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Coping strategies in children´s fear and pain in relation to nursing care
PROCHÁZKOVÁ, Zuzana
For the nurse, taking care of hospitalized children is important not only pediatric nursing knowledge, personal and social preconditions, but also the theoretical and practical competency of methods and techniques, which are used for identification and effective influencing of pain and fear. The aim of this thesis was to identify the main sources of fear of the hospitalized preschool and young school age children and to find out the effective methods and principles of the cooperation with children, alternatively with their accompanying parents in order to moderate the fear of the small patient. Then the thesis tried to chart the nursing diagnostic and evaluation procedure of the pain and get the most used nursing methods of non-pharmacological pain relief. To obtain the necessary data, the qualitative research was used with a semi-structured interview as a research instrument. The first research group consisted of 12 nurses, the second group consisted of 12 children ´s patients of preschool and young school age. The majority of the asked nurses thinks, that children´s patients are afraid especially of non-familiar environment, then of the awaited pain and of the solitude without parents. However, the most patients said, that they were afraid especially of pain, then of non-familiar environment, restriction of their needs, hostile attitude of the medical staff and of the other neighbouring patients. They were also frightened of the death and of the darkness. Most reported nurses mean, that the most effective solution of the children ´s fear is the friendly attitude of the medics. They also mentioned the fact of taking the focus off the fear and the presence of the parents is also beneficial. The nurses ´ answers were in conformity with patients opinion in two fields - friendly attitude of the medics and taking the focus off the fear. Then the children mentioned abiding of their specifics in connection to falling asleep and the demand of beying treated by the same sister or by few same sisters. All respondents also talked about the benefit of parents presence. Regarding the principles of the cooperation, nurses answered the importance of united medical procedures, especially the proper way of information transfer. Then the respondents nurses mentioned the psychical and emotional support for children and their accompaniments, the atmosphere of confidence and the value of well done education. Also the need of calm, silence and privacy was stated. Unlike nurses, children and their parents regarding to principles of the cooperation prefer the psychical and emotional support, then the importance of enough information was mentioned. The fourth research question bears on the methods used for children pain monitoring. The nurses said, that the intentional interview with the patients or with the parents was used as a main technique, that was stated by patients as well. Research question number five said: What are the most used nursing methods of non-pharmacological pain relief at children? Most responded nurses mentioned the distraction of children attention from the painful incentive, then the importance of physical methods, relief position and purposeful preparation for the unpleasant intervention. Nurses also named the helpful contribution of the parents, relaxing exercises and the method of imagination. Regarding the pain treatment, it was noted, that all patients prefered the analgesic therapy. Then they quoted the distraction of their attention from the painful incentive, the friendly attitude of the medics, using the ice compress and the relief position. In the pain acute phase, children required mostly calm, comfort and privacy. All children also considered the presence of parents as very helpful. The theoretical and empirical part of the thesis are suitable for being studied by nurses taking care of children and it can be helpful for nursing quality improvement at children ´s wards in hospitals.
