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Problems of Nursing Care of Patients with Leiden Mutation and Prevent Complikations
BROMOVÁ, Jana
Factor V Leiden mutation is a hereditary disorder of the hemostatic mechanism, which may lead to an increased occurrence of trombones in the blood-vessel tree. This disorder is classified among hypercoagulation conditions. It is one of the most frequent inborn disorders of blood coagulation associated with venous thromboembolism. The objective of the present Bachelor Thesis is to determine if nurses of surgical branches have knowledge of the above disorder and complications there of. Further, another objective of this Bachelor Thesis is to discover if education of nurses affects their knowledge of the disorder. The final objective is to ascertain if patients have cognizance of their disease and know how to prevent complications. Hypotheses and research questions have been stipulated in relation to the above-mentioned objectives. H1: Nurses with a longer work experience in surgical branches have more information of Leiden mutation and prevention of complications related to this disorder than nurses with a shorter work experience. H2: Nurses with a higher-level education in surgical branches have more information of Leiden mutation and prevention of complications related to this disorder than nurses with a lower-level education. RQ1: Are patients informed of occurrence of complications and prevention of an acute breakout of the disorder? RQ2: Do nurses provide patients with informationof regimen measures related to this disease? RQ3: Have any complications occurred during hospitalization in relation to Leiden mutation? The empirical part of the Bachelor Thesis consists of two sections.The first section comprises a quantitative research survey. The research was conducted in form of an anonymous non-standardized questionnaire for nurses of surgical branchesin Nemocnice České Budějovice, a.s. [Hospital České Budějovice, joint-stock company] and Nemocnice Prachatice, a.s. [Hospital Prachatice, joint-stock company]. The questionnaire contained 20 questions, divided into closed, semi-closed and open questions. Results were processed in the computer programme Microsoft Excel and the data acquired were used for parametric statistical analysis. The results are presented in graphs. The other section of the empirical part contains a qualitative research survey. The research was carried out with five respondents, in form of a semistandardized interview, with 20 questions prepared in advance, and these questions were in turn completed according to replies given by the respondents. The interviews were recorded in a written in a record sheet. Data obtained from the interviews were processed by coding and a subsequent categorization of data. The categorization was done on the basis of internal similarity of codes.The author views the problems of nursing care of patients with Leiden mutation mainly in connection with complications that might occur. These complications involve deep venous thrombosis and pulmonary embolism.This Bachelor Thesis attempts at pointing out these problems and bringing this disease into more widespread awareness among nursing personnel.
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Social Work with Seniors as Victims of Crime Theft and Deception
HOJDAROVÁ, Markéta
This bachelor?s thesis is focused on senior, as a victim of a theft crime and fraud and, in connection to the consequences of this problem, on social work. The theoretical part describes the age in general and its division, the changes that are age related and have an impact on the situation when senior becomes a frequent target of offenders then followed by theft crimes, scams and their forms, especially doorstep selling and promotional events, theoretical part also includes preventive measures related to fraud and theft, and in the consequences of crime, the social work with seniors as a victims of a crime is described here. The aim of this bachelor?s thesis is to identify the most common form of crime and fraud committed against seniors, then the awareness of seniors about the danger of theft and fraud and knowledge and following the preventive measures by the seniors. I stated the main research questions: What are the most common forms of theft crime and fraud committed against seniors? Are the seniors informed about possible dangers of theft? Are the seniors informed about possible dangers of fraud? What preventive measures are followed by seniors not to become a victim of theft crime? What preventive measures are followed by seniors not to become a victim of fraud? The partial research questions were assigned to main research questions that determine whether the seniors know the dangers of doorstep selling and promotional events, where the seniors feel the most vulnerable to fraud and theft, what preventive measures about theft and fraud they know and whether they follow the preventive measures. For the practical part of the thesis, the qualitative research was chosen whose. For gaining of the data, the asking method and technique of semi-controlled interview were used. The questions of semi-controlled interview are divided into four areas, where two areas are related to theft and fraud and related doorstep selling and promotional events and other two areas are related to preventive measures, always in connection to theft of fraud. The results are, for the first research question: What are the most common forms of theft crime and fraud committed against seniors? evaluated by secondary analysis of data and the rest of questions by method of capturing formulas (,,gestalts"). The results of this bachelor?s thesis showed, that the most common form of the theft crime committed against seniors, are the thefts directly in the flat of the senior, who is robbed even of their life savings right after allowing the stranger to go into the flat. It showed, that in relation to the most common form of fraud crime, the seniors are most frequently cheated when signing unfavourable contracts either during doorstep selling or promotional events. The promotional events are the hot topic of this year, as in the fight against this events, the documentary film ,,Šmejdi" was filmed, showing the seniors being cheated on them. The knowledge gained thanks to this bachelor?s thesis can be used as a basis for extension of information about the issue to seniors and also as a source of information for social workers working with seniors.
