Medical Ethics

Mária Frankovičová - Jana Kaťuchová

Dear readers and students,

The book “Surgery for Medical Students“ is a textbook intended to be used by those studying at medical faculties and in other healthcare fields. In this textbook, the authors, encompassing all surgical specialties, have tried to provide the reader with a holistic context of the study material intended to be used in preparation for the state exam from surgery. I thank all the co-authors for their willingness and cooperation. To the students I hope you have a pleasant time reading and studying the book.

Prof. MUDr. Mária Frankovičová, PhD

Alžbeta Blichárová a kolektív

“Pathology Part 1 (winter semester) - Practical lessons for students of general medicine” represents the first half of the university textbook designed for the pregradual study of pathology. The textbook complements the lectures of pathology and serves as a source of information for students of general medicine, that are preparing for the practical as well as the final oral examination.

In this part of the “Pathology” series, seventy selected histopathological slides are presented. Each selected slide is provided with general information in relation to etiology and pathogenesis of the disease, as well as with corresponding morphological features, including the gross appearance and the most important histopathological characteristics. The textbook summarizes the basic concepts of general pathology that are necessary to master the broad field of systemic pathology in the second semester.

Keywords: general pathology – histopathological slides – general medicine – gross appearance – microscopic image

Mária Zamboriová - Lucia Dimunová - Valéria Parová 

Mária Sováriová Soósová - Gabriela Štefková

Healthcare professionals are expected to provide quality, evidence-based health care with an emphasis
on patient safety. Nursing Care - Clinica/ Procedures II is a guidebook of practical procedures for
nurses and medical students and practitioners working in health care setting. This book reflects
changes in nursing, professional, and national guidelines. It should help you to achieve essential
knowledge, abilities and skills in area of vital signs monitoring, reduced mobility care, nutrition and
hydration care, medicine management, blood transfusion management, blood sampling,and care of elimination. To provide clear structure, each topic begins with brief introduction, continues with description of indications, contraindications and possible complications of procedure, necessary equipment and step-by-step procedure implementation supported by illustrations and additional information. 

Od zdravotníckych pracovníkov sa očakáva poskytovanie kvalitnej zdravotnej starostlivosti založenej na dôkazoch s dôrazom na bezpečnosť pacientov. Ošetrovateľská starostlivosť - Klinické postupy ll je príručka praktických postupov pre sestry a študentov medicíny a lekárov pracujúcich v zdravotníckom prostredí. Táto učebnica odráža zmeny v ošetrovateľských, odborných a národných smerniciach.Učebnica má za cieľ pomôcť dosiahnuť základné vedomosti, schopnosti a zručnosti v oblasti monitorovania vitálnych funkcií, starostlivosti o zníženú pohyblivosť, starostlivosti o výživu a
hydratáciu, manažment aplikácie liekov, manažment podávania transfúzie krvi, odberu krvi a
starostlivosti o elimináciu. Aby sa zabezpečila jasná štruktúra, každá téma sa začína krátkym úvodom, pokračuje opisom indikácií, kontraindikácií a možných komplikácií postupu, potrebného vybavenia a zavedenia postupu krok za krokom, podporeného ilustráciami a ďalšími informáciami. 

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Miriam Kozárová

The publication "News in Diabetology and Lipidology" focuses on extremely relevant topics in diabetology and lipidology, reflecting the state of these issues in light of the recommendations from professional societies from 2019. In diabetology, it primarily addresses the intensification of antidiabetic treatment using modern drug classes—specifically, incretin enhancers and sodium-glucose cotransporter-2 (SGLT-2) inhibitors (gliflozins). Few medical fields have experienced such a development of new pharmacological options as diabetology has in the last two decades. While pharmacotherapy for type 2 diabetes (DM2) was limited to the use of biguanides, sulfonylurea derivatives, and insulin throughout the second half of the last century, recent years have introduced entirely new groups of oral antidiabetics with cardio- and nephroprotective effects. In lipidology, it pertains to the new recommendations from the European Atherosclerosis Society (EAS) with new treatment goals for serum lipids and lipoproteins, including the use of biological therapies.

This textbook is primarily intended for medical students in doctoral studies and doctoral candidates, as well as for physicians preparing for specialization exams in internal medicine, endocrinology, diabetology, metabolic disorders and nutrition, as well as cardiology and angiology. I believe that readers will find information in this publication that will aid them in their studies and translate into their daily clinical practice.

