• MeSH
• Photometry MeSH
• Mandibular Fractures diagnosis   therapy   MeSH
• Humans MeSH
• Palpation MeSH
• Mandibular Injuries diagnosis   therapy   MeSH
• Auscultation MeSH
• Temporomandibular Joint physiopathology   injuries   MeSH
• Check Tag
• Humans MeSH

Responzivnost je významným pojmem v oblasti zdravotní péče, který vyjadřuje schopnost systému vycházet vstříc přáním pacientů a respektovat jejich důstojnost. Je rovněž cenným kritériem pro hodnocení činnosti jak zdravotnických zařízení, tak zdravotnického systému jako celku. Doposud se výzkumy zabývaly responzivností z hlediska pacienta. Podrobnější studium responzivnosti a jejích determinant ukazuje, že je žádoucí se zabývat i pojetím responzivnosti ze strany zdravotníků a věnovat jí náležitou pozornost při výchově a vzdělávání. Autoři informují o výsledcích dotazníkového šetření, kterým zjišťovali názory na responzivnost u studentů 5. ročníku LF MU v Brně. Cílem bylo zjistit, jaký postoj k responzivnosti studenti zaujímají a které oblasti responzivnosti považují za nejdůležitější. Z výsledku šetření vyplývá, že studenti si plně uvědomují důležitost těch aspektů zdravotní péče, které souvisejí s úctou k člověku a vnímají potřebu věnovat této problematice soustavnou pozornost.

Responsiveness is an important concept in the realm of health care expressing the ability of the system to meet the expectations of patients and to respect their dignity. It is also a valuable criterion for the assessment of the functioning of healthcare facilities as well as of the healthcare system as a whole. Up to now studies have dealt with responsiveness from the patient's point of view. A more detailed study of responsiveness and its determinants shows that it is desirable to deal with the interpretation of responsiveness in health service workers and to give it an appropriate attention in training and education. The authors inform on the results of a questionnaire survey through which they have been searching for the standpoint of fifthyear medical students in Brno. The objective was to find out what attitude towards responsiveness the students have and which of its areas they consider to be the most important. From the results it follows that the students are fully aware of the importance of those aspects of health care which are connected with respect to the human being, and they perceive the need of devoting a consistent attention to these problems.

• MeSH
• Research Support as Topic MeSH
• Ethics, Medical MeSH
• Humans MeSH
• Surveys and Questionnaires MeSH
• Students, Medical statistics & numerical data   MeSH
• Professional-Patient Relations ethics   MeSH
• Health Care Quality, Access, and Evaluation MeSH
• Check Tag
• Humans MeSH

• MeSH
• Water Supply standards   MeSH
• Publication type
• Guideline MeSH

• Conspectus
• Veřejné zdraví a hygiena
• NML Fields
• environmentální vědy
• environmentální vědy
• NML Publication type
• publikace WHO

Autoři retrospektivně zhodnotili vyšetřovací protokoly u 208 dětí (400 očí)ošet- řených kryokoagulací pro aktivní retinopatii předčasně narozených dětí (ROP). Cílem bylo zjistit optimální časový postup určený k zahájení vyšetření tak,aby byla včas zachycena prahová stadia ROPu dětí různého stupně zralosti.Výchozím bodem bylo zjištění,že před 5.postnatálním (pnt)a 31.postkoncepčním týdnem (pkt)nebylo prahové stadiumdiagnostikováno užádného dítěte z našeho souboru. Největší incidence prahových stadií u všech dětí byla mezi 36.-37.postkoncepč- ním týdnem.První vyšetření provedené mezi 5.-6.postnatálním nebo nejdříve v 31.postkoncepčním týdnu je dostačující k pokrytí počátečních prahových stadií ROP u dětí různých porodních hmotností.Screening založený na spojení postnatálního a postkoncepčního věku se jeví přesnější než posuzování jedním kritériem.Předčasná vyšetření jsou zavádějící a nemají screeningovou validitu.

The authors evaluated retrospectivel the examination protocols of 208 children (400 eyes)treated by cryocoagulation on account of active retinopathy of prema- ture infants (ROP).The objective was to assess the optimal timing for the onset of examination to record in time the threshold stages of ROP in children with different grades of maturity.The baseline point was the finding that before the 5th postnatal (pnt)and 31st postconception week (pcw)the threshold stage was not diagnosed in any child of the group.The highest incidence of threshold stages in all children was between the 36th and 37th postconception week.The first examination made between the 5th-6th postnatal or at first during the 31st postconception week is sufficient to cover initial threshold stages of ROP in children with different birth weights.Screening based on combination of the postnatal and postconception age is more accurate than evaluation by one criterion.Premature examinations are misleading and not valid for screening.

