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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
31

Утицај дозе и фракционирања у интерстицијалној брахитерапији на исход лечења код пацијената са локализованим карциномом простате / Uticaj doze i frakcioniranja u intersticijalnoj brahiterapiji na ishod lečenja kod pacijenata sa lokalizovanim karcinomom prostate / Impact of the Dose and Fractionation in the Interstitial Brachytherapy to the Treatment Outcome for Patients with Localized Prostate Carcinoma

Dabić Stanković Kata 16 October 2020 (has links)
<p>Brahiterapija visokim brzinama doze (HDR&ndash;BT) predstavlja efikasan modalitet zračenja kod pacijenata sa lokalizovanim karcinomom prostate (CaP) svih rizika. Za razliku od transkutane radioterapije i brahiterapije niskim brzinama doze (LDR&ndash;BT), kod ove grupe pacijenata u intersticijalnoj HDR&ndash;BT jo&scaron; uvek nisu jednoznačno definisane ukupne doze zračenja, način frakcionisanja kod pacijenata sa lokalizovanim CaP različitih rizika. U periodu od 2009&ndash;2018.god. HDR&ndash;BT kao jedinim načinom lečenja (monoterapija) u Op&scaron;toj bolnici Medicinski sistem Beograd, lečeno je 35 pacijenata (6 (17,1%) pacijenata niskog rizika, 21 (60%) pacijent srednjeg rizika i 8 (22,9%) pacijenata visokog rizika) sa lokalizovanim CaP različitih rizika od relapsa i progresije bolesti. Grupe pacijenata sa srednjim i visokim rizikom spojene su u jednu grupu (grupa sa vi&scaron;im rizikom). Tehnika sprovođenja HDR&ndash;BT, osim u pojedinačnim specifičnim detaljima, bila je slična kao i kod LDR&ndash;BT. Aplikacija igala, segmentacija, delineacija i planiranje HDR&ndash;BT vr&scaron;eno je kori&scaron;će&scaron;em transrektalnog ultrazvuka (TRUS) i izocetričnog radioskopskog C&ndash;luka, a zračenje je sprovedeno na uređaju Microselectron HDR sa zatvorenim radioaktivnim izvorom 192Ir početne aktivnosti 370 GBq. Aplikovane terapijske doze (TD), u opsegu od 30&ndash;57 Gy frakcionisane su u 3&ndash;4 nezavisne frakcije sa razmakom od 2&ndash;3 nedelje između frakcija, a individualizovane su prema nivou rizika, stanju organa u riziku (OAR) i kvalitetu aplikacije (indeksu prekrivanja CTV sa planiranom terapijskom dozom (CI100%) i mogućno&scaron;ću za&scaron;tite OAR). Uspe&scaron;nost terapije ocenjivana je postignutom biohemijskom kontrolom (BFS &ndash; biochemical&ndash;free&ndash;survival), prema ASTRO i Phoenix kriterijumima, kao i ukupnim preživljavanjem u periodu od 5 godina (2&ndash;9 godina) posle sprovedene terapije. U niskorizičnoj grupi pacijenata lečenih HDR&ndash;BT, BFS je postignuta kod svih pacijenata kao i ukupno preživljavanje. U grupi pacijenata sa vi&scaron;im rizikom BFS je postignuta kod 95,8% lečenih pacijenata, a ukupno 5&ndash;to godi&scaron;nje preživljavanje je 96,4%. BFS u ovom istraživanju se pokazala statistički značajnije bolja nego ona koju su prikazali drugi autori. Na osnovu rizika, nivoa PSA, TD i indeksa pokrivenosti CTV sa TD, izvr&scaron;eno je modelovanje terapijskih parametara kori&scaron;ćenjem MANN (multilauyer artificial neural network). Određena optimalna doza zračenja (TD) u HDR&ndash;BT lokalizovanog CaP niskog rizika je 40,7 Gy za CI100% = 1,01. Kod vi&scaron;ih rizika TD = 50,9 Gy za CI100% = 1,6. TD se frakcioni&scaron;e u 4 nezavisne frakcije sa razmakom od 2&ndash;3 nedelje. Ovakav izbor parametara HDR&ndash;BT (TD, CI100%, i način frakcionisanja), uz individualizaciju i kontrolu u toku svake aplikacije, obezbedio bi prihvatljiv nivo kasnih postiradijacionih komplikacija gradusa G1&ndash;G3 na uretri (&lt; 17% ukupnog broja lečenih pacijenata), uz minimimalne komplikacije na rektumu (pretežno G1&ndash;G2) i zanemarljive komplikacije na mokraćnoj be&scaron;ici.</p> / <p>High&ndash;dose rate brachytherapy (HDR&ndash;BT) is an effective therapy modality for patients with localized prostate cancer (CaP) of all risks. In contrast to an external beam radiotherapy and low&ndash;dose rate brachytherapy (LDR&ndash;BT), in these patients, the interstitial HDR&ndash;BT, the total radiation dose and fractionation is not unambiguously defined. Between 2009&ndash;2018 35 patients with localized CaP (6 (17.1%) low&ndash;risk patients, 21 (60%) patients medium&ndash;risk and 8 (22.9%) high&ndash;risk) were treated with HDR&ndash;BT, as the only treatment (monotherapy) in the General Hospital Medical System Belgrade. The group of patients with medium&ndash;risk and high&ndash;risk were merged into a single group (group with a higher&ndash;risk). Technique implementation of HDR&ndash;BT was similar as in the LDR&ndash;BT. Application of needles, segmentation, delineation, and planning of HDR&ndash;BT was performed with transrectal ultrasound (TRUS) and izocentrically mounted radioscopic C&ndash;arm. Irradiation was done on the Microselectron&ndash;HDR brachytherapy unit with a sealed radioactive source 192Ir (370 GBq). The dose (TD), in the range of 30&ndash;57 Gy was given fractionated in independent fractions (3&ndash;4) with a pause of 2&ndash;3 weeks between fractions. TD was individualized according to the risk, the conditions of organs at risk (OAR) and quality of the application (coverage index CI100%), as well as, the ability to protect OAR. Treatment result was evaluated by the achieved biochemical control (BFS &ndash; biochemical&ndash;free&ndash;survival) according to ASTRO and/or Phoenix criteria, as well as an overall survival in the period of 5 years (2&ndash;9 years) after the completion of the treatment. In the low&ndash;risk group, BFS has been achieved in all patients and overall survival rate is 100%. In the group of patients with higher risk BFS was achieved in 95.8% of treated patients, and 5&ndash;year survival rate was 96.4%. BFS in this study was proved to be statistically significantly better than showed by other authors. On the basis of the risk, the level of PSA, TD and CI100%, modeling was performed using the MANN (multilayer artificial neural network). The determined optimal dose TD for localized CaP of low risk is 40.7 Gy for CI100% = 1.0. At higher risk TD = 50.9 Gy for CI100% = 1.6. TD was given in 4 independent fractions with the interval of 2&ndash;3 weeks between each fraction. These HDR&ndash;BT parameters (TD, CI100%, and the fractionation scheme) with the individualization and control during each application would provide an acceptable level of late complications grade G1&ndash;G3 to the urethra (in less than 17% of treated patients), with minimum complications on the rectum (predominantly grade G1&ndash;G2) and insignificant complications rate on the urinary bladder.</p>
32