Author

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Mária Rašiová

Cardiovascular diseases are among the main causes of morbidity and mortality in developed countries. Academic textbook: Selected Chapters from Angiology is devoted to the most common vascular diseases that the angiologist encounters on a daily basis.

Dilated artery diseases (abdominal aortic aneurysm), as well as stenotizing diseases of peripheral arteries, are described. Diseases such as deep vein thrombosis, thrombophlebitis and chronic venous insufficiency are discussed in the venous vascular system section. I also deal with the most common lymphatic vascular system disease ˗ lymphoedema.

In the individual chapters the risk factors of the diseases, symptoms and signs, diagnostics, treatment modalities (pharmacological therapy, endovascular therapy, angiosurgical therapy) and possible complications of the therapy are briefly analyzed.

My priority was to present the information in a logical, interesting and comprehensible form for students and for common clinical practice.

Author

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Květuše Lovásová a kol. 

Despite the wide range of high quality textbooks offered on the Slovak market there is no publication with colorful pictures and schemes that can serve as an principal tool for practical and theoretical teaching of neuroanatomy for future psychologists in non-medical academic programmes of Arts and Science Faculties. Following new trends in methods of teaching, it is necessary to pay more attention to quality, depth, and effectiveness of education.

Such kind of illustrated textbook with the interesting graphic design should connect this important morphological subject and clinical medicine to understand the nervous system in the clinical context. This publication was created by using of original, new detailed pictures, and graphic schemes and was supplemented with a short clinical notes. It will be very helpfull to understand the details of neuroanatomical structures and brain regions.

We hope that originality and details of this book will find its application in studies of neuroanatomy for psychologists. 

Gabriel Koľvek

Tento učebný text je zameraný na najčastejšie ochorenia obličiek detského veku. Venuje sa vybraným vrodeným (ako napr. vrodené anomálie obličiek a močových ciest) ako aj získaným ochoreniam obličiek (infekcie močových ciest, nefrotický syndróm, hemolyticko-uremický syndróm a ďalšie), ktoré sú opísané komplexne od epidemiológie, patofyziológie, cez klinický obraz, diagnostiku až po liečbu a prognózu. Texty zahŕňajú najnovšie diagnostické a terapeutické postupy opierajúce sa o recetné vedecké poznatky. Informácie uvedené v texte môžu významne pomôcť k úspešnému absolvovaniu štátnej skúšky z predmetu Pediatria. Text je starostlivo vybraný a rozsah kondenzovaný tak, aby vyhovoval predovšetkým potrebám pregraduálneho štúdia a zároveň dopĺňal vedomosti a skúsenosti získané na prednáškach a praktických cvičeniach. Učebnica tiež poskytuje základné informácie pre lekárov v špecializačnej príprave.

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Tatiana Kimáková a kol.

Ethics, as the science of the proper realization of human potential in various areas of life, also extends into the environment. For understanding the ethical aspects in this field, a thorough knowledge of the individual components of the environment, as well as their impact not only on humans but on all living nature, is very important. Therefore, questions concerning the influence of the environment are increasingly at the forefront of interest from an ethical perspective, also in connection with existing legal norms.

The modern process of civilization is characterized by rapid development of science and technology. However, this development, while raising the standard of living on one hand, also brings negative side effects on the other. The result is the disruption of ecological, biological, and natural life conditions, especially in the areas of industrial centers. The development of individual branches of industry leads to the production of liquid, gaseous, and solid wastes, the emergence of harmful risk factors threatening various components of living nature, including humans. There may be increased bioaccumulation of hazardous chemical elements in organisms, which, through their effects, represent a potential risk also in terms of carcinogenesis and mutagenesis.

For this reason, an important role of society is to create conditions to prevent the release of emissions and to reduce their concentration to the lowest possible, socially and biologically acceptable level. The assessment of the biological effects of harmful substances is based on experimental and epidemiological studies. Knowledge of concentration and duration of exposure is crucial for applying dose-effect relationships and for determining the highest permissible concentrations of pollutants. The health of the population, as a universal value and a primary human right, represents a fundamental economic resource not only for the individual, but also for society as a whole.

