Results found: 11825
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
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
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
... 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 ...
*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
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 ...
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
Lékařská chemie a biochemie ...
discipline: Surgery, Traumatology and Orthopaedics | keywords: Cytostatika | published on: 1. 1. 2010
Fyziologie a patologická fyziologie ...
discipline: Surgery, Traumatology and Orthopaedics | keywords: Jaterní encefalopatie | published on: 14. 2. 2010
Pracovní lékařství a toxikologie ...
discipline: Cardiology, Angiology | keywords: Profesionální vazoneuróza | published on: 2. 3. 2010
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
Patologie a soudní lékařství ...
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: Cardiology, Angiology | keywords: Bércový vřed | published on: 23. 7. 2011
discipline: Surgery, Traumatology and Orthopaedics | keywords: Neuroblastom | published on: 4. 12. 2011
discipline: Gastroenterology and Hepatology | keywords: Peutzův-Jeghersův syndrom | published on: 8. 7. 2014
discipline: Cardiology, Angiology | keywords: Patologie lymfatických cév | published on: 21. 9. 2016
... date 2020-11-23T12:50:18Z 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 2020-11-23T12:50:18Z Last-Modified 2020-11-23T12:50:18Z dcterms:modified 2020-11-23T12:50:18Z dc:format application/pdf; version=1.5 Last-Save-Date 2020-11-23T12:50:18Z pdf:docinfo:creator_tool Microsoft® PowerPoint® 2016 access_permission:fill_in_form true pdf:docinfo:modified 2020-11-23T12:50:18Z stream_name https://portal.lf.upjs.sk/_skryty_repositar_QFo9MDRM/3/eng/informatics/database/mi-06-db-reports.pdf meta:save-date 2020-11-23T12:50:18Z pdf:encrypted false dc:title Prezentace aplikace PowerPoint modified 2020-11-23T12:50:18Z pdf:hasMarkedContent false Content-Type application/pdf stream_size 328952 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 2020-11-23T12:50:18Z stream_source_info url created 2020-11-23T12:50:18Z access_permission:extract_for_accessibility true access_permission:assemble_document true xmpTPg:NPages 4 Creation-Date 2020-11-23T12:50:18Z 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 2020-11-23T12:50:18Z Prezentace aplikace PowerPoint page Medical Informatics Databases – Reports Jaroslav Majernik Department of Medical Informatics page • specialized separate database object • used to produce a hard copy of requested data • allows printing data stored in database (using tables or queries) in an efficient way • creating a report: • auto report (one-click method) • report wizard • report design REPORT page Layout: • columnar puts each field on a separate row, one after the other, column holds the field caption and the field data • tabular uses invisible layout tables, transforms each field into a separate column in detail section, while the field labels are in the page header section • justified packs the information into the smallest space possible, one row could include several fields (the data fills the entire width of the page with no spaces) REPORT page View: • report view basic view - output of the report with data selected from database • design view shows a template view where it is possible to define different sections and controls of the report • layout view shows what the report will look like when printed; allows to change the controls, their arrangement and to modify report’s appearance, it also shows the data from database, but it does not allow to modify them • print preview preview before printing, shows the paginated report with page breaks REPORT ...
UPJŠ LF v Košiciach | discipline: Medical Informatics and Information Science | ...: Array | published on: 28. 11. 2010
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. 5 ... 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 ...
Acetic anhydride reacts with cholesterol in a sulfuric acid environment. Cleavage of water results in the carbonium cation of 3,5- cholestadiene, which is oxidized to a blue-green product (pentaenyl cation) suitable for spectrophotometric determination ... Decreased levels – HYPOCHOLESTEROLEMIA – anemia, cirrhosis of the liver, avitaminosis A, viral hepatitis, cancer, starvation, burns ...
Markéta Žáčková Department of Psychiatry, Masaryk University, Brno slide slide-master-content slide-content many are still clinically unrecognized it is estimated that general practitioners recognize only 12% of bulimia nervosa and 45% of anorexia nervosa slide slide-master-content slide-content Anorexia nervosa slide slide-master-content slide-content Characteristics profound disturbance of body image with pursuit of thinness (often to the point of starvation) slide slide-master-content slide-content Epidemiology 1% of adolescent girls 10-20 times more often in females than in males the prevalence of young women with some symptoms of anorexia nervosa is 5% slide slide-master-content slide-content Aetiology biological factors: family genetic studies shows an association between eating disorders and affective disorders social factors: society emphasis on thinnes and exercise strained marital relationships in family psychological and psychodynamic factors: pts often lack a sense of autonomy and selfhood low self-esteem extreme perfectionism slide slide-master-content slide-content Diagnosis DSM-IV diagnostic criteria: refusal to maintain body weight at or above a minimally normal weight for age and heiht (e.g. weight loss leading to maintenance of body weight less than 85% of that expected) intense fear of gaining weight or becoming fat, even though underweight disturbances in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight in post-menarchal females, amenorrhea, i.e. the absence of at least three consecutive menstrual cycles slide slide-master-content slide-content specific types: restricting type: during the current episode, the person has not regularly engaged in binge-eating or purging behaviour binge-eating/purging type: during the current episode, the person has regularly engaged in binge-eating or purging behaviour differential diagnosis: medical illneses slide slide-master-content slide-content Clinical features the onset usually occurs between 13-20 years, most of aberrant behavior directed toward losting weight occurs in secret some pts cannot control voluntary restriction of food and so they have eating binges followed by self induced vomiting, laxatives and diuretics abuse slide slide-master-content slide-content Physical consequences related