|
Quality of life of patients using home parenteral nutrition
HOLOUBKOVÁ, Martina
This diploma thesis deals with the issue of life quality of patients taking home parenteral nutrition. Its intention is to present the achieved life quality scores in the individual domains of physical and mental health in comparison with general population and to point out the differences in what dimensions the life quality of these patients is particularly affected. The theoretical section describes the present situation of the issue of home parenteral nutrition in the CR and the system of the care about the patients. The chapter about indications and contraindications to HPN is elaborated in more detail. The possibilities of the long-term vascular accesses, the care about them are also mentioned here, and particularly the role of a nurse in patient education in transferring parenteral nutrition to the domestic environment. The problems with long-term parenteral nutrition resulting from mechanic, metabolic and septic complications are also outlined. Parenteral nutrition failure is the most serious problem, which is why a chapter on small intestine transplantation as the last resort to save a patient with combined failure of intestine and nutrition is included. The second part of the theoretical section describes the life quality. I wanted to define the nature of this unambiguously graspable a term, determinants affecting life quality are also mentioned here. The possibilities of life quality measurement and assessment and particularly the follow-up use of the obtained data are mostly summarized here. Goals and hypotheses: Two goals were set to meet the main purpose of the thesis: Goal 1: To find whether the life quality of patients on HPN differs from that of the general public. Goal 2: To find the spheres in which the life quality of patients on HPN is mostly affected. A zero hypothesis was set to achieve the goals: Life quality of patients on HPN does not differ from that of the general public. There is no statistically significant difference between men and women. Eight alternative hypotheses to each life quality domain followed: H1: Patients on HPN show lower life quality score compared to the general public in the sphere of physical functions. H2: Patients on HPN show lower life quality score compared to the general public in the sphere of physical roles' limitation. H3: Patients on HPN show lower life quality score compared to the general public in the sphere of emotional roles' limitation. H4: Patients on HPN show lower life quality score compared to the general public in the sphere of emotional limitation of social functions. H5: Patients on HPN show lower life quality score compared to the general public in the sphere of pain. H6: Patients on HPN show lower life quality score compared to the general public in the sphere of general mental health. H7: Patients on HPN show lower life quality score compared to the general public in the sphere of vitality. H8: Patients on HPN show lower life quality score compared to the general public in the sphere of general health perception. A quantitative method of collected data analysis was applied to the research implementation. The research was based on the standardized questionnaire SF-36 supplemented with questions dealing with identification of respondents, time consumption of their treatment and their consequent satisfaction at the beginning. The questionnaire was distributed to patients using home parenteral nutrition in specialized nutrition centres of the Thomayer Faculty Hospital in Prague, Faculty hospitals in Brno and Hradec Králové and also by electronic means through the website of the citizen association Life without Intestine. The obtained data were statistically evaluated and processed into illustrative tables and graphs.Detailed mapping of the problems of life quality and highlighting of the neglected spheres of life quality of patients using HPN are the outputs of the thesis. The results will be presented to the members of the workgroup for HPN within their.
|
|
Comparison of Instrument Transformers and Current Sensors with Respect to the Function of Differential Protection
Rajchman, Zbyněk ; Topolánek, David (referee) ; Orságová, Jaroslava (advisor)
Current transformers and current sensors are devices which are mostly used for current measurement in high voltage systems. These devices transform measured currents to range which are workable for measurement and protection devices. Theoretical part includes from third to seventh chapter. These chapters contain construction analysis and characteristic points for both device and problems of protecting the transformer with differential protection. Practical part includes from eighth to tenth chapter. This chapter consists results from laboratory measurement. Results are used for verification with theoretical part of the thesis. Conclusion of this thesis comparing properties and summarises results from laboratory measurement.
|
|
Multifunctional Building
Marášek, Martin ; Myslín, Jiří (referee) ; Maceková, Věra (advisor)
The diploma thesis deals with design documentation of a multifunctional building. The new building is located in a town Uherský Brod in Uherské Hradiště district. The house is situated on a gentle sloping land. The new building is divided into café, drugstore and eight flats. The masonry are designed from Porotherm system. The roof is warm flat roof.
|
|
Vertikální zahrady ve střední Evropě
Vrbas, Filip
The topic of this thesis is about the possibility of applying vertical gardens in middle of Europe. First time, there was made methodics to evaluation of vertical gardens. After it, there were evaluated eight objects in middle of Europe and four objects in Paris. The condition was descpribed. Special attention was placed on plants. The second part of this thesis is about a practical demonstration of experimental vertical garden with three growing systems. There were used 25 species of plants and three types of substrates. The vitality, size and phenophases were evaluated.
|
|
Security strategy of the Czech Republic in relation to international migration in cause of instability and regional conflicts in and around the Euro-Atlantic area.
