• Klíčová slova
• klasifikace CEAP,
• MeSH
• diosmin farmakologie   terapeutické užití   MeSH
• dolní končetina anatomie a histologie   patofyziologie   MeSH
• endovaskulární výkony metody   MeSH
• flavonoidy farmakologie   terapeutické užití   MeSH
• lidé MeSH
• varixy etiologie   farmakoterapie   MeSH
• vény anatomie a histologie   patofyziologie   MeSH
• žilní insuficience * diagnóza   farmakoterapie   klasifikace   komplikace   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH

FOREWORD. WOUND HYGIENE: THE NEXT STAGE: Since a panel published the first consensus document on Wound Hygiene in March 2020, there has been a flurry of activity in support of this newly established concept in proactive wound healing.1 The document concluded that all wounds, particularly hard-to-heal ones, will benefit from Wound Hygiene, which should be initiated at the first referral, following a full holistic assessment to identify the wound aetiology and comorbidities, and then implemented at every dressing change until full healing occurs.1 The consensus has since been bolstered by educational webinars; competency-based skills training and support; development of international Wound Hygiene ambassadors; a survey of 1478 respondents, published in July 2021;2 and a case study supplement, published in January 2022, featuring a range of wound types, anatomies and underlying conditions on the improvements in wound-healing progress that can be achieved.3 Wound Hygiene has gained its own identity and is now a term in and of itself, that encompasses a 4-step protocol of care. It is an antibiofilm approach that is increasingly being used across wound care. The results of the survey2 were particularly encouraging for seeing how far Wound Hygiene has come, and how quickly: More than half (57.4%) had heard of the concept of Wound Hygiene Of those, 75.3% have implemented Wound Hygiene Overall, following implementation of Wound Hygiene, 80.3% of respondents reported improved healing rates.2 However, the top three barriers identified by the survey-lack of confidence, competence and research data-show that there is more to be done to support Wound Hygiene in practice.2 As a result, a consensus panel of international key opinion leaders convened virtually in the summer of 2021 to discuss what has been done so far, the outputs of the survey, and ideas for addressing the unmet needs identified by the results. The result is this publication, which represents an addendum to the initial consensus document, broadening support for implementation of Wound Hygiene. This document will reflect on the reasons Wound Hygiene has been successful in its first two years of implementation, reiterating its DNA: Do not wait to treat hard-to-heal wounds Use a simple 4-step approach Enable all healthcare professionals to implement and use Wound Hygiene. The document will also discuss the evolution of the Wound Hygiene concept, focusing on how and when to implement Wound Hygiene on all tissue types of hard-to-heal wounds, and proposing what these are. The panel has expanded the framework in which Wound Hygiene is used, with the ultimate objective of introducing the concept of 'embedding Wound Hygiene intro a proactive wound healing strategy.' Key inefficiencies are often observed along the journeys of people living with hard-to-heal wounds. The limited number of specialised healthcare professionals and the resulting delays in reaching them may increase the likelihood of a hard-to-heal wound developing. In a world where so much is happening so quickly that we may, at times, feel powerless to drive change, the panel wants to provide further guidance to propel the use of Wound Hygiene. The concept of Wound Hygiene is resonating, and the panel wants you to know that in whatever region you work, in whatever area of clinical practice, you are enabled to make this change. Wielding the 4-step Wound Hygiene protocol consistently is a key action every healthcare professional in every care setting can take to tackle the global wound care crisis. Wound Hygiene has taken off-now, where do we want to land? In a place where Wound Hygiene is practised on all wounds, at every stage, until healing. The panel once again recognises that the community of global healthcare providers should consider their local standards and guidelines when applying the recommendations of this document. To this end, the panel has created a flexible 3-phase framework that situates Wound Hygiene as integral to proactive wound healing. The panel hopes you will continue to implement Wound Hygiene and see the benefits it can bring to people living with wounds, as well as those who care for them.

• MeSH
• hojení ran * MeSH
• hygiena MeSH
• konsensus MeSH
• konziliární vyšetření a konzultace * MeSH
• lidé MeSH
• průzkumy a dotazníky MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

OBJECTIVE: The aim of this single-center study was to identify factors that affect the short-term outcome of newborns delivered around the limits of viability. METHODS: A group of 137 pregnant women who gave birth between 22+0/7 and 25+6/7 weeks of gestation was retrospectively studied. The center supports a proactive approach to infants around the limits of viability. Perinatal and neonatal characteristics were obtained and statistically evaluated. RESULTS: A total of 166 live-born infants were enrolled during a 6-year period; 162 (97.6%) of them were admitted to the neonatal intensive care unit (ICU) and 119 (73.5%) survived until discharge. The decrease in neonatal mortality was associated with an advanced gestational age (P<0.001) and a completed course of corticosteroids (P=0.002). Neonatal morbidities were common among infants of all gestational ages. The incidence of severe intraventricular hemorrhage significantly depended on gestational age (P<0.001) and a completed course of corticosteroids (P=0.002). Survival without severe neonatal morbidities was 39.5% and occurred mostly after 24+0/7 weeks of gestation. CONCLUSION: The short-term outcome of newborns delivered around the limits of viability is mostly affected by gestational age and antenatal corticosteroid treatment. A consistently proactive approach improves the survival of infants at the limits of viability. This is most pronounced in cases where the delivery is delayed beyond 24 completed gestational weeks.

