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Methodology of analysis of wing structure with respect to Widespread Fatigue Damage (WFD)
Bulko, Martin ; Augustin, Petr (referee) ; Vlček, Dalibor (advisor)
Diplomová práce popisuje metodiku výpočtů částí náchylných k rozvoji mnoho-ohniskového únavového poškození (WFD). Nejdříve se práce zabývá rozborem předpisů letové způsobilosti souvisejících s WFD pro letadla certifikovaných podle FAR 23 v kategorii commuter. Následuje popis metodiky únavového výpočtu a predikce šíření trhliny. Dále jsou popsány řešení pro výpočet faktoru intenzity napětí pro základné konfigurace trhliny, tam kde to bylo možné v uzavřeném tvaru, jinak ve formě tabulky. Hlavní částí práce je návrh algoritmu AIMA schopného provést kompletní analýzu části náchylné k rozvoji únavového poškození na více místech (MSD). Model se validoval únavovou zkouškou vzorku přeplátovaného spoje dolního panelu křídla. Následně byla analyzována reálná konstrukce spoje dolních panelů křídla letounu L 410 NG.
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THE LEVEL OF STATUS INFORMATION AND POSITION OF TRAVEL AGENCIES ABOUT HEALTH HAZARDS OF TRAVELERS
AUERBACHOVÁ, Eva
The objective of this work is to find out potential diseases and protection of health within travelling by using of services Czech republic travel bureaus. The target is to map the level and attitude of travel bureaus in relation to customers health hazards. The research question was: What is the position of travel bureaus to possible customers health hazards. The used method was a qualitative research with application of individual interviews and question-form, where the target themes was the destination, way of transportation, accommodations, customer interest about health hazards, gravid customer interest of travelling and interest to travelling of customer with children under three years. It was also investigate the level of travel bureaus employees{\crq} knowledge about possible customers health hazards in foreign countries, mainly in subtropical and tropical countries. In this context was the focus at identification if the travel bureaus are able to give advice about customer health hazards, preventive vaccination and necessity to take necessary personal medicine, whether are exists some areas not suitable for cardiac patients and other chronic disordered patients, where can customers get information about travel health hazards and at last but not at least if the tours are offered health insurance inclusive. From the research results and content analysis were deduced these hypothesis: {$\cdot$} Travel bureaus customer are interested in potential health hazards combined with travelling practically only at ways to destinations out of Europe {$\cdot$} Travel bureaus employee are acquainted with potential health hazards and they are able to give advice about specific addresses or national (private ) institutions, where customer can get more information about possible customers health hazards in foreign countries {$\cdot$} Travel bureaus have cognisance of customer health hazards in foreign countries The hypothesis validity should be repeatedly verified in additional research. This work brings to traveller an overview about fundamentals life style in foreign countries and includes also an overview about health hazards sequent upon diverse climatic effects or lower hygienic level and there are also included precautionary arrangements to health protection in foreign countries. Likewise are interpreted views of travel bureaus to customer{\crq}s health hazards and level of own information related to this problem. Travel bureaus customer can mostly get information about health protection or he can get recommendations to trustfulness sources, where customer can take out the needed and correct information. Customer base should have been get the think on the brain and more be actively interested in regular vaccinations, hazards of sea bathing, overexposure to sunlight, hazardous sexual activities, observance of correct meal plan, insect prevention and medicine chest equipment. We would not have forget on possible damage as a result of clime incidence, psychic stress, form of transport or animal attack. The travellers are using very often the travel bureaus services and they suppose, that will become complex services. It means, that together with transport service, boarding and lodging and entertainment program they get advices and basic instructions about possible customers health hazards in foreign countries and information about precautionary arrangements to health protection.
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Communication with hospitalized patients that show signs of aggressive behavior
Kvardová, Zuzana ; Štefančíková, Mariana (advisor) ; Šlaisová, Ivana (referee) ; Hosák, Ladislav (referee)
The aim of this bachelor work is to have a look at the problems of communication with patients who have agressive behavior. The knowledge is gained on the base of teoretical study completed by investigations on specific group of medical personals with help of questionnaires. On the ground results of this investigation I refer to absence in communication between medical staff and patients. The impression is put on the individual nurses who can contribute to prevention and to solving this fact.The center of gravity of this work makes quantitative research completed by elements of qualitative research on selected departments directed on various types of agression and ways of communication with agressive patients as well as on the possibilities of prevention and on the all understanding of problems by individual medicals.
