Actual number: 4/2020

ISSN 1339-5017 (Online)

Archive:


No. 3

PATHOLOGY OF INTERVERTEBRAL DISC AND REHABILITATION

Author: Mária ROSENBACHOVÁ, Patrícia SHTIN BAŇÁROVÁ, Eva KRÁLOVÁ, Katarína KOVÁČOVÁ

Abstract: Back pain is a common problem and a recent systematic review concludes that the number of patients with the back pain is increasing and it leads to increasing number of people being on sick leave because of the chronical back pain. The pathology of intervertebral disc is a common problem which leads to back pain. The fundamental role in the back pain therapy are the following: prevention, regularly exercises, and rehabilitation. We are able to say, that the chronical back pain has negative impact on the health and psychic of patients, as well as it has substantial social and economic effects on them.

Keywords: Intervertebral disc. Disc protrusion. Prolapsed disc. Back pain. Rehabilitation

Vol. 11, 2017, No. 3, p. 1-4

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BLOODSTREAM INFECTIONS CAUSED BY EXTENDED-SPECTRUM BETA-LACTAMASE PRODUCING ENTEROBACTERIACEAE AT A TERTIARY CARE HOSPITAL IN SLOVAKIA

Author: Mária KOPILEC GARABÁŠOVÁ, Jaroslava BRŇOVÁ, Mária ŠTEFKOVIČOVÁ, Anna STREHÁROVÁ

Abstract: Introduction: Extended-spectrum-β-lactamase producing strains of Enterobacteriaceae (ESBL-E) are a significant cause of bloodstream infections (BSI) in hospitalized patients and are a leading cause of death. The objective of this study was to evaluate risk factors and outcome for BSI caused by ESBL- E.

Methods: A hospital-based study was conducted from January 1, 2013 to December 31, 2014 at tertiary care hospital in Trnava. All patients with a confirmed BSI caused by ESBL-E were reviewed. Cases included 115 patients with ESBL-producing Enterobacteriaceae and 94 cases with non-ESBL-producing Enterobacteriaceae.

Results: The incidence rate of ESBL-E BSI was 0.4 cases/1000 patient-days (95% CI: 0.3-0.5 cases per 1000 patient-days).

Multivariate analysis identified prior exposure to antibiotics (OR 2.23; 95%CI 1.06-4.73; P=0.04), previous treatment with fluoroquinolones (OR=4.43; 95%CI 1.13-17.32; P=0.03) and hospital – acquired BSI (OR=8.68; 95%CI 2.99-25.25; P<0.0001), and  healthcare-associated BSI (OR=7.89; 95% 2.83-21.98; P<0.0001) as independent predictors for bloodstream infection by ESBL-E. Inadequate initial antibiotic therapy was more frequent in ESBL-E BSI than in non-ESBL (78.3% versus 14.9%, P<0.0001). ESBL-E BSI was associated with higher case-fatality rate than in non-ESBL-E BSI (28.7% versus 16.0%, P=0.03). Inadequate initial antibiotic therapy was more frequent in ESBL-positive BSI than ESBL-negative BSI (94.2% versus 5.7%, p<0.0001). ESBL-positive BSI was associated with higher case-fatality rate than ESBL-negative BSI (54.8% versus 15.4%, p<0.001).

Conclusions: The  study  revealed  that  incidence of  BSI caused by ESBL - E  was  relatively  high in our setting with a high case fatality rate. Our findings suggest that the use of antibiotics, especially fluorochinolones  and hospital acquired BSI increases the risk of acquiring such infections. Control of ESBL-E spread is an emergency and could be achieved with better stewardship of antibiotic use, especially for empirical therapy and application of infection prevention and control measures.

Keywords: Bloodstream infection. Extended-spectrum beta-lactamase producing Enterobacteriaceae. Risk factor. Inadequate initial antibiotic therapy. Case-fatality rate 

Vol. 11, 2017, No. 3, p. 5-11

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HYPERBARIC OXYGEN THERAPY IN THE TREATMENT OF BREAST CARCINOMA: POSSIBILITIES, QUESTIONS, CHALLENGES, RESPONSIVENESS

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

Abstract: In the case of the cancer diseases, the hyperbaric oxygen therapy (HBOT) is auxiliary and not primarily life-saving treatment. Thanks to its multiple and general effect on the all tissue and organ systems it seems however to be an important tool of adjuvant therapy in the treatment of late effects of radiotherapy. HBOT is applied during and after breast-conserving therapy, and it is used in the treatment of breast-cancer co-morbidities, e.g. arm/shoulder pain, arm/hand swollen, pain in the affected area, and oversensitivity and skin problems in the area of affected breast. Further research in this area has to be carried out due to the multiple complexity of HBOT effects.