Uhlíková stopa ve stavebnictví a její teoretická hodnota / The carbon footprint of the building industry and its theoretical value

Halama, Miroslav January 2018 (has links)
Presented theses dealing with the complex influence of human activity on the environment. Particularly provides the calculation of carbon footprint volume consumed during manufacturing of raw materials used for a normal and a low-energy house. The calculation of the energy performance certificate for both variants is also included. To evaluate of economical demanding investment to both mentioned houses including carbon dioxide disposal, the theoretical calculation of the price of carbon footprint equivalent has to be determined. The aim of this study is an investigation of carbon footprint in construction industry focusing on the production of carbon dioxide during the realization of a normal and low-energy house.
33

Posouzení environmentální zátěže u vybraného výrobku / Environmental Impact Assessment for Chosen product

Durda, Tomáš January 2018 (has links)
The Master´s thesis is structurally divided into the theoretical and practical part. In the theoretical part, the author describes current global environmental issues and the impact of the industry on the environment. The current state of the environmental legislation in mechanical engineering, environmental management systems, and methodologies of an environmental impact assessment are described. The practical part deals with the environmental burden of the snowboard production process according to the LCA method. Life cycle inventory is performed to evaluate individual materials whose production is the most environmentally damaging. At the last stage, possible measures are proposed to reduce the environmental burden.
34

