Vliv úpravy vnějších podnětů na vznik delirantních stavů u pacientů na jednotkách intenzivní péče

Příspěvek představuje plán na realizaci průzkumu v oblasti prevence delirantních stavů na jednotce intenzivní péče s využitím stimulačních podnětů. Je řešeno výzkumné zaměření, kritéria pro výběr pacientů a výběr vhodných pomůcek na aktivizaci během dne a zklidnění v noci. Výzkumné šetření bude probíhat na dvou boxech o třech lůžkách, kdy jeden pokoj bude se stimulačními podněty a druhý bude běžně vybaven. Jako nástroj pro hodnocení delirantních stavů byl zvolen test The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) v české verzi

Impact of process variables on the micromeritic and physicochemical properties of spray-dried microparticles, part II: physicochemical characterisation of spray-dried materials

YesObjectives  In this work we investigated the residual organic solvent content and physicochemical properties of spray-dried chlorothiazide sodium (CTZNa) and potassium (CTZK) salts. Methods  The powders were characterised by thermal, X-ray diffraction, infrared and dynamic vapour sorption (DVS) analyses. Solvent levels were investigated by Karl–Fischer titration and gas chromatography. Key findings  Spray-drying from water, methanol (MeOH) and mixes of MeOH and butyl acetate (BA) resulted in amorphous microparticles. The glass transition temperatures of CTZNa and CTZK were ∼192 and ∼159°C, respectively. These materials retained their amorphous nature when stored at 25°C in dry conditions for at least 6 months with no chemical decomposition observed. DVS determined the critical relative humidity of recrystallisation of CTZNa and CTZK to be 57% RH and 58% RH, respectively. The inlet temperature dependant oxidation of MeOH to formaldehyde was observed; the formaldehyde was seen to deposit within the amorphous matrix of spray-dried product. Spray-drying in the open blowing mode coupled with secondary drying resulted in a three-fold reduction in residual BA (below pharmacopoeial permitted daily exposure limit) compared to spray-drying in the closed mode. Conclusions  Experiments showed that recirculation of recovered drying gas increases the risk of deposition of residual solvents in the spray-dried product.The Irish Research Council for Science and Engineering Technology (IRCSET), the Solid State Pharmaceutical Cluster (SSPC), supported by Science Foundation Ireland under grant number (07/SRC/B1158) and the Irish Drug Delivery Research Network, a Strategic Research Cluster grant (07/SRC/B1154) under the National Development Plan co-funded by EU Structural Funds and Science Foundation Ireland

Seasonal habitat use of three predatory fishes in a freshwater ecosystem

To understand the spatiotemporal overlap in the habitat use of sympatric predators, we studied longitudinal activity and reservoir section and depth use of pike (Esox lucius), pikeperch (Sander lucioerca) and catfsh (Silurus glanis) in the Římov Reservoir, using an autonomous telemetry system for 11 months. We found signifcant diferences among these species in studied parameters that varied considerably over tracked period. Pike consistently used the same sections of the reservoir, while pikeperch and catfsh frequently visited a tributary during the warm season (late spring and early autumn), and moved closer to the dam during the cold season (late autumn to early spring). Pike longitudinal activity was highest in the cold season, pikeperch in the warm season, and catfsh activity peaked in both seasons. Overlap in the depth use among species was higher in the warm season, when all species used the upper layer of the water column, and lower in the cold season, when pikeperch and catfsh used deeper areas. These results demonstrated overlay and temporal variation of habitat use among these predators, as well as potential spatiotemporal space for their direct ecological interactions. Acoustic telemetry · Predators · Habitat use · Movement ecology · Winter ecologypublishedVersio

Long-term monitoring of fish in a freshwater reservoir: Different ways of weighting complex spatial samples