• MeSH
• kojenec MeSH
• kojenecká mortalita * MeSH
• lidé MeSH
• novorozenci extrémně nezralí * MeSH
• novorozenec MeSH
• retrospektivní studie MeSH
• těhotenství MeSH
• výsledek těhotenství * MeSH
• Check Tag
• kojenec MeSH
• lidé MeSH
• mužské pohlaví MeSH
• novorozenec MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

The present study examines, as research questions, which and to what extent psychological and demographic variables significantly predict individual, community, and societal resilience among a sample of Czech Republic adults (N = 1,100) six months after the Russian invasion of Ukraine. The research tools included the following scales: Societal, community, and individual resilience; hope, well-being; morale; distress symptoms; a sense of danger; and perceived threats. The results indicated the following: (a) Correlation analysis shows that resilience is significantly and positively correlated with supporting coping factors and significantly and negatively correlated with suppressing coping factors. (b) A comparison of supporting coping indicators (hope, well-being, and morale) and suppressing coping indicators (distress symptoms, sense of danger, and perceived threats) in the Czech Republic with those variables in Slovakia and Israel indicated that Israel reported higher resilience, higher supporting coping indicators, and lower suppressing coping factors. Three-path analysis among the Czech sample indicated that the best predictor of SR was the level of hope, the best predictor of CR was morale, and the best predictor of IR was the sense of danger. In an attempt to explain these findings in the discussion section, we refer to the background of Czech society and a possible connection to the findings.

• MeSH
• copingové dovednosti MeSH
• dospělí MeSH
• lidé MeSH
• psychická odolnost * MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH
• Slovenská republika MeSH
• Ukrajina MeSH

Hlavným cieľom nášho kvalitatívneho výskumu bolo zmapovať emočné prežívanie ukrajinských študentov na Slovensku počas vojny a identifikovať ich stratégie zvládania emócií. Výskumný súbor tvorilo 6 participantov, z toho 2 boli muži a 4 ženy s priemerným vekom 20 rokov. Na získanie údajov boli použité pološtrukturované rozhovory. Na analýzu dát bola použitá metóda vytvárania trsov. Výsledky výskumu preukázali, že vojnový konflikt u ukrajinských študentov vyvolal širokú paletu negatívnych emócií, ktorých intenzita sa postupne zmierňovala. Nápomocnými stratégiami boli odpútanie pozornosti a vyhľadávanie sociálnej podpory. Voči ruským študentom neprežívajú negatívne emócie, ich vzťahy sa ešte viac prehĺbili a prežívajú reciprocitu

The main goal of this qualitative research was to understand emotions of ukrainian students in Slovakia during Russian invasion and identify strategies of coping with their emotions. The research group consisted of 6 respondents, of which were 2 men and 4 women of average age 20. We used individual semi-structured interviews to obtain the data. The bunching method was used for data analysis. The results of the research showed that huge palette of their negative emotions started to gradually soften. Helpful strategies such as attentional deployment and searching for social support were found to be the most important for ukrainian students. Regarding their relationships, ukrainian students don't feel negative emotions towards russian students, their relationships have been deepened.

• MeSH
• copingové dovednosti MeSH
• emoční regulace * MeSH
• lidé MeSH
• mladý dospělý psychologie   MeSH
• ozbrojené konflikty psychologie   MeSH
• rozhovory jako téma MeSH
• studenti psychologie   MeSH
• Check Tag
• lidé MeSH
• mladý dospělý psychologie   MeSH
• Geografické názvy
• Ukrajina MeSH

Senioři s onkologickým onemocněním tvoří mezi pacienty početnou nehomogenní skupinu se specifickými charakteristikami, které souvisí i s jejich způsobem zvládání zátěže. Tyto strategie, jak se s náročnou životní situací vyrovnat, jsou ovlivněny nejen typem onemocnění, celkovou náročností léčby a prognózou, ale rovněž biopsychosociálními faktory, které se typicky pojí s obdobím stáří, osobnostními charakteristikami a předchozími životními zkušenostmi. Strategie zvládání zátěže onkologicky nemocného seniora představují aspekt, který svým vlivem zasahuje do všech oblastí komplexní individuální péče, včetně ošetřovatelské. Jeho reflexe může přispět k efektivnějšímu zvládání komplexnosti situace takového pacienta i zvýšení kvality jeho života.