Ornament Struktura a znak / ORNAMENT structure and sign

Vancl, Kryštof January 2011 (has links)
Vancl, K.: Ornament, structure and sign /MA Dissertation/ Prague 2011, Charles University in Prague, Faculty of education, Art education department The MA dissertation Ornament, structure and sign is a thoughts project, which considers its own topic based on philosophical texts from J. Derrida, M. Foucalt and J. Patočka. Ornament as a topic includes its fundamental questions, what is and how ornament appears today. Immanently there is an expression of ornament, which marks an order of repetition and an extensive reference to ornament, which masks his culture and society on the other side. Own project is focused on pass over classicism again, find original and discover new meaning of ornament in a structure and sign. True difference of expression and reference became its own detecting, following by next step to ritual meaning and from hear through ornament as repetition and reproduction sign to being in present until to deeper understanding of my-self in personal structure. Thanks to this knowledge seeing beauty of ornament seems to be more valuable. At last the project of ornament brings also theoretical basement for painting and didactic in art education. Key words: ornament, expression and reference, ritual meaning, structure of repetition, presence, phenomenology
35

Krajinné a jiné meze. (Uchopení krajiny v umění a výtvarné výchově skrze výtvarné explorace) / Landscaping and other limits. (The Prehension of the landscape in the Art and Art Education throught exploration of the fine art)

Zástěrová, Alena January 2019 (has links)
/ a b s t r a c t This thesis deals with the environment of the landscape in connection to movements of the body and of the mind which result in an art gesture. It closely focuses on an individual experience of a landscape as a unique environment. It explains concepts and speculates about their meanings. Through interviews, the thesis presents different approaches to art from plethora of artists, who work in and with the landscape. It deals with a didactic project which aspires to inspire students to think more deeply about the environment that surrounds them and to communicate their understanding o fit through art. Personal artworks created in Finland in the Arctic Circle region capture motion in the landscape of the nature and that of the mind.
36

Právo na zapomnění v prostředí internetu / The right to be forgotten on the internet

Jůzová, Jana January 2016 (has links)
Diploma thesis The Right to be Forgotten on the Internet applies to the functions of Internet search engines, search algorithms and the impact of the digital footprint that on the Internet user essentially leaves. With this issue is, on the one hand, inseparably linked the protection of personal data in the online environment, on the other hand the constitutionally enshrined right to information and other fundamental rights. Not ignored should be also the risk of censorship of the Internet. An application of the right to be forgotten adds a whole new dimension to this problems. The right to be forgotten is inferred from the judgment of the European Court of Justice on 13 May 2014 in the case Costeja versus Google Spain, where an Internet user named Mario Costeja Gonzáles first succeeded with a request of removal of unflattering information about himself from results of the search engine Google. Thus a reform precedent will have a big impact on seeking information on the Internet in the future, since the pronouncement of the judgment about the removal of his personal data may ask any European Internet user. The thesis aims to analyze the issue of right to be forgotten in the context of searching for information on the Internet in the European Internet environment - it means not to be searched on the...
37

Uloga histeroskopije u tretmanu infertiliteta postupcima vantelesne oplodnje / The role of hysteroscopy in the treatment of infertility by in vitro fertilisation

