This conceptual study introduces the "virtual waiting room," an innovative, interactive, web-based platform designed to enhance the waiting experience in oncology by providing personalized, educational, and supportive content. Central to our study is the implementation of the circular entry model, which allows for non-linear navigation of health information, empowering patients to access content based on their immediate needs and interests. This approach respects the individual journeys of patients, acknowledging the diverse pathways through which they seek understanding and manage their health. The virtual waiting room is designed not only to support patients but also to facilitate stronger communication and shared understanding between patients, caregivers, and families. By providing a shared digital space, the platform enables caregivers and family members to access the same information and resources, thereby promoting transparency and collective knowledge. This shared access is crucial in managing the emotional complexities of oncology care, where effective communication can significantly impact treatment outcomes and patient well-being. Furthermore, the study explores how the circular entry model within the virtual waiting room can enhance patient autonomy and engagement by offering customized interactions based on user feedback and preferences. This personalized approach aims to reduce anxiety, improve health literacy, and prepare patients more effectively for clinical interactions. By transforming passive waiting into active engagement, the virtual waiting room turns waiting time into a meaningful, informative period that supports both the psychological and informational needs of patients and their support networks.

• MeSH
• komunikace MeSH
• lékařská onkologie * MeSH
• lidé MeSH
• nádory * psychologie   terapie   MeSH
• vyprávění MeSH
• vzdělávání pacientů jako téma MeSH
• zdravotní gramotnost MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

Úvod: Současný demografický vývoj zvyšuje potřebu hledání efektivních způsobů podpory starší populace, zejména v oblasti duševního zdraví, životní pohody a soběstačnosti. V ordinacích praktických lékařů se stále častěji objevují pacienti, jejichž potřeby přesahují rámec farmakologické léčby. Jedním z možných přístupů jak s touto tendencí pracovat je tzv. „social prescribing“ – doporučování nefarmakologických a komunitních intervencí jako součást komplexní zdravotní péče. Přehled konceptu: Social prescribing je inovativní mezioborový přístup, který propojuje zdravotní a sociální profesionální péči s neformální podporou a dostupnými komunitními zdroji. Jeho cílem je poskytovat individualizovanou podporu přizpůsobenou potřebám jednotlivce i charakteru komunity, ve které žije, a zároveň odlehčit systému profesionální zdravotní péče. Důraz je kladen na aktivní zapojení člověka do života v komunitě s ohledem na jeho zdravotní, sociální, emocionální i praktické potřeby ovlivňující jeho zdraví. Příklad z praxe: Článek dále představuje mezinárodní studii RECETAS, která zkoumá potenciál social prescribing aktivit v přírodním prostředí při snižování osamělosti a zlepšování kvality života u seniorů žijících ve městech. Studie se zaměřuje na možnosti propojení zdravotní péče s komunitními programy podporujícími duševní zdraví a jedním z míst, kde studie probíhá je Praha. Závěr: Social prescribing představuje perspektivní doplněk klasické profesionální péče, který může obohatit praxi i v českém prostředí. Podporuje aktivní stárnutí, duševní pohodu a propojení formální a neformální péče o seniory. Pro jeho širší využití je však klíčová další odborná diskuse, výzkumné ověření a institucionální ukotvení v systému zdravotní a sociální péče.

Novotná B, Bártová A, Šlemarová G, Macháčová K, Holmerová I. Beyond medications: Social prescribing for older persons Introduction: Current demographic trends are increasing the need to develop effective approaches to support the growing older population, particularly in areas such as mental health, well-being, and self-sufficiency. General practitioners are increasingly encountering patients whose needs extend beyond pharmacological treatment. One emerging approach is known as social prescribing – the recommendation of non-pharmacological and community-based interventions as part of comprehensive care. Conceptual Framework: Social prescribing is an innovative, interdisciplinary approach that integrates professional healthcare and social services with informal support and locally available community resources while also reducing the burden on the health care system. Its primary aim is to provide individualized care tailored to the needs of each person and their community context. The emphasis is on encouraging meaningful participation and active engagement in community life, considering the individual’s health, social, emotional, and practical needs. Research-Based example: The article also presents the international RECETAS study, which investigates the potential of nature-based social prescribing interventions to reduce loneliness and enhance the quality of life among older adults living in urban environments. The study explores how healthcare can be meaningfully linked to community programs that support mental health and social inclusion. Conclusion: Social prescribing offers a promising complement to traditional care and has the potential to enrich clinical practice in the Czech Republic. It promotes active aging, mental well-being, and the integration of formal and informal support systems for older people. However, broader implementation requires further expert discussion, empirical validation, and institutional integration into the health and social care systems.

