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Application of selected conceptual nursing models on client with huntington's disease
Běhounek, Jan ; Židovská, Jana (advisor) ; Jirkovský, Daniel (referee) ; Jarošová, Darja (referee)
Bachelor thesis discourse possibilities of the usage of conceptual nursing models. Gordon's model is applied on client with Huntington's disease diagnosed in different stages of the disease. Johnson's model is presented on sample case reports. The focus of the thesis is a numeric representation of certain differences that the application of the Gordon's model bears. Namely - different level of cooperation and self sufficiency of patients with same primary diagnose. Surveyed sample included 5 men diagnosed with Huntington's disease, each in one of the five described stages of the disease. Two of them were receiving outpatient care, three of them were hospitalized in psychiatry clinic. Research study - The state of nursing documentation in Czech Republic, or more precisely - experience with practical application of mentioned concepts. The sample size included 108 healthcare providing institutions from Czech Republic, or more precisely opinion of head nursing representatives of these institutions.
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Dog Lyme Disease
Grittnerová, Erika ; Kubík, Štěpán (advisor) ; Vynikalová, Lucie (referee)
Lyme borreliosis is a multi-organ disease caused by spirochetes of the Borrelia burgdorferi sensu lato group. These bacterias are transmitted by ticks of genus Ixodes, in the Czech Republic by Ixodes ricinus. The main reservoirs including the ticks are rodents, insectivores and deers. Lyme disease is the most diagnosed infection transmitted by ticks in the temperate zone of the northern hemisphere. It is supposed that due to climate change in recent years it will appear more often. In the Czech Republic it is reported 3500 to 4000 cases per year in recent years. The greatest risk of infection is in deciduous and mixed forests, dense and tall vegetation and at locations along watercourses. Borrelia gets into the host body with a saliva of the tick and spreads through blood or lymph to target organs such as the nervous system, joints, myocardium, skeletal muscles, eyes and skin. In dogs the lyme disease manifests usually asymptomatically or by non-specific symptoms that can simulate a variety of other diseases. The most common clinical signs are lameness, fever, joint and muscle pains, lethargy, loss of appetite and swollen lymph nodes. Diagnosis of the lyme borreliosis is relatively complicated and it is based on an assessment of clinical signs, epidemiological history and laboratory tests. For detection of borrelia in the organism it is used direct or indirect methods. The most commonly used direct method is a polymerase chain reaction (PCR) that examines the presence of borrelia DNA in a sample. Indirect methods examine the presence of specific antibodies in a blood serum. Combination of ELISA test and Western blot seems to be the most reliable of them. Treatment consist in antibiotic therapy for several weeks. The basis of prevention is early removal of tick and measures to prevent its bite. These measures consist in using various acaricidal preparations. Currently for dogs it is available vaccine that however is not included in the basic vaccination schema.
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Steel structure of a military museum
Šašinka, Jakub ; Barnat, Jan (referee) ; Štrba, Michal (advisor)
The diploma thesis describes the design and assessment of steel structure of the roofing of the military museum in Králíky. The supporting structure of hall is 40.00 meters span. The total layout are 55.93 x 72.04 m, building height 11.43 m, 16.11 m pylon height. Main construction material is steel, grade S355, secondary constructions are made from steel grade S235, rods are made from steel grade S460. I did optimization of steel structure and chose the best option. For this option I made detailed structural analysis. It is prepared by static analysis of the main load-bearing parts of the structure, including joints and details. The supporting structure of hall consists in the transverse direction from the curved spatial lattice structure made of steel circular tubes which hang on rods on a sloped pylon. Part of the report is open-air roofing.
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Prognostic importance of angiopoietin-2 gene transcription in chronic lymphocytic leukemia.
Gradošová, Iveta ; Pecka, Miroslav (advisor) ; Smolej, Lukáš (referee)
Chronic lymphocytic leukemia (CCL) is the most common leukemia, which is characterised by a high variable progress. According to scientific evidence acquired during several last years, angiogenesis has been proven to play an important role in pathogenesis of CLL. One of the very important cytokines playing role in this process is angiopoietin-2 (Ang-2). Elevated expression of Ang-2 has been reported in several hematological malignancies; however, data regarding Ang-2 in CLL are very limited. I measured Ang-2 transcript levels in purified mononuclear cels of 24 untreated patients with CLL by quantitative real-time PCR and normalized them for differences in RNA concentration in each sample by quantitation of transcript of Abl1 housekeeping gene. Elevated Ang-2 mRNA concentrations were detected in 10 cases (Ang-2 to Abl1 expression ratio > 5x10-3). On the other hand, 14 patients had very low or undetectable levels of Ang-2 mRNA (Ang-2 to Abl1 expression ratio < 5x10-3 or Ang-2 Cp > 35). The association between Ang-2 expression and other prognostic factors, clinical stage according to Rai and clinical course of CLL was evaluated by Chi-Square method. There was a significant association between high Ang-2 mRNA levels and unmutated IgVH genes (n= 21, p = 0.012), but not with CD38 (p = 0.057), ZAP-70 expression (p...
