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The treatment of newborn umbilical cord from birth to discharge into home care.
ŠNAJDROVÁ, Šárka
Recent state: The umbilical cord care is one of the basic operations which are made immediately after the childbirth and during the first weeks in the newborn?s life. It is an everyday routine of midwives, infant nurses and mothers. The umbilical cord care is very important as the cord stump can easily become a gateway for an infection and hereby endanger the newborn?s health and life. Many pages in various publications have been written about the way how to treat the umbilicus. The authors wrote mostly about their own experience and the possibilities which they had in their time. Considering that the procedure changed several times in the past years, there is no unity in the way how to proceed in unison and the newborn?s umbilical cord care is performed differently in diverse hospitals. Repeated education of mothers about correct umbilical cord care in hospital as well as at home is also necessary. World Health Organisation (WHO), The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), European Resuscitation Council (ERC) and in the Czech Republic The Czech Neonatology Organisation (ČSNeoS) deal with the issue of the umbilical cord care. Subject: The aim of the work was to find out the way in which the umbilical cord care in newborns from birth to the discharge to home care is performed in chosen infant wards and the way the mothers are educated about the umbilical cord care in chosen infant wards. Methodology: The practical part of the work was compiled on the basis of qualitative survey with a small set of respondents. The qualitative survey was made in a form of questioning and the technique of depth interview was used for the data collecting. This method was chosen because it helps to keep the content aspect of the interview and at the same time it provides space to the respondents to express their own opinions, feelings and experience about the subject of the interview. It also enables to see how the respondents understand the particular problem. The subsequent coding, categorization and content analysis of interviews was made easier thanks to the uniform composition of questions. Research set: The research set was assembled from three infant nurses/midwives and three mothers in purposely chosen infant wards in Valašské Meziříčí, Benešov and České Budějovice. Three criteria were set for choosing of the infant nurses/midwives. The first criterion was work in an infant ward without technical supervision (valid registration of the nurse in NCONZO), the second one was employment for at least one year in an infant ward and the third one was a visible identification of person. Two criteria were set for choosing of the mothers. The first criterion was mother?s newborn care in the form of rooming-in for at least 48 hours and the second one was that the mother and the newborn will be discharged to home care on the day of interview. Results : From the result of the research it is clear that the way of the newborn umbilical cord care in chosen infant wards differs in the umbilical cord care after the birth as well as in the subsequent care provided in the rooming-in care. The standard of the umbilical cord care in infant wards are set by the consultant and the head doctor of the ward and basically do not change, only in České Budějovice there was one change last year, when they accepted the latest AWHONN recommendation from 2007 which says that the cord stump should be left to fall off spontaneously. It follows that the infant ward in České Budějovice matches the WHO, AWHONN and ČNeoS recommendation the most, the infant ward in Benešov slightly differs in the procedure and the infant ward in Valašské Meziříčí treats the umbilical cord according the old standard of ČNeoS. Conclusion: The output of the work is a standard of nursing care in the newborn umbilical cord care which could serve as a uniform procedure in chosen infant wards.
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Pension for the elderly
Nykodým, Petr ; Třeštíková, Jana (referee) ; Berková, Petra (advisor)
The subject of my diploma thesis is the design documentation for the pension which is designed for the elderly and will be supplemented with a specialty from the air-conditioning branch. The building is situated in the western part of the town Bystřice nad Pernštejnem and it's located at 3058/3 about the total area of 8315,2m. The total footprint of the suggested building is 1161,2 m. The subject has got an irregularly-shaped floor plan. It is made of three subsequent triangels, it has got three above-ground floors with partial basement. The roof of the building is suggested as a warm flat roof with coating insulation. The structural system of a building is designed as longitudinal with shear walls. The exterior building masonry is suggested from sharpened clay blocks Heluz STI 40 with thickness 400 mm. The contact thermal insulation system ETICS with an insulant from EPS with thickness 100 mm is designed for all building. The building for the elderly is from its bigger part meant for citizens who are older than 65 years in the flats for one or two persons in 2FLR and 3FLR. The space for essential services to the residents is located on the 1st FLR. There are also a cafe and a surgery located in a smaller part of the 1st FLR, which are to be used both by the residents and the public.
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The mixed-use building near meanders of the Lučina river
Bulawová, Šárka ; Soudek, Pavel (referee) ; Kalousek, Lubor (advisor)
Subject of this final thesis is to develop project documents of a new mixed-use building in Havířov. The building has three floors and basement car park. On the first floor there is a café and shops. On the second and third floor there are office spaces. Structural sytem of building is cast-in-place concrete frame. Exterior building envelope is made of sand-lime bricks with ventilated facade with thermal insulation of mineral wool insulation. The roof of the building is designed as a non-walkable warm flat roof.
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Steel Structure of a Winter Stadium
Lobreis, Jan ; Pilgr, Milan (referee) ; Štrba, Michal (advisor)
The work is focused on assessing the structure of urban winter stadium, which will be located in Brno - Komarov. Winter stadium is designed according to standarts of ice hockey with a capacity of approximately 7 000 spectators. Of the 5 850 seating, 1 050 stalls and 100 in the VIP areas. Construction of hockey stadium is made of steel and steel-concrete columns, which together with composit transverse beam, reinforced concrete slab and bracings provide rigidity. Columns are supported by a set of bored piles with capitals. Roofing of the main part of the winter stadium is designed using a flat space frame having a maximum height of 4,5 m. Roof for entrance halls are design by a system of truss girder and purlins, which are hardened bracings to increase spatial rigidity. The structures are made of steel S 355 and concrete C 25/30. For designing steel structures was used software Scia ENGINEER and IDEA RS. Steel columns and composit beams are calculated by hand calculation. The total length of the hockey stadium is 111,5 meters, width outside the entrance hall is 82,02 m and the total width at the entrance hall is 96,85 m. The height of the building at the highest point is 25,6 meters.
