Neurology- and Neuro-Rehabilitation Overview for Physiotherapists

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Peter Olexa

Učebné texty „Vybrané kapitoly z gerontológie a geriatrie" sú určené pre štúdium študentov medicíny na Lekárskej fakulty UPJŠ v odbore Všeobecné lekárstvo v rámci výučby klinických špecializačných blokov v odbore Interná medicína - Geriatria .

Vo svojom úvode sa učebné texty venujú demografii z pohľadu starnutia populácie, vysvetľujú základné pojmy ako gerontológia, jej rozdelenie a následne sa zaoberajú aj úlohou a poslaním klinického odboru geriatria. Následne zrozumiteľne opisujú a vysvetľujú základné piliere geriatrickej medicíny, ktorými sú komplexné geriatrické vyšetrenie, základné geriatrické syndrómy, kam patrí krehkosť, malnutrícia, sarkopénia, kognitívne poruchy, a polyfarmácia . V závere sa venujú ageizmu, ktorý je tiež dôležitým javom v dnešnej klinickej medicíne.

MUDr. Peter Olexa, PhD.

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Zuzana Dankulincová - Daniela Husárová - Andrea Madarasová Gecková - Jaroslava Kopčáková

The publication entitled Health Psychology serves as background and teaching material. The text is structured to bring theoretical knowledge about the topic, current research findings in the field, and practical tips.

It provides comprehensive information on key areas of the field of health psychology and is designed for students to acquire and deepen their knowledge that could be implemented in their everyday practice.

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Monika Halánová-Leonard Siegfried

Although chronic non-communicable diseases currently dominate overall morbidity and mortality in developed countries, epidemics of infectious diseases, especially those caused by new or emerging pathogens, occur more frequently and spread faster and further in new territories. The starting factors of this threat are mainly ecological and climatic changes and changes in human demography and behaviour. The growing resistance to ATB is also very serious, as a result of which there is a significant increase in the incidence of infectious diseases and their spread to new geographical locations. Current problems of epidemiology and microbiology in research and clinical practice are mainly focused on rapid detection and subsequent response to diagnosed diseases. The correct diagnosis of an infectious disease is the result of a clinical picture, knowledge of the current epidemiological situation and laboratory confirmation of the etiological agent. The identification of microorganisms allows us to establish the correct definitive diagnosis and subsequent targeted therapy, but also to start immediately with appropriate anti-epidemic measures to control the spread of the infectious agent.

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Marek Šoltés - Jozef Radoňak

Laparoscopic surgery today represents the standard and, in many respects, a preferred modality of surgical treatment. The dynamics of its global expansion, enabled by advancements in biomedical technologies and the development of global information and communication channels, is unprecedented in the history of surgery. Currently, there is virtually no abdominal operation that is not performed laparoscopically, with laparoscopic procedures often being the method of choice.

Despite—or perhaps because of—the unprecedentedly rapid penetration of laparoscopic surgeries into everyday surgical practice, universally accepted technical standards are still lacking in many respects. The high variability of procedural approaches within individual laparoscopic operations stems more from the traditions of specific workplaces than from evidence-based medicine. This situation is further influenced by the development of new and revived concepts such as mini-laparoscopy, SILS (Single Incision Laparoscopic Surgery), NOTES (Natural Orifice Transluminal Endoscopic Surgery), and their hybrid combinations with classical laparoscopy.

The aim of this monograph is to draw the attention of the professional community back to the fundamental principles of laparoscopic surgery, which should serve as a foundation for the effective and safe performance of laparoscopic operations, as well as a basis for a critical stance towards fashionable innovative trends.

