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The Change in Nutritional Status in Traumatic Brain Injury Patients: A Retrospective Descriptive A Retrospective Descriptive StudyMasha'al, Dina A. 05 April 2016 (has links)
There is a high prevalence in malnutrition among traumatic brain injury (TBI) due to the hypermetabolism and hypercatabolism which develop post injury. Traumatic brain injury patients are different, even among themselves, in their energy requirements and response to nutritional therapy. This implies that there are other factors that affect the energy intake of these patients and enhance the incidence of malnutrition.
This dissertation study examines the nutritional status of TBI patients upon admission to the intensive care unit (ICU) and during their hospital stay to describe baseline status, detect changes in nutritional status over 7 days, and identify the factors affecting the adequacy of energy intake and the change in nutritional status as a consequence. Anthropometric measurements, biomedical measurements, measures of severity of illness, daily health status, level of brain injury severity, and other data were collected from the medical records of 50 patients, who were ≥ 18 years old, mechanically ventilated in the first 24 hours of ICU admission, and had a Glasgow Coma Scale score between 3-12. These data were used to examine the previous relationships.
Although there was no statistically significant change found in body mass index and weight, there was a significant change detected in other nutritional markers, including hemoglobin, albumin, and total lymphocyte levels over the 7 days of ICU and hospital stay. No significant relationship was found between the adequacy of energy intake and total prescribed energy, severity of illness, level of brain injury severity, daily health status, patient age, intracranial pressure, or time of feeding initiation.
Findings may be used to develop and test interventions to improve nutritional status during the acute phase of TBI. This will lay a foundation for health care providers, including nurses, to establish standards for practice and nutrition protocols to assure optimal nutrition assessment and intervention in a timely manner.
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Dopad Basel II na kapitálovou přiměřenost bank / The impact of Basel II on capital adequacy of banks.Koplová, Martina January 2009 (has links)
This thesis is focused on the new basel capital accord - Basel II. The first part of the work deals with financial risks and their regulation. Next part is concerned on Basel I and Basel II. This part defines basic terminology and three pillars - minimum capital requirements, supervisory review process and market discipline. In the last part there is an analysis of impact of Basel II on capital adequacy of czech banks.
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Riadenie úverového rizika v českom bankovníctve. / Credit risk management in the Czech bankingValenčinová, Anna January 2010 (has links)
This thesis deals with the management of credit risk in the Czech banking sector. It consists of four separate chapters. The first three chapters provide a theoretical basis for important knowledge concerning the issue. The first chapter provides general background information about the bank, the importance of bank regulation and supervision, and all types of banking risks, with emphasis on credit risk. The second chapter deals with the system of credit risk management in banks, which includes the identification, quantification, monitoring and reducing of credit risk. The capital adequacy and rules for its determination under Basel II are contained in the third chapter. The last chapter provides an analysis of selected indicators of the Czech banking sector and assessment of credit risk management in the two largest Czech banks, on the basis of specific fair value of their annual reports.
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Řízení kreditního rizika z pohledu banky a družstevní záložny / Credit risk management from the perspective of banks and credit unionsJeřábek, Michal January 2013 (has links)
This thesis deals with the comparison of banks and credit unions with a focus on the comparison in terms of access to credit risk management. Both institutions are analyzed on the basis of aggregated data within the Czech financial market, capital adequacy, liquidity, asset quality of the loan portfolio and other key indicators of solvency and financial stability. In the final part of the thesis, there are analyzed the causes of failure of these credit unions: "Metropolitní spořitelní družstvo", "UNIBON -- spořitelní a úvěrní družstvo" and "WPB Capital, spořitelní družstvo".
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Basel III Impact on Czech Banks and Effectivity of Capital Ratios to Predict Bank Distress / Dopad Basel III na české banky a efektivita kapitálových pomerov predpovedať finančnú tieseň bánkMatejašák, Milan January 2013 (has links)
The aim of this thesis is to evaluate the impact of Basel III on Czech banks and to compare the effectiveness of capital ratios in predicting bank distress. After a short introduction, in the second chapter we estimate the impact of tightened Basel III capital regulation on lending spreads in the Czech banking sector. In this chapter we conclude that the tightened capital regulation will not lead to more expensive borrowing in the Czech Republic mainly because the banking sector has been well-capitalized. In the third chapter we identify the strategies that Czech banks adopted in order to significantly increase their capital ratios between 2009 and 2013. Our analysis shows that retained earnings have played a major role in increasing the average capital adequacy of Czech banks. In addition, the Czech banks have decreased their average asset risk to further strengthen the overall capital adequacy ratio. In the last chapter, using a dataset on bank distress in European banks during 2008-2012, we compare the performance of risk-weighted capital ratios and simple leverage capital ratios to predict bank distress. Our results suggest that simple leverage ratios can perform better than complex risk-weighted capital ratios when predicting bank distress. While such a finding is not conclusive, it suggests that more complex risk modeling does not always mean better risk modeling.
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Analýza vývoja kapitálovej primeranosti bánk v Českej republike / Analysis of capital adequacy development of banks in Czech republicKrondiak, Ladislav January 2015 (has links)
The main focus of this thesis is the analysis of channels used by Czech banks to increase their capital ratios. We identify the increase in capital as the main channel used. Further, within these channels we find retained earnings to be the main tool used. In addition, growth in the loans volume was the dominant tool within the channel of asset volume. Furthermore, we observe an increase in the use of more advanced capital requirements quantification methods, especially in larger banks. We also identify several factors, other than capital regulation, that might have contributed to the observed developments.