Milatović Stevan 17 October 2017 (has links)
<p>Uvod: Infertilitet pogađa 10-15% parova reproduktivnog doba. Vanetesna oplodnja (VTO) je najefikasniji vid tret-mana infertiliteta, ali uprkos značajnom napretku stopa uspeha VTO u proseku iznosi oko 30% po ciklusu. Glavnim razlogom neuspeha smatra se neadekvatan kvalitet embriona, dok se pretpostavlja da u 10-20% slučajeva razlog neuspeha leži u neadekvatnoj receptivnosti uterusa. Na osnovu inicijalnih istraživanja histeroskopija, koja predstvalja zlatni standard u dijagnostici i tretmanu patologije kavuma uterusa, se često izvodi u svakodnevnoj kliničkoj praksi kako bi se povećala uspe&scaron;nost VTO. Uprkos &scaron;irokoj primeni i dalje ne postoji dovoljno kvalitetnih dokaza o realnoj ulozi histeroskopije na ishod VTO kako kod patolo&scaron;kih stanja kavuma tako i rutinski, pre prvog ili rekurentnog poku&scaron;aja VTO. Cilj disertacije bio je da se utvrdi uticaj sprovođenja histeroskopije na ishod VTO, ustanovi učestalost prethodno neprepoznate patologije kavuma uterusa, kao i da se ispitaju stavovi pacijenata o primeni rutinske histeroskopije pred VTO. Materijal i metode: Istraživanje je sprovedeno u Kliničkom centru Vojvodine, u formi prospektivne studije u dve sukcesivne etape od 01.01.2015. do 01.04.2017. U prvoj etapi poređen je ishod VTO kod pacijentkinja kojima pred postupak VTO nije sprovedena histeroskopija (Grupa A), pacijentkinja kod kojih je dobijen uredan nalaz histeroskopije pred postupak VTO (Grupa B) i pacijentkinja gde je pred postupak VTO dobijen patolo&scaron;ki nalaz kavuma na histeroskopiji koji je u istom aktu tertian (Grupa C). Druga etapa istraživanja predstavljala je randomiziranu kontrolisanu studiju (RCT &ndash; randomised controlled trial). Nakon verifikacije urednog ultrazvučnog nalaza pred prvi postupak VTO, pacijentkinje su randomizirane u Grupu A2 kojima pred postupak VTO nije sprovedena histeroskopija i Grupu B2 kojima je pred postupak VTO sprovedena rutinska histeroskopija. Statistička analiza sprovedena je upotrebom odgovarajućeg softvera (JMP Ver. 9). Poređeni su podaci o osnovnim karakteristikama pacijenata, toka i ishoda ciklusa VTO. Primarni parametar ishoda bila je stopa kliničke trudnoće po embriotransferu. Pored analize ishoda primarno konstruisanih grupa, urađena je analiza i naknadno konstruisanih subgrupa, kao i predikcioni model uspeha VTO baziran na logističkoj regresiji. Rezultati: Studija je uključila 253 pacijentkinje (52 pacijentkinja iz Grupe A, 50 iz Grupe B, 50 iz Grupe C, 51 iz Grupe A2 i 50 iz Grupe B2). Nije postojala statistički značajna razlika u karakteristikama pacijentkinja, parametrima ovarijalne rezerve, broju dobijenih jajnih ćelija ni drugim parametrima toka postupka VTO među posmatranim grupama. U prvoj etapi istraživanja dobijena je statistički značajno (p=0,013) veća stopa kliničkih trudnoća kod pacijentkinja kojima je pred postupak VTO sprovedena histeroskopija - 50 % za Grupu B i 42% za grupu C u odnosu na 30,77% kod pacijentkinja bez histeroskopije (Grupa A), bez statistički značajne razlike među histeroskopskim grupama. U drugoj etapi istraživanja stopa kliničkih trudnoća prilikom upotrebe rutinske histeroskopije pred prvu VTO (Grupa B2) iznosila je 46% naspram 31,37% kod pacijentkinja bez histeroskopije pred prvu VTO (Grupa A2), iako uočena razlika nije dostigla statističku značajnost (p =0,089), uz relativan rizik (RR) za ostvarivanje kliničke trudnoće nakon primene histeoskopije uiznosio od 1,47 (95% CI 0,88-2,43) (p=0,13). Analizon subgrupa kod 100 pacijentkinja sa rutinski sprovedenom histeroskopijom pred VTO i 103 pacijentkinje bez histeroskopije pred VTO, dobijena je statistički značajnao veća stopa kliničkih trudnoća (48% naspram 31,07%, istim redom), uz RR od 1,54 (95% CI 1,08-2,20) (p=0,013), kao i stopa tekućih trudnoća od RR 1,49 (CI 1,01-2,19) (p= 0,039). Analiza ukupnog uticaja izvođenja histeroskopije pred VTO dobila je statistički značanjno veću stopu kliničkih trudnoća po ET za grupu histeroskopije uz RR 1,48 (CI 1,06-2,07) (p=0,017). Histeroskopijom je nakon urednog ultrazvučnog nalaza ustanovljeno postojanje patolo&scaron;kog nalaza kod 34,65% pacijenata i to 22,7% major patologije i 11,88% minor patologije kavuma. Nije postojala statistički značajna razlika u uspehu VTO u odnosu na sam nalaz histeroskopije. 98,67% pacijenata podržalo je rutinsku upotrebu histeroskopije pred prvi postupak VTO, dok je 83% pacijenata podržavlo rutinsku upotrebu histeroskopije pred svaki postupak VTO. U finalnom predikcionom modelu se uz AUC od 0,748 jedino postojanje visokokvalitetnog embriona uz odnos &scaron;ansi (OR) 7,91 (95% CI 1,80-56,06; p=0,0047), transfer blastociste uz OR 3,80 (95% CI 1,90-7,98; p=0,0001) i izvođenje histeroskopije pred VTO uz OR 2,13 (95% CI 1,14-4,08, p=0,0169) pokazalo statistički značajnim prediktorima trudnoće. Diskusija: Studija je dobila pozitivan uticaj histeroskopije na ishod postupka VTO, iskazan pre svega povećanjem stope kliničkih trudnoća nakon sprovođenja histeroskopije (bilo da je na histeroskopiji nađen uredan ili patolo&scaron;ki nalaz). Dodatna prednost histeroskopije predstavljala je i i detekcija prethodno nepropoznate patologije kavuma. Umeren efekat na ukupno pobolj&scaron;anje stope kliničkih trudnoća prilikom rutinskog sprovođenja histeroskopije pred prvu VTO, koji je statističku značajnost dostigao tek analizom subgrupa u skladu je sa nalazima novijih dobro dizajniranih studija koji donekle limitiraju nekritičku upotrebu histeroskopije. Biolo&scaron;ko obja&scaron;njenje potencijalnog pozitivnog uticaja histeroskopije najverovatnije leži u detekciji i tretmanu prethodno nepropoznate patologije kavuma, olak&scaron;avanju procedure embriotransfera, kao i humoralnim i molekularnim promenama koje nastaju u endometrijumu kao posledica odgovarajuće histeroskopske traume a koji su u dosa&scaron;anjim istraživanjima apostrofirani kao faktori koji mogu povećati receptivnost uterusa. Zaključak: Histeroskopija je efikasna, bezbedna i visoko prihvatljiva procedura koja dovodi do povećanja uspeha VTO u standardnim kliničkim indikacijama (prethodnog neuspelog postupka VTO i sumnje na patolo&scaron;ki nalaz kavuma uterusa) bilo da se na samoj histeroskopiji nađe uredan ili patolo&scaron;ki nalaz. Rutinska primena histeroskopije pred prvi postupak VTO se na osnovu rezultata studije ne može smatrati apsolutno opravdanom usled statistički nedovoljno značajnog povećanja stope kliničke trudnoće. Uzev&scaron;i u obzir visoku prihvatljivost od strane pacijenata i najverovatniji pozitivan efekat na stopu trudnoće primena rutinske histeroskopije pred prvu VTO bila bi opravdana ukoliko se implementira koncept ambulantne histeroskopije.