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A uterine scar is currently a significant medical problem. Uterine scars most commonly occur after a Cesarean section, which is one of the most frequent laparotomic surgeries (Yazicioglu et al., 2006). The frequency of Cesarean sections increased between 1990 and 2014 in the USA from 21.2% to 32.2% (Hamilton et al., 2015), in Great Britain from 12% to 26.2% (NHS Maternity Statistics - England, 2013-14: Summary Report, 2015), and in the Slovak Republic from 8.7% to 31% (Národné centrum zdravotníckych informácii, 2016).
After a Cesarean section (CS), there is a risk of abnormal healing of the uterotomic wound, which can result in the development of certain pathological conditions in consecutive pregnancies (uterine rupture, ectopic pregnancy in the Cesarean scar, placental disorders) (Seow et al., 2004; Oyelese and Smulian, 2006; Fitzpatrick et al., 2012). In addition, a defect in the Cesarean scar is associated with chronic dysmenorrhea, chronic pelvic pain, infertility, and postmenstrual spotting (Wang et al., 2009; Bij de Vaate et al., 2011).
Ultrasound is a valuable examination method in the diagnostic and therapeutic management of these pathological conditions.
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Data sheet
H.Mičková - V.Habalová - J.Židzik - E.Slabá
Alžbeta Blichárová - Ľudmila Verbóová - Zuzana Benetinová - Vladimír Tancoš - Patrícia Kollárová - Adam Nedoroščík - Erika Štammová - Pavel Kočan
“Pathology Part 2 (summer semester) - Practical lessons for students of general medicine” represents the second 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 credit, 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 systemic (organ) pathology (pathology of the lungs, hematopoietic, gastrointestinal, urogenital system, breast, endocrine, musculoskeletal, nervous system, skin childhood and infancy), that is logical continuation and completion of general pathology in the first semester.
Keywords: systemic pathology – histopathological slides – general medicine – gross appearance – microscopic image
Jozef Mihalik - Silvia Rybárová
Vysokoškolské učebné texty sú určené pre študentov 1. ročníka odboru Všeobecné lekárstvo, pričom pozostávajú zo všeobecnej a špeciálnej časti. Vo všeobecnej časti sa študenti oboznámia so základnými pitevnými nástrojmi a pracovným postupom používanými pri pitve ľudského tela. V špeciálnej časti je horná končatina opísaná podľa jednotlivých krajín. V tejto časti učebných textov sú podrobne opísané hranice jednotlivých oblastí, kožné rezy, ako aj podkožné a hĺbkové štruktúry ktoré sa tu nachádzajú.
E-book
Iveta Cimbolákováa kol.
The premise “today’s research shapes the healthcare of tomorrow” expresses the importance of medical research and the reason for its pursuit. Scientific research and advances in biomedical sciences, as well as their application in medical practice and in the process of delivering healthcare, nevertheless bring new problems in the area of ethics.
Biomedical research itself requires the precise definition of hypotheses, which are tested both under laboratory conditions and on experimental animals. Although clinical studies on human subjects are expected to benefit individual participants and to advance fundamental biomedical knowledge, they also entail certain risks depending on the nature of the research. These risks must be minimized, and the experiment should be conducted freely while also taking place within specific measures to protect all involved-not only the test subjects, but also the researchers themselves.
The presented publication provides an overview of the general conditions and ethical principles of research involving laboratory animals and human subjects, the issue of professional and ethical assessment of projects, as well as fraud and the publication of results. At present, we are witnessing tremendous progress in molecular biological sciences, which brings ethical dilemmas also in the field of genetics. For this reason, one of the chapters is devoted to the latest findings in this area.