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Use of e-learning education of universal nurses in Militari university hospital - University hospital Prague
JANKŮ, Kamila
The diploma work submitted is called The Use of E-Learning Education of Nurses in the Central Military Hospital Military University Hospital Prague. The theoretical part of the diploma work deals especially with the significance of e-learning, distance learning, history of education of nurses in the Czech Republic and e-learning in health care. In addition, the work includes information of the Central Military Hospital and describes its present circumstances and use of e-learning in the working process. 5 aims and 4 hypotheses were set for the quantitative research. The first aim was to determine the time demands of the e-learning courses study. The second aim was to determine the attitude of general nurses to e-learning education. The third one focused on contribution of e-learning education for general nurses and for the hospital management. The last aim focused on satisfaction of general nurses with the form, contents and diversity of e-learning courses. The fourth aim was used to determine reasons leading for development of e-learning courses for general nurses. Four hypotheses were determined: H1: It takes less time to complete e-learning course studies than regular studies. H2: Nurses younger than 30 years of age prefer e-learning education unlike nurses older than 30. H3: The effectiveness of regular studies is better than the effectiveness of e-learning education. H4: E-learning courses are not as financially demanding as regular courses. The data collection technique consisted in our own anonymous non-standardized questionnaire containing 32 items. The research file consisted of 212 general nurses working in clinical departments of the Central Military Hospital. An additional method was based on a dialogue with the Education Team Manager of the Central Military Hospital. The research results related to the hypotheses show that completing e-learning course studies does not take less time than completing a regular course. Nurses younger than 30 years of age do prefer e-learning education contrary to nurses older than 30. The effectiveness of regular courses in contrast to e-learning education has not been confirmed as well as the fact that financial demands of an e-learning course are lower than financial demands of a regular course. Further, nurses prefer regular forms of studies, mostly with their passive participation in an educational event; however, they find completion of e-learning courses more convenient. Most respondents also expressed a positive opinion on the form, contents and diversity of e-learning courses. Courses include enough information for preparation of a final test and nurses find the number of courses necessary for periodical evaluation adequate. What they consider limiting is the impossibility to retake the final test; they mostly suggested it should be allowed to take the final test twice or three times. The research implies that a higher percentage of the respondents spend as much time as they want studying. Nurses still prefer regular forms of studies with passive participation to the e-learning form. Most nurses have a positive opinion on the current contents of courses in the form of a text format. The course topics are mostly based on suggestions by members of the Non-Medical Professions Education Team of the Central Military Hospital. The research results will be presented at the next regular meeting of members of the Non-Medical Professions Education Team of the Central Military Hospital. Procedures for improvement of the form of the current courses will be presented and proposed as well as the possibility to develop communication between the author and students, the limiting impossibility to retake final tests and the suggestions concerning the number of possibilities to retake them.
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Land Abandonment in the Mediterranean Effects on Butterfly Communities with Respect to Life History Traits
ŠLANCAROVÁ, Jana
This thesis deals with the effects of changing land use, following landscape abandonment, on butterfly communities in the Mediterranean Basin. It consists of three case studies. The first focuses on the effects of forest encroachment on butterflies in the Southern Balkans; the second studies butterfly communities in Portuguese 'montados' and the third explores demography and life histories of three co-occurring Papilionidae butterfly species (Archon apollinus, Zerynthia polyxena and Zerynthia cerisy) in Greek Thrace. The results describe shifts in butterfly communities, detectable even at the level of individual species life history traits, with increasing forest encroachment. The preference of range-restricted Mediterranean endemics for either grasslands or open woodland formations contributes to falsifying the forested Mediterranean hypothesis, favouring a hypothesis of finely grained landscape mosaic instead. This mosaic is currently threatened by land use change and biodiversity homogenisation. Maintaining habitat and landscape heterogeneity is crucial for conserving the Mediterranean biodiversity hot-spot.
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VÝVOJ MIKROSATELITŮ U NEMODELOVÝCH DRUHŮ ŽIVOČICHŮ
ZIMA, Jan
This thesis is a compilation of six publications describing development of microsatellite markers for four mammal species and five insect species. Most of these species are endangered and the aim of developing microsatellites was their use in conservation-genetic studies. The thesis thus represents a contribution to methodological tools for investigation of endangered animals. Different approaches were used for the development of the loci, including inovative pyrosequencing, which represents a trend in DNA analyses with variety of practical aplications. Besides other things, this thesis documents increasing availability of the most modern molecular biology methods and their utilization in classical biological disciplines such as zoology, botany and ecology.
