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IV - Serelogy

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Cause: movalent antibody (IgA), low number of bridges between antigens, to intense repulsive forces between antigens… page Coombs test page Precipitation  Reaction between polyclonal antiserum and soluble (molecular) antigen. A complex lattice of interlocking aggregates is formed. If performed in a solution the precipitate falls out of the solution ...

LF MU | discipline: Immunology, Allergology | ...: Array | published on: 6. 9. 2013

9. week WT

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In our experiment, methylene blue will play the role. The dye has a blue colour in the oxidized form while reduction leads to a colourless leuco-form ... Transfer 4 ml of heart homogenate into test tubes No. 1 - 5 (use a measuring cylinder) 3. Boil the content of the test tube no. 1 in a boiling water bath and then cool it down. 4 ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 16. 9. 2013

Practical lessons 11

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The olfactory nerve consists of axons of sensory cells of the olfactory epithelium which together form the olfactory nerve and enter the olfactory bulb. The optic nerve is a cerebral nerve pathway. It is developmentally a derrivative of the diencephalon ... From a functional point of view, the subthalamic nucleus is part of the basal ganglia system ...

UPJŠ LF v Košiciach | discipline: Anatomy | ...: Array | published on: 30. 6. 2018

VII - HLA antigens

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• The consequence is a polyclonal stimulation of lymphocytes without presence of antigen ... • Presence of the HLA antigen makes a predisposition to development of the disease (increased relative risk), but not cause a disease ...

LF MU | discipline: Immunology, Allergology | ...: Array | published on: 6. 9. 2013

8. week WT

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Shifts of values on both sides relative to the optimum pH result in a change in the degree of dissociation of the enzyme and substrate functional groups, or a change in enzyme conformation ... Every 5 min transfer two drops of the solutions from the test tubes into a particular spot with a drop of the Lugol solution in the spot plate ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 15. 2. 2011

13. week WT

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However, if there is a lot of it in the blood, it can clog arteries and cause cardiovascular disease ... Decreased levels – HYPOCHOLESTEROLEMIA – anemia, cirrhosis of the liver, avitaminosis A, viral hepatitis, cancer, starvation, burns ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 15. 2. 2011

Dementia, organic (including symptomatic) mental disorders; mental retardation; neurodevelopmental disorders

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• Treatment: Family education and gradual exposure to separation...CBT, SSRI page Phobic anxiety disorder in childhood • Persistent fear of a specific object or situation (animal, heights, storm) • Etiology: after a traumatic event, observation of others ... • ...in response to the birth of a sibling • ↑negative affect with predominant feelings of jealousy, anger, aggression toward the sibling, regression to early stages of development (use of babytalk, thumbsucking, loss of bladder or bowel control) page GAD in childhood • Multiple worries about a variety of life circumstances, such as school work, appearance ...

UPJŠ LF v Košiciach | discipline: Psychiatry, Psychology, Sexology | ...: Array | published on: 13. 5. 2024

Estimation theory

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POPULATION AND SAMPLE POPULATION (N) SAMPLE (n) page Sample: • subgroup of population • consists of one or more observations from the population • each subject from population should have the same probability to be an element of the sample Random sample - selection of statistical unit from population is given only by the chance. A measurable characteristic of a population is called parameter and measurable characteristic of a sample is called statistic ... Point estimation - estimation specified by one number (a single numerical value used to estimate the corresponding population parameter) ...

UPJŠ LF v Košiciach | discipline: Medical Informatics and Information Science | ...: Array | published on: 9. 10. 2019

10. week WT

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In severe forms of acute pancreatitis, a significant reduction in serum Calcium can be observed ... Add 2 drops of phenolphthalein. 5. Titrate with a standard NaOH solution until a permanent pink color is obtained. 6 ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 16. 9. 2013

10. week ST

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In severe forms of acute pancreatitis, a significant reduction in serum Calcium can be observed ... Add 2 drops of phenolphthalein. 5. Titrate with a standard NaOH solution until a permanent pink colour is obtained. 6 ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 15. 2. 2011

12. week ST

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Pipette 0.1 mL of serum into a test tube 2. Add 4 ml of CaCl2 solution and 0.1 mL of heparin. 3 ... Transfer the sample to a cuvette and measure the absorbance on a spectrophotometer at 650 nm wavelength against distilled water ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 15. 2. 2011

Clinical and Laboratory Aspects of 13C-Breath Test Evaluated by NDIRS Infrared Spectrometry

pdf Clinical and Laboratory Aspects of 13C-Breath Test Evaluated by NDIRS Infrared Spectrometry
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Regarding (a), an estimate is presented that is closer to reality than the commonly used PDB standard ... Concerning (c), two published estimates of CO2 production are used and compared: a BSA-based (Body Surface Area) estimate, and a BMR-based (Basal Metabolic Rate) estimate ...

