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Simulation methods and risk management
Šemnická, Eliška ; Kuncová, Martina (advisor) ; Borovička, Adam (referee)
Project management is a field in which risk management can be applied. There must be a business case for any project to recognize its benefits for the company. A business case generally uses point estimation of input parameters and evaluates financial criteria for individual variants such as the net present value, pay-back period or internal rate of return. A simulation enables to design a model for the business case analysis while making use of the probability distribution. The model then turns from a deterministic into a stochastic one. The Monte Carlo simulation method, calculating a large number of variants, is employed in projects. The simulation can identify major risk factors, assess their probability and the significance of the impact on the evaluated financial criterion. The analysis outputs suggested by the simulation are the fundamentals of proper risk management. The Crystal Ball simulation software was employed for the calculation in this thesis.
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The hip fracture register, optimalization of hip hemiarthroplasty position
Skála - Rosenbaum, Jiří ; Bartoníček, Jan (advisor) ; Chomiak, Jiří (referee) ; Janeček, Miloš (referee)
The study examines the monocentric epidemiological data of patients with hip fractures from 1997-2007. Adult patients treated for hip fracture between the years 1997-2007 were included in the study. Retrospective statistical assessment of continually gathered data focused on epidemiology and demographics. The second part of the study was concerned on risk factors on protrusion of hemiarthroplasty into the acetabulum. The goal was to specify exact indication, proper operative technique and selection of the implant. The study involved 3 683 patients (2 678 women, 1 005 men). Patients older than 70 years accounted for 82 % of all cases. There was an increase in the number of hip fractures resulting in a significant increase in pertrochanteric fractures (AO-31A1+2) (p<0.001). The ratio of trochanteric to neck hip fractures increased from 0.99 to 1.53. Continual monitoring of patients with hip fracture offers data which allows comparisons between regions and countries. The importace of a continual increase in the number of hip fractures has its importance in macroeconomical planning in traumatology. Hemiarthroplasty was conversed to total hip arthroplasty in 12 patients in our department. The indication, time period to conversion and hemiarthroplasty position were retrospectively assessed. The direction of...
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Epidemiology of tuberculosis - reaction on vaccine BCG
FOŠUM, Pavel
Epidemiology of tuberculosis-reaction to BCG vaccine World Health Organization records nine million people worldwide who fall ill with tuberculosis and more than three million who die of this disease a year. Tuberculosis has been known for a long time and despite the discovery of Mycobacterium tuberculosis etiological role by Robert Koch, the invention of RTG diagnostics by Roentgen and effective treatment using antibiotics by Waksman as the first, this disease still represents a considerable risk for society. Prevention using BCG vaccine has positive as well as negative aspects. This thesis is focused on describing newborn vaccination coverage, occurrence and duration of side and adverse effects after the application of BCG vaccine during the first days of life and on the influence on the following compulsory vaccination. We used the method of quantitative research in the form of epidemiology descriptive study using the technique of individual data collection and analysis. As a research area the group of children born in 2004, 2005, and 2006 was used. The group of 804 children (410 boys and 393 girls) was selected by the technique of random cluster sampling. We found out that out of 804 respondents 98.6 % were vaccinated with BCG vaccine. The group of 11 children was not vaccinated due to: HBsAg positivity of mother, low birth weight or health problems. Reaction after BCG vaccination was not healed until the next planed shot in 307 children (38.1 %). There were 4 people with no reaction at all to BCG (0.8%). The most frequent side (adverse) reaction after vaccination was scar unhealed at the time of next planed vaccination in 274 cases, (34.1%). Monoreactions accounted for more than a half of recorded reactions. Reaction time period was in the range from 11 to 300 days. Median of reaction time period was 30 days. We did not find any serious adverse reaction. Our research demonstrated, that frequency of side and adverse reactions after BCG vaccination is high (38.1 %). These are mainly benign side effects. We found that these reactions lead to postponing of the subsequent vaccination of the compulsory vaccination scheme in all who reacted to BCG vaccination. The occurrence of side reactions after BCG vaccine raises the question of appropriateness to carry out the BCG vaccination in first days of life. The results of this thesis can be used as a pilot study for the whole country study of mapping side and adverse reactions and further consideration of compulsory vaccination scheme.
