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Multidisciplinary care in hemodialysis centers.
VYHLIDALOVÁ, Mária
It is inconceivable for only one person to take care of ill people in a health care. To achieve the aim which is in particular maintenance of the highest life quality of specimens in health or in disease, is important mutual cooperation of professionals in the branch, where every single ensure care for a patient on the basis of his own knowledge and skills. It is about team co-operation, where every single member of the team has his own obligations, but also rights and authority. The term multisiciplinary care means co-operation of more scientific branches. Hemodialysis patients'nursing care is about team of professionals, who are fully involved in satisfying patients' needs. This co-operation enables primarily the unitary communication, reduction of patient's issue analysis, unified and consecutive nursing care, complete documentation and quality evaluation of provided nursing care of these patients. The aim of the dissertation was to chart multidicsiplinary care's issues at hemodialysis, on the basis of available literature. The dissertation is based on theoretically processed topic by the method of documents' content analysis and method of review and synthesis. Information is obtained from domestic but also foreign science books, scientific magazines, and internet sources. Findings from the 42nd international conference EDTNA/ERCA, which topic was Innovation of renal care through multi-professional leadership, which took place in Malmö, Sweden, from 31st of August to 3rd of September 2013, also contributed. The dissertation is divided into three basic chapters. The first part is focused on team characteristic. There are definitions, types, features, building, composition, roles, conflicts within a team and elemental description of multidisciplinary co-operation. The second chapter deals with a history and hemodialysis as a medical extracorporal method. The third, and the broadest section, is focused on multidisciplinary co-operation at the centre of hemodialysis. It is divided into several sub-chapters. In each of them the information descend from general field to concrete needs of hemodialysed patient and continue to the description of each member of a multidisciplinary team. The result is comprehensive view on provision of multidisciplinary care in the centres of hemodialysis. The output of the dissertation is a draft of the nursing care algorithm within the purview of multidisciplinary care at the centres of hemodialysis. Multidisciplinary care is necessary requirement for assumption of effective, high quality and continuous medical and nursing care at all the centres.
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Výběr a implementace open source nástroje pro řízení portfolia projektů
Marek, Jan ; Chlapek, Dušan (advisor) ; Kučera, Jan (referee)
Methods and ways of implementation of changes and innovations in companies through project management are in today's society very well established. There exists methodologies, techniques and tools for the management of individual projects. However in a role of project manager, I very often faced the fact that companies are performing the project portfolio management in very intuitive way. This in itself leads to failed and prematurely terminated projects, initiation of the wrong projects or realisation of correct projects, but at the wrong time. Very often I have also recognized, that there is lack of awareness of fact, that there are also Open Source applications that can help with the organization's portfolio. This thesis deals with the definition of requirements, search and selection of proper OSS application and subsequent implementation. In the first part of this thesis I prepare a theoretical framework about PPM, and on that basis then identify and verify a set of requirements for selection of right OSS PPM application. The next section of thesis describes searching for suitable applications from a variety of sources, assessment against the requirements and the final selection. In the last part the implementation project is drafted, which aims to serve other colleagues in project management as one of the possible implementation paths. The outputs are then continuously confronted with experts in matter of projects and project management in the field of IT in order to maximize symbiosis between theory and real life experiences. Virtually every project management methodology defines the collection of already-proven techniques, best practices or lessons learned from the previous similar implementations. The main contribution of this thesis I see in fact that it contains not only the design of the project implementation, but also describes a logical path, what leads to the result. Therefore this thesis could be used as a base or discussed best practice, when a project of implementation of PPM application in place.
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Micro-electromembrane extraction across multiple aqueous and organic phases for selective pretreatment of raw biological samples
Kubáň, Pavel ; Boček, Petr ; Seip, K. F. ; Gjelstad, A. ; Pedersen-Bjergaard, S.
Micro-electromembrane extraction (μ-EME) across multiple aqueous and organic\nsolutions was developed for selective extractions of various analytes from untreated\nbiological samples. The novel approach requires μL volumes of samples and organic\nsolvents, which form consecutive immiscible plugs in a transparent polymeric capillary\nand the extraction process is accelerated by application of d.c. voltage. Number of the\nplugs, their composition, volume and sequence in the extraction capillary can be chosen\nspecifically for each particular application and high variability and selectivity of the\nextraction process can be achieved. In this contribution, we demonstrate suitability of\na five-phase μ-EME system for simultaneous extractions of cations and anions from\nurine and for selective extractions of basic analytes based on their acid-base strength\nfrom plasma.
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NUMERICAL ESTIMATION OF MICRO-CRACK PATHS IN POLYMER PARTICULATE COMPOSITE
Majer, Z. ; Náhlík, Luboš
Determination of composite mechanical behavior is one of important part during the composite tailoring. The aim of the present work was to estimate a micro-crack behavior in a polymer particulate composite. The composite was investigated by means of the finite element method -using ANSYS software. A two-dimensional three-phase finite element model was developed to analyze the crack growth behavior. The assumptions of the linear elastic fracture mechanics were considered and the Maximum Tangential Stress (MTS) criterion was used to predict the direction of the crack propagation. The effect of the elastic modulus of the interphase on the micro-crack propagation was investigated. The properties of matrix and particles were taken from experiment. It was shown that the interphase properties influence the stress intensity factor KI as well as the micro-crack paths. The results of this paper can contribute to a better understanding of the micro-crack propagation in particulate composites with respect to the interphase.
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Effect of snowpack on runoff generation during rain on snow event.
