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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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Organization development strategy
Andreeva, Alexandra ; Tichá, Ivana (advisor) ; Pavel, Pavel (referee)
The subject of the thesis Organization development strategy is the description of internal resources of company EcoDům and its external environment, analyzing the target market and its development. The work suggests how to optimize the business strategy. The first part deals with the theory of creating strategies with all aspects related to this topic. In the second - practical part is described the current position of the company EcoDům s.r.o., a SWOT analysis based on internal and external analysis and suggested adaption of corporate strategy for better profitability and business performance.
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Rozvoj obce Zabrušany a její perspektivy
Škuthan, Vítězslav ; Prášilová, Marie (advisor)
Cílem diplomové práce je definování a zhodnocení možných směrů rozvoje obce Zabrušany s posouzením proveditelnosti a možného financování.
Na rozvoj obce bude nahlíženo jak pohledem vedení obce, tak pohledem občanů. Budou analyzovány rozvojové aktivity jak z hlediska zařazení do strategického rozvojového dokumentu obce, tak aktivity mimo něj, potřebné pro zabezpečení řádného chodu obce (infrastruktura, bezpečnost, kultura atd.)
Výstupem diplomové práce bude návrh pětiletého plánu rozvoje jednotlivých oblastí obecních zájmů, který bude zpracován realisticky vůči finančním možnostem dané obce a nabízeným možnostem dotačních mechanismů.
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Lifelong learning of headmasters and their professional development
Hejdová, Eva ; Trunda, Jiří (advisor) ; Trojan, Václav (referee)
TITLE: Lifelong learning of headmasters and their professional development AUTHOR: Bc. Eva Hejdová DEPARTMENT: The centre of school management SUPERVISOR: Mgr. Jiří Trunda ABSTRACT: Thesis is aimed to issues of lifelong education of preprimary and primary schools headmasters. It is based on theoretical knowledge of the issue, from special literature and other available sources, practical part is based on gathering datas from questionnaire ant its analysis. It is focused on lifelong education concept development, strategical documents, tasks, autority and professional growth of headmasters in the Czech republic and in chosen countries of European union. It states stages and lifelong learning attributes, components and functions of lifelong learning, further education, the importance of situation in the area of lifelong education in the Czech Republic. The aim is to chart the area of school headmasters lifelong learning, the questionnaire is aimed at finding out what attitude the directors have to lifelong learning, and specification of their educational needs and preferences of the most acceptable forms of education. The result of this thesis is the visibility of educational needs of preprimary and primary schools headmasters, the demand for more focused education and most acceptable forms of education....
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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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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.
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Realization of farm with a focus on poultry
Hromjak, Milan ; Zita, Lukáš (advisor) ; Kovářová, Kateřina (referee)
This thesis deals with the origin of a family farm. By creating a business plan and issues connected with it, its priority is an organic poultry farm, which will produce poultry meat and eggs. Another service beyond the farm production will be creating conditions for a developing branch, which is agro-tourism and other services related to the operation of the farm, so that it leads to the economic development and profit.
The farm will arise by rebuilding of an old house with a large barn and adjacent 10ha of lands inherited from grandparents. There will be built a multi-purpose building called the poultry farm from which the poultry will have access to pasture. The property includes another 1 ha of forest from which the wood will be used as a building material and firewood.
The work is divided into two parts: theoretical and practical. The theoretical part especially focuses on explaining the concepts that are important to understand the business plan.
Then there is the legislation concerning the organic farming, a tangle of laws, public notices and regulations that must be followed in order to meet the conditions for the organic farming. An integral motivational service of the country and the European Union for farmers and not only for those who are environmentally-managing farmers, is support and grants for the years 2014 - 2020. A very important step not only for the starting farmers is a market analysis in the given branch, as well as a SWOT analysis that will show us the positive and negative aspects of the business. The conclusion of this section deals not only with the concept of agro-tourism, but also with its market position as well and possibilities of its use and further development.
In the practical part there is a description of a business plan and individual periods of the project including financing. Finances will flow from own and foreign capital, or the possibility to apply for support through non-refundable grants. The establishment of the farm will have an impact on the labor market, as there will be 5 newly created jobs and the community will fit into the wider public awareness thanks to the activities that the farm will develop for the purpose of product promotion and further development. Furthermore, there are itemized individual items that lead to the final evaluation of the effectiveness of the business plan. By processing the theoretical and practical part of the thesis the requirement of the thesis objective is met - to design a prosperous family farm focused on poultry keeping with a hypothesis if it is currently possible to be competitive while importing poultry meat and eggs from abroad. It can be concluded that the business plan is viable.
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Didactic and economic evaluation of the process Young peoples Education in the hunting area on example of the region Liberec
Macounová, Kateřina ; Oliva, Jiří (advisor) ; Hrib, Michal (referee)
This bachelor thesis deals with the education of youth in gamekkping in the Liberec region. The aim was to create a brief research about gamekeepers' education in the Czech Republic. The thesis discusses the evaluation of the range and organization of gamekeepers' education in this region, especially groups of youth in gamekeeping, other campaigns focusing on gamekeeping. There is a part of forest education and ecological and environmental education. In the forms of education, educational aids and studying materials the thesis analyses possibilities of this education, examples of usable educational aids and existing learning literature. The next part of the thesis contains an economic evaluation of this aktivity, a separate chapter is about support and grants from the Liberec region. Finally, there are suggested development measures to increase the quality of education in gamekeeping in the Liberec region.
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