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Use of NMR in structural analysis of natural products
Dohnalová, Hana ; Špulák, Marcel (referee) ; Kuneš, Jiří (advisor)
This Diploma work is dedicated to the determination of the structure of unknown substances. A large number of alkaloids was isolated from an Eschscholtzia Californica plant (Papaveraceae) at the Department of Pharmaceutical Botanic and Ecology of the Pharmaceutical Faculty in Hradec Králové. Some of them were passed to the Laboratory of the structure and interaction of the biological aktive molecules along with the request for the structure analysis.The main object of this Diploma work was the identification of three of unknown subjects by the help of NMR analysis. The structures of unknown substances were identified on the basis of the NMR experiments (1 H-NMR, 13 C-NMR, DEPT, ghmqc, ghsqc, ghmqfcops a dpfgnoe). These structures were confirmed based on the comparison with the data provided in the subject publications. Now identified substances belong to isochinoline alkaloids. Namely, it is scoulerine and retikuline. The third substance was not specified in the subject publication.
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Nutrition as a nursing problem in children with celiac disease
VESELÁ, Markéta
The Thesis consists of the theoretical and research part. The theoretical part of the Thesis deals with the anatomy and physiology of the small intestine of the child. It also brings detailed characteristics of celiac disease and for the sake of interest we mentioned the interesting history of coeliac disease. Furthermore, we focus on the types, symptoms, diagnosis, treatment and complications of celiac disease. Substantial part is devoted to nutrition, where we focus on its basic elements and, gradually, we walk through proper nutrition in children. In descending order we go through individual child periods, from infancy to adolescence, mentioning what nutrition is the best for the particular age period. The next chapter gives the detailed description of the gluten-free diet which must be kept by the coeliac patients during all of their lives. Research part of the Thesis is processed using the quantitative strategy. The objective of the Thesis was to find out which problems the coeliac children appearing at the paediatric gastroenterologist and the general practitioner for children and adolescents suffer from, as well as the assessment of these problems using nursing diagnosis: 0002 Imbalanced nutrition: less than the organism needs. The second objective of the Thesis was to determine differences in the incidence of celiac disease in children by sex and age when diagnosing this disease. The objectives faced 2 hypotheses. H1: There is a difference in the incidence of determining the signs and related factors in children registered in gastroenterology clinics and general paediatricians. H 2: The incidence of celiac disease will be higher in girls than in boys. To collect data, we chose a content analysis of documents, in our case, analysis of medical records of children at a gastroenterology outpatient department and at a general practitioner for children and adolescents. The data were being collected in the period from January to February 2014. The survey was conducted at the paediatric gastroenterology office of MUDr. Ivana Ženíšková in České Budejovice and at the general practitioner's office for children and adolescents of MUDr. Zdeňka Soukopová in Náměšt nad Oslavou. So as to process the research data we developed a research form - a record sheet, which contained 24 defining characters and 6 related factors from the nursing diagnose: 0002 Imbalanced nutrition: less than the organism needs. Furthermore, the research form included some demographic data: age, sex, home address, family predispositions, duration of breastfeeding, cage of the child at the introduction of complementary feeding, age when the disease is diagnosed, and what foods were first administered to the child. Another point we decided to include in the research form was the defining characteristics and related factors supplemented from the medical records of children. When processing the research data we used the linear method and recorded frequency of the incidence. The results of NANDA diagnoses validation were processed according to Fehring's DCV where we calculated the arithmetic mean, assigned appropriate values and included them in summary tables. The values in the tables are marked in colours, where the green colour marked very significant characteristics according to Fehring and the red one marked very little significant characteristics according to Fehring.
