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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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Management styles and their relation to the satisfaction of employees
GRAMANOVÁ, Kamila
Abstract - Leader empowering behaviours and their relation with worker's satisfaction Current state: Nurse's work is physically and mentally demanding. Adequate knowledge and skills are also needed. Nurse managers whose leader empowering behaviours administer to good functioning of medical institutions have therefore a crucial role. In these days a monitoring of job satisfaction is an upcoming matter. According to that we can look for drawbacks and problems and take corrective actions. There is a 9th year of the nationwide research of safety and satisfaction of employees of Czech hospitals. Aim: The first aim of the research was to find out what leader empowering behaviours are used the most by nurse managers. The second aim was to find out how leader empowering behaviours influence satisfaction with work conditions of nurses. Two hypotheses were given. The first hypothesis postulated that nurse managers use democratic empowering behaviours the most. The second hypothesis postulated that satisfaction with work conditions of nurses is changeable, depending on leader empowering behaviours. Methodology: A quantitative method of data capture was chosen. Non-standardised questionaires with 30 closed questions were given out. There were four questions at the beginning to identify respondents. Other set of 15 questions was focused on recognition of leader empowering behaviours. Satisfaction with work conditions was monitored in the last set of questions. Results of the research were processed into graphs and tables. Research set: The research set included nurses working under nurse managers in inpatient wards in České Budějovice a.s. hospital. The questionaire was appropriately filled in by 112 nurses, corresponding 74,7% recoverability. This was used to complete the aim of this thesis. Results: Results of the thesis were divided into two sets. The first set of questions aimed on leader empowering behaviours of managers under whom the questioned nurses of particular departments work. Democratic empowering behaviours were evaluated the most used, according to the first hypothesis. The second set of questions aimed on satisfaction with work conditions. The highest job satisfaction was reached with democratic empowering behaviours. Autocratic, liberal and nonspecific empowering behaviours were used in minimal degree and nurses reported lower job satisfaction among these behaviours. Therefore the second hypothesis was also confirmed. Conclusion: The research pointed out that leader empowering behaviours are one of the factors that influence job satisfaction. It is positive thing that an interest and research in this area increased in the last decade. Periodic evaluation of job satisfaction enables monitoring the direction of its values. According to the survey, a newsletter with recommendations for nurse managers was formed. This newsletter pointed out pros and cons of leader empowering behaviours.
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Development of the structure of breeds of hunting dogs in the administrtive territory of the town the Nymburk
Suchánková, Růžena ; Hanzal, Vladimír (advisor)
Processing overview of the structure of hunting dogs and their frequency in the administrative territory of the town of Nymburk and trying to determine whether the relationship of the structure of hunted animals.
Method of comparing statistical compilations drawn from the administrative area of the town of Nymburk.
Canine statistic-the number of bred dogs entered in the stud book, the number of dogs registered for the spring downspouts, the number of dogs who have passed the trial, the number of breeding dogs.
The ratio of small and large breeds of dogs at a time.
Fads breeding hunting dogs in a given time period.
Statistics breeding and hunting on the territory in the same period. Statistics restocking in the locality.
Results after treatment compared to each other and to confirm the relationship to the structure of hunted animals.
Finally, the recommendations for practice in a given area.
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Classification of brownfields of MEP Ostrov for procurement of Municipal Planning Analytical Documents
Neckářová, Šárka ; Novotný, Vojtěch (advisor) ; Michala, Michala (referee)
The aim of this thesis is to gain an insight into the concept of brownfields and
to allocate the underused locations in the district of Ostrov in the Region of Karlovy Vary, which includes 14 municipalities. This study is based on the findings
and experience of Czech and foreign authors who deal with this issue.
The literature review presents some examples of successful case studies, which made use of brownfields in the Region of Karlovy Vary. Additionally, it examines
some new project proposals which are awaiting their approval in the town of Ostrov focusing on the financial support in the current programme period.
Furthermore, this thesis focuses on the issues of underused locations recorded
in the territorial analytical documents of the town of Ostrov in comparison with the results of a field survey, which was carried out in 14 locations in the district
of Ostrov.
The findings and outcomes of this thesis can be used in a proposal of unified classification system of underused locations, in the acquisition of new territorial analytical documents of the town of Ostrov and while compiling further related documents of the Karlovy Vary Region.