• MeSH
• Child MeSH
• Cryotherapy MeSH
• Humans MeSH
• Retinal Diseases diagnosis   MeSH
• Infant, Premature MeSH
• Infant, Newborn MeSH
• Neonatal Screening methods   MeSH
• Birth Weight MeSH
• Retrospective Studies MeSH
• Age Factors MeSH
• Check Tag
• Child MeSH
• Humans MeSH
• Infant, Newborn MeSH
• Publication type
• Review MeSH
• Comparative Study MeSH

Důležitým parametrem úspěchu implantace ve frontálním úseku chrupu je kromě stabilního implantátu i přirozený vzhled protetické náhrady. Abychom mohli objektivně zhodnotit finální vzhled rekonstrukce, jsou zapotřebí definovaná kritéria estetiky. V našem souboru jsme zhodnotili 25 pacientů s náhradou frontálního zubu pomocí zubního implantátu, kde byl defektní alveolární hřeben rekonstruován technikou řízené kostní regenerace. Sledovali jsme stav implantátů a okolní tvrdé a měkké tkáně a estetiku definitivní korunky. Průměrná resorpce okrajové kosti u krčku implantátu byla 0,17 mm a přitom u 22 pacientů nepřesahoval ústup marginální kosti 1 mm. Při zhodnocení estetiky finálního výsledku jsme u 21 pacientů dosáhli hodnoty tzv. růžové nebo bílé estetiky vyšší než 6 (klinicky přijatelná hodnota). Přitom průměrná hodnota tzv. růžové estetiky byla v našem souboru 7,52 (4-10) a bílé estetiky 7,68 (3-10). V článku jsou diskutovány možné důvody překvapivě nízké resorpce periimplantační kosti a výsledky estetického zhodnocení rekonstrukce frontálního úseku sólo korunkou.

Natural looking prosthetic reconstruction in addition to a firm and stable fixture are important parameters of successful implant dentistry in the frontal area. Clearly defined esthetic criteria are necessary in order to get objective final outcome evaluation. Twenty-five patients with anterior maxillary single-tooth implants combined with peri-implant bone defect to be regenerated with the guided bone regeneration technique were included in our study. The following parameters were assessed: implant and soft and hard peri-implant status, and esthetic outcome of final restorations. A mean marginal bone resorption at implant neck was 0.17 mm, while at 22 patients marginal bone loss did not exceed 1 mm. Using objective outcome evaluation, 21 patients achieved values of pink or white esthetic scores higher than 6 (clinically accepted value). A mean value of 7.52 (range: 4 to 10) was calculated for pink esthetic score and 7.68 (range: 3 to 10) was calculated for white esthetic score. Possible reasons and causes of surprisingly low peri-implant bone resorption and esthetic outcome evaluation of maxillary anterior teeth replacement are discussed.

• Keywords
• náhrada zubu, zhodnocení výsledku, zubní implantát, klinický experiment,
• MeSH
• Esthetics, Dental classification   MeSH
• Humans MeSH
• Dental Abutments utilization   MeSH
• Incisor MeSH
• Treatment Outcome MeSH
• Dental Implants, Single-Tooth utilization   MeSH
• Crowns utilization   MeSH
• Dental Materials therapeutic use   MeSH
• Check Tag
• Humans MeSH

Background: The telemonitoring is more and more used for compensation of diabetes in the last decade. Doctors are able to get an accurate and reliable data in real time using the telemonitoring. A remote monitoring affects the attitudes and behavior of patients and potentially improves their state of health. Conclusions of many studies show additional clinical implications of telemonitoring. But it has not been possible to generalize those conclusions yet. Objectives: The aim of this study was to create an overview of current glucometers available on the market. And select those which would meet the required parameters for using in the telemonitoring with automatic data sharing. Methods: The research is focused on researches from technical and grey literature and on websites of producers and medical device dealers. The questioning will be carried out in the Czech and English language. Multi decision making method helps to select a suitable glucometer. Conclusions: Fifty five glucometers from nineteen producers have been found in the researches and by market survey. The summary table with all important parameters can be seen in the preview. Conclusions of the Multi decision making analysis showed using of Diamond Mini from ForaCare Inc. producer which is the most suitable for the project of the telemonitoring with automatic data sharing. It is necessary to consider the safety of sending data, data sharing and personal data protection before this glucometer will be used in our project.

