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Intensive home care - Home care with elements of intensive nursing
Králová, Eva ; Hošťálková, Monika (advisor) ; Meisnerová, Eva (referee)
The master thesis deals with an intensive home care - home care of intensive nursing and maps the situation concerning the home mechanical ventilation. The theoretical part draws from the researchers' reviews. It clarifies the basic concepts, intensive home care and trends in providing the home mechanical ventilation. Furthermore, this part of the thesis explains the term mechanical ventilation. To facilitate long-term ventilation of a chronic patients it is necessary to ensure an adequate airway. Therefore, it is included a chapter dealing with a tracheostomy and its treatment.The first part of the survey summarizes a statistical overview of the home mechanical ventilation used in the Czech Republic till 31th March 2013. Next section includes a qualitative form research, which is observing the whole indicating and transferring process of a patient from a hospital to the home environment where the home mechanical ventilation is assured. I have concluded that men are more ill and women, mothers or wives are taking part in the healing process according to the investigation results. We have 81 ventilated patients in home care in total. Mechanical ventilation is mostly indicated for children with spinal muscular atrophy disease. Men compared to women are more often affected by traumatic conditions,...
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Respiratory physiotherapy - part of a comprehensive treatment of Duchenne muscular dystrophy patients
Vargová, Zuzana ; Smolíková, Libuše (advisor) ; Slováčková, Lenka (referee)
Duchenne muscular dystrophy is a progressive muscular disease. This serious disease attacks not only the musculoskeletal system, but also the respiratory system. Respiratory system is one of the most influenced systems. The risks of respiratory problems increase with deteriorating condition of the patient due to muscle weakness. This work is focused on treatment of respiratory system. The aim of treatment is early prevention and solving of complications. These complications include not only scoliosis and cardial problems, but mainly inefficient cough, night hypoventilation, irregular night breathing and failure of respiratory system even during the day. The aim of the respiratory physiotherapy is to keep the right functionality of lungs for the longest time and to choose the correct method of the rehabilitation following the patient's condition deteriorating. Interventions suitable for the patients with the DMD are techniques that leads to increasing lung volume, manual and mechanical techniques of assisted coughing, and noninvasive ventilation. NIV is one of the preferred methods of treating nowadays. Another method is continual invasive ventilation and ventilation with tracheostomy. This treatment includes keeping hygiene of the airways, which is the basis for their throughput. The work also includes...
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Care of ventilator-dependent patient with spinal cord injury in Czech republic
Plecháčková, Kristýna ; Smolíková, Libuše (referee) ; Mojžíšová, Marta (advisor)
Thesis "Care of ventilator-dependent patienl wilh spinal cord injury in Czech republic" deals with problems of high cervica\ spinal cord les ion wilh diaphragm para\ysis. Generally introduces clinical manifestation of the spinal cord injury, classifícation of spinal cord lesions and statistical data regarding the incidence, prevalence and etiology. In more detail focuses on respiratory problems. Contains survey of most conunon respiratory complications in ventilator-dependent quadriplegic patients and infonn about the possibililies of respiralory physiotherapy. The practical part provides the first description of the Czech population of pentaplegics. Truough case studies indroduces health and livíng conditíons of persons wíth high spinal cord lesion and need of mechanical ventilation. Powered by TCPDF (www.tcpdf.org)
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Microclimate study rooms with natural ventilation
Hajn, Daniel ; Uher, Pavel (referee) ; Rubinová, Olga (advisor)
Master thesis solves the level of CO2 concentration in the premises of universities in Brno. The main objectives of the processed data measured from two monitored rooms, compare it with the permissible limits of concentration, evaluate the effectiveness of natural ventilation and develop a more efficient way to exchange air with forced venti-lation. Space solutions are part of the Philosophical Faculty of Masaryk University, the fourth above-ground floors of buildings A and B1. The theoretical part deals with CO2 concentrations, measurement methods, the influence of CO2 on the organism and the assessment of daylight.
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Air Condition of kindergarten
Bombera, Jiří ; Rubinová, Olga (referee) ; Uher, Pavel (advisor)
The bachelor thesis is focused on a design of a mechanical ventilation consisting air-to-air heat exchanger for the kindergarten. In classes the cooling system multisplit is installed to reach requested thermal comfort, in the kitchen the thermal comfort is realized by flow of cooled air. The aim is to achieve desired indoor psychrometric conditions of the kindergarten.
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Cardiopulmonary resuscitation and the use of special instruments
KUBAL, Lukáš
The bachelor thesis analyzes cardiopulmonary resuscitation and the use of special equipment related with cardiopulmonary resuscitation in pre hospital emergency care. The main study introduces practical application of special equipment and expertise experience of paramedics and nurses with use of this equipment.Theoretical section consists of two parts definition of using special instruments and description of cardiopulmonary resuscitation. The first one describes specified equipment related to cardiopulmonary resuscitation in pre hospital emergency care and legislative standards specified for operation of emergency services in Czech Republic. The second deals with the issues of cardiopulmonary resuscitation. Basic and advanced methods of urgent cardiopulmonary resuscitation in pre hospital care and updates of Guidelines from the years 2010 and 2015 related to cardiopulmonary resuscitation are also introduced here.The practical part contains transcribed interviews with professionals, which were obtained by qualitative semi-structured interviews. Paramedics, nurses and a physician at Emergency. Medical Services in South Bohemia were selected as interviewees. Altogether, six people were contacted. Interviews contained 15 questions related to the issues of practical application, interpretation of values and personal experience with special technology used in urgent emergency resuscitation.The study of this thesis shows that health care workers do not have a problem with the interpretation of data available thanks to this technology. In some cases, there is a problem with the proper use of technology or differences of opinions on the application itself among workers from different ambulance stations. It was also found that no one is happy with trainings and the amount of information provided by an employer, because all respondents look up information concerning the technology beyond their job duties. As a contribution of this work I see a brief equipment overview non medical staff use during cardiopulmonary resuscitation. The thesis summarizes everything from the description of basic values to actual applications of the equipment.
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Health Care Centre
Horelicová, Pavlína ; Sláma, Ludvík (referee) ; Mohelníková, Jitka (advisor)
This diploma thesis deals with the processing of project documentation for construction of a health centre in Šlapanice. The proposed building is situated on parcels no. 1906/1, 1906/11 and 1906/13. The parcels are part of the cadastral city Šlapanice. The terrain is flat. There are all necessary underground utilities nearby. The object is functionally divided into two parts and has a rectangular plan. The first part consists of a medical centre with a capacity of 19 specialized surgeries. The second part consists of a pharmacy for the general public. The building is designed of the brick construction system with a monolithic reinforced concrete columns and a reinforced concrete continuous slab. The largest footprint building is 66.75 x 18.75 meters. The cladding is designed in aluminium and glass facades with a total thickness of 250 mm. Roofing of the building's entire surface of a flat roof with a waterproofing layer at a gradient of 3% with multiple height levels. The structure of flat roofs is designed as a flat roof with a stabilizing layer of washed river gravel or vegetation roof. Foundation of a building is a combination of foundation footings and foundation passports. The pharmacy part is designed as a single-storey building and the health centre is designed as a partial basement building with three floors.
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