1.LF UK | discipline: Gastroenterology and Hepatology | ...: Array | published on: 1. 2. 2007

Data selection

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... date 2020-11-16T12:49:22Z pdf:PDFVersion 1.5 pdf:docinfo:title Prezentace aplikace PowerPoint xmp:CreatorTool Microsoft® PowerPoint® 2016 stream_content_type application/pdf pdf:hasXFA false access_permission:modify_annotations true access_permission:can_print_degraded true dc:creator jm language sk-SK dcterms:created 2020-11-16T12:49:22Z Last-Modified 2020-11-16T12:49:22Z dcterms:modified 2020-11-16T12:49:22Z dc:format application/pdf; version=1.5 Last-Save-Date 2020-11-16T12:49:22Z pdf:docinfo:creator_tool Microsoft® PowerPoint® 2016 access_permission:fill_in_form true pdf:docinfo:modified 2020-11-16T12:49:22Z stream_name https://portal.lf.upjs.sk/_skryty_repositar_QFo9MDRM/3/eng/informatics/database/mi-05-db-data-selection.pdf meta:save-date 2020-11-16T12:49:22Z pdf:encrypted false dc:title Prezentace aplikace PowerPoint modified 2020-11-16T12:49:22Z pdf:hasMarkedContent true Content-Type application/pdf stream_size 538787 pdf:docinfo:creator jm X-Parsed-By org.apache.tika.parser.DefaultParser X-Parsed-By org.apache.tika.parser.pdf.PDFParser creator jm dc:language sk-SK meta:author jm meta:creation-date 2020-11-16T12:49:22Z stream_source_info url created 2020-11-16T12:49:22Z access_permission:extract_for_accessibility true access_permission:assemble_document true xmpTPg:NPages 8 Creation-Date 2020-11-16T12:49:22Z pdf:hasXMP false access_permission:extract_content true access_permission:can_print true Author jm producer Microsoft® PowerPoint® 2016 access_permission:can_modify true pdf:docinfo:producer Microsoft® PowerPoint® 2016 pdf:docinfo:created 2020-11-16T12:49:22Z Prezentace aplikace PowerPoint page Medical Informatics Databases – Data selection Jaroslav Majernik Department of Medical Informatics page • selection of required data from database tables • options: • searching, sorting and filtering (datasheet features - temporary, need to reapply all settings) • queries (database objects - readymade search engines) DATA SELECTION page • selects and shows data (records) that meets entered criteria • types of filters: • as preferred the fastest searching of required data, data are selected from a table according to the value(s) of one or more fields • out of selection there are selected all the data that don’t meet the entered criteria • by form selection from a list, more complicated conditions of selection • advanced filter and sort filter combined with sort options that can vary from field to field, similar to queries FILTER page • in contrast to filter it is an independent database object Queries • allow selection of data from whole database (combination of related tables) and to show only selected records/field • can be used to modify data in database • can perform calculations and summaries • can automatically apply changes • result of query is an anonymous window with datasheet consisting of selected fields • result of one query can be used as a source of data for another query • queries are used in situations when it is necessary to select record(s) according to the complicated combined criteria (or when it is time-consuming to set them manually) QUERY page • Types of queries: • selective simple - similar to filters, result can consists of fields from several tables • crosstab query creates cross table list that consists of relations between data • find duplicates query shows only records that share duplicated values • find unmatched query finds unlinked records in related tables QUERY page Action queries: • modify large amount of data according to the specified criteria: • removable removes all records in database that meet specified criteria • updating changes data/values stored in database tables • connecting adds data resulted from query into the existing table • generating saves result of query into the new table QUERY page Creating a query: • using a wizard • in design view • by transformation of filter Outputs of query: • detailed shows all selected fields • global creates a basic statistical calculations from selected fields QUERY page Selection criteria: • saving a filter as query (advanced filter of ordering) • manually specified Criteria (examples): • text in quotation marks, e.g ...

