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Specifics of nursing care in patients after transapical aortic valve implantation.
VOTRUBOVÁ, Nataliya
Transcatheter aortic valve implantation (TAVI) is a new and an attractive method in cardiology and as well as in cardiac surgery. It is constantly evolving method which has been developed as an alternative to standard open surgery, especially in patients with severe symptomatic aortic stenosis with unacceptably high perioperative risk or patients who are not suitable for conventional open heart surgery because of age and comorbidities.A teamwork is very importantfor this new method and approach. The choice for TAVI is discussed by the institutional multidisciplinary heart team, typically consisting of interventional cardiologists, imaging-specialists, cardiac surgeons and anaesthesiologists. The first implant in a human being was performed by Cribierin 2002. In Czech Republic this method was first used in 2008. Transcatheter aortic valve implantation (TAVI) was accepted as a minimally invasive alternative to open surgery. This method does not require the use of cardiopulmonary bypass, and cardiac arrest. Other several benefits includinglower risks of bleeding and stroke events, better wound healing, less pain, as well as more rapid early recovery due to preservation of continuity of the sternumthat result in shorter durations of stay in the hospital, earlier rehabilitation and faster returns to normal life. In the presented work was used a combination of qualitative-quantitative methods of investigation. The data was obtained by using the quantitative research. The main technique was using the questionnaires designed for nurses working at the Department of Cardiac Surgery, Hospital Czech Budejovice, a. s. These results were backed up by the implementation of qualitative research, which investigated the patients and physicians view on monitored issues. Questioning method using a semi structured interview technique was used for qualitative research. The results of the survey were processed using descriptive statistics charts in LibreOffice Calc and using diagrams created in LibreOffice Writer. Qualitative results of the research were transcribed from audio recordings and coded, and the base code was created nine categories of interviews with clients/patients and three categories of interviews with doctors. The aim of this work was to explore the specific problem of nursing care about the clients / patients after transapical aortic valve implantation. On the base of our obtained data it is evident, that the client/patient after TAVI may be positioned sideways, the use of surgical drains are less frequently, so the care about the surgical wounds is simpler, patients report less pain in the surgical wound and postoperative rehabilitation and recovery is shorter. H1 - The nurses take care about the clients/patients after transapical aortic valve implantation in the same way as about the clients/patients after open aortic valve replacement, without realizing the differences between the patients treated with different approaches, was not confirmed. The nurses'sees/reported major differences in invasiveness and extent of providing care, rehabilitation, convalescent, in the duration of the hospitalization and better cosmetic effect. The results of the research can serve as a basis for creating the standards of nursing care or educational material for clients/patients. It is also possible to present the results of this work at a specialized seminar for non medical healthcare workers and results can also increase the quality of nursing care about the clients/patients after transapical aortic valve implantation.
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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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Annual progress of radial increment of selected species in Arboretum FFWS in Kostelec nad Černými lesy
Chržová, Anna ; Bažant, Václav (advisor) ; Vítámvás, Jan (referee)
Abstract
This thesis deals with the evaluation of the annual radial increment measured during the vegetation period 2014 and 2015 on three species of trees in the Arboretum of The Faculty of Forestry and Wood Sciences of the Czech University of Life Sciences Prague in Kostelec. Evaluation of the seasonal dynamics of radial increment of Abies grandis (Grand fir), Picea sitchensis (Sitka spruce) and Pseudotsuga menziesii (Douglas fir) on plot stands in the Arboretum in Kostelec was made by comparing the climate in the time period and the annual radial increment as it changed during the season. Annual radial increment of Abies grandis, Picea sitchensis and Pseudotsuga menziesii was detected by device EMS DRL26A. This device also subscribed information about the temperature during the growing season. Data was processed by software EMS Mini32 and exported to Microsoft Excel 2016. Information about the temperature, I determinated with using a meteorological station in the area of the Arboretum. Data fromdendrometer and weather station and their interdependence was evaluated using Microsoft Excel 2016 in the form of line charts. In 2014, I was dealing also phenological phases and the time of onset and end of it on observed species. Due to the extremely warm and dry year 2015, I had the opportunity to compare the responses of individual species at these climatic phenomens. In conclusion, the results are confronted with the literature searches and the discussion in this thesis, where I focused on the characteristics of measured trees and their application in European conditions
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Cost development and ways of cost calculation in selected commodity
Borešová, Naďa ; Mach, Jiří (advisor) ; Žídková, Dana (referee)
Bachelor thesis deals with ways of estimating costs for sugar beet in FADN and ZOD Potěhy. The theoretical part describes sugar beet from the biological point of view, its occurrence, inclusion in crop rotation and soil preparation, which is divided into fall and spring. Method of sowing affects the yield od sugar beet, as well as treating the soil before sowing. In conclusion cropped and sugar beet must be taken to a refinery. This section describes the costs and their classification. Methodological part deals with cost calculation, calculation methods, both overall and costs of sugar beet. It also describes profitability and its evaluation, time series and trend functions. The practical part evaluates the total area sown in the years 1995 - 2014, area sown with diabetes in the years 1995 - 2014, the total harvest of sugar beet in the years 1995 - 2014 and price developments relating to sugar beet growing. It also states costs for FADN in the years 2003 - 2012, support for this crop and its profitability. At the end gives the total income and expenses in ZOD Potěhy in years 2009 - 2013 and the costs and revenues for diabetes in 2014.
