Cíl: V retrospektivní studii jsme porovnali efektivitu navigace punkce portální žíly pomocí abdominální ultrasonografie oproti CO2 portografii. Efektivitu navigace jsme posuzovali dle počtu punkcí nutných k dosažení katetrizace větve vena portae, délkou skiaskopie a radiační dávkou charakterizovanou produktem dávkové plochy (DAP). Metodika: Do studie bylo zahrnuto 102 po sobě jdoucích pacientů, kterým byl proveden TIPS v období 3 let (od počátku roku 2022 do konce roku 2024). V souboru bylo 29 žen (28 %) a 73 mužů (72 %), ve věkovém rozmezí 27–81 let. Hlavní indikací k TIPS byl refrakterní ascites u 52 (51 %) a krvácení při portální hypertenzi u 50 pacientů (49 %). TIPS byl proveden jako urgentní výkon u 19 pacientů (v 18,6 %) pro nezastavené variceální krvácení. Childovo-Pughovo skóre A bylo 22 % pacientů, Childovo-Pughovo skóre B 44 % a Childovo-Pughovo skóre C 26 %, u 8 % pacientů nebyla klasifikace zjistitelná. Výsledky: Ze 102 TIPS výkonů nebyl tento zaveden u tří pacientů pro technické selhání (2,9 %). Počet vpichů nutných k dosažení portální žíly se zavedením vodiče byl v průměru 5,6 (od jednoho do 20) u 50 pacientů, jejichž punkce byla naváděna pomocí CO2 portografie. U 28 výkonů, kde byl k navádění použit UZ, bylo průměrně nutných 2,7 vpichů (od jednoho do šesti). Délka skiaskopie byla u 28 výkonů provedených pomocí navigace CO2 v průměru 28 minut (9–50 min), u 28 výkonů s navigací pod UZ to bylo 22,8 min (8–43 min). Ve skupině 19 výkonů před obměnou angiolinky a s CO2 navigací byl v průměru DAP 181 497 mGy/cm2 (27 649–399 657 mGy/cm2 ), ve skupině 17 výkonů po obměně angiolinky a navigovaných pomocí CO2 portografie byl DAP v průměru 159 339 mGy/cm2 (52 613–309 440 mGy/cm2 ) a v časově nejmladší skupině 21 výkonů navigovaných pomocí UZ byl DAP v průměru 120 731 mGy/cm 2 (38 180–315 121 mGy/cm2 ). U sedmi výkonů bylo provedeno měření dávky osobními dozimetry. V části výkonu do zavedení vodiče do portální žíly operatér měl dávku v průměru 6 μSv (0 do 12 μSv), zatímco lékař provádějící UZ navigaci v průměru 4,4 μSv (0 do 9 μSv). Celková dávka pro operatéra byla v průměru 19,5 μSv (8–35 μSv). Závěr: Z naměřených hodnot lze uzavřít, že počet vpichů při navigaci pomocí UZ klesl v průměru z 5,6 na 2,7, tento rozdíl se velmi blíží statistické významnosti (p = 0,052). Skiaskopický čas při výkonu klesl v průměru o 7 minut. Dávka druhého lékaře navigujícího punkci pomocí UZ je do doby katetrizace por- tální žíly srovnatelná s dávkou operatéra. DAP klesl po inovaci přístroje a na novém přístroji a dále ještě více klesl i u výkonů prováděných s navigací punkce pomocí UZ.