UPJŠ LF v Košiciach | discipline: Medical Informatics and Information Science | ...: Array | published on: 28. 11. 2010

7. week WT

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A single molecule of catalase can break down millions of hydrogen peroxide molecules into water and oxygen per second. 2H2O2 → 2H2O + O2 The enzyme catalase is a haemoprotein containing 4 molecules of haem ... It is the only known enzyme capable of not only reducing but also oxidizing hydrogen peroxide, thus differing from peroxidases, which can only reduce hydrogen peroxide while simultaneously oxidizing a secondary substrate. The blood catalytically degrades hydrogen peroxide to form molecular oxygen (a catalase activity) or transfer oxygen of peroxide to the other substrates (a pseudoperoxide activity) ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 15. 2. 2011

10. week ST

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Determination of inorganic phosphorus in blood serum Phosphorus is a macroelement in the human body that serves numerous functions ... The alkaline environment is provided by a buffer solution of N-methylglutamine (pH = 10.4) ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 16. 9. 2013

Mood disorders (affective disorders)

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Other factors : alteration of circadian rhythms, neuroimmune dysregulation slide slide-master-content slide-content Classification (DSM IV) 1. major depressive disorder 2. bipolar I disorder 3. dysthymic disorder 4. cyclothymic disorder Further classification major depressive disorder and bipolar I disorder: according to the severity (mild, moderate, severe) with and without psychotic features, congruent or incongruent (hallucinations and delusions) according to the course (single episode, or recurrent, remission, further course specifiers) slide slide-master-content slide-content Diagnosis: major depressive disorder Minim. 5 symptoms, change from functioning: depressed mood diminished interest or pleasure significant weight loss, or decrease or appetite insomnia ( or hypersomnia) psychomotor agitation or retardation fatigue or loss of energy feelings of worthlessness or guilt diminished ability to think or concentrate, indecisiveness recurrent thought of death slide slide-master-content slide-content Diagnosis: Bipolar I, manic episode At least 1 week of abnormally and persistently elevated, expansive or irritable mood, impairment in occupational functioning or social activities (not due to abuse or medical condition), min. 3 of the following symptoms: grandiosity decreased need for sleep, more talkativeness flight of ideas distractibility increase of goal directed activity excessive involvement in pleasurable activities slide slide-master-content slide-content Diagnosis : dysthymic disorder Dysthymic disorder: a chronic disorder, with the depressed mood that lasts most of the day on most days Symptoms: depressed mood for more days than not, for at least 2 y. 2 or more further symptoms: poor appetite or overeating insomnia or hypersomnia low energy or fatigue low self esteem poor concentration or difficulty making decisions feelings of hopelessness slide slide-master-content slide-content Diagnosis : Cyclothymic disorder a mild form of bipolar II disorder, characterised by episodes of hypomania and episodes of mild depression for at least 2 years, the presence of numerous periods with hypomanic symptoms and numerous period with depressive symptoms that do not meet criteria for a major depressive episode slide slide-master-content slide-content Differential diagnosis Depressive disorders: medical disorders (neurological, endocrine, infectious) pharmacological Bipolar I: other mental disorders (schizophrenia) pharmacological slide slide-master-content slide-content Course and prognosis Depressive disorder: untreated depression lasts 6-13 months 5-10% have a manic episode tends to be a chronic disorder pts. tend to relapse Bipolar disorder: most often starts with depression is a recurring disorder pts. have a poorer prognosis than do pts. with major depressive disorder 50% have a second manic episode within 2 years slide slide-master-content slide-content Treatment Acute treatment vs ...