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Crisis - family break up-from a child 's view
Nevoralová, Monika ; Procházková, Jana (advisor) ; Hadj - Moussová, Zuzana (referee)
This graduation thesis topic is "Crisis- family break up- from a child's view". As the name Prompts, this paper is focused at the crisis in general, at the crisis in family and also? in detail? at the situation of family break up (or divorce) from a child's view. It is without doubt that the family plays a key role in child's development. It is the first community that a child meets in its life and from which it receives main ways of behavior which are necessary for its social existence. At the same time family is also a place, which is predisposed for getting into crises, family crisis is a period of explosive atmosphere and the family is more endangered by break up. At Present, divorce or family break up are widespread in our society. Beside divorce or partners break up a l s o informal family break up exists husbands or partners still live together but their mutual relationship is *i Very conflictful. Therefore it is possible to say that many children are endangered by disadvantageous s»uation in the family. In this work attention is aimed to children behavior during family crises, childrens' ideas about sřlving critical situations and knowledge of supportive measures. Closer attention is also given to children reactions to parents divorce, parents break up, forms of communications between children and...
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Sudetendeutsche Landsmannschaft in the 21st Century in the Czech Republic and Germany
Jechová, Veronika ; Kučera, Rudolf (advisor) ; Jeřábek, Martin (referee)
The diploma thesis "Sudetendeutsche Landsmannschaft in the 21st century in the Czech republic and Germany" deals with the position and influence of this organization on present Czech-German relationship. In the theoretical part of this work there is described the creation, structure, aims and needs as well as present problems of Sudetendeutsche Landsmannschaft. Further in the text is the analysis of the position of this organization in the Czech Republic and in Germany. The cooperation of the representatives of Sudeten Germans with German political parties and the attitude of Czech and German governments towards this association is the main part of the second - 4 - chapter. The last chapter deals with the influence of Sudetendeutsche Landsmannschaft, especially of sudetendeutsche question, on the selected periods of Czech-German relationship. Strained elections in 2002 and complicated entry of the Czech Republic to the European Union which was caused by the attempts of the Sudetendeutschen representatives to violate the Beneš Desrees approved that Czech-German relationship on the government degree can be cooled under some circumstances. Ten years of the existence of the Czech-German Declaration shows that Czech-German relationship is from a long-term, complex view very good and that Sudetendeutsche...
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Selfmonitoring of Type 1 Diabetes mellitus in adolescents
KORELOVÁ, Andrea
Type 1 diabetes mellitus is a chronic, lifelong disease. The younger the patient, the more seriously the disease affects his (her) childhood. The disease brings about a lot of changes, it involves the loss of freedom and independence. Diabetes makes the normal troubles of adolescence even more difficult. Adolescence is a hard stage of life for patients with the type 1 diabetes mellitus because it is a period when the compensation of diabetes is more difficult than in the previous and following stages of life. Regular self-monitoring is one of the crucial tasks. The selfmonitoring is important for the overall compensation of diabetes and also for the clinical results of treatment. Self-monitoring is the process of monitoring and measurement of one´s own glycemia and ketones in blood and sugar and ketones in urine. It enables the diabetic patient a better orientation in the disease and a certain level of independence. Self-monitoring helps parents gain confidence in cure of their children suffering from diabetes. The theoretical part of my thesis deals with the questions of the type 1 diabetes mellitus and the method of self-monitoring. The objective of the practical part was to survey the subjective view of adolescents with the type 1 diabetes mellitus on self-monitoring and the level of their self-reliance. I set hypotheses suggesting that adolescents perceive self-monitoring to be uncomfortable and cannot cope with the procedures independently. These hypotheses were not confirmed in my research. To get relevant data, I used the questionnaire method. I handed out questionnaires to young patients with diabetes aged 13{--}18 years. A letter for patients´ parents asking for their written consent with the research was attached to the questionnaire.