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Evaluation of FGMRI provenance plot with European beech (Fagus sylvatica L.) on the locality Jíloviště, Baně (Central Bohemia)
Kuklová, Alena ; Podrázský, Vilém (advisor)
Buk lesní (Fagus sylvatica L.) je nejvýznamnější listnatou dřevinou České republiky. V minulých letech se jeho zastoupení velmi snížilo v důsledku nešetrné těžby, přírodních disturbancí a následně hlavně změnou lesního hospodaření, kdy se upřednostňovaly především jehličnaté dřeviny smrk ztepilý (Picea abies) a borovice lesní (Pinus sylvestris). Provenienční výzkum se, díky jejich preferování při pěstování, nejprve věnoval hlavně jehličnatým dřevinám, až v pozdější době se zaměřuje i na dřeviny listnaté. V současné době se naše lesní hospodářství k buku znovu vrací a jeho zastoupení se v našich lesích pomalu opět zvyšuje.
Úkolem diplomové práce je provedení terénního šetření na provenienční výzkumné ploše VÚLHM Strnady č. 82 Jíloviště, Baně ve věku 34 let (zjištění počtu rostoucích jedinců, tloušťkového a výškového růstu, tvárnosti kmene, větvení, úhlu větví, tloušťky větví), zjištěná a naměřená data statisticky zpracovat a vyhodnotit rozdíly mezi testovanými proveniencemi buku lesního.
V první části práce je zpracována literární rešerše, zaměřena na provenienční výzkum buku lesního, v další části jsou statisticky zpracovány kvantitativní a kvalitativní znaky zjišťované na výzkumné ploše. V poslední části jsou vyhodnocená data porovnávána s daty z minulých let.
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Psychological and social aspects of unemployment
Kosíková, Monika ; Kebza, Vladimír (advisor) ; Höfrová, Alena (referee)
The final work of my bachelor's degree Psychological and social aspects of unemployment is primarily focused on the Benešov region. There are defined the basic terms in the theoretical part, which are used futher in the other parts of the work. The terms are not defined only in the economic point of view but the emphasis is on psychological aspects of loosing the job. Another way of definition is the social point of view and it describes the impact of unemployment on family and friends of the unemployed. The theoretical part is further given to a calculation of unemployment and to the forms of unemployment. Last but not least there are defined the risk groups of people in the theoretical part, who are put in danger the most by loosing and finding new job the most. The main aim of my work is to compare the evolution of total unemployment in the Benešov region with the other regions of the Central Bohemian Region and to characterize the structure of the unemployed in 2015. The last part is focused on processing the questionnaire in the employment office in Benešov.
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Processing and utilization of by-products of brewery operations for energy purposes
Foltis, Marek ; Malaťák, Jan (advisor) ; Bradna, Jiří (referee)
The diploma thesis called Processing and using of co-products from brewery for energetic purposes. The thesis concerns it self with analysis current situation on field of processing waste from brewery industry. The thesis is focused on possibility of using brewery waste for energetic purposes. The thesis is divided in to two parts. First part features literature research of the topic, using all available resources. Second part features real data from element analysis done on samples of brewery waste and calculation of main characteristics of brewery waste. All calculations concerns them self in using brewery waste like substitution for fossil fuel. Goal of second part of thesis also is evaluate possibility of using brewery waste to make brewing more efficient.
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Process management and its use for optimization
Drahorádová, Lucie ; Tichá, Ivana (advisor) ; Lucie, Lucie (referee)
The subject of thesis Process management and its use in optimization is drafting process change in real company and its subsequent implementation. The work focuses on the steps important to the change process, their explanation and subsequent use in practical part. Thesis is divided into two main parts. First part is a theoretical background of the process management and a development of this sector, explanation of key concepts closely related with process management to a description of a specific methods, which play a role in the process of company management.Next part is a practical part where most of the theoretical background was used. Practical work itself is a real-world example of the banking environment, where was actually implemented. Because of a limited possibility to publish the practical part, I do not mention a particular company and the data used for the preparation example are type data - these are not real data. However, the implementation of process changes was set this way and works now, and since it was the optimization, it is therefore expected that this change will bring its savings in the future. Since the implementation of the changes has already occurred, even this assumption was fulfilled and set change of process still generates its savings.
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Manager role in decision-making processes
Menoušková, Veronika ; Hron, Jan (advisor) ; Pavel, Pavel (referee)
The Thesis deals with the importance of decision-making roles in managerial work. The work consists of two main parts - theoretical and practical. The theoretical part is formed by Literature searches and was drawn up after studying literature. The basic concepts were defined such as management, manager, management role or decision-making process and there was also described the issue of decision-making roles. In these diploma thesis are mentioned the fundamentals of management, managerial functions, roles, leadership styles and how to resolve problems. Literary research forms the theoretical basis for developing own parts. The practical part was prepared under the basis of the research, which was conducted in the selected subject. A questionnaire was prepared for the subordinate of a particular manager. The Questions clarified how subordinates perceived supervisors and their role in decision making. It was examined how often and what problems are solved with the boss, whether the manager creates a friendly environment in the workplace, or whether the manager is interested in the views of subordinates. Simultaneously the manager evaluated himself through a managerial GRID. The responses of both forms of research were compared and then used as the basis for preparation of an overall assessment and to create a conclusion. At the same time it was used as the basis for proposing measures to streamline management. The conclusion summarizes the lessons learned from the evaluation questionnaires and managerial GRID.
