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The current situation of Social Services, comparation with the legal adjustment after January 1,2007.
SERBUSOVÁ, Martina
{\clqq}Everyone is equal before the law{\crqq} which applies also for the field of social services since 1st January 2007 because after many years of preparatory stages Act n. 108/2006 Sb. On Social Services entered in force. This act having been passed means a break through moment for social workers, social services providers as well as for the citizens and beneficiaries of social benefits and services. The paper is divided in a theoretical and a practical part. In the theoretical part I dealt with the development of social services, introduction of the new Act n. 108/2006 Sb. On Social Services into our social system and I compared the allowance for attendance of a next of kin or other person according to Act n. 100/1998 Sb. On Social Welfare and the attendance allowance according to Act n. 108/2006 Sb. On Social Services. In the practical part I concentrated solely on the attendance allowance since, according to my point of view, this is the greatest change the new Act On Social Services brought about and it plays a very important part in this field. The research was carried out using the questionnaire research method. The questionnaire was filled out by social workers employed in the attendance allowance department at local authorities of communities with extended powers in South Bohemia. 57 questionnaires were handed out, 48 of which were in total used for the paper. Graphs were used to evaluate the research part. The goal of the paper was the assessment using the SWOT analysis of the allowance for attendance of a next of kin or other person according to Act n. 100/1998 Sb. On Social Welfare and the attendance allowance according to Act n. 108/2006 Sb. On Social Services. Regarding this goal the following hypothesis was set: Social workers consider the attendance allowance according to Act n. 108/2006 Sb. On Social Services offering more strong points and more opportunities than the allowance for attendance of a next of kin or other person according to Act n. 100/1998 Sb. On Social Welfare. Results of the carried out research confirm this hypothesis. In spite of other problems that are to be dealt with in connection with this Act, we can presume that the introduction of the attendance allowance into the system of social services was and shall be the right step.
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Bitchs pregnancy and aftercare about bitch and her puppies
Šírková, Eliška ; Chmelíková, Eva (advisor) ; Fiala Šebková, Naděžda (referee)
The period from the beginning of rutting, mating, pregnancy to birth and following birth time is a difficult period for the whole female dogs organism. The reproductive activity of a female dog is characteristic by physiological, ethological and somatic changes corresponding to each stage of this period. After setting of suitable time of mating, the progesteron level is detected by sampling of peripheral blood. Possible is also assessment of number of foetus by X-ray in time when puppies have ossified bones. Both of these methods can prove not only frequency of litters but also possible complications from side of mother or puppy.
The hormonal activity is an important part of genitals during the pregnancy. Their activity and central control are an important factor for a normal development of a foetus and for a physiological birth.
Some complications can happen during the birth because of the material or fetal causes. Material causes occur more than fetal ones and the most frequent complication is lack of contraction of the uterine muscles or the narrow pelvis. Fetal causes are less frequent but they are more serious. It can occur to wrong posture of a puppy in birth canals or a foetus can be abnormal big.
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Development of prostate cancer radiotherapy from the 80s to the present day
SUCHANOVÁ, Markéta
Prostate cancer (CaP) remains the most common cancer diagnosed in men. This desease has worldwide increasing incidence. In the Czech Republic incidence has tripled during the last 20 years. The increase of the mortality is much more slower, but CaP is still the third leading cause of cancer-related death in men. CaP treatment management options may include active surveillance, radical prostatectomy, brachytherapy and external beam radiation therapy. The radiotherapy occupies an irreplaceable position. It is used as a curative therapy for clinically localized CaP with a low and intermediate risk. In the case of high risk CaP and locally advanced tumors are often treated with the addition of the hormonal therapy, which enhances tumor control and overall patient's survival. The radiotherapy is also used in some cases as an adjuvant treatment following a radical prostatectomy, as well as a salvage therapy in a biochemical relapse or as a palliative treatment if the cancer progresses. The aim of this study is to provide an overview of the development of CaP radiotherapy from the 80s till the present day. The specific objective of the study is to assess the incidence of the radiation-related complications (RRC) in patients with CaP treated with IMRT and PT. Among