13C-METHACETINOVÝ DECHOVÝ TEST U PACIENTŮ S JATERNÍ CIRHÓZOU A DEKOMPENZOVANÝM SRDEČNÍM SELHÁNÍM

An overview of new diagnostic device (Wagner Analysen Technik, Germany) is provided. This device uses the 13C stable isotope together with non-dispersive infrared selective spectroscopy for non – invasive quantification of hepatic function parameters, including kinetics (type of liver damage) and capacity (percentage of recovery yield of the liver). The short physical principle of infrared spectroscopy and acousto-optical detector of IRIS was presented. In the final section we verified the diagnostic quality of this new diagnostic device (using ANOVA and ROC analysis) on cohort of 103 patients divided into 3 groups according to diagnosis and the various level of liver damage

FANTOM PRO DIAGNOSTICKÝ ULTRAZVUK A DOPPLEROVSKÉ VYŠETŘENÍ

In the article the main physical principals of creation, propagation and reflection of ultrasonic waves were described. The diagnostic methods based on Doppler’s effect were explained. The two phantoms for education were created. The first phantom contained echogenic and cystic structures of various shapes and sizes, from materials with different acoustic properties. In the second phantom the branched system of tubes that carry fluid simulating blood flow in the body was placed. Students in these phantoms acquire basic skills with an ultrasonic diagnostic device, such as working in various display modes, identifying tissue structures, measuring areas and distances displayed in sections, measuring the speed and volume flow using the Doppler effect

Laser Vitreolysis for Vitreous Opacities: A Prospective Study

Aim: The aim of this study is to evaluate the efficacy and safety of a YAG laser vitreolysis procedure used to remove bothersome vitreous opacities/floaters. Methods: The prospective clinical study included 42 eyes of 35 patients (age 32-81 years) with vitreous opacities generating visual disturbances. All patients were treated using the Ellex - Ultra Q Reflex YAG laser and underwent a complete eye examination before the laser vitreolysis and at 1, 3 and 6 months after the intervention. Changes in corrected distance visual acuity (CDVA), central retinal thickness (CRT), intraocular pressure (IOP) and patient’s subjective perception of disturbances were analysed. Results: The average number of laser shots was 118 (6 - 310 shots), with a total average energy of 3.8 mJ per laser shot (2.2 - 9 mJ). The laser intervention was performed only once in a total of 31 eyes (73.8%), whereas it was necessary to perform the intervention twice in 10 cases (23.8%). No significant differences in CDVA were detected during the whole follow-up (p>0.40). No significant changes were found either in CRT (p>0.32). Concerning IOP (p<0.001), it was reduced significantly immediately after the intervention, returning to the pre-intervention level afterwards. The analysis of the responses to the questionnaire revealed that there was a mean improvement in subjective visual symptoms according to patients of 71%. No complications were detected in the sample during the follow-up. Conclusion: Laser vitreolysis is a minimally invasive treatment, allowing a complete or partial elimination of vitreous opacities and leading to alleviation of patient’s disturbances

Surgical Treatment of Idiopathic Macular Hole Using Different Types of Tamponades and Different Postoperative Positioning Regimens

Purpose. To compare the effect of different types of intraocular tamponade and different types of postoperative positioning on the closure of idiopathic macular hole (IMH). Methods. Prospective randomized clinical trial enrolling 104 eyes of 100 patients (age, 57–87 years) undergoing MH surgery. All patients were operated on by an experienced surgeon using 25-gauge pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling. Patients were randomized according to the type of intraocular tamponade and postoperative positioning into the following four groups: SF6 + nonsupine reading position (n = 26) (group 1), air + nonsupine reading position (n = 25) (group 2), air + prone position (n = 26) (group 3), or SF6 + prone position (n = 27) (group 4). The follow-up period was 6 months. Results. MH closure was achieved in 87 eyes (83.7 %) in the overall sample after the first surgery, with closure rates of 100%, 56%, 84.6%, and 92.6% in groups 1, 2, 3, and 4, respectively. The group 2 was significantly less successful compared to the other three groups (p 400 µm, the greatest anatomical success can be achieved by using the SF6 tamponade in combination with the nonsupine reading position.The author David P Piñero was supported by the Ministry of Economy, Industry and Competitiveness of Spain within the program Ramón y Cajal (RYC-2016-20471)

Reconstruction of WWTP in the village Málkov.