Aim: In our retrospective study, we compared the efficacy of portal vein puncture navigation using abdominal ultrasonography versus CO2 portography. We assessed navigation efficiency according to the number of punctures required to achieve vena portae branch catheterization, the length of the fluoroscopy, and the dose area product (DAP). Method: The study included 102 consecutive patients who underwent TIPS over a 3-year period (from the beginning of 2022 to the end of 2024). In this cohort, there were 29 women (28%) and 73 men (72%), ranging in age from 27 to 81 years. The main indications for TIPS were refractory ascites in 52 patients (51%) and bleeding with portal hypertension in 50 patients (49%). TIPS was performed as an emergency procedure in 19 patients (18.6%) for uncontrolled variceal bleeding. Child Pugh A, Child Pugh B and Child Pugh C were 22%, 44% and 26% respectively, with 8% of patients having no detectable classification. Results: Of the 102 TIPS procedures, TIPS was not inserted in 3 patients due to technical failure (2.9%). The number of punctures required to reach the portal vein with guidewire insertion averaged 5.6 (range 1 to 20) in 50 patients whose puncture was guided by CO2 portography. In the 28 procedures where ultrasound was used for guidance, the mean number of punctures required was 2.7 (range, 1 to 6). The mean duration of fluoroscopy was 28 min (9–50 min) in the 28 procedures performed with CO2 guidance and 22.8 min (8–43 min) in the 28 procedures with ultrasound guidance. In the group of 19 procedures before angiomachine exchange and with CO2 navigation, the mean DAP was 181 497 mGy/ cm2 (27 649–399 657 mGy/cm2 ), in the group of 17 procedures after angiomachine exchange and navigated by CO 2 portography, the DAP averaged 159 339 mGy/cm 2 (52 613–309 440 mGy/cm2 ) and in the youngest group of 21 procedures navigated by ultrasound, the DAP averaged 120 731 mGy/cm2 (38 180–315 121 mGy/cm 2 ). Dose measurements with personal dosimeters were performed for 7 procedures. In the part of the procedure until the insertion of the guidewire into the portal vein, the operator had a dose of 6 μSv (0 to 12 μSv) on average, while the physician performing the ultrasound navigation had a dose of 4.4 μSv (0 to 9 μSv) on average. The total dose to the operator averaged 19.5 μSv (8 to 35 μSv). Conclusion: From the measured values it can be concluded that the number of punctures during navigation with US decreased from 5.6 to 2.7 on average, this result is close to statistic significance (p = 0.052). The fluoroscopic time during the procedure decreased by 7 minutes. However, the dose of the second physician navigating the puncture using ultrasound is comparable to that of the main operator. The DAP decreased after the device upgrade, and even more decreased for procedures performed with ultrasound-guided puncture navigation.

BACKGROUND: Solid organ transplant recipients (SOTRs) face higher cancer risk because of immunosuppressive therapy used to prevent organ rejection. We hypothesized that SOTRs treated with radical cystectomy (RC) and pelvic lymph-node dissection (PLND) for bladder cancer (UBC) might have worse survival outcomes compared to non-SOTRs. This study aims to assess survival outcomes of SOTRs treated with RC and PLND for UBC compared to non-SOTRs. METHODS: A retrospective analysis of 645 patients treated with RC and PLND for UBC, originating from our multicenter cooperation program (2002-2022), stratified in two groups according to previous solid organ transplantation. Co-primary endpoints were OS and CSS, assessed using mixed-effects Cox-analysis. Secondary endpoints included postoperative complications, readmission-rates, operation time, estimated blood loss and length of stay. RESULTS: Of the 361 patients analyzed (median follow-up: 17 months), 23 were SOTRs. SOTRs exhibited lower 12-month (70% vs. 80%) and 24-month (36% vs. 68%) OS-rates compared to non-SOTRs (P=0.011). Corresponding CSS-rates were also lower for SOTRs at 12 (81% vs. 85%) and 24 months (55% vs. 76%) (P=0.016). Multivariable Cox-regression identified a prior solid organ transplant (OR:5.2; P=0.002), higher pathologic-stage (OR:3.8; P=0.03 for pT2, OR:3.6; P=0.04 for pT3, OR:4.5; P=0.03 for pT4), and administration of "any systemic treatment" (OR:0.3; P=0.001) as OS predictors. For CSS, predictors were a prior solid organ transplant (OR:3.0; P=0.03), higher pathologic-stage (OR:9.8; P=0.04 for pT3, OR:13; P=0.02 for pT4), and administration of "any systemic treatment" (OR:0.4; P=0.03). CONCLUSIONS: Solid organ transplant recipients undergoing RC and PLND for urinary UBC have worse survival outcomes compared to non-SOTRs. Our findings may impact patient counseling, follow-up, and planning future clinical trials.

