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Specifics of nursing care of a child patiens with oncological pain.
ČAŇKOVÁ, Helena
The topic of the thesis is: Specifics of nursing care of a child patient with oncologic pain. Children{\crq}s pain is a phenomenon surrounded by many myths and false information. It is also not sufficiently assessed and treated and often bagatelized by both nurses and doctors. Nurses play irreplaceable role in pain treatment, they are with the child patient more frequently then the doctor and are in close touch with the child{\crq}s parents. The care of a suffering child is a serious task in nursing. Treatment of a patient in pains requires a complex, holistic approach. Nurses, even if they diagnose pain properly, do not set an adequate nursing care plan and do not carry it out. Nurses have to defend interests of the sick child and must not let him/her suffer. The data was obtained by quantitative and qualitative research. The quantitative research was carried out by the technique of anonymous questionnaire. The questionnaire was made for the parents of children with oncologic disease. The qualitative research was carried out by the technique of semi-structured in-depth interview. The research sample consisted of nurses working at the Department of children{\crq}s oncology One of the aims of this thesis was to outline the problems in nursing care of a child patient with oncologic pain from the point of view of the parents. We observed if the parents had been informed about their child{\crq}s pain, if they know what symptoms they should watch in their child, if they know all the aspects of pain to be assessed and treatment methods to relieve the pain and also how nurses respond to their child{\crq}s pain. For this aim, a following hypothesis has been set forth: The parents of children patients with oncologic pain are educated about the possibilities of nursing care focused on relieving the pain. This hypothesis was confirmed by statistic testing. Another aim of this thesis was to find out the specifics of nursing care of a child patient with oncologic pain. Nurses think that the specifics of nursing care of a child patient with oncologic pain are not different from any other care of a child in pains. They just state that an oncologic disease is associated with pains caused by the disease itself or by diagnostic or therapeutic procedures. Therefore they consider a specific feature the fact that the pain is observed more intensively and the staff is more precise in relieving the pain. It is obvious from the research that it would be effective for both parties, both for the nurses and the parents, to use educational materials on pain intended for them. I suppose that if there were such materials available, the parents would not need to contact nurses repeatedly. There was also a positive finding in the research that 92.5% of parents stated that nurses respond to children{\crq}s pain within 10 minutes. Further, that nurses believe that the child has pains, which was stated by 98.2% of the parents.
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Arctic tundra dendrochronology
Lehejček, Jiří ; Svoboda, Miroslav (advisor) ; Monika, Monika (referee)
Historically unprecedented environmental change in the Arctic ecosystems is often given into the context of its past and possible future development. In the region where instrumental meteorological observations are scarce archives need to be investigated in order to address this issues. The comprehensive synthesis one of the archives: long-live circumpolar evergreen Juniperus communis L. shrub is presented here. 20 individuals from southwest Greenland were investigated at the cell anatomy level to understand the ecology of the species and unhide its potential for environmental and climate reconstructions. The findings are as follows:
i) Stop of exponential cross-sectional conduit-lumen widening with increasing age is in contrast with conduit-lumen nature of trees. This indicates that shrubs do not need to saturate their water and nutrient demands via traits of classical hydraulic conductivity law but rather developed different mechanisms. Extreme weather conditions result in prostrate growth form. However, different weather factors probably influence shrub growth differently: While snow and wind act mechanically (a), temperature influences the form of growth physiologically (b). a) So long as the young shrub stem has high resilience to bend back to an upright position after snow melt and so long as it can withstand the wind during the vegetation season it most likely grows upright and the conduit-lumens widen. b) Temperature, resp. freeze-thaw events are responsible for the shrubs preference of safety (finite size of conduit-lumens) over hydraulic efficiency, thus not allowing for more primary growth. All of these (and other) factors are apparently working together and the transition of vertical to more horizontal growth is gradual. As a consequence, the conduit-lumen sizes may not have to be further increased (due to ecophysiological restrictions possibly also must not) because water is no longer transported against gravity.
ii) Observed age/growth trend has to be taken into consideration for further employment of the wood anatomical parameter in paleoenvironmental studies. That is, shrub cell parameters can only be used for this purposes if correctly detrended. This allows for more accurate as well as longer reconstructions because youth trend was often neglected in reconstructions based on shrub annual-rings.
iii) The south-western Greenland Ice-Sheet (GrIS) melt rates reconstruction is presented for the whole 20th century. This part of GrIS is considered as the most active. According to the presented reconstruction current GrIS melt rates are not uncommon for the last century being comparable to first decades of 20th century. This finding is particularly important contribution to the debate on Atlantic meridional overturning circulation (AMOC). Too high fresh water inputs into the Northern Atlantic from GrIS melting may slow down or even stop the AMOC which would result in more continental climate in Europe. Presented results indicate that this threshold lies higher than observed current melt rates of GrIS.