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Midwives competences, statute versus reality
HORÁKOVÁ, Kateřina
Obstetric assistance is a part of a complex system of maternal and child nursing care which is provided by a number of medical staff members. The role of a midwife is crucial in this system. She is a partner. She is mainly a partner of the mother-to-be and her family, the obstetrician and the whole medical team. A midwife of the 21st century is a well-trained medical staff member. She is specialized in the care for a woman with physiological pregnancy. She provides a highly specialized care for women before, during and after the birth and also for their healthy newborns and infants up to the age of six weeks. Together with the planned accession of the Czech Republic to the European Union, a gradual harmonization of education occurred in regulated professions. Midwifery is recognized as a regulated profession in the EU and its educational standards were adapted according to the EU directives. These directives set the basic objectives of the medical branch, the minimum content of the educational program, its length, the previous education of applicants and also the competencies of graduates. Nowadays the Law No.96 from 4th February 2004 and its executive regulation No. 424/2004 of the collection of Law is pivotal. A heated discussion on that Law after its formation was the impulse for this thesis. The aim of the thesis is to find out what the accordance of midwives´ competencies with the valid legistative is like in practice. The research part of the thesis took place in gynaecological-obstetrical departments in the Czech Republic. During the investigation conducted by the questionnaire method we made inquiries about the allocation of competencies in the labour ward, the midwives´ awareness and their satisfaction with the range of the care provided. The results are interesting. The ignorance of current legal regulations of midwives´ competencies was surprising. The research showed midwives´ great satisfaction with the scope of entrusted competencies. In more than a half of hospitals midwives assist physiological deliveries and carry out work activities stated by the Law. The only exception is treatment of birth injuries and the ultrasound diagnostics during birth. According to the contemporary Law the obstetrician may, but does not have to, shift a part of his or her responsibility on the midwife. It depends on the hospital and they vary a lot in this sense. But the results show that the situation is not so black and white as it is denoted by many midwives. In any case it is necessary to find such a form of cooperation from which mainly the expecting mothers will benefit. There must be a professional partnership between doctors and other medical staff members. The team cooperation and mutual respect are fundamental.
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Risks concerning malnutrition and obesity in the nursing process
HORČIČKOVÁ, Marie
The care for nutrition of patients is given more attention these days than before. Patients with malnutrition and obesity represent a huge nursing problem in internal and surgical fields. In this thesis we focused on nursing process in clients with malnutrition and obesity. The research was quantitative, for the data collection the anonymous questionnaires addressed to nurses were used. It was carried out in internal and surgical departments and departments of follow-up care in hospitals in Písek and Tábor. 120 questionnaires were distributed, in each hospital 60, to particular departments 20. 95 (100 %) questionnaires were used for the research. In the thesis seven objectives were stated. The objectives were focused on carrying out the nursing process in clients with malnutrition and obesity, the most frequent nursing problems in these patients and the awareness of nursing staff in the problems of malnutrition and obesity. Seven hypotheses linked to the objectives were stated. The research showed that nurses meet the clients with malnutrition and obesity in all mentioned departments. Most nurses consider the care for these patients very demanding. It is pleasant that the part of nursing documentation is nutritional screening, which is carried out during an admission of each client. Further the research showed that for these clients no valid nursing standard, which would improve nursing process, has been carried out yet. In clients with malnutrition the most frequent nursing problems are decubital ulcers and in clients with obesity sore spots. Information on the problems of malnutrition and obesity is gained at professional seminars and conferences. Nursing process in patients with malnutrition or obesity is demanding and it is necessary to have a sensitive and considerate approach. The results of the thesis will be used to make nursing staff acquainted with these problems.
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Integrated rescue system activities on traffic accident sites with the intention of Czech Police department tasks and objectives.
BLÁHOVEC, Václav
Quick and professional action by the units of the Integrated Rescue System at the scenes of road traffic accidents is essential primarily for saving people´s lives and health, of secondary importance is the protection of property and the environment. If there is a road traffic accident which by its scope and nature requires units of the Integrated Rescue System to be called out, the individual intervening entities do what they can to reduce or eliminate the consequences of these exceptional events not only for the individuals concerned but also for the wider vicinity. The goal of this thesis is to analyse the tasks of the units of the Integrated Rescue System, and the Police Force of the Czech Republic within their framework, at the scenes of road traffic accidents and to summarise theoretical approaches to this question with references to valid legal standards. The theoretical part addresses acccident rate trends in the Czech Republic, it defines the term traffic accident and the term Integrated Rescue System. It maps the activities of the units of the Integrated Rescue System at the scenes of road traffic accidents and specifies procedures of the individual units at the scene of intervention with emphasis on the role and tasks of the Police Force of the Czech Republic. It provides a complex overview of the issue with an account of the related legal standards and documents. The empirical section contains an analysis and comparison of the call outs of the units of the Integrated Rescue System, using as its base theoretical approaches, joint tactical exercises and the interventions themselves at the scenes of accidents. The results and the conclusion provide information about the importance and essential nature of coordinated cooperation between the individual units of the Integrated Rescue System, they evalute the current level of interaction and the need for joint exercises in order constantly to perfect interventions, in the interest of the goal of saving the lives and health of people and protecting property and the environment.