• MeSH
• Diabetes Mellitus blood   prevention & control   MeSH
• Blood Glucose physiology   metabolism   MeSH
• Humans MeSH
• Cell Phone * utilization   MeSH
• Monitoring, Physiologic * methods   instrumentation   trends   MeSH
• Computers utilization   MeSH
• Blood Glucose Self-Monitoring * methods   instrumentation   trends   MeSH
• Statistics as Topic MeSH
• Check Tag
• Humans MeSH

BACKGROUND AND AIM: The otolaryngologist often meets with fractures of the orbital floor. The most serious complication is diplopia, arising as a result of herniation of the orbital contents, with or without fixation of the inferior rectus muscle. The aim of our work was to create a mathematical model to calculate the volume of prolapsed soft tissue of the orbit in blow-out fractures, as a factor in deciding on the need for surgical treatment. PATIENTS AND METHODS: In a retrospective study (2007-2013), we evaluated 80 patients with blow-out fractures, divided into two equal groups: 40 conservatively treated and 40 surgically treated patients. We created the model by measuring the fracture lines and herniation of the orbital soft tissues in the coronal and sagittal sections from CT images, equivalent to half the volume of a rotating ellipsoid. RESULTS: According to the proposed model, posterior and anterior fractures with a prolapse volume above 500 mm3, and anteroposterior fractures with a volume over 1400 mm3, are indicated for surgery. CONCLUSION: The volume of prolapsed soft tissue relative to the location of the fracture is the main indicator for selecting the best treatment procedure immediately after injury.

• MeSH
• Adult MeSH
• Orbital Fractures complications   surgery   therapy   MeSH
• Hernia diagnostic imaging   etiology   MeSH
• Conservative Treatment * MeSH
• Middle Aged MeSH
• Humans MeSH
• Adolescent MeSH
• Young Adult MeSH
• Tomography, X-Ray Computed MeSH
• Prolapse MeSH
• Retrospective Studies MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Models, Theoretical * MeSH
• Patient Selection MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Adolescent MeSH
• Young Adult MeSH
• Male MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH

Sjögrenův syndrom je chronické systémové autoimunitní onemocnění, které postihuje žlázy se zevní sekrecí. Dominujícím projevem je suchost sliznic, ale klinické spektrum zahrnuje celou škálu systémových komplikací. Mezi lety 1965 a 2002 bylo publikováno jedenáct sad klasifikačních/diagnostických kritérií SS. Kritéria Americko-evropské konsenzuální skupiny (AECG) zahrnující subjektivní příznaky i objektivní nálezy byla široce přijata a používána v klinické praxi i klinických studiích od roku 2002. V roce 2012 byla navržena alternativní kritéria Společností amerických revmatologů (ACR), která tvoří minimální sada tří objektivních příznaků. Letos byla publikována nová klasifikační kritéria vyvinutá s použitím metodiky ACR i Evropské ligy proti revmatismu (EULAR), která obsahují prvky kritérií AECG i ACR. V tomto článku jsou podány charakteristiky jednotlivých složek klasifikačních kritérií Sjögrenova syndromu a popsán jejich vývoj během posledních patnácti let.

Sjögren's syndrome is a chronic, systemic autoimmune disease that affects the exocrine glands. The dominating feature is mucosal dryness, but the clinical spectrum includes wide range of the systemic complications. The 11 classification/ diagnostic criteria sets for SS were published between 1965 and 2002. The American-European Consensus Group (AECG) criteria consisting of both subjective symptoms and objective signs have been widely accepted and used in clinical practice and clinical trials since 2002. The alternative classification criteria including minimal set of three objective features were proposed by the American College of Rheumatology (ACR) in 2012. New set of classification criteria for primary SS was recently developed and published this year, using guidelines from the ACR and the European League Against Rheumatism (EULAR) and includes features of both AECG and ACR criteria. In this article the characteristics of the criteria components and the process of the SS classification criteria development during last fifteen years is described.