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Ingrid Hodorová - Květuše LovásovÁ - Silvia Rybárová -

Jozef Mihalik - Zuzana Kováčová - Maroš Rudnay -

Božena Palovičová- Nováková

Vysokoškolská učebnica „Ultrasonografická anatómia 1“ je určená predovšetkým študentom lekárskych fakúlt. Publikácia dopĺňa medzeru na medicínskom literárnom trhu, na ktorom takýto druh literatúry doteraz absentuje. V učebnici sa čitateľ oboznámi s koreláciou anatomického a ultrasonografického obrazu orgánov a štruktúr za fyziologického stavu. Táto korelácia poukazuje na úzke prepojenie teoretického predmetu anatómia s klinickou praxou s ultrasonografickým vyšetrením, ktoré je dnes neoddeliteľnou súčasťou základných vyšetrovacích metód v mnohých medicínskych odboroch. Učebnica pozostáva z anatomickej časti, ktorá sa venuje základnému anatomickému popisu jednotlivých orgánov brucha a panvy. Nosnou časťou učebnice je sonografická časť, ktorá popisuje a charakterizuje jednotlivé ultrasonografické snímky. Čitateľ môže priamo porovnať vzhľad a prípadné rozdiely orgánov a štruktúr získaných dvomi úplne odlišnými zobrazeniami. Veríme, že nová vysokoškolská učebnica splní očakávania študentov, ako aj všetkých tých, pre ktorých je oblasť ultrasonografického zobrazenia z pohľadu anatóma predmetom záujmu – bude tak prospešná nielen pre anatómov, ale aj pre začínajúcich sonografistov.

Tatiana Muchová

Medicína stále napreduje, je stále vo vývoji. Rádiologické zobrazovacie metódy prežívajú stále výrazný rozvoj vďaka prístrojovej technike, ktorá umožňuje zavádzať nové diagnostické metódy, ako sú USG vyšetrenia s kontrastnou látkou, špeciálne CT vyšetrenia, ku ktorým je potrebný viacradový CT prístroj – CT angiografia, CT enteroklýza, CT irigografia, CT virtuálna kolonoskopia. Magnetická rezonancia už v dnešnej dobe nie je nedostupné vyšetrenie, predstavuje výrazný pokrok v diagnostike.

Vďaka moderným prístrojom môžeme vykonávať rôzne intervenčné diagnostické aj terapeutické výkony, ako sú biopsie, drenáže...

Tieto učebné texty sú určené študentom lekárskych fakúlt, obsahuje základné poznatky z rádiológie.

Publikácia je rozdelená na všeobecnú a špeciálnu časť s následným delením podľa jednotlivých modalít a vyšetrovaných orgánov.

Rádiológia predstavuje prácu s obrazovou dokumentáciou, preto aj táto publikácia je obohatená veľkým počtom obrázkov z jednotlivých rádiologických vyšetrovacích modalít.

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Dominika Jarčušková

The script deals with the issue of harmful alcohol use and its consequences on individuals’ cognitive abilities. The first part is devoted to the diagnosis of dependence syndrome and the assessment of risky drinking according to internationally recognized classifications (ICD, DSM). The following chapters explain the concept of cognition and its main components. Attention is also given to changes in cognitive functions during long-term alcohol abuse. The reader is introduced to the anatomical changes in the brain caused by alcohol. Damage to white matter and disorders of neurotransmission are described. Special focus is placed on diagnoses associated with alcohol use, such as Korsakoff syndrome, Wernicke’s encephalopathy, demyelinating disorders, and hepatic encephalopathy. Attention is also paid to the possibilities of diagnosing cognitive dysfunction. General screening tests such as MMSE or MoCA are presented. More specific tools, such as PHES or BEARNI, are described in greater detail. The script also points out the possibilities of pharmacological treatment. Non-pharmacological approaches, including cognitive remediation therapy and computer-based training, are also discussed. The conclusion is devoted to modern neuromodulation methods, in particular transcranial magnetic stimulation and transcranial direct current stimulation. This university textbook is primarily intended for students of medicine, psychology, and related health sciences.

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Nikita Bobrov et al.

History of ethics represents a search for basic principle, which would enable a distinction between moral and immoral, good and bad, right and wrong. The main problem lies in motives, methods and consequences of human conduct. The integrity of medical profession puts emphasis on life-long study and practice according to the professional competence, and last but not least on ethical principles and rules of medical ethics.
Medical ethics, as a part of bioethics, is currently taking on a huge importance in everyday clinical practice and must face many serious ethical issues regarding the whole system of health care. On general level the decision-making in medical practice is quite easy, based on the requirement to always act in the patient's best interest. However, it is often difficult to know exactly what is best for the patient, in a certain situation, for this particular patient. Also with each progress in medicine and its globalization, the more aspects of human lives are being affected.

