This study clarifies the need for a renewed account of the body in physiotherapy to fill sizable gaps between physiotherapeutical theory and practice. Physiotherapists are trained to approach bodily functioning from an objectivist perspective; however, their therapeutic interactions with patients are not limited to the provision of natural-scientific explanations. Physiotherapists' practice corresponds well to theorisation of the body as the bearer of original bodily intentionality, as outlined by Merleau-Ponty and elaborated upon by enactivists. We clarify how physiotherapeutical practice corroborates Merleau-Ponty's critical arguments against objectivist interpretations of the body; particularly, his analyses demonstrate that norms of optimal corporeal functioning are highly individual and variable in time and thus do not directly depend on generic physiological structures. In practice, objectively measurable physical deviations rarely correspond to specific subjective difficulties and, similarly, patients' reflective insights into their own motor deficiencies do not necessarily produce meaningful motor improvements. Physiotherapeutical procedures can be understood neither as mechanical manipulations of patients' machine-like bodies by experts nor as a process of such manipulation by way of instructing patients' explicit conscious awareness. Rather, physiotherapeutical practice and theory can benefit from the philosophical interpretation of motor disorders as modifications of bodily intentionality. Consequently, motor performances addressed in physiotherapy are interpreted as relational features of a living organism coupled with its environment, and motor disorders are approached as failures to optimally manage the motor requirements of a given situation owing to a relative loss of the capacity to structure one's relation with their environment through motor action. Building on this, we argue that the process of physiotherapy is most effective when understood as a bodily interaction to guide patients towards discovering better ways of grasping a situation as meaningful through bodily postures and movements.
- MeSH
- fyzioterapeuti * MeSH
- fyzioterapie (techniky) * MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- MeSH
- filozofie * MeSH
- lidé MeSH
- představa o vlastním těle * MeSH
- Check Tag
- lidé MeSH
- MeSH
- bezpečnost MeSH
- elektrochemoterapie * metody MeSH
- kvalita života MeSH
- lidé středního věku MeSH
- lidé MeSH
- nádory slinivky břišní * chirurgie terapie MeSH
- paliativní péče MeSH
- pooperační období MeSH
- prospektivní studie MeSH
- senioři MeSH
- výsledek terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
Cíl: Ukázat na možnosti a bezpečnost IRE v léčbě nádorů. Metodika: Uvádíme soubor 23 nemocných s adenokarcinomem pankreatu, dvou nemocných se solitární jaterní metastázou kolorektálního karcinomu a jednoho adenokarcinomu solitární ledviny. Všichni byli léčeni pomocí IRE perkutánně pod CT kontrolou nebo při laparotomii s US asistencí. Výsledky: IRE je bezpečná metoda, 30denní mortalita nulová. Umožňuje destrukci nádorů v lokalitách, kde ostatní ablační metody selhávají. U neresekabilních nádorů pankreatu však v naší sestavě nepřinesla významné prodloužení života. Průměrná doba přežití ve skupině nádorů pankreatu je 10 měsíců. Závěr: IRE je bezpečná a užitečná ablační metoda zvláště pak nádorů umístěných u kritických struktur.
Aim: To show the safety and clinical usefulness of IRE. Methods: A total of 23 pancreatic adeno-carcinomas, two liver mets of colorectal carcinoma and 1 renal adeno carcinoma have undergone IRE percutaneously under CT control or during laparotomy with US guidance. Results: IRE is safe method, 30 days mortality 0. There is no significant prolongation of survival in the group of unresectable pancreatic cancer. Survival in the group of pancreatic cancer is 10 months. Conclusion: IRE is a safe and useful ablative method, especially with the tumors nearby critical structures.
- MeSH
- adenokarcinom * patologie radiografie terapie MeSH
- analýza přežití MeSH
- elektroporace * metody přístrojové vybavení MeSH
- katetrizační ablace metody MeSH
- lidé středního věku MeSH
- lidé MeSH
- nádory jater patologie radiografie terapie MeSH
- nádory ledvin patologie radiografie terapie MeSH
- nádory slinivky břišní * patologie radiografie terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
INTRODUCTION: Supraglottic airway devices are designed for airway management during anaesthesia. The 3gLM is a novel device with a non-inflatable soft cuff and separate channels for gas delivery and drainage of gastric content. MATERIAL AND METHODS: This prospective observational study of the 3gLM, version R, size 4 in 40 adult patients scheduled for elective surgery, evaluated the insertion success rate at the 1st attempt as the primary outcome. Secondary aims included insertion parameters, such as total success rate, insertion time, oropharyngeal seal pressures, postoperative complications and a comparison between males and females. RESULTS: First attempt insertion success rate was 80% (70% in males, 90% in female patients, p=0.24), while total insertion success rate was 92.5% (85% in males, 100% in females, p=0.23). The oropharyngeal seal pressures were 27cmH2O, higher in females (29.4cmH2O) than in males (24.2cmH2O) - p=0.002. Postoperative complications were only temporary and included sore throat (24.3%), hoarseness (10.8%), pain on swallowing (10.8%) and minor tongue haematoma (2.5%). There was no difference in the incidence of postoperative complications between the genders apart from hoarseness. No aspiration of gastric contents or other long-term complications occurred in this cohort. CONCLUSIONS: The 3gLM exhibited oropharyngeal seal pressures adequate for the controlled ventilation in most patients. Size 4 of the device showed higher pressures in females than in men.
