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Dance as a means of integration adults with intellectual disability
KRAUMANNOVÁ, Eva
The goal of the bachelor thesis called Dance as a means of integration adults with intellectual disability was to create, implement and evaluate a dance course focused on the development of social competences in adults with intellectual disability. The thesis deals with adults with intellectual disability and with a leisure activity focused on dancing. There is some space for the development of social competences in adults´ leisure time. In response to the current situation of leisure activities proposition for adults with intellectual disability. I found it beneficial to found a dance group of adults with intellectual disability, and at the same time a group of individuals intact in places unfamiliar to them. Based on an activity which may be implemented amusingly it is possible to develop an individual´s personality as well as his or her social competences, which become a presumption of a successful integration, universally. The bachelor thesis consists of four chapters.The first chapter defines the term ´intellectual disability´. Further on the attention is paid to the characteristics of the target group, i.e. adults suffering from a slight and medium mental retardation. Further on, the disability´s impact onto the human psyche as well as social area is described. In the second chapter the term ´dance´is defined and then the description of its usefulness within the leisure, artistic and therapeutic areas is given. In the third chapter the presumptions for a successful integration are described. In the conclusion of the theoretical part there is an interconnection made between the target group and the activity for developing social competences. The theoretical part of the bachelor thesis is continued with a practical part, the fourth chapter. It is a programme of a six-month course which I have set together based on the analysis of expert literature and my experience gained during the leadership of dance lessons and working with adults with intellectual disability. The programme will include work methods and an evaluation of partial activities. The six-month course was held in the school year of 2015/2016 and 6 intellectually disabled adults took part in it. Students of the University of South Bohemia joined the course. Partial goals were set for individual dance lessons and the activities were set so that they would develop social competences in participants non-violently and in the greatest extent possible. The course was implemented in the IN Civic Association facilities. To evaluate the activity and find out the progress within the area of the participants´ social competences, several development fields have been set. Several chosen social competences were divided into evaluation scales. The participants were evaluated at the beginning of the course and then again, six months later. The evaluation method chosen was my own observation. I focused on the evaluation of my own working, on group evaluation and the evaluation of each individual. Evaluation was also done on the part of each course participant, too. Dance lessons and activities connected have proven to be a suitable means for developing social competences in intellectually disabled adults. In five participants the values have risen in 5 10 out of 17 competences observed. A recourse occured in a participant who was going through a difficult life situation during the last two months of the course. Values have risen dramatically and in all participants in the area of group cooperation. Five participants made a progress in establishing and keeping eye contact and in starting a conversation. One participant has made a progress in the area of group performance, another one has made a progress in the area of independence and another one started to call the other participants by their names, as opposed to the beginning of the course. In general, the members of the group became more self-confident.
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Specifics of nursing care in patients after transapical aortic valve implantation.
