Actual number: 4/2020

ISSN 1339-5017 (Online)

Archive:


No. 2

POSSIBILITIES OF A QUICK ORIENTATIVE VERIFICATION OF THE ACCURACY OF THE ABSORBANCE MEASUREMENT RESULTS ON ROUTINE DIAGNOSTIC INSTRUMENTS

Author: Katarína KAŠLÍKOVÁ, Zdenka KRAJČOVIČOVÁ, Miroslav ČERNICKÝ, Jana SLOBODNÍKOVÁ, Vladimír MELUŠ

Abstract: Laboratory diagnostics must use equipment that allows to obtain results with acceptable reliability in a short time and for more samples. The laboratory should at least ascertain the accuracy of the instrument with respect to samples of different composition. In our work we evaluated the comparison of the accuracy of absorbance determination on two instruments. We found that with repeated determination of absorbance (n = 11) at 590 nm and 600 nm for the lowest sample dilution coefficient of variation, VK = 43.41 for analyser A and VK = 113.8 for analyser B whereby B did not reach statistical significance of the difference from the blank. Our results suggest that validating these parameters is an important prerequisite for proper laboratory work.

Keywords: Laboratory diagnostics. Accuracy. Absorbance.

Vol. 13, 2019, No. 2, p. 1-3

Initiates file downloadDownload PDF

USE OF MEDICAL DEVICES BY DORSALGIA RESULTING FROM WORKLOAD

Author: Katarína KOVÁČOVÁ, Klaudia KASNYIK, Patrícia SHTIN-BAŇÁROVÁ, Janka ZVERBÍKOVÁ

Abstract: The working environment is so automated nowadays that it requires employees to maintain a stereotyped position during work performance, often in a non-physiological work position. This results in overloading the musculoskeletal system and the emergence of painful conditions - the emergence of dorsalgia.
Objective: The aim of the work was to find out the amount and types of medical devices used by working respondents suffering from dorsalgia and to determine the location of pain depending on the nature of the work performed.
Methodology: The survey was carried out by questionnaire form of own construction. It was distributed in 6 companies in the district of Nove Zamky. It contained 20 multiple choice questions. Sample: The survey sample consisted of 150 respondents divided into groups according to the working position of the body during the performance of work tasks.
Results: The results of the survey showed that 60 % of the respondents suffer from dorsalgia regardless of the position of the body while performing work tasks. Most often 56 % there was pain in the low back. Respondents used different types of medical devices to prevent or alleviate pain such as kosmodisc, anatomical pillow and lumbar belt. The most commonly used device 28% was anatomical pillow.
Conclusion: Dorsalgia in our respondents was closely related to working in a stationary position. Despite the high incidence of pain in the shank area, only a small number of people use devices to alleviate these problems. No one was informed about the use of medical devices as a form of prevention.

Keywords: Medical devices,.Dorsalgia. Work environment. Ergonomics. Prevention.

Vol. 13, 2019, No. 2, p. 4-9

Initiates file downloadDownload PDF

THE COST EFFECTIVENESS OF SPECIALIZED LABORATORY DIAGNOSTIC METHODS IN HEALTHCARE

Author: Vladimír MELUŠ, Zuzana ĎUĎÁKOVÁ, Katarína KAŠLÍKOVÁ, Zdenka KRAJČOVIČOVÁ, Jana SLOBODNÍKOVÁ, Aleksei Sergeevich RECHITSKII

Abstract: Laboratory investigative methods in the health sector currently have sophisticated methods and reliable procedures. However, individual labs must take into account their real financial possibilities so that they do not reach negative economic figures. In our paper we evaluate the adequacy of the numbers of IgG, IGA, IgM, immunofixation and total protein examinations realized in patients with hematooncological diseases. The obtained data are confronted with current economic possibilities of medical laboratories.

Keywords: Laboratory examinations. Variability of methods. Cost effectiveness. Incomes.

