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The role of the nurse is to aid in the improvement of the quality of life for children who have been through meningitis
ŠPAČKOVÁ, Jana
The role of the nurse is to aid in the improvement of the quality of life for children who have been through meningitis. In recent years, the issue of quality of life has become of interest in many disciplines and the general public. In health care, the quality of life is known as HRQoL - Health Related Quality of Life - loosely translated as ?the quality of life related to health?. The term of ?diagnostic quality of life in children and adolescents? is primarily used for the area of professional health care and it is an important indicator of disease severity and the outcomes of provided care. The objective of this thesis was to assess the quality of life of children who have been through meningitis, to identify the main areas in which the quality of life of these children is reduced, and to suggest nursing interventions aimed at improvements. The data collection took place in the period November 2009 - June 2010 at the Clinic for Childhood Infectious Diseases, University Hospital Brno. A qualitative research used the technique of studying written documents and, subsequently, non-standardized in-depth interviews with respondents were carried out. Prior the beginning of the qualitative survey, five research questions were established. Question 1: What kind of care and what interventions do children expect from nurses? Question 2: What kind of care and what interventions do parents expect from nurses? Question 3: How to evaluate subjectively the quality of children?s? life after meningitis as compared to the state prior the disease? Question 4: How do parents see the quality of life of their child after meningitis as compared to the state prior the disease? Question 5: In which areas is the quality of children?s life reduced most? Question 6: What nursing interventions can help nurses to improve the children?s lives? All of the questions were answered using a quantitative research method involving a standardized questionnaire named ?HEALTH AND SATISFACTION QUESTIONNAIRE?. This questionnaire is used in the project ?QOLOP? ? Quality of Life Longitudinal Study of Paediatric Oncology Patients. Hypothesis H 1 was defined prior the start of the quantitative research: The quality of life of children who have been through meningitis is lower than in healthy children. This hypothesis was not confirmed. It is clear, from what has been mentioned above, that the objective of this thesis has been met. This project will be useful in practice. The generated ?Algorithm of Initial Care for a Child with Meningitis? and ?Subsequent Care of a Child with Meningitis? should help nurses orientate and identify the basic needs of children with this disease. Moreover, this thesis can be used as a theoretical basis for the education of nursing students.
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The need for security and safety in connection with a planned surgery with the patient's perspective and nurses
BOHDALOVÁ, Jaroslava
A planned operation performance always affects patient´s needs for assurance and safety. It is important to provide necessary information connected with the planned operation performance itself so that the patient can feel assure and safe. The key role for the patient and her/his needs for assurance and safety is in general nurse´s hands because she is the closest person to the patient and can help to inspire her/his needs for assurance and safety with konfidence best through the aid of her knowledge and skills that she should have as well as through the aid of her attitudes. The target of the thesis was to find out how a planned operation performance affects patient´s needs for assurance and safety and how a general nurse inspires patient´s needs for assurance and safety connected with a planned operation performance with confidence. The following research questions were stated: How does a planned operation performance affect patient´s needs for assurance and safety? How does a general nurse affect patient´s needs for assurance and safety connected with a planned operation performance to inspire her/him with confidence? What is insufficient in filling patient´s needs for assurance and safety before a planned operation performance? How can a general nurse help a patient control her/his fear and state of anxiety related to a planned operation performance? The method qualitative research with the use of depth interview was used to figure out the investigation. The respondents were willing to record the interview which were verbally rewritten and then subjected to the contents analysis by the method paper and pencil. From the research it is clear that a planned operation performance affects patient´s needs for assurance and safety in a negative way disregarding to her/his previous experience. Patient´s worries and negative feelings can be eliminated by a general nurse who treats her/him as equal, taking up an individual approach, informing her/him about all performances and proceedings, having a calming and welcoming way of communication, using empathy and listening as well as trying to meet patient´s wishes according to her possibilities. The research reveals the advantage of patients´ readiness for planned operation performances. Patients can learn it in the framework of educational proceeding in the out-patients´ department at the same time when they learn that they are going to be operated. The research also shows that general nurses do not have enough knowledge in the sphere of therapeutical communication. The results indicate that it would be suitable to start educating patients as soon as it is known how their disease will be solved and treated in order to reduce the negative impact of surgical treatment to patients´ needs for assurance and safety. General nurses should complete their knowledge and skills to be able to help patients to cope with their difficult life-situation. On the basis of the research investigation and after the consultation with the senior nursing officer, the training course will be organized. The topic of the training course will concentrate on communication with patients before planned operation performances with a view to therapeutical communications and therapeutical interviews. Other discovered facts, for example, the lack of information provided to patients and possibilities regarding better patients´ readiness for planned operation performances will surely be solved by the hospital management.
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NATURE AND THE CITY AS A SPECIFIC ENVIRONMENT FOR THE ORGANIZATION LEISURE ACTIVITES
KORYTÁROVÁ, Milena
This essay deals with the impact of enviroment on work of leisure time teacher. Discusses his activities in organizing games in different environments and under different conditions, the need for flexible thinking and ability to lead a group, so as thorough preparation that is necessary to achieve maximum experience. Further it closely analyse preparation and process of game affected by different enviroment in practice.
