|
Palliative care is provided by patient's family at home
KUČEROVÁ, Tereza
The thesis, titled Palliative Care Provided by Patient's Family in Home Environment, discusses the specific care needs of a terminally ill patient in his/her own home. Caring for an ill person in a home environment is beginning to be a growing trend in home care, but also it is an increasingly common wish of the patients themselves. The family is therefore required to have enough theory and practical knowledge in order to deliver a highly demanding personal care for their close family members. The aim of the thesis is to summarize the current situation of delivering palliative care in home environment in Czech Republic whilst concentrating on the specific needs of the patient and the needs of their family. The objectives of the research were to determine whether family members were introduces to the specifics of palliative care of terminally ill patients; to map their skills in delivering palliative care in home environment and to reveal the most common issues that family members come across in that home environment. The final objective was to map out services in regions of Central Bohemia and Liberec that are accessible to family members whilst caring for a terminally ill patient. The research part of the thesis was completed employing a method of qualitative investigation using semi-structured interviews with patient's family members and nurses providing hospice care in home environment. It emerged from the analytical interviews that the family's knowledge level regarding support for palliative care in home environment is very limited and in hospitals families are only given minimal or no support or information. As a final document for the thesis an informative educational brochure was created based on the results of aforementioned research, primarily targeting patient's family; its core objective is to improve information and collate the specifics of care that would allow the patient a dignified end to their life.
|
|
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.
|
|
The Public Procurement for the Supplies
Holzäpfelová, Vlasta ; Civínová, Denisa (advisor)
The thesis deals with the theme of procurement of supplies in the Czech Republic from its beginnings to the present in the context of legal and economic developments. The current situation is analyzed on the basis of the Public Procurement Act, in connection with monitoring the preparation and adoption of new legislation. Legal issues will be extended by an overview of relevant laws and evaluate the problems in the formation of tender documents for the conclusion of framework agreements for the supply and reviewing compliance with the principles of the Act on financial control in public administration. Theme in the application of profiling on public procurement, focusing on a framework agreement designed to capture recurring delivery. The study is supplemented with practical experience in the field of public procurement for the conclusion of framework agreements, provides an analysis of the positive and negative aspects of this method of procurement, including proposed solutions. The practical part is elaborated on the basis of a comparison of the specific tender documents with the statutory legislation, qualitative research and secondary data analysis of tender documents for contracts to supply a valid framework contracts signed by the selected organization in the years 2012-2016.
|
|
The introduction of quality management system according to ISO 9001
Kunzová, Kateřina ; Štůsek, Jaromír (advisor)
The thesis describes the design process and the documents required to meet the standards associated with the effective implementation of a quality management system according to DIN EN ISO 9001 in organization Zinková slévárna - Ing. Karel Dítě.
In the theoretical part of the work I explain the basic concepts and issues relating to the use of literature associated with the ISO 9001 Quality Management System. This section also describes the general process for implementing the standards within an organization. Following on from this, I have used the knowledge gained from the theoretical section within the practical part of the thesis.
The practical part of my work includes a description of the selected organization from several perspectives - it is a focus, organizational structure, customer and supplier portfolio. This section also analyses the current state of the organization and includes a proposal to meet the ISO standards. The final section contains the documents necessary for the implementation of ISO 9001 within the organization, so that the quality management system corresponds to the prescribed standards.
|
|
History, assess the current state and prospects of development of viticulture at the Benedictine Order
Bártová, Zuzana ; Lampíř, Lubomír (advisor)
The subject of this thesis is based on an analysis of documents assessing the evolution, current state and prospects of development of vine growing in the Benedictine order. The first part is devoted to the history and principles of the Rule of St. Benedict, according to the motto "Ora et labora" - Czech "pray and work" together with the basic division of the community with the spiritual order. The following chapter focuses on the development of the monastic winemaking at home and abroad that the problem also affects the Cistercians and their winery in Žernoseky. Part of the topic are also circumstances of expansion vines on the territory of Bohemia and Moravia and the related adaptation varietal charge on domestic vineyards. The last part deals with the origins and history of selected Benedictine monasteries with emphasis on their vineyard management, while also focuses on the past and current situation wineries of Benedictine order at us.
|
|
The introduction of quality management system according to ISO 9001
Kunzová, Kateřina ; Štůsek, Jaromír (advisor)
The thesis describes the design process and the documents required to meet the standards associated with the effective implementation of a quality management system according to DIN EN ISO 9001 in organization Zinková slévárna - Ing. Karel Dítě.