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E-publikácia

Silvia Farkašová Iannaccone

Forensic medicine is a fundamental medical discipline that deals with determining the cause of death in cases of violent and non-violent deaths, as well as investigating and assessing the effects of violence on the human body, including in cases involving living persons. This textbook provides a comprehensive and complex overview of the basic tasks and theoretical knowledge of forensic medicine. Its aim is to provide a theoretical basis in the form of images of morphological autopsy findings for the study of the compulsory subject Forensic Medicine and Medical Law in the study programs General Medicine and Dentistry. The author emphasizes the need to know the basics of forensic medicine in every medical field and to take a multidisciplinary approach when clarifying medical-legal issues.

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Jozef Kafka 

Otázky človeka, jeho bytia, násilie znepokojujú ľudí od najdávnejších čias ľudskej spoločnosti a sú nemalými problémami aj v prítomnosti. V tejto pôvodnej práci, ktorej predchádzali viaceré štúdie autora (najpodrobnejšie Kafka, 2002), sa zameriavam na opísanie násilia vo všetkých základných formách, čo je jednou z jej osobitostí. Podávam operačný výmer násilia:

Násilie je vedomá ľudská činnosť využívajúca ako prostriedok násilného činu fyzickú alebo psychickú silu na ovplyvnenie druhého človeka (pri pôsobení na seba ide o zvláštny prípad násilia), ktorý potom koná pod vplyvom tohto pôsobenia nedobrovoľne, z donútenia.

Nazdávam sa, že násilie charakterizuje určitá situácia, v ktorej sa stretávajú najmenej dvaja ľudia: aktér násilia a obeť násilia, alebo sa stretajú dvaja aktéri a jeden z nich sa zvyčajne stane obeťou. To je však osobitný prípad, ktorým sa teraz nebudem zaoberať. Ak je násilie zamerané proti vlastnej osobe, je aktér násilia súčasne aj obeťou. Aktér, ktorého osobnosť a motívy bývajú rôzne, začína násilný čin využívajúc pritom viaceré prostriedky a pôsobí nimi na druhého človeka, ktorého núti vykonávať svoju vôľu, čím sa tento stáva obeťou. Celý akt má určité následky. Napadnutý sa môže brániť tak, že násilie zvládne alebo to môže skončiť tragicky, keď násiliu podľahne. Táto relatívne jednoduchá reakcia sa stáva zložitejšou pri skupinovej forme násilia a celkom neprehľadnou pri hromadnom násilí.

Opisujem tieto základné formy násilia:

• - násilie proti vlastnej osobe vrátane samovraždy,
• - násilie individuálne, spôsobené jedným aktérom násilia,
• - násilie skupinové, charakterizované malými skupinami,
• - násilie hromadné alebo kolektívne medzi veľkými skupinami, vrátane vojen a revolúcií,
• - násilie proti neživej a živej prírode.

Práca končí krátkou analýzou liečby násilného správania a dôsledkov násilia s možnosťami jej prevencie. Opieram sa aj o vlastné skúsenosti s prejavmi násilia v psychiatrických zariadeniach. Nazdávam sa, že je to práca veľmi aktuálna, informatívna, ale aj pôvodná, lebo podáva v koncentrovanej podobe celý rozsiahly fenomén násilia s jeho základnými charakteristikami. Podobnú prácu v našej literatúre nemáme.

Autor

Michal Legiňa kol.

Progress in biology and medicine has always been significantly related to advances in physics. Not only has physics supplied instruments and methods of measurement that have led to many discoveries in physiology and medicine, but methods of physical research have changed many of the older approaches to the biologic sciences. Such circumstances have even led to development of a new scientific field: biophysics, which uses to a great extent physical instrumentation procedures applied to an experimental system. Because any instrument is an additional factor in any experimental system, it may affect the data. To interpret physical data on biological material correctly then, it is necessary to consider the characteristics of instrument response.

A practical course enables a student to acquire some skills, experience and methodological knowledge for performance of experiments and evaluation of measured data. Due to the fast development of instrumentation technology, it is not possible to teach every operation and procedure upon instruments we may use in a future. Besides the basic physical principles, the aim of a practical course is to point out some general rules and skills for instrument operation and for the interpretation of the measured values derived from such operation.

There are two kinds of lessons in practical courses. The first one focuses on laboratory measurements of some important physical quantities and the evaluation of the measured data. These measured quantities are components of the subject “medical biophysics” or of the phenomena studied. Experience provided in managing various scales and tables, as well as in the construction of tables and graphs is substantial. Lessons also enable students to repeat and to strengthen their knowledge of secondary school physics, which is useful for understanding of many phenomena studied in medical biophysics. The second kind of lesson provides experience with some of the diagnostic and therapeutic medical instruments, which can be seen in practical medicine.