KORČÁKOVÁ, Simona
The theoretical part presents the various international organizations dealing with the security situation in Europe and also the immigration policy of the Czech Republic and the Federal Republic of Germany. Immigration policy in Germany is included on the grounds that in 2015 it was Germany that has become a country facing the greatest influx of migrants, to the point where the number of registered asylum seekers in the local asylum system exceeded 1 million. Germany, unlike the Czech Republic, has long-term experience in the area of asylum and immigration policy. Moreover, it tries to approach the immigration in a positive way, among others in an effort to fill gaps in the labour market. Germany takes providing assistance to people fleeing war as a moral obligation, and urges other countries to show the same solidarity. As a member state of the European Union and other organizations, the Czech Republic must act according to the rules that international communities enforce, thereby it surrenders, to some extent, its sovereignty when taking the relevant decisions. The aim of present work was to determine threats posed by the acceptance of immigrants and to propose ways to minimize these threats. A secondary aim was to compare the system of refugee reception in the Czech Republic and abroad, particularly in the Land of Bavaria, Germany, that the migration wave in 2015 affected the most of all federal states. In order to obtain the documents necessary to achieve the objectives, we started working with the landlord of an accommodation facility intended for applicants of international protection, in Goldbach (Germany). There we tracked the asylum and integration process of accommodated refugees. To compare the approach in the Czech Republic, we chose the progress and development of the Czech project Generation 21 on the resettlement of Iraqi refugees into the country. Additional information was drawn through lectures and panel discussions with experts on this issue. All the data contributed to answering the research question: whether the strategy of the Czech Republic in terms of receiving refugees has any perspective. The chapter "Results" is devoted to the EU's efforts to create a new, more efficient mechanism that would respond more flexibly than the current system of migration and asylum policy in the EU. In May 2015, the EU submitted to its Member States the "European Programme for Migration", that among others proposed so much publicly discussed mechanism of relocation, resettlement, and hotspot system and return policy. In this case, the work evaluated the proposal, using statistical data obtained from the official databases of the EU, and also thanks to the contribution of Czech experts. In addition, this chapter presents statistical data describing the process of migration waves in 2015, which are interlaced with actual data obtained directly from selected immigrants. The first reference to the applicant for international protection in Germany were foreigners from Iraq and Ethiopia, who, a half a year later, were joined by nationals from Syria. The research at the site showed the real functioning of migration and asylum system. 30 % of all asylum applicants from across the EU headed to Germany. The priority of this country was particularly its asylum policy. The Czech Republic, as a transit country with a share of less than 1% of applicants, focused on the control of illegal migration. This position was one of the factors that led to the failure of the project Generation 21. In the course of the operation this project resettled 89 refugees from Iraq, more than half of whom then renounced the asylum in order to travel to Germany. It is the secondary movement of immigrants that is threatening the existence of the Schengen area and points out the unsatisfactory effectiveness of the mechanisms proposed by the EU.
|
|
Trade mark and unfair competition
Makaloušová, Pavla ; Císařová, Zuzana (advisor) ; Žikovská, Petra (referee)
In my thesis "Trade Mark and Unfair Competition" I deal with the issue of an unfair competition in relation to the registered trade mark and its manifestation in practices of the national judicial system. In my opinion the theme of an unfair competition is quite topical. Due to technical development and production increase as well as economical advancement, the forms of an unfair competition are becoming more specific and sophisticated. It is therefore necessary to recourse this phenomenon and guarantee to the registered trade mark proprietor the possibility to exercise his rights. While studying the relevant sources I came to realize, that due to the amount of these sources it will be necessary to focus on selected aspects of the investigated problem. My intention is to focus on those forms of an unfair competition which most frequently encroach upon the registered trade mark rights, and analyze the possibilities how to effectively fight such practices. My thesis consists of five chapters (marked by Roman ciphers) which are further divided into sections and subsection (marked by Arabic ciphers) laying out specific aspects within the frame of a given chapter. Conclusion, a foreign-language resumé, the list of literature used, legal regulations as well as judicial verdicts are placed at the end of...
