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Outpatient clinic - Create outpatient clinic card

ppsx Outpatient clinic - Create outpatient clinic card
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... embedded slide3_rId3 embedded slide3_rId4 SK: Filter ambulantných kariet ENG: Filter of outpatient cards Filter to select group of patients/their cards: Všetci – all patients V čakárni – in the waiting room Aktívne – active cards Archívne – archived cards Diár – diary (ambulatory monitored patients) V dispenzári – dispensatory patients embedded slide3_rId5 SK: Založenie karty ENG: Create new outpatient card To create a new card for ambulatory treated patient. There can be only one outpatient clinic card created in particular outpatient clinic ... SK: Pridať ENG: Add Confirm it, if your patient is not in the Central register. There will be a need to fill in identification data as it will be a new patient ...

UPJŠ LF v Košiciach | discipline: Medical Informatics and Information Science | ...: Array | published on: 18. 3. 2011

Heart and Chest Imaging

ppt Heart and Chest Imaging
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... cp:revision 56 date 2006-05-14T19:55:21Z Company FN HK stream_content_type application/vnd.ms-powerpoint meta:word-count 1500 dc:creator novotjos extended-properties:Company FN HK Word-Count 1500 dcterms:created 2002-04-28T13:49:40Z dcterms:modified 2006-05-14T19:55:21Z Last-Modified 2006-05-14T19:55:21Z Last-Save-Date 2006-05-14T19:55:21Z stream_name https://mefanet.lfhk.cuni.cz/_skryty_repositar45465-gfgf454/19/12-cardiacchest-praktikum-ppt_4a19c7dd2cc4a.ppt meta:save-date 2006-05-14T19:55:21Z dc:title Thoracic radiology Application-Name Microsoft PowerPoint modified 2006-05-14T19:55:21Z Edit-Time 808136980000 Content-Type application/vnd.ms-powerpoint Slide-Count 98 stream_size 30454272 X-Parsed-By org.apache.tika.parser.DefaultParser X-Parsed-By org.apache.tika.parser.microsoft.OfficeParser creator novotjos meta:author novotjos extended-properties:Application Microsoft PowerPoint meta:creation-date 2002-04-28T13:49:40Z stream_source_info url meta:last-author Administrator meta:slide-count 98 Creation-Date 2002-04-28T13:49:40Z xmpTPg:NPages 98 Last-Author Administrator Revision-Number 56 Author novotjos Thoracic radiology slideShow slide slide-master-content slide-content Chest radiology Department of Radiology University Hospital Hradec Kralove slide slide-master-content slide-content Outline Imaging methods Normal chest X – ray Abnormal imaging patterns : CXR, other methods slide slide-master-content slide-content Imaging methods - chest CXR posteroanterior upright anteroposterior supine lateral films conventional tomography, fluoroscopy CT: computed tomography conventional and spiral CT non-contrast and contrast-enhanced study CT angiography – pulmonary embolism HRCT – high resolution CT Ultrasonography MR Angiography Scintigraphy, PET slide slide-master-content slide-content CXR – PA and lateral view slide slide-master-content slide-content technical points quality of exposure visibility of vascular pattern and spinal column symmetry spinous processes, medial ends of clavicles inspiration level of diaphragm (ant. 6r, post. 9r) bones, chest wall (breasts, nipples) free diaphragmatic angles size and contours of mediastinum C-T ratio < 0.5 hila A-B index < 1.2 narrower upper vessels symmetry of lung transparency, regularly branching vascular pattern, missing in peripheral 15 mm bands PA view – normal pattern slide slide-master-content slide-content technical points quality of exposure visibility of vascular pattern and spinal column symmetry spinous processes, medial ends of clavicles inspiration level of diaphragm (ant. 6r, post. 9r) bones, chest wall (breasts, nipples) free diaphragmatic angles contours and size of the mediastinum C-T ratio < 0.5 hila A-B index < 1.2 narrower upper vessels symmetry of lung transparency, regularly branching vascular pattern, missing in peripheral 15 mm bands PA view – normal pattern slide slide-master-content slide-content Normal heart, PA projection slide slide-master-content slide-content Normal CXR, lateral projection slide slide-master-content slide-content slide slide-master-content slide-content Mediastinum - compartments slide slide-master-content slide-content technical points quality of exposure visibility of vascular pattern and spinal column symmetry spinous processes, medial ends of clavicles inspiration level of diaphragm (ant. 6r, post. 9r) bones, chest wall (breasts, nipples) free diaphragmatic angles contours and size of the mediastinum C-T ratio < 0.5 hila A-B index < 1.2 narrower upper vessels symmetry of lung transparency, regularly branching vascular pattern, missing in peripheral 15 mm bands PA view – normal pattern slide slide-master-content slide-content technical points quality of exposure visibility of vascular pattern and spinal column symmetry spinous processes, medial ends of clavicles inspiration level of diaphragm (ant. 6r, post. 9r) bones, chest wall (breasts, nipples) free diaphragmatic angles contours and size of the mediastinum C-T ratio < 0.5 hila A-B ratio < 1.2 symmetry of lung transparency, regularly branching vascular pattern, missing in peripheral 15 mm bands PA view – normal pattern slide slide-master-content slide-content Arterio-bronchial ratio B P slide slide-master-content slide-content Arterio-bronchial ratio conventional tomography slide slide-master-content slide-content technical points quality of exposure visibility of vascular pattern and spinal column symmetry spinous processes, medial ends of clavicles inspiration level of diaphragm (ant. 6r, post. 9r) bones, chest wall (breasts, nipples) free diaphragmatic angles contours and size of the mediastinum C-T ratio < 0.5 hila A-B index < 1.2 narrower upper vessels reflects distribution of blood flow valid only on erect films symmetry of lung transparency, regularly branching vascular pattern, missing in peripheral 15 mm bands PA view – normal pattern slide slide-master-content slide-content 1/3 2/3 U M L 9 6 PA VIEW – lung fields slide slide-master-content slide-content Interlobar fissures slide slide-master-content slide-content                                                  slide slide-master-content slide-content Right lung slide slide-master-content