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Multidisciplinary Cooperation and the Role of a Nurse in Patient Care Affected by Blast Syndrome
KOPULETÁ, Martina
Blast injury is a very serious lesion caused by the shock wave resulting from an explosion. Further secondary injuries can arise from burying under debris, pieces of shards from the explosive cover, at burning, poisonous gases created by chemical reactions during detonation. The injuries often happen to be fatal and the percentage of people who survive it depends on the fact how far from the epicentre they were situated. If the individual is very close, there is almost no chance to survive, if, however, the individual is situated further from the epicentre, a few tens of meters, the chance is higher. It is so called mass disaster, which includes more injured people at an explosion. Therefore it is necessary for nurses and the hospital staff to know what the procedures are at this incident and how to take medical and nursing care of higher number of such patients suffering from blast injury. The care itself is extremely demanding, since the injured are often in critical condition. The aim of this diploma thesis, the topic of which is multidisciplinary cooperation and the role of a nurse when taking care of the patients suffering from blast injury, was to find out the information based on the latest Czech and foreign literature and create a compact overview of the knowledge of this issue, for it is necessary to have this knowledge to carry out nursing care of such patients. The second aim of this diploma thesis was to map the role of a nurse in details when taking care of a patient suffering from blast injury. This aim was stated for the reason of the demanding character and complexity of nursing care at urgent reception and anaesthesiology and resuscitation unit because the nurses at these units are placed demands on high qualification and requirements. This diploma thesis was purely elaborated as theoretical thesis based on Czech and foreign sources. The given pieces of information were obtained from a great deal of professional and scientific publications, monographs, professional journals and internet sources for each chapter. The first part of the thesis was dedicated to the description of the given issue, pre-hospital care and classifying algorithms that are used at mass health losses in such way so that the injured people have a higher chance to survive. The crisis management at hospitals, the reception of the injured, the care at the urgent unit and finally the follow-up care at the anaesthesiology and resuscitation unit are worked out in the following part. Thereafter the theoretical part focuses on nursing care at the critical care department where the nursing care of a patient suffering from blast injury is described as well as the duties of a nurse. The needed competences of a nurse working at the urgent unit, anaesthesiology and resuscitation unit are also defined in this chapter. According to the valid Czech legislation, only specially trained nurses for intensive care should take care of the patients with blast injury because the extent of their competence for intensive care is many times higher than general nurses have. The last chapter deals with team and multidisciplinary cooperation among the doctors and hospital staff as well as the cooperation concerning the pre-hospital care of the emergency services at emergency incident, for their active and quality communication are the keys for good and well done work with the least consequences.
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Desintegrating families - the importance of family law for school practise and its influence on managerial work of the elementary school headmaster
Šalamova, Ildikó ; Kitzberger, Jindřich (advisor) ; Báča, Milan (referee)
TITLE: Disintegrating families - the importance of family law for school practice and its influence on managerial work of the elementary school headmaster. AUTHOR: Ildikó Šalamova DEPARTMENT: School managment centre SUPERVISOR: RNDr. Jindřich Kitzberger ABSTRACT: The aim of this Bachelor's thesis paper is to analyse the compliance of the current legal standards valid for families and schooling in the area of various forms of regulation of legal relations between school-age children and their legal guardians after the breakup of a marriage or the separation of partners. The breakup of the family, followed by granting of custody and the phenomenon of shared custody of minor school-age children, significantly influences school life and the work of the school manager. Through analysis and research I discovered the extent to which family law and school law, as amended, mutually complement each other in primary school in cases of problem-free application of child custody or shared custody, and in what way the law for the given obligation ensuing from one of the valid standards in everyday application influences institutions underpinning the second legal standard. KEYWORDS: custody, shared custody, mutual custody, obligatory school attendance, custody and school
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