and expressed by diagram. Diagram of milk components (fat and proteins), which was divided by lactation, was expressed in this part too. Other examinated parameters was occurrence of mastitis - which milk cows, in which season is the occurrence more often, treatment and cost of treatment for one cow. At the end the number of somatic cells for 2014 was represented in diagram for particular lactations.
In part of thesis called discusion the comparison was drowed between results from chosen farm and national average of efficiency checks. From results is obvious that milk cow in Mnotamilk has been better in first lactated cows by 427 kg and in second and more lactated cows by 602 kg than is the avarage in Czech republic.
Far more the milk components in Montamilk was compared with rest of Czech republic and the results was quite similar. The volume of fat of Montamilk cows was lower in every lactation in comparison with milk cows from Czech. Value of fat in Czech republic avarage first lactated cows is 3,87 % in Montamilk 3,85 % and the value of fat on second and more lactation cows is 3,86 % in Czech average and 3,81 % in Montamilk.
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Design and optimisation of log rounding process
Iamshchikov, Evgenii ; Trgala, Kamil (advisor) ; Ruman, Daniel (referee)
The subject of my thesis is Design and optimisation of log rounding process. The aim of the work is to develop and explain the changes of the cutting tool parameters of a machine for logs rounding; experimental substantiation for the change of the cutter angle related to the axis of the workpiece. This paper deals with all kinds of wooden housing, from houses of solid wood to houses made of wood-based materials. The description of positive and negative characteristics of each type, including why a house made of logs is essentially different, its positive and negative sides. The paper examines all kinds of the logs rounding technology; the characteristics of their quality and energy consumption are presented. The experimental part of the work consists in the experiment planning and identifying of the factors that influence the rounding process. The way the cutter angle influences the surface roughness during the cylindering process was studied. The final stage of the work was to evaluate the results of the work, their relevance and the possibility to introduce the new equipment with the changed parameters of the cutting tool into production.
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Measurement of volume and mass flow in agricultural machinery
Kuře, Jiří ; Bohuslávek, Zdeněk (advisor) ; Volf, Jaromír (referee)
The aim of this work is to elaborate an overview of the principles of measurement of the volume flow and the mass flow of the material and present an overview of the actual and perspective use of these concepts on agricultural machines.
In the following chapters the author presents at first the overview of the flowmeters used in practice to measure the flow of materials, and further the description of the selected devices for measuring the flow of material in plant and livestock production. Last but not least the author presents the concept which deals with the recording of the local grain yield on harvester threshing machines by using technology of the flowmeters and GPS.
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The overview and the evaluation of the technical specifications of transparent materials for the production of composite wood panels
Holub, Jan ; Böhm, Martin (advisor) ; Arnetová, Karolína (referee)
Work includes: general introduction to the components of the wood-based panels with a transparent layer, the history of their production. It includes requirements for individual components of composite wood panels and requirements for wood and other wood-based materials, which serve as reinforcement. Also mentions claims potting material, which serves as a matrix.
It includes a description of the technology of wood-based panels with a transparent layer. This paper introduces the most commonly used material serving as a matrix, their distinctive characteristics essential for the production of composite plates. Compares parameters resins based on polyester, polyurethane and epoxy resins and analyzes the choice of a suitable material for producing a composite board based on user requirements. Part of this work is to design materials for the manufacture of composite board with controlled light distribution.
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Evaluation of selected properties of mineral fibers-based board, including the design of suitable purposes of its application
Sýkora, Radim ; Böhm, Martin (advisor) ; Múčka, Martin (referee)
This thesis evaluates properties of board based on mineral fibers. In first part of the thesis is conducted analysis of the literature, where are described materials based on basalt fibers. Here is also explained production of basalt fiber and its practical applications. Sandwich materials and materials with great fire resistance based on wood are also looked into. Following part describes options of aplication of materials with great fire resistance and mechanical a physical properties of materials based on wood.
Second part of the thesis lays out methodical approach to individual performed mechanical and physical tests. Characteristic of examined material is included. The last part deals with test results, comparing results with other selected materials, debating results and proposing possible applications of examined basalt board. With use of found data is evaluated suitability of the material for use for construction of sandwich panel.
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Short and long term re-distribution of potentially toxic elements fractions in solid environmental samples
Jeřábková, Julie ; Drábek, Ondřej (advisor)
The fractionation of potentially toxic elements (PTE) in environmental and anthropogenic solid samples has a crucial influence on their leaching, mobility and bioavailability, or conversely, their immobilization. Redistribution of PTE in different fractions is affected by various soil properties, such as soil reaction, redox conditions, and soil organic matter composition and its content. Fractionation of PTE in soils and other environmental materials is therefore dynamic, as it is controlled by external conditions. Certain changes of soil conditions caused by, for example, climatic events (floods, soil washing, etc.) and human activities (eg. liming) may lead to significant changes in the distribution of fractions of PTE in soils and anthropogenic materials.
The aim of this study is to assess the impact of changes of conditions on the short- and long-term diferences in fractionation of selected PTE (As, Cd, Cr, Cu, Pb, Zn) in soils and other solid samples mainly of anthropogenic origin (e.g., smelter slag) in the environment.
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The renovation of historical parks near the small feudal residences on the example of the study of the renovation of the castle garden in Doudleby nad Orlici in Eastern Bohemia.
Faltysová, Lenka ; Buttry, Ivana (advisor) ; Jakub, Jakub (referee)
The aim of this work is the processing methodology and presentation process how to restore monuments of garden art. On the example of the revitalization of the castle garden immovable cultural monument Castle Doudleby nad Orlicí, based on the study of literature, similar interventions and the analysis and interpretation of various types of archival material the current quality of historic garden was evaluated. It is based on field survey, which consists of dendrological research, analyzing the authenticity of trees and appreciation of all the collected documents, historical sources and professional literature. Concept recovery of castle garden is based on the expert authority´s binding point of view of the state care of historical monuments.
Renaissance castle in Doudleby nad Orlici is located in the eastern part of the town on a slightly raised hill on the right bank of the River Divoká Orlice. There was a wooden medieval fortress with the farmyard on this place in the 13th century. Sr Mikuláš from Bubno started to build a hunting lodge in the Renaissance style as villa in 1588, which was finished in 1590. The significance of Renaissance residence, which complement the early Baroque elements from the late 17th century, is enhanced by the opulent and impressive sgraffito - carpet pattern covering all external and internal frontage, restored in 1886 by Kirchner. The tall chimneys are the part of decoration in the courtyard decorated with sgraffito as well. The chateau complex is formed along its circuit of farm buildings and residential buildings. Building of castle itself is separated by a park with old trees and newer lawns (Hieke, 1984).
Castle park in Doudleby nad Orlicí was founded in 1809 in compositional continuity of the Renaissance castle building. The park forms one organic complex with the castle. The promoter strived, like in the castle rooms, to demonstrate here his wealth, his sense of art and his botanical-dendrological knowledge. The park is designed as a narrow disposition in landscape style and it is composed as a long vista to the castle. The area of the landscape park is 3.76 hectares nowadays.
The literature search is especially dedicated to the Renaissance and its relationship to the garden art. The monument care in the Czech Republic and the activity of professional organization of the monument care of the National Heritage Institute in Josefov is introduced in this section.
The methodological guide describes the used bolsterings and resulting outputs on the basis of them are implemented of such measures, which will help to improve the health and vitality of existing promising trees and new plantings of trees, which are consistent with the original composition with emphasis on the rehabilitation and upgrading of historical value of the object. Treatment of trees and supplementary planting will be done within the frame of total revitalization of the castle park.
The practical unit describes the current status of vegetation monuments of garden art. The inventory trees is the essential tool for analyzing the current status of vegetation monuments of garden art. Inventory, which should provide quality base for a draft recovery, should also be addressed in certain parts with characteristics of individual species (Krejčiřík, 2015).
The results of field investigation were completely recorded in the graphical output.
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