slide-content Left lung slide slide-master-content slide-content U M L PA VIEW – lung fields slide slide-master-content slide-content ICU films -AP projection - sitting - supine position limited diagnostic value lung aeration, PNO, gross abnormalities monitoring devices, lines widened mediastinal shadow C-T ratio < 0.6 equal size of upper and lower hilar vessels slide slide-master-content slide-content Supine x upright films S U slide slide-master-content slide-content Vertical versus horizontal beam direction slide slide-master-content slide-content Ultrasonography cannot pass through the aerated lung quickest and the most efficient method for depiction of pleural fluid guidance of interventional procedures slide slide-master-content slide-content Chest CT method of choice for further work-up of patient with chest disease morfological diagnosis mediastinum, lung parenchyma, vessels guidance for interventional procedures (lung biopsies, drainages) slide slide-master-content slide-content Conventional x spiral CT incremental scanning spiral (helical) scanning slide slide-master-content slide-content slide slide-master-content slide-content slide slide-master-content slide-content High resolution CT (HRCT) sequentional CT scanning thin scan collimation high spatial frequency algorithm the most valuable method for: interstitial parenchymal processes details of masses bronchi slide slide-master-content slide-content Pulmonary CT Angiography spiral CT technique contrast enhancement dg. pulmonary embolism the method of choice for diagnosis of PE in patients with chronic cardiopulmonary disease slide slide-master-content slide-content slide slide-master-content slide-content Pulmonary angiography gold standard for diagnosis of pumonary embolism currently rarely used replaced by ventilation/perfusion scintigraphy spiral CT angiography slide slide-master-content slide-content Imaging methods - heart CXR PA upright, AP supine, lateral films conventional tomography, fluoroscopy Ultrasonography transparietal, transoesophageal CT: computed tomography CT angiography – pulmonary embolism, aorta, pericardium, tumors multislice CT – coronary arteries MR – morphology, functional studies, myocardial viability Coronarography, cardioangiography Scintigraphy, PET slide slide-master-content slide-content Pulmonary vessels – MR angiography slide slide-master-content slide-content Cardiac MR - cine mode slide slide-master-content slide-content Fetal echocardiography method of choice for fetal heart evaluation no other possibility in fetus high accuracy in experienced hands slide slide-master-content slide-content Fetal echocardiography slide slide-master-content slide-content Angiocardiography slide slide-master-content slide-content Coronarography slide slide-master-content slide-content Multislice CTA coronary arteries slide slide-master-content slide-content Abnormal patterns - heart slide slide-master-content slide-content Mitral heart shape - triangle triangular shape left atrial enlargement „Kernschatten“ double right contoure dorsal extension postcapillary hypertension redistribution to upper LF interstitial edema alveolar oedema natural history: precapillary hypertension slide slide-master-content slide-content Mitral stenosis Normal heart slide slide-master-content slide-content Mitral valve disease - stenosis slide slide-master-content slide-content Aortal heart shape – „duck“ left ventricular enlargement extension to the left sinking of the apex towards the diaphragm natural history: left heart failure left atrial enlargement „Kernschatten“ double right contoure dorsal extension postcapillary hypertension redistribution to upper LF interstitial edema alveolar oedema slide slide-master-content slide-content Aortic valve lesions slide slide-master-content slide-content I.- pulmonary venous hypertension: mitral stenosis, left ventricular failure slide slide-master-content slide-content Interstitial edema after treatment slide slide-master-content slide-content Alveolar edema slide slide-master-content slide-content Right ventricular enlargement retrosternal space filling prominence of pulmonary arch heart apex above the diaphragm slide slide-master-content slide-content Generalised heart enlargement ischemic heart disease myocardiopathy myocarditis pericardial fluid slide slide-master-content slide-content II. pulmonary arterial (precapillary) hypertension normal: A-B ratio < 1.2 pulmonary embolism „cor pulmonale“ Eisenmenger sy high altitude idiopathic slide slide-master-content slide-content III. pulmonary hyperemia – left to right shunting ASD, VSD, PDA arterial and venous dilatation slide slide-master-content slide-content VI. pulmonary oligemia – tetralogy of Fallot narrowing of both arteries and veins pulmonary stenosis, TOF, hypocirculatory status slide slide-master-content slide-content Pericarditis exudativa slide slide-master-content slide-content Pericarditis calcarea slide slide-master-content slide-content Abnormal patterns - lungs slide slide-master-content slide-content SHADOWS (compartments): ALVEOLAR PATTERN: CONSOLIDATION, EDEMA, COLLAPSE (ATELECTASIS) INTERSTITIAL PATTERN LUNG NODULE (S), MASSES PLEURAL EFFUSION, MASSES, CHEST WALL MEDIASINAL MASSES LUCENCIES: EMPHYSEMA CAVITY PNEUMOTHORAX POST MASTECTOMY slide slide-master-content slide-content Lung parenchyma pulmonary acinus (primary lobule) apr. 7 mm, cca 400 alveoli, supplied by terminal bronchiole and arteriole secondary lobule last structure surrounded with connective tissue (septae) 15 – 20 mm, 3-5 acini, supplied with secondary bronchiole and arteriole slide slide-master-content slide-content Alveolar pattern - consolidation shadowing and air-bronchogram complete filling of lung segments, lobes etc ... compressive (pleural fluid, PNO) fibrous, adhesive (RDS), rounded (with pleural disease) slide slide-master-content slide-content Left lower lobe consolidation (with some collapse) elevation of left hemidiaphragm silhouette sign preservation of left heart border loss of diaphragmatic contour slide slide-master-content slide-content Silhouette sign - practise lingular consolidation - pneumonia slide slide-master-content slide-content Right lower lobe collapse There is a silhouette sign with the right paravertebral border but the right heart border is preserved ...

