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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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Pick´s disease and the specifics of the nursing care of a patient with this disease
KOPKAŠOVÁ, Lenka
Pick's disease is a degenerative-atrophic process that primarily affects the frontal and temporal lobes of the brain. Besides Alzheimer's disease, it is a lesser known form of dementia which affects people of younger age. Although the exact range of Pick's disease occurrence varies in the literature, the average reported age is between 50-60 years. The disease can change eating habits, cause emotional swings, inappropriate behaviour and sloppy appearance of the patients. The behaviour to others is often selfish, the patients are unable to listen to others and ignore their surroundings. Pick's disease is also characterized by inappropriate sexual behaviour. Globally, the number of dementia patients is still growing and according to expert guesses the increase will continue. Nursing care for patients with dementia is therefore becoming a very actual topic as dementia is called a quiet epidemic of our century. Nurses in their departments quite frequently encounter patients suffering from dementia of various origins at different stages of disability and the staff at healthcare facilities often regard these people as a burden. The aim of this thesis, which is called Pick's Disease and Specifics of Nursing Care for Patients with this Disease, is, based on the theoretical knowledge, to map definitions and diagnosis of Pick's disease, to define the needs of such a patient, and to list the most common problems in the nursing care. It focuses on people with dementia within medical facilities. For proper understanding of the problem, the thesis starts with the anatomy and physiology of the brain and the description of cognitive functions which are affected by the dementia syndrome and the definition of dementia. Based on the studied literature, dementia is divided according to various criteria. It has been found out that dividing dementia is not entirely uniform, but the essential facts and overall opinions of the authors do not diverge. Pick's disease belongs to a group of frontotemporal dementia and its position in this group has changed over time, as it is recorded in the literature. The thesis includes recommendations resulting from the studied literature in the approach to patients with dementia and emphasizes personal communication with the patients and empathetic and humane approach. Although medicine cannot prevent dementia, an early diagnosis of a specific type of dementia and correctly targeted treatment can increase the quality of life not only of the patients but also of their families. I have chosen this topic because I find it very current and interesting. During my nursing practice at the Surgery Department and Aftercare Department, I have met patients suffering from dementia and I did not know how to properly and efficiently communicate with them. For the theoretical part of my work, the methods of explanation, synthesis and induction on the basis of Czech and foreign information sources have been used. The most frequently quoted Czech authors in my thesis are doc. MD. Roman Jirák, PhD., the head of the center for diagnosis and therapy of Alzheimer's disease at the psychiatric clinic of the General University Hospital in Prague, the 1st Medical Faculty of Charles University. This thesis can serve as an informational and educational source both for nurses and the general public who may experience the disease within their families. It would be considered a great success if it helped nurses or family members to diagnose Pick's disease or other dementia at an early stage.
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Rozdílný vývoj depopulace venkovského území české a rakouské části Novohradských hor 1930/1991/2011
Havlová, Renata ; Majerová, Věra (advisor)
Tato diplomová práce se zabývá rozdílnými a shodnými rysy českého a evropského venkova. Jedná se o důležité a aktuální téma. Důvodem jsou významné změny, kterými venkov za poslední léta prošel.
Mezi cíle této práce patří prvotně stanovit a sjednotit jednotnou typologii pro český a evropský venkov. Dalším cílem je stanovit zásadní historické peripetie, které se podílely na vývoji jednotlivých venkovských prostředí. Významným cílem práce je vyhodnotit na českém a evropském venkově změny kulturně-sociologické, demografické a geografické, ekonomické a politické aj. Cílem práce je dále vyhodnotit, zda a jakým způsobem probíhá rozvoj a financování venkova. Kdo a jakým způsobem se na rozvoji a financování podílí. Do jaké míry je pro jednotlivé evropské a české venkovské oblasti důležité působení Evropské unie a využívání dotačních titulů. A také do jaké míry venkov změnily. Zda se bude venkov ubírat k evropsky požadované konvergenci, či naopak k divergenci.