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Changes in wetlands - change trajectories, causes
Brašna, Vlastimil ; Skaloš, Jan (advisor) ; Josef, Josef (referee)
This thesis analyzes the historical development of wetlands in corn production areas in Moravia, Czech Republic. Wetlands were analyzed changes in time and space for a period of 180 years.
The main objective is to analyze the development of wetland habitats in the landscape using old maps, aerial photographs and GIS. The bases were of the Imperial Imprints of the Stable cadastre from the first half of the 19th century and contemporary orthophoto. There were also used GIS layers of the current location of wetlands, farmland, forests, rivers and waterways. In historical documents were evaluated by two categories 1) wet meadows and 2) swamps and marshes. In the current surface are only evaluated wetlands.
The total area is 18054 ha. The area of wetlands dramatically decreased from 108 ha in the first half of the 19th century on 14 ha in 2015. Most of the wetlands have been converted to agricultural land - arable land (72 %), meadows and pastures (12 %). Wetlands succession was transformed to bushes (5,4 %). There was 5 % of the deaths of wetlands built and drained. Most wetlands have been transformed due to the pressure on the production function of the landscape in order to get more food. In the first half of the 19th century it was dominated by wet meadows, they had 684 ha. Despite the disappearance of a large part of the wetlands created new wetlands, which have 12.4 hectares. Most newly created wetlands are located in the cadastral area of Mutěnice. Only one wetland (1.68 ha) remained unchanged, located in cadastral Čejč. This wetland had a history of more land (25.15 hectares) and has been linked with Čejčské Lake.
The main result of this work is to determine the trajectories of development of wetland ecosystems in the lowlands of Moravia. Descriptions of these trajectories have contributed to understanding influences on the development of wetlands. Results wetlands contribute to the development of knowledge in the field of landscape ecology. The results can be used to restore extinct wetlands and creation of new wetlands in the historic wet meadows. The information obtained can be used in landscape planning with regard to the protection and management of wetlands.
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A reaction of grassland to application of liquid fertilizer DAM 390
Netřebová, Lucie ; Hrevušová, Zuzana (advisor) ; Jiří, Jiří (referee)
This theses summarizes results obtained from studying of one-year experimental pot of permanent grassland which was established in Vítězná - Záboří in 2015. There has been observed 4 levels of nitrogen fertilization on the meadow plot (without fertilizing, 30 kg N.ha-1, 60 kg N.ha-1 and 90 survey was influence of nitrogen on the change in species richness by using weight share representation of individual agrobotanical groups in the stand (grasses, legumes, other forbs).
Results of this experiment were considerable affected by unfavourable weather events in the observed year. We should bear in mind the short time of this experiment. Positive unofficial effect of nitrogen on higher yield of above-ground biomass was recorded, especially by using 30 kg N.ha-1 and 60 kg N.ha-1. There is an exception at using 90 kg N.ha-1 with yield off balance. From the perspective of infuence of nitrogen on changes of species richness the increasing of doses of fertilizing has shown especially in increase proportion of grasses while present retreating herbs in the species composition of the reference stand. However results of experiment are not statistically different. We can not confirm studies which state decrease proportion of legumes in the grassland due to nitrogen fertilization from results of this experiment.
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Analysis of sheep utility attributes in ecological and conventional flocks in the Czech Republic
Linhartová, Iveta ; Ptáček, Martin (advisor) ; Jan, Jan (referee)
The goal of this diploma thesis was to perform an analysis of sheep breeding of Suffolk breed in basic reproductive performance and meat production traits aspects. The information for rating these aspects was used from two farms. The first of them used conventional way of breeding (ZVOZD Horácko, družstvo) and the second one used ecological way (EkofarmaKosařůvmlýn, s.r.o.).
Fertilization, fertility, intensity and rearing belong among monitored reproductive indicators. These reproductive indicators are expressed in percentages. Regarding meat production traits rating in this thesis we compared influences of year of lambing, farming method, birth month, sex, litter size and age of dam. All these influences were judge according to birth weight (kg), weight at the age of 100 days (kg), average growth (g), depth of the longest dorsal muscle (mm) and according to depth of subcutaneous fat (mm). Reproductive performance and meat production were monitored in years 2011, 2012, 2013, 2014 and 2015.
