• MeSH
• Sjögrenův syndrom MeSH
• Publikační typ
• kongresy MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• revmatologie

• MeSH
• akutní koronární syndrom MeSH
• antitrombiny terapeutické užití   MeSH
• heparin MeSH
• infarkt myokardu MeSH
• krvácení MeSH
• management nemoci MeSH
• terapie hirudinem MeSH
• trombóza MeSH
• výsledek terapie MeSH
• Publikační typ
• sborníky MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• kardiologie
• angiologie

• MeSH
• lidé MeSH
• nádory prsu prevence a kontrola   MeSH
• selektivní modulátory estrogenních receptorů terapeutické užití   MeSH
• tamoxifen terapeutické užití   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH

• MeSH
• kontaminace potravin MeSH
• rezidua pesticidů MeSH

• NLK Obory
• nutriční terapie, dietoterapie a výživa

• MeSH
• HLA antigeny MeSH
• homozygot MeSH
• lidé MeSH
• paternita MeSH
• soudní lékařství MeSH
• Check Tag
• lidé MeSH

• MeSH
• nestabilní angina pectoris MeSH
• směrnice pro lékařskou praxi jako téma MeSH
• Publikační typ
• kongresy MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• kardiologie

BACKGROUND: Improving stroke services is critical for reducing the global stroke burden. The World Stroke Organization-World Health Organization-Lancet Neurology Commission on Stroke conducted a survey of the status of stroke services in low and middle-income countries (LMICs) compared to high-income countries. METHODS: Using a validated World Stroke Organization comprehensive questionnaire, we collected and compared data on stroke services along four pillars of the stroke quadrangle (surveillance, prevention, acute stroke, and rehabilitation) in 84 countries across World Health Organization regions and economic strata. The World Health Organization also conducted a survey of non-communicable diseases in 194 countries in 2019. RESULTS: Fewer surveillance activities (including presence of registries, presence of recent risk factors surveys, and participation in research) were reported in low-income countries than high-income countries. The overall global score for prevention was 40.2%. Stroke units were present in 91% of high-income countries in contrast to 18% of low-income countries (p < 0.001). Acute stroke treatments were offered in ∼ 60% of high-income countries compared to 26% of low-income countries (p = 0.009). Compared to high-income countries, LMICs provided less rehabilitation services including in-patient rehabilitation, home assessment, community rehabilitation, education, early hospital discharge program, and presence of rehabilitation protocol. CONCLUSIONS: There is an urgent need to improve access to stroke units and services globally especially in LMICs. Countries with less stroke services can adapt strategies from those with better services. This could include establishment of a framework for regular monitoring of stroke burden and services, implementation of integrated prevention activities and essential acute stroke care services, and provision of interdisciplinary care for stroke rehabilitation.

• MeSH
• celosvětové zdraví MeSH
• cévní mozková příhoda * epidemiologie   terapie   MeSH
• lidé MeSH
• průzkumy a dotazníky MeSH
• rehabilitace po cévní mozkové příhodě * MeSH
• rozvojové země MeSH
• Světová zdravotnická organizace MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Research Support, N.I.H., Extramural MeSH

PURPOSE: With the global epidemic of obesity, the importance of metabolic and bariatric surgery (MBS) is greater than ever before. Performing these surgeries requires academic training and the completion of a dedicated fellowship training program. This study aimed to develop guidelines based on expert consensus using a modified Delphi method to create the criteria for metabolic and bariatric surgeons that must be mastered before obtaining privileges to perform MBS. METHODS: Eighty-nine recognized MBS surgeons from 42 countries participated in the Modified Delphi consensus to vote on 30 statements in two rounds. An agreement/disagreement among ≥ 70.0% of the experts was regarded to indicate a consensus. RESULTS: Consensus was reached on 29 out of 30 statements. Most experts agreed that before getting privileges to perform MBS, surgeons must hold a general surgery degree and complete or have completed a dedicated fellowship training program. The experts agreed that the learning curves for the various operative procedures are approximately 25-50 operations for the LSG, 50-75 for the OAGB, and 75-100 for the RYGB. 93.1% of experts agreed that MBS surgeons should diligently record patients' data in their National or Global database. CONCLUSION: MBS surgeons should have a degree in general surgery and have been enrolled in a dedicated fellowship training program with a structured curriculum. The learning curve of MBS procedures is procedure dependent. MBS surgeons must demonstrate proficiency in managing postoperative complications, collaborate within a multidisciplinary team, commit to a minimum 2-year patient follow-up, and actively engage in national and international MBS societies.

• MeSH
• bariatrická chirurgie * normy   výchova   MeSH
• chirurgové normy   výchova   MeSH
• delfská metoda * MeSH
• klinické kompetence normy   MeSH
• konsensus * MeSH
• křivka učení MeSH
• lidé MeSH
• morbidní obezita chirurgie   MeSH
• stipendia normy   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Proton MR spectra of the brain, especially those measured at short and intermediate echo times, contain signals from mobile macromolecules (MM). A description of the main MM is provided in this consensus paper. These broad peaks of MM underlie the narrower peaks of metabolites and often complicate their quantification but they also may have potential importance as biomarkers in specific diseases. Thus, separation of broad MM signals from low molecular weight metabolites enables accurate determination of metabolite concentrations and is of primary interest in many studies. Other studies attempt to understand the origin of the MM spectrum, to decompose it into individual spectral regions or peaks and to use the components of the MM spectrum as markers of various physiological or pathological conditions in biomedical research or clinical practice. The aim of this consensus paper is to provide an overview and some recommendations on how to handle the MM signals in different types of studies together with a list of open issues in the field, which are all summarized at the end of the paper.

• MeSH
• dospělí MeSH
• konsensus * MeSH
• lidé středního věku MeSH
• lidé MeSH
• lipidy chemie   MeSH
• magnetická rezonanční tomografie MeSH
• makromolekulární látky metabolismus   MeSH
• metabolom MeSH
• mladý dospělý MeSH
• mozek diagnostické zobrazování   MeSH
• počítačové zpracování signálu MeSH
• protonová magnetická rezonanční spektroskopie * MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• teoretické modely MeSH
• znalecký posudek * MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Research Support, N.I.H., Extramural MeSH

Stroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and middle-income countries, many of which are unable to face the challenges it imposes. In this Health Policy paper on primary stroke prevention, we provide an overview of the current situation regarding primary prevention services, estimate the cost of stroke and stroke prevention, and identify deficiencies in existing guidelines and gaps in primary prevention. We also offer a set of pragmatic solutions for implementation of primary stroke prevention, with an emphasis on the role of governments and population-wide strategies, including task-shifting and sharing and health system re-engineering. Implementation of primary stroke prevention involves patients, health professionals, funders, policy makers, implementation partners, and the entire population along the life course.

• MeSH
• celosvětové zdraví MeSH
• cévní mozková příhoda ekonomika   prevence a kontrola   MeSH
• lidé MeSH
• náklady a analýza nákladů MeSH
• rozvojové země MeSH
• zdravotní politika MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• přehledy MeSH
• Research Support, N.I.H., Extramural MeSH