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Summary of foreign knowledge about the origin and development of EDZ in crystalline rocks - research
Vavro, Martin ; Souček, Kamil ; Staš, Lubomír ; Vavro, Leona
Presented search summarizes findings of foreign research oriented on the origin and evolution of the excavation damaged zone in crystalline rocks with a particular focus on the essential results of experimental projects which were performed in Canada, Sweden, Finland, and Switzerland. The study is divided, excluding the introduction, into seven main chapters of the text, which gradually deal with: (1) definition of key terms, (2) overview of the main underground research laboratories in the world where EDZ assessment was conducted, (3) methods suitable for EDZ description and characterization, (4) main factors influencing the origin of failure around the excavations and time-dependent evolution of EDZ. An overview of important outcomes of EDZ experiments, focusing on the European hard rock laboratories (Stripa, Äspö, Onkalo/Olkiluoto and Grimsel), and their summary are presented in the final two chapters.\nThe review summarizing the published key findings and results of in situ experiments shows, that for rock in lower stress state, i.e. in no spalling environment, the extent and character of rock mass damage is typically dependent on the excavation method. Using mechanical excavation, rock damage zone with thickness less than 3 centimeters can be originated. The microcracks within this zone contribute to the increase of hydraulic conductivity of the rock mass. At some test sites (Äspö, Grimsel), where the tunnel boring machine technology was used, the damage zone was already detected in depth of less than 5 mm.\nOn the contrary, openings excavated by drilling and blasting are characterized by much more extensive damage zones up to several tens of centimeters in width. The damage progressively diminishes with the distance from the opening.
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Vascular plants along the roads in the Jizerské hory Mts – the effect of altitude and contact habitat
Titěra, Jan ; Boublík, Karel (advisor) ; Černý, Tomáš (referee)
The aim of the diploma thesis was to map the incidence of vascular plants along the various categories of roads and crossroads at different altitudes and in different contact habitats (forests × meadow) and identify invasive species. The species were mapped to a total of 120 sites, including 45 sites accounted for forest roads, 40 sites meadow paths and 35 sites forest crossroads. There were found 3 strongly endangered species and 5 endangered species. From the total non-native species was found a large proportion of naturalized and invasive species that could potentially threaten natural communities. DCCA analysis was found that the species composition invasive plant reacts to the individually environmental variables statistically significant. It was also found large share of competitive strategies, and a small share of stress-tolerant strategists. Furthermore, it was found that the species composition of the flora responds to altitude statistically highly significant. DCA analysis was found affiliation species to categories of roads and crossroads, level of traffic and to contact habitats. Furthermore was used CCA analysis. It was found that the species composition of the plant reacts to the presence of trees present in the surrounding vegetation statistically highly significant. Part of the work has also been gathering literature data about the relationship between flora and roads, vectors of spread plants and alien species and flora of roads in Jizera mountains. The results were compared with other works, and complemented by own knowledge of the author, in the discussion. Contribution of work consists in mapping the flora of roads and crossroads in many locations in Jizera mountains, botanical supplement data and the identification of potentially invasive species expanding along the roads. The results of this study should serve as a basis for preventive or protectionist measures implemented in Jizera mountains.
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Clinical biochemical indicators used in diagnostics of equine diseases
Puldová, Doubravka ; Ptáčková, Zuzana (advisor) ; Krejčířová, Romana (referee)
The thesis aims to compile overview of main biochemical indicators that are important in for diagnostics of equine diseases.
Clinical biochemistry is a medical discipline that uses biochemistry and pathobiochemistry for the determination of diagnosis based on activity changes of analytes observed. Laboratory evaluation of analytes has three phases: pre-analytical (preparation of patient to sampling, sampling and sample storage and transport), analytic (analysis) and post-analytical (evaluation of results, veterinarian also contributes in this part). Pre-analytial phase is the most time consuming and also the most error prone. The errors mostly occur during preparation of the patient, during sampling or sample transportation. The most analyzed materials for biochemical analysis are blood, urine and liquor.
Biochemical indicators are compound that are often influenced by the disease, therefore it is possible to use them for the diagnosis. Nitrogen metabolism indicators include proteins, urea, creatinine and ammonia. Enzymes (aminotransferase, gama-glutamyltransferase, glutamatedehydrogenase, lactatedehydrogenase, alkaline phosphatase, creatinkinase and sorbitoldehydrogenase are the main indicators of liver function (they contribute on the metabolism of another compounds) or of the fitness of horse. Glucose and lactate values indicate energetic metabolism, cholesterol and triglycerides indicate lipid metabolism. Water and electrolyte metabolism indicators are sodium, potassium and chlorides. The mineral profile is shown by calcium, magnesium and phosphorus.