VOTRUBOVÁ, Nataliya
Transcatheter aortic valve implantation (TAVI) is a new and an attractive method in cardiology and as well as in cardiac surgery. It is constantly evolving method which has been developed as an alternative to standard open surgery, especially in patients with severe symptomatic aortic stenosis with unacceptably high perioperative risk or patients who are not suitable for conventional open heart surgery because of age and comorbidities.A teamwork is very importantfor this new method and approach. The choice for TAVI is discussed by the institutional multidisciplinary heart team, typically consisting of interventional cardiologists, imaging-specialists, cardiac surgeons and anaesthesiologists. The first implant in a human being was performed by Cribierin 2002. In Czech Republic this method was first used in 2008. Transcatheter aortic valve implantation (TAVI) was accepted as a minimally invasive alternative to open surgery. This method does not require the use of cardiopulmonary bypass, and cardiac arrest. Other several benefits includinglower risks of bleeding and stroke events, better wound healing, less pain, as well as more rapid early recovery due to preservation of continuity of the sternumthat result in shorter durations of stay in the hospital, earlier rehabilitation and faster returns to normal life. In the presented work was used a combination of qualitative-quantitative methods of investigation. The data was obtained by using the quantitative research. The main technique was using the questionnaires designed for nurses working at the Department of Cardiac Surgery, Hospital Czech Budejovice, a. s. These results were backed up by the implementation of qualitative research, which investigated the patients and physicians view on monitored issues. Questioning method using a semi structured interview technique was used for qualitative research. The results of the survey were processed using descriptive statistics charts in LibreOffice Calc and using diagrams created in LibreOffice Writer. Qualitative results of the research were transcribed from audio recordings and coded, and the base code was created nine categories of interviews with clients/patients and three categories of interviews with doctors. The aim of this work was to explore the specific problem of nursing care about the clients / patients after transapical aortic valve implantation. On the base of our obtained data it is evident, that the client/patient after TAVI may be positioned sideways, the use of surgical drains are less frequently, so the care about the surgical wounds is simpler, patients report less pain in the surgical wound and postoperative rehabilitation and recovery is shorter. H1 - The nurses take care about the clients/patients after transapical aortic valve implantation in the same way as about the clients/patients after open aortic valve replacement, without realizing the differences between the patients treated with different approaches, was not confirmed. The nurses'sees/reported major differences in invasiveness and extent of providing care, rehabilitation, convalescent, in the duration of the hospitalization and better cosmetic effect. The results of the research can serve as a basis for creating the standards of nursing care or educational material for clients/patients. It is also possible to present the results of this work at a specialized seminar for non medical healthcare workers and results can also increase the quality of nursing care about the clients/patients after transapical aortic valve implantation.
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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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Analysis and inovation selected nursing documentation used in the workplace intenzive medicine
KŘÍŽOVÁ, Radmila
The thesis topic: ?Analysis and Innovations of Selected Nursing Documentation Used in Intensive Care? was chosen deliberately for its topicality. Documentation is an important and integral part of treatment of patients. It is very important that nursing documentation suit nurses who work with it. Data should be clear and their recording easy and convenient for nurses. Duly managed nursing documentation should be beneficial for physicians as well. For the research, the anaesthetic resuscitation department in Jihlava was chosen. The thesis contained six defined objectives that have been met and resulting 6 research questions. Qualitative research was carried out in 3 stages. One research group consisted of nurses at the anaesthetic resuscitation department in Jihlava, the other research group consisted of doctors at the anaesthetic resuscitation department in Jihlava. In the first stage, an analysis of nursing documentation used at the anaesthetic resuscitation department in Jihlava was carried out and, subsequently, interviews with the nurses and doctors from this department were conducted. In the second phase, innovations of nursing documentation were made and the documentation was put into practice. The final stage of the thesis consisted of interviews with the same questions for the doctors and nurses at the anaesthetic resuscitation department in Jihlava, in which opinions of the nurses and doctors on the innovated documentation and its application in practice were surveyed. The objective was to analyze the existing nursing documentation, to innovate it on the basis of the interview results, to implement it, and then to find out whether it could be used in practice. Based on the interviews conducted, we found out that nurses do not like the nursing diagnoses and also record sheets, which are common for doctors and nurses, used their department. Based on these results, innovation of the nursing diagnoses was made and, at the same time, the department made an innovation of the recording sheet, and medical and nursing documentation was separated. After the documentation was introduced into practice, we interviewed the nurses and doctors again to find out whether the innovated documentation was better and whether it could be improved more. We found out that the documentation was better, more suitable for the respondents. The innovated documentation can be used in practice and is currently so at the anaesthetic resuscitation department in Jihlava.
