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Long-term care for the elderly from the perspective of nursing
PAVLÍKOVÁ, Hana
Long-term care for the elderly people is a widely discussed topic in recent years not only among health professionals but also by the general public. And it will not change in the future. According to the Czech Statistical Office (2012) in 2050, the population aged over 65 will double and the population older than 85 years even quintuple. This work deals with long-term care for the elderly from the perspective of nursing, for the current demographic trends affect it significantly. Long-term hospitalization of the elderly in medical facilities is linked to many complications, not only physiological, but also psychological, social and spiritual. The aim of the thesis entitled "Long-term care for the elderly in nursing perspective" was to find out what the nurses in long-term care for seniors consider as the greatest problems, if they would welcome a change in competences in long-term care for the elderly, and to obtain an opinion about the long-term institutional care and long-term home care. Individual opinions of nurses from different departments were compared; what kind of solution to the current problems of long-term care for the elderly the nurses propose themselves. Objective 1: Find out what the sisters find as the most crucial problem in long-term care for seniors. Objective 2: Determine whether nurses feel the necessity for change in nursing competences in the management of long-term ill elderly. Goal 3: Find out what is the opinion of nurses about long-term institutional care for the elderly compared to long-term community care at home. The main research question based on the research problem and the research objectives was defined as follows: What is the prospect of long-term care for the elderly in terms of nursing? I decided for an exploratory approach. I was looking for another connection to general research question and examined them in depth. I decomposed this relatively broad topic covered by the research questions into several specific questions: 1. Will it be necessary to make additional changes in financing long-term care, due to a growing demographic age of the population increases? 2. Could nurses in long-term care for the elderly take over certain powers previously belonging to doctors? 3. Will the importance of providing nursing care long-term ill seniors at home increase? 4 Should be a long-term care for the elderly moved out of hospitals to specialized facilities? 5. Will it be necessary to increase the number of health care facilities with the focus on long-term care because of the growing number of senior citizens? 6. In connection with the increasing number of hospitalized elderly, will medical facilities have enough of gadgets? For the research was chosen a qualitative interview method. Nurses from various departments were interviewed and the outcomes were processed using the content analysis. Sisters? perspective on a long-term nursing care for elderly is: closer connection of health and social services, to increase quality of care, to strengthen the autonomy of elderly, dignified care for the elderly, increased use of home care and informing the general public about it, streamlining communication with seniors and their families, safer environment and to increase the motivation of nurses to provide the highest quality of nursing care.
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Role of the chancellor in the foreign policy of the Federal Republic of Germany: Angela Merkel
Farská, Kateřina ; Druláková, Radka (advisor) ; Dubský, Zbyněk (referee)
This master thesis is concerned with the role of the chancellor in the foreign policy with respect to the institutional possibilities that the German political system provides him, and also with respect to the personality of the chancellor - it strives to answer the question, if it is possible to identify the personality impact in the chancellor foreign policy positions. As the case example the current chancellor Angela Merkel has been chosen, who serves for a period long enough to carry out the research and who is at the same time well-respected personality abroad. The thesis comes to the conclusion that the chancellor has the rights to intervene in the foreign policy and uses those rights. By means of the discourse and content analysis of chancellor's speeches it has been possible to identify foreign policy preferences of the chancellor which can be associated with her personal life experience.
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Differences between men and women in the Czech labour market
Stroukal, Dominik ; Kadeřábková, Božena (advisor) ; Pavelka, Tomáš (referee) ; Němec, Otakar (referee)
This thesis consists of five articles that apply current world research on labor economics at the Czech Republic and confirms the significant differences between men and women in this market. It shows that gender has a significant influence on the preference on the labor market and, consequently, on employment and health. First, the thesis shows that preferences are relevant determinant of career and then we study the difference in preference of salary for men and women. Subsequently it shows that gender plays a significant role in explaining the relationship between homeownership, and unemployment, as well as unemployment and health. The first chapter was able to demonstrate that the preference for a career has a positive influence on the choice of career. The influence of higher education on prioritizing career proved to be positive and significant. Probability of a career choice is reduced by the presence of children, however, is not dependent on their number, which is contrary to the theory of preferences. The second chapter shows that Czech women prefer more non-monetary rewards than men. It has also been shown that people with university education are same in the preferences of non-monetary rewards regardless of the gender of the respondents, however, compared to the world's research, the Czech higher education increases this preference. It turned out that women prefer risk less than men. The third chapter demonstrates that although the housing market undermines labor mobility and employment in the Czech Republic at the regional level, therefore, that in regions with a higher rate of home ownership is higher unemployment, at the individual level, the owners of housing are unemployed are less likely. The estimates are significantly different for men and women. Men living in owner-occupied housing have a higher likelihood of employment than women. At regional level, however, this thesis shows that the high rate of home ownership increases unemployment for both men and women, in the long run only to women. The fourth chapter showed that men transition to homeownership reduces the likelihood of unemployment next year. For women, this relationship has proved to be insignificant. In addition, as insignificant showed the opposite relationship, the transition from unemployment to the newly acquired home ownership. The last chapter shows that the change in the working status to unemployment will increase in the future probability of worse health. Influence in less than two years, however, proved to be significant. An important conclusion is that men have a significantly stronger relationship between health and unemployment than women.