Vol. 13, 2019, No. 2, p. 10-12

Initiates file downloadDownload PDF

PHYSIOTHERAPEUTIC EXERCISES WITH BACKGROUND MUSIC IN A PATIENT WITH KNEE INJURY

Author: Martin BUDZIŇÁK, Eva KRÁLOVÁ, Miroslav ČERNICKÝ

Abstract: Background: Music is processed by emotions physically, mentally, intuitively and analytically. There are not any references to side effects of non-invasive treatment by means of music on mentally healthy people of all ages. Background music reduces muscle tension and improves mobility and co-ordination of human body during physiotherapeutic exercises. Based on the research of C. L. Pellentier (2004), J. Collingwood (2018), D. Campbell (2008), W. E. J. Knight and N. S. Riccard (2001), we specify the following basic hypotheses, which clarify the positive impact of music during physiotherapeutic exercises: The reduction of fatigue; increased level of psychological excitement; physiological relaxation response and the improvement of motor functions. Objective: Examine the potency of background music on the atmosphere during physiotherapeutic exercises with the patient.
Sample: A patient with knee injury. Methods: Case study. Results: Based on our final results, we can confirm the positive potency of background music on the patient during physiotherapeutic exercises. Conclusion: After the final comparison of the two case reports, we have concluded that background music positively affected the selected patients with knee injury during physiotherapeutic exercises. Particularly it reduced the lumps in the limb; the values of physical functions were better than before intervention; eupnea and heart activity of the patient was calmer than before the music intervention. The frequency of breathing per minute decreased in 3.5 % and the activity of the heart in 3.2 % per minute.

Keywords: Outpatient rehabilitation. Background music. Music and psyche. Rehabilitation. Knee joint.

Vol. 13, 2019, No. 2, p. 13-19

Initiates file downloadDownload PDF

MULTI-SENSORY ROOM IN NURSING CARE OF A CHILD WITH CEREBRAL PALSY – REVIEW

Author: Eva KRÁLOVÁ, Nikoleta POLIAKOVÁ, Gyöngyi VOJTA

Abstract: The contribution presents the literature review that deals with the application of multi-sensory room in the nursing care of a child diagnosed with cerebral palsy. At present it is a modern trend that helps the child progress in the areas of motor, mental and cognitive functions. Our aim was to find out the potency of multi-sensory rehabilitation on the health condition of a child diagnosed with cerebral palsy during five meetings of exercises with an eleven-year old boy. Rehabilitation in the multi-sensory room has positive effect on the gross motor and fine motor development, then on verbal and non-verbal communication, and also on interpersonal relationships.

Keywords: Multi-Sensory Room. Snoezelen. Nursing care. Child with Cerebral Palsy. Case study.

Vol. 13, 2019, No. 2, p. 20-22

Initiates file downloadDownload PDF

ASSESSING THE EFFECTIVENESS AND BENEFITS OF THYROID DISEASE SCREENINGS IN PREGNANCY THROUGH HEALTH INSURANCE DATA

Author: Ján BIELIK, Vladimíra KMEČOVÁ, Matej BIELIK, Marián FAKTOR

Abstract: Background: Thyroid screening in pregnancy in Slovakia is governed by the Slovak Ministry of Health Guidelines for the diagnosis and treatment of thyroid autoimmune diseases in women during pregnancy (Journal of the SR 39, 2009, p. 33-39).
Goal: The main aim of this work was to find out the adherence to the professional provisions of this "Guidelines" in gynecological practice and consequently their clinical and cost-effectiveness. The secondary objective was to compare the results with the results of an analogous study from 2011.
Methods: The evaluation included women from the records of the Health insurance company Dôvera, a.s. with diagnoses E.00 to E.07 who first visited a gynecologist in 2016, with no endocrinology record from 2015. During the gynecologist's visit, a blood sample was taken for TSH and aTPO (4434-determination of ultra-sensitive TSH). Women who were sent by gynecologist for endocrinological examination within 3 months of TSH collection were included in the trial and were followed up until the end of the year 2017. As other group were evaluated pregnant women who had a documented visit to the endocrinologist in 2015 or in 2016.
Results: The group consisted of 16 891 women. 5 901 women (34.9%) had documented TSH sampling (up to 3 months after examination). 526 women (3.1%) had a subsequent endocrinological examination. In this group, 210 women (1.2%) were prescribed thyroid drugs. Of these, 6 were treated with thyreostatic therapy (2.9%) and 204 women were treated with thyroid replacement therapy (97.1%). The cost of TSH and blood collection at a gynecological clinic in this group was € 47 857.11, of aTPO - € 67 271.40, of USG thyroid examinations - € 6 423.70, of endocrine examinations - € 13 314.00 and of medicine - € 1 055.37. A total of 2,587 (15.3%) women had thyroid disease before pregnancy, with 905 of them taking thyroid drugs (5.4%).
Conclusions: Thyroid pathology screening in pregnant women indicates low feasibility of screening for thyroid diseases by gynecologists (34.9%). New thyroid disease has been diagnosed in 3.1% of women in this group, with 1.2% of women requiring medical treatment. The cost of newly diagnosed thyreopathy was € 258.40, and the cost of treatment of one case of newly diagnosed and treated thyreopathy was € 647.30. The screening program is clinically and economically effective, although the low level of laboratory examinations in gynecologists appears to be very problematic.

Keywords: Thyreoid diseases. Pregnancy. Screening.

Vol. 13, 2019, No. 2, p. 23-26

Initiates file downloadDownload PDF