LF MU | discipline: Psychiatry, Psychology, Sexology | ...: Array | published on: 12. 1. 2006

Electroconvulsive therapy (ECT)

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... cp:revision 71 date 2004-10-04T11:20:06Z Company LF MU stream_content_type application/vnd.ms-powerpoint meta:word-count 273 dc:creator Winkler extended-properties:Company LF MU Word-Count 273 dcterms:created 2004-05-04T08:12:29Z dcterms:modified 2004-10-04T11:20:06Z Last-Modified 2004-10-04T11:20:06Z Last-Save-Date 2004-10-04T11:20:06Z Template Shimmer stream_name https://portal.med.muni.cz/_download12345/2/zourkova/general-and-specialized-psychiatry/eng18electroconvulsive-therapy.pps meta:save-date 2004-10-04T11:20:06Z dc:title VĚDOMÍ A JEHO PORUCHY Application-Name Microsoft PowerPoint modified 2004-10-04T11:20:06Z Edit-Time 165845580000 Content-Type application/vnd.ms-powerpoint Slide-Count 11 stream_size 62464 X-Parsed-By org.apache.tika.parser.DefaultParser X-Parsed-By org.apache.tika.parser.microsoft.OfficeParser creator Winkler meta:author Winkler extended-properties:Application Microsoft PowerPoint meta:creation-date 2004-05-04T08:12:29Z stream_source_info url meta:last-author Winkler meta:slide-count 11 Creation-Date 2004-05-04T08:12:29Z xmpTPg:NPages 11 Last-Author Winkler Revision-Number 71 extended-properties:Template Shimmer Author Winkler VĚDOMÍ A JEHO PORUCHY slideShow slide slide-master-content slide-content ELECTROCONVULSIVE THERAPY ( ECT ) doc.MUDr.Alexandra Žourková,CSc. Dept. of Psychiatry, Masaryk University, Brno slide slide-master-content slide-content ELECTROCONVULSIVE THERAPY ( ECT ) P R I N C I P L E O F E C T THE INDUCTION OF A GRAND MAL SEIZURE BY MEANS OF AN ELECTRICAL PULSE THROUGH THE BRAIN THE PERSON IS UNDER ANESTHESIA slide slide-master-content slide-content ELECTROCONVULSIVE THERAPY ( ECT ) MECHANISM OF ACTION UNKNOWN EXACTLY ( NEUROTRANSMITTERS IN THE BRAIN – GABA, ADRENALIN, SEROTONIN, DOPAMINE, ENDOGENOUS OPIATES …) slide slide-master-content slide-content ADMINISTRATION H I S T O R I C A L ( AWAKE AND NOT PREMEDICATED, COMPLICATIONS ) slide slide-master-content slide-content ADMINISTRATION N O W ATROPINE (REDUCE SECRETION) GENERAL SHORT – ACTING ANESTHESIA (REDUCE ANXIETY AND DISCOMFORT) DEPOLARIZING MUSCLE RELAXANT (ELIMINATE COMPLICATIONS) BILATERALLY ADMINISTRATION UNILATERALLY ADMINISTRATION slide slide-master-content slide-content MEDICAL HISTORY AND PHYSICAL EXAMINATION LABORATORY TEST PRETREATMENT REGIMEN INFORMAL CONSENT CLINICAL EVALUATION ELECTRICAL STIMULUS 70 – 110 V FOR 0,1 – 0,5 s / 200 – 1600mA USUALLY NUMBER OF ECT 6 – 10 THREE TIMES WEEKLY slide slide-master-content slide-content MAJOR DEPRESSIVE EPIZODES (WORKS MORE QUICKLY, IS SAFER, IS PROBABLY MORE EFFECTIVE THAN TCAS) I N D I C A T I O N ACUTE MANIA SCHIZOFRENIA – AFFECTIVE AND CATATONIC SYMPTOMS slide slide-master-content slide-content A SPACE OCCUPYING CEREBRAL LESION THAT CAUSES INCREASED INTRACRANIAL PRESSURE ABSOLUTE CONTRAINDICATION slide slide-master-content slide-content M O S T C O M M O N TRANSITORY MEMORY LOSS S I D E E F F E C T S HEADACHE MUSCLE ACHES slide slide-master-content slide-content L E S S C O M M O N INCREASE IN PERMEABILITY OF THE BLOOD-BRAIN BARRIER S I D E E F F E C T S SYSTEMIC HYPERTENSION APNEA CARDIAC ARRHYTHMIAS slide slide-master-content slide-content References : Waldinger R.J.: Psychiatry for medical students, Washington, DC : American Psychiatric Press, 1997 Kaplan HI, Sadock BJ, Grebb JA.: Kaplan and Sadock´s synopsis of psychiatry, Baltimore: Williams and Wilkins, 1997 ...