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Jáchymov as a Book awarded with a Prize and an Anti-prize: the Analysis of the Czech translation awarded with the Anti-prize Skřipec and its correction
COUFALOVÁ, Markéta
The first part of this Bachelor thesis is based on the translational theory by the Czech linguist and translator Jiří Levý. On these grounds the terms translation and bad translation are defined as well as the reasons and consequences of bad translation. Furthermore other relevant translational theories are introduced. In the end the meaning and relevance of an anti-prize are discussed while the Czech literary anti-prize Skřipec is presented. The core of the practical part of the thesis is the critical analysis focused on the Czech translation of the novel Jáchymov by Josef Haslinger, which received the above-mentioned anti-award in 2012. First of all, the content of the book is and then the reception of the novel in German and Czech speaking countries are presented. The major part consists of the comparison of both, the original German novel and its Czech translation, in order to discover the mistakes in the Czech version of the book. These are subsequently classified and commented with respect to Levý´s translational theory. Last but not least a correction of the wrong passages is conducted.
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Reality of cooperation of a stoma nurse with shift nurses.
KRATOCHVÍLOVÁ, Markéta
Abstract Reality of cooperation of a stoma nurse with shift nurses Pernicious diseases of intestines and rectum often lead to creation of a temporary or permanent intestinal outlet alias stoma. Having been diagnosed, the patient is confided to the care of healthcare workers, in particular nurses, who endeavour to provide the patient with the highest possible quality care in the most intensive manner. At present, almost every hospital has a specially trained stoma nurse who should play the role of an advisor or coordinator in the nursing team. Regrettably, non-cooperation between shift nurses and the stoma nurse harm in particular the patient. Five hypotheses were raised. The first hypothesis was to confirm whether the shift nurses on surgical wards cooperate with the stoma nurse more efficiently than the shift nurses in other than surgical wards. This hypothesis was confirmed. The second hypothesis was to confirm whether the stoma nurse provides the shift nurses with regular information on developments in the concerned area. This hypothesis was not confirmed. The third hypothesis was to confirm whether the shift nurses cooperate with the stoma nurse as early as in the period before the operation; this hypothesis was aimed at surgical nurses and was not confirmed. The fourth hypothesis was to verify whether the shift nurses have sufficient information from the stoma nurse so that they could substitute her adequately when she is absent. This hypothesis was not confirmed. The fifth hypothesis verified whether the shift nurses ask the stoma nurse to provide them with information concerning correct handling of the stomal equipment. This hypothesis was not confirmed. The data were collected in the quantitative research supplemented with an interview with the stoma nurse. The shift nurses in surgical and non-operational wards obtained anonymous questionnaires. The research was conducted in seven hospitals in the Region of South Bohemia. The objectives were fulfilled. The information will be provided to deputy managers for the nursing care and stoma nurses. We believe that our results may contribute to higher efficiency of the cooperation between nurses, which will have a positive impact on provision of comprehensive care of patients with a stoma.
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Impact of environmental factors on the game clashes with motor vehicles on roads in West Bohemia.
Přigrodský, Milan ; Šmíd, Petr (advisor) ; Vykouk, Martin (referee)
Under the influence of long-term development of the motorway and road network and increasing the intensity of traffic in the Czech Republic there are frequent accidents. Among the causes of traffic accidents can include some environmental factors whose action may be involved in their formation and their severity e.g. weather conditions, road surroundings, or time of day, but also combinations thereof.
Other important factors may include environmental character clashes with animals, the weight of individuals of some species may cause a traffic accident. Roads are becoming an obstacle to moving animals, which must be overcome in connection with migration or regular movement in the country. If they are not in their construction or renovation of pre-considered measures that would prevent or restrict the movement or the movement of animals. Measures informing drivers of motor vehicles on the hazard can be fatal clash.
This thesis describes the issue of conflicts of motor vehicles with animals, analysis of events related to this topic on the roads West Region, especially its causes and effectiveness of existing measures and custom design to ensure adequate prevention in areas with the highest incidence of conflicts.