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Awareness of university students about the health risks associated with a stay abroad, knowledge and use of possible preventive measures
HANKOVÁ, Hana
The topic of my thesis is foreign travel issues. Its purpose is to survey the awareness of students of the University of South Bohemia about travel risks, while mapping the knowledge and use of available preventive measures. The thesis is divided into two parts, theoretical and practical. In the theoretical part I try to describe in a well arranged way the available knowledge about health risks associated with traveling, including the various forms of prevention. The aim of the practical part is to analyze the obtained data and to determine the awareness of university students about the risks associated with traveling. The survey is based on the methods of prevalence studies conducted using an anonymous questionnaire survey. In total, 652 students of the University of South Bohemia were addressed, the number of returns was 460 questionnaires. In relation to the objectives two hypotheses were proposed. H1: The awareness of students of the Faculty of Health and Social Studies about the health risks associated with a stay abroad is significantly higher than that of students of other faculties of the University of South Bohemia. H2: Statistically, the most important source of information on the knowledge and use of possible prevention measures is the Internet. These hypotheses were statistically evaluated and on the basis of the obtained results they were confirmed or refuted. The research results show that the most informed about the presented issues are students of the Faculty of Science. This fact was later explained by a number of exotic destinations visited during the last stay abroad, as well as a wide offer of the Faculty of globally-oriented practical training and research fellowships, in connection with which the students inform themselves about possible travel risks. Statistically, most of the surveyed students use the Internet to get information. This research became the basis for targeted focus of health education on minimizing health risks when traveling abroad. The real outcome of the thesis is an information poster which will be distributed to individual faculties of the University of South Bohemia.
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The Risks of Working as a Nurse
GENGELOVÁ, Gabriela
The work of nurses in health care is often physically and psychologically demanding. Some inpatient departments have specific labor conditions and from them come risks. Nurses are continuously exposed to the risk of injury, infection, but also stress caused by their work. These labor-related risks can cause disorders on health or cause labor-related diseases. Therefore, it is necessary to reduce workload, stress, psycho-social risks and pay special attention to preventive measures and keep sanitary-epidemiological behavior. This Bachelor thesis called ?Risks of Nurse´s Labor? is divided into two parts. The theoretical part strives to summarize the risks of a nurse?s work focusing on preventive measures related to particular risks. Results of this survey are processed in the research part of this thesis. During the survey I used a quantitative method of data collection ? by using a questionnaire. The research file was created by nurses working in Internal and Neurological departments and a Residential facility for chronically ill patients in the Hospital České Budějovice, a.s. and in the University Hospital in Plzeň. In the Bachelor´s thesis 2 objectives and 3 related hypotheses have been set. The objectives were fulfilled and hypotheses were either verified or rejected. The author was trying to find out what nurses regard as the highest risks in clinically focused workplaces and what preventive measures are applied with respect to perceived risks. From the results come out that nurses regard being stung by an infected needle as the highest risk in the workplace. Preventive measures are applied in a limited scope.
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Measures to ensure population protection in the emergency planning zone Tomegas Ltd. storage of propane - butane Branice
FOŠUM, Daniel
The aim of this thesis is to propose measures to implement the emergency planning and emergency clearance operations, to prevent or reduce the immediate risk of accidents, according to documents provided by the IRS components, the community, administrative bodies and the storage operator. Another objective is to propose measures ensuring protection of the population in the emergency planning zone, in order to satisfy in the best possible way the following hypothesis: "Measures to implement the emergency planning and emergency clearance operations and measures to ensure population protection are an integral part of the external emergency plan, ready to resolve possible accident cases endangering lives, health, significant property values or the environment." To meet the objectives and verify the hypothesis, I used my own experience in the field of emergency planning and my personal knowledge of the site so that I could create a proposal of appropriate measures, designed to reduce an immediate menace, and mitigate the impacts of a possible major accident. To complete the goal I chose ``The storage of propane - butane bottles and bottling plant Branice at Milevsko", the local juristic person with the name TOMEGAS Ltd. By the South Bohemian regional authority, these operations were classified as category B under Act No. 59/2006 Coll., on the prevention of major accidents caused by selected hazardous substances or chemical preparations, and also an emergency planning zone with a radius of 1 km was established. Those objectives are proposed in accordance with all legal standards and regulations. I believe that the findings of my work will be applicable in building and updating an external emergency plan for given operations. The hypothesis is undoubtedly confirmed by the existence of international treaties and the EU legislation focused on the protection of people living in the neighborhood of buildings where dangerous substances and preparations are handled, as well as by the number of accidents happening worldwide. In the section ``Discussion{\crqq} several issues are analyzed, the major of which seems to be the financial aspect that may result in difficulties with the early establishment of proposed preventive measures.
