Cíl: Cílem naší práce bylo rozšířit a zobecnit výsledky resekcí inzulárních gliomů. Navazujeme na náš pilotní již publikovaný soubor (2009 – osm pacientů), jenž jsme rozšířili na 20 operací. <p align="">Soubor a metodika: V období 2007–2013 jsme provedli 20 operací gliomů se signifikantním objemem nádoru v inzule. Operace byly prováděny v celkové anestezii při monitorování motorických evokovaných potenciálů. Radikalita operací byla hodnocena pomocí manuální počítačové volumetrie prostřednictvím software StealthDTI (Medtronic, Minneaopolis, USA). <p align="">Výsledky: U jedné pacientky po resekci multiformního glioblastomu došlo po operaci k prokrvácení rezidua s následnou hemiplegií, míra závažných komplikací činí 5 %. Během 19 operací jsme dosáhli průměrné 83% radikality resekce (43–100 %). V průběhu 15 operací neenhancujících nádorů (LGG a AA) jsme dosáhli v T2 vážení průměrné 80% redukce objemu nádoru. <p align="">Závěr: Gliomy inzulární oblasti jsou indikovány k chirurgickému odstranění za podobných indikačních kritérií jako gliomy v jiných oblastech mozku. Nezbytná je detailní znalost anatomie inzulární oblasti včetně schopnosti manipulace s vitálními cévními strukturami., Aim: We present the results of surgical resection in a group of patients with insular gliomas, we refer to our pilot study (2009 – eight patients) and include 20 surgeries performed until 2013. <p align="">Groups and methods: From 2007 to 2013 we performed 20 surgeries for gliomas with a significant invasion of the insular region; all the surgeries were conducted under general anaesthesia with motor evoked potential monitoring. The extent of resection was evaluated by means of manual computerized volumetry (software Stealth DTI, Medtronic, Minneapolis, USA). <p align="">Results: In one patient after glioblastoma multiforme resection, we observed postoperative hematoma in the tumour remnant with consequent hemiplegia, the rate of major complications was 5%. The mean extent of resection in 19 surgeries was 83% (43–100%). In 15 non-enhancing tumours (LGG and AA), we obtained the mean tumour volumetric reduction of 80%. <p align="">Conclusions: The same indication criteria for surgical resection apply to insular gliomas as to gliomas in other regions. Detailed knowledge of insular anatomy, including ability to handle vital vascular structures, is necessary for performing insular surgery with good results., and R. Bartoš, A. Malucelli, T. Radovnický, A. Hejčl, J. Ceé, P. Bartoš, M. Sameš
Voluntary death, particularly when caused by oneself, defies easy understanding. The individual´s life carries immense value in the West and therefore a rather negative attitude toward death predominates. The attitudes towards death found in Confucianism, Buddhism and Shintó are substabtually different - the death of an individual is seen as a natural part of human life. The manner or style of leaving the world is, however, very important since it validates the life that preceded the event. This article focuses of the problem of voluntary death in Japan. It analyzes the Japanese expressions that specify various types of self-killing and deals with traditional religious and social factors that influence atttudes to self-sacrifice and suicide.
Although physical exercise is known to reduce size of infarction,
incidence of ventricular arrhythmias, and to improve heart
function, molecular mechanisms of this protection are not fully
elucidated. We explored the hypothesis that voluntary running,
similar to adaptive interventions, such as ischemic or remote
preconditioning, may activate components of pro-survival (RISK)
pathway and potentially modify cell proliferation. Sprague-Dawley
adult male rats freely exercised for 23 days in cages equipped
with running wheels, while sedentary controls were housed in
standard cages. After 23 days, left ventricular (LV) myocardial
tissue samples were collected for the detection of expression and
activation of RISK proteins (WB). The day before, a marker of
cell proliferation 5-bromo-2'-deoxyuridine (BrdU) was given to all
animals to detect its incorporation into DNA of the LV cells
(ELISA). Running increased phosphorylation (activation) of Akt,
as well as the levels of PKCε and phospho-ERK1/2, whereas BrdU
incorporation into DNA was unchanged. In contrast, exercise
promoted pro-apoptotic signaling - enhanced Bax/Bcl-2 ratio and
activation of GSK-3β kinase. Results suggest that in the rat
myocardium adapted to physical load, natural cardioprotective
processes associated with physiological hypertrophy are
stimulated, while cell proliferation is not modified. Up-regulation
of pro-apoptotic markers indicates potential induction of cell
death mechanisms that might lead to maladaptation in the longterm.