Fascinating Juniperus comunnis species has shown to be able to address many ecological as well as environmental open questions and due to its longevity and abundant distribution has a great potential to become an important player in the Arctic research.
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Antimicrobial activity of cobalt bis(dicarbollide) aminoderivatives
Kvasničková, E. ; Masák, J. ; Šícha, Václav
We carried out experiments focused on the determination of the antimicrobial acitivity of selected representatives of cobalt bis{dicarbollide) aminoderivates. lt was proved, that studied yeast strain C. parapsilosis DBM 2165 is not sensitive to the cobalt bis{dicarbollide) or its aminoderivatives. Gram-negative bacteria P. aeruginosa B-59188 is weakly susceptive to cobalt bis(dicarbollide), but no significant inhibition of growth by cobalt bis(dicarbollide) aminoderivatives was observed. The highest effect on inhibition of microbial growth was confirmed in the case of gram-positive bacteria 5. aureus. This observation demonstrates the real possibility of using these substances in the treatment of infection caused by gram-positive bacterial strains.
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A nursing issue: peripheral venous catheter
TOMÁNKOVÁ NOVÁKOVÁ, Monika
Peripheral venous catheter is used to access the venous system. It is one of the most commonly used invasive procedures in health care facilities. This procedure falls within the competence and daily tasks of nurses. Therefore this type of nursing care is susceptible to risk of proceeding routinely which might result in conscious or unconscious errors. Peripheral venous catheter needs to be introduced into the patient's vein in the following cases: planned parenteral nutrition, infusion or transfusion therapy, application of intravascular medication or contrast media, rehydration, blood sampling (which can be performed immediately after introducing the peripheral venous catheter and before administrating medication) and also during an emergency care for critically ill (such as cardiopulmonary resuscitation). Nurses should be as knowledgeable as possible about this issue so that the peripheral venous catheter can be introduced well and fulfil its purpose. It is important to ensure that nurses obtain all the necessary information about their patients before inserting the catheter and that they are able to properly inform the patients about the procedure and to communicate with them. Next, nurses should be familiar with the correct procedure for inserting catheters, they should be informed about possible contraindications and know how to choose the correct type of catheter as well as where to place it. Furthermore, nurses should care for this vascular access correctly and provide the patient with enough information about taking care of the catheter after the procedure. Finally, nurses should be aware of their own potential errors and also of possible complications. Therefore they should employ aseptic technique so that they can eliminate nosocomial infections. The thesis is divided into a theoretical and an empirical part. The theoretical part focuses on the history of peripheral venous catheters and their types, indications and contraindications, necessary equipment, nursing care, complications, etc. The empirical part consists of a research. The aim of the thesis was to map the use of peripheral venous catheters in hospitals as well as to identify factors that may lead to problems among the patients with peripheral venous catheters. Four research questions were assigned to these aims. 1. What is the procedure prior to inserting a peripheral venous catheter? 2. What are the standards of caring for patients with an inserted peripheral venous catheter? 3. In which steps of caring for peripheral venous catheters do the nurses lack knowledge? What equipment do the nurses prepare in order to insert a peripheral venous catheter? The Bachelor's thesis was conducted using a qualitative research survey. The methods of collecting data included semi-structured interviews and participant observations. The research was carried out only in one hospital ward and it was anonymous. First, the data were collected by means of a semi-structured interview. The nurses were asked 14 questions (see Appendix 8). During this interview, several more subquestions were added. The results of the interviews were then grouped into several categories for the sake of clarity. The second method of collecting data was participant observation. The observed facts were recorded into an observation sheet (see Appendix 9). The same nurses who were interviewed were also observed. This Bachelor's thesis has been written in order to provide a basic overview of the peripheral venous catheters. It could be used as an information source for more experienced as well as novice nurses. The practical output of this Bachelor's thesis is a nursing care standard concerning peripheral venous catheters. This standard was missing in the hospital ward and could help the nurses to take care of these vascular accesses, to proceed correctly and eliminate possible errors (see Appendix10).