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The Steel Structure of a Hangar
Růžičková, Markéta ; Pilgr, Milan (referee) ; Štrba, Michal (advisor)
The purpose of this dissertation is to take into consideration the design and the steel structure assessment of the hangar for small propeller aircraft type Cessna. The platform dimensions are 40,0 by 60,0 metres. Headroom is around 10,0 metres. The object’s location is in Brno. The main structural material is steel S355J2. There are two initial geometric alternatives, in other words structural modifications of desired solution. These are spatial truss arc tie beam and garland tie beam. The two alternatives were tentatively designed according to their dimensions and the main supporting elements of both alternatives were also assessed and considered. The alternatives were finally evaluated and one option was selected for detailed processing. In turn of the chosen option, there had been drawing of detailed analysis of the main load bearing parts of the construction with joints and some other details included. Furthermore there is drawing documentation and supervisor’s technical report attached. The valid standards CSN EN were used in processing of this dissertation.
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The nursing process in a child patient with epilepsy
Dvořáková, Martina ; Voleníková, Ivana (advisor) ; Paulasová - Schwabová, Jaroslava (referee)
The target audiences for the bachelor thesis, Medical Care Process in Pediatric Patients with Epilepsy, are physicians and other health care professionals, nurses and health care assistants in particular. The thesis outlines both theoretical and practical aspects of epilepsy in children patients. The theoretical part summarizes what epilepsy is and what are its causes and symptoms. A list of various kinds of epileptic seizures and syndromes experienced in childhood is provided including a brief description of diagnosis, treatment and prognosis. The practical part covers a case report - nursing aspects of treatment of a child aged 3 years and 9 months, recently diagnosed with epilepsy. The nursing history of the case has been corroborated based on the Virginia Henderson model. The thesis includes thirteen nursing diagnoses highlighting conditions experienced by the patient. Each diagnosis description includes an outline of the goal, nursing interventions, goal achievement process and evaluation. Powered by TCPDF (www.tcpdf.org)
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Exhibition Pavilion
Shánělová, Lenka ; Šmak, Milan (referee) ; Bajer, Miroslav (advisor)
The Master´s thesis contains design of steel construction of exhibition pavilion, which is consists of columns, dome, lantern and suspension footbridge. Building will be intended for organizing exhibitions and conferences by town Trutnov. Two models of variants of dome´s construction are drafted in this work– Schwedler´s and Föpple´s dome. Models are space tubular structures.The work contains static assessment of spatial structures and spherical steel joint in program SCIA Engineer for both variants. Hand assessment of bars, basic details and anchoring, technical report and drawing dokumentation are drafted for selected variant construction with Schwedler´s dome.
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název v anglickém jazyce není uveden
Šámal, Filip ; Haninec, Pavel (advisor) ; Vyklický, Ladislav (referee) ; Zvěřina, Eduard (referee)
Traumatic injury of peripheral nerves represents an important area of present-day clinical and experimental interest. Despite a large quantity of experimental data acquired in an intense research of this topic carried out in recent years, traumatic affection of peripheral nerves continues to be a complex surgical problem. Injury of peripheral nerves often results in a permanent and serious impairment in the patients' lives connected with the loss of the affected peripheral nerve function. If an injured nerve is given a timely and correct treatment, these consequences can be prevented to a certain extent. In the current practice this implies the use of all available methods of peripheral nerves surgery, primarily microsurgical operation technique while observing some of the basic principles essential for a good functional reinervation. This mainly applies to tension-free suture. In some anatomic locations and despite observing the above-mentioned facts, it is still difficult to reach good functional results. This primarily applies to brachial plexus injury which is one of the most complicated and serious of all lesions of peripheral nerves. Out of the total number of nerve injuries they are represented in large sets by three to seven percent. In his set, Midha reports 1.2% of patients affected by the...
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