|
|
Animal Assisted Crisis Response
KOSTELNÁ, Helena
Canistherapy ? crisis intervention (?C-KI?) is not a very well-known and wide-spread method of canistherapy in the Czech Republic. The objective of this paper is to enhance the awareness of the expert public for the purposes of better cooperation of the integrated emergency system (?IZS?) and better use of the potential offered by this method. The theoretical part describes the IZS within which the C-KI operates as a separate unit. Then, the method is defined within the theory of zootherapy and canistherapy. For the sake of completeness, a separate chapter deals with the crisis intervention from the general point of view. A substantial part of the paper is formed by the definition of the C-KI method with the effort to provide a comprehensive summary based on all the sources available. I divide the research into two parts. The first part is formed by the pilot questionnaire looking for the answer to the research question ?What is the knowledge of the selected units of the IZS about the C-KI??. In this quantitative part of the research, I determine the hypothesis ?Selected units of the IZS do not know the C-KI method in most of the cases.? I always include, between the selected units, a centre of the Medical Emergency Service and a centre of the Regional Brigade of Cynologists in each region of the Czech Republic. In total, 28 questionnaires were sent using the CASI (Computer Assisted Self Interviewing) method. The rate of return of the questionnaires was 57%. The questionnaire inquiry confirmed the determined hypothesis that selected units of the IZS do not know the C-KI method in most of the cases. A partial result is the confirmed interest in more information about this method in the selected units of the IZS, in 81% of the answers. The second part of this research tries to find the answer to the question ?What may the C-KI offer?? using the method of a half-structured interview. There were three interviews, always with an expert who already witnessed the C-KI method during training and/or in the practice. The interviews show the significance and importance of the C-KI and the list of areas in which it may offer assistance during an extraordinary emergency situation. Examples may be the organization of evacuated inhabitants, care of them in the evacuation centre, psychological and social assistance to victims in the crisis and organizational assistance to the IZS units. In order to reach the stipulated objective of enhancing the awareness of the C-KI method among the expert public for the purposes of better cooperation with the IZS and better use of the potential offered by this method, a brochure intended for the IZS units was created as a practical output. This brief publication focuses on the most important information on the C-KI method and will be sent via e-mail to the General Directorate of Fire Rescue Service with a copy to all the centres of the Medical Emergency Service, Police of the Czech Republic, Fire Rescue Service of the Czech Republic and regional chiefs of Rescue Brigades of Cynologists.
|
|
Ombudsman - Public protector of rights
TOČÍK, Marek
The paper tries to present comprehensive information about the ombudsman institution and its activities. The theoretical part focuses on description of ombudsman institution in general, the method of electing the Ombudsman and Ombudsman's scope. The European ombudsman and the ombudsman for children are also part of the work. The core chapters are focused on Ombudsman's role in problem of discrimination in Czech Republic. The main task for this thesis was to address the issue of ethnic discrimination of Roma people, especially in access to education. Another task was to try to describe the behavior of Roma's communities and decide whether there really is discrimination in education. Supposed discrimination of Roma people is a problematic political topic and lately it has been frequently discussed. The public administration is trying to resolve this issue but with little result. The issue of Roma people is fairy difficult and so the author of this thesis aims simply to present the topic, describing the functions of Ombudsman in discrimination and find possible solution that would be fit for both sides. The research part tries to react on a research called "Research on the ethnic composition of pupils former special schools" done by the Ombudsman's office. The first phase of this research was to map the number of so called "special purpose schools" and their location throughout the region. Main source for this mapping was the websites of Ministry of Education and South Bohemian Region of Czech Republic. The first objective was to look up all the special purpose schools in the region and then I asked headmasters of these school for information about the Roma people students. Eight school were willing to participate in the research. In the next phase the assistance of welfare workers and teachers who had the experience of working with Roma students was needed. According to the instructions a qualitative survey was conducted through interviews and information obtained are processed into clear diagrams. Due to my previous working experience and personal acquaintance of respondents the information collection was not much a problem. The number of Roma people students attending the special schools in South Bohemian Region was higher than the study from 2012 VOP. This was however previously assumed. Another outcome from the survey was that Roma kids are not discriminated throughout the schooling systems. This opinion was shared among the teachers and welfare workers alike. Respondents often mentioned the lack of preparedness for school attendance, lack of interest of the parents or the fact that Roma do not perceive education as a perspective for the future as a main reason for their exclusion from the mainstream education. Welfare workers also stated that kids are being placed into special purpose schools due to the request of their parents. Solution for this situation could be creation of pre-schools, especially for kids that did not attend the kindergarten. Despite the efforts, the state still fails to implement any truly useful solutions concerning the education of Roma pupils. According to respondents, it's mainly a fault of parents, who are not able to prepare their kids for proper school attendance. Conclusion is that although the discrimination of Roma people could be a problem, it is not primarily the state schooling systems fault, but also parents fault. Without mutual respect and sense of understanding on both sides, the problem will continue to deepen.