LF UK Hr. Králové | discipline: Cardiology, Angiology | ...: Array | published on: 27. 5. 2009

Spinal cord compression in spine tumours and injuries

pdf Spinal cord compression in spine tumours and injuries
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Orthotics page operated patients: 727 metastases 386 benign 98 malign 175 tumour-like affections 68 1984 – 2005 page mammar cancer 75 Grawitz. tumour 54 The most frequent metastases: Malignant tumours: myeloma 72 chordoma 17 chondrosarcoma 12 page anterior 168 posterior 350 combined – 1 team 164 - 2 teams 45 Surgeries page Frankel scale: A plegia, anesthesia B plegia, some sensory function C usefulles motor function D useful motor (gait) E normal page During surgery – heart failure, extensive blood loss Chylothorax Infection Exitus Complications page Quick progression of paresis Surgery to 24 hours after plegia onset Conclusion page SPINE INJURIES page AO classification of T+L injuries A anterior column injury (wedge, split, burst) B both columns – flexion distraction C both columns with rotation page Neural deficit in Th + L spine !!A type – mainly burst fractures !!B type - seldom !! ...

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

Practical lessons 2

pdf Practical lessons 2
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... v=v9eNKf3MJAo&t=413s Seminal vesicles - lobulated glands, have strong muscular walls - location - lie against posterior surface of the urinary bladder lateral to the ampulla of ductus deferens, in a subperitoneal postion (the tips of seminal vesicles are covered by peritoneum) - function – contribute fluid to the ejaculate (produce about 70% of the ejaculate volume) produce a viscous and alkaline seminal fluid rich in fructose that nourishes the spermatozoa and protects them from the acidic enviroment of the female vagina - excretory duct – duct which joins ductus deferens to form ejaculatory duct (Ejaculatory ducts empty into the prostatic part of the urethra) ... Corpus spongiosum penis also contains wide vascular spaces, but the trabeculae of the smooth muscle are less prominent than in the corpora cavernosa. A filling of the cavernous spaces in the corpus spongiosum merely leads to “soft“ swelling, permitting sperm to be transported through the male urethra ...

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

Chemická karcinogeneze

Chemická karcinogeneze

Lékařská chemie a biochemie ...

discipline: Genetics | keywords: Chemická karcinogeneze | published on: 2. 12. 2009

Fyzikální karcinogeneze

Fyzikální karcinogeneze

Lékařská chemie a biochemie ...

discipline: Genetics | keywords: Fyzikální karcinogeneze | published on: 2. 12. 2009

Henochova-Schönleinova purpura

Henochova-Schönleinova purpura

Patologie a soudní lékařství ...

discipline: Haematology | keywords: Henochova-Schönleinova purpura | published on: 3. 1. 2010

Imunokompetentní buňky

Imunokompetentní buňky

Fyziologie a patologická fyziologie ...

discipline: Physiology and Pathophysiology | keywords: Imunokompetentní buňky | published on: 11. 2. 2010