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Parasitofauna of Reptiles of Europe
ŽÍDEK, Jakub
This thesis presents the most comprehensive historical overwiev of reptile parasites living in Europe, including basic taxonomic information, the known geographic range, host range and important references. Data needed to create a host-parasite list was obtained from scientific articles. In the present work are recorded parasites of the Eropean reptiles throughout their entire range. Moreover was created a comprehensive list of the European herpetofauna that were still incomplete, including threat status and endemic species.
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Mutual Solubilities of Ammonium-Based Ionic Liquids with Water and with Water/Methanol Mixture
Machanová, Karolina ; Jacquemin, J. ; Wagner, Zdeněk ; Bendová, Magdalena
This work presents a study on solubility in water and in water/methanol mixture of a set of ILs composed of the bi (trifluoromethylsulfonyl)imide anion and of the N-alkyl-triethyl-ammonium cation (abbrev. [NR222][NTf2]) with the alkyl chain R ranging from 6 to 14 carbons. These ILs were successfully tested for enantioselective hydrogenation of β-ketoesters catalyzed by the chiral complex Ru-BINAP in presence of methanol [1]. From which, it appears that these ILs immobilise the catalyst in the mixture for easier recycling and further re-use and protect it from air/oxygen. The final separation of the product is carried out by rinsing the solution with water, which may also wash out the ILs with catalyst. For this reason, mutual solubilities between ILs and water, as well as between ILs and methanol/water mixture need to be investigated in detail.
Fulltext: content.csg -  PDF
Plný tet: SKMBT_C22012102414102 - PDF
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Comparison of service offerings and their impact on local development in selected areas - Novohradsko and Veselsko
HŘIBOVÁ, Jitka
The work deals with the explanation of services and their impact on local development. It focuses on the analysis of the services offered in two areas surveyed on the Novohradsko and Veselsko. This is the assessment of supply and quality of services to the needs of the population and visitors. Based on the results relating to the service offerings are designed measures in each area would be improved and expanded range of services. To develop these services are designed to further the possibility of drawing money from funds of the European Union.
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Beekeeping as leisure activities and its share in personality and social education of children and young people
CAFOURKOVÁ, Marie
The thesis focuses on a beekeeping hobby group as a leisure-time activity which not only develops and deepens interest in a specific area, but also focuses on the development of social and personal skills and competencies which are needed not only for future work in beekeeping, but also for solving difficult situations in the working life and in the personal life of children and the youth. The theoretical part describes key terms needed for understanding the following part of the thesis. It also characterizes beekeeping hobby groups in general. The source of information in this part are two questionnaires. The first one was sent out by the leader of a beekeeping hobby group, Mr Oldřich Suchohradský, in 2011, the second one was sent out by the present author a year later. The last chapter of the theoretical part, which is also the last chapter of this bachelor thesis, describes the structure of a number of selected meetings of a particular beekeeping hobby group ? they are described in greater detail in the appendices. In the practical part (in the individual appendices), the present author attempts to present a methodical instrument for leaders of beekeeping hobby groups. Its main concern are the basic skills and competencies belonging to personal and social education. This methodological section has two parts. The first part briefly describes the skills and competencies which were the focus of the selected meetings. The latter part deals with the place of the particular skills and competencies in the programme of a hobby group. It presents model meetings of a beekeeping hobby group which are structured so as to facilitate both the the transfer of beekeeping skills and competencies and the development of personal and social competencies. The main goal of using these model meetings is to enable a beekeeping hobby group to facilitate, supplement and deepen the development of the individual components of a child?s personality.
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In vitro expansion and activation of natural killer cells for cell therapy.
BENEŠOVÁ, Monika
NK cells are part of the non-specific immune response and are one of the main components of antitumor immunity. They do not need antigen stimul for thein activation but recognize damaged ( transformed ) cells by characteristic decreased expression of MHC I molecules. These natural killers become subjekt of many clinical studies based on the use of anti-tumor activity of NK cells for both solid tumors and in hemato - oncological diseases. The aim of this study was to find optimal conditions for in vitro expansion and activation of NK cells. NK cells were isolated from mononuclear cell fraction by magnetic separation and cultured in two types of media SCGM and X - VIVO 10 with the addition of interleukin-2 respectively OKT3 antibody. The influence of the mononuclear cells on proliferation of NK cells was tested. After a 6- day culture , the cells were passaged and growth of NK cells was determined using hematological analyzer and flow cytometry. Expression of the activation markers CD25 and CD336 (NKp44) was observed. All experiments were conducted under conditions of good manufacturing practice. Slightly higher gain of NK cells was observed in SCGM media without a significant differences in the other additives. Much higher number of NK cells was observed in culture with supporting irradiated mononuclear cells. There were no differences in cultures with autologous or allogeneic cells. We found that NK cells with higher proliferative potential express increasingly CD25, unlike the cells with decreased proliferation which had increased expression of CD336 marker. The work led to the definition of the optimal culture conditions for NK cells and became the basis for the further development of the medicinal product from in vitro activated NK cells.
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