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Performance recording in Charolais beef herd
Jelínek, Petr ; Toušová, Renata (advisor) ; Petr, Petr (referee)
Summary
In this thesis I dealt with verification of performance of beef cattle Charolais Breed on farm: Chov Charolais spol. s r. o. Slabce. The main objective of my diploma work was to assess the growth abilities of calves Charolais breed from birth till weaning in relation to various factors, for instance: gender, order of calving, number of born calves during one calving, month and year of the birth on the respective farm. The relevant data was assessed for the period of years 2012 - 2015. In this period there was born 324 calves of which 162 bulls, 153 heifers and 9 still born calves. The assessment of calf's growth characteristics was related to the average birthweight, average gain from birth to 120 days, and average weight at the age of 120 and 210 days. For the evaluation of calf's growth characteristics was used data gained from the database of performance testing of beef cattle (KUMP) for the given period. Growth parameters related to selected factors were processed with the use of statistical software SAS 9.3 (SAS 9.3, 2011).
The average weight of young bulls at birth was 33,58 kg and average weight of heifers was 32,99 kg. The average weight of bulls at the age of 120 days was 183,66 kg and the average weight of heifers was 175,58 kg which was demonstrated to be statistically significant (P < 0,01). The average weight of bulls at the age of 210 days was 288,28 kg which is again higher than heifers with average weight of 264,21 kg (P < 0,05). To summarize, there was identified statistically significant difference of the gender influence in behalf of bulls.
After comparison of average weight at birth, at the age of 120 and 210 days separately for twins and an only child, there is obvious and also statistically significant finding (P < 0,01) that the observed twins are usually smaller at birth and their growth abilities are worse than that of only child. The average weight at birth for an only child is about 4,48 kg higher compared to twins. Then the average weight at the age of 120 days for an only child is about 38,68 kg higher than average weight of twings. Finally the average weight at the age of 210 days is about 58,26 kg higher for an only child.
Regarding to the influence of order of calving there was identified no significant effect to both average birth weight and weight at the age of 210 days. The only statistical significance was identified between order of calving and the average weight at the age of 120 days in 1st, 2nd, 5th, 7th, 10th order of calving (P < 0,05). Further I found out that calves in the 1st order of calving have significantly lower average weight from the 1st calving mothers at the age of 120 days than the calves in the 2nd, 5th, 7th, 10th order of calving. The average weight of calves at the age of 120 days is about 9,29 kg lower than weight of calves in the 2nd order of calving. On the other hand the average weight of calves at the age of 120 days in the 5th order of calving is about 18,37 kg higher than weight of calves in the 1st order of calving. Similarly, calves in the 7th order of calving have about 13,63 kg higher weight than calves from the 1st calving mothers. And also calves at the age of 120 days in the 10th order of calving have about 15,78 kg higher weight than calves from the 1st calving mothers.
In respect of influence of year of birth was identified statistically significant different level (P < 0,01) of the average birthweight in year 2013 compared to other years. Similarly there was demonstrated the statistically significant difference (P < 0,01) regarding to the average gain from birth in year 2013 compared to other years. The average birthweight in 2013 was 34,91 kg. The lowest average birthweight of 31,65 kg was observed in 2015. And for instance in 2012 the average birthweight was 32,48 kg which is still about 2,43 kg lower than in 2013. Regarding the evaluation of the average gain from birth till the age of 120 days there was only reported value of 1046,78 g in 2013. The best year regarding the average gain from birth till the age of 120 days was year 2014 which represented value of 1214,37 g.
In the observed breed there took place births predominantly from January till June. Regarding the month of birth there was demonstrated statistically significant difference (P < 0,05) in respect of average birthweight of calves born in May 31,98 kg compared calves born in February 32,55 kg and in March 33,07 kg. Further was identified statistically significant difference regarding the average gain from birth for calves born in June 995,28 g compared to calves born in February 1197,87 g (P < 0,01). Similarly in March was reported value of 1181,18 g (P < 0,05). The last statistically significant difference (P < 0,01) was identified in respect of average weight at the age of 210 days of calves born in May 199,55 kg and in June 201 kg in comparison to calves born in January 282,05 kg, in February 284,65 kg, in March 277,21 kg and in April 277,76 kg. To conclude, based on the statistical analysis, conclusive results and literary sources there had been confirmed hypothesis that internal factors positively affect the growth abilities of calves.
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