• Keywords
• žlázy se zevní sekrecí, fokusové skóre, klasifikační kritéria, suchost sliznic,
• MeSH
• Arthralgia MeSH
• Autoantibodies MeSH
• Diagnosis, Differential MeSH
• Exocrine Glands physiopathology   pathology   MeSH
• Consensus MeSH
• Humans MeSH
• Sjogren's Syndrome * diagnosis   complications   physiopathology   MeSH
• Salivary Glands pathology   MeSH
• Severity of Illness Index MeSH
• Keratoconjunctivitis Sicca diagnosis   MeSH
• Fatigue MeSH
• Xerophthalmia diagnosis   MeSH
• Xerostomia diagnostic imaging   diagnosis   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH

OBJECTIVE: The aim of this study was to determine the prevalence of potentially inappropriate medications (PIMs) in nursing home residents across eight countries and investigate differences between residents with and without cognitive impairment, as well as those with and without life expectancy of six months or less. METHODS AND DEIGN: The study utilized the second edition of the STOPP-Frail criteria to operationalize PIMs in the baseline assessment of nursing home residents participating in the Services and Health for Elderly in Long TERm care (SHELTER) project. The data were collected between 2009 and 2012. The project was conducted in eight countries: Czech Republic, England, Finland, France, Germany, Italy, the Netherlands, and Israel. Cognitive impairment was measured by the cognitive performance scale (CPS). The presence of end-stage disease with a life expectancy of six months or less was recorded. The study included residents aged 60 years or older who underwent a valid medication assessment. RESULTS: Among the 3,832 eligible residents, 87.9% had at least one PIM. Specifically, 24.3%, 23.5%, 18.8%, and 19.3% of residents had one, two, three, and four or more PIMs, respectively. On average, each person was prescribed 2.16 PIMs. Cognitively impaired residents (n = 1999) had an average of 1.96 PIMs (SD 1.49) per person, while residents with a low CPS score (n = 1783) had an average of 2.40 PIMs (SD 1.57) per person, showing a statistically significant difference (P < 0.001). Similarly, NH residents with life expectancy of six months or less had an average of 1.66 PIMs (SD 1.30), whereas those without had an average of 2.17 PIMs (SD 1.55) (p < 0.001). The average number of PIMs varied across countries, ranging from 3.23 in Finland to 2.15 in the UK (P < 0.001). Anti-platelets and aspirin were the most prescribed PIMs, accounting for over 38.0% of prescriptions. CONCLUSIONS: This study highlights the high prevalence of PIMs among nursing home residents. However, PIMs were somewhat lower in residents with cognitive impairment and life expectancy of six months or less. Efforts must continue to improve the rationale behind prescribing practices in nursing homes.

• MeSH
• Homes for the Aged MeSH
• Frail Elderly MeSH
• Middle Aged MeSH
• Humans MeSH
• Inappropriate Prescribing statistics & numerical data   MeSH
• Nursing Homes * MeSH
• Prevalence MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Potentially Inappropriate Medication List * MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Multicenter Study MeSH
• Geographicals
• Germany MeSH

OBJECTIVE: As a part of regular revision of the List of Occupational Diseases in the Czech Republic, efforts have been made to add a new item so that lumbar spine disease caused by overload may be recognized as occupational one, with adherence to the valid national rules, that is, clinical criteria are met and objective assessment confirms working conditions under which, according to recent scientific knowledge, such an occupational disease develops. The aim is to provide information on the use of a proposed method for working condition assessment in a real setting, based on the initial experiences gained from a pilot study carried out to validate the method. METHODS: Working conditions were assessed in 55 individuals with chronic low back pain (25 males, 30 females; mean age 45.6 years; mean length of employment 15.6 years). The assessment was based on estimating compressive force on the L4/L5 intervertebral disc when performing potentially high-risk work tasks which were entered into four types of checklists throughout their work shifts. The compression values were calculated using a special module that was developed. RESULTS: In 24 cases comprehensive assessment of all tasks performed showed fulfillment of the proposed criteria of working conditions needed for recognition of occupational disease. Those included healthcare, foundry and forest workers, production operators, cabinetmakers, locksmiths, bricklayers, etc. In all the cases, lumbar spine overload was associated with work tasks requiring combinations of manual handling of objects and trunk rotation or bending. The criteria were not met in 31 subjects. The mean length of employment was 15.4 and 15.8 years in patients who met and did not meet the proposed criteria, respectively. CONCLUSION: The proposed method proved to be applicable in occupational hygiene evaluation in a real setting.

• MeSH
• Lumbar Vertebrae physiopathology   MeSH
• Biomechanical Phenomena physiology   MeSH
• Chronic Pain physiopathology   MeSH
• Checklist MeSH
• Middle Aged MeSH
• Humans MeSH
• Low Back Pain physiopathology   MeSH
• Occupational Diseases physiopathology   MeSH
• Task Performance and Analysis MeSH
• Occupations MeSH
• Weight-Bearing physiology   MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Czech Republic MeSH