|
|
Phylogeny and biogeography of Neotropical and African riverine cichlids: multilocus phylogenetic methods in the evolutionary studies
Musilová, Zuzana ; Novák, Jindřich (advisor) ; Bryja, Josef (referee) ; Reichard, Martin (referee)
Summary: The thesis comprises from the introduction and five main parts: three of them are published papers, the rest two are manuscripts prepared for submitting to the scientific journals. The first two are published phylogenetic studies of the cichlasomatine cichlids based on (1) molecular characters, and (2) both morphological and molecular data with the description of a new genus Andinoacara. The third (3) is the already published description of the new species Andinoacara stalsbergi from Peru combining both morphological and phylogenetic approaches and including the detailed phylogeny of the genus Andinoacara. The next unpublished manuscript (4) is the more detailed comprehensive phylogeography of the two non-relative genera (including Andinoacaras) of the trans-Andean cichlids. Including all valid species from the majority of their distribution areas it was reconstructed the ancestral area of both genera in the Choco region, Colombia, and revealed the directions of their distribution spreading. The last (5) unpublished manuscript is the phylogeographical study of the cichlid genus Serranochromis from the headwaters of the totally unknown Central Angola. It showed several evidences of the faunal exchange among the adjacent river systems. Lastly, the thesis is supplemented by several appendices...
|
|
The concept of the system state tourism policy Czech Republic with a focus on cultural tourism
Tittelbachová, Šárka ; Patočka, Jiří (advisor) ; Cimler, Petr (referee) ; Drdácký, Miloš (referee)
The focus of the thesis is an issue of system approach to formation and implementation policy of tourism in the Czech Republic with an emphasis on intersectoral cooperation in the field of cultural tourism. The work is divided into eight chapters, the first two are theoretical. The first chapter is devoted to the formulation and definition problem of the scope of the work. The second chapter deals with theoretical foundations and approaches to tourism policy issues both in general and in terms of the status of tourism in the national economy and in relation to the EU tourism policy. Attention is given to the objectives of cohesion policy, culture and tourism in the area of cultural tourism. The following two chapters deal with basic features, analysis and evaluation of policy concepts of tourism in the Czech Republic in the period after 1989. The core of the thesis is concentrated into chapter six, seven and eight. The assumption for the design of complex, dynamic tourism policy for the formation of functional institutional structure of the tourism sector management is to assess the fulfillment of the objectives of the different concepts of state policy. To identification the most important and recurrent problems of tourism policy are used the results of comparison of objectives and measures and practical experience of the author from the creation and evaluation of the conception documents. There is discussed in particular an evaluation framework and in this context there are suggested recommendations for its determination. In the field of cultural tourism is proposed a model of interdepartmental cooperation state-funded organizations CzechTourism and the National Heritage Institute. The proposal model is based on its own research, which is focused on the analysis and evaluation of assumptions monuments administered by the National Heritage Institute to participate in the creation of cultural tourism products. There are utilized data from the author primary survey and as well as secondary data from the National Heritage Institute. The model of cooperation is based on exemplification of the causal relationships between strategic objectives and processes within the strategies of both organizations by the model BSC (Balanced Scorecard) and from a proposal for their implementation using model 7 "S".
|
guest ::