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Assessment of the health hazard pertaining to the selected working conditions concerning manufacture of concrete-based products in the selected manufacturing plant
BRULÍK, Petr
In the working environment relating to the manufacture of concrete-based products there are many risk factors that may have a negative impact of the health condition of the employees. Among the most significant factors affecting the organism of every employee involved in the manufacture of concrete-based products there are in particular noise, physical strain, operating position and vibrations. Among these most significant factors, I have concentrated on noise and vibrations in the selected manufacturing plant as the plant was equipped with a new automatic machine where everything is controlled and performed by means of controls and where physical strain or unacceptable working conditions are nearly missing. In the theoretical part of the thesis, I focused on the assessment of health hazard and the relating aspects concerning noise and vibrations and the effect thereof on human organism. The goal of the thesis was to formulate a hypothesis concerning the area of assessment of health hazards pertaining to the selected factors present in the working environment closely related to the working conditions attributable to the manufacture of concrete-based products in the selected manufacturing plant. Three hypotheses were formulated, the assessment of health hazards pertaining to factors relating to the working conditions concerned was performed, the works were classified into the categories prescribed by the applicable legal regulations and the precautionary measures aiming at the protection of the employees at work were proposed. The thesis was based on the application of a qualitative survey, using in particular the secondary data analysis methodology compiling study of specialist information sources, the applicable laws and by-laws and relevant reports. The values obtained by measurement were processed and subsequently compared with the sanitary limits prescribed by the applicable legal regulations. The hypotheses have been proven due to this methodology and the goals have been achieved. It has been confirmed that values exceeding limits imposed by the applicable legal regulations are present in the manufacturing plant concerned. Noise seems to be a more significant risk factor than vibrations here and the proposed precautionary measures should eliminate damage to health of the employees due to the effect of the working conditions concerned. In practice, this thesis can serve for the purpose of improvement of awareness in the area of health hazard arising from working conditions pertaining to manufacture of concrete-based products and improvement of efficiency of the precautionary measures taken.
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Profesional injuries of the graduate medical staff in the Ústecký region hospitals
KRÁTKÁ, Hana
The reason for choosing "Occupational Injuries of Medium-Level Medical Personnel in Hospitals in the Region of Ústí nad Labem" as the topic of my master's degree stems from the fact that I have already inquired into this topic in my bachelor's thesis. Work-related injuries of hospital nurses are an interesting and important issue. Therefore, my aim was to explore this currently very up-to-date and crucial topic in greater detail, to map the level of legislative knowledge among nurses working at hospitals in the Region of Ústí nad Labem, as well as to become familiar with the opinions of hospital head nurses in the region on this issue. Health care personnel face the daily risk of injury from used syringes and other sharp objects, which, in turn, pose a hazard for their exposure to infectious agents. More than 800,000 syringe injuries occur to over 800,000 health care personnel in the United States and to 100,000 in the United Kingdom every year. Of all health professionals, nurses are exposed to the highest risk of injury from used syringes and other sharp objects. The most frequent diseases associated with occupational injuries include hepatitis B, hepatitis C, and HIV/AIDS. Work-related and non-work related injuries from used syringes or other sharp objects contaminated with biological material are recorded and evaluated separately by regional hygiene stations. The first, theoretical part of the thesis describes the individual diseases associated with injuries from used syringes or other sharp objects, precautionary and repressive measures related to sharp object injuries, as well as valid legal regulations on occupational injuries. The second part of the thesis is dedicated to research and it provides an evaluation of questionnaires completed by nurses from hospitals in the Region of Ústí nad Labem. Furthermore, it presents an overview of secondary data on medical personnel injuries collected from annual reports of the Regional Hygiene Station in Ústí nad Labem, as well as an evaluation of interviews conducted with the hospital head nurses in the region. The results of the thesis will be communicated to the hospital head nurses in the region and/or to the head nurses of individual wards and departments, and they shall serve as the basis for further education of health professionals in the area of occupational injuries.