Nádory štítné žlázy

Nádory štítné žlázy

Patologie a soudní lékařství ...

discipline: Surgery, Traumatology and Orthopaedics | keywords: Nádory štítné žlázy | published on: 9. 5. 2010

Nádory ledvin

Nádory ledvin

Patologie a soudní lékařství ...

discipline: Genetics | keywords: Nádory ledvin | published on: 24. 5. 2010

Karcinogeny

Karcinogeny

Patologie a soudní lékařství ...

discipline: Biology | keywords: Karcinogeny | published on: 22. 10. 2010

Practical lessons 1

pdf Practical lessons 1
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- Inguinal falx (conjoint tendon or conjunctival tendon) - Cremaster muscle – is a muscle that covers the testis and spermatic cord ... v=6lMKauO44rA Inguinal region: dissection of a female body (Akram Jaffar: ) https://www.youtube.com/watch? ...

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

Complement

pdf Complement
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... katarina.curova@upjs.sk LS 2022/23 annotation mailto:katarina.curova@upjs.sk mailto:katarina.curova@upjs.sk page COMPLEMENT SYSTEM (C) • Main humoral mechanism of nonspecific immunity • Represented by > 40 effector and regulatory glycoproteins – in blood serum - on the surface of immune cells • Blood serum – 9 components of C, some factors and regulators of C activity – circulate in inactive form • Activation of C – after contact with activator • C components react with each other in a precise and regulated manner with the goal → defense of organism against MIO and other foreign cells/material page HISTORY OF COMPLEMENT JULES BORDET (Nobel price 1919) • Described in1896 specific part of fresh human serum, which must be added to bacterial suspension along with specific antibody to kill and lyse bacteria – and named it ALEXIN • Fresh serum of immunized animals in vitro aglutinate and lyse bacteria used for immunization • Serum heated to 60°C agglutinate, but do not lyse bacteria PAUL EHRLICH • term complement (complementum, C), to express that C complements the antibody's ability to lyse bacteria page COMPLEMENT COMPONENTS • Classical pathway: C1q, C1r, C1s, C2, C3, C4 • Alternative pathway: C3, B, D, I, H, P factors • Lectin pathway: C3, MBP, MASP • MAC: C5, C6, C7, C8, C9 • Abnormal proteins: C3 – nephritic factor • Regulatory functions: C1-inhibitor, C4-binding factor, I factor, H factor, S- protein, properdin, inactivator of anaphylaxis, DAF, MCP, MIRL • Receptors of C: CR1- binds C3b, CR3 - binds iC3b, ... (8 receptors) page BIOSYNTHESIS OF COMPLEMENT In: 1 ... Some viral proteins → complex Ag+Ab (IgM, IgG3, IgG1) → low concentrations in a healthy person's blood inflammation – rise its concentration 100 times - CRP binds polysaccharides of bacteria, fungi, parasites and viruses - its binding to Ag is non-specific (in contrast to Ab) page CLASSICAL PATHWAY C1 – macromolecular complex with proteolytic activity - composed of 3 subunits: C1q, C1r, C1s Recognition function - C1q C1q - 3 types of polypeptide chains (A, B,C) – each type 6 copies - triplet of chains A+B+C form subunit with binding site for - CH2 domain IgG - CH4 domain IgM Effector function – tetramolecular complex (C1r, C1s)2 Activation signal for classical pathway = binding of C1q to immune complex (IgM, IgG + Ag) page CLASSICAL PATHWAY After binding of C1q to immune complex: → auto-catalytic cleavage of proenzyme C1r to active enzyme C1r → conversion of C1s to active serine protease C1s Activated C1 cleaves C2 into C2a and C2b C4 into C4a and C4b → C4b2a = C3 convertase, cleaves C3 → C3a and C3b → C4b2a3b = C5 convertase, cleaves C5 → C5a and C5b C5 convertase cleaves C5 into C5a and C5b page CLASSICAL PATHWAY C3 convertase C4b2a page CLASSICAL PATHWAY C5 convertase C4b2a3b page CLASSICAL PATHWAY Formation of MAC - complex • Binding of C5b to the target (MIO surface) • Binding of C6, C7, C8 and several molecules of C9 to C5b (winthout cleavage) • Formation of C5b678(9)n = membrane attack complex • Its molecules (C9) are circularly incorporated into the CM of target cell (hole is formed) MAC is CYTOTOXIC page CLASSICAL PATHWAY https://www.google.com/search? ...