Older adults with cancer represent a large non-homogeneous group of patients with specific characteristics that also relate to their coping with stress and challenging life situations. These coping strategies are affected not only by the type of disease, overall difficulty of treatment, and prognosis but also by biopsychosocial factors typically associated with old age, personality characteristics, and previous life experiences. Strategies for managing the stress of older adults with cancer represent an effect that, by its impact, interferes with all areas of complex care, including nursing. Its reflection can contribute to more effective management of the complexity of such a patient's situation and increase the quality of his life.

• MeSH
• copingové dovednosti * metody   MeSH
• geriatrické ošetřovatelství MeSH
• kvalita života MeSH
• lidé MeSH
• nádory * psychologie   MeSH
• senioři psychologie   MeSH
• vzdělávání pacientů jako téma MeSH
• Check Tag
• lidé MeSH
• senioři psychologie   MeSH
• Publikační typ
• přehledy MeSH

Breast cancer belongs to the most commonly diagnosed malignancies worldwide, with its increasing incidence paralleled by advances in early diagnostics and effective treatments resulting in significantly improved survival rates. However, breast cancer survivors often experience significantly reduced quality of life linked to the long-term health burden as a consequence of aggressive oncological treatments applied. Their most frequently recorded complains include chronic fatigue, reduced physical activity, disordered sleep, chronification of pain, and severe mental health impairments-all per evidence are associated with compromised mitochondrial health and impaired homeostasis. Self-report of a breast cancer survivor is included in this article to illustrate currently uncovered patient needs. This article highlights mechanisms behind the suboptimal health of breast cancer survivors associated with mitochondrial damage, and introduces a novel, mitochondria-based holistic approach addressing rehabilitation concepts for breast cancer survivors following advanced principles of predictive, preventive and personalised medicine (3PM). By operating via mitochondrial function, the proposed holistic approach triggers systemic effects at molecular, sub/cellular and organismal levels positively affecting energy metabolism, repair mechanisms as well as physical and mental health creating, therefore, highly effective rehabilitation algorithms tailored to an individualised patient profile. The proposed methodology integrates mitochondrial health assessments utilising mitochondrial homeostasis biomarkers in tear fluid as a non-invasive diagnostic tool, tailored nutraceuticals and lifestyle adjustments. The introduced approach aligns with advanced principles of 3PM, offering a holistic and proactive framework for managing persistent post-treatment symptoms of suboptimal health in the cohort of cancer survivors. Furthermore, presented approach is also applicable to pre-habilitation programmes considering needs of other patient cohorts affected by chronic diseases such as CVD and orthopaedic disorders with planned major surgical incisions, who require individually adapted pre- and rehabilitation programmes. Implementing such innovative pre- and rehabilitation strategies may lead to a full recovery, sustainable health conditions and, therefore, facilitating patients' comeback to normal daily activities, family and professional life. Contextually, presented approach is considered a 'proof-of-principle' model for the 3PM-related paradigm shift from reactive medicine to a cost-effective holistic health management in both primary and secondary care benefiting a large spectrum of affected patient cohorts, individuals in suboptimal health conditions as well as society at large.

• Publikační typ
• časopisecké články MeSH

Záměrem výzkumu bylo zjistit využívání copingových strategií a podpůrných mechanismů po mimořádné události – tornádu na Moravě 24. 6. 2021. Ač jde v České republice o ojedinělou událost, v budoucnu se může opakovat v podobě jiné přírodní katastrofy nebo mimořádné události. Zvládací strategie hrají klíčovou roli v tom, jak nakonec vše dopadne a jakým způsobem člověk situaci zvládne; zda bude pro něj přínosem, nebo ho poznamená po zbytek života. Soubor tvořilo 52 respondentů, kteří splnili stanovená kritéria a byli zasaženi. Sběr dat byl realizován prostřednictvím dotazníku Brief COPE a kvalitativně formulovaných otázek, na které respondenti mohli volně odpovídat. Zjistili jsme, že nejčastěji využívané strategie byly na problém orientované. Z toho nejvíce využívanou byl aktivní coping, přijetí a plánování. Nejméně využívanou strategií bylo sebeobviňování, vzdání se a náboženství. Mezi podpůrnými mechanismy, které lidem nejvíce pomohly, byla sociální opora. Uplatnění copingových strategií zaměřených na problém a využití sociální opory po podobných událostech je jednou z možností, jak zvládnout mimořádné události v našich životech.