Biomedical research, and the new treatment and diagnostic methods it provides are viewed differently in each country, therefore various cultural, religious, social and legal aspects must be considered in their assessment, as well as the basic principles of medical ethics. Worldwide effort on unifying ethical regulations on certain aspects of health care led to the establishment of many legally recognized documents the doctors must be familiar with.

Teaching ethics to students of medical school aims to educate the future doctors towards ethical decision-making, behaviour and professional conduct according to the basic principles of medical ethics.
This textbook provides the basic information on medical ethics for students of medical faculties and serves as a practical introduction to the most common ethical problems of health care provision for their future professional practise.

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Peter Berek 

S vývojom endovaskulárnej chirurgie dochádza postupne k rozvoju stentingu ACI. Minimálne invazívny prístup spravil túto metodiku vhodnú pre pacientov s vážnymi konkomitatnými kardiálnymi alebo pľúcnymi ochoreniami. Ďalšou výhodou v porovnaní s chirurgickou liečbou bol lepší prístup k ACI u pacientov po rádioterapii, po predchádzajúcich operáciách na krku, ale aj u pacientov so stenózami blízko lebečnej bázy. Porovnanie CEA vs CAS je zaujímavou a diskutabilnou témou mnohých štúdií. Avšak, aj napriek celosvetovému mohutnému rozvoju endovaskulárnej liečby karotická endarterektómia ostáva zlatým štandardom liečby stenózy ACI u symptomatických aj asymptomatických pacientov.

V tejto monografii by sme radi akcentovali a systematizovali problematiku chirurgickej prevencie CMP z pohľadu cievneho chirurga.

Vladimíra Tomečková

Nature, as well as the human body, contains an abundant quantity of organic molecules. This textbook describes selected oxygen, sulfur, nitrogen derivatives of hydrocarbons, heterocyclic compounds of their reactions, which are important in the human body or are found in pharmaceutical active substances, poisons, foodstuffs and heat-treated food. The last part of the textbook describes the isomerism of organic compounds, which enables dynamic changes in the structure of molecules that have different properties. Nature is filled with different plants and animals and is the first laboratory to produce bioactive organic natural compounds. These compounds are compatible with human cells and are applicable as therapeutic medicine. There is an effort to reproduce natural molecules in chemical laboratories, but they cannot be as perfect as the natural ones. Synthetic molecules can serve as a model for multiple studies, but there still does not exist a magic panacea pill or a perfect copy of nature, for the treatment of various diseases. Knowledge about the regenerative and toxic effect of medicinal substances in dependence on their structure (type and number of substituents) is very important for the understanding of their role in modulation of health and disease in dependence on their concentration. Compounds can be used daily only in recommended doses (higher doses can be toxic), but still will not replace a healthy diet. People need a varied diet to be healthy, in which are all necessary nutrients, what Hippocrates demonstrated long ago “Let food be the medicine, and let medicine be the food.” This book is written for students who select bioorganic chemistry subject during the study of general medicine or dentistry as well as for motivated students who would like to practice their knowledge and wish to improve in this subject and for students who would like to learn simplified basic organic reactions with their future application in biochemistry. Learn the simple models mainly through creative simple instruction by using different colours, by repetition, practice by drawing of formulas by hand (at least three times) and memorization of common names of compounds and their reactions which have application in biochemistry. Thus, establishing simple educational methods how to distinguish organic molecules according to the colours of a functional group can promote universal learning for all students who thought that chemistry is a difficult subject, but hopefully they change their opinion after study of this book.

Keywords: organic molecules, oxygen, sulfur, nitrogen derivatives of hydrocarbons, heterocyclic compounds, chemical reactions, isomerism of organic compounds

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Zuzana Dankulincová a kol.