UPJŠ LF v Košiciach | discipline: Immunology, Allergology | ...: Array | published on: 28. 5. 2023

Anatomy of upper extremity from orthopaedic view

pdf Anatomy of upper extremity from orthopaedic view
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... sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwj0xZrzkZPfAhUQKVAKHUBQBVQQjRx6BAgBEAU&url=http://medpic.org/p/scapular_fracture_pictures&psig=AOvVaw0fmA-t-WQecT_Y2VsTNQSE&ust=1544458320874768 page Scapular fractures • Associated injuries • Pulmonary contusion • Pneumothorax • Clavicular fracture • Rib fractures • Nerves injury page Scapular fractures • Types • Body (A) • Neck (D) • Glenoid (B,C) • Acromion (E) • Coracoid (G) page Scapular fractures - diagnosis • X-ray, CT scan page Scapular fractures - treatment • Conservative treatment • Surgical treatment page Clavicular fractures • Common fractures • 80% in the middle 1/3 • 15% in the lateral 1/3 • 5% in the medial 1/3 • Mechanisms of injury • Fall on an outstretched hand • Fall on the point of shoulder • Blow on the clavicule • Birth trauma page Clavicular fractures • X-ray page Clavicular fractures – conservative treatment page Clavicular fractures – surgical treatment page Clavicular fractures • Complications page Acriomioclavicular dislocation • Common injury • Mechanism of injury • due to a fall onto the front and upper part of the shoulder when the arm is by the side page Acriomioclavicular dislocation • X-ray page Acriomioclavicular dislocation • Conservative treatment – grade I • Surgical treatment page Shoulder dislocation • Head of humerus loses its articulation with the glenoid cavity of the scapula • Anterior dislocation (98%) • Direct blow from posterior aspect of the shoulder • Posterior dislocation (2%) • Blow from anterior aspect page Shoulder dislocation • X-ray page Shoulder dislocation • Inferior dislocation (luxatio erecta) page Shoulder dislocation • Reduction techniques Arlt method page Rotator cuff syndrome • Rotator cuff tendinitis or tendinosis, affects the tendons and muscles that help move shoulder joint annotation http://upload.wikimedia.org/wikipedia/commons/f/fc/Shoulder_joint.svg http://upload.wikimedia.org/wikipedia/commons/f/fc/Shoulder_joint.svg annotation http://upload.wikimedia.org/wikipedia/commons/f/fc/Shoulder_joint.svg http://upload.wikimedia.org/wikipedia/commons/f/fc/Shoulder_joint.svg annotation http://www.google.com/url? ... sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&docid=lH8i7fzDiWDCMM&tbnid=-R5Xj3nWmZtP3M:&ved=0CAUQjRw&url=http://www.sportsmd.com/sportsmd_articles/id/262.aspx&ei=hfz9UtjQNeyb0wWU9oHACA&psig=AFQjCNFr6vLWoAiBtmfHsITAQivfkrGnFw&ust=1392463266502913 page Rotator cuff syndrome • X-ray, MRI page Impingement syndrome • is a syndrome which occurs when the tendons of the rotator cuff muscles become irritated and inflamed as they pass through the subacromial space, the passage beneath the acromion • Painful abduction of shoulder page Humerus page Humeral head fractures • Common injuries in elderly patients • Classification (Neer´s) page Humeral head fractures • Dislocations of fragments page Humeral head fractures • X-ray, CT scan page Humeral head fractures • Conservative treatement page Humeral head fractures • Surgery page Humeral head fractures • Surgery page Humeral head fractures • Complications • Axillary nerve injury • Avascualr bone necrosis page Humeral shaft fractures • Common at any age • Types • Transverse • Oblique • Spiral • Comminuted • Segmental page Humeral shaft fractures • Mechanisms of injury • Indirect mechanism: fall on outstretched hand • Direct blow on the arm • Birth injury • Radial nerve injury page Humeral shaft fractures • X-ray page Humeral shaft fractures • Conservative treatment page Humeral shaft fractures • Surgical treatment page Humeral shaft fractures page Supracondylar humeral fractures • Commonly seen in children between the age of 5-10 years • Types • Posterior displacement (95%) • Anterior displacement (5%) page Supracondylar humeral fractures • X-ray page Supracondylar humeral fractures - treatment page Supracondylar humeral fractures • Complications • Median nerve injury • Ulnar nerve injury • Brachial artery injury page Elbow page Elbow dislocation • Fairly common in adults than in children • Types • Posterior (90%) • Anterior (8%) • Medial/lateral (2%) page Elbow dislocation • Mechanisms of injury • Fall on oustretched hand with arm in abduction and extension • Direct blow to posterior part of elbow page Elbow dislocation • X-ray, (CT scan, MRI) page Elbow dislocation - treatment page Elbow dislocation • Complication • Nerve injury • Brachial artery injury page Olecranon fractures • Common in adults • Mechanisms of injury • Direct trauma on the point of elbow • Due to fall on a semiflexed elbow with forcible triceps contraction page Olecranon fractures • X-ray page Olecranon fractures • Surgery page Radial and ulnar epicondylitis of humerus • Enthesopathy • disorder of peripheral ligamentous or muscular attachments, abnormalities in the zones of attachment, for ligaments and tendons to bone ...