The understanding of basic physical principles of corresponding instruments is both recommended and demanded. Theoretical preparation is not only an appropriate condition for the practical managing of the whole lesson, but also helps to avoid injury. This textbook, therefore, intends to help students in preparing for both the practical lessons and the final exam.

Authors

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Tatiana Kimáková

The scientific monograph focuses on health determinants, healthy nutrition, its fundamental components, the consequences of unhealthy nutrition, and alternative dietary trends. The work also includes research targeting selected lifestyle factors among university students, particularly nutrition, eating habits, and physical activity.

This scientific monograph is suitable for the scientific community, students of medical and natural sciences, and public health professionals at all three levels of higher education. It is equally valuable for members of the informed general public interested in the subject.

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Marianna Vitková

Current classification of demyelinating diseases of the central nervous system according to van der Knaap and Valko from 2005 includes 97 congenital and acquired diseases that cause demyelination of the white matter of the brain and spinal cord. Most of these disorders lacks any definitive diagnostic test, so the accurate diagnosis depends on upon clinical symptoms, course of the disease, neurological findings, and the results of neuroimaging and laboratory examinations.

The aim of this textbook is to provide an accurate overview of acquired demyelinating diseases of the CNS, their etiopathogenesis, clinical picture and diagnostic options.

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Pavol Joppa a kol.

University textbooks address the etiopathogenesis, clinical presentation, diagnosis, differential diagnosis, treatment, complications, and prognosis of the most significant non-specific respiratory diseases, including bronchial asthma, chronic obstructive pulmonary disease (COPD), pneumonias, pleural syndrome, lung cancer, interstitial lung diseases (including exogenous allergic alveolitis and sarcoidosis), and sleep apnea syndrome.

The final section on non-specific diseases discusses chronic cor pulmonale as the primary cardiovascular complication of chronic pulmonary diseases.

The last chapter focuses on the etiopathogenesis, diagnosis, treatment, and prevention of pulmonary and extrapulmonary forms of tuberculosis, addressing the scope of phthisiology

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Pavol Jarčuška - Daniel Pella - Ján Rosocha (eds.)

Proceedings of lectures from thematic conferences organized by UVP MediPark

UVP Medipark – the path to innovation in research, diagnostics, and treatment – was the title of the conference held on Tuesday, May 29, 2018, at the premises of the Faculty of Medicine, Pavol Jozef Šafárik University in Košice. The patronage of the event was taken over by the rector of UPJŠ, Prof. RNDr. Pavol Sovák, CSc. The conference program was divided into two main areas – Innovative scientific technologies, clinical research, and the path to the development of new drugs, and UVP Medipark – main research areas.

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Martina Vidová Ugurbas

Plastická chirurgia je vysoko špecializovaný medicínsky odbor, ktorý sa zaoberá korekciou defektov, rekonštrukciou a zdokonaľovaním ľudského tela.

Náplňou plastickej chirurgie je korekcia rôznych defektov, vrodených i získaných. Medzi vrodené chyby patria deformity tváre, rázštepy pery a podnebia, deformity ušnice, vrodené vývojové chyby končatín. Najčastejšie získané defekty sú po poraneniach, po chirurgických výkonoch, po fyzikálnych poškodeniach kože a štruktúr krytých kožou.

Do plastickej chirurgie patrí i estetická chirurgia, onkochirurgia a mikrochirurgia, ktorá si zaslúži osobitnú pozornosť. Novými trendami v estetickej chirurgii je rekonštrukcia pomocou tukového tkaniva, kmeňových buniek, používanie rôznych umelých materiálov a implantátov.

Predložené učebné texty v jednotlivých kapitolách popisujú základné princípy plastickej chirurgie, používanie lalokových plastík a iné možnosti krytia defektov. V ôsmych kapitolách sú jednotlivo popísané chirurgické možnosti rekonštrukcie tváre, trupu a končatín. Učebné texty venujú pozornosť malígnym a benígnym kožným tumorom a ich liečbe. Posledná kapitola sa zaoberá najčastejšími estetickými operáciami ako sú augmentácia a redukcia prsníkov, facelifting či blefaroplastika.