This study was performed on 40 finished pigs from one herd naturally infected with Mycobacterium avium subsp. avium. The aim was to investigate the presence and amount of M. a. avium in samples of lymph nodes and diaphragm tissues collected during routine postmortem inspection using the triplex quantitative real time PCR (qPCR) method. We collected, in total, 107 samples: various lymph nodes affected by gross tuberculosis (TB)-like lesions from 17 pig carcasses, as well as samples of head and mesenteric lymph nodes from 23 carcasses without TB-like lesions. Samples of diaphragm tissues were collected from all carcasses. M. a. avium was detected in one or more tissue samples collected from half of the slaughtered pigs tested. Samples of diaphragm tissues of three pigs with detected TB-like lesions contained M. a. avium (10(2) to 10(3) cells per g of sample); the organism was not detected in diaphragm tissues from pigs without TB-like lesions. The qPCR method may be useful for quantification of M. a. avium in pigs for the purposes of foodborne risk assessment.
- MeSH
- bezpečnost potravin MeSH
- bránice mikrobiologie patologie MeSH
- kvantitativní polymerázová řetězová reakce MeSH
- lymfatické uzliny mikrobiologie patologie MeSH
- Mycobacterium avium izolace a purifikace MeSH
- nemoci prasat mikrobiologie patologie MeSH
- prasata MeSH
- tuberkulóza mikrobiologie patologie veterinární MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
Mycobacterium avium subsp. hominissuis (Mah) infection was diagnosed in 5 captive bongo antelopes (Tragelaphus eurycerus) originating from a collection in a zoological garden. The animals suffered from emaciation. Postmortem examination revealed nodular lesions in the lungs of all 5 examined animals. Acid-fast bacilli were observed in the lungs of 4 animals. Culture and polymerase chain reaction identification based on IS901 negativity and IS1245 positivity confirmed Mah infection in the lungs of all 5 antelopes. In 3 animals, Mah was also isolated from other organs (liver, spleen, and kidney). Molecular analysis of these isolates using IS1245 restriction fragment length polymorphism and/or mycobacterial interspersed repetitive units-variable number tandem repeat revealed that the studied antelopes were infected by 1 identical genotype. Furthermore, in 2 antelopes, other genotypes were also detected. This shows the possibility of either genetic modifications occurring during infection or polyclonal infection. Culture examination of environmental samples from the enclosures holding the bongos revealed Mah in mulch bark, peat, and soil. Genotyping of these environmental isolates determined several genotypes with 1 dominant genotype that was identical to the dominant genotype detected in antelopes.
- MeSH
- antilopy mikrobiologie MeSH
- DNA bakterií chemie genetika MeSH
- fatální výsledek MeSH
- feces mikrobiologie MeSH
- genotyp MeSH
- incidence MeSH
- Mycobacterium avium genetika izolace a purifikace MeSH
- plicní nemoci epidemiologie mikrobiologie veterinární MeSH
- polymerázová řetězová reakce veterinární MeSH
- půdní mikrobiologie MeSH
- transpozibilní elementy DNA genetika MeSH
- tuberkulóza epidemiologie mikrobiologie veterinární MeSH
- zvířata v ZOO MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
- Publikační typ
- abstrakt z konference MeSH
We report a case of a falcon breeding facility, where raptors (both diurnal and nocturnal) were raised in contact with domestic fowl (Gallus gallus f. domesticus) infected by Mycobacterium avium subsp. avium. Fecal and environmental samples from 20 raptors and four common ravens (Corvus corax) were collected. Mycobacterium a. avium DNA was detected in feces of four raptors (bald eagle [Haliaeetus leucocephalus], eagle owl [Bubo bubo], barn owl [Tyto alba], and little owl [Athene noctua]) using triplex quantitative real-time PCR. As both the flock of domestic fowl and one of the infected raptors had the same origin (zoological collection), they might have had a common source of colonization/infection. However, the detection of M. a. avium in feces of three other raptors may point at transmission of the agent between the birds in the facility. Contact of raptors with domestic fowl infected by M. a. avium may pose a risk for transmission of the infection for them; however, raptors from the falcon breeding facility seemed to be relatively resistant to the infection.
- MeSH
- Accipitridae * MeSH
- feces mikrobiologie MeSH
- játra mikrobiologie MeSH
- kur domácí * MeSH
- kvantitativní polymerázová řetězová reakce veterinární MeSH
- Mycobacterium avium genetika izolace a purifikace metabolismus MeSH
- nemoci drůbeže epidemiologie mikrobiologie patologie MeSH
- ptačí proteiny genetika metabolismus MeSH
- ptačí tuberkulóza epidemiologie mikrobiologie patologie MeSH
- RNA ribozomální 16S genetika metabolismus MeSH
- slezina mikrobiologie MeSH
- střeva mikrobiologie MeSH
- Stringiformes * MeSH
- vrány MeSH
- zvířata MeSH
- Check Tag
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
- Publikační typ
- abstrakt z konference MeSH