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Nursing care for long-term bedridden patients with urinary incontinence.
KUBÍKOVÁ, Nikola
Bachelor thesis titled ,,Nursing care for long-term bedridden patients with urinary incontinence" deals with the nursing care of clients with urinary incontinence has long restrained on a bed on the aftercare department. Urinary incontinence is a condition of involuntary leakage of urine, which is a major health and social problem (Kalvach and team, 2004). According to the International Continence Society (ICS) urinary incontinence is classified into extraurethal and urethral. Extraurethal incontinence can be divided into innate and fistulas. The congenital disorder contains atrophy and ectopic urethra. We can divide fistulas into uretral, vesicular and ureteral fistulas. Urethral incontinence are further divided into stress, reflex, urgent and paradoxical ischurii (Locksmith and Macek, 2012). From a nursing perspective is urinary inkontinence divided into nursing diagnoses : Functional incontinence 00020, then Urinary incontinence with overflow 00176, Reflex incontinence 00018, Stress urinary inkontinence 00017, Urge urinary incontinence 00019, Impaired excretion of urine 00016, Urinary retention 00023, Risk of urge urinary incontinence 00022, Efforts to improve the excretion of urine 00166 (Herdman, 2013). The theoretical part of the thesis is talking about the definition of the concept of urinary incontinence and its further division. Also is solving the role of nurses in the diagnosis of myocardial infarction, therapy, nursing process for clients with urinary inkontinence and classification of urinary incontinence by nursing diagnoses with nursing interventions. The practical part of my thesis contains the results of qualitative research, which were obtained by interviews, in-depth interview technique, then content analysis of nursing documentation and comparison of two standards of nursing care of selected hospitals of the Sought Bohemia. The practical outcome of the thesis will be finished client's care plan which is dealing patient long-term bedridden with urinary incontinence.
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PM2.5 Chemical Composition at the Rural Background Site Košetice.
Schwarz, Jaroslav ; Cusack, Michael ; Karban, Jindřich ; Chalupníčková, E. ; Havránek, Vladimír ; Smolík, Jiří ; Ždímal, Vladimír
Measurements of atmospheric aerosols at rural background areas are important because they are not influenced by the urban emissions, and are therefore better suited to investigate the influence of long-range transport and trends in concentrations of individual pollutants. Summary of the measurements of total concentration and the concentration of PM10 and PM2.5 components was carried out in the works Putaud et al. (2004, 2010). Although the later work included the measurement of more than 60 stations across Europe, the post-communist countries contained data on PM2.5 from only four locations (Prague, Debrecen, Hungary, and two rural locations). Although Košetice place where this study was made, is also discussed there, it was for only PM10 and total carbon (TC). Therefore, the aim of this study is to fill this information gap, and provide additional information regarding the PM2.5 fraction and composition at the Central European background station Košetice.
Fulltext: content.csg -  PDF
Plný tet: SKMBT_C22016110313110 - PDF
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Phase coherent transfer of stable optical frequency for sensory networks
Čížek, Martin ; Pravdová, Lenka ; Hucl, Václav ; Řeřucha, Šimon ; Hrabina, Jan ; Mikel, Břetislav ; Lazar, Josef ; Číp, Ondřej
Using long-haul optical fiber links for phase coherent transfers of stable optical frequencies has been developed by metrological laboratories for at least a decade. Present boom of optical fiber sensors puts a demand on transferring this technology from laboratories to industrial practice. A remote calibration of fiber Bragg grating tensometers can be an example. In our contribution we present a 306 km long fiber link between laboratories of ISI in Brno and CESNET in Prague. The line uses a telecom fiber with a dedicated DWDM window at 1540-1546 nm. The setup implements a phase coherent transfer of a laser standard working with 1540.5nm wavelength and a bi-directional transfer of 1PPS timestamps from radiofrequency standards at the both ends of the line. A long-term measurement of transport delay fluctuations and relative stability of the line are discussed.