UPJŠ LF v Košiciach | discipline: Anatomy | ...: Array | published on: 14. 1. 2019

Central card

ppsx Central card
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Od – date from Do – date till Typ – type (A - outpatient clinic, H - hospitalization) Odd. – department SK: Neschopnosti ENG: Disablements Incapacities to work due to the patient’s illness ... SK: Dátum aplikácie ENG: Date of vaccination DD.MM.YY SK: Dátum a čas kontroly ENG: Date and time of control Planned date and time to check reaction to vaccination, e.g. after 24 hours ...

UPJŠ LF v Košiciach | discipline: Medical Informatics and Information Science | ...: Array | published on: 18. 3. 2011

13. week ST

pdf 13. week ST
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Diffusible calcium, is a part of calcium that is found in the form of insoluble citrate and phosphate complexes and calcium deposited in bones. 3 ... Mix well and measure the absorbance of the analyzed sample and the standard against the blank (reference sample) within the range 5 - 15 min after the reagent is added in a 1 cm cuvette at 540 nm. Keep the time! ...

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

Contribution of molecular cytogenetic analyses to diagnosis and treatment of malignant brain tumours

Contribution of molecular cytogenetic analyses to diagnosis and treatment of malignant brain tumours

Particularly, the most significant was finding of combined deletion 1p36/19q13.3 in seven patients with anaplastic oligodendroglioma, and two with anaplastic oligoastrocytoma, which is considered to be a predictor of good response to chemotherapy. Therefore, chemotherapy as primary treatment was recommended in these cases. I-FISH seems to be indispensable to survey specific chromosomal aberrations in tumour cells. A systematic molecular cytogenetic analyses by means of interphase FISH showed in our cohort advancement of diagnosis, grading and classification and in some cases also helped with stratification of brain tumours treatment ...

1.LF UK | discipline: Haematology | keywords: mozkové nádory, chromosomové aberace, molekulární cytogenetika, I-FISH | published on: 8. 12. 2006

Vybrané infekční nemoci virového či bakteriálního původu - HIV

pdf Vybrané infekční nemoci virového či bakteriálního původu - HIV
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Objevuje se horečka, zvětšení žláznatých struktur, cephalea, bolesti kloubů a svalů a dokonce nausea a zvracení. Tyto změny jsou provázeny výsevem rubeoli- a morbiliformních kožních změn (až u 50% jedinců) v lokalizaci na horní části trupu, na horních končetinách, ve dlaních a na ploskách (49) ... „wasting“ syndromem (devastační syndrom) a lokalizují se i ve dlaních a na ploskách (49) ...

LF UK Hr. Králové | discipline: Biology | ...: Array | published on: 25. 9. 2015

I - Introduction

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... page Functions of the immune system • Deffence • Autotolerance • Immune surveillance page Antigen • Substance, that is recognised by the immune system as a foreign and triggers immune reaction (immunogenicity) ... • Polysacharides- usually only as a part of glycoproteins. • Nucleic acids- poor antigenicity, limited to complexes with proteins • Lipids – only exceptionally, best known are sfingolipids ...

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

5. week ST

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Determination of total bilirubin in blood serum Bilirubin is a degradation product of heme. Heme degradation occurs in the monocyte- macrophage system and in Kupffer cells of the liver ... Unconjugated bilirubin (indirect bilirubin) quantitatively reacts with a diazo reagent only after the addition of an accelerator, which ensures the release of bilirubin from albumin binding and its solubilization ...

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

Polymorphisms in interleukin-1 gene cluster

pdf Polymorphisms in interleukin-1 gene cluster
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The promoter polymorphism IL-1B -31C/T results in a fivefold increase in IL-1B transcription activity (ref. 1). The IL-1RN gene contains a penta- allelic 86-bp tandem repeat in intron 2, of which the less common IL-1RN*2 allele enhances the IL-1β concentration in vitro ...

1.LF UK | discipline: Gastroenterology and Hepatology | ...: Array | published on: 11. 12. 2006