• MeSH
• Cystectomy * methods   MeSH
• Middle Aged MeSH
• Humans MeSH
• Lymph Node Excision MeSH
• Survival Rate MeSH
• Urinary Bladder Neoplasms * surgery   mortality   pathology   MeSH
• Postoperative Complications epidemiology   MeSH
• Transplant Recipients MeSH
• Retrospective Studies MeSH
• Aged MeSH
• Organ Transplantation * MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Multicenter Study MeSH

UNLABELLED: Despite significant advances in knowledge and the development of guidelines, the management of hypoplastic left heart syndrome (HLHS) remains highly variable. A structured questionnaire was circulated across European Association of Paediatric & Congenital Cardiology (AEPC) affiliated centres. The aims were to evaluate standards in pre-operative assessment, types of surgery, follow-up and medical practices in children with HLHS. Thirty-one centres from 20 countries completed the survey. Delivery of babies with HLHS occurred in co-located maternity hospitals in 74% of centres; 29% were planned for spontaneous onset of labour, while 54% decided on a case-by-case basis. The preferred initial palliation was a right ventricle-pulmonary artery conduit in 55% of cases, modified Blalock-Thomas Taussig shunt (mBTTS) in 35%, and hybrid in 15% of cases. Timing for Glenn varied from 3 to 6 months of age and preoperative examination varied greatly: 65% performed cardiac catheterization and only 19% performed cardiac magnetic resonance. Stage III palliation was performed at a highly variable interval (2-6 years of age), nearly always employing an extracardiac conduit. Fenestration was routinely performed in 61% and reserved for borderline cases in 39%. All the centers adopted warfarin for the first 3-12 months after Fontan completion, and continued if a fenestration was present, while in non-fenestrated aspirin was left by most centers (e.g. 68%). However, there was a high disparity in the use of heart failure medications (e.g. in interstage I-II 35% use ACE-inhibitors, and only 26% digoxin). Follow-up practice also varied widely with only 60% employing specific protocols. CONCLUSION: This first multi-centre European survey from 31 centres from 20 different European countries highlighted a high practice variation in HLHS management across all the stages of Single Ventricle (Fontan) palliation. Major variations pertained to pre- and post-surgical investigations, surgical strategy for stage I and III, medical treatment regimens, and follow-up programs. WHAT IS KNOWN: • Hypoplastic left heart syndrome (HLHS) remains one of the most complex and challenging congenital cardiac defects to manage. • Investigating the management of children with HLHS across different European centres can facilitate study of the most effective management strategies. WHAT IS NEW: • Significant variation in HLHS management were reported in relation to pre- and post-surgical examinations, surgical strategy at stage I and III, medical treatment regimens, and follow-up programs. • Greater standardisation of imaging and diagnostic evaluation, medical treatment and follow-up surveillance may improve outcomes for these vulnerable patients and warrants further study.

• MeSH
• Child MeSH
• Infant MeSH
• Practice Patterns, Physicians' * statistics & numerical data   MeSH
• Humans MeSH
• Infant, Newborn MeSH
• Palliative Care MeSH
• Child, Preschool MeSH
• Surveys and Questionnaires MeSH
• Hypoplastic Left Heart Syndrome * surgery   diagnosis   therapy   MeSH
• Check Tag
• Child MeSH
• Infant MeSH
• Humans MeSH
• Infant, Newborn MeSH
• Child, Preschool MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Multicenter Study MeSH
• Geographicals
• Europe MeSH

Molecular dynamics simulations serve as a prevalent approach for investigating the dynamic behaviour of proteins and protein-ligand complexes. Due to its versatility and speed, GROMACS stands out as a commonly utilized software platform for executing molecular dynamics simulations. However, its effective utilization requires substantial expertise in configuring, executing, and interpreting molecular dynamics trajectories. Existing automation tools are constrained in their capability to conduct simulations for large sets of compounds with minimal user intervention, or in their ability to distribute simulations across multiple servers. To address these challenges, we developed a Python-based tool that streamlines all phases of molecular dynamics simulations, encompassing preparation, execution, and analysis. This tool minimizes the required knowledge for users engaging in molecular dynamics simulations and can efficiently operate across multiple servers within a network or a cluster. Notably, the tool not only automates trajectory simulation but also facilitates the computation of free binding energies for protein-ligand complexes and generates interaction fingerprints across the trajectory. Our study demonstrated the applicability of this tool on several benchmark datasets. Additionally, we provided recommendations for end-users to effectively utilize the tool.Scientific contributionThe developed tool, StreaMD, is applicable to different systems (proteins, ligands and their complexes including co-factors) and requires a little user knowledge to setup and run molecular dynamics simulations. Other features of StreaMD are seamless integration with calculation of MM-GBSA/PBSA binding free energies and protein-ligand interaction fingerprints, and running of simulations within distributed environments. All these will facilitate routine and massive molecular dynamics simulations.