In recent years there has been a noticeable "rejuvenation" of pelvic organ prolapse. Inconsistency of the pelvic floor muscles, including the omission of sexual organs, is extremely common pathology, observed almost a third of women of reproductive age. The search for effective, convenient methods of contraception for this category of patients is an important problem of modern gynecology. We proposed a method of transvaginal voluntary surgical contraception, produced in conjunction with surgical treatment of descent and prolapse of the vaginal walls. Studied the nearest and long-term results of surgery in 50 women to which, during the surgical treatment of genital prolapse at the same time was performed transvaginal occlusion of the fallopian tubes. Control groups consisted of 30 women to which in the first step before surgical correction of pelvic organ prolapse have been performed minilaparotomy and voluntary surgical sterilization (VSS). Our method consists in penetrating into the abdominal cavity through the anterior vaginal vault, downgrading the fallopian tubes with a hook of Ramathibodi and tubal sterilization by Pomeroy method. Intra - and postoperative complications were not observed. In the late postoperative periods - the effectiveness of the method was 100%. Marked tendency to improve the quality of sexual life tells about the positive impact of elimination of genital prolapse with simultaneous DCA on the quality of life of women., Nigina Nasimova, and Literatura
Medical genetic research achieved in last decade many efforts leading to better understanding of inherited basis of human diseases. This will not be possible without the participation of patients and controls. However, the general understanding of the background and possibilities of genetic association studies is very low. It was confirmed by study of university of students. Because of the fair of misuses of the individual genetic information, significant part of participants refused the use of already donated blood samples for genetic testing but agreed with using of buccal swabs for the same analysis. To enhance the general knowledge’s of the population, leading to realistic expectations not just about genetic predictive power but also about the eventual risks in behind will be the major mission in the next years., V. Adámková ... [et al.]., and Obsahuje seznam literatury
The contribution explores the Prague origines of the first Prague and Austrian female author of the Enlightenment, Maria Anna Sager, born Rosskoschny (1719-1805). The reconstruction of the carreer of her father Anton Ferdinand Rosskoschny (1679-1734) at the Böhmische Statthalterei - he ended as "Registrator" and "Expeditor" - proves his social ambitions. On the other hand egodocuments of him conserved in the National Archives at Prague reveal the sorrows and the "stress" of the wellestablished fonctioner, not only his fear in front of the people, but also for his reputation, his family and his soul., Helga Meise., and Obsahuje bibliografické odkazy
Von Meyenburgovy komplexy jsou benigní jaterní léze složené obvykle z dilatovaných žlučových kanálků obklopených fibrózním stromatem. Jejich nález je většinou incidentální v rámci nečekaného intraoperačního nálezu. Předoperačním vyšetřením nebývají tyto drobné hamartomy většinou zachyceny. Suverénní diagnostickou metodou je peroperační kryohistologické vyšetření. Von Meyenburgovy komplexy nejsou ve většině případů patologicky či funkčně klinicky významné, ale u pacientů s ložiskovým jaterním postižením mohou představovat důležitou možnost, kterou je třeba mít na zřeteli v rámci diferenciální diagnostiky metastatických jaterních patologií., Von Meyenburg complexes are benign liver lesions usually consisting of dilated bile ducts surrounded by fibrous stroma. Their discovery is usually incidental and unsuspected during the early phase of the operative procedure. The sovereign diagnostic method is intraoperative frozen section examination. The complexes are not important as regards their clinical or functional significance. However, this uncommon entity should be taken into consideration in the framework of differential diagnosis of metastatic liver lesions., and R. Šefr, J. Silák, P. Fabian, M. Ondrák, L. Fiala, O. Zapletal
In the War of the Austrian Succession one of the major turning points was when Maria Theresa was crowned Queen of Bohemia, because this step strengthened the power of the Houseof Habsburg in Central Europe. For people who belonged to the Reformed Church in the Kingdom of Hungary, this meant that they had to live their lives under the rule of a Catholic monarch. Debrecen was the centre of the Reformed Church and the city prepared for this political situation: pastor Mihály Komáromi H. delivered a special sermon to celebrate the coronation. In this sermon he acknowledged the fact that the Habsburgs had right to the Hungarian throne and tried to use this political advantage to improve the situation of the Reformed Church. This sermon became so popular that a manuscript was made from it and it was a popular reading in the Reformed congregations of the countryside., Ádám Hegyi., and Obsahuje bibliografické odkazy