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Prévention, contrôle et maîtrise du risque d’aspergillose invasive au Groupement Hospitalier Edouard Herriot lors de travaux : apport de la surveillance et de l’alerte environnementale et épidémiologique / Prevention, control and management of inavsive aspergillosis at Edouard Herriot hospital : contribution of enviropnmental-clinical surveys and alert systemsLoeffert, Sophie 20 November 2017 (has links)
Lors de travaux, la mise en suspension des spores d’Aspergillus constitue un facteur de risque reconnu dans le développement d’une aspergillose invasive. Durant l’année 2015, un pavillon de 6000 m2 (60 lits) de notre établissement a été entièrement déconstruit. L’objectif principal de cette étude a été d’évaluer l’association entre la concentration des spores d’Aspergillus fumigatus (AF) dans l’environnement extérieur et intérieur des pavillons, mais également avec la coexistence de cas cliniques, afin de proposer des recommandations d’amélioration (pratiques & techniques). Pour cela, durant 11 mois, une surveillance prospective de la contamination à Aspergillus fumigatus (AF) de l’air extérieur et intérieur par impaction sur gélose, mais aussi une investigation épidémiologique des patients à risque ont été mis en place. Au total, 3885 prélèvements d’air ont été réalisés (1744 extérieurs et 2141 intérieurs) permettant, par calcul des ratios de contamination (extérieurs vs intérieurs), de confirmer une efficacité des mesures de précautions pour réduire l’aérocontamination. Des prélèvements extérieurs continus des spores d’Aspergillacées (spore/m3/jour) ont également été réalisés par un capteur Hirst. Ce capteur, mais aussi le suivi des conditions météorologiques se sont révélés être des systèmes d’alerte utiles pour prévenir les pics de contamination. Enfin, 394 (383 environnementaux, 11 cliniques) isolats d’AF sensibles aux antifongiques ont été génotypés (MLVA). L’analyse des génotypes a montré 7 génotypes similaires entre des isolats d’AF cliniques et environnementaux confirmant un rôle de l’environnement hospitalier dans l’infection ou la colonisation des patients / Invasive aspergillosis (IA) due to Aspergillus has been associated with building construction, which may increase spores emission nearby immunocompromised patients. In 2015, one blocks of 6,000 m2 (60 beds) form our hospital has been entirely demolished. The aim of this study was to evaluate possible association between concentration of A. fumigatus (AF) spores in the outdoor and indoor environment and also with the clinical cases in order to propose some improvements in actuals methods and practices. A daily surveillance of fungal contamination was implemented during 11-months. Environmental survey was realized by air samplings, outdoor and indoor, with an automatic agar sampler. In parallel, surveillance of IA infection cases was conducted by epidemiological investigation. A total of 3885 air samples (1744 outdoor samples and 2141 indoor samples) were collected, allowing calculation of ratios (outdoor vs indoor) to confirm efficacy of preventives measures applied to reduce indoor aerocontamination. Outdoor continuous sampling of Aspergillaceae spores (spore/m3/day) was also realized by a Hirst collector. This collector was useful as alarm system to detect contamination peaks. Similarly, monitoring of meteorological parameters seems to be an interesting tool, to prevent Aspergillus peaks. Finally, 394 isolates of AF, susceptible to antifungals (383 environmental and 11 clinical isolates) were genotyped using MLVA. Analysis of genotypes showed 7 similar genotypes shared by environmental and clinical isolates, suggesting that clinical colonization and/or infection may originate from the hospital environment
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Přístavba, nástavba a stavební úpravy bytového domu Neumannova v Brně, příprava a realizace stavby / Annes, Extension and Building Adjustment of the Building House Neumannova in Brno, Preparation and Realization of BuildingsMartincová, Michaela January 2019 (has links)
The thesis deals with the technological stage of the rough construction of the annex and the reconstruction of the apartment building on Neumannova Street in Brno-Pisárky. These are earthworks, rough substructure, rough construction, demolition work, and some of the finishing work. The diploma thesis deals with the design of the work process of the works, the design of the machine assemblies, the studies of the implementation of the main technological stages, the preparation of the budget item, the time schedule, the time and the financial plan of the object, the control and testing plan, the material assurance plan and the transport relations. Further, the design of the building facility is processed and a technical report of the building facility is made.
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Středisko vědeckých informací a vstupní hala Masarykovy university v Brně - stavebně technologický projekt / Scientific information center and the entrance hall of Masaryk University in BrnoKovařík, Jan January 2013 (has links)
This thesis addresses the construction and technological renovation project ESF MU in Brno. The building will be solved in three main stages. The first phase is the demolition work, the second is the renovation of interier and the third is the inovation of skylight. Reconstruction will take place in the 1st floor and 2nd floor especially in the hall and library. The building is a reinforced concrete skeleton with monolithic reinforced concrete ceiling.