The result of determination of analytes is compared with reference values that are not only species-specific but can be also influenced by age or sex. These values represent the range of the compound concentration in body fluid under physiological conditions. It is important to take the clinical symptoms into the account. Not all indicators that are usually indicated in human medicine or different animals are suitable for diagnosis of equine diseases. Majority of indicators diagnose equine-rare diseases (i.e. diabetes mellitus or hepatitis). Determinations of muscle enzymes and lactate are important for the fitness analysis.
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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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Competitiveness of the European Union
Seiler, Milan ; Toth, Daniel (advisor) ; Zdeněk, Zdeněk (referee)
This thesis entitled Competitiveness of the European Union deals with the issue of competitiveness as one of the significant and dominant aspects that influence economic entities and political leadership of individual member states and the central institutions of the European Union. The aim of the work is in accordance with the assignment, which is an analysis of the factors of European Union's competitiveness against other major world economies and identify the strengths and weaknesses of the EU. The aim is also to assess the contribution of the policy of the EU institutions in improving of competitiveness.
The theoretical part of the thesis describes the issue of competitiveness and a conflict of opinion trends concerning the very concept of competitiveness and its measurement. The second part is dedicated to the selected economic factors affecting competitiveness.
In the practical part is used a regression analysis to identify the economic factors most acting on the EU economic growth. Follows the forecast of selected economic factors until 2020. The comparison of the competitiveness of the EU with the BRICS, USA and Japan is made by using obtained data. At the end of the practical part is summarize the influence of EU policies on competitiveness through the assessment of the Global Competitiveness Index.
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Support of regional development through the Local Action Group Podchlumí
Jezberová, Zuzana ; Hejnák, Václav (advisor) ; Marcela, Marcela (referee)
The Diploma thesis deals with issues of the support of regional development through the Local Action Group Podchlumí, r.a. (LAG Podchlumí).
The goal of this thesis was to explore the contribution of the LAG Podchlumí to quality of life of residents and business development. Assessment of the influence of LAG on regional development has been based on the existence and implementation of the Program of rural development program of the Czech Republic Axis IV. LEADER, which leads to an improvement of management and to mobilization of the natural inner potential of countryside. The Program of rural development represented the main financial source for fruition of LAG projects in the previous programming period.
In this thesis, activities of the LAG Podchlumí and local subjects for support and development of partnership of residents and for public, business, and non-profit communities have been analysed. Implementation of own projects, through which the versatile development of the region, life improvement of residents, increase the attractiveness of the region has been evaluated. In order to get an independent and objective evaluation, an anonymous questionnaire has been conducted among residents of the region Podchlumí. Further, personal observation of the region Podchlumí, a study of professional literature as well as of internal materials of the LAG has been done. The hypothesis that the Local Action Group Podchlumí plays an important role in development of partnership of public administration of municipalities, agricultural subjects, independent agricultural as well as non-agricultural enterpreneurs, and non-profit organizations has been verified on the basis of analysis of realized activities. Support from the Program of countryside development to the region Podchlumí, Measure IV.1.2 Realization of local development strategy, contributed to achieving improvements in quality of life of residents. The greatest support was given to appearance of communities and quality of infrastructure, development of public facilities and services. Financial resources were spent also on modernization and development of agricultural as well as non-agricultural business. In comparison with other LAGs in the district Jičín, the LAG Podchlumí supported the greatest number of projects through the measure IV.1.2 of the Rural development program on realization of local developing strategy. It has been found by means of evaluation of the anonymous questionaire among residents of the region that residents perceive improvement of appearance and life of communities but they are not aware of the fact that many projects have been implemented with the contribution of activities of the LAG Podchlumí. For this reason, the LAG Podchlumí should focus more on propagation of its own activities. Residents of the region are interested in surrounding of their villages.
It is possible to made conclusion that the results of analysis of activities of the LAG authenticated and confirmed correctness of the hypothesis that the Local Action Group Podchlumí plays an important role in development of partnership of public administration of municipalities, agricultural subjects, independent agricultural as well as non-agricultural enterpreneurs, and non-profit organizations.
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