Aim of the research was to find out the use of coping strategies and supportive mechanisms after major emergency - tornado in Moravia on 24th June 2022. Although it is an isolated instance in the Czech Republic, it may repeat in the future in the form of another natural disaster or emergency. Coping strategies play a key role in how it will all turn out and how a man will handle the situation; whether it will be a benefit for him or it will leave marks on him for the rest of his life. The group consisted of 52 respondents who met the given criteria and were hit by tornado. Data were collected by the help of Brief COPE questionnaire and qualitatively formulated questions which the respondents could freely answer. We found out that the most used strategies were problem- oriented. Active coping, acceptance and planning were mostly used. The least used strategy was self-accusation, giving-up and religion. The most helpful supportive mechanism for people was a social support. Use of the problem-oriented coping strategies and use of the social support after similar events is one of the ways how to handle emergencies.

• Klíčová slova
• Morava,
• MeSH
• copingové dovednosti * MeSH
• lidé MeSH
• psychický stres psychologie   MeSH
• sociální opora psychologie   MeSH
• tornáda MeSH
• zpráva o sobě MeSH
• Check Tag
• lidé MeSH
• Geografické názvy
• Česká republika MeSH

Cíl: Popsat strategie zvládání stresu (coping) a prožívaný stres v souvislosti s neplodností u mužů a žen podstupujících léčbu in vitro fertilizace (IVF). Zjistit, zda jsou mezi ženami a muži rozdíly v prožívání a zároveň vytipovat adaptivní a neadaptivní strategie pro zvládání neplodnosti. Soubor a metoda: Korelační studie, 162 pacientů s primární neplodností (99 žen a 63 mužů), kteří podstupovali léčbu IVF v Sanus Pardubice, vyplnilo psychologické dotazníky Fertility Problem Inventory a COPE Inventory. Výsledky: Mezi muži a ženami nebyl nalezen statisticky významný rozdíl v míře prožívaného stresu. Nejčastěji užívali muži i ženy copingové strategie pozitivní reinterpretace, plánování a akceptace, muži užívali signifikantně častěji než ženy strategii zdrženlivost, potlačení a plánování, ženy užívaly signifikantně častěji než muži strategie využívání emoční sociální opory a náboženský coping. U žen i mužů signifikantně korelovala s celkovou mírou prožívaného stresu strategie popření v pozitivním směru, strategie pozitivní reinterpretace a akceptace v negativním směru. Závěr: Nedobrovolně bezdětné ženy a muži v léčbě IVF prožívají podobný stres, užívají ale mírně odlišné copingové strategie. Pro muže i ženy se jako adaptivní copingové strategie ukazují pozitivní reinterpretace a akceptace, jako neadaptivní popření.

Aim: To describe coping strategies and infertility stress in men and women undergoing in vitro fertilization (IVF) treatment. To determine whether there are differences in coping strategies between men and women and to identify adaptive and non-adaptive coping strategies for infertility. Materials and methods: A correlational study, where 162 patients (99 women and 63 men) with primary infertility undergoing IVF treatment at Sanus Pardubice completed the Fertility Problem Inventory and COPE Inventory psychological questionnaires. Results: There were no significant differences between women and men in experiencing infertility stress. The coping strategies used most frequently by both men and women were Positive Reinterpretation, Planning, and Acceptance; men used the strategies Restraint, Suppression, and Planning significantly more frequently than women; and women used the strategies Using Emotional Social Support and Religious Coping significantly more frequently than men. For both women and men, level of Global infertility stress significantly correlated with Denial in the positive direction and with Positive Reinterpretation and Acceptance in the negative direction. Conclusion: Involuntarily childless women and men in IVF treatment experience similar infertility stress, but use slightly different coping strategies. For both men and women, Positive Reinterpretation and Acceptance emerged as adaptive strategies, while Denial emerged as non-adaptive.

• MeSH
• copingové dovednosti * MeSH
• fertilizace in vitro * psychologie   MeSH
• klinická studie jako téma MeSH
• lidé MeSH
• psychický stres MeSH
• sexuální faktory MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH

Příručka, která se zaměřuje na truchlení po ztrátě blízké osoby a na zvládání této ztráty. Určeno odborné veřejnosti.

• MeSH
• copingové dovednosti MeSH
• postoj ke smrti MeSH
• smutek MeSH
• terapie zaměřená na emoce MeSH
• zármutek MeSH
• ztráta blízké osoby MeSH
• Publikační typ
• populární práce MeSH
• příručky MeSH

• Konspekt
• Druhy sociální pomoci a služeb
• NLK Obory
• sociologie
• psychologie, klinická psychologie
• NLK Publikační typ
• brožury