Each expectant mother comes into the hospital with some idea of how the delivery will proceed, including the c-section. These ideas, created on basis lay and professional opinions, can be dramatically different from the resulting reality. This work deals with the choice of anesthesia for planned c-section from the perspective of expectant mothers. The theoretical part of the work is devoted to current possibilities and trends in obstetric anaesthesia. It describes the types of anesthesia (local vs. total) from the perspective of medicine and from the perspective of mothers in preparation to this operational performance. The aim of the empirical part of the work is the comparison of preoperative expectations of expectant mothers with the resulting hospital reality. It was found out by the quantitative questionnaire method. The questionnaire is divided into two parts- the part before the c-section and the postoperative part. The aim of the work is the detection what information sources influence mothers ideas of the course of the operating, the influences for their decisions of the choice of anesthesia, and how the information is valid and objective. The data are treated in detail in the empirical part. The work also discussion in which the survey results are compared with the stated aims and claims...

This thesis examines the surgical treatment of obesity from the perspective of the patient. The theoretical portion deals with etiopathogenesis, diagnosis, complications, related illnesses, conservative and surgical treatments (definitions, overview and types, principles of basic bariatric approaches, as well as effects and indications, side effects, and results of treatment. It also includes the specifics of the pre-operative preparation, immediate and long- term post-operative care, psychological preparation and post-bariatric-surgery nutrition. The empirical portion consists of quantitative research in the form of a survey instrument with closed-end questions with the possibility of individual responses. The respondents were patients who had been diagnosed as morbidly obese or third-degree obesity and who had also been through surgery within the past three years. One hundred and fifty surveys were distributed, 125 were returned, and 10 of those were not used for incompleteness, and another 6 were not used because the respondents did not meet the criteria. One of the primary goals of the research was to ascertain the information that patients were missing before bariatric surgery and whether this information had a significant effect on the result of the bariatric approach. Another primary goal of...

Perioperative hypothermia, defined as a core body temperature lower than 36řC, is associated with increased perioperative complications and prolonged hospitalization. The aim of this thesis is to analyze measures that are taken to prevent perioperative hypothermia at the Orthopedic Clinic of one Czech hospital and compare them with the current recommendations of the American Society of PeriAnesthesia Nurses, Association of Operating Room Nurses and the National Institute for Health and Care Excellence. The study included 223 patients who underwent a planned orthopedic surgery and who were more than 18 years old. As a method of data collection I chose studying the medical documentation. The obtained data were processed quantitatively. The recommended body temperature range 36.5-37.5řC before leaving an operating room had total of 60.55% of cases. Neither one patient has been no action in terms of prevention of hypothermia. Body temperature was taken in 22.4% of cases at the beginning of and during the surgery. Except for a cotton sheet, which was used in 100% of patients, no additional measures were taken in 18,4% of patients. Thermal insulation was used in 41,7% of patients, in-line warming system of infusion fluids in 65% of patients, forced air warming system in 17.9% of patients, and disposable...

The primary aim of the thesis was to describe current awareness system of pediatric patients and their parents before anaesthesia and whether and to what extent the two groups are informed about anaesthesia. Furthermore, the thesis presents actual opinions of both responding groups on the current state of clinical practice and suggestions for its improvement. In accordance with available sources, so far no similar research has been carried out in the Czech Republic. A total number of 215 respondents at two biggest teaching hospitals in the Czech Republic have been addressed (Teaching Hospital Motol, Prague and Teaching Hospital Brno), the survey was finished by 131 people (60.93 %). Consequently, the questionnaire output was statistacally processed. The findings demonstrate a need of an improved anaesthesia awareness of pediatric patients and parents before the surgery. Obviously, both parents and children require printed information materials, although parents still tend to prefer rather the oral form - the anaesthesia interview. Keywords Anaesthesia, pediatric anaesthesiology, awareness, education, children, parents

The present diploma thesis is engaged in the education of patients prior to the application of anaesthesia. The theoretical part studies the area of education. For a comprehensive overview of the problems at issue, the theoretical part delves in the area of anaesthesia. The thesis examines the contribution of education provided to patients prior to the application of anaesthesia. The target group of respondents is composed by patients who underwent a procedure requiring an anaesthesiology care. Patients suitable for data collection were selected using the purposeful sampling method on the basis of collaboration with head nurses of the given hospital wards. The research was conducted by a quantitative method, using the author's own questionnaire. The total of 69 questionnaires was distributed. The results of the research investigation conducted that patients are provided advice as to anaesthesiology care in more than one half of all cases. The greatest share in providing advice and education to patients in anaesthesiology care is taken up by physicians - anaesthesiologists. Most often, advice is provided in form of an informed consent, including oral advice. A vast majority of the patients questioned observe the recommendations and measures that they have been informed of. The results further imply...