Juras, Roman ; Máca, Petr (advisor) ; Ladislav , Ladislav (referee)
During a winter season, when snow covers the watershed, the frequency of rain-on-snow (ROS) events is still raising. ROS can cause severe natural hazards like floods or wet avalanches. Prediction of ROS effects is linked to better understanding of snowpack runoff dynamics and its composition. Deploying rainfall simulation together with hydrological tracers was tested as a convenient tool for this purpose. Overall 18 sprinkling experiments were conducted on snow featuring different initial conditions in mountainous regions over middle and western Europe.
Dye tracer brilliant blue (FCF) was used for flow regime determination, because it enables to visualise preferential paths and layers interface. Snowpack runoff composition was assessed by hydrograph separation method, which provided appropriate results with acceptable uncertainty. It was not possible to use concurrently these two techniques because of technical reasons, however it would extend our gained knowledge. Snowmelt water amount in the snowpack runoff was estimated by energy balance (EB) equation, which is very efficient but quality inputs demanding. This was also the reason, why EB was deployed within only single experiment.
Timing of snowpack runoff onset decrease mainly with the rain intensity. Initial snowpack properties like bulk density or wetness are less important for time of runoff generation compared to the rain intensity. On the other het when same rain intensity was applied, non-ripe snowpack featuring less bulk density created runoff faster than the ripe snowpack featuring higher bulk density. Snowpack runoff magnitude mainly depends on the snowpack initial saturation. Ripe snowpack with higher saturation enabled to generate higher cumulative runoff where contributed by max 50 %. In contrary, rainwater travelled through the non-ripe snowpack relatively fast and contributed runoff by approx. 80 %.
Runoff prediction was tested by deploying Richards equation included in SNOWPACK model. The model was modified using a dual-domain approach to better simulate snowpack runoff under preferential flow conditions. Presented approach demonstrated an improvement in all simulated aspects compared to the more traditional method when only matrix flow is considered.
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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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Population genetic analysis of Old Kladruber horse
Vostrá Vydrová, Hana ; Majzlík, Ivan (advisor) ; Karel, Karel (referee)
The Old Kladruber horse, along with the Lipizzaner horse, Andalusian horse and Lusitano horse, is of the original Italo-Spanish type. The Old Kladruber horse is kept in two colour varieties (grey and black). Because the population is closed, there is a concern about the loss of genetic variation. The genetic diversity and population structure were analysed in the Old Kladruber horse breed based on the pedigree information of animals that were registered in the Studbook to identify factors that may have affected the genetic variability of the breed. Pedigree records collected from 1729 to 2013 contained information on 7971 animals that were used in the analyses. The pedigree depth was up to 33 generations, with an average of 15.1 complete generations. The effective number of founders and ancestors contributing to the current genetic pool was 92.69 and 17.16, respectively. The average values of the inbreeding coefficient were as follows: 13% (with a maximum value of 29%) for the reference population (individuals that can currently take part in reproduction, n=612), 11% for the grey variety (with a maximum value of 25%) and 15% for the black variety (with a maximum value of 29%). The proportion of inbred animals was high (99%). The average rate of inbreeding in the reference population was 1%: 0.8% for the grey variety and 1.1% for the black variety, and the respective estimates of the effective population sizes were 52 for the reference population, 62 for the grey variety and 45 for the black variety. The estimated percentage of genetic diversity lost due to non-random mating within subpopulations and the reference population was 1.0, 1.0 and 1.2%, respectively. The total loss of genetic diversity in the reference population, in the grey variety and in the black variety was 11%, 13% and 17%, respectively.
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Cooperation of high schools with external contractors in preparing school educational programs
Tulach, David ; Lačev, Alek (advisor) ; Hochel, Matej (referee)
This thesis, Cooperation of high schools with external contractors in preparing school educational programs, deals with the question whether it would be possible and beneficial for high schools to cooperate with companies on the preparation or modification of their educational programs, with the goal of improving the quality of education. After initial contributions from experts who provided negative replies to this question, the view was focused on the root of the issue - what are the historical pillars of public schools and pedagogy, what does science say about learning and teaching, how pedagogy reacts to the crisis of science. After comparing literal sources and results from interview with the experts, in combination with a trace and activity analysis, a theory was established that public education is reaching a point of crisis, has not changed in its essence since its beginning and that the best solution might be the establishment of alternative educational institutions.
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A pair of phase-synchronized semiconductor lasers for length metrology
Hucl, Václav ; Holá, Miroslava ; Čížek, Martin ; Řeřucha, Šimon ; Pham, Minh Tuan ; Pravdová, Lenka ; Lazar, Josef ; Číp, Ondřej
Semiconductor lasers are increasingly widespread in areas that have been so far dominated by He-Ne lasers. One of such areas is the length metrology, where He-Ne laser operating at 633nm wavelength is still a traditional source of coherent light for laser interferometers distance measuring. The advantages of semiconductor lasers compared with He-Ne laser are greater optical power and a significantly wider range of wavelength tuning without mode jumps. Another advantage is the possibility of frequency modulation of wavelength of the laser diode by directly changing the injection current. The benefits predetermine these laser diodes for the realization of dual-frequency laser sources for heterodyne interferometry. In this case, using a phase-locked loop technique the optical frequency of a laser diode is locked to the optical frequency of another laser diode with a certain frequency offset in the MHz order. In our contribution we present utilization of DBR laser diodes in implementing a dual-frequency laser source for laser interferometry with heterodyne detection.\n
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Optical frequency references
Hrabina, Jan
Optical frequency references based on absorption cells represent a traditional and essential tool for frequency locking of precise laser standards. One of the most often used absorption media is a molecular iodine 127I2, which offers a rich atlas of strong and narrow absorption lines across mostly whole visible part of optical spectrum. The main disadvatage of this media can be seen in its high corrosivity and sensitivity to presence of foreign substances. This contribution is oriented to comparison of possible measurement methods for bulk- and also optical fiber- based iodine absorption cells quality and chemical purity testing.\n\n
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