The theoretical part of the work focuses on the history, where I explain the basic concepts and issues relating to the use of literature associated with the ISO 9001 Quality Management System. This section also describes the general process for implementing the standards within an organization. Following on from this, I have used the knowledge gained from the theoretical section within the practical part of the thesis.
The practical part of my work includes a description of the selected organization from several perspectives - it is a focus, organizational structure, customer and supplier portfolio. This section also analyses the current state of the organization and includes a proposal to meet the ISO standards. The final section contains the documents necessary for the implementation of ISO 9001 within the organization, so that the quality management system corresponds to the prescribed standards.
|
|
Potential of sustainable development of the Village
Uhlíková, Ivana ; Varvažovská, Pavla (advisor) ; Marcela, Marcela (referee)
This thesis analyzes the sustainable development strategy focusing on the environmental pillar and the subsequent evaluation of the implementation of environmental sustainability in Kladno. The main aim was to evaluate the active and environmental policy perspective of the city.
In the theoretical part are described various laws, documents and instruments relating to environmental policy and sustainable development. The thesis is talking about the area of interest, its historical development, demography, environment, social and cultural fields.
Using concrete examples it is recommended how the environmental management of Kladno could proceed in the future. The proposed recommendations are a result of analysis of all available information which include the needs and requirements of city residents.It is important to update Strategy of environmental policy and introduction of activities from the Sustainable Development Strategy SO ORP Kladno in to practise. Improving of public services and community cohesion. Establishment of school forums in primary schools.
The final part contains the results of a field survey. Questionnaires were handed and collected in combination with controlled interviews.
|
|
Memorable trees in the selected region
Hrom, Zdeněk ; Polišenský, Miroslav (advisor)
The aim is to determine if a selected monumental trees in the region Litomerice cared for in accordance with the Act no. 114/1992 Coll. The owners of the land on which it stands memorial trees will be approached with the notice of expended resources in the past to care for these trees and the eventual drawdown of grants for which it is legally entitled. These data will also be used in the processing of the thesis. Memorial trees will be photographically documented, assessed health status as landowners will be resolved with further potential financing of care with the help of subsidies. When applying for a grant will be used current grants.
|
|
The Public Procurement for the Supplies
Holzäpfelová, Vlasta ; Civínová, Denisa (advisor)
The thesis deals with the theme of procurement of supplies in the Czech Republic from its beginnings to the present in the context of legal and economic developments. The current situation is analyzed on the basis of the Public Procurement Act, in connection with monitoring the preparation and adoption of new legislation. Legal issues will be extended by an overview of relevant laws and evaluate the problems in the formation of tender documents for the conclusion of framework agreements for the supply and reviewing compliance with the principles of the Act on financial control in public administration. Theme in the application of profiling on public procurement, focusing on a framework agreement designed to capture recurring delivery. The study is supplemented with practical experience in the field of public procurement for the conclusion of framework agreements, provides an analysis of the positive and negative aspects of this method of procurement, including proposed solutions. The practical part is elaborated on the basis of a comparison of the specific tender documents with the statutory legislation, qualitative research and secondary data analysis of tender documents for contracts to supply a valid framework contracts signed by the selected organization in the years 2012-2016.
|
|
Life cycle and documentation of student projects
Zbořilová, Nikola ; Bartoška, Jan (advisor) ; Mudrychová, Kristýna (referee)
The aim of this work is to describe and compare student projects by time, range, sources, benefits, risks and quality and suggest possible ways of improvement in planning and organizing of these projects. First part of the work introduced theoretical overview in area of project management and the terms used in case study are listed and described. At first, there are described obtained information about specific projects that are the subject of comparison. From this information was analysed the state of use of the project management tools and the life cycle of student projects. This analysis shows information important to following comparison. Then, it was examined which factors positively or negatively influences the planning and organizing of projects. Subsequently, the proposal was drawn up to enhance the positive effects and reduce negative impacts on student projects. As an additional study then came the analysis of students' interest in participating in the Contest of Student Projects organized by the Department of Systems Engineering at the Faculty of Economics and Management of the University of Life Sciences in Prague.
|
guest ::