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Community Aproach to the People with Mental Health Problems As Alternative to the Institucional Care
Strnadová, Dagmar ; Klimešová, Anna (advisor) ; Sivek, Vojtěch (referee)
In the history the care of people with a mental health problems was going through a lot of changes. Most of the people were accepted as a part of a society. The family and a local community had been taken care of them. Only a small part of people with a mental health problems had been banished or kept in prison. With the beginning of a modern period the people with a mental illness have devoted and segregated in a large extent. The psychiatri and care for disordered people occured rapid developement in 20th century. In the 50's the psychiatric institution had been closing down in a many advanced countries. Institutional care was replaced with a out-patient and comunity care services. The main target of a community care is to help to the people with a mental illness so they can live in a naturally neighbourhood. The Great Britain has ranked among countries with a along tradition of community care. The broad range of services in the domain of living, employment and a leisure time arised here. The attitude to disordered people was also changed. In the Czech republic the community work set up to apply in 90's. Since the time the big progress was reached. Nevertheless the institutional care is still being preferred. The community care concur at traditional community values and it is established on esteem to...
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Education of Breastfeeding mother
Ludvíková, Eva ; Vachková, Eva (advisor) ; Plecitá, Zdeňka (referee) ; Poláková, Hana (referee)
The bachelor thesis deals with the broad issue of education of breast-feeding women, whereas the accent is put on the first-rate and unified education of a mother. Theoretical part is concentred to the importance of breast-feeding, principles of correct breast- feeding, composition of breast milk, impediments and solving problems in period of lactation and their prevetion. Part of the theory is education and educational process in nursing. Empiric part is formed by explorational investigation made for attestation of breast-feeding mothers` educational process quality realized by sanitary staff. Examined sample were mothers from the Department of puerperium of The Regional Hospital Rychnov nad Kneznou, Inc. A necessity of standard educational plan resulted from the explorational investigation, which would grant unified informations and sufficient time to the mothers for their questions. For mothers a manual of our education will be made to this educational plan. These educational materials will be helpful for uprating nursery care of mothers and their newborns at our workplace.
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Reflection of travels in the Zdeněk Matěj Kuděj's writing
Křenová, Kateřina ; Vaněk, Václav (advisor) ; Menclová, Věra (referee)
This diplom a thesis has two goals. One of them is to bring a compact biography of the Czech writer Zdeněk Matěj Kuděj (1881 - 1951), one of the representatives of modernism and a c10se friend to the writer Jaroslav Hašek. Despite intensive search I was not able to get any record or evidence of the whole Kudějs life. In the second part, the thesis covers the part of his work which was influenced by his travels, primarily those which took him outside Bohemia. Between years 1903 - 1909 he traveled the USA. He lived as a tramp and made his living as a casual worker. Experiences from this period were later described in couple of his books. In 1913 he spent almost a year in a prison of the tsarist Russia. Also this experience was reflected in his work.
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Social situation and daily life of Prague working class in interwar period. Historical-sociological analysis
Holubec, Stanislav ; Kárník, Zdenek (advisor) ; Moravcová, Mirjam (referee) ; Měchýř, Jan (referee)
The aim of the thesis is to outline the social reality and the everyday life of Prague working class between the two world wars. Prague, which was at that time changing into a modern city with growing population, was also the city with the largest number of workers in Czechoslovakia. We have especially focused on working-class families, health and sexual issues, living conditions, cultural life, political attitudes and education. In the thesis, archive sources of the period have been used, namely those of organizations dealing with workers or workers' own organizations like political parties, labour unions or interest groups. Another source of data is a qualitative sociological research of witnesses. The analysis of statistical data, periodicals of that time and other literature have also been employed. We have attempted to show the Prague working class with its rich diversity, as a very heterogenous group merging with other social classes. Apart from social differences, we have emphasized the impact of gender and generation on the everyday life of Prague working class.
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