Improvement of best practices in the provision of the first pre-medical aid

Jozef Kafka

Význam vedomia pre každého človeka ale aj pre pozná­vanie je taký rozhodujúci, že by bolo nesprávne hovoriť o ňom iba pri psychických procesoch, lebo je jadrom ľudskej individuality a práve vedomím sa človek odlišuje od ostat­ných živých tvorov.

Je potešujúce, že nová oblasť poznávania označovaná ako veda o mysli začína sa vedomím zaoberať podrobnejšie a vylučuje tvrdenia, že vedomie nejestvuje hoci zatiaľ hovorí podľa mojej mienky iba o bazálnom vedomí a jej inter­pretácie prekračujú zistené fakty.

V svojej odbornej činnosti a aj v učebniciach som rozlišoval dve cesty poznávania vedomia a  iba postupne som si uvedomil, že mám pred sebou dva úrovne vedomia. V tejto práci  rozlišujem tieto dve úrovne:

• bazálne vedomie,
• rozvinuté vedomie.

Ak bazálne vedomie vyjadruje bdenie a spánok, tiež po­zornosť a gnostické rozpoznávanie, teda  idiognózia a somatognózia, rozvinuté vedomie predpokladá reč a vytvára také prejavy, ktoré označujeme ako duševné, teda identita, sebareali­záciu, čo vyjadruje schopnosť uvedomovania si seba, okolia, spoločnosti ale aj všetkého čo sme schopní poznať.

Také chápanie je blízke výkladu fyziológa Pavlova o dvoch signálnych sústavách a chápaniu Poppera o treťom sve­te ale aj ďalšie náhľady, nikto však neurobil určitejšie závery a nedošiel k náhľadu, že naše vedomie má dvojvrstevnú podobu, dve úrovne.

Napriek rozsiahlej a takmer neprehľadnej literatúre vieme o vedomí málo, okrem toho, že je to schopnosť uvedomo­vania, teda schopnosť uvedomiť si, že jestvujem, že som, že jest­vujú aj iní ľudia, že jestvuje niečo čo označujeme ako svet ako nepredstaviteľný vesmír. Uvedomujem si, že som individua­litou jedinečnou, ale limitovanou narodením a smrťou a že mám aj zmysel svojho bytia. Toto uvedomovanie, akokoľvek spo­chybňované je pre človeka prítomné v jeho poznávaní, hoci nemáme zmysly, ktorými by sme vedeli lokalizovať jeho prí­tomnosť v mozgu, ale svojou charakteristikou s dynamikou a integráciou má však duševný charakter, odlišný od    ostatných preja­vov mozgovej činnosti.

Práca sa pokúša v deviatich kapitolách osvetliť, čo sa chápe pojmom bazálne a rozvinuté vedomie    a možno ju rozdeliť do troch okruhov:

V prvých šiestich kapitolách diela hovorí o vedomí ako o doméne bytia človeka, podáva sa preto výklad vedomia a jeho rozlíšenie, potom sa hovorí o kolobehu života a rozvoji ve­domia, kladie sa otázka vedomia u stavovcov, potom náhľady filozofické a metodológia skúmania vedomia. Nasledujú ďalšie kapitoly, ktoré analyzujú podrobnejšie dve formy, úrovne vedomia, sú to kapitoly 7-9, začínajú ana­lýzou individuality človeka, lebo to je báza vedomia aj je­ho foriem, ďalej kapitoly o bazálnom vedomí a rozvinu­tom vedomí, čo považujem za jadro predkladanej práce. Napokon sa opisujú niektoré poruchy vedomia, ktoré dokladajú realitu vedomia v podobe  jej porúch ale aj možnosti rozlí­šenia dvoch úrovní, ktoré sa dajú zistiť pri starostlivom štúdiu a pri práci s chorými.

E-book

Zuzana Dankulincová, Daniela Husárová

In the context of the deteriorating state of adolescent mental health, it is extremely important to optimize the existing mental health care system in Slovakia. There is still little comprehensive and coherent information about the functioning of the system and the process of providing assistance within professional care, its shortcomings or suggestions for improvement. This is not possible without a deep knowledge of the perspective and experiences of adolescents with mental problems themselves. The aim of this publication is therefore to present adolescents' views on the professional assistance provided as a result of experienced mental problems within the existing care system in Slovakia.