• Publication type
• Journal Article MeSH

INTRODUCTION: Dynamic indices of fluid responsiveness (FR) such as pulse pressure variation (PPV) and stroke volume variation (SVV) differ among hemodynamic monitors, which use proprietary algorithms, and vary even over a short period of time. We aimed to compare the baseline values, fluctuation and predictive value for FR of PPV and SVV measured by three minimally invasive monitors. PATIENTS AND METHODS: Twenty patients undergoing high-risk abdominal surgery were included and 45 fluid challenges were analysed. The patients were simultaneously monitored using Carescape B650, LiDCO Rapid and FloTrac/Vigileo system. Cardiac output (CO), PPV and SVV were recorded before and after the fluid challenge of 500 ml of balanced crystalloid solution. An increase in CO ≥ 15 % defined fluid responders. Concurrently recorded arterial waveform was used for offline calculation of PPV. RESULTS: Mean baseline values of the indices ranged between 8.6 % and 13.4 %. LiDCO showed higher fluctuation of indices compared to the other monitors. Area under the receiver operating characteristic curve (AUROC) ranged from 0.71 to 0.76 with optimal cut-off value between 7.5 % and 13.9 %. AUROC increased for all indices when FR was defined as an increase in stroke volume. Furthermore, a decrease in PPV or SVV after fluid challenge (ΔPPV, ΔSVV) proved a better marker of FR (AUROC 0.82-0.93) than baseline values with a uniform threshold of approximately -3%. CONCLUSIONS: Although a significant range of baselines variations and optimal cut-off values was observed, the predictive value of PPV and SVV from all the monitors was only moderate and comparable. Nevertheless, ΔPPV and ΔSVV appear to be a reliable and device-independent markers of FR.

• Publication type
• Journal Article MeSH

The paper deals with coaching bachelor degrees for strength and conditioning coaches in selected universities in Canada, Norway, Czech Republic and Slovakia. All participating countries of the research set are full members of the Organization for Economic Co-operation and Development. Based on a content analysis of curricular documents, we identify and describe similarities and differences in approaches to strength and conditioning coaching bachelor degrees. They were apparent primarily in the qualification, content and practicum profile. The study shows that the coach's bachelor's degree has different qualifications, content and practicum profiles. It is even in sharp contrast to the bachelor's level in sports coaching in the Czech Republic and Slovakia, compared to the bachelor's level in kinesiology in Canada and sports science in Norway. The more specifically designed strength and conditioning coach bachelor level of education in the Czech Republic and Slovakia differed from schooling in Canada and Norway. The fundamental difference is the longer duration of the study program and the minor number of credit units at a Canadian institution compared to European institutions. The difference in the number of optional subjects is also striking. In European institutions, they make up a maximum of 16%; in Canadian institution, it represents almost half of all courses in the study program. An automatic CSCS (NSCA) certification program option is available in Canada.

MRI is becoming increasingly available and more common. However, it is a long examination, within a limited space, and making strong demands on the patient for proper co-operation. Using survey data collected by prospective questionnaire, this work examines the influence of patient preparation and type of MRI device on patients' subjective perception of the examination. The work analysed 800 patient questionnaires from 7 radiology centres, 12 MRI machines from 3 manufacturers. It was shown that 20% of patients were not informed at all or only insufficiently about the MRI examination by the referring physician, and this had a statistically significant effect on subjective perception as to the length of the examination. In claustrophobic patients, there was no significant difference in the perception of MRI examination between machine types (open vs. closed) or between bore size. This work demonstrated the influence of technical parameters of MRI devices on some other evaluated aspects in terms of patients' perception of MRI examinations (such as noise perception or peripheral nerves irritation) and that the preparation prior to the examination itself plays also an important role. Sufficient explanation from the referring physician, good workplace time management, and sufficient communication with the patient influence the subjective perception of the examination and thus indirectly its diagnostic benefit.