LF MU | discipline: Psychiatry, Psychology, Sexology | ...: Array | published on: 12. 1. 2006

News in osteoporosis

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*6@>/!>A!,/BA*,5-1*+!+C5,53! D+*-+E*,F!A*,5-1*+!! ... -( 9:,S%(TI`(%)(#"4('()#*+,-.&/0,1&C525VA5W8XY6@A>6@D( aJ++:,S;(R9(%)(#"4(2&30$&4&5)64(C55DVA@2W6XY83@>8@3( ?? ...

LF MU | discipline: Surgery, Traumatology and Orthopaedics | ...: Array | published on: 15. 4. 2009

Modern imaging methods

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-IV. generation) spiral (helical) – continuous rotation spiral (helical) multidetector - 4 to 64 detector rows slide slide-master-content slide-content CT image reconstruction set of digitalized absortion measurements from one slice = raw data cca 700 x 800 = 560 000 absorption values / slice filtered back projection 2D image (512 x 512 points - pixels) pixel (picture matrix element) versus each pixel represents complete absorption of a 3D object - voxel voxel (volume matrix element) slide slide-master-content slide-content CT image reconstruction embedded 4 normální normální embedded _884072592 normální X3 X4 normální A + B = X1 normální C + D = X2 normální A + C = X3 normální B + D = X4 X2 X1 package-entry _884072592.doc � A B C D slide slide-master-content slide-content CT image reconstruction pixel shows a value on the grayscale depending on absorption of corresponding voxel within the give slice (i.e. section) its numerical value is expressed as Hounsfield absorption coefficient (Hounsfield unit, CT number = HU) numerical value of the absorption coefficient of the given pixel is unique and represents its degree of shade (higher absorption  lighter shade of grey) pixel has a uniform shade of grey slide slide-master-content slide-content CT image reconstruction contrast resolution of CT highly exceeds contrast resolution of conventional x-rays 4096 absorption coefficients (= 212) two fixed points on the Hounsfield scale air - 1000 HU water 0 HU 4096 absorption coefficients versus 20 - 30 shades of grey „CT window“ embedded 6 normální normální 3095 normální normální 1000 100 normální normální 800 80 normální Čerstvý hematom normální Kost normální Štítná žláza normální 600 60 Játra normální Venózní krev normální Sval normální 400 40 Slezina, pankreas normální Ledviny normální 200 20 Exsudát normální Transsudát normální normální 0 Voda 0 Voda normální normální - 200 - 20 normální normální - 400 - 40 normální normální - 600 Plíce - 60 normální normální - 800 - 80 normální Tuk normální normální - 1000 Vzduch - 100 slide slide-master-content slide-content CT window defines the interval of absorption coefficients (densities) on the Hounsfield scale shown in the shades of grey window center (HU) window width (HU) structures with densities outside the CT window interval are shown only in true white or black slide slide-master-content slide-content CT window slide slide-master-content slide-content slide slide-master-content slide-content slide slide-master-content slide-content slide slide-master-content slide-content slide slide-master-content slide-content 10 mm 1 mm 1 mm, HRCT slide slide-master-content slide-content slide slide-master-content slide-content slide slide-master-content slide-content slide slide-master-content slide-content slide slide-master-content slide-content Magnetic resonance imaging - MRI embedded 17 slide slide-master-content slide-content Nuclear spin... magnetic momentum For MRI, only nuclei with odd nucleon number may be employed ... 1H slide slide-master-content slide-content Outside the magnetic field ( B = 0 ) is magnetization => M = 0 Inside the magnetic field B  0 is magnetization => M  0 slide slide-master-content slide-content Spins show precession along the axis of the magnetic field What happens with spins inside the magnet ? ... wL = 42,5 MHz ) slide slide-master-content slide-content Phase coherence ==> „tilting“ of the magnetization Steady state ... magnetization only in B0 direction phase of all spins is random … if we add energy (wL): phase is identical longitudinal magnetization transverse magnetization slide slide-master-content slide-content Magnetization tilt ... flip angle a slide slide-master-content slide-content What can influence the MR image contrast? ...