The findings from a qualitative study that focused on the views of young people themselves are presented. The chapters of the monograph capture their views on the perception of mental health problems in society, their experiences with identifying emerging problems and seeking professional help, and their experiences with the care process itself and its forms. They also capture their overall experience with both care and care providers, as well as with leaving care and its impacts in various areas. Finally, a view is presented of possible recommendations that could improve the mental health care provided from the adolescents' perspective.

This publication is intended primarily for all professionals working with adolescents with mental health problems in all branches of care, teachers and other educational staff who are in contact with them every day at school, and last but not least, all competent policy makers who care about the mental health of adolescents and have the power to improve the care provided to them.

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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

E-book

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

Dorota Sopková

Forensic Medicine is a medical discipline that is concerned with determination of the cause of death in cases violent and non-violent deaths by performing an autopsy. It is based on morphological findings, which characterize the effects of various forms of violence, as well as pathological changes in various diseases. The presented textbook provides comprehensive and complete overview of the fundamental tasks and theoretical knowledge of the field 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 necessity to understand the fundamentals of forensic medicine in every medical field and a multidisciplinary approach in clarifying medico-legal issues.

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E-publication

Jaroslav Majerník - Andrea Kačmariková

The university textbook "Databases in MS Access – accompanying texts for practical exercises" is intended for medical students, students of non-technical universities, and all beginners in working with databases. It introduces the reader to the issues of database processing and explains the basic principles that need to be known when creating relational databases. It is therefore suitable for those who have not yet worked with databases or who are considering managing their data using their own database. However, even more experienced computer users can find useful information here. This university textbook is written in such a way that its content can be mastered with basic knowledge of working with computers and programs running in any version of the MS Windows operating system.

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E-book

Katarína Tokarčíková

The university textbook entitled "Vasculitis" provides a systematic overview of vasculitis encountered in clinical practice. The text is supplemented with tables reflecting the latest recommendations of professional societies and illustrations that aid in understanding the subject matter. The individual chapters analyze the etiopathogenesis of individual types of vasculitis, their epidemiology, clinical symptoms, diagnosis, differential diagnosis, treatment, prognosis and also prevention and screening options. The publication is intended for doctoral students at medical faculties, but it can also be used by doctors in specialist training in internal medicine, angiology, cardiology, rheumatology, nephrology and general medicine.

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E-publication

Štefan Tóth a kol.

After several years of teaching experience in the compulsory subject of histology and histological techniques, it became clear that there was a need to refine, standardize, and facilitate the study of bachelor's degree students. We therefore decided to develop university textbooks for the theory of general histology in bachelor's degree programs: Laboratory Examination Methods in Healthcare, Physiotherapy, and Nursing. The new textbooks are based on the syllabi for the subjects "Histology and Pathology" and "Fundamentals of Histology" for the given study programs. The content is designed to make the study of histology as easy as possible and to help students quickly orient themselves in the given topic. At the same time, the texts aim to streamline cooperation between students and teachers in lectures and practical exercises, emphasizing the important structures of individual cell and tissue types in light microscope images, which is the primary goal and task of general histology.

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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. 

Rastislav Dudič

Vysokoškolská učebnica je svojim rozsahom, obsahom, formou a spôsobom spracovania určená pre študentov bakalárskeho študijného programu Fyzioterapia. Je zameraná na získanie základných vedomostí z oblasti gynekológie a pôrodníctva.

Učebnica pozostáva z dvoch hlavných kapitol: vybrané kapitoly z gynekológie a vybrané kapitoly z pôrodníctva. Prvá kapitola je členená na 6 podkapitol. Autor v nich uvádza anatómiu ženských genitálií, základy gynekologického vyšetrenia, zápaly ženských pohlavných orgánov a sexuálne prenosné ochorenia. Záver prvej kapitoly je venovaný benígnym a malígnym nádorovým ochoreniam ženských genitálií. Druhá kapitola je členená tiež na 6 podkapitol, v ktorých autor sa venuje prenatálnej starostlivosti, uloženiu plodu v maternici, pôrodu, pridruženým ochoreniam v tehotenstve a potratom.