• MeSH
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Magnetic Resonance Imaging * methods   MeSH
• Adolescent MeSH
• Young Adult MeSH
• Perception MeSH
• Prospective Studies MeSH
• Surveys and Questionnaires MeSH
• Aged MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Adolescent MeSH
• Young Adult MeSH
• Male MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH

Acute pericarditis is a serious and potentially fatal disease in which a diagnostic workup is not always straightforward. Hiatal hernia, on the other hand, is often asymptomatic and can be easily diagnosed if symptomatic. In advanced forms of hiatal hernia, oppression of intrathoracic organs and heart failure can occur. In uncommon cases, the large intestine can also be translocated into the chest cavity, and very rarely, it can be perforated with the development of mediastinitis and/or pericarditis. We report the case of a 74-year-old female with a 1.5-month history of chest pain with elevated inflammatory markers. This patient was empirically treated with antibiotics for suspected pneumonia. After a few weeks, due to a worsening of the patient's condition, an echocardiogram and then a CT of the chest were performed, showing a large hiatal hernia and a very probable purulent pericarditis, necessitating a surgical exploration. A cardiac surgeon found stercoral contents in the pericardium, with a fistula at the apex of the heart. The operation continued with an exploration of the abdominal cavity; the general surgeon returned the massive hiatal hernia to the abdomen, the contents of which were the stomach and transverse colon. An extensive perforation in the transverse colon was found. Lavage, drainage, and resection of the affected part of the intestine were performed, and a permanent (terminal) colostomy was constructed. The patient was in severe septic shock with multiorgan failure and died 10 hours after surgery despite maximal therapy. This case highlights the importance of interdisciplinary cooperation and the importance of considering the possible fistula in the co-occurrence of hiatal hernia and pericarditis.

• Publication type
• Journal Article MeSH
• Case Reports MeSH

This review represents a continuation of the already published surveys on substances used in local, general inhalational, and intravenous anesthesia. The administration of a single active substance in these applications is rare, as it is not capable of inducing anesthesia without seriously compromising hemodynamic or respiratory functions, aggravating the operating conditions, or delaying the postoperative recovery. For this reason, other agents (benzodiazepines, opioid analgesics, presynaptic α2-adrenergic receptor agonists and peripheral myorelaxants) are standard components of general anesthesia (in addition to the anesthetic agents listed in the previous reviews), which improve the profile of each anesthetic agent. Each additive has an effect on the properties of the anesthetics used. The review contains the characteristics of individual groups of co-administered substances with their chemical structure, chemical IUPAC name, and pharmacological and pharmacokinetic profile. Chemical structures are organized into groups according to their structure or pharmacological effect and attention is also paid to their stereochemistry (presence of stereogenic center, chair form of cyclic systems).

• MeSH
• Anesthetics * pharmacology   therapeutic use   MeSH
• Benzodiazepines pharmacology   therapeutic use   MeSH
• Humans MeSH
• Analgesics, Opioid pharmacology   therapeutic use   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