the methods of processing this thesis was using secondary data analysis. Practical information were obtained during the visits to the Department of the Radiation Oncology at the Hospital Ceske Budejovice a.s. (NCB) and the Proton Therapy Center Czech s.r.o. (PTC). During these visits was observed the radiotherapeutic treatment of the patients with CaP and valuable information were obtained through interviews with Mrs.Vančurová, MD and Mr. Vítek, MD., Ph.D., MBA This study analysed the incidence of the acute and late RRC in patients with CaP treated in these facilities. The acute and late side effects was assessed for GU and GI toxicity using RTOG / EORTC score. The specific problems were measured with the CTCAE v.4.0 scale. The overall incidence of the RRC was subjected to the statistical hypothesis testing using a two-sample unpaired t-test. The examined sample consisted of the 30 patients with CaP irradiated at NCB and the 30 patients from PTC with low, intermediate and high risk CaP. It was found that for the patients from NCB the rectum mean dose was 40,7 Gy and the mean dose of bladder was 39,4 Gy. For the patients treated at PTC the mean dose to the rectum was 13,2 Gy and to the bladder 11.1 Gy. This is related to the incidence of the RRC. Acute GU and GI toxicities Grade 2+ occurred in 33 % and 23,3 % of the patients treated in NCB. With a median follow-up of 22 months there was late GU toxicity Grade 2+ in 13,3 %. Late GI toxicity Grade 2+ occurred in 26,7 %, which exceeds incidence of the RRC described in the literature. Incidence of late GI toxicity Grade 3 and 4 was also increased, it appeared in 10 % (3 patients). Furthermore in one case cancer reoccurred and metastasized one and half year after the radiotherapy. In PTC no acute or late Grade 3+ toxicities were observed. Acute GU and GI toxicities Grade 2 occurred in 13,3 % and 6,7 %. After median follow-up of 21,5 months there was incidence of late GI toxicity Grade 2 3,3 %, late GU toxicity appeared only Grade 1 in 13,3 %. There was found statistically significant difference in occurrence of RRC in patients treated in NCB and PTC. The hypothesis that PT reduces the incidence of the radiation side-effects compared to the IMRT technique in the patients with the prostate cancer was confirmed. The prostate can move greatly during the day. It is recommended using CBCT, which is part of new linear accelerators at NCB, to check the position of the prostate before each irradiation. This study provides an overview of the treatment of CaP and may serve to increase of awareness of the RRC. The main contribution can be seen in the comparison of a standard approach with a promising alternative.
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State Support of Domiciliary Services
Veverková, Lenka ; Průša, Ladislav (advisor) ; Pauerová, Hana (referee)
The title of my diploma paper is State Support of Domiciliary Services for the Elderly, in which I talk about domiciliary services as the main instrument for social inclusion In my diploma work, I focus on the main features that influence the provision of domiciliary social services for the elderly, in the light of current reforms, related, previously implemented reforms and the introduction of social services legislation from 2006,in valid wording. In my analysis of these elements, I evaluate the support of the state to analyse the accessibility and development of domiciliary social services in the region as an instrument for social inclusion.I focus on the competence and responsibilities of the individual providers, as the state, district, community and non-governmental, non-profit organisations in the field of social services.An important element in securing high quality services is their accessibility and therefore I concern myself with the circumstances and evaluation of the region's facilities.I further describe basic financial resources of the financial structure of social services, giving the specific example of the financial structure of social service providers in Prague 2's district council area. In the practical part of my work, I focus closely on an assessment of domiciliary social services...
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Problematic of asylum houses - the quality standards of social services in practice and their benefits.
PODRÁSKÁ, Jitka
The bachelor thesis deals with the quality standards of social services in the asylum facility type. In examining the issue, I focus on the implementation of quality standards into practice in particular social services - Home for Mothers and Children in Need in Klatovy. In the first part of my thesis I defines the concept of social service and I mention it in the context of the history of social services and current legislation. I describe assist mothers with children, which they can take advantage of another section is devoted to a particular social furnished home for mothers and children. The main part consists of social services quality standards and their implementation in practice. The aim of the investigation is to compare the situation in the facility before and after the introduction of quality standards and the subsequent assessment of the benefits of introducing standards into social services facilities for mothers with children.