</p> / <p>Introduction: Infertility affects 10-15% of all couples. In vitro fertilisation (IVF) is the most effective method of infertility treatment, but despite a significant improvement, success rate of IVF is still around 30% per cycle. The main reason for the IVF failure is inadequate embryo quality, but in 10-20% of cases the cause of IVF failure lies in impaired uterine receptivity. Based on earlier studies hysteroscopy, gold standard in the diagnosis and treatment of uterine cavity pathology, is often performed to increase IVF success. Despite its wide use, there is lack of high quality evidence regarding real contribution of hysteroscopy on IVF outcome in situations of uterine cavity pathology or routinely prior to first IVF or after recurrent implantation failure. The aim of this dissertation was to determine the influence of performing hysteroscopy on IVF outcome, as well as the incidence of previously unrecognized uterine pathology, and to examine patient&#39;s attitudes about performing routine hysteroscopy prior to IVF. Material and methods: The research was conducted in a prospective manner in two successive stages at Clinical Center of Vojvodina from 01.01.2015. until 01.04.2017. During first stage of the study IVF outcome was compared between patients who did not have a hysteroscopy prior to IVF (group A), patients with normal hysteroscopic finding prior to the IVF (Group B) and patients with abnormal hysteroscopic findings prior to IVF which was treated at the same time (Group C). The second stage of the study was a randomized controlled trial (RCT). After verification of normal ultrasound findings prior to the first IVF, patients were randomized to group A2 in who me hysteroscopy was not performed and group B2 who had routine hysteroscopy prior to first IVF. Statistical analysis was carried out using the appropriate statistical software (JMP Ver. 9). Patient characteristics, course and outcome of IVF cycle were compared between groups. The primary outcome was clinical pregnancy rate (CPR) per embryotransfer. In addition to analyzing the IVF outcomes in primarily defined groups, subgroup analysis was also performed, as well as IVF success pre-diction model based on logistic regression. Results: The study included 253 patients (52 patients in Group A, 50 in Group B, 50 in Group C, 51 in Group A2 and 50 in Group B2). There was no statistically significant difference in patient characteristics, ovarian reserve parameters, number of retrieved oocytes, or other relevant parameters of IVF course between the observed groups. In the first stage of the study there was statistically significant (p = 0.013) higher clinical pregnancy rate in patients who had a hysteroscopy before IVF - 50% for Group B and 42% for group C versus 30,77 % in patients without hysteroscopy before IVF (Group A), without statistically significant difference between hysteroscopic groups. In the second stage of the study, routine hysteroscopy prior to first IVF (Group B2) led to clinical pregnancy rate 46% versus 31.37% in patients without hysteroscopy prior to first IVF (Group A2), although without statistical significance (p = 0.089. Relative risk (RR) for achieving clinical pregnancy after performing hysteroscopy was 1.47 (95% CI 0.88-2.43) (p = 0.13). Subgroup analysis of 100 patients with routinely performed hysteroscopy before IVF and 103 patients without hysteroscopy prior to the IVF showed statistically significant higher rates of clinical pregnancies (48% versus 31.07%, in the same order), with RR of 1.54 (95% CI 1.08-2.20), (p = 0.013), and for ongoing pregnancies RR was 1.49 (95% CI 1.01-2.19) (p = 0.039). Overall effect of performing hysteroscopy prior to IVF resulted in a statistically significant increase in the clinical pregnancy with RR 1.48 (95% CI 1.06-2.07) (p = 0.017). After normal ultrasound finding hysteroscopy revealed 34.65% of pathological finding, 22.7% of major and 11.88% of minor pathology of the cavity). There was no statistically significant difference in IVF outcome based on hysteroscopy findings. 98.67% of patients supported the routine use of hysteroscopy before the first IVF procedure, while 83% of patients supported the routine use of the hysteroscopy before every IVF procedure. In the final prediction model, with the AUC of 0.748, only the presence of high quality embryos with odds ratio (OR) 7,91 (95% CI 1,80-56,06; p=0,0047), blastocyst transfer with OR 3,80 (95% CI 1,90-7,98; p=0,0001) and performing hysteroscopy prior to IVF with OR 2,13 (95% CI 1,14-4,08, p=0,0169) proved to be statistically significant predictors of pregnancy. Discussion: The study shoved a positive influence of hysteroscopy on the IVF outcome by increasing clinical pregnancy rate after performing hysteroscopy (whether hysteroscopy revealed normal or pathological finding). Additional benefit of hysteroscopy was detection of previously unrecognized uterine pathology. A moderate effect on the overall improvement in clinical pregnancy rate with use of routine hysteroscopy, which reached statistical significance only by subgroup analysis, is in line with findings of recent well designed studies that somewhat limit the noncritical use of hysteroscopy. A biological explanation of the potential positive effect of hysteroscopy is most likely due to detection and treatment of the previously unrecognized uterine pathology, facilitating embryotransfer procedure, as well as the humoral and molecular changes that occur in the endometrium as a consequence of the hysteroscopic trauma. Those changes were hypothesized as factors that can increase uterine receptivity by numerous research. Conclusion: Hysteroscopy is an effective, safe and highly acceptable procedure that increases IVF success when performed for accepted clinical indications (previous IVF failures, pathological findings of uterine cavity), whether hysteroscopy reveals normal or pathological finding. The routine use of hysteroscopy prior to first IVF based on this study can not be considered justified since increase in clinical pregnancy rate did not reach statistical significance. Given the high acceptance of this concept by the patients and moderate but probable positive effect on IVF outcome, implementation of routine hysteroscopy prior to first VTO would be justified only in office hysteroscopy setting.</p>
38