LF UK Hr. Králové | discipline: Biophysics | ...: Array | published on: 27. 5. 2009

Psychopharmacs - antidepressants

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J Clin Psychiatry 1991;52(Suppl. 5):28–34 notes notes-content Depression is a chronic and recurrent illness associated with significant functional impairment, morbidity & mortality. However unlike many other chronic medical illnesses, a measurable critical endpoint of treatment has yet to be established ...

LF MU | discipline: Psychiatry, Psychology, Sexology | ...: Array | published on: 12. 1. 2006

7. week ST

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Fructose is proved as a ketose by the Selivanov reagent ... Put the test tubes into a boiling water bath for a short time. 3 ...

UPJŠ LF v Košiciach | discipline: Medical Chemistry and Biochemistry | ...: Array | published on: 15. 2. 2011

Pediatric orthopedics

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Arriese- Diase • Moderate 30 – 60 degrees Osteotomy by Imhäuser- Weber, Southwick • Severe 60+ degrees Osteotomy in femoral neck page page Developmental Dysplasia of Hip • DDH is a generic term describing a spectrum of anatomic abnormalities of the hip that may be congenital or develop during infancy or childhood • Girls 6 : boys 1 • Incidence Czech Rep. 5% • Etiology is multifactorial: genetic factor, intrauterine position, neonatal positioning, joint laxity, hormonal effects page DDH Diagnosis • Clinical examination 3x – 2 days, 6 weeks, 3-4 months • Barlow´s sign, Ortolani´s sign, instability, limitation of abduction, shortening • Ultrasound Hip Screening – Graf • Radiography page page page page DDH Treatment • Frejka pillow • Pavlik harness • Vertical traction, Over head traction page page page page page DDH • Contrast arthrography – reduction, spica cast • Obstructing limbus • Lig. transversum • Lig. teres - open reduction • Pulvinar • Tend. M. iliopsoas page page page page DDH Surgery treatment • A : Capsular arthroplasty – Chiari • B : Redirectional Osteotomy – Salter, Steel • C : Periarticular Osteotomy - Pemberton page DDH • Missed cases, residual dysplasia page Clubfoot • syn ...

LF MU | discipline: Surgery, Traumatology and Orthopaedics | ...: Array | published on: 7. 4. 2016

Somatoform disorders

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Pain disorder slide slide-master-content slide-content Somatization disorder Multiple recurrent somatic complaints of several years´ duration are not due to any physical disorder slide slide-master-content slide-content Somatization disorder -diagnostic criteria A. History of many physical complaints beginning before age 30 yers B ... The symptoms are not intentionally produced slide slide-master-content slide-content Undifferentiated somatoform disorder One or more somatic complaints of at least 6 months´ duration that do not meet the criteria for somatization disorder slide slide-master-content slide-content Undifferentiated somatoform disorder - diagnostic criteria One or more physical complaints lasting at least six month causing distress or impairment Are not due to general medical condition or a drug substance etc. The symptom is not intentionally produced and better accounted for by another mental disorder slide slide-master-content slide-content Hypochondriasis Unfounded fears of having serious illness slide slide-master-content slide-content Hypochondriasis - diagnostic criteria Fears of having a serious desease persisting despite appropriate medical evaluation The fear is not of delusional intensity Cause impairment and distress Duration at least 6 months Not better accounted for by another mental disorder slide slide-master-content slide-content Body dysmorphic disorder Preoccupation with an imagined defect in appearence, which causes significant distress and is not better accounted for by another mental disorder slide slide-master-content slide-content Conversion disorder Sudden, dramatic loss of physical functioning that has no known pathophysiological cause and appears to be a manifestation of a psychological need or conflict slide slide-master-content slide-content Conversion disorder - diagnostic criteria One or more symptoms suggesting a neurological or other general medical condition, preceded by conflict or other stressor The symptoms are not intentionally produced and cannot better accounted for by another mental disorder Causes distress or impairment slide slide-master-content slide-content Pain disorder Pain in the absence of adequate physical findings or pathophysiological explanations and in association with psychological factors that seem to play an etiological role slide slide-master-content slide-content Pain disorder - diagnostic criteria Pain in one or more anatomical sites causing clinical significant distress Psychological factors have an important role in the onset The symptom or deficit is not intentionaly produced The pain is not better accounted for by a mood, anxiety or psychotic disorder slide slide-master-content slide-content Somatoform disorders - treatment Treatment is difficult, patients usually refuse to accept the possibility of psychological fundamentals ...

LF MU | discipline: Psychiatry, Psychology, Sexology | ...: Array | published on: 12. 1. 2006

Paediatric cardiology II

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Etiology: A viral infection (coxsackie B, enteroviruses) or bacterial, fungal infection usually causes myocarditis, but it can result from a reaction to a drug (toxic myocarditis) or be part of a more general inflammatory condition (autoimmune disease) ... Cardiac tamponade may develop: change in blood pressure, hepatomegaly, peripheral edema page ECG: ST elevations, T wave changes Chest X ray: increased cardiothoracic ratio ECHO Treatment: bedrest, salicylates, Antibiotics (bacterial pericarditis) Arrhythmias – antiarrhytmic drugs Evacuation of pericardial fluid Pericarditis page Premature atrial, ventricular contractions Tachyarrhythmias: Sinus tachycardia Supraventricular tachycardia: - reentry: AVRT (90% of SVT), AVNRT, PJRT - automatic: AET, JET (15% of SVT) Atrial flutter Ventricular tachycardia Bradyarrhythmias: Sinus bradycardia AV block (CHB 1:20 000) ARRHYTHMIAS page Normal heart rate in children age (years) sleep being awake 0-2 60-120 90-160 3-10 50-110 65-135 11-15 40-100 60-120 Garson A., Arrhythmias in pediatric patients. Med. Clin ...

LF MU | discipline: Cardiology, Angiology | ...: Array | published on: 23. 10. 2020

Substance related disorders

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... strong desire to také the substance, need to obtain the drug,progressive neglect of alternative sources of satisfactory, the development of tolerance and physical withdrawal state slide slide-master-content slide-content Dependence physiological dependence - demonstration either tolerance to the pharmacological effects of the drug or charakteristic withdrawal syndrom when the drug use is diminished non physiological phenomena : desire for the drug, drug seeking behaviour, continued need to obtain the reinforcing properties of the drug tolerance : state in which after repeated administration, a drug produces a decreased effect or increasing doses are required to produce the same effects slide slide-master-content slide-content Withdrawal state a group of symptoms and signs occuring when a drug is reduced in amount or withdrawn which last for limited time slide slide-master-content slide-content Alcohol Intoxication - recent ingestion of alcohol symptoms : mood lability, inappropriate sexual or agresive bahaviour, impaired judgment, social or occuopational functioning, which develops during or after alcohol ingestion (slurred speech, incoordination, unsteady gate, nystagmus,impairment in attention, memory), severity of symptoms correlates with the blood concentration(sense of well being - incoordination, irritability - sedation..) slide slide-master-content slide-content Alcohol Idiosyncratic alcohol intoxication - pathological drunkenness - changes in behaviour occuring within minutes after taking a small amount of alcohol (aggression, desorientation etc..) ...

LF MU | discipline: Psychiatry, Psychology, Sexology | ...: Array | published on: 12. 1. 2006