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Separation Anxiety
Poživilová, Alena ; Fiala Šebková, Naděžda (advisor) ; Chmelíková, Eva (referee)
The purpose of the thesis was to develop a scientific review, as comprehensive as possible, of literature on separation anxiety in dogs. Separation anxiety is one of the most common behavioral disorders in domestic dogs. The thesis is of compilation nature. First, separation anxiety is described and explained as an independent concept in problematic behaviour of dogs. Further, the incidence and frequency of this behavioral disorder in the dog population are described, including risk factors that precede the onset of this behavioral disorder. Many risk factors exist, which are described in detail in the thesis. Both main and secondary symptoms are described; excretion, destructiveness, hypersalivation, and vocalization. The thesis also includes a chapter on the diagnosis of separation anxiety. This chapter describes how to proceed in an effort to remedy separation anxiety, and what the owner should arrange, what he/she should be attentive to and take care of. Prevention is discussed in the subsequent chapter. The final part of the review is focused on the therapy of separation anxiety. Possible therapies include behavioral desensitisation, modification of the behaviour, and reduction of dependence on the owner. For the therapy to be as efficient as possible, pharmacotherapy is recommended. The thesis describes treatment with clomipramine, potassium clorazepate in combination with fluoxetine, fluoxetine and diazepam. However, it is more advisable to prevent separation anxiety by the very choice of a suitable dog (characteristics of the individual, its temperament, and the breed), and by responsible education on part of the owner.
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Environmental Impact Assessment Follow up analysis of Pankrác administrative centre
Franclová, Alena ; Keken, Zdeněk (advisor) ; Karel, Karel (referee)
This diploma thesis evaluates issues of environmental impact assessment, focusing on post-project analysis of the Pankrác administrative center. Follow-up evaluation is one of the most important practice through EIA which can fulfil one's potential. Major contribution is mainly the EIA feedback which will be compared between real and predicted impact. Follow-up will provide knowledge to avoid possible non-conformances in EIA evaluation process in the future. Methodical of this thesis is based on international standards of good practice in EIA follow-up, which should always correspond with the specific circumstances of the project and the specific context. The main principles are results-oriented approach, learning, institutional commitment and responsibility. Meaning of the follow-up is the main research question to evaluate the environmental impact assessment. The thesis evaluates the implementation of the main comments from the various point of views. All opinions, changes and views of all participants must be reviewed in implementation and operation phases of the EIA process. Another sub-section provides a comparison of the noise pollution before and after realization of the project and analytical part concludes evaluate compliance with the general principles of good practice. The results collect comprehensive assessment of the EIA process. The follow-up for Pankrác administrative center was important and it proved that positive cooperation with the investor made processes more effective in the terms of the environmental protection of the area. In the future it would be appropriate to dedicate more effort and time for the follow-up. Especially raising awareness of the existence and positive impact of the entire EIA process and also to protect the environmental and public health.
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Annual progress of radial increment of selected species in Arboretum FFWS in Kostelec nad Černými lesy
Chržová, Anna ; Bažant, Václav (advisor) ; Vítámvás, Jan (referee)
Abstract
This thesis deals with the evaluation of the annual radial increment measured during the vegetation period 2014 and 2015 on three species of trees in the Arboretum of The Faculty of Forestry and Wood Sciences of the Czech University of Life Sciences Prague in Kostelec. Evaluation of the seasonal dynamics of radial increment of Abies grandis (Grand fir), Picea sitchensis (Sitka spruce) and Pseudotsuga menziesii (Douglas fir) on plot stands in the Arboretum in Kostelec was made by comparing the climate in the time period and the annual radial increment as it changed during the season. Annual radial increment of Abies grandis, Picea sitchensis and Pseudotsuga menziesii was detected by device EMS DRL26A. This device also subscribed information about the temperature during the growing season. Data was processed by software EMS Mini32 and exported to Microsoft Excel 2016. Information about the temperature, I determinated with using a meteorological station in the area of the Arboretum. Data fromdendrometer and weather station and their interdependence was evaluated using Microsoft Excel 2016 in the form of line charts. In 2014, I was dealing also phenological phases and the time of onset and end of it on observed species. Due to the extremely warm and dry year 2015, I had the opportunity to compare the responses of individual species at these climatic phenomens. In conclusion, the results are confronted with the literature searches and the discussion in this thesis, where I focused on the characteristics of measured trees and their application in European conditions
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