Results found: 11870
... 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
*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
-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
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 ...
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
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
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 ...
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
... 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..) ...
... 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 ...
Required level of knowledge for homestudy (dentistry students): 3rd year: physical examination, anamnesis of a patient. 4th year: physical examination, anamnesis of a patient, medical imagining, endoscopic procedures, laboratory findings. 5th year: physical examination, anamnesis of a patient, medical imagining, endoscopic procedures, laboratory findings, differential diagnosis, treatment and management of a surgical patient. 5th year sylabus for block lessons: History, physical examination, pre- and perioperative management Diseases of the oesophagus Diseases of the stomach and duodenum Diseases of the small intestine Diseases of the colon and rectum Diseases of the liver and pancreas Diseases of the gallbladder and biliary tract Abdominal wall disorders Acute abdomen Surgical patient – complications. ...
LF UK v Bratislave | discipline: Surgery, Traumatology and Orthopaedics | keywords: Surgery, study materials | published on: 13. 3. 2020
Patologie a soudní lékařství ...
discipline: Cardiology, Angiology | keywords: Systémové vaskulitidy | published on: 19. 3. 2010
Lékařská chemie a biochemie ...
discipline: Medical Chemistry and Biochemistry | keywords: Metotrexát | published on: 1. 4. 2010
discipline: Gastroenterology and Hepatology | keywords: Criglerův-Najjarův syndrom | published on: 20. 6. 2010
Fyziologie a patologická fyziologie ...
discipline: Biology | keywords: Biologie onkogeneze | published on: 24. 6. 2010
discipline: Endocrinology, Metabolism | keywords: Onemocnění z nadbytku nebo nedostatku živin | published on: 12. 10. 2010
discipline: Genetics | keywords: Retinoblastom | published on: 14. 12. 2010
discipline: Epidemiology, Preventive Medicine, Hygiene | keywords: Infekční mononukleóza | published on: 16. 2. 2011
Anesteziologie a intenzivní medicína ...
discipline: Anaesthesiology and Intensive Care Medicine | keywords: Zavedení Swan-Ganzova katetru (pediatrie) | published on: 19. 3. 2011
discipline: Anaesthesiology and Intensive Care Medicine | keywords: Perikardiální punkce (pediatrie) | published on: 22. 3. 2011
discipline: Anaesthesiology and Intensive Care Medicine | keywords: Abdominální punkce (pediatrie) | published on: 24. 3. 2011
discipline: Surgery, Traumatology and Orthopaedics | keywords: Nádory mediastina | published on: 10. 4. 2011
discipline: Cardiology, Angiology | keywords: Bércový vřed | published on: 23. 7. 2011
discipline: Surgery, Traumatology and Orthopaedics | keywords: Neuroblastom | published on: 4. 12. 2011
discipline: Dermatology | keywords: Nádory kůže | published on: 27. 1. 2012
discipline: Gastroenterology and Hepatology | keywords: Peutzův-Jeghersův syndrom | published on: 8. 7. 2014
discipline: Surgery, Traumatology and Orthopaedics | keywords: Achalázie | published on: 28. 9. 2009
discipline: Surgery, Traumatology and Orthopaedics | keywords: Protinádorová terapie | published on: 19. 12. 2009
discipline: Surgery, Traumatology and Orthopaedics | keywords: Cytostatika | published on: 1. 1. 2010
discipline: Surgery, Traumatology and Orthopaedics | keywords: Jaterní encefalopatie | published on: 14. 2. 2010