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Measurement of patients´ personal doses in radiotherapy outside the central beam of ionizing radiation using the electronic personal dosimeter
CHYLÍKOVÁ, Renáta
The introductory part of the diploma thesis primarily focuses on the history of radiotherapy, i.e. what it emerged from and how it developed, as it is one of the most important fields in medicine, especially because thousands of people are irradiated every day due to different tumour and non-tumour diseases. Another reason why ionizing radiation is described is the fact that it is a necessary part of tumour disease irradiation. Ionizing radiation is also connected with radiation protection. This section presents a historical overview of radiation protection, as well as principles and quantities of this field. Furthermore, it focuses on Czech acts, decrees, and government regulations which define various measures governing this issue. Radiation protection forms the basis of patient, workplace, and personnel monitoring. All this is connected with the measurement and evaluation of received personal doses. This brings the thesis to the field of dosimetry, therefore various dosimeters used in practice are described. The aim of this diploma thesis is the measurement of patients? personal doses in head and neck irradiation using the electronic personal dosimeter at the radiotherapy centre of Nemocnice České Budějovice, a. s. The thesis is based on the question of whether irradiation doses that patients with head and neck tumours receive outside the primary radiation beam are negligible. The theoretical part of the thesis uses all available resources from both foreign and Czech literature. The practical part is based on numerical statistics, i.e. a quantitative method. The research was carried out at the radiotherapy centre of Nemocnice České Budějovice, a. s. Irradiation of patients with head and neck tumours was performed on a linear accelerator. Each patient had a mask to which an electronic personal dosimeter was attached during irradiation. Using this dosimeter, it was possible to measure doses received outside the central radiation beam. The measured values were then used to carry out assessment using formulas. Patients who undergo cancer treatment receive relatively high doses of radiation, so my main goal was to measure personal dose equivalents at the reference point. When comparing the percentage of the number of examinations with the web portal Epidemiology of Malignant Tumours in the Czech Republic, it was found that irradiation of the neck is more frequent than irradiation of the head. The total values of personal dose equivalents are relatively high in each patient, but because it is medical treatment, these values are not subject to radiation exposure limits. The comparison of the irradiated areas shows that irradiation of the neck has small values of personal dose equivalents to 1Gy compared to irradiation of the head.
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The analysis of aberrations in the localization of the radiated fields during irradiation of the patients with rectum tumors by EPID method
HARTMANOVÁ, Magda
The presented thesis deals with the analysis of deviations in radiation fields during the irradiation of the patients with rectal tumors. The first part of the thesis is focused on the current problems connected with rectal and rectosigmoid cancer both in the Czech Republic and worldwide. It also includes the description of risk factors, characterisation of the given type oftumor, manifestation of the disease as well as the prognosis. What is also tackled is the prevention, which is important and often neglected.It was necessary to mention the possibilities of screening and dispensarisation programs. The next part deals with the diagnostic process (from anamnesis to specialised examinations) as well as the therapy. Chemotherapy and surgery are mentioned only marginally whereas radiotherapy, including its planning and methods, is dealt with in a more detailed way. The main part consists of the analysis of deviations in radiation fields. The deviations have been obtained by means of EPID (electron portal image device) in a sample of patients with rectal and rectosigmoid cancer who are treated with the use of radiotherapy at the oncological ward of the Hospital České Budějovice, Inc. The maximum, minimum and average deviation in the localization of radiation fields were assessed statistically, by means of the khi-quadrate test. The results obtained will be submitted to the oncological ward of the Hospital České Budějovice, Inc., where they can contribute to the assessment of radiotherapy quality. The thesis includes supplements such as portal images and tables with graphs indicating the development of the incidence and mortality for the chosen diagnosis within the entire population.
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Preventing social pathologies in employment relations (for example the employer)
VODOVÁ, Martina
This bachelor thesis deals with the problems concerning the prevention of social pathologies in employment relations. The first part defines the key forms of pathological behaviour mobbing, bossing, staffing. The thesis then shows the causes and strategies of these pathological phenomena and the consequences of mobbing on several levels personal and economic. Different forms of prevention used by companies in order to avoid these social pathologies are shown in the theoretical part of this thesis. The practical part focuses on an analysis of the effectiveness of prevention in a specific company. Data are obtained through half-structured interview with the manager of the company and through the questionnaires. The survey results find that prevention in the company is effective. The conclusion suggests the measures of how to improve current state of prevention. Proposals for changes concern - the method of remuneration and assessment, raising awareness of the existence of mobbing among employees, and the establishment of regular company meetings that deal with working environment.
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