Psychotherapy

ppt Psychotherapy
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... cp:revision 10 date 2004-12-03T06:50:38Z Company FN Brno stream_content_type application/vnd.ms-powerpoint meta:word-count 854 dc:creator Psychiatrická klinika extended-properties:Company FN Brno Word-Count 854 dcterms:created 2099-11-29T07:26:20Z dcterms:modified 2004-12-03T06:50:38Z Last-Modified 2004-12-03T06:50:38Z Last-Save-Date 2004-12-03T06:50:38Z Template C:\Program Files\Microsoft Office\Sablony\Prázdná prezentace.pot stream_name https://portal.med.muni.cz/_download12345/2/zourkova/general-and-specialized-psychiatry/eng17psychotherapy.ppt meta:save-date 2004-12-03T06:50:38Z dc:title Psychotherapy Application-Name Microsoft PowerPoint modified 2004-12-03T06:50:38Z Edit-Time 383540800000 Content-Type application/vnd.ms-powerpoint Slide-Count 28 stream_size 49152 X-Parsed-By org.apache.tika.parser.DefaultParser X-Parsed-By org.apache.tika.parser.microsoft.OfficeParser creator Psychiatrická klinika meta:author Psychiatrická klinika extended-properties:Application Microsoft PowerPoint meta:creation-date 2099-11-29T07:26:20Z stream_source_info url meta:last-author Žourková Alexandra meta:slide-count 28 Creation-Date 2099-11-29T07:26:20Z xmpTPg:NPages 28 Last-Author Žourková Alexandra Revision-Number 10 extended-properties:Template C:\Program Files\Microsoft Office\Sablony\Prázdná prezentace.pot Author Psychiatrická klinika Psychotherapy slideShow slide slide-master-content slide-content Psychotherapy MUDr.Lucie Pilařová Dept. of Psychiatry, Masaryk University, Brno slide slide-master-content slide-content Psychotherapy Includes those means by which a therapist attemps to provide new interpersonal experience for another human being These experiences are designed to enhance one ability to manage subjective disstress slide slide-master-content slide-content Psychotherapy It can not alter the problem of world in which patient lives But it can enhance self acceptance, empower the patient to make life changes and help patient to cope with enviroment more effectively slide slide-master-content slide-content Classification of Psychotherapy according to who is involved in the treatment an individual a group a couple a family therapy slide slide-master-content slide-content Classification of Psychotherapy according to the content and methods used analytic interpersonal cognitive,behavioral, cognitive - behavioral All psychotherapies are aimed at changing aspects of the patient slide slide-master-content slide-content Characteristics common for all psychotherapies Based on interpersonal relationship used verbal communication between two or more people as healing element specific expertise on the part of the therapist in using communication and relationshop in healing way slide slide-master-content slide-content Characteristics common for all psychotherapies based on rationale or conceptual structure that is used to understand the patient problem use of the specific procedure in the relationship that is linked to rationale structure relationship expectation of improvement slide slide-master-content slide-content Behavior therapy Aim : change the behavior ... By correcting these distorted ways of thinking, therapist restructure patients views of themselves) slide slide-master-content slide-content Cognitive therapy The three major cognitive patterns observed in depression (by Beck) - a negative view of oneself - a negative interpretation of experience - a negative view of future slide slide-master-content slide-content Cognitive therapy treatment of depression the schema that lead to negative interpretations the goal : to indentify and restructure those negative schemata (that shape p.perception) slide slide-master-content slide-content Individual psychotherapy Covers broad range of psychotherapeutic techniques which are usually done individually - single therapist working with single patient slide slide-master-content slide-content Psychoanalysis Originally developed by S.Freud ( a systemic theory to describe the structure and operations of the human psyche) reorganization of character structure with emphasis on self understanding and correction of development lags slide slide-master-content slide-content Psychoanalysis basic concept includes stages of psychosexual development (oral, anal, phallic) the structures of conscious and uncoscoius thougts (primary versus secondary process thinking) the structures of drive and motivation (id, ego, superego) slide slide-master-content slide-content Psychodynamic psychotherapy concepts are embodied in psychoanalytic theory (it does not involve rigidly defined techniques that charakterized classical psychoanalysis) slide slide-master-content slide-content Psychodynamic psychotherapy based on idea of self exploration and self understanding open up the possibilities for change in personality and behaviour treatment of : personality disorder, sexual dysfunction, somatoform , anxiety disorders, mild depression slide slide-master-content slide-content Types of psychodynamic psychotherapy psychoanalysis exploratory psychotherapy - aims at understanding motivations and uncousious forces (focus on current life) slide slide-master-content slide-content Types of psychodynamic psychotherapy supportive psychotherapy - lessening of anxiety through reassurance, advice, modifications of social factor (it helps patients to get through difficult situations), it is incorporated into any of the other types os PT short term psychotherapy slide slide-master-content slide-content Insight oriented psychotherapy based on psychodynamic concept focused on interpersonal relationship - here and now situation the patient are encouraged to achieve an intellectual understanding of the mainspring of their behavior that will assist in changing it as needed slide slide-master-content slide-content Interpersonal therapy based on idea that mental illness may reflect and be expressed in problems with relationship emphasizes working on improving interpersonal realtionship during the process of psychotherapy slide slide-master-content slide-content References Waldinger RJ: Psychiatry for medical student, Washington DC : American Psychiatric Press, 1997 Collier JAB, Longmore JM, Harvey JH : Oxford handbook of clinical specialties, Oxford, 1998 ...

LF MU | discipline: Psychiatry, Psychology, Sexology | ...: Array | published on: 12. 1. 2006

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