Onkochirurgické operace vyžadující resekci předního segmentu dolní čelisti představují z hlediska funkční rekonstrukce jedny z nejnáročnějších výkonů. Dříve využívané rekonstrukce ocelovými dlahami vedly k vysoké morbiditě a neuspokojivým funkčním výsledkům. V posledních letech je na Klinice otorinolaryngologie a chirurgie hlavy a krku FN u sv. Anny v Brně preferováno využití technologie 3D předoperačního plánování. V prezentované kazuistice je detailně popsán postup virtuálního plánování, využití koncepčních 3D modelů a resekčních šablon a jsou diskutovány výhody a nevýhody využití 3D technologie při mandibulární rekonstrukci.

Oncological surgical procedures involving resection of the anterior segment of the mandible represent in terms of functional reconstruction one of the most challenging procedures. Previously used reconstruction methods with steel plates resulted in high morbidity and unsatisfactory functional outcomes. In recent years, the Department of Otorhinolaryngology and Head and Neck Surgery at St. Anne‘s University Hospital in Brno has preferred the use of 3D preoperative planning technology. The presented case report provides a detailed description of the virtual planning process, the use of conceptual 3D models and cutting guides, and discusses the advantages and disadvantages of using 3D technology in mandibular reconstruction.

• MeSH
• 3D tisk metody   MeSH
• autologní štěp chirurgie   transplantace   MeSH
• lidé MeSH
• rekonstrukce mandibuly * metody   přístrojové vybavení   MeSH
• senioři MeSH
• transplantace kostí metody   přístrojové vybavení   MeSH
• zobrazování trojrozměrné metody   MeSH
• Check Tag
• lidé MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• kazuistiky MeSH

OBJECTIVE: To ensure wider use of the internationally recommended Fugl-Meyer Assessment (FMA) of sensorimotor function for people with stroke, official translations of the scale are needed. This study aimed to perform a translation and cross-cultural adaptation/validation of the FMA into the Czech language. DESIGN: Translation and cross-cultural adaptation/validation. SUBJECTS/PATIENTS: Five clinical experts and 1 external expert participated as reviewers; 11 individuals with stroke in the early subacute phase were included in the pilot testing. METHODS: A standardized process using forward-backward translations, expert panel reviews, and pilot testing between and within the raters (inter- and intra-rater reliability) were employed to ensure conceptual, semantic, and operational validity of the new Czech FMA. Agreement between raters was assessed in 11 individuals with stroke on 2 consecutive days at University Hospital Olomouc by using Svensson's rank-based statistics. RESULTS: Percentage of agreement between and within raters ranged between 70-100% and 55-100%, respectively. Systematic disagreements, found in 7 out of 96 FMA items, were discussed and revised in the final version. CONCLUSION: The Czech FMA offers a more unified and standardized assessment of sensorimotor impairment in clinical and research settings. This will improve stroke rehabilitation care and allow for wider international collaboration.