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Basel II vs. Basel III a vliv nové regulace na české bankovnictví / BASEL II vs BASEL III and the Impact of the New Regulatory Rules on the Czech Banking SectorKubíček, Antonín January 2011 (has links)
The aims of this thesis are twofold. Firstly, it aims to analyse the new regulatory rules BASEL III, published in December 2010. These were created as a lesson from the previous crisis and following the developments occurring problem areas included in the regulatory rules Basel II. And secondly, it evaluates their impact on the Czech Banking Sector. Regulatory rules BASEL III contain large number of rules aimed at enhancing the quality, quantity and flexibility of regulatory equity capital, reducing the cyclicality of capital requirements, stricter capital requirements for certain risky assets, intensifying surveillance in terms of significantly important financial institutions and international standards of liquidity. Apart from adjustment of the rules that appear in the Basel II, the regulatory rules Basel III also include rules used for the first time. The analysis of the impact on the Czech banking sector is based on the assumption that the Czech banking sector is well equipped with capital and the impact of BASEL III will therefore not have any significant impact on the functioning of Czech banks. This thesis shows that the impacts depend on the size of the banking institutions. A selected sample of six Czech banks (two from each group of large, medium and small banks) is used, inter alia, to demonstrate this.
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Dopady implementace Basel III na poskytování úvěrů v České republice / Impacts of implementation of Basel III on lending in the Czech RepublicVávrová, Jitka January 2012 (has links)
This thesis shows the changes the new Basel III banking regulation from the original Basel II regulation in Czech and European legislation. The next section brings the results of foreign studies concerning the effect of changes in spreads on lending rates, gross domestic product and unemployment. These studies are based on various input data and assumptions. The practical part analyzes three selected Czech banks through scenarios and identifies possible impact of the new regulation in lending rates in 2012 - 2019th.
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Řízení rizik s ohledem na Basel II a Basel III / Risk management with respect on Basel II and Basel IIIKutová, Nikola January 2012 (has links)
The aim of my thesis is to evaluate the risk management system of Czech banks according to the Basel II rules. In my thesis I also deal with the ability of the Czech banking system to accept new Basel III rules. The first part of my thesis focuses on definition of risks and methods of risk management according to Basel rules. They discuss diferent risks that they fall within activity to the rules on the capital adequacy of the bank. The second part of thesis focuses on characteristics of Basel II and III and how the rules are implemented to the law of the EU and then to the law of Czech Republic. Part of the second part is also shortages of Basel II. On this shortage, Basel Committee on banking supervision responded to introduce new accord Basel III. In the final part, both of part is connected on the samples of three banks. After analysis, the thesis rates readiness Czech banks on the new capital accord and new risk management. The thesis summarizes readiness of the Czech banking system on the Basel III rules.
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Characteristics of Successful Texas Schools Which Predict Components of an Adequate Education.Ryan, Robin S. 12 1900 (has links)
The purpose of this study was to identify high performing school districts in Texas and to determine if there are different characteristics leading to the provision of an adequate education in high performing districts as compared to low performing districts. It specifically sought to determine which characteristics contributed most to an adequate education and used data from the Texas Academic Excellence Indicator System (AEIS) which chronicled scores on the Texas Assessment of Academic Skills (TAAS). The population for this study consisted of all 2001-2002 Texas public school districts with the exception of charter schools, special-purpose statutory districts, and state-administered districts, which resulted in using data from 1027 Texas school districts. Descriptive discriminant analysis was chosen as the method for statistical analysis. Data were obtained from the Texas Education Agency (TEA). Adequate and inadequate districts were analyzed according to eight variables. They were (1) taxable value per pupil, (2) the percentage of special education students, (3) the percentage of students coded as bilingual and ESL, (4) pupil-teacher ratio, (5) the size of the district, (6) the percentage of economically disadvantaged students in the district, (7) the district community type, such as rural or suburban, and (8) the total operating expenditures per pupil. Two analyses were conducted. The first analysis sought to determine the different characteristics between adequate districts (districts that scored 80% or above on the TAAS test) and inadequate districts (districts that scored 79% or below on the TAAS test). In order to determine these differences with a higher standard for adequacy, a second analysis was performed. The second analysis focused on districts deemed adequate by scoring 90% or above on the TAAS test compared to those districts deemed inadequate by scoring 69% and below. The eight variables accounted for 21% and 37% of the variance between groups respectively. For both analyses performed, the three variables that clearly contributed most to predicting membership in the two groups were the percentage of economically disadvantaged students( .935, .652), the percent of students in bilingual or ESL programs (.332, .371), and the taxable values per pupil (.178, .058). The percentage of economically disadvantaged students indicated that this variable explained 94% and 65% of the overall effect sizes. The percentage of bilingual and ESL students explained 33% and 37% of the effect size. Taxable Value per pupil explained 17% and 6% of the effect size. The percentage of special education students, total operating expenditures per pupil, the student-teacher ratio, community type, and the size of the district each, revealed only slight contribution to group differences. These results clearly suggested that the inadequate districts had higher percentages of economically disadvantaged students and ESL students while the adequate districts had higher taxable value per pupil, or wealth.
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