Eva Slabá - Jozef Židzik a kolektív
Vysokoškolská učebnica „Lekárska biológia a genetika“ poskytuje v zrozumiteľnej podobe teoretické základy bunkovej biológie, molekulovej biológie a genetiky. Obsahuje najnovšie poznatky z relevantných odborov doplnené názornými obrázkami, tabuľkami a grafmi. Prehľadne členené kapitoly zoznámia študentov s problematikou bunkovej biológie, procesov molekulovej biológie a zákonitosťami genetiky. Vysokoškolská učebnica je určená predovšetkým pre slovenských študentov I. ročníka lekárskych fakúlt. Jej obsah je podkladom pre úspešné zvládnutie obsahovej náplne predmetu biológia. Učebnica je vhodná aj ako hlavný zdroj informácií pre študentov prírodovedeckých fakúlt. Okrem základných údajov obsahujú niektoré kapitoly aj doplňujúce informácie pre lepšie pochopenie jednotlivých tematických okruhov. Tieto podrobnejšie údaje sú odlíšené veľkosťou písma a nie sú nevyhnutné pre zvládnutie skúšky z biológie. Príslušné informácie však môžu využiť i študenti vyšších ročníkov lekárskych fakúlt či študenti postgraduálneho štúdia.
E-book
Mária Sováriová Soósová - Renáta Suchanová - Libuša Tirpáková
The presented university textbook provides knowledge in the field of nursing in internal medicine, specifically addressing the specifics of nursing care for patients with respiratory system diseases. It is intended for students of nursing as well as nurses working in this field.
The textbook is divided into six chapters and supplemented with bibliographic references, a list of abbreviations and symbols, a list of tables, and nursing diagnoses according to the NANDA International Taxonomy II classification (North American Nursing Diagnosis Association, NANDA-I). For the correct interpretation of new knowledge, its modification, and effective application in specific situations in nursing practice, it is essential to utilize interdisciplinary relationships and apply the latest scientific evidence.
Those interested in further deepening their knowledge are referred to professional and scientific publications, primarily in nursing, clinical propedeutics, internal medicine, pharmacology, psychology, and other medical and humanities disciplines.
E-book
Jana Raková - Mária Sováriová Soósová (eds.)
The profession of nursing and the development of the field of nursing care are influenced by international, societal, political, social, and cultural conditions. The result of the long-term evolution of nursing is today's network of universities and higher education institutions that prepare qualified nurses capable of providing high-quality nursing care. Healthcare professionals are trained to meet the new demands imposed by contemporary society and the labor market. Nurses are at the center of most healthcare teams, playing a key role in promoting and protecting health as well as providing nursing care across primary, secondary, and tertiary sectors.
The presented scientific anthology includes contributions of both professional and scientific nature from domestic and international authors (from the Czech Republic, Poland, and Lithuania), addressing current requirements for the development of the nursing profession. The central theme focuses on legislative changes concerning the nursing profession in Slovakia as well as in an international context. The connection between theory and practice encompasses topics related to community care, specifics of patient care, and the safety of both patients and healthcare workers.
Lucia Dimunová et al.
Nutrition is among the fundamental needs of humans. A good nutritional status directly impacts an individual’s growth and development, health maintenance, and quality of life. This university textbook addresses nutrition in the context of dietetics and therapeutic nutrition, offering an overview of basic food components such as proteins, fats, carbohydrates, vitamins, and minerals.
It provides detailed insights into nutritional requirements across different developmental stages. In assessing nutritional status, it explores evaluation methods, including nutritional screening, anthropometric measurements, clinical assessments, and laboratory tests.
The text clarifies the structure of nutritional care systems for patients in home settings, healthcare facilities, and social institutions through a unified dietary system that defines basic and specialized diets. Alternative nutrition methods are discussed separately, with enteral and parenteral nutrition serving as alternatives during unfavorable health conditions.
The authors focus on application techniques and complications associated with these methods. The book concludes with food safety considerations and foundational principles of the European Union’s food policy. Currently, dietetics and therapeutic nutrition form a critical component of professional training for healthcare students in both undergraduate and postgraduate education, for whom this textbook is designed.
Authors’ Collective
E-book
Iveta Domoráková et al.