• MeSH
• cévní mozková příhoda * patofyziologie   MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• pilotní projekty MeSH
• posuzování pracovní neschopnosti * MeSH
• překlady MeSH
• rehabilitace po cévní mozkové příhodě * MeSH
• reprodukovatelnost výsledků MeSH
• senioři MeSH
• srovnání kultur MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• validační studie MeSH
• Geografické názvy
• Česká republika MeSH

JBI has long held the view that an inclusive approach to the conceptualization of what counts as evidence is important to the evidence-based movement. JBI's approach for appraising textual evidence had encompassed all forms of text (narrative, opinion, and policy), with one general tool used to guide critical appraisal. The proliferation of textual evidence and increase in textual evidence reviews demonstrate the need to reconceptualize JBI's methodological approach to critically appraising textual evidence. The objective of this paper is to outline the updated methodological approach to systematic reviews of textual evidence, especially in relation to the development of 3 separate critical appraisal tools for narrative, expert opinion, and policy text. Using an adapted Delphi approach, the JBI Textual Evidence Methodology Group convened over several rounds of meetings and discussions with international experts to reach consensus on the reconceptualization of critical appraisal tools for textual evidence sources. Strategies to effectively interrogate the legitimacy and authenticity of sources were found to be dependent upon the type of textual evidence under review. Therefore, 3 separate critical appraisal tools for narrative, expert opinion, and policy text were developed. This paper provides an overview of the development of 3 separate critical appraisal tools, highlighting the complex nature of textual evidence data sources.

• MeSH
• delfská metoda MeSH
• lidé MeSH
• medicína založená na důkazech * metody   MeSH
• periodika jako téma MeSH
• přehledová literatura jako téma MeSH
• redakční směrnice MeSH
• systematický přehled jako téma MeSH
• vyprávění MeSH
• výzkumný projekt MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

In recent decades, neuroscience has advanced with increasingly sophisticated strategies for recording and analysing brain activity, enabling detailed investigations into the roles of functional units, such as individual neurons, brain regions and their interactions. Recently, new strategies for the investigation of cognitive functions regard the study of higher order interactions-that is, the interactions involving more than two brain regions or neurons. Although methods focusing on individual units and their interactions at various levels offer valuable and often complementary insights, each approach comes with its own set of limitations. In this context, a conceptual map to categorize and locate diverse strategies could be crucial to orient researchers and guide future research directions. To this end, we define the spectrum of orders of interaction, namely, a framework that categorizes the interactions among neurons or brain regions based on the number of elements involved in these interactions. We use a simulation of a toy model and a few case studies to demonstrate the utility and the challenges of the exploration of the spectrum. We conclude by proposing future research directions aimed at enhancing our understanding of brain function and cognition through a more nuanced methodological framework.

• MeSH
• kognice fyziologie   MeSH
• lidé MeSH
• modely neurologické MeSH
• mozek * fyziologie   MeSH
• neurony fyziologie   MeSH
• neurovědy * metody   MeSH
• zvířata MeSH
• Check Tag
• lidé MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

BACKGROUND AND OBJECTIVES: Great-grandparenthood brings a new internal dynamic to intergenerational relationships in which contact between 4 generations is now the norm. In this scoping review, we sought to identify the roles of great-grandparents and what those roles entail. RESEARCH DESIGN AND METHODS: We performed a review using PRISMA-ScR to identify peer-reviewed studies investigating the roles of great-grandparents. The reviewed articles were selected from 4 databases. The article selection conditions were met by 23 studies that used quantitative or qualitative methods. The studies had to be published in English; the selected publications spanned 8 countries. RESULTS: The scoping review covers a collection qualitative and quantitative research with different types of respondents (great-grandchild, grandparents, great-grandparents, etc.). An important element was a statement on great-grandparenting from at least 1 of the 4 generations. We selected 23 articles from an initial selection of 176 studies. The studies were heterogeneous in conceptual frameworks, collection methods, and interview conduct, with qualitative methods predominating over quantitative methods. DISCUSSION AND IMPLICATIONS: Based on research on great-grandparenting, the roles of great-grandparents can be categorized as continuing, insignificant, or significant. Each role category has a specific function and each represents a different meaning for the great-grandparents within the family. Several factors and constraints frame the great-grandparent roles. Based on the research results, some characteristics are shared by all role categories despite the dividing elements.