The thesis is focused on the role of nurse in patient education prior anaesthesia in surgical procedures in orthopaedic. Description of this role is based on the experience at the orthopaedic clinic and problems related to it are seen in the results of survey. The aim was to assess the level and effectiveness of patient education done by nurse before anaesthesia, measure the level of satisfaction and patient awareness before surgery, assess the quality and content of education provided by nurse and identify the current competencies of nurses in patient education before anaesthesia. Data for the research survey were obtained through two questionnaires designed for nurses working at the orthopaedic clinic and for patients who have undergone scheduled intervention in this clinic. The most important finding of the research results was crossing the competencies of nurses in the preoperative patient education because the lack of visits by anaesthesiologist. Based on what I studied in the available literature and the research results, in the discussion I am presenting proposals for solutions of this situation and I suggest active offering of the information material to patient during admission, the creation of improved education material for preoperative preparation, using of different teaching methods...

Hawaiian red shrimp - Halocaridina rubra (order Decapoda; family Atyidae) is an endemic species originated from Hawaii Islands. It is adapted to a specific environment of underground systems and anchialine pools. Halocaridina rubra has a great potential for aquarium shrimps breeders as well as for researchers. The aim of this work was to: (1) document the reproduction of shrimp Halocaridina rubra and (2) determine the influence of selected chronobiological factors and presence/absence of a shelter for its reproduction. The experiment was realized in the aquarium room and chronobiological laboratory at the department of Biological disciplines at the Faculty of Agriculture, University of South Bohemia in České Budějovice. The experiment took three months (i.e. from 3 rd November 2014 to 3 rd February 2015). This experiment had 4 treatments each with two repetitions: on the light with and without a shelter, in the dark with and without a shelter. Experimental shrimps were put into the aquaria in the breeding groups: 10: 16 (female: male). The frequency of mating was evaluated. Neither the light conditions (12 h (light): 12 h (dark) or permanent dark) nor the presence of shelter had impact on the reproduction of Halocaridina rubra. The reproduction of shrimp Halocaridina rubra was documented. Spermatophore transfer, eggs, four larval stages of zoea type, megalopal stage and two juvenil stages are monitored. Recommendations for breeding have been developed. Anesthesia was tested by using eugenol (clove oil) in shrimps.