Critical Transmission Sectors of Energy-Water-GHG Nexus / Critical Transmission Sectors of Energy-Water-GHG Nexus

Wang, Xuechao January 2020 (has links)
Využití vody, spotřeba energie a emise skleníkových plynů (GHG) jsou rozhodujícími ukazateli a do značné míry souvisí s udržováním nebo dosahováním environmentální a sociální udržitelnosti. Tato práce prezentuje vyvinuté metodiky. Představuje také provedené případové studie, které prozkoumaly a identifikovaly Water-Energy-GHG Nexus (WEGN) z pohledu dodavatelského řetězce. Pro analýzu a návrh sítě WEGN jsou navrženy tři metodiky, které jsou založeny na nové aplikaci a integraci modelu vstup-výstup (IO), geografického informačního systému (GIS) a sítě dodavatelského řetězce (SCN), a zároveň řeší výzvy, které dříve neumožňovali praktické implementace. Použitelnost těchto metod je prokázána třemi komplexními případovými studiemi zaměřenými na odvětvovou environmentální účinnost, regionální environmentální účinnost a kritické přenosy WEGN. Mezi mé příspěvky v této oblasti patří: i. Nový nástroj pro hodnocení založený na IO pro identifikaci regionální environmentální účinnosti z hlediska WEGN, zejména pro regiony, které jsou úzce propojenyobchodem. ii. Pokročilá integrace metodik GIS a IO (GIS-IO) za účelem odhalení a mapování sítě WEGN, sledování kritických meziregionálních a sektorových toků WEGN, vyjasnění regionálních, odvětvových a celosvětových vzorců sítě WEGN a určení souvisejících výhod pro různé regiony. iii. Efektivní metoda hodnocení založená na IO a SCN pro kvantifikaci sektorových koeficientů WEGN. Navrhované metodiky, s podporou sady komplexních základních rovnic, transformují komplikované výzvy identifikace a analýzy sítě WEGN do snadno srozumitelného formátu, z čehož vznikají robustní řešení pro zlepšení posuzování environmentální udržitelnosti a zmírnění environmentálních tlaků. Například v jedné z případových studií ukazují výsledky nového přístupu GIS-IO zjevné rozdíly mezi různými zeměmi v rámci EU27, mezi různými sektory a také pokud srovnáme EU27 jako blok zemí, s ostatními státy světa. Analýza ukázala, že země EU27 přispěly o 1.4 Gt nižšími emisemi CO2, o 64.5 Gm3 menší spotřebou vody a 4.9 × 104 PJ nižší spotřebou energie ve srovnání se zbytkem světa, přičemž generovaly ekvivalentní ekonomickou produkci. To má dramatický dopad na globální prostředí. Největší úspěch v CWE mezi zeměmi EU27 měly Německo, Francie a Itálie. Práce doporučuje, aby EU27 poskytovala více technické podpory zemím, které těchto výsledků nedosahují, aby se zvýšila účinnost využívání zdrojů.
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Nové metody záznamu a reprodukce optické zvukové stopy 16mm filmu / New Method of the Optical Record and Reproduction of the 16mm Film Sound-Track