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Performance recording in Charolais beef herd
Jelínek, Petr ; Toušová, Renata (advisor) ; Petr, Petr (referee)
Summary
In this thesis I dealt with verification of performance of beef cattle Charolais Breed on farm: Chov Charolais spol. s r. o. Slabce. The main objective of my diploma work was to assess the growth abilities of calves Charolais breed from birth till weaning in relation to various factors, for instance: gender, order of calving, number of born calves during one calving, month and year of the birth on the respective farm. The relevant data was assessed for the period of years 2012 - 2015. In this period there was born 324 calves of which 162 bulls, 153 heifers and 9 still born calves. The assessment of calf's growth characteristics was related to the average birthweight, average gain from birth to 120 days, and average weight at the age of 120 and 210 days. For the evaluation of calf's growth characteristics was used data gained from the database of performance testing of beef cattle (KUMP) for the given period. Growth parameters related to selected factors were processed with the use of statistical software SAS 9.3 (SAS 9.3, 2011).
The average weight of young bulls at birth was 33,58 kg and average weight of heifers was 32,99 kg. The average weight of bulls at the age of 120 days was 183,66 kg and the average weight of heifers was 175,58 kg which was demonstrated to be statistically significant (P < 0,01). The average weight of bulls at the age of 210 days was 288,28 kg which is again higher than heifers with average weight of 264,21 kg (P < 0,05). To summarize, there was identified statistically significant difference of the gender influence in behalf of bulls.
After comparison of average weight at birth, at the age of 120 and 210 days separately for twins and an only child, there is obvious and also statistically significant finding (P < 0,01) that the observed twins are usually smaller at birth and their growth abilities are worse than that of only child. The average weight at birth for an only child is about 4,48 kg higher compared to twins. Then the average weight at the age of 120 days for an only child is about 38,68 kg higher than average weight of twings. Finally the average weight at the age of 210 days is about 58,26 kg higher for an only child.
Regarding to the influence of order of calving there was identified no significant effect to both average birth weight and weight at the age of 210 days. The only statistical significance was identified between order of calving and the average weight at the age of 120 days in 1st, 2nd, 5th, 7th, 10th order of calving (P < 0,05). Further I found out that calves in the 1st order of calving have significantly lower average weight from the 1st calving mothers at the age of 120 days than the calves in the 2nd, 5th, 7th, 10th order of calving. The average weight of calves at the age of 120 days is about 9,29 kg lower than weight of calves in the 2nd order of calving. On the other hand the average weight of calves at the age of 120 days in the 5th order of calving is about 18,37 kg higher than weight of calves in the 1st order of calving. Similarly, calves in the 7th order of calving have about 13,63 kg higher weight than calves from the 1st calving mothers. And also calves at the age of 120 days in the 10th order of calving have about 15,78 kg higher weight than calves from the 1st calving mothers.
In respect of influence of year of birth was identified statistically significant different level (P < 0,01) of the average birthweight in year 2013 compared to other years. Similarly there was demonstrated the statistically significant difference (P < 0,01) regarding to the average gain from birth in year 2013 compared to other years. The average birthweight in 2013 was 34,91 kg. The lowest average birthweight of 31,65 kg was observed in 2015. And for instance in 2012 the average birthweight was 32,48 kg which is still about 2,43 kg lower than in 2013. Regarding the evaluation of the average gain from birth till the age of 120 days there was only reported value of 1046,78 g in 2013. The best year regarding the average gain from birth till the age of 120 days was year 2014 which represented value of 1214,37 g.
In the observed breed there took place births predominantly from January till June. Regarding the month of birth there was demonstrated statistically significant difference (P < 0,05) in respect of average birthweight of calves born in May 31,98 kg compared calves born in February 32,55 kg and in March 33,07 kg. Further was identified statistically significant difference regarding the average gain from birth for calves born in June 995,28 g compared to calves born in February 1197,87 g (P < 0,01). Similarly in March was reported value of 1181,18 g (P < 0,05). The last statistically significant difference (P < 0,01) was identified in respect of average weight at the age of 210 days of calves born in May 199,55 kg and in June 201 kg in comparison to calves born in January 282,05 kg, in February 284,65 kg, in March 277,21 kg and in April 277,76 kg. To conclude, based on the statistical analysis, conclusive results and literary sources there had been confirmed hypothesis that internal factors positively affect the growth abilities of calves.
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Gas exchange characteristics in relation to genotypes in spinach (Spinacia oleracea) under water stress
Helebrantová, Aneta ; Hnilička, František (advisor) ; Pazderů, Kateřina (referee)
The bachelors dissertation was compiled on theme of: Gas exchange characteristics in relation to genotypes in spinach (Spinacia oleracea) under water stress.