Keywords: Hyperbaric Oxygen Therapy. Breast cancer. Radiotherapy

Vol. 11, 2017, No. 3, p. 12-15

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HEALTH CARE IN DETENTION FACILITIES FOR FOREIGNERS IN THE CZECH REPUBLIC – CHANGES IN LAST YEARS

Author: Anton PELIKÁN, Michal PTÁČEK, Zlatica DORKOVÁ

Abstract: Changes were introduced in the work at Czech refugee facilities in 2015 as a reaction to a large increase of foreigners - migrants in Europe. It was necessary to manage some arrangements to improve way of working the respective places, where foreign people with no or invalid personnel documents stay until their documents and their status is escertained. This article focuses on the specific aspects of the system of common and acute medical care in the camps for foreigners, mainly for refugees and migrants in the Czech Republic.  Big progress has been achieved since 2015 at the migrant facilities. The capacity was modified, initial shortcomings were solved and nowadays the whole general and medical care given to foreign people in the Czech Republic generally seems to be fluent, meaningful and effective.

Keywords: Czech refugee facilities. Medical care for foreigners. Infectious diseases 

Vol. 11, 2017, No. 3, p. 16-18

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POTENCY OF BACKGROUND MUSIC ON HEALTHCARE PROFESSIONALS IN THE OPERATING THEATRE

Author: Eva KRÁLOVÁ, Nikoleta POLIAKOVÁ, Zuzana PRISTACHOVÁ

Abstract: The potency of background music on the psyche and consciousness of a human being is important. However, it is not explored in a detailed way. In our research we tried to examine whether appropriately selected and applied background music in one-day surgery has the positive potency to soothe the negative emotions of the selected healthcare professionals. We aimed to determine how it affects the emotions of medical staff and healthcare professionals in the operating room. The research sample consisted of three surgeons and two scrub nurses who worked in the operating theatres of JZS Hospital Bánovce nad Bebravou. The research method was an unstructured interview with healthcare professionals. The analysis of interviews shows that the background music minimized stress, improved wellbeing and atmosphere in the workplace in the four of five respondents. However, the music selection was very important. 

Keywords: Background music. Emotions. Healthcare professionals. Operating theatre. Stress

Vol. 11, 2017, No. 3, p. 19-23

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FAMILY FREE TIME IN THE PERSPECTIVE OF MULTIPLE INTELLIGENCES DEVELOPMENT – SELECTED ASPECTS

Author: Małgorzata PRZYBYSZ-ZAREMBA, Maciej KOŁODZIEJSKI

Abstract: Free time is a constitutive value of every person providing not only some relaxation, freedom but also education and integration. The optimal use of family free time can lead to child's multiple intelligences development and their progress in the intellectual, moral, social and physical areas. The intensification of the actions activating the child's development in family results in child's increase of predispositions and undoubtedly causes that they adapt more successfully in various areas of the adult life.

Keywords: Free time. Family. Multiple intelligences. Child development

Vol. 11, 2017, No. 3, p. 24-27

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IMPACT OF VIOLENCE ON THE MENTAL HEALTH OF WOMEN

Author: Darina ŠIMOVCOVÁ, Michaela BOLEGOVÁ

Abstract: Background: The contribution deals with the topic of violence on the mental life of women. It focuses primarily on the risk factors that are very important in prevention of violence on women.

Aim: The research aim is to provide enough information to health professionals who can use them when working with a female patient that was subjected to violence. The effectiveness of the help from the side of healthcare professionals is of a great importance. Similarly the prevention and intervention in the contact with a female patient who was subjected to violence can also have a significant impact on the quality of her life.

Sample: The research sample consisted of nurses employed in outpatients or in institutional health care. To obtain research sample, we proceeded with the deliberate choice. The workplaces were diverse but the condition was a medical facility. 50 (50%) respondents of the total number of 100 (100%) respondents, were in outpatient care and 50 (50%) respondents in institutional care.

Results: After we analysed the results in the comparative group of respondents – the nurses that worked in outpatient and institutional care, we have come up with some interesting research findings. The nurses in both groups described violence as the most common form of physical violence, and they reported alcohol to be the most common cause of violence. Nurses from outpatient care were able to better identify the signs of violence than nurses in institutional care.

Conclusion: Society and individuals tolerate violence against women or they trivialise it. Violence is firstly all about us and everybody is responsible for stopping the violence and to provide the necessary help to the women that were subjected to violence and their children.

Keywords: Violence. Risk factors. Mental health of women. Domestic violence. Tired women. Help to women

Vol. 11, 2017, No. 3, p. 28-32

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