The scientific monograph is the output of the Care4Youth project, which aimed to map the current system of care for adolescents with emotional and behavioral problems (EBP) in Slovakia. It captures what the care system is and what its possible shortcomings are from the perspective of all those affected (adolescents with problems, their parents, care providers and other institutions involved).

It also looks at the trajectory of adolescents with EBP in the care system, i.e. when and how adolescents with problems enter and leave the care system, or pass from one type of care to another and what impact different trajectories have on them.

Last but not least, the aim of the monograph was to provide expert information on what are the risk and protective factors that will affect their success in the care system or, conversely, that threaten them. All this in order to support the proposal for improvements in the care system that would benefit all stakeholders.

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Marek Stupák et al.

Medical Chemistry presents an overview of the most important topics of general, organic and bioinorganic chemistry for students of General and Dental Medicine study programs. Its aim is to provide a theoretical basis for the study of the subject Medical Chemistry and for understanding processes and chemical reactions which are taking place in the human body.

Each topic directly links chemical principles to the processes in living organisms and thus can help the students to clearly see the application of the presented information. Therefore, it also provides a good starting point for further study of Medical Biochemistry, for which the knowledge of these principles is necessary.

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Silvia Farkašová Iannaccone a kol.

The history of ethics represents the search for a fundamental principle that would enable a person to distinguish between moral and immoral, good and evil, or right and wrong. The main issues are the motives, methods, and consequences of human actions.

The integrity of the medical profession emphasizes lifelong study and practice according to professional competence, and, last but not least, adherence to ethical principles and standards of medical ethics. Medical ethics and the related communication in the process of providing healthcare are becoming increasingly relevant topics. Communication between doctor and patient itself constitutes a very important part of the diagnostic process and treatment; it significantly contributes to the creation of a mutual relationship and, to a considerable extent, ensures patient cooperation.

The development of various information and network technologies allows for rapid communication even in medicine; however, a kind word and real contact with the patient, with an appropriate choice of verbal and nonverbal communication tools in personal contact, cannot be replaced by modern technology. The present era places demands on certain communication skills of the physician. Another ethical and legal issue is informed consent, which brings the patient’s active participation in the process of providing healthcare.

The presented publication provides basic information about medical ethics, communication in medicine in general, and communication skills in medical practice. Further chapters are devoted to the issue of informed consent, ethics, and the specifics of communication with selected groups of patients. We believe that this publication will clarify for the reader the basic ethical pillars and will be helpful for basic orientation in the issues of medical communication.

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Erik Dosedla

Laparoscopic surgical techniques are among the most frequently performed operations today. Throughout their short history, they have undergone many modifications, mainly related to miniaturization and the development of computer technology. The rapid development of laparoscopy over the last twenty years has led to changes in the indications, with minimally invasive procedures gradually replacing standard classical procedures.

Laparoscopic surgery offers significant benefits to the patient, but it also increases the demands on the surgical team.

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Želmíra Macejová

Vysokoškolský učebný text: “Vybrané kapitoly z reumatológie pre študentov lekárskych fakúlt“je určený na  pregraduálne štúdium pre študentov lekárskych fakúlt v študijnom odbore: všeobecné lekárstvo a zubné lekárstvo v rámci predmetu interná medicína 4. Kapitoly uvedené v danom diele zahŕňajú základy reumatológie, ktoré postačuje pre absolventa LF UPJŠ, zároveň slúži aj pre pregraduálnu prípravu v nelekárskom študijnom odbore – fyzioterapia.  Uvedené informácie sú základom pre prípravu na tzv. postupovú skúšku v rámci spoločného internistického kmeňa a zároveň podkladom aj pre špecializačné štúdium v odboroch všeobecný lekár a fyziatricko- rehabilitačný lekár. Text je rozdelený na  tieto časti:  vyšetrovacie metódy v reumatológii, terapeutické výkony v reumatológii,  autoimunitné ochorenia v reumatológii, kryštálmi indukované artritídy, infekčné artritídy, nezápalové reumatické ochorenia a metabolické ochorenia kostí. V závere je obrazová príloha k jednotlivým nozologickým jednotkám, ktoré sú podrobne opísané v texte.    

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Kvetoslava Rimárová