For this final paper, I chose a rather serious topic that is very topical in our society. Hazardous chemical substance ? ammonia ? is used very widely at present. Ammonia is used as a coolant in various plants. I have compiled a list of all plants in South Bohemia that work with ammonia, including ice rinks. I characterized the properties of ammonia, what damage it causes to the human organism and the environment. I noted a list of accidents during which there have been ammonia leakages of ammonia and I analyzed one accident using a software programme called TerEx. I chose the building of the ice rink in České Budějovice for my research. The objective was to determine the amount of ammonia and to simulate, using the TerEx software programme, an accident with a potential ammonia leakage from the ice rink. I also listed all the activities of the individual components of the Integrated Rescue System, which would help during such an accident, as well as urgent and follow-up measures that would be used. Having assessed the results I came to the conclusion that ammonia leakage from the ice rink would have serious impacts on the residents of České Budějovice. Finally I explained what the terms of evacuation and individual protection mean for the people lining around the ice rink.

The present study is divided into theoretical and practical part. The theoretical part deals with anatomy of thehip andknee joint, in the next part there is definition of endoprosthesis as well as historical development of endoprosthesis. Subsequently, different types of endoprosthesis, surgery equipment and possible complications after surgery are described. It is followed by nursing care and rehabilitation including spa treatment. The theoretic part is concluded with revision of the joint. The practical part of the master thesis has been elaborated from the qualitative survey. The survey was conducted with the respondents who underwent endoprosthesisof the knee or hip joint and with the nurses working at regular orthopaedic department or orthopaedic intensive care unit (ICU). The interviews were afterwards transcribed and elaborated by means of the technique of open coding with the method "pencil and paper". 16 categories and 48 subcategories emerged from the data processed in this manner.

Present situation The theoretical part of the diploma thesis is divided into four separate chapters. The first chapter deals with cerebrovascular accident (CVA). Another chapter describes the consequences of illness in various areas of human life. The third chapter defines the concept of follow-up care and the fourth chapter deals with diagnosed obesity. Aims of the work and research questions The aim of the diploma thesis is to map out the influence of obesity on follow-up care of patients after cerebrovascular accident. Research questions: 1. How does obesity affect patient mobility after CVA? 2. How does obesity affect the hygienic care of patients after CVA? 3. How does obesity affect normal daily activities of CVA patients? 4. What is the impact of obesity on developing self-sufficiency in CVA patients? Quality research was done through semi-structured interviews with CVA patients who were hospitalized in the aftercare department. Other interviews were conducted with general nurses providing nursing care to CVA patients. Research group The research group consisted of 11 general nurses working at different follow-up care hospital stations, and 16 patients who were hospitalized at these departments after the CVA. Results By analyzing the information obtained, it has been determined that obesity affects the patients mobility especially after the cerebrovascular event. At the same time, it represents a physical and psychological burden for nursing staff, but also for patients. The problem has been the fact, that most patients do not perceive obesity as a condition affecting their whole life. Conclusion The diploma thesis has provided insight into the problematic of the influence of obesity on the follow-up care in patients after cerebrovascular accident. The findings should lead to a reflection on the issue of prevention of obesity in terms of both CVA risk and follow-up care, but also the need for educational activities.

The Effectiveness of Therpay for Drug Addicts and Their Integration within Society The purpose of my thesis "The Effectiveness of Therapy for Drug Addicts and Their Integration in Society" is to elucidate the lifestyles of addicts during different stages of therapy and to help people to understand the problems of drug addicts. The function of the brain can be altered by a number of psycho-active drugs that can influence a person's behavior, conscience, morals and mood. Drug addiction results in an uncontrollable urge to acquire drugs, regardless of the consequences. This behavior leads to a gradual exclusion of the drug addict from society. Re-integration into society must be the goal of treatment. The social exclusion of addicts seriously hampers their attemts to find employment. Many addicts started to use illicit drugs before the age of 18 years. Their education has not been completed and their bonds with their family members have been broken. Health problems caused by drugs, alcohol, a low quality nourishment, often untreated infections, poor hygiene, poor or absent living arrangements are factors that contribute to the exclusion of drug addicts from society. The abstinence from drugs, for longer than three months, creates a precondition for recovery and re-integration into society. However, in the absence of a postive change in attitude of the addict towards society and in the abscence of a social safety net, drug abstinence alone does not represent a reliably positive prognostic indicator. Complex social services that include protected housing, employment, job counselling, out-patient or in-patient psychotherapy, are necessary for successful treatment.

The thesis deals with social work at hospital, exactly with job descripton of social worker at hospital, with support which he receives during performance of work and conditions under which he performs the work. In the theoretical part there are defined terms social work and social worker, his competence and approach to clients, hospital, patient and client. It also deals with ethical codex. Then it deals with disability and its types. It deals with family and educational styles, situation of families with child with disability, different social benefit from social welfare scheme which they can be entitled to and social services which they can use. It discusses also attitude of parents to children with disability and process of coping with this reality. Next part deals with social work at hospital, defining social work at the hospital, his education and job description requirements. There is also mentioned the term quality of life, which should social worker bear in mind during work with clients. In practial part there is analysed work of social workers at the hospital with the aim to describe their amount and activities. At first there is defined used research strategy /qualitative/, research methods and research techniques and also analyzed obtained data. Within discussion between theoretical information...