The e-learning textbook is available at: https://portal.lf.upjs.sk. The textbook contains 11 chapters focusing on the microscopic anatomy of the head and neck region, with an emphasis on the oral and nasal cavities, skull bones and their development, and the detailed microscopic structure of teeth and their development. One chapter is dedicated to dentition from the perspective of the clinical significance of understanding tooth structure and development. The textbook includes chapters on the microscopic anatomy of organs that are functionally important for the head region, such as the vascular, lymphatic, endocrine, and nervous systems. The textbook is linked to an atlas, has a total of 490 pages, and features 300 original microphotographs using common histological stains, histochemical, immunohistochemical, and impregnation methods.
The textbook was created with the support of the KEGA project 019UPJŠ-4/2016.
E-book
Kvetoslava Rimarová a kol.
Učebnica poskytuje komplexný a interdisciplinárny pohľad na problematiku humánnej výživy v kontexte verejného zdravotníctva, hygieny výživy a prevencie ochorení. Je koncipovaná ako základný aj rozširujúci študijný materiál pre študentov zdravotníckych, biomedicínskych a verejno-zdravotníckych odborov, ako aj pre odborníkov pôsobiacich v oblasti výživy, hygieny, potravinárstva a zdravotnej politiky. Publikácia systematicky pokrýva všetky kľúčové oblasti výživy človeka – od základných zložiek potravy (bielkoviny, sacharidy, tuky, vitamíny, minerálne látky), ich biologickej a energetickej hodnoty, cez odporúčané výživové dávky a tvorbu racionálneho jedálnička, až po hodnotenie nutričného stavu populácie. Osobitná pozornosť je venovaná antioxidantom, probiotikám a funkčným potravinám, ktoré predstavujú moderný a dynamicky sa rozvíjajúci segment výživovej vedy.
Učebnica reflektuje aktuálne trendy v stravovaní vrátane alternatívnych spôsobov výživy, prerušovaného pôstu, vysokoproteínových diét a konzumácie spracovaných a ultraprocesovaných potravín, pričom ich hodnotí z hľadiska vedeckých dôkazov, zdravotných prínosov aj rizík. Dôležitou súčasťou je problematika cudzorodých látok v potravinách, potravinárskych aditív a legislatívnych rámcov ich používania, ako aj význam pitnej vody, jej kvalita, úprava a zdravotné riziká spojené s kontamináciou. Publikácia sa venuje aj špecifickým oblastiam, ako sú alimentárne nákazy, výživa v jednotlivých vývinových obdobiach detí, nemocničné stravovanie a diétne systémy.
Praktickú hodnotu učebnice zvyšuje zaradenie metodicky spracovanej praktickej časti zameranej na mikrobiologické hodnotenie pokrmov rýchleho občerstvenia, založenej na reálnych dátach regionálnych úradov verejného zdravotníctva. Text je spracovaný prehľadne, s využitím tabuliek, obrázkov a aktuálnej odbornej literatúry, čo umožňuje čitateľovi nielen osvojenie teoretických poznatkov, ale aj ich aplikáciu v praxi. Učebnica predstavuje ucelený, moderný a vedecky podložený zdroj poznatkov o výžive ako jednom zo základných determinantov zdravia populácie.
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Helena Mičková a kol.
Skriptá sú určené pre zahraničných študentov Lekárskej fakulty UPJŠ v Košiciach, a sú písané v anglickom jazyku.
E-book
Eva Ďurovcová - Mária Mareková
After 7 years, we finally reworked the textbook on the subject of clinical biochemistry at UPJŠ FM in Košice. We have innovated information in accordance with recommendations of professional medical societies and added new chapters. As the scope of the subject is limited, the textbook does not cover all issues of biochemical diagnostics. It focuses on disorders of water-ion and acid-base balance disorders, and basic laboratory diagnostics of diseases of selected organs.
The textbook of clinical biochemistry has the ambition to become a practical aid for senior medical students and beginning doctors in the study of laboratory medicine. It should make it easier for them to orientate themselves in routinely used clinical-biochemical examinations and could form a springboard for a more detailed studying of laboratory methods and their use in diagnostic and monitoring algorithms.