Východiská: Štúdia mapuje prvé skúsenosti s pôso- bením školských zdravotníckych pracovníkov na Slovensku v oblasti kompetencií výchovy k zdraviu a ochrany a podpory zdravia, ktoré im vyplynuli z Odporúčaného postupu MZ SR. Súbor a metódy: Prieskum sme realizovali pomocou dotazníka vlastnej konštrukcie, ktorý distribuovalo MZ SR. Základný súbor tvorili školskí zdravotnícki pracovníci na Slovensku (n = 92), z ktorých 87 bolo sestier, 3 zdravotnícki záchranári a 2 verejní zdravot- níci. Na dotazník odpovedalo 67 z oslovených, čo bola 73 % návratnosť. Výsledky: Zistili sme, že všetci školskí zdravotnícki pracovníci sa v prvom roku implementácie preventív- neho postupu MZ SR na rozvoj prevencie v prostre- dí škôl a školských zariadení zaoberali jeho imple- mentáciou najmenej v jednej zo sledovaných troch nosných oblastí štandardu 1. odporúčané monitorin- gy a skríningy, 2. výchovno-vzdelávacie programy na rozvoj zdravotnej gramotnosti a 3. spolupráca so zdravotníckymi pracovníkmi a externými subjektmi. 42 školských zdravotníckych pracovníkov kontinuálne počas celého obdobia svojho pôsobenia aktívne vy- hľadávalo osoby v riziku zdravia, zdravotne oslabe- ných a chorých, 30 zaviedlo pravidelné výchovno- -osvetové prednášky na zdravotné témy (27 z nich dokonca ako prierezové do bežného vyučovania blo- kovo integrované tematické celky v zmysle odporú- čania), 13 nadviazalo spoluprácu s rodičmi, 11 vyko- návalo ranný filter, 11 nadviazalo spoluprácu so zdravotníckymi pracovníkmi a inými subjektmi z ex- terného prostredia, jeden si vytvoril vlastný monito- rovací dotazník na všetky odporúčané položky skrí- ningu, 1 inicioval vytvorenie izolačnej miestnosti s vybavením a lekárničkou v prostredí školy. Školskí zdravotnícki pracovníci poskytli v sledovanom obdo- bí v prostredí 92 škôl a školských zariadení prvú po- moc 854-krát, čo je priemerne 13 poskytnutí prvej pomoci na jednu školu alebo školské zariadenie. Záver: Zo štúdie vyplynulo, že prevencia vykonávaná školskými zdravotníckymi pracovníkmi dáva zmysel všetkým zainteresovaným – deťom a mladistvým, pedagogickým zamestnancom, riaditeľom škôl aj sa- motným školským zdravotníkom a už v prvom roku implementácie priniesla konkrétne výsledky v podo- be podpory zdravia detí, ktoré sú špecifikované vo výsledkoch štúdie. Na podporu vlastnej odbornej čin- nosti v oblasti ochrany a podpory zdravia ako aj re- alizovanej zdravotnej výchovy a osvety by školskí zdravotnícki pracovníci potrebovali zabezpečiť meto- dické materiály a učebné pomôcky najmä na reali- záciu interaktívnych výchovno-vzdelávacích aktivít a ďalšie materiálno-technické vybavenie – hlavne zdravotnícky materiál na poskytovanie zdravotnej sta- rostlivosti v prostredí školy alebo školského zariade- nia, pravidelne organizované stretnutia k výmene skúseností, podporu MZ SR a MŠVVaŠ SR v imple- mentácii štandardu a v komunikácii a byť súčasťou školských podporných tímov.

Background: The study maps the first experiences with the work of school health professionals in Slovakia in the field of health education and health protection and promotion competencies, which resul- ted from the Recommended Procedure of the Ministry of Health of the Slovak Republic. File and methods: We carried out the survey using a questionnaire of our own design, which was dis- tributed by the Ministry of Health of the Slovak Republic. The basic set consisted of school health professionals in Slovakia (n = 92), of which 87 were nurses, 3 rescue professionals and 2 public health professionals. 67 of the respondents answered the questionnaire, which was a 73 % return rate. Results: We found that in the first year of implemen- tation of the preventive procedure of the Ministry of Health of the Slovak Republic for the development of prevention in the environment of schools and school facilities, all school health workers were en- gaged in its implementation in at least one of the monitored three supporting areas of the standard 1. recommended monitoring and screenings, 2. educa- tional programs to develop health literacy and 3. co- operation with health workers and external entities. 42 school health workers continuously during the entire period of their work actively searched for per- sons at risk of health, health-impaired and sick, 30 introduced regular educational and educational lec- tures on health topics (27 of them even as cross- -sectional thematic units integrated into regular te- aching in the sense of the recommendation), 13 established cooperation with parents, 11 performed the morning filter, 11 established cooperation with health professionals and other entities from the ex- ternal environment, one created its own monitoring questionnaire for all recommended screening items, 1 initiated the creation of an isolation room equip- ped with a first-aid kit in the school environment. During the monitored period, school health workers provided first aid 854 times in the environment of 92 schools and school facilities, which is an average of 13 first aid per school or school facility. Conclusion: The study showed that the prevention carried out by school health professionals makes sen- se to all involved - children and adolescents, teaching staff, school principals and school health professio- nals themselves, and already in the first year of im- plementation it brought concrete results in the form of children’s health support, which are specified in the results of the study. To support their own pro- fessional activity in the field of health protection and promotion as well as health education and aware- ness, school health workers would need to provide methodological materials and teaching aids, especial- ly for the implementation of interactive educational activities and other material and technical equipment - mainly medical material for providing health care in the environment of a school or school facility, re- gularly organized meetings to exchange experiences, support of the Ministry of Health of the Slovak Republic and the Ministry of Education and Culture of the Slovak Republic in the implementation of communication and being part of school support te- ams.

• MeSH
• Surveys and Questionnaires MeSH
• School Nursing MeSH
• School Health Services MeSH
• Schools MeSH
• Health Education MeSH
• Geographicals
• Slovakia MeSH