Z metodologického hlediska je použit kvantitativní výzkum s využitím deduktivní metody. Data jsou čerpána zejména z Českého statistického úřadu, statistického úřadu Evropské unie a z Organizace pro hospodářskou spolupráci a rozvoj. Získané údaje jsou pak převedeny do výsledných tabulek a graficky zaneseny do grafů a map. Pro přehlednost je v závěru práce provedena SWOT analýza.
Z hlediska metodologie je venkov chronologicky zarámovat do příslušných teorií regionálního rozvoje a ekonomického vývoje.
Vyústěním této práce je podrobná analýza zjištěných rozdílů. Významným cílem je snaha navrhnout určitá opatření pro udržitelný a prosperující venkovský - regionální rozvoj v českém prostředí.
Do budoucna by se na venkově měla zlepšit a zvýšit občanská vybavenost, dopravní obslužnost, nabídka investorů a celkově zvýšit pozitivní vztah k venkovu s přidanou hodnotou. Výsledkem by do budoucnu na venkově měla být větší hustota obyvatelstva, vyšší porodnost a vyšší zaměstnanost.
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Supplier management in automotive industry
Holubcová, Romana ; Štůsek, Jaromír (advisor)
In my thesis I deal with the process of Supplier management in automotive industry. Supplier - customer relationship is very important for a success both company and for the global development of the economy too. These relationships must be partnership and support the development of the companies and their each other businesses are beneficial for both sides. In my thesis I analyze current process of the supplier management in the company, what directly supply to OEM. Original Equipment manufacturing (OEM), is the final producer of automobiles, it is mean this company do not produce components but assemble supplied modules. I propose improvements and up-date the directive Strategic purchasing according to results from the analysis.
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Comparison of production and conditions of use of liquid biofuels in different countries
Semerák, Adam ; Pecen, Josef (advisor) ; Krepl, Vladimír (referee)
Biofuels production has experienced rapid growth in recent years. Many countries initiated legislative measures to promote their development, production and use in the transport sector. However, there are also growing concerns about the economic, environmental and social sustainability of biofuels, as well as their ability to truly meet the expectations of energy security.
This paper attempted to point out the complexity and diversity of the production and use of liquid biofuels in the transport sector while using available information resources. More specifically, bioethanol and biodiesel which are most commonly used biofuels. Furthermore, he also tried to point out the diversity of characteristics and impacts in production and use of liquid biofuels, as well as the importance of consideration of the specific local conditions. That was examined from four perspectives of sustainability: technological, economical, socioinstitutional, and environmental. To illustrate the diversity and interdependence of the impacts of this whole issue two countries with very different human development indexes were selected. The Malaysia and India.
At the basis of this paper the author concluded that for successful and sustainable production of liquid biofuels there must be taken into account all the factors examined equally. He also emphasized the importance of further research of this renewable energy source in terms of ensuring future energy security.
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Electronic auction in healthcare
Vyoral, Marek ; Toth, Štefan (advisor) ; Jan, Jan (referee)
Working with the theoretical part focuses on the regulation of electronic auctions in terms of legislation both Czech and foreign, given that we are members of the European Union. Furthermore, the work explains the possible ways to use electronic auctions, which are mostly used in both the Czech Republic and abroad. At work I also am trying to shed light on the current use of auctions on the auction portal Aukro examples, which is widely used by people for personal use. Finally, the theoretical part I try to outline the future development of electronic auctions. The practical part is focused primarily on its activities in the hospital Pardubice Region, Inc. where I introduced the auction. In several examples, visible results, which not only brings centralization entire purchase, but also the use of electronic auctions as a tool for communication and bidding suppliers with the lowest purchase price for a group of hospitals. The work also draws from the Ministry for Regional Development, which is responsible for the preparation of the most important regulations for electronic auctions in healthcare, namely the Public Procurement Act. Electronic auctions are a tool very interesting, because it is the most transparent way of evaluating procurement by parameters rates. Whether if electronic auction in health care and efficient purchase option will be discussed in this work.