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Stavebně technologický projekt Domova seniorů Pržno / Construction and technological project of Retirement Home PržnoMachala, Jan January 2015 (has links)
This thesis describes the implementation of the proposed project, which concerns the reconstruction of the existing building of shopping center and restaurant. To built-in an atrium area, outdoor terraces and extension of the second storey superstructure of the building will be realized the project of the Retirement Home. This work contains a summary technical report, processing of technological regulations, report building equipment, design of the main building machines and mechanisms, assessment services, occupational health and safety plan, itemized budget and schedule subject to Retirement Home.
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Rekonstrukce městského úřadu / Renovation of municipality officeJohn, Josef January 2017 (has links)
This thesis deals with the reconstruction of the Adamov municipality,based on a solution of barrier-free building use, overall improvement of the energy performance of the building and creation of new office spaces in the form of a loft. The object is located on a building site in the town Adamov. The object is currently connected to a III. road, parking space and utilities. It is a building with three above-ground floors and one basement floor. The ground plan of the municipality is rectangle-shaped, the maximum outline dimensions of the rectangle are 28.38 x 16.70m. Existing vertical supporting constructions are mason made of fired bricks. The roof frame structure is made of wood, construction framework stagnant stool, fired tiles are used as roofing. Floor surfaces are formed by ceramic tiles or vinyl. The entrance part is covered with a flat roof. The entrance area will be redesigned as a barrier-free, with a connection to the elevator that goes through the entire object. The sanitary facilities in the first and in the second floor will be renovated. Newly created attic floor will be – except for the lift - connected to the interior of the building by a new steel staircase and the walls on this floor will be of a light type. Holes fillings will be changed in the perimeter walls. A thermal insulation of the entire object by a contact heating system will take place. This thesis consists of preparatory work and studies, implementing documentation, text reports, calculations of the thermal technical assessment and fire safety solutions. Project documentation is made in accordance with currently valid laws, regulations and standards.
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Projekt přípravy a realizace výrobní a skladovací haly v Mniší / Execution of Production and Storage Hall in MnišíŠilhová, Kristýna January 2018 (has links)
The diploma thesis deals with the realization of a production and storage hall for the engineering industry. Part of the realization of the production hall is the demolition work of the existing agricultural building. The reconstruction of the existing premises of locksmith's workshop and dressing room for employees is also being implemented. For the preparation of this project, the thesis deals with the implementation of the main technological stages, technological plans for demolition work and substructure, transport routes of the main building materials and machines, technical report of the building site, time and financial plan of the construction, security measures especially for demolition works, quality control when drilling a pilot.
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Skladovací hala ve Znojmě - stavebně technologický projekt / CONSTRUCTION-TECHNOLOGICAL PROJECT OF STORAGE HALL IN ZNOJMOHolubová, Jolana January 2014 (has links)
The diploma‘s thesis solves the realization of the storage hall and the other building operations. There are detailed follow up the technological rules for demolition work, special foundation – drilled piles and assembling of steel construction. The project includes the project of the construction site facilities, machine set, budget, quality of the implementation, time plan and safety.
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Rekonstrukce bytového domu / Reconstruction of residential buildingPavlíček, Jan January 2016 (has links)
The subject of this final thesis is prepared detailed project documentation for the reconstruction of apartment building on Karáskovo Square in Brno - Židenice. The existing building is rectangular and is a part of a apartment terraced buildings. Residential building has a basement and three floors and an attic. The main entrance is oriented to the southwest. Foundation structures are concrete, vertical support system is a brick wall, roof structure is wooden roof standing stool with pleated ceramic tiles.
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Stavebně technologický projekt přípravy a realizace Domova pro seniory Žacléř / Construction project for implementation of Retirement home ŽacléřBonaventura, Pavel January 2022 (has links)
The aim of this diploma thesis is to prepare the construction of a Home for the Elderly in Žacléř. The work deals with technical regulations for the dismantling of asbestos roofing, demolition work and monolithic structures. For these regulations, a time plan for the implementation of monolithic structures, a control and test plan for monolithic structures, an itemized budget and a time and financial plan - object-oriented will be prepared. Furthermore, this work contains the coordination situation of the construction with broader transport relations, the design of the assembly machine, the report for the construction site equipment with drawings of the construction site equipment for individual technological regulations and last but not least the health and safety plan and assessment of construction noise. As part of the diploma thesis, several appendices were prepared for this stage, such as crane assessment, details of monolithic stair arms, noise wall scheme, budget for construction site equipment, environmental plan, ceiling and wall formwork scheme and staff balance for selected stages.
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Rekonstrukce Hlavní budovy Plaveč – příprava a organizace výstavby / RECONSTRUCTION OF THE CENTRAL BUILDING PLAVEČ – PREPARATION AND ORGANIZATION OF CONSTRUCTIONČerný, Karel January 2012 (has links)
This thesis deals with reconstruction of the home for the elderly Plaveč main building. These reconstruction is primarily interior renovation, the rooms of clients and staff facilities, but also the surrounding of the building. All work will be in full operation. Consideration of this factor in the organization of construction is the main subject of this thesis, which shall include traffic contexts, costing, budget, time schedule, equipment of construction site, construction machinery, technology procedure, occupational safety and resources.
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