The topic Needs of people addicted to drugs and alcohol to maintain succesful abstinence in aftercare was chosen. Aftercare is an important part of addiction treatment, but often overlooked and unused. The aim is to clarify the needs of abstinent persons addicted to alcohol and other non-alcohol drugs and their subsequent comparison. The thesis is divided into two parts, theoretical and practical. The theoretical part deals with the development of addiction, its diagnosis, description of drugs and treatments options. Chapters dealing with treatment are thoroughly discussed because of the individual usage during the treatment of addiction. Aftecare of addicted people and problems with relapse take place in this part of work. The second part deals with research focused on identifying the needs of addicted people to drugs and alcohol to maintain successful abstinence and their subsequent comparison. Clarifying of these needs can serve as a recommendation to other abstaining people or as a support to services in the system of aftercare to successful abstinence nowadays. KEYWORDS Addiction, addictive substances, drug addiction treatment, abstinence, relapse, aftercare for drug and alcohol rehab

The main topic of this thesis concentrates on the adolescents' leaving process from foster families in our Czech territory. The aim of the presented thesis is a deeper exploration of the leaving process preparation from foster families and circumstances connected with it. The theoretical part of this thesis is divided into three chapters. The first of them deals with the adolescence period with its developmental specifics. The second one describes foster care and its partition in the Czech legislative system. The same one also presents available Czech and foreign research. The last chapter focuses on the two topics: the leaving process of adolescents from foster care from a legislative point of view and how it names participants who contribute to this leaving process. At last, it shows some useful Czech social care services for adults. The practical part of the thesis presents a realised qualitative study with three groups who contributed on foster care in the Czech area. These involved groups were adolescents (16+), their foster mothers who share the same household and social workers. This research tried to bring answers for the questions about the adolescents' leaving process from long-term foster care and other similar topics which deal with it. The results of the research were deeply analysed...

The target of this diploma paper is to describe the specific clients of the programmes for drug addicts - the group of women - mothers who have ever used drugs. To work with this target group, that means to work with the target group of their children too. These children are especially in the pre-school age. One of the institutions that provides care for these women is The Centre for Family, which is a part of The Centre for Prevention and Treatment of Drug Dependence DROP In. In this diploma paper we are going to introduce not only possibilities and methods in the former project "Integration of Family", but we are going to focus on the new project "The Sunflowers'Garden". This project is not only the aftercare for mothers, former drug addicts, but also brings possibility how to focus on the children'development. These children could be threaten by the drugs using during pregnancy and by the social surroundings too. We are going to deal with different target groups, with the group of addict women and former addict women and with the group of thein children. We are going to describe the term Aftercare and the terms of Specific Learning Disabilities and Attention Deficit (Hyperactivity) Disorder. For us it is important to know abou these diagnosis. One chapter describes how do drugs influence the...

Thesis objectives: The thesis deals with the comparison of wound healing management in acute and subsequent care. The theoretical part presents the knowledge of acute and chronic wounds, wound healing and their phases. Furthermore, the thesis deals with methods of wound treatment. The last chapter of the theoretical part deals with management and the role of a nurse in caring for a patient with a wound. In the empirical part, the first goal was to find out whether nurses from the Hradec Králové Region hospitals know the division and types of wounds. The second goal was to map out the possibilities for nurses to heal wounds. Another aim was to compare the differences between wound healing in acute and subsequent care. The fourth goal mapped the knowledge of nurses about wound healing materials. The following aim was to find out which materials for wound care are available at the hospital of the Hradec Králové Region. The sixth goal was to compare the economic and time-consuming wound healing at the acute and aftercare departments. The last goal of the thesis is to elaborate a seminar within the framework of lifelong education of general nurses on the topic of effective wound healing. Five hypotheses and two research questions were formulated to meet the goals of the thesis. Method for achieving the objectives: The set goals were achieved through quantitative questionnaire research and qualitative observation and interview research, which were chosen to complement the results. The sample included general nurses working in the internal department, the surgical department, the intensive care unit, the anesthesiology-resuscitation department and the aftercare departments in the hospitals of the Hradec Králové region. The total number of respondents was 120. Scientific benefits of the thesis: Overall research shows that nurses have sufficient knowledge of wounds and their treatment, but deficiencies in some areas are still evident. Furthermore, the research shows that nurses do not have enough therapeutic material to work on their workplaces. The interviewed group of general nurses said they think that modern dressing materials have a positive effect on wound healing. The results of the work can be used for practice, in hospital and other health care facilities to improve wound healing. The findings and conclusions: In the tracked file, we verified that the length of treatment of wounds on beds of acute and subsequent care differs (p = 0.002); the results show that the average time of wound dressing is prolonged in subsequent care. Conversely, the availability of dressing materials in the respective departments did not differ (p = 0.159). Furthermore, we found that the economic intensity of the after-care beds is lower, despite the fact that more wound dressings are done than in the acute care.

The aim of this thesis is to familiarize readers with the terms and conditions relating to Intrastat and Ex Post Control of Data. The first part deals with obligations under the data collection. There are defined terms such as Intrastat, information provider, reference period, obligation to information provider and competence of government.The text is supplemented by examples that help better understand the topic. This section ends with an example that shows the overall procedure for reporting and transmission of data Intrastat. In the second part of the thesis I deal with Ex Post Control of Data which are carried out by the Customs Administration of the Czech republic. Both parts are supplemented by a number of interesting facts as information provider, number of reported data or inspections. In conclusion I am trying to identify errors and deficiencies in data collection and Ex Post Control of Data and to propose some measures that will lead to improvements in processes relating to Intrastat.