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Risk factors at public health work: differences among professions in non-medical fields
LAŠTOVKOVÁ, Marie
The paper focuses on health risk factors for non-medical healthcare workers, namely general nurses and radiology assistants. Factors which may have negative impacts on healthcare workers{\crq} health affect both physical and mental health. Factors such as toxic substances, biological radiation, infectious diseases and spine and joints overloading caused by the incorrect manipulation with patients can have negative impact on physical health. Both physical and mental health is affected by stress, as well as by workers{\crq} lifestyle and education. Healthcare workers who take care of patients must be in a good physical and mental shape in order to provide quality care. Therefore, the goal of healthcare workers themselves, as well as of their employer, should be obtaining sufficient information on work safety and hygienic measures and being able to use the information in practice - they should actively participate in prevention of health damage related to the performance of their profession. The first hypothesis {--} non-medical healthcare workers are informed about risk factors associated with the performance of their profession - was confirmed. The second hypothesis - there are differences in the presence of risk factors among non-medical healthcare workers - was also confirmed; differences in the occurrence of some risk factors are clearly visible. Different healthcare professions should therefore be approached in a targeted way, with respect to the type of workplace and job description of healthcare workers. The third hypothesis {--} non-medical healthcare workers comply with preventive measures preventing health damage - was not confirmed. One of the reasons why hypotheses 1 and 2 were confirmed may be the fact that increased attention has been paid to this topic recently - standards have been made, and consequently also targeted audits. These measures have usually a positive impact - healthcare workers have gradually realized that safety measures are not useless, and by obeying them, healthcare workers protect not only patient and their surrounding, but especially themselves.
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The significance of education in prevention of children´s injuries in home setting
BŘENDOVÁ, Marie
Abstract The significance of education in prevention of children´s injuries in home setting Constantly increasing number of children´s injuries and even fatal injuries, is a warning signal not only for professionals, but also for laymen. Statistics indicate that injuries have fatal results for 300 children every year and they are traditionally the most frequent cause of children´s death. There is a common, but widely spread opinion, that injuries simply occur, belong to a life, happen accidentally and there is no possibility to prevent from them. The aim of our work was to monitor information of parents about possibilities of preventive measurments from children´s injuries at the age from 0 {--} 6 years in a home. We wanted also to map out occurence of the most frequent injuries of children, to make educational lessons which would be aimed at recognized problemacy, the most frequently incident injuries and fulfilling the aims of qualified modern nursing care in a field of primary care. Relating to the above-mentioned we stated three following hypotheses: Hypothesis No.1: Parents are informed about possibilities of prevention from injuries of children at the age of 0 {--} 6 years in a home Hypothesis No.2: The most frequent causes of injuries in a home are falls and burns Hypothesis No.3: There is not elaborated educational process(lesson), which deals with prevention from burns and falls in detail We used a method of questionnaires for research of given problemacy. We monitored basic information with a pilot research of parents in a Parent Centre. On this basis we elaborated and administrated a questionnaire determined to other respondents from parents, who showed interest in taking part in our research. When we analyzed results from questionnaires, we drew a conclusion that parents have sufficient information about a prevention from children´s injuries, but they often approach to them carelessly and underestimate safety measurments in a home, which cannot result in a decrease of children´s accident frequency rate. Hypothesis No.1 was corroborated. The most frequent occured children´s injuries were falls and termic injuries in our research file. Hypothesis No. 2 was approved. We found out in analysis of results that respondents did not meet any possibility of taking part in repeated professionally lead actions about prevention from children´s injuries, in detail and specifically aimed at a serious problemacy of falls and children´s burns. Hypothesis No.3 was approved. The benefit of this work consists in practical use of our elaborated educational lesson, aimed at prevention from termic injuries and falls of children at the age of 0 {--} 6 years in a home, aimed at observation of preventive measurments by parents and learning basic procedures of providing effective first aid. This work should be also suggestive for paediatric nurses and also for experts whose branch is providing primary aid in a field, but also for nurses working in paediatric wards in hospitals, in a field of secondary care. When nurses in this type of ward realize an educational lesson aimed at prevention from termic injuries and falls, it will be significant not only for them, but also it contributes for improvement of medical care and fulfilling aims of modern nursing. This work can be also used for study purposes and it can help students who deal with study of nursing, but it can be also used by students dealing with problemacy of medical-social prevention also in other branches in the framework of their study.
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