Dementia care in the Danube Region. A multi-national expert survey

Background: Dementia is a particularly severe societal challenge in several countries of the Danube Region due to higher-than-average increment in population longevity, disproportionate increase of the old-age dependency ratio, and selective outward migration of health care professionals. A survey was conducted among dementia experts to obtain a deeper understanding of the dementia care structures and services in this geographical area, and to identify the educational needs of health care professionals, and the availability of assistive technology. ------ Subjects and methods: A standardized questionnaire was sent out to 15 leading dementia experts/clinicians in 10 Danube Region countries inquiring about professional groups involved in dementia care, availability and reimbursement of services, inclusion of dementia in professional education and training, acceptability of Internet-based education, and availability of assistive technology. The authors are the survey respondents. ----- Results: The majority of individuals with dementia receive care in the community rather than in institutions. The roles of medical specialties are disparate. General practitioners usually identify dementia symptoms while specialists contribute most to clinical diagnosis and treatment. Health care professionals, particularly those who work closely with patients and carers, have limited access to dementia-specific education and training. The greatest need for dementia-specific education is seen for general practitioners and nurses. An Internetbased education and skill-building program is considered to be equivalent to traditional faceto- face but offer advantages in terms of convenience of access. Assistive technology is available in countries of the Danube Region but is significantly underused. ----- Conclusion: Dementia care in the Danube Region can be improved by an educational and skill-building program for health care professionals who work in the frontline of dementia care. Such a program should also attempt to enhance interdisciplinary and intersectorial collaboration, to intensify the interaction between primary care and specialists, and to promote the implementation of assistive technology

Index instruments for small investors

Import 13/12/2007Prezenční154 - Katedra financíNeuveden

Influence analysis of oil price change on selected stock exchange indices

Import 18/11/2009Předmětem této diplomové práce je analyzování problematiky změn ceny ropy a jejího vlivu na přední světové burzovní indexy. Analýza je rozdělena do tří časových období mezi roky 2000 – 2008. Pro posouzení závislosti mezi těmito ukazateli je použita korelační analýza. Diplomová práce je rozdělena do tří kapitol. První kapitola se zabývá charakteristikou burz cenných papírů a burzovních indexů. Jsou zde podrobně popsány jednotlivé vybrané burzovní indexy, jejich vznik, historie, struktura i mezinárodní význam. Druhá kapitola je zaměřena na problematiku týkající se ropy, jejího rozlišení z hlediska geografické polohy, kvality a s tím související náročnosti na zpracování. Kapitola je zakončena charakteristikou komoditních burz s energetickými surovinami. Poslední kapitola práce je zaměřena na analyzování vlivu změn ceny ropy na burzovní indexy prostřednictvím korelační analýzy.Subject of this diploma thesis is analyzing the issue of oil price change and its impact on the world's leading stock exchange indices. The analysis is divided into three time periods between 2000 - 2008. For assesment the dependence between these indicators is used correlation analysis. The diploma thesis is divided into three chapters. The first chapter deals with the characteristics of stock exchanges and stock exchange indices. There are in details described individual selected stock exchange indices, their origin, history, structure and international importance. The second chapter is focused on issues relating to oil, the resolution in terms of geographic location, quality and related cost of processing. Chapter is concluded with characteristics of commodity exchanges for energy materials. The last chapter of the work is focused on analyzing the influence of oil price change on stock exchange indices through correlation analysis.Prezenční154 - Katedra financídobř

FMISO-Based Adaptive Radiotherapy in Head and Neck Cancer

Concurrent chemoradiotherapy represents one of the most used strategies in the curative treatment of patients with head and neck (HNC) cancer. Locoregional failure is the predominant recurrence pattern. Tumor hypoxia belongs to the main cause of treatment failure. Positron emission tomography (PET) using hypoxia radiotracers has been studied extensively and has proven its feasibility and reproducibility to detect tumor hypoxia. A number of studies confirmed that the uptake of FMISO in the recurrent region is significantly higher than that in the non-recurrent region. The escalation of dose to hypoxic tumors may improve outcomes. The technical feasibility of optimizing radiotherapeutic plans has been well documented. To define the hypoxic tumour volume, there are two main approaches: dose painting by contour (DPBC) or by number (DPBN) based on PET images. Despite amazing technological advances, precision in target coverage, and surrounding tissue sparring, radiation oncology is still not considered a targeted treatment if the “one dose fits all” approach is used. Using FMISO and other hypoxia tracers may be an important step for individualizing radiation treatment and together with future radiomic principles and a possible genome-based adjusting dose, will move radiation oncology into the precise and personalized era