Like any medical discipline, clinical biochemistry is evolving rapidly and gradually integrating with other areas of laboratory medicine. New diagnostic methods penetrate deeper into the essence of the biochemical mechanisms of the human body, and "omic" methods are gaining ground. It is almost sure that in a few years, laboratory examination looks quite different from today. If this publication quite hypothetically reaches its next edition, many chapters will need to updated, and new chapters written following the up-to-date status.
Authors thanks to their colleagues and reviewers for their professional comments and constructive criticism of the text - prof. Jaroslav Racek, MD, DrSc. from FM UK in Pilsen.
Authors thanks very kindly too prof. MUDr. Dušan Dobrota, CSc. (JFM UK Martin) and doc. MVDr. Zuzana Kostecká, PhD. (UVMP, Košice), who read and wrote review of this textbook.
E-book
Ladislav Kočan-Dušan Rybár-Róbert Rapčan
The autonomic nervous system is a vital component of the peripheral nervous system, responsible for maintaining homeostasis and regulating internal processes within the body. Unlike the voluntary control exerted by the central nervous system, the autonomic nervous system operates involuntarily, innervating smooth organs, vessels, skin glands, and even exerting some influence over skeletal muscles in connection with vegetative functions such as breathing, digestion, and the urinary and gonadal systems. Its impact extends crucially to the cardiac muscles of the heart and plays a significant role in endocrine and metabolic functions, thermoregulation, as well as emotional and behavioral responses, including adaptive reactions to stressors. The aim of this publication is to provide a comprehensive and objective exploration of the anatomical and physiological intricacies of the autonomic nervous system, offering insights into its clinical applications. Within these pages, we meticulously delineate various interventional therapeutic procedures tailored to specific diagnoses related to the autonomic nervous system, aligning each intervention with the anatomical framework of the autonomic system. The efficacy of these procedures is evaluated based on the level of evidence, as per the current recommendations of Evidence-Based Medicine. This publication is primarily crafted for fifth and sixth-year medical students and medical professionals specializing in anesthesiology, intensive care, and pain medicine. It serves as a valuable resource for gaining a deeper understanding of autonomic nervous system function and its clinical implications, facilitating informed decision-making in clinical practice.
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E-kniha
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.
E-book
Daniela Filakovská- Shoshana Chovan- Zuzana Dankulincová
Dnes sú to už celé generácie odopierania príležitostí pre napĺňanie potenciálu a storočia diskriminácie, ktoré oberajú deti v marginalizovaných komunitách o detstvo tak ako ho poznáme my ostatní, ktorí sme mali viac „šťastia“. Tak, ako sa generácie ľudí v marginalizovaných komunitách točia v kruhu chudoby, z ktorého niet ľahkej cesty, tak sa aj my točíme v bludnom kruhu hľadania vinníkov a odovzdávania si predsudkov a stereotypov založených na mylných predpokladoch, ktoré sú tak zakorenené a samozrejmé, že mnohých ľudí ani nenapadne o nich pochybovať, spochybňovať ich logiku, či sa snažiť ich vyvracať. Spoločnosť na základe vlastných ideálov s ľahkosťou súdi matky či otcov, že nie sú dosť dobrí. Omnoho ťažšia cesta je však snažiť sa pochopiť, čo im v tom bráni. Povedať, že za stratené detstvo detí v marginalizovaných komunitách môžu rodičia, je príliš zjednodušené a nezohľadňuje to omnoho širší kontext a súvislosti. A práve vplyv tohoto kontextu na raný vývin a hľadanie súvislostí je naším cieľom. Nielen preto, že si uvedomujeme potrebu búrať stereotypy a meniť spoločenský diskurz, no najmä preto, aby sme vedeli priniesť dôkazy, na základe ktorých bude možné tvoriť politiky, smerovať intervencie a pomôcť tak ďalším generáciám detí dosiahnuť na príležitosti, ktoré im umožnia naplniť svoj plný potenciál.
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Slovenčina