Spinach (Spinacia oleracea) is, similarly as the others leaf vegetables, difficult crop in terms of providing the sufficient level of moisture, therefore the attention is drawn to the varieties of spinach which are resistant to the water stress. Thus the target of cultivation is to find plant which will be resistance to influence of the water stress.
In climabox of department of botanics and physiology was founded experiment with three species of spinach: Misano F1, Monores a Matador. The temperature mode was set to 21 °C during the day and 17 °C during the night. The light mode was set to 16 hours of light and 8 hours of dark per day. Maximum light level in climabox was 800 micromole. The plants were cultivated in 4 recurrences, diagram of experiment is involving two variants: control and stress. The plants in control variant were cultivated in substrate, which was irrigated during the whole time of experiment by 250 ml of water. For the plants in stress variant the supply of water was suspended for 10 days and the substrate was naturally continuously dehydrating. After 10 days the water supply was restored (rehydration) for plants in stress variant, same as level of control variant. The observation was made for the speed of gas exchange (photosynthesis and transpiration) in two-day interval. The speed of gas exchange was measured on leaf area with infrared gasometric gas analyzer Lpro+ (ADC Bioscientific, Hodeson, UK). Measured was conducted in morning hours according. Based on the measured values of photosynthesis and transpiration we calculated water usage effectiveness (WUE).
Based on obtained results is evident that the highest average speed of photosynthesis in control variant was observed at variety of Monores (12,10 micromole CO2.m-2.s-1) and lowest at variety Misano (11,58 micromole CO2.m-2.s-1). The highest average speed of photosynthesis in stress variant was measured at variety of Matador (9,43 micromole CO2.m-2.s-1) and lowest at variety Monores (8,76 micromole CO2.m-2.s-1). There was observed decrease of photosynthesis for each of variety during the water stress.
The highest average values of transpiration were observed at variety Monores (1,97 mmol H2O.m-2.s-1), lowest at variety Matador (1,68 mmol H2O.m-2.s-1). Stressed variety Misano reached level of photosynthesis 1,82 mmol H2O.m-2.s-1. Control variety Matador reached speed of transpiration 1,54 mmol H2O.m-2.s-1 and variety Monores 1,85 mmol H2O.m-2.s-1.Variety Misano was on same level of control variant as stress variant.
The most sensitively reacted variety Monores, which usage of water was 4,43 (10-3). Variety Matador managed the stress well, the usage of water was 5,60 (10-3).
Obtained results confirmed hypothesis of genotype differences depending on water deficit, thus there are differences between gas exchange and WUE in control and stress plants.
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A reaction of grassland to application of liquid fertilizer DAM 390
Netřebová, Lucie ; Hrevušová, Zuzana (advisor) ; Jiří, Jiří (referee)
This theses summarizes results obtained from studying of one-year experimental pot of permanent grassland which was established in Vítězná - Záboří in 2015. There has been observed 4 levels of nitrogen fertilization on the meadow plot (without fertilizing, 30 kg N.ha-1, 60 kg N.ha-1 and 90 survey was influence of nitrogen on the change in species richness by using weight share representation of individual agrobotanical groups in the stand (grasses, legumes, other forbs).
Results of this experiment were considerable affected by unfavourable weather events in the observed year. We should bear in mind the short time of this experiment. Positive unofficial effect of nitrogen on higher yield of above-ground biomass was recorded, especially by using 30 kg N.ha-1 and 60 kg N.ha-1. There is an exception at using 90 kg N.ha-1 with yield off balance. From the perspective of infuence of nitrogen on changes of species richness the increasing of doses of fertilizing has shown especially in increase proportion of grasses while present retreating herbs in the species composition of the reference stand. However results of experiment are not statistically different. We can not confirm studies which state decrease proportion of legumes in the grassland due to nitrogen fertilization from results of this experiment.
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Evaluation of growth and fertility in chosen columnar apple-tree varieties
Brázdová, Ludmila ; Zíka, Lukáš (advisor) ; Súkeníková, Tereza (referee)
This paper deals with the evaluation of growth and fertility in selected apple varieties. I will discuss the range of columnar apple trees, which represent a further step in the development of growing shapes. Eleven different varieties grafted onto two different rootstocks was assessed. Planting was establish in the spring of 2013, the clamp 3 x 0,8 m. The trees were planted as a two-year vaccinees.
The aim of the study was to evaluate and compare the increase in trunk diameter, the intensity of growth and yield of selected columnar apple varieties, before and after the end of their vegetation. It was necessary to evaluate the cross-sectional area strain in (cm2), increase in cross-sectional area strain in (cm2), average fruit weight (g), crown height (m), absolute yield (kg) per tree, specific yield on (cm2) cross-sectional area, yield (kg) on increase in area strain, area yield (t / ha) and specific yield on the crown height (kg / m).