Memory and treatment of cognitive impairments

pps Memory and treatment of cognitive impairments
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Tomáš Kašpárek Dep. of Psychiatry Masaryk University, Brno slide slide-master-content slide-content Contents Introduction Physiology and classification Memory assessment Disturbances in memory Treatment of cognitive impairment slide slide-master-content slide-content Introduction Definition: ability to register, store, and recall information (three stages of memory) Memory: part of cognitive functions (involved in information processing; such as perception, thinking, attention) Dimensions of behavior cognition (reasoning) and emotionality slide slide-master-content slide-content Stages of memory I: Registration capacity to add new material (sensory, conceptual, perceptual) to memory new information need to be properly processed (percepted) – disturbing factors consciousness attention emotions repetition slide slide-master-content slide-content „Life cycle“ of a memory trace Immediate memory information stored for 15-20s Short-term memory consolidation of the memory trace – several minutes to 2 days medial temporal structures Long-term memory formed trace large cortical areas slide slide-master-content slide-content Stages of memory II: Retention ability to hold memories in a storage large # of neurons (changes in connectivity) involved in the storage of specific memory sensory specific fractions of complex perceptions in corresponding cortical areas slide slide-master-content slide-content Stages of memory III: Recall ability to return stored information active reconstructions adding together fractions of the exact recollection in a specific situation (=influence) – possibility of the failure to represent of past events properly awareness of the recollection, sureness, proper addressing of time and situation of recollection acquirement slide slide-master-content slide-content Types of memory: Memory modules (Willingham 1997) Explicit (declarative) memory – medial temporal cortex Procedural memory – sensory-motor functional systems Working memory – prefrontal cortex Classical conditioning – cerebellum; relation between motor function and perception Emotional conditioning – amygdala; relation between perception and emotion Priming - parietal, temporal and frontal cortex slide slide-master-content slide-content Memory assessment Immediate recall series of numbers (most adult recall 6 # forward and 3 in reverse) Short-term memory names of 3 inrelated objects after 5 min Long-term memory personal history (independent confirmation), general information (names of presidents...) ... slide slide-master-content slide-content „Quantitative“ dysfunctions Amnesia: short/long-term memory impairment in a state of normal consciousness anterograde: failure to form new information head trauma, state of CNS dysbalance, drug effect retrograde: failure to recall old information head trauma dissociative amnesia: patchy or selective Hypermnesia: unusually vivid memory mania, posttraumatic stress disorder (intrusive memories), obsessive or paranoid personality traits slide slide-master-content slide-content „Qualitative“ dysfunctions paramnesias – retrospective falsification of memories during its recollection (awareness of recalled memory, failure to proper class time and situation of memory acquirement) confabulation – filling memory gaps with inaccurate information; frontal lobe and self-monitoring? ...

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

Anatomical Dissection - Introduction to dissection course

Anatomical Dissection - Introduction to dissection course

The goal of the educational film Anatomical dissection - Introduction to dissection course is to provide students with instructions on the basis of which they will be able to dissect any region of a human cadaver under supervision of an experienced instructor ... The video explains how to hold a scalpel and forceps correctly. In the next part of the film students are instructed how to perform the skin incisions in the selected regions of the body and separate the skin from the subcutaneous tissue, in order to not damaging to the superficially located nerves and vessels ...

LF MU | discipline: Anatomy | keywords: anatomical dissection, scalpel, forceps, skin incisions, dissection of the subcutis, dissection of muscles, vessels, nerves | published on: 6. 4. 2012

Conference MEFANET 2014

Conference MEFANET 2014

The 8th year of the conference is a continuation of very successful and productive conferences MEFANET 2007, MEFANET 2008, MEFANET 2009, MEFANET 2010, MEFANET 2011, MEFANET 2012 and MEFANET 2013, where representatives of all Czech and Slovak medical faculties could discuss specific topics ... Invited lectures will be focused on specific field of interest, which will be completed Apart from general aspects of e-learning, the conference will also be focused on the impact of this phenomenon on a specific field of medicine. The 8th year of the MEFANET conference is dedicated to the following topic: Technology-Enhanced Learning and Teaching in Acute Medicine Odkaz Dátum Prístupnosť [?] ...

LF UK v Bratislave | discipline: Other | keywords: Conference, MEFANET 2014 | published on: 9. 4. 2014

Totální náhrada kyčelního kloubu

pdf Totální náhrada kyčelního kloubu
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LF MU | discipline: Surgery, Traumatology and Orthopaedics | ...: Array | published on: 18. 12. 2024

Practical lessons 10

pdf Practical lessons 10
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... producer Microsoft® Word 2016 access_permission:can_modify true pdf:docinfo:producer Microsoft® Word 2016 pdf:docinfo:created 2023-01-24T08:09:41Z page Week 10 – Topics for practical lessons A. THEORETICAL AND PRACTICAL TEST (PIN TEST) B ... The cauda equina occupies the lumbar cistern, a subarachnoid space inferior to the conus medullaris ...

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

Outpatient clinic - Consilium report

ppsx Outpatient clinic - Consilium report
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... embedded slide2_rId6 embedded slide2_rId4 embedded slide2_rId4 embedded slide2_rId4 SK: Konziliárne správy ENG: Consilium reports To open the list of health records and to create a new consilium report. embedded slide2_rId7 embedded slide2_rId4 SK: Pridať ENG: Add Add a new consilium report ...

UPJŠ LF v Košiciach | discipline: Medical Informatics and Information Science | ...: Array | published on: 18. 3. 2011

Immunodeficiency

pdf Immunodeficiency
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... page Selective IgA deficiency • Frequency: 1:400 • Usually only mild manifestation • Predominantly respiratory tract infections • Patients are prone to autoimmune diseases • Beware of anti-IgA antibodies that can cause a severe anaphylactic reaction after artificial IgA administration (by blood, immunoglobulin derivates)! ... – Intravenous immunoglobulins, subcutaneous immunoglobulins - can be used in high doses • Indications: – Replacement treatment in patients with antibody deficiencies – Prophylaxis of infections against which there is no specific immunoglobulin derivate (hepatitis A) – High doses of i.v. immunoglobulins are used in autoimmune diseases, systemic vasculitic diseases ...