Anthropogenic activities continue to pose the greatest challenges to freshwater ecosystems. Therefore, long-term monitoring is essential for the management and conservation of these resources. Monitoring programs for freshwater bodies often use a range of indicators, including biological elements such as fish. Existing European standard provides a depth-stratified gillnet sampling approach mainly in benthic habitats and at the deepest part of lakes to account for the uneven distribution of fish. However, the commonly used CEN (European Committee for Standardization) protocol does not weight sufficiently habitat volumes and underrepresent pelagic habitats to calculate whole-lake catch and biomass per unit effort (CPUE and BPUE, respectively). Extended European standard gillnet (4 larger mesh-sizes added in the geometric series) catch data collected over 18 years (2004–2021) in Římov Reservoir (Czech Republic) were used for a method comparison on indices for relative abundance and biomass of fish: CEN protocol without volume-weighting and two volume-weighted approaches. We also evaluated changes in species composition and trends in these fish population over time. Results indicated interannual changes in species composition, relative abundance, and biomass of fish community. The CEN protocol tended to put greater emphasis on benthic habitats which generally have larger CPUE and BPUE. Consequently, the two volume-weighting approaches produced lower estimates of the two parameters, with the exception of the most dominant pelagic bleak Alburnus alburnus (L.). All approaches consistently showed an increasing trend in whole-reservoir fish abundance and a decreasing trend in biomass over the study period. Following our assessment, we put forward the volume-weighting approach that considers the Volume of the depth Stratum (VOST) for weighting as the most realistic approximation of fish populations and therefore recommend its use

Formation and physicochemical properties of crystalline and amorphous salts with different stoichiometries formed between ciprofloxacin and succinic acid

YesMulti-ionizable compounds, such as dicarboxylic acids, offer the possibility of forming salts of drugs with multiple stoichiometries. Attempts to crystallize ciprofloxacin, a poorly water-soluble, amphoteric molecule with succinic acid (S) resulted in isolation of ciprofloxacin hemisuccinate (1:1) trihydrate (CHS-I) and ciprofloxacin succinate (2:1) tetrahydrate (CS-I). Anhydrous ciprofloxacin hemisuccinate (CHS-II) and anhydrous ciprofloxacin succinate (CS-II) were also obtained. It was also possible to obtain stoichiometrically equivalent amorphous salt forms, CHS-III and CS-III, by spray drying and milling, respectively, of the drug and acid. Anhydrous CHS and CS had melting points at ∼215 and ∼228 °C, while the glass transition temperatures of CHS-III and CS-III were ∼101 and ∼79 °C, respectively. Dynamic solubility studies revealed the metastable nature of CS-I in aqueous media, resulting in a transformation of CS-I to a mix of CHS-I and ciprofloxacin 1:3.7 hydrate, consistent with the phase diagram. CS-III was observed to dissolve noncongruently leading to high and sustainable drug solution concentrations in water at 25 and 37 °C, with the ciprofloxacin concentration of 58.8 ± 1.18 mg/mL after 1 h of the experiment at 37 °C. This work shows that crystalline salts with multiple stoichiometries and amorphous salts have diverse pharmaceutically relevant properties, including molecular, solid state, and solubility characteristics.Solid State Pharmaceutical Cluster (SSPC), supported by Science Foundation Ireland under grant number 07/SRC/ B1158

Widespread pesticide distribution in the European atmosphere questions their degradability in air

Risk assessment of pesticide impacts on remote ecosystems makes use of model-estimated degradation in air. Recent studies suggest these degradation rates to be overestimated, questioning current pesticide regulation. Here, we investigated the concentrations of 76 pesticides in Europe at 29 rural, coastal, mountain, and polar sites during the agricultural application season. Overall, 58 pesticides were observed in the European atmosphere. Low spatial variation of 7 pesticides suggests continental-scale atmospheric dispersal. Based on concentrations in free tropospheric air and at Arctic sites, 22 pesticides were identified to be prone to long-range atmospheric transport, which included 15 substances approved for agricultural use in Europe and 7 banned ones. Comparison between concentrations at remote sites and those found at pesticide source areas suggests long atmospheric lifetimes of atrazine, cyprodinil, spiroxamine, tebuconazole, terbuthylazine, and thiacloprid. In general, our findings suggest that atmospheric transport and persistence of pesticides have been underestimated and that their risk assessment needs to be improved

Widespread pesticide distribution in the European atmosphere questions their degradability in air

Risk assessment of pesticide impacts on remote ecosystems makes use of model-estimated degradation in air. Recent studies suggest these degradation rates to be overestimated, questioning current pesticide regulation. Here, we investigated the concentrations of 76 pesticides in Europe at 29 rural, coastal, mountain, and polar sites during the agricultural application season. Overall, 58 pesticides were observed in the European atmosphere. Low spatial variation of 7 pesticides suggests continental-scale atmospheric dispersal. Based on concentrations in free tropospheric air and at Arctic sites, 22 pesticides were identified to be prone to long-range atmospheric transport, which included 15 substances approved for agricultural use in Europe and 7 banned ones. Comparison between concentrations at remote sites and those found at pesticide source areas suggests long atmospheric lifetimes of atrazine, cyprodinil, spiroxamine, tebuconazole, terbuthylazine, and thiacloprid. In general, our findings suggest that atmospheric transport and persistence of pesticides have been underestimated and that their risk assessment needs to be improved

Management of care for patients with stoma

Tato bakalářská práce se zabývá zejména reedukací, u již edukovaných stomiků. Teoretická část této práce začíná anatomickým úvodem gastrointestinálního systému, dále pokračuje kapitolou s nejčastějšími onemocněními spojenými s vyvedením stomie. Nejpodrobněji se zaměřuje na stomie, a to zejména střevní, stomické pomůcky a jejich použití, edukaci a edukační proces prováděný stomickou sestrou. Praktická část je realizována jako kvalita-tivní výzkum. Zahrnuje kontroly stomiků, polostrukturované rozhovory a taktéž samotnou reedukaci. Výstup z práce tvoří edukační plán vytvořený pro edukaci každého respondenta.ObhájenoThe bachelor thesis focuses mainly on the reeducation of already educated stoma patients. The theoretical part of the thesis starts with an anatomical introduction of a gastrointestinal system and continues with the chapter describing the most common diseases associated with the stoma withdrawal. The attention is paid to the stoma, or the intestinal stoma in particular, stoma accessories and their application, and the educational process carried out by the stoma nurse. The practical part is carried out as qualitative research. It includes the check on stoma patients, semi-structured interviews and also the reeducation itself. The outcome of this bachelor thesis is an educational plan I elaborated for each of the educated respondents

The Evaluation of Possibilities of Selected Psychoterapeutic Elements in Roznov Art Therapy

Diploma Thesis "The Evaluation of Possibilities of Selected Psychotherapeutic Elements in Roznov Art Therapy" Deals with The Evaluation of Possibilities of Psycho-analysis, The Analytic Psychology of C. G. Jung, The Cognitive Theory of J. Piaget, Cognitive- Behavioral Psychotherapy, Integrative Psychotherapy, Group Psychotherapy in Roznov Art Therapy. After That Diploma Thesis Integrates These Elements into the Process of Roznov Art Therapy

Animal as a symbol Paradox of snake

This bachelor thesis focuses on the interpretation of the snake symbol in legends, myths and religions in the oveview of the world. The first part is focused on the interpretation of the term symbol and its use in this work. The second part is devoted to the zoological taxonomy of the snake and the subsequent taking of attributes from the living creature to its symbolic nature. The third part summarizes myths, legends, religious ideas. Japan, China, India, Europe, Egypt and America at a glance, followed by an evaluation of the observed attributes of the snake symbol. The fourth chapter is separately dedicated to the symbolism of the snake in the Old and the New Testaments. The fifth chapter summarizes several questions. Whether the Snake is an evil performer, whether the snake symbol has become a cultural constant and what role it has these days