to a weight loss: cachexia, sensitivity to cold, hypothermia cardiac: small heart, arrythmias, bradycardia, ventricular tachycardia, sudden death digestive-gastrointestinal: delayed gastric emptying, constipation hormonal: reduced tri-iodthyronine, hypothalamic dysfunction, raised growth hormon levels reproducitve: amonerrhea, low levels of LH and FSH dermatological: lanugo, edema hematological: leukopenia neuropsychiatric: depression, mild cognitive disorder skeletal: osteoporosis slide slide-master-content slide-content Course and prognosis in early stages, often fluctuating course with exacerbations and periods of partial remission the course varies greatly, in genereal is not good - although weight and menstrual function usually improve, eating habits often remain abnormal and some patients develop bulimia nervosa mortality rates are at around 15%, about a fifth of patients make a full recovery, and another fifth remain severely ill bulimic symptoms may occur within 1-2 years after the beginning of anorexia nervosa slide slide-master-content slide-content Treatment restoration of weight and the nutritional state: including treatment of dehydratation and electrolyte imbalance weight gain of between 0,5-1 kg each week combination of: behavioral management approach individual psychotherapy family education and psychotherapy psychotropic medication slide slide-master-content slide-content Hospitalization in pts with: weight 20% bellow the expected weight for their height rapid weight loss severe depression failed out-patient care slide slide-master-content slide-content Bulimia nervosa slide slide-master-content slide-content Characteristics recurrent episodes of eating large amounts of food (over 2000 kcal per episode) accompanied by a feeling of being out of control and an irresistible urge to overeat the binge eating terminates by social interruption, physical discomfort, and most often by recurrent compensatory behaviour, such as purging (= self induced vomiting, laxative and diuretic abuse) or fasting pts are usually of normal body weight, most patients are females and they often have normal menses slide slide-master-content slide-content Epidemiology 1-3% of young women uncommon among men slide slide-master-content slide-content Aetiology biological factors: raised endorphine levels? social factors: pts tend to be high achievers and to respond to social pressures to be thin psychological factors: also pts have difficulties with adolescent demands but are more outgoing, angry and impulsive than pts with anorexia (alcohol dependence, shoplifting, emotional lability) predisposing factors include perfectionism and low self-esteem slide slide-master-content slide-content Diagnosis DSM-IV diagnostic criteria: recurrent episodes of binge eating, characterized by: eating in a discrete period of time (e.g. within any 2-hour period) an amount of foof that is larger than most people would eat a sense of lack of control over eating during the episode recurrent inappropriate compensatory behavior in order to prevent weight gain (self-induced vomiting, misuse of laxative, diuretic, fasting, excessive exercise) the binge eating and inappropriate compensatory behavior occur at least twice a week for 3 month the disturbances does not occur exclusively during episodes of anorexia nervosa slide slide-master-content slide-content specific types: purging non-purging differential diagnosis: neurological diseases epileptic ekvivalent seizure Kleine-Levine syndrom slide slide-master-content slide-content Clinical features essential features are recurrent binge eating, lack of control over eating, selfinduced vomiting, binging usually precedes vomiting episodes may be precipitated by stress or may occasionaly be planned vomiting decreases pain and allow to continue eating without fear of gaining weight binges consist of food high in calories (cakes, pastry), eaten secretly and rapidly comorbidity with mood disorders and personality disorders slide slide-master-content slide-content Physical consequences electrolyte inballance: potassium depletion resulting in cardiac arrhythmia, renal damage, urinary infections, tetany or epileptic fits esophagitis amylasemia salivary gland enlargement dental caries slide slide-master-content slide-content Course and prognosis the disorder is alrealy chronic, course is fluctuating abnormal eating habits persist for many years, but they vary in severity prognosis is better than anorexia nervosa, half the patients make a full recovery, the mortality rate is not raised slide slide-master-content slide-content Treatment patients are more likely to wish to recover no need of weight restoration usually out-patient treatment: psychotherapy – cognitive behavioral therapy pharmacoterapy – antibulimic effect of antidepressants (SSRI) slide slide-master-content slide-content Eating disorders not otherwise specified slide slide-master-content slide-content frequent disorders of eating that does not meet the criteria for anorexia nervosa or bulimia nervosa, but are of clinical severity binge-eating disorder: recurrent bulimic episodes in the absence of the other diagnostic features of bulimia nervosa treatment similar to bulimia nervosa slide slide-master-content slide-content Obesity slide slide-master-content slide-content Characteristics excess body fat BMI exceeds 30% is associated with increased mortality slide slide-master-content slide-content Epidemiology and aetiology almost 20% of the adults in the US meets this criteria genetic factors exacerbated by social factors psychological causes do not seem to be of great importance in most cases, sometimes excessive eating seems to be determined by emotional factors slide slide-master-content slide-content Course chronic, indeed lifelong problem most untreated adults continue to gain weight at the rate of approximately 1 kg per year slide slide-master-content slide-content Treatment behavioural weight control diet physical activity pharmacological treatment surgical treatment (indicated for very severe obesity – BMI over 40) slide slide-master-content slide-content References Gelder M, Mayou R, Cowen P: Shorter Oxford Textbook of Psychiatry, Oxford University press, 2001 Krch FD et al.: Poruchy příjmu potravy, Grada, 1999 ...
... page If there is suspicion of a zoophilic infection and the veterinarian finds no clinical lesions, the whole fur coat of the suspected animal should be brushed with a sterile comb which is then pressed on the agar. Here a „healthy“ cat from a family affected by microsporia… …and massive growth of Microsporum canis from the fur of the animal ...
1.LF UK | discipline: Dermatology | ...: Array | published on: 12. 1. 2007