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

Anatomy of the Urogenital System

Anatomy of the Urogenital System

It contains the solid theoretical basis of the anatomy of the urogenital system with a focus on clinical application. The textbook has four chapters ...

JLF UK v Martine | discipline: Anatomy | keywords: anatomy of the urogenital system | published on: 29. 11. 2021

Delirium, amnestic syndrome

pps Delirium, amnestic syndrome
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... slide slide-master-content slide-content Historical notes middle ages: phrenitis, frenzy, febrile insanity 19th century: „clouding of consciousness“ – lack of clarity of what it means „confusion“ – lack of specificity to delirium „amency“/acute confusuinal state – terms describing milder states of delirium, obsolete 50s: attentional and other cognitive abnormalities are core features, associated with slowing on the EEG slide slide-master-content slide-content Risk factors severity of physical illness older age baseline cognitive impairment (dementia) slide slide-master-content slide-content Etiology manifestation of brain dysfunction due to systemic or brain disease or drug intoxication or withdrawal; often summation of causes intoxication - anticholinergics, lithium, hypnotics, alcohol withdrawal – hypnotics, alcohol tumor trauma, subdural hematoma infection – cerebral, systemic cardiovascular – cerebrovascular, cardial metabolic – hypoxemia, electrolyte disturbances, renal or hepatic failure, hyper/hypoglycemia endocrine – thyriod, glucocorticoid disturbances nutritional – thiamin, B12 deficiency slide slide-master-content slide-content Diagnosis Delirium due to general medical condition Substance intoxication delirium Substance withdrawal delirium Delirium due to multiple etiologies CRITERIA Disturbance of consciousness (reduced clarity of awareness of the environment) with reduced ability to focus, sustain ro shift attention A change in cognition (memory - recent, language, disorientation) or a perceptual disturbance not due to pre-existing dementia rapid onset and fluctuating course slide slide-master-content slide-content Differential diagnosis Dementia include temporal factor (onset, course, progression) no alteration of consciousness Psychotic, mood, anxiety disorders no alteration of consciousness slide slide-master-content slide-content Treatment Treatment of primary medical condition minimizing doses of all sedative and psychoactive medications (except of alcohol or sedative withdrawal delirium) symptomatic control of agitation high potency AP (haloperidol) avoid low potency AP and sedative agents (benzodiazepines, antihistaminics) – worsening!!! severe, life threatening agitation – sedation with controlled ventilation slide slide-master-content slide-content Amnestic disorders slide slide-master-content slide-content Characteristics Definition: acquired impaired ability to learn and recall new information (and past events sometimes) No attention deficit or clouding of consciousness (delirium), no other cognitive dysfunction (dementia) Secondary syndromes caused by systemic medical or primary cerebral diseases, substance abuse disorders, medical adverse effects slide slide-master-content slide-content Historical notes Korsakoff alcoholic psychosis, ie severe disturbance of mental status DSM III, III-R memory impairment (short, long-term memory) DSM IV key feature = impaired learning distinction vs. dementia: dementia = multiple impairment transient vs. chronic forms (breakpoint = 1 month) slide slide-master-content slide-content Etiology Diencephalic and middle temporal lobe structures (mammillary bodies, hippocampus) Causes of amnestic syndrome: closed head trauma penetrating missile wounds focal tumors surgical intervention herpes simplex encephalitis infarction of the territory of the posterior cerebral artery hypoxia chronic use of alcohol with thiamine deficiency Transient forms – linked with CVS disorders, pathology in the vertebrobasilar system, episodic physiologic or metabolic disorders, acute intoxications, seizures slide slide-master-content slide-content Diagnosis Amnestic disorder due to a General Medical Condition Substance-induced persisting amnestic disorder CRITERIA development of memory impairment as manifested by impairment in the ability to learn new information or the inability to recall previously learned information significant impairment in social or occupational functioning due to the memory impairment memory disturbance does not occur exclusively during the course of delirium or dementia slide slide-master-content slide-content Differential diagnosis Delirium memory impairment in the context of impaired consciousnes and reduced ability to sustain, focus ro shift attention but – amnestic disorder may emerge from delirium (Korsakoff´s syndrome) Dementia coexistence of memory impairment with multiple cognitive deficits Dissociative amnesia lack of impaired learning new information – circumscribed inability to recall previously learned information with normal functioning in the present slide slide-master-content slide-content Clinical notes Transient global amnesia episodes of transitory inability to learn new information (to form memories) variable inability to recall memories from the episode restoration to completly intact cognitive state no behavioral changes x may be confusion, perplexity sudden/gradual onset – according to the cause (head trauma, CNS event, chronic toxic exposure) disorientation – may be to place and time due to severe mnestic disorder x spared orientation to person (dementia) lack of insight confabulations slide slide-master-content slide-content Treatment No effective treatments for amnestic disorder aimed specifically at learning deficit Treat underlying pathological process rehabilitation after brain injury 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


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