In terms of reproductive performance with a few exceptions it was true that ZVOZD Horácko, družstvo reached the best values, and in most cases better than the national average. For example in terms of intensity values in 2012 ZVOZD Horácko, družstvo had 35,9% better results compared to national average. In the same year this farm reached 48,1% higher values of percentage rearing compared to national average. Ekofarma Kosařův mlýn, s.r.o. showed worse performances, however it was in most cases better than national average. In terms of intensity in 2011 Ekofarma Kosařův mlýn, s.r.o. had the same results as the ZVOZD Horácko, družstvo. Meat production properties were supported by statistical calculations and all of them were conclusive at least at the level of significance P < 0,05 in all cases except month of birth effect on birth weight. The best results of meat production in terms of effect of lambing had the year 2012, when the birth weight was one of the highest and the other properties (weight at the age of 100 days, average growth, depth of the longest dorsal muscle, depth of subcutaneous fat) were by far the highest in the period of 2011-2015. Next we found out that the ecological way of breeding (in this case Ekofarma Kosařůvmlýn, s.r.o.) has better results than the conventional way (ZVOZD Horácko, družstvo).
The effect of birthmonth has the significant influence on the indicators of meat production and the lambs born in April had the best results. In the case of sex rams are better. Litter size has very important influence on meat production the more lambs per one mother, the lower
birth weights, the lower weights until the period of weaning, the lower weights at the age of 100 days. It is affected by milkiness of the mother. Moreover, the age of mothers also play a significant role. In our research the highest birth weights had lambs of one year old mothers and all other indicators were the highest in the case of three year old dams.
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Growing of rapeseed for energy purposes - impacts and context.
Charvát, Michal ; Kuchtová, Perla (advisor) ; Josef, Josef (referee)
Biofuels are generally based on biomass. It may be a waste biomass or biomass grown specifically. It is used as fixed or lump fuel, and also to as liquid and gas. Liquid biofuels are used both for energy purposes, ie to produce heat, electricity generation, but also as a motor fuels. In this thesis goes on biofuel purposefully grown, about oilseed rape and from it made liquid fuel, in this case of RME rapeseed methyl ester, which is a fuel of the first generation.
The European Union expected that the use of biofuel will reduce CO2 emissions by up to 35% further premised that the development of biofuels will be a positive impact on local employment and it the both on direct and indirect. Further help diversify Europe's dependence on oil imports. They were introduced direct support for growers in order to exlarged the area where grew plants intended for biofuel. These direct resistances were abolished in 2010. Similar support was also intended for producers.
Regarding rapeseed, peak in the sown area across the EU was in 2010, when it was sown almost 7 mil. ha, which is almost 3,5 times more than the original plan for the EU. Last year, it was only 6,45 mil. ha, but with higher-yielding rapeseed seeds. Similarly, increasing the sowing areas you can watch in the Czech Republic. Moreover Czech Republic is the fifth producer of rapeseed in the EU. In 2013/14 have been sown most ha rape, total 418,8 th. ha, but production was the highest in the following year due hectare yields, although with reduced the area sown. Yet is rape sown on 14% of cultivated land.
We can not talk about drastically restricting cultivation of rape, even after termination direct aid. First, the price of rape is very decent and steady and almost half designated for industrial processing it is processed on RME. However, the system of cultivation is not good for the soil. Rape in plans crop rotation is ranked every two years mostly, but the best would be once for five years.
The only assumption was confirmed by the EU, CO2 emissions are lower, but is also needed to count with the amount of N2O emissions, which this benefit is reduced. However on employment it had no effect, or rather negative. More jobs in agriculture provides livestock production and the like can be evaluated also process industry. Another problem is the destruction of ecosystems so that could be grown plants suitable for biofuels. It is a matter of developing countries, in our lands is it about the depletion of fertile land to cultivation fuel instead of food. First, it needed more to fertilize and use pesticides. But also in case of crop failure it is revenue designetid for biofuels producers is delivere even at the cost of food price increases.
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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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Verification of project „Park za sv. Jakubem v Klatovech“
Malá, Kateřina ; Vacek, Oldřich (advisor) ; Jiří, Jiří (referee)
City council of Klatovy town in the Czech Republic submitted a contract for a new town park project on the place called "Za sv. Jakubem" in 2005. Studio SILVEX represented by Ing. Pavel Borusík won this contract and created a feasibility study as the first step of the project documentation. Till now the study has not been realized because of problematic ownership issues within the concerned area.
This diploma thesis strives to solve the question of the up-to-dateness of that project which has been suspended for ten years by now. The main subjects of this thesis have been the project content evaluation, verification of up-to-dateness and to design a new solution respecting current and future needs of the city inhabitants and park users.
Literary overview of the current state of the problem deals with public space areas characteristics, city park characteristics, graveyard characteristics including types of graveyards, burials, graves, burial history in the Czech Republic and Jewish cemeteries. The thesis addresses with the impact of the death on survivors and greenery effects as a green place useful for meditation. The graveyard topic is elaborated because of the geographical distance of Klatovy's town's graveyard to the intended park area.
Evaluation of detailed data provides the fundamental information about Klatovy and the park place, brief contents and main thoughts of feasibility study "Za sv. Jakubem", own verification of the available documentation including changes in the property relations.
All together it had served as a basis for designing new park concept proposal, which responds adequately to demands of park users. The project by Studio SILVEX proposes park place with purely town meaning, containing children playground, in-line skating track and other sport activities. The diploma thesis's park concept transforms the project with focus on scenery locations and relax place for visitors of the nearby town graveyard.
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