Hemangiom je nejčastější primární benigní nádor páteře typu hamartomu, který nikdy nemalignizuje. V drtivé většině případů se jedná o asymptomatické solitární léze hrudní páteře jakožto náhodné nálezy radiografických vyšetření. Pouze v 1 % případů se hemangiom obratle projeví klinicky a agresivita této benigní léze pak spočívá v expanzivním chování nádorové tkáně či v důsledku patologické fraktury obratle. Klinickými příznaky potom jsou především dorzalgie, v pokročilých případech pak známky kořenové nebo míšní komprese. Radiodiagnostika je poměrně snadná, protože hemangiom obratle vykazuje zcela typické grafické příznaky, pro potvrzení diagnózy agresivního hemangiomu obratle jsou stanovena grafická kritéria. Spektrum léčebných modalit je velmi široké od konzervativní léčby přes hodně využívanou vertebroplastiku po radikální chirurgickou léčbu. Komplementárně jsou často využívány embolizační výkony, alkoholová sklerotizace a lokální radioterapie. Agresivní hemangiom obratle je poměrně velmi vzácná diagnóza. Proto zatím neexistují velké soubory či klinické studie, podle kterých by bylo možné stanovit optimální terapeutický postup., Hemangioma is the most common primary benign hamartoma type spine tumor. Malignant degeneration has never been reported. In the majority of cases, this is an asymptomatic solitary lesion of the thoracic spine found incidentally during a radiographic examination. Only 1% of cases manifests clinically and this benign lesion is considered aggressive because of the expansive nature of the tumor and because it may cause pathological fracture of the vertebrae. Clinical symptoms then include dorsalgia and either root or spinal neurological symptoms. Radiological diagnosis is relatively easy because vertebral hemangioma is associated with quite typical graphic signs; graphic criteria to confirm the diagnosis of aggressive vertebral hemangioma have been clearly defined. The range of treatment options is very wide, from conservative treatment through frequently used vertebroplasty to radical surgical treatment. Embolization procedures, alcohol sclerotherapy and local radiotherapy are often used as complementary procedures. Aggressive vertebral hemangioma is a relatively rare diagnosis, so far there are no large cohorts or clinical studies from which it would be possible to determine an optimal therapeutic approach. Key words: hemangioma – vertebroplasty – angiogenesis inhibitors – angiomatosis – propranolol The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study. The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers., and R. Kostyšyn, Z. Pleskačová, V. Málek
The requirements of conservators who take care of historical monuments are that the materials for rehabilitation of old renders should have a composition as similar to the historical materials as possible and should provide improvement in durability. Fine and coarse sepiolite and synthetic zeolite pellets were chosen as additives in the development of lime mortars for conservation work, due to their unique adsorption properties providing water to the mortar system and acting as water reservoirs in conditions of low humidity. Flexural and compressive strength and the dynamic modulus of elasticity were studied at 28, 90 and 180 days of curing. Addition of both fine and coarse sepiolite and zeolite pellets caused improvement of mechanical strength of mortars, clearly evident at later ages of curing. Elasticity modulus ranged from 2.3 GPa to 3.6 GPa relating to a high deformation capability of mortars and confirming their suitability for use in conservation work., Slávka Andrejkovičová, Eduardo Ferraz, Ana L. Velosa, António S. Silva and Fernando Rocha., and Obsahuje bibliografii
Chronic airflow limitation, caused by chronic obstructive pulmonary disease (COPD) or by asthma, is believed to change the shape and the position of the diaphragm due to an increase in lung volume. We have made a comparison of magnetic resonance imaging (MRI) of diaphragm in supine position with pulmonary functions, respiratory muscle function and exercise tolerance. We have studied the differences between patients with COPD, patients with asthma, and healthy subjects. Most interestingly we found the lung hyperinflation leads to the changes in diaphragmatic excursions during the breathing cycle, seen in the differences between the maxim al expiratory diaphragm position (DPex) in patients with COPD and control group (p=0.0016) . The magnitude of the diaphragmatic dysfunction was significantly related to the airflow limitation expressed by the ratio of forced expiratory volume in 1 s to slow vital capacity (FEV 1 /SVC) , (%, p=0.0007); to the lung hyperinflation expressed as the ratio of the residual volume to total lung capacity (RV/TLC), (%, p=0.0018) and the extent of tidal volume constrain expressed as maximal tidal volume (V Tmax ), ([l], p=0 .0002); and the ratio of tidal volume to slow vital capacity (VT/SVC), (p=0.0038) during submaximal exercise. These results suggest that diaphragmatic movement fails to contribute sufficiently to the change in lung volume in emphysema. Tests of respiratory muscle function were related to the position of the diaphragm in deep expiration, e.g. neuromuscular coupling (P 0.1 /VT) (p=0.0232). The results have shown that the lung volumes determine the position of the diaphragm and function of the respiratory muscles. Chronic airflow limitation seems to change the position of the diaphragm, which thereafter influences inspiratory muscle function and exercise tolerance. There is an apparent relationship between the position of the diaphragm and the pulmonary functions and exercise tolerance., L. Hellebrandová, J. Chlumský, P. Vostatek, D. Novák, Z. Rýznarová, V. Bunc., and Obsahuje bibliografii
The conference organized under the auspices of the Minister of Foreign Affairs of the Czech Republic Lubomír Zaorálek, was held on the 13-14th April 2016. It aimed at addresing the issues of overcoming global threats, developing inter-cultural and intra-cultural dialogue, including inter-religious and intra-religious respect and discussions, enhancing justice, mutual cooperation and stability. The conference was attended by Czech and foreign experts in social sciences and humanities, ambassadors of EU countries and Muslim states as well journalists. The theme of global threats requires an analysis and ideas for finding solutions to various cultural, social, political, religious, military and other conflicts. and Marina Hužvárová.