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The Motivation as a Leadership
Mudruňka, Jan ; Horáková, Jana (advisor) ; Fiedler, Jiří (referee)
Abstract
This bachelor thesis deals with the topic of Motivation as a way of keeping people. In the theoretical part is through the help of key words a reader familiar with the concepts of manager, management the role, management functions, leadership, incentive mechanism, participation, motivation the program benefits.
After getting acquainted with these concepts, which are further developed and properly explained it is compiled by a questionnaire consisting of 13 questions dealing with motivation and benefits in the workplace. The questionnaire is submitted to the selected five managers. The three owners or co- owners private companies, the remaining two are employed in the public sector. With the questionnaire were brought to the attention of the three women and two men.
The individual answers have been commenting and at the end summarized into a single conclusion. From this conclusion it follows that the motivational processes and benefits in individual organisations are set up similarly and that the best motivator is financial reward, or the public praise. Furthermore, it was found: managers prefer individual approach to leadership, a good team and the pleasant environment of the employees want rather than some of the other motivators. Last but not least can from the responses of most managers sense that you may want a the personal development of the employees, but only in a given field. Part of the managers do not agree with the further education of employees due to concerns about competition.
The male part of the managers used a rather shorter sharper the answer to the question, the staff applies a rather authoritative way of leadership, while the female part of the managers was rather longer and more sentence. From the responses it is apparent that women apply to their employees rather democratic style of leadership.
Key words: Manager, managerial role, managerial functions, leadership, incentive mechanism, participation, incentive program, benefits
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Healthy lifestyle of young population
Vargová, Andrea ; Polišenský, Miroslav (advisor)
This bachelor thesis investigates the healthy lifestyle of the youth generation. It consists of two parts. Theoretical one and practical one. The first part of the thesis examines the basic terms connected to the healthy and balanced lifestyle. More precisely, the terms of healthy lifestyle are predominantly concerned with preschool children. This part delivers a comprehensive framework about what unconditionally belongs to the healthy lifestyle and at the same time it indicates the recommended nutrient values and the correct amounts of specific nutrients in preschool childrens diet.
The second part of this thesis sheds light on the selected kindergarten. This institution is analysed from its economic, financial and nourishing point of view together with the selection of sports and activities. Moreover, the kindergartens engagement in the development of the healthy lifestyle is scrutinised.
In the end of the thesis the overall evaluation and interpretation of the outcome is presented. The results are derived from the data and observations carried out during the internship and interviews conducted with the employees of the selected kindergarten.
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Proposal of event development - case study of Christmas market
Pášová, Lucie ; Havlíková, Michaela (advisor) ; Lucie, Lucie (referee)
The theme of this thesis is the propasal development of the Christmas market at the Old Town Square.The introductory part presents the theoretical resources used for actual work. The theoretical part is focused on defining the basic terms of the surveyed areas, such as tourism, forms of tourism, event tourism, sales forms, organizing Christmas markets.
The practical part focuses on a thorough analysis of the Christmas market at the Old Town Square. The analytical part was used a questionnaire survey of visitors to the Christmas market at the Old Town Square. On the basis of the questionnaire were designed development possibilities Christmas markets in the future.
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Supplier management in automotive industry
Holubcová, Romana ; Štůsek, Jaromír (advisor)
In my thesis I deal with the process of Supplier management in automotive industry. Supplier - customer relationship is very important for a success both company and for the global development of the economy too. These relationships must be partnership and support the development of the companies and their each other businesses are beneficial for both sides. In my thesis I analyze current process of the supplier management in the company, what directly supply to OEM. Original Equipment manufacturing (OEM), is the final producer of automobiles, it is mean this company do not produce components but assemble supplied modules. I propose improvements and up-date the directive Strategic purchasing according to results from the analysis.
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