In the theoretical part I will deal with the history of apple growing and growing development of various shapes, characteristics of apple trees, their significance and composition. Further I will discuss demands on the growing the apple tree and its treating. At the same time I will mention the major diseases and pests. At the end of this part I will describe harvesting methods and proper storage.
The practical part is focused on the experiment itself and its subsequent evaluation. I will mention the location and characteristics of the habitat where the apple tree grew. I will describe specific columnar varieties and rootstocks used. I will characterize the specific location of the varieties grown and the activities that were implemented during the evaluation period of the experiment.
In conclusion, the results have been evaluated, to which I arrived during the entire measurements. This part contains the observed values displayed in two tables. For a better overview of the data obtained and the results they are displayed graphically. At the end there is a complete summary of the whole work.
For the most of the results it has been proved that a base affects the intensity of growth and yield. The biggest growth area strain (cm2) had a variety 'Cumulus' on rootstock M 26, but on the rootstock M 9 the increase was significantly lower. When assessing absolute yield the highest values were observed in a variety 'Red Spring' on rootstock M 26, followed by the yield of variety 'Slendera' on rootstock M 26. The lowest yield was observed in cultivar 'Cumulus' on M 9. In these cases, we can confirm the influence of rootstock of variety. When evaluating the specific yield on increase strain the highest yield was at varieties 'Red Spring' on M 26, followed by a variety 'Slendera', where the yield was greater on the rootstock M 9. Here it is impossible to unequivocally confirm that the rootstock M 26 has a higher yield than the rootstock M 9.
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Orangutans breeding and factors affecting their reproduction in captivity and in the wild
Kalkušová, Olga ; Kubík, Štěpán (advisor) ; Burešová, Eva (referee)
Information concerning orangutans living in the wild and the issue of their breeding has been summarized within the framework of this thesis. Orangutans in their natural habitats in tropical rainforests of Sumatra and Borneo are not subjected to the same influences as those bred in captivity. Their reproduction thus differs in certain aspects. Reproduction of orangutans in the wild is strongly influenced by their solitary way of life. Females are accompanied only by their young or eventually by other females and according to the studies they seek contact with males only in their period of rut. The contact is then limited to a period of time needed for copulation. One exception to this behaviour may be couples with juvenile males. After birth, the female looks after the young male for up to 8 years, having no rut during this period. The cycle of females living in the wild also shows dependency on the availability of food supply. Negative energy balance during which the cycle stops has been observed during periods of food scarcity. In the following period with abundance of food, the cycle is renewed again. The cycle renewal also occurs in cases when the female loses her young. As a consequence of these reproductive limitations females may give birth to 4 young at maximum in their life.
Guidelines have been drawn up for breeding in zoos which regulate the conditions and suitability of the exhibits so that they meet the orangutans needs. Their natural mental and physical activity is related to their health and natural behaviour. However, despite all efforts the zoos cannot provide the same conditions to the orangutans as those they would have in the wild. The forced increased socialization and contact with other individuals held in captivity may bring stress, stereotype behaviour and associated health problems which are rather frequent with orangutans bred in captivity.
According to the records in the pedigree books, the age of first reproduction and the interval between births were shorter in case of females kept in captivity. Even the keeping of males and females in one exhibit increases the probability of copulation and becoming pregnant. These changes also entail certain risks according to the studies. Breeding in captivity embodies higher mortality rate of young and adult animals. This is probably caused by young age of females at the birth and short intervals between births which are often shorter than 4 years. Females born in captivity also lack experience which they gain in the wild by learning and observing and are not able to take care of their young or refuse it later. Even females that got pregnant between the age of 11 and 14 have been described. However, such pregnancy poses a great risk for females and they die soon after birth or live much shorter. Young orangutans born in captivity were often taken away from their mothers. It is not very suitable on the one side, but on the other side, after having their young taken away from them, the females started a new, full-fledged cycle in a few weeks and could become pregnant again. However, as direct care of the young by humans has a negative effect, the young are often given back to their mothers which is successful in many cases.
Orangutans have been studied for more than 40 years and a lot of things concerning their breeding in captivity have changed during this time. Zoological gardens are trying to provide the orangutans as natural conditions as possible. It is necessary for the exhibits and the enrichment to provide enough physical and mental activities to the orangutans. Despite these efforts, the limited space and the related contacts between individuals may bring stressful situations. These are then manifested in the behaviour and health of the orangutans.
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