Pond and intensive aquaculture of percids relies mainly on juveniles supplied by semi-artificial and artificial reproduction. Fish hatcheries do not always provide optimal conditions for percid reproduction. This project was undertaken to optimize reproduction methods of Eurasian perch (Perca fluviatilis L.) and pikeperch (Sander lucioperca L.). Reproduction parameters were compared in farmed and pond-reared perch broodstock without hormone treatment. Spawning was successful without hormone induction at 92.3% and 76.9% in farmed and pond-reared perch, respectively. Significant differences in morphological characteristics (gonadosomatic, hepatosomatic and viscerosomatic indices), fecundity, hatching, and post-spawning mortality were detected. All results, with the exception of spawning success and post-spawning mortality, were superior in pond reared broodstock. Further studies are required to optimize protocols for using better artificial food in farmed perch and decreased stress and post-spawning mortalities in pond reared perch broodstock. The possibilities of using clove oil, Propiscin, or 2-phenoxyethanol as an alternative to tricaine methane sulphonate (MS222) as anaesthetic, particularly with respect to reducing fish stress, were investigated. The haematological and biochemical profiles of pikeperch anaesthetized with clove oil (33 mg l?1), Propiscin (1.5 ml l?1), 2-phenoxyethanol (0.3 ml l?1), and MS222 (150 mg l?1) were determined. Each tested group was divided into two subgroups; the first subgroup was sampled 10 min after application and the second 24 h post-application. Clove oil was shown to be associated with the lowest effects in pikeperch, and therefore could be recommended as an alternative to MS222, while Propiscin and 2-phenoxyethanol were shown to be unsuitable for use with pikeperch. In Eurasian perch the use of semi-artificial reproduction for mass production of embryos was shown to be simpler and more effective. With mass incubation, 1 134 000 embryos (59% of total production) were obtained with a semi-artificial spawning regime and 796 000 embryos (41% of total production) with artificial spawning. Based on these results, we can recommend the semi-artificial spawning for production of perch embryos. Differing doses of two commonly used hormone preparations: human chorionic gonadotropin (hCG) and mammalian GnRHa (Supergestran) were tested for induction of ovulation in pikeperch. A broad range of effective doses is used in aquaculture of pikeperch. The minimal effective dose based on ovulation success is still missing. Hormone therapy applied to excess can result a detrimental impacts on broodstock fecundity and quality of eggs. Results indicated that a single injection of hCG or Supergestran could be used for successful ovulation, while no spawning was observed in a control group treated by saline solution. Among hormone treated groups, the best results were observed in groups treated with hCG at 500 and 750 IU kg-1 BW and in groups treated with mGnRHa at 25 ?g kg-1 BW. The sperm of pikeperch and Eurasian perch show similar morphology and fine structure, with the exception of differences in arrangement of midpiece and centrioles and the presence of a fin-like structure on the flagellum in pikeperch. Our results suggest use of an activation medium containing Ca2+ for activation of short-term stored sperm. Efficacy of five concentrations of Alcalase enzyme for elimination of egg stickiness compared to a milk/talc suspension was determined. Results indicated that 0.5-2.0 ml l-1 of Alcalase for 2 min may increase pikeperch egg hatching success (80-85%) compared to the milk-talc suspension. The highest hatching rate (85.4%) was observed with 1.5 ml l-1 of Alcalase. The application of Alcalase successfully eliminated pikeperch egg stickiness in 2 min compared to 60 min with traditional milk/clay/talc methods.

The first part of the present dissertation shows mechanisms of keeping of body temperature in an optimum range as well as it divides and evaluates range of body temperature. My dissertation also deals with the ways of measurement of body temperature, methods of measurement and tools which are neccessary for measurement of body temperature. Another part presents characteristics of aneshtesia its division, ways of application and tools which are used for total anesthesia. It is also described an observation of body temperature during total anesthesia, negative consequences of hypothermia, regulations of body temperature during total anesthesia and prevention and treatment of hypothermia. There are descriptions of targets and hypothesis in the second part. There were made five hypothesis. The third part shows methods of collecting data itself. They are results of stucture observation of changes of body temperature of patiens in total anesthesia during surgery.The fourth part are charts and graphs showing results of measurements of body temperature of our patients in total anesthesia as well as results of the questionnaires based on answers from asked nurses. There are particular hypothesis and their results in discussion part. Hypothesis H1 was proved. Hyphothesis H2 is not possible to be disproved. Hyphothesis H3 was not proved. Hyphothesis H4 was proved and hyphotesis H5 was proved. We can deduce from the results that active use of tools for keeping body temperature in a physiological range can prevent decrease of body temperature. It is clear from the questionnaires that nurses are aware of complications connected to hypothermia. They actively use tools for keeping body temperature in physiological range. There is a summary in the conclusion of the dessertation whether all estimated targets were accomplished. As a result of the dissertation we can assume that using of tools for keeping body temperature of total anasthesia patients should be a standard. There should be also a standard to measure body temperature during an operation in total anasthesia itself.

The thesis includes a general introduction to monitoring and measurement of blood pressure of horses, the design of algorithms for pressure curve detection and the calculation of respiratory variabilities in mechanical ventilation under anaesthesia. The first two chapters focus on anatomy, on characteristics of blood flow and on vascular system. Then it deals with the measurement of blood pressure, monitoring of a horse under anaesthesia and it describes particular thermodynamic parameters. In the following part of the thesis, the methods of pressure curve detection are described. The last part contains the description of an algorithm designed for detection of pressure curve of horses in the environment of the program LabVIEW. The program calculates, displays and saves variabilities of systolic pressure, pulse volume, pressure amplitude, pulse frequency, peripheral resistance and vascular expansion from the detected values.