Učebnica je napísaná v rozsahu 83 strán. Uvedený text obsahuje 35 obrázkov, 9 tabuliek, zoznam skratiek a značiek a zoznam použitej literatúry. Autor cituje 35 prevažne zahraničných citácií.

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Ján Kučera - Eva Kovaľová - Juraj Strecha

Peri-implantation diseases such as peri-implantitis and mucositis have a wide range of prevalence. Several etiological factors and the interaction of risk factors influence their onset and development. Careful investigation determines the diagnosis and subsequent treatment. Treatment, depending on the condition, is either non-surgical or surgical. Systematic postoperative care, a recall system, and patient instruction and cooperation are essential, which create the preconditions for successful implant treatment.

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E-book

Libuša Tirpáková - Mária Sováriová Soósová a kol.

It is expected that nurses and professionals working in healthcare will be able to perform various specialized procedures, or assist with selected procedures, skillfully, confidently, and safely.

The university textbook of Nursing Techniques guides students through the most commonly performed nursing activities, reflecting the latest knowledge from the profession, evidence-based practice, and professional guidelines. A significant aspect of this publication is its emphasis on patient individuality and involvement in the planning and implementation of procedures, as well as the prevention of complications and the consistent performance of nursing interventions in accordance with the latest professional and scientific knowledge.

The textbook is divided into twelve chapters. In the introductory chapters, the authors address the organization of the nursing unit and infection control in healthcare facilities. Further chapters are devoted to patient assessment, especially vital functions, nutritional care, preparation and administration of various forms of medication, collection of biological material, care of urinary and bowel elimination, nurse assistance during punctures, wound care, and electrocardiographic examination.

The main aim is to address primarily nursing students, but also students of general and dental medicine and selected healthcare disciplines. We believe that both students and professionals will find in this textbook a guide and a practical assistant.

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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

Mária Pallayová - Štefan Kujaník

The “Textbook of Practical Physiology, Part I - Cardiovascular Physiology” by Mária Pallayová and Štefan Kujaník is a practical textbook of Human Physiology intended for English speaking medical students from general medicine and dentistry curricula.

The textbook covers basic principles in cardiovascular physiology and methods of the cardiovascular examination. Adequate knowledge of the cardiovascular physiology is important for the understanding of cardiovascular system function, as well as for the diagnosis and proper treatment of cardiovascular and other diseases. The practical tasks are constructed to facilitate knowledge acquisition and encourage students to develop practical skills, for instance the ability to follow experimental protocols, to work as part of a team, and to interpret data.

The textbook is written in English and comprises 91 pages in B5 format, grouped into twelve chapters. Each chapter is divided into six sections (Introduction, Principle, Importance, Materials, Procedure, and Protocol) to facilitate students’ understanding of the topics and assist them with preparation of the laboratory reports. The text is accompanied by explanatory figures, graphs, and tables that contribute to the learning experience.

Authors

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.

E-book

Martina Ružičková - Jozef Dragašek

 MEFANET 

Psychology is becoming increasingly important in people's lives. It is significant to research human behaviour and how people interact with their environment, as well as how they develop physically, mentally, emotionally, and socially. A rising number of people have been both physically and mentally harmed in recent years as a result of cognitive, emotional, or behavioural disorders.

It was determined that a study book on psychology for medical students was required. Presented study book Psychology in Medicine gives students a fundamental insight into patients´ behaviour in general, and demonstrates the role of psychology in relieving health concerns in particular. It includes topics of medical psychology and clinical psychology that are applied in health care. The chapters address the basic principles of human behaviour, communication between patients and physicians, personality psychology, psychodiagnostic techniques, psychotherapy treatment, abnormal psychology, dealing with stressful events and physical illnesses. The study textbook also emphasises the importance of good mental health and self-care in a doctor's practise.

There is a hope that this book will provide both a source of information and inspiration for doctors and all health care professionals.