Vacula, Richard January 2016 (has links)
The work deals with the recording and reproduction of sound tracks on 16mm film and with old forgotten film optic sound technologies, as well as plans experiments and research, which examines possible methods for reading and writing tracks using modern optoelectronic devices. The final output is intended to drive the writing negative audio (analog and digital) on the photosensitive material and design of the device for synchronous playback of digital audio tracks from an external memory card. The work is done in collaboration with film laboratories Barrandov Studio a.s. and Meopta-Optika, spol. s r.o.
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Oxid uhličitý ve výuce přírodovědných předmětů (studijní opory pro gymnázia) / Carbon Dioxide in Science Education (Study Aids for Grammar School)

Kristlová, Lucie January 2011 (has links)
Charles University in Prague - Faculty of Science Department of Teaching and Didactics of Chemistry Albertov 3, 128 40 Praha 2, Czech Republic CARBON DIOXIDE IN SCIENCE EDUCATION (STUDY AIDS FOR GRAMMAR SCHOOL) Bc. Lucie Kristlová lucie.kristlova@gmail.com In this thesis the principles of Framework Educational Programme and method IBSE alias Inquiry Based Science Education were summarized. The results of international research PISA 2006 were evaluated. In 2006 the focus was on scientific literacy. In the theoretical part the study supporting documents on the theme Carbon Dioxide were worked up. The documents would serve teachers of Chemistry and Biology mainly at the grammar schools. Methodically processed materials were created such as presentation, worksheet and subject matter of chemical experiments with the inclusion of the author solutions. The worksheet was verified by pupils at grammar school.

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