• MeSH
• kvalitativní výzkum MeSH
• lidé MeSH
• prarodiče * psychologie   MeSH
• role MeSH
• senioři MeSH
• vztahy mezi generacemi * MeSH
• Check Tag
• lidé MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

It is now widely recognized that an inclusive approach to evidence to inform policy and practice is necessary. Although methodologies for the synthesis of qualitative and quantitative evidence are well established, the synthesis of non-research evidence remains relatively new. In 2004, JBI developed a methodological approach to synthesize this type of evidence, advocating for the unique role of textual evidence when research to inform decision-making is limited. The JBI approach has recently been revised to reflect significant changes and advances in thinking and conceptualization of conducting textual evidence systematic reviews. The evolution of this methodology and the recent changes that have been made are articulated in this paper.

• MeSH
• lidé MeSH
• medicína založená na důkazech metody   MeSH
• přehledová literatura jako téma MeSH
• systematický přehled jako téma * metody   MeSH
• výzkumný projekt normy   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

OBJECTIVE: The aim of this qualitative study is to develop a conceptual model for the school life of the children with epilepsy based on grounded theory methodological framework. METHODOLOGY: A total of 20 children with epilepsy participated in the semi-structured interviews. Inclusion criteria were age of 8-15 years, IQ higher than 70, duration of epilepsy of at least of two years and attendance of mainstream schools. 15 children had never seizure in school and 16 of them have not had a seizure in last 12 months. Qualitative research data was processed based on grounded theory with open coding leading consecutively to several main categories, axial coding establishing connections between individual categories, and finally selective coding resulting in one central category which was the core of the developed conceptual model. RESULTS: Eight main categories were identified during open coding: type of epilepsy and its management, sources of stress at school, adaptive responses to stressors, safe school environment in relation to (a) epilepsy and (b) learning, family support, stability of experience and behavior, and positive self-concept. Axial and selective coding resulted in establishment of Adaptive responses to stressors as the central category which is in the developed conceptual model determined by relevant external and internal factors as well as the sources enabling effective adaptation. CONCLUSIONS: The presented research emphasize the importance of adaptive responses to stressors in the school environment among children with epilepsy which may be useful in counselling focused on how to avoid or successfully manage possible traumatizing experience related with epilepsy in this group.

• MeSH
• adaptace psychologická fyziologie   MeSH
• dítě MeSH
• epilepsie * psychologie   epidemiologie   MeSH
• lidé MeSH
• mladiství MeSH
• psychický stres psychologie   MeSH
• školy * MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

OBJECTIVES: To evaluate the base excess response during acute in vivo carbon dioxide changes. DESIGN: Secondary analysis of individual participant data from experimental studies. SETTING: Three experimental studies investigating the effect of acute in vivo respiratory derangements on acid-base variables. SUBJECTS: Eighty-nine (canine and human) carbon dioxide exposures. INTERVENTIONS: Arterial carbon dioxide titration through environmental chambers or mechanical ventilation. MEASUREMENTS AND MAIN RESULTS: For each subject, base excess was calculated using bicarbonate and pH using a fixed buffer power of 16.2. Analyses were performed using linear regression with arterial dioxide (predictor), base excess (outcome), and studies (interaction term). All studies show different baselines and slopes for base excess across carbon dioxide titrations methods. Individual subjects show substantial, and potentially clinically relevant, variations in base excess response across the hypercapnic range. Using a mathematical simulation of 10,000 buffer power coefficients we determined that a coefficient of 12.1 (95% CI, 9.1-15.1) instead of 16.2 facilitates a more conceptually appropriate in vivo base excess equation for general clinical application. CONCLUSIONS: In vivo changes in carbon dioxide leads to changes in base excess that may be clinically relevant for individual patients. A buffer power coefficient of 16.2 may not be appropriate in vivo and needs external validation in a range of clinical settings.

• MeSH
• acidobazická rovnováha * fyziologie   MeSH
• dospělí MeSH
• hyperkapnie patofyziologie   metabolismus   MeSH
• koncentrace vodíkových iontů MeSH
• lidé MeSH
• oxid uhličitý * metabolismus   MeSH
• poruchy acidobazické rovnováhy patofyziologie   metabolismus   MeSH
• psi MeSH
• umělé dýchání MeSH
• zvířata MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• psi MeSH
• ženské pohlaví MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH