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Awareness of women about nutrition problems such as breast cancer prevention
STAŇKOVÁ, Denisa
This thesis focuses on the awareness of women of the nutrition issue as the prevention of breast cancer. The aim of this thesis is to find out whether the women have enough information about nutrition and life style as the prevention of breast carcinoma, where they look for information, if they are interested in this issue and whether they consume food that could work as the prevention. Another goal is to detect possible differences in the attitude to the prevention between women without the potential risk and women with the increased risk, i.e. women over 45. Research questions were determined as follows: "What is the knowledge of women about the issues of nutrition as the prevention of breast cancer?", "What is the proportion of the food that has preventive effect on the rise of breast carcinoma and, on the contrary, the food that supports the tumour growth in the eating habits of women?", "Where do women get information on this issue?", "What is the difference in awareness and consumption of food between women without the potential risk and women with the increased risk, i.e. over 45. The thesis is divided into two parts, a theoretical and a practical one. In the theoretical part I focus on the breast anatomy, basic information on breast cancer and risk factors that are divided into influenceble ones and non-influenceble ones. In the most extensive part of my thesis focuses on the influenceble factors, that is nutrition and life style. I focus especially on nutriments, food and other life style factors that are most connected with breast cancer and have antitumour effects or, conversely, support the tumour growth. The practical part was made by means of a questionnaire which I placed on the Internet and handed out in the waiting room at the general practitioner. The questionnaire was anonymous with 34 questions of a closed and semi-enclosed type. Questions concerned nutrition and life style in relation to the risk of breast cancer and were devised to answer previously defined research questions. The questionnaire survey took place in January and February 2013. I acquired 105 filled in questionnaires from which I randomly chose 86 to obtain two numerously equal groups of women without the potential risk and with the increased risk, i.e. over 45. The result of the research part is that women do not have much information on the life style in connection with the breast cancer. Some respondents, while selecting food with preventive effect, were only guessing and often also marked food which was not related to the breast carcinoma at all. About one third of the respondents even believe that nutrition and other factors are not related to this disease at all. One third of the respondents also stated that they had no interest in learning more information on this issue. Women that have some information usually get it from the magazines and from the Internet. In terms of eating habits, the food of most respondents does not reach the needed quantity to have preventive effects. On the other hand, the food and drinks that support tumour growth do not occur on the menu of the respondents very often. While comparing answers of the women younger 45 and the older group of respondents, it was found out that the younger respondents showed greater unawareness of this issue. No significant differences were recorded in other questions. The results of the survey are graphically processed and evaluated in the final part of this thesis. I suppose this thesis is the contribution to clarifying the current situation of this issue. I believe that the topic of my thesis is up-to-date and that I managed to summarize the most significant information regarding this topic and fulfil the aims I set down. I would be very glad if my work led to the contemplation of this issue and subsequently to a more extensive propagation of the breast cancer prevention.
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Gates - Sound instalation as an intersection of intermedia paradigms
Rataj, Jakub ; BARTOŇ, Hanuš (advisor) ; TROJAN, Jan (referee)
This work treats about the permeation of three spheres (sound instalation, soundscape and physical computing) and their influence for creating a proper piece of art ? sound instalation The Gates. First I treat about the sound instalation from different points of view ? historical context, the work with time, sound and space, technical and visual elaboration. In the end of the first part I describe the concept of my own sound instalation The Gates. In the second part I treat about the concept of soundscape and its influence for selecting the sound material. The last part treats about physical computing as an instrument for the realization of the sound instalation The Gates and as an instrument for enlarging the possibilities of the intermedial synthesis in a more general point of view.
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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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Comparison of intercultural competences of nursing staff in the Czech Republic and German-speaking areas
TÝLEOVÁ, Tereza
The increasing migration of population in the 21 century causes development of multicultural societies. With the increasing number of foreigners in individual countries it is possible to also presume an increasing number of patients/clients from different cultures in medical facilities. These facts require modern attitude to nursing, developing of transcultural nursing, implementing multi- and transcultural education in the health care education and propagation of multicultural conception of nursing between the nursing personnel. The result of these necessary changes should be the ability to provide effective nursing care which is culturally adjusted to the patient/client that would also take their specifics, customs and traditions of their culture into account and that would saturate all their biological, psychological, social and spiritual needs according to their race, nationality or belief. This thesis deals with multicultural nursing and confronts cultural competence of the nursing staff in Czech Republic with that in German-speaking countries. This thesis aim is to state the level of multicultural competence of the nursing staff and explore conditions provided to the nursing personnel of the hospital for giving culturally adapted care to patients-foreigners. The results of the research give an overview of the state of culturally competent care in comparable medical facilities in Czech Republic, Germany, Austria and Switzerland. They will also give a feedback to the questioned hospitals. Such information may alert their management to possible lack of knowledge of their nursing personnel and help them direct its further education. The theoretical part of the theses defines the basic concepts regarding culture, ethnic groups, race or nation, formulates the difference between the terms "multicultural" and "transcultural" nursing, multicultural education and culturally competent care, compile the most common sections of specific cultural needs of the individuals. In short it also processes J. Campinha-Bacote's model of cultural competence in health care delivery, the Papadopoulos, Tilki and Taylor Model for developing cultural competence and the Purnell Model for cultural competence. It also shortly deals with nursing frameworks for acquiring cultural data, such as the Sunrise model from M. Leininger, the Giger and Davidhizar Transcultural assessment model and Bloch's ethnic/cultural assessment guide. The empirical part processes and evaluates data obtained during the quantitative research. The accumulation of the data was conducted through anonymous questionnaires that were distributed between the nursing personnel of internal and surgical wards of the hospitals in Czech Republic and in German-speaking countries. In Czech Republic these were hospitals in Prague and in Tábor, in Germany a hospital in Dortmund and one in Cottbus, in Austria the hospitals in Salzburg and in Weiz and in Switzerland a hospital in Aarau and one in St. Gallen. The collection of the data was conducted either on-line or by way of printed questionnaire forms. The acquired data were valorized and sorted into diagrams and tables for further clarity. From the respondent´s answers follows that the queried medical facilities in Czech Republic do not provide sufficient conditions for their workers to give culturally competent nursing care on such a level, as it is at the facilities questioned in the German-speaking areas. The results also show that language skills of the nursing personnel in these hospitals in Czech Republic are worse than those in the German-speaking countries. With the level of multicultural competence the situation is similar; in this field Czech nursing personnel does not match their foreign counterpart. It is necessary to remark that this research sample of two hospitals from each of the countries is insufficient for the results to be applied on the whole Czech Republic or German speaking countries.
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A historical view of the army nurse profession.
PAVLÍKOVÁ, Andrea
The thesis deals with the profession of a military nurse. We can assert that the official study of military, non-medical health-care related qualifications and its use in practice not only for military purposes dates back to the fifties of the last century. However, women as health care professionals, consequently in uniforms, have always been an actual issue. The development of health care activities always existed, however, we must not neglect influence of scientific and medical findings. The historical timeline of development of medical care in the battle field was recorded and ranges from pre-historical healing. The way of Christian medicine was negatively influenced by the Catholic Church. The dark period of the Middle Ages had actually wrested medical performance from the hands of specialists and the suffering were left to the "tender" mercies of the priests. The following part of the thesis concerns modern medicine where enlightenment reforms were exercised. Some of the original six-month courses for military surgeons were organised in this period of time; they weretransformed into Military Surgical Academy, out of which the famous Josefinum originated. A expression of humanity which supported a form of health care of war veterans was demonstrated by constructing buildings for invalid people. The second half of the nineteenth century is characterized by the phenomenon of the presence of nuns in military hospitals. This study goes further in depth of professionally organized healthcare right in the battle field, which dates back from the era of wars in the Crimea.This stage describes the transformation of caring into nursing which requires the necessity of specialized preparation of persons providing nursing practice. In addition, Henry Dunant engraved himself into the history of the profession of a nurse, as the founder of the Red Cross, who first trained health care professionals for working within armed intentions of the state. The continuation of this action sketches out the process of providing first aid in principal armed conflicts of the twentieth century. It describes the functioning of commander operated military health service of that time. WWI drove Czech medical staff to both sides of the front where they provided medical help to the injured. Nurses of the WWII already performed their duties in uniforms as the rightful members of the army. The thesis also mentions post-war usage of military health care professionals in secret foreign missions and their specialized erudition.Last but not least, it marginally discusses contemporary possibilities of modern health care service of the Army of the Czech Republic. The goal of the endeavours of writing this thesis was to chart out clearly the development of the profession of a military nurse within the historical context, focusing mainly on women coming from Czech regions. In order to make the history background concerning specific female participants of the world war conflicts understandable to the reader, this paper reports, in broader extension, peculiar medical and nursing findings, already from the era of prehistoric civilisations. The history study method were applied for the purpose of the theoretical thesis. The methodology is based on searching, studying, sorting and the consecutive systematic objective describing of the events from the past times with the intention to propose comprehensive report on the subject given. It was necessary to study inexhaustible amount of sources to obtain awareness of historical connections. Factual information was derived by analysing of primary and mainly secondary documents. The thesis sketches out histories of military health care and the profession of a military health care professional stemmed from the exploration of appropriate written sources and conclusion of the basic findings. The intentions of the work are not only to clarify the past but also to contribute to solutions of every-day issues.
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Use of e-learning education of universal nurses in Militari university hospital - University hospital Prague
JANKŮ, Kamila
The diploma work submitted is called The Use of E-Learning Education of Nurses in the Central Military Hospital Military University Hospital Prague. The theoretical part of the diploma work deals especially with the significance of e-learning, distance learning, history of education of nurses in the Czech Republic and e-learning in health care. In addition, the work includes information of the Central Military Hospital and describes its present circumstances and use of e-learning in the working process. 5 aims and 4 hypotheses were set for the quantitative research. The first aim was to determine the time demands of the e-learning courses study. The second aim was to determine the attitude of general nurses to e-learning education. The third one focused on contribution of e-learning education for general nurses and for the hospital management. The last aim focused on satisfaction of general nurses with the form, contents and diversity of e-learning courses. The fourth aim was used to determine reasons leading for development of e-learning courses for general nurses. Four hypotheses were determined: H1: It takes less time to complete e-learning course studies than regular studies. H2: Nurses younger than 30 years of age prefer e-learning education unlike nurses older than 30. H3: The effectiveness of regular studies is better than the effectiveness of e-learning education. H4: E-learning courses are not as financially demanding as regular courses. The data collection technique consisted in our own anonymous non-standardized questionnaire containing 32 items. The research file consisted of 212 general nurses working in clinical departments of the Central Military Hospital. An additional method was based on a dialogue with the Education Team Manager of the Central Military Hospital. The research results related to the hypotheses show that completing e-learning course studies does not take less time than completing a regular course. Nurses younger than 30 years of age do prefer e-learning education contrary to nurses older than 30. The effectiveness of regular courses in contrast to e-learning education has not been confirmed as well as the fact that financial demands of an e-learning course are lower than financial demands of a regular course. Further, nurses prefer regular forms of studies, mostly with their passive participation in an educational event; however, they find completion of e-learning courses more convenient. Most respondents also expressed a positive opinion on the form, contents and diversity of e-learning courses. Courses include enough information for preparation of a final test and nurses find the number of courses necessary for periodical evaluation adequate. What they consider limiting is the impossibility to retake the final test; they mostly suggested it should be allowed to take the final test twice or three times. The research implies that a higher percentage of the respondents spend as much time as they want studying. Nurses still prefer regular forms of studies with passive participation to the e-learning form. Most nurses have a positive opinion on the current contents of courses in the form of a text format. The course topics are mostly based on suggestions by members of the Non-Medical Professions Education Team of the Central Military Hospital. The research results will be presented at the next regular meeting of members of the Non-Medical Professions Education Team of the Central Military Hospital. Procedures for improvement of the form of the current courses will be presented and proposed as well as the possibility to develop communication between the author and students, the limiting impossibility to retake final tests and the suggestions concerning the number of possibilities to retake them.
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Economic factors and profitabilty in woodworking industry
Červený, Luboš ; Kupčák, Václav (advisor) ; Palátová, Petra (referee)
The diploma thesis was focused on identification of economic factors in the lumber factory and their influences on economic efficiency and competitiveness under real company conditions. The other aim was in the field of the economic viability of forestry and lumber sector. The sawmill Javořice, Inc. became the selected company because of its komplex history. The sawmill was analyzed by financial indicators for period 2003 - 2014. The axis was divided in three time frames, of that two periods are evaluated (1/2 - 2003 - 2006; 2/2 - 2011 - 2016). The second step gives a defines the current competitive environment, for the identification SWOT analysis and 5F were used. Results of thesis contribute to the issue of the economic viability of forestry and lumber sector in the Czech Republic. The impoving trend of financial stability with the deleveraging of the fianancial situation, which is a residue of the insolvency period, follow from the economic analysis of the sawmill Javořice, Inc. In the field of competition the situation in the company is relatively good. The thesis can be a valuable tool, with which everyone can evaluate the company and a partner with who can trade.
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Importance of communication elements for management
Kopeckij, Alexandr ; Fiedler, Jiří (advisor) ; Stanislav, Stanislav (referee)
The thesis Importance of communication elements for management focuses on finding the importance of communication and communication elements, importance and use of communication forms, communicated content and channels of communication in the work of managers. The thesis is divided into a theoretical solutions and actual own work. In the first part, which deals with the literature review, there is information related to communication and management. theoretical solutions obtained in the literature research are subsequently reflected in the actual processing of the own work.
Own work is processed to determine the role played by communication and its elements in the work of managers. To obtain the necessary information has been compiled questionnaire, in which the questions were based on the findings obtained in the literature research. The data obtained were subsequently analyzed.
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Manager role in decision-making processes
Menoušková, Veronika ; Hron, Jan (advisor) ; Pavel, Pavel (referee)
The Thesis deals with the importance of decision-making roles in managerial work. The work consists of two main parts - theoretical and practical. The theoretical part is formed by Literature searches and was drawn up after studying literature. The basic concepts were defined such as management, manager, management role or decision-making process and there was also described the issue of decision-making roles. In these diploma thesis are mentioned the fundamentals of management, managerial functions, roles, leadership styles and how to resolve problems. Literary research forms the theoretical basis for developing own parts. The practical part was prepared under the basis of the research, which was conducted in the selected subject. A questionnaire was prepared for the subordinate of a particular manager. The Questions clarified how subordinates perceived supervisors and their role in decision making. It was examined how often and what problems are solved with the boss, whether the manager creates a friendly environment in the workplace, or whether the manager is interested in the views of subordinates. Simultaneously the manager evaluated himself through a managerial GRID. The responses of both forms of research were compared and then used as the basis for preparation of an overall assessment and to create a conclusion. At the same time it was used as the basis for proposing measures to streamline management. The conclusion summarizes the lessons learned from the evaluation questionnaires and managerial GRID.
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