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Extensions to Probabilistic Linear Discriminant Analysis for Speaker Recognition
Plchot, Oldřich ; Fousek, Petr (referee) ; McCree,, Alan (referee) ; Burget, Lukáš (advisor)
Tato práce se zabývá pravděpodobnostními modely pro automatické rozpoznávání řečníka. Podrobně analyzuje zejména pravděpodobnostní lineární diskriminační analýzu (PLDA), která modeluje nízkodimenzionální reprezentace promluv ve formě \acronym{i--vektorů}. Práce navrhuje dvě rozšíření v současnosti požívaného PLDA modelu. Nově navržený PLDA model s plným posteriorním rozložením modeluje neurčitost při generování i--vektorů. Práce také navrhuje nový diskriminativní přístup k trénování systému pro verifikaci řečníka, který je založený na PLDA. Pokud srovnáváme původní PLDA s modelem rozšířeným o modelování neurčitosti i--vektorů, výsledky dosažené s rozšířeným modelem dosahují až 20% relativního zlepšení při testech s krátkými nahrávkami. Pro delší testovací segmenty (více než jedna minuta) je zisk v přesnosti menší, nicméně přesnost nového modelu není nikdy menší než přesnost výchozího systému. Trénovací data jsou ale obvykle dostupná ve formě dostatečně dlouhých segmentů, proto v těchto případech použití nového modelu neposkytuje žádné výhody při trénování. Při trénování může být použit původní PLDA model a jeho rozšířená verze může být využita pro získání skóre v případě, kdy se bude provádět testování na krátkých segmentech řeči. Diskriminativní model je založen na klasifikaci dvojic i--vektorů do dvou tříd představujících oprávněný a neoprávněný soud (target a non-target trial). Funkcionální forma pro získání skóre pro každý pár je odvozena z PLDA a trénování je založeno na logistické regresi, která minimalizuje vzájemnou entropii mezi správným označením všech soudů a pravděpodobnostním označením soudů, které navrhuje systém. Výsledky dosažené s diskriminativně trénovaným klasifikátorem jsou podobné výsledkům generativního PLDA, ale diskriminativní systém prokazuje schopnost produkovat lépe kalibrované skóre. Tato schopnost vede k lepší skutečné přesnosti na neviděné evaluační sadě, což je důležitá vlastnost pro reálné použití.
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Právní a zdravotně sociální aspekty činnosti OSPOD jako ustanovených opatrovníků v zámu nezletilých dětí
BORSKÁ, Jana
The Czech Republic as a signatory of the Convention on the Rights of the Child has vested the practice of state administration in the field of care for minor children to municipalities with extended powers, where the protection of the rights and legitimate interests of minor children is safeguarded by state authorities of social and legal protection of children (ASLPC hereinafter). These authorities are incorporated to the extent laid down by the Act on Social and Legal Protection of Children (Act No 359/1999 Coll., as amended). The position and roles of ASLPC and their competence and jurisdiction are also regulated by the same act. The position of workers of these authorities and its legal embodiment is equally important. Regarding professionality, there are high demands on these workers. In the Czech Republic, significant changes in legislature have been made over the past three years. These amendments have led to the strengthening of the rights of minor children and to the establishing of new tools for their protection. In connection with the adoption of new substantive regulation of family law, which is now exhaustively dealt with by the Act No 89/2012 Coll., the Civil Code, new procedural rules have been established regarding protection of rights of minor children. Such procedural legislation includes (apart from the long-existent Act No. 99/1963, the Code of Civil Procedure) the Act No 292/2013 Coll., on Special Civil Proceedings. The decision-making regarding minor children has been vested mainly by the state into the competence of courts. The courts appoint the locally relevant ASLPC as a guardian who then represents the interests of minor children. The purpose, interwoven with and derived from the first one, was to explore the opinions of selected social workers of ASLPC and of district court judges regarding the defined problems occurring during the work of ASLPCs and courts while protecting the interests of minor children. These particularly include: the use of the tool of precautionary measure; problems of different territorial jurisdiction of courts and ASLPCs; processing of complaints regarding bias in various phases of the proceedings; professional training of workers of ASLPC It is evident from the proposals of both judges and ASLPC workers that it is necessary to unify territorial jurisdiction. The courts are suggesting the priority criterion of the address where the child mainly resides. ASLPC workers suggest the official permanent residence as the prime criterion. Bias causes problems in all phases of proceedings. It is obvious that courts take differing approaches towards the solution of this problem (some courts solve the problem of bias complaints filed by the parties while other courts do not) and for ASLPC workers it is difficult to assess how to act when such complaint is raised against them. The training of ASLPC workers - workers are obliged to educate themselves and their employer is obliged to finance such training. Not all ASLPCs are able to provide training in the required extent - due to financial reasons (the average costs of education of one employee pose from 9,169 to 13,400 CZK annually and they cover approximately 6 days of training). The heavy work-load caused by insufficient numbers of ASLPC employees prevents them from completing such compulsory training. As part of the examination of the "participation of a collision guardian in court proceedings" it has been found out that irregular participation of the worker in the proceedings (absence from participation in appeals proceedings); incomplete reports (directed to courts) from surveys in families. Based on comprehensive examination of the problems of territorial jurisdiction, it was recommended that requests are independently recorded and financial compensation is provided for ASLPCs who are requested to represent minors in front of courts, to draft proposals for precautionary measures.
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Comparison of optical methods for characterization of glass mosaic weathering
Kocour, Vladimír ; Petráňová, Veronika ; Valach, Jaroslav
The work presented in this paper is a part of research project supported by Ministry of Culture and devoted to conservation of precious mosaic of 'Last Judgement' on St. Vitus Cathedral in Prague. The aim of the project is to enhance external protective polymeric coating on glass tesserae of mosaic and also to develop optical method for assessment of coating’s surface conditions. The paper concentrates on comparison of various methods for surface evaluation assesses their advantages and disadvantages and also discusses their suitability for long term monitoring of coating state, namely reflectometry, scanning probe microscopy, nanoindentation, white-light interferometry, and scanning electron microscopy. It is found that white-light interferometry and reflectometry methods are the most suitable ones for monitoring purposes.
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