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Building Cultural Centre
Roubalová, Dagmar ; ČUŘÍKOVÁ, Tamara (advisor) ; HRBEK, Daniel (referee)
Cultural center or cultural house as a building can be found in almost every Czech village. Their operation seems simple, but in practice it looks that like a very complicated question. After 1989 the network of cultural centers was canceled and currently there is no database that would tell the actual list of cultural buildings in the Czech Republic, who are of existing and functioning. Also, now there are rarely built, but very often rebuilt those buildings of cultural centers. These buildings have specific rules, regulations and standards, which are done by the law, its design should be also based on the needs of current and future users, both operators and visitors. Master's thesis summarizes the general and specific requirements that must be taken in building a cultural center and presents a case study on building a concrete cultural center in the suburb of Prague. The main impulse for writing this work is the belief that more attention should be given to this issue. The cultural center as a multifunctional space offering a wider range of programs available to all the population is the first and closest point of contact with the culture of everybody of us. It affects overall relationship to cultural values and is also a place where everyone will have these values to guarantee equal and free access.
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Multifunctional Building
Kozelková, Klára ; Sláma, Ludvík (referee) ; Mohelníková, Jitka (advisor)
The subject of this thesis is to design a multifunctional building. The proposed structure consists of two separated buildings by an expansion joint. The first building has floor ground floor and includes a residential part with seventeen dwelling units and three commercial spaces. The second building contains two ground floors and includes café. The residential part is covered with flat roof without operating. The building with café is covered by green roof. The multifunctional building has been designed with two separate parking areas with corresponding number of parking places.
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Crisis management in a healthcare organization
Pírková, Vendula ; Vrzáček, Petr (advisor) ; Trpišovský, Milan (referee)
This project deals with handling of a personal crisis in a health organisation, caused by influence of independent, foreign causation. The first theoretical part of my project presents the nursery and qualifies the quality of the nursing service. The system of employee's care is also a process of a change. I present here among other things also a process of a change. In detail I describe an entity management in the stage of crisis, the identification of the crisis cause and reason and consequently the following solution and remedy actions to decrease the negative impacts of such a crisis for the respective entity and environment. The second part of my project is the practical one and describes the crisis development and the way how to dodge the impact of this event on the health service level in the Benešov - Hospital during a time space aof one year. I decided to present here also the indicators announcing the origin of a crisis and consequently the way, how to handle and master such a situation by the management of the entity. One part of this project is also the recommendation for other management, where its or their entity (entities) suffered a similar crisis.
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Geographical Aspects of Football: Migration of Professional Football Players
Kolanda, Ondřej ; Tomeš, Jiří (advisor) ; Bičík, Ivan (referee)
Geographical Aspects of Football: Migration of Professional Football Players Ondfej Kolanda The aim of the thesis is to provide an integrated view on the international football migration, in particular within the European region. The first part therein summarizes some of the key writings on the subject matter. Furthermore, it provides and overview on the general and even some more particular theories concerning football migration and tries to sort out factors affecting migration in to basic categories. The second part aims to introduce the history of football migration patterns from the time of difusion from England to continental Europe till recent decades. The history introduction represents a fundamentalpart for further understanding of present migration flows. The main topic of pivotal exploratory chapter deals with the migration flows and their progress. At the centre thereof have been included series of analysis concerning migration flows, their changes in space and time during last two decades, anomalies and some important economical-geographic questions arising among the expert communities and from time to time even within the public's discussions. The whole analysis is based on a Transfermarkt portal database registering over 80,000 transfers since beginning of nineties. The particular...
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Family house
Farkas, Zoltán ; Slávik, Richard (referee) ; Hlavačka, Tomáš (advisor)
The issue of the thesis is working out the project documentation for a family house. It is a two-storey house with a partial cellarage, located in a hillside. The house is roofed with flat roofs, one of them is utilized as a terrace. A garage with two parking spaces is part of the house. The object is designed in the system KMB SENDWIX M. The process layout allows a comfortable living for a family of 4-5 members.
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Kobulejová, Hana Karolina ; Köpplová, Barbara (advisor) ; Krejcar, Robert (referee) ; Bednařík, Petr (referee)
The presented rigorous thesis aims to analyse the structural transformation of press and the subsystem of the regional as well as local press in terms of mutual connections by means of explanatory and methodological research. The subsystem characteristics are based on the content, formal and geographical concepts; the connections with the system level are clarified. The developmental trends at the micro and macro level enable to monitor the changes of the media landscape after 1989. The transformation process is divided into phases and diversity encountered in transition countries is explained. Macro-level and micro-level factors of structural transformation are analysed in detail. The concept of the system microclimate enabled to monitor the sub-media as well as media space in the context of intermediary system. This causal link is an integral part of the transformation process, which is why the finding of a common ground between the social environment and subsystem of the regional and local press promotes the understanding of the observed characteristics and also creates its own microclimate for the new resulting concepts. The most significant social impacts of structural transformations are shown in the transfer semantics. The methodological part enabled to anchor the research for subsequent...
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