Import 26/06/2013Tato bakalářská práce se zabývá rekonstrukcí ČOV v obci Málkov. První část práce je zaměřena na přehled stokových soustav, legislativní požadavky České republiky a Evropské Unie na odvádění a čištění OV pro obce do 2000 EO. Druhá část práce je zaměřena na charakteristiku sledovaných ukazatelů odpadních vod. V praktické části, vyhodnocuji ČOV Málkov ve zkušebním a normálním provoze.This bachelor thesis deals with the reconstruction of ČOV in the village Málkov. The first part focuses on the total overview of the sewer system, legislative requirements of the Czech Republic and the European Union and the cleaning technologies for villages up to 2000 EO. The second part of this thesis deals with the theoretical part of monitored water indicators and its characteristics. The other part, which is practical, evaluates results delivered by an accredited laboratory of the operating company ČOV.Prezenční546 - Institut environmentálního inženýrstvívýborn

Accounting in Agricultural Enterprise engaged in Poultry Testing with International Reach and the Production of Live and Butcher-Processed Poultry.

My thesis focuses primarily on the issue of cost and revenue accounting in the course of the entire testation process as the process itself is a long-term one and it is not possible to wait with final evaluation until the point when the entire cycle is completed. This is primarily due to the fact that there are concurrent multiple testing series performed in the testing station and it is necessary to differentiate between individual tests

Radiotherapy of prostate tumours through the IMRT technique and its toxicity

Abstract Radiotherapy of prostate tumours through the IMRT technique and its toxicity In today´s modern world, prostate carcinoma is one of the most frequent malignant diseases suffered by men. Most ill persons who suffer from this disease are men between 50 and 70 years, and their number is increasing more and more. My work deals with occurrence of late complications after radiation of patients with prostate carcinoma through the IMRT technique in Nemocnice České Budějovice, a.s.. I assessed the number of late complications in the area of gastrointestinal and genito-urinary tract, degree of damage, and period of latency in dependence on a technique and amount of radiation. I observed whether the number of late complications is comparable with data in professional literature, or whether it considerably differs from these results. Method for preparation of an expert study being quantitative research. I obtained data from the files of the Department of Oncology of Nemocnice České Budějovice, a.s., in 2007-2010. From the group of 243 patients, there were 211 patients appropriate for statistical processing of my research who were exposed to radiation through the IMRT technique due to prostate carcinoma diagnosed in 2007 - 2010. There were complications with 114 of them (54.03%). In the area of gastrointestinal tract, the 1st degree of late toxicity was with 47 patients (88.68%), 2nd degree with 4 patients (7.56%) and 3rd degree with 2 patients (3.77%). Median value of the period of latency is 13.86 months. Undesirable effects were shown in 3 months at the earliest, in 39 months at the latest. In the area of genito-urinary tract, the 1st degree of toxicity was with 39 patients (82.98%), 2nd degree with 8 patients (17.02%), and 3rd degree did not occur at all. Median value of the period of latency is 10.3 months. First, there occurred symptoms of late toxicity in 2 months, in 30 months at the latest. Upon comparison of all the results which I found out during my research done, I arrived at the conclusion that in Nemocnice České Budějovice, a.s., the occurrence of late toxicity of the second and third degree is slightly smaller in the area of gastrointestinal tract, while in the area of genito-urinary tract late complications of the second and third degree occur more often

Personal assistance in supported living for people with learning disability

The main topíc of this thesis is assistance in supported living for people with mental retardation. The theoretical part of this essay defines these concepts in the context of the new trends in the care for people with mental retardation. Then we focus on persona! assistent himself; we describe his personality, demands on his professional skills and his approach towards the clients. Then there are introduced some psychological aspects of assistance. We pay attention on motives for this helping profession, on burn-out syndrom and ethical aspects of assistanť s work. The aim of the practical part is to explore the current situation in assistance in Czech republic. The goal of my investigation was to find out using mainly qualitative research methods, who is the typical assistant in supprorted living, why did he choose his profession and how does he experience his work. The results pointed out, that there is a large specific group of young women working in this profession as well the lack of other age groups of assistants and the lack male assistants. The most frequented motives for assistance are the posibility of using the skills obtained by previous education and experience, the meaningfullness of this work and the wish to provide high quality service for mentally handicaped people. Among the least..