PubMed Health⌕ Search

Biomedical subjects

V Masopust

Publications and source records attributed to V Masopust.

9 recordsLinked to original sources
PubMed2003

Chronic subdural haematoma treatment with a rigid endoscope.

Surgical treatment is the method of choice in cases of chronic subdural haematoma--as a rule: trephination, drainage with lavage, or repeated drainage (drain reinsertion where the haematoma has been evacuated insufficiently). A poorly manageable but non-negligible group is made up of patients (about 5-12 % of all cases) where the less invasive methods of choice keep failing. The equally mini-invasive endoscopic technique appears to be one of the suitable therapeutical approaches before resorting to open-surgery revision. The adapted technique of rigid endoscope insertion permitting sufficient revision and treatment of the subdural space concerned is presented. The method is demonstrated on three case reports where routine trephination with lavage, drainage and repeated drain insertion failed. A very good improvement in clinical condition and graphic findings was achieved in two patients. In the remaining one, the neurological lesion improved ad integrum despite a tiny residual haematoma as visualized by CT. Two weeks later, a clinical relapse had developed and the patient was treated with new trephination and drain reinsertion. The technical aspects of the modification of the endoscopic technique are discussed: stressing the advantages or low-degree invasiveness, scope for keeping intact the inner membrane of the haematoma and avoiding direct invasion of the cerebral tissue. The limits of the method are discussed as well. The authors regard this method as a useful addition to the surgical armamentarium, especially in cases of chronic subdural haematomas resisting conventional approaches.

Aged↗
PubMed2003

[Surgical approach to the sphenoid sinus in microsurgery of hypophyseal tumors].

Currently there are three major surgical approaches into the sphenoid sinus during transsphenoidal microsurgery. The first approach is the sublabial incision with submucous resection along the nasal septum. It is particularly advantageous in patients with small nasal apertures, in pediatric patients, and for large tumors extending into the cavernous sinuses or into the clivus. The second approach, the transnasal submucous tunnel, is presently the most frequent technique used, although it provides the narrowest operation field. The third technique is the direct transnasal approach. This method is less destructive to structures in the nasal cavity and less time-consuming. In the period of 20 months the authors performed 81 transsphenoidal microsurgical operations in 44 women and 37 men. Visual field defect was the most frequent indication for surgery in 42 cases, followed by hormonal abnormality in 24 patients. The sublabial approach was used in 69 cases, the technique of transnasal submucous tunnel in 10 patients, and the direct transnasal approach in 2 cases. The authors encountered no short-term or long-term complications related to various surgical approaches to the sphenoid sinus.

Female↗
PubMed2000

[Pleuro-dural communication].

Traumatic pleuro-dural communication causing pneumocephalus needs rapid diagnostics and surgical treatment, so as to prevent the development of possible complications.

Adult↗
PubMed1998

[Longitudinal fractures of the clivus].

The authors present a rare case of the longitudinal fracture of the clival complex. Patient in good clinical condition has had fracture of frontal bone, planum sphenoideale, hypophyseal bossa and longitudinal fracture oc clivus in medial plane. Trauma was associated with cerebrospinal fluid leakage. There was performed reconstruction of anterior fossa dura vater and sealing of sphenoid sinus by muscle grafting in two step operation. The only one postoperative complication was temporary diabetes insipidus.

Adult↗
PubMed1991

[Realistic possibilities of utilization of a personal computer in the office of a general practitioner].

In May 1990 work on the programme "Computer system of the health community doctor Mic DOKI was" completed which resolves more than 70 basic tasks pertaining to the keeping of health documentation by health community doctors; it resolves automatically the entire administrative work in the health community, makes it possible to evaluate the activity of doctors and nurses it will facilitate the work of control organs of future health insurance companies and contribute to investigations of the health status of the population. Despite some problems ensuing from the contemporary economic situation of the country, the validity of contemporary health regulations and minimal training of our health personnel in the use of personal computers computerization of the health community system can be considered an asset to the reform of the health services which is under way.

Family Practice↗
PubMed1989

[Evaluation of information sources and the effectiveness of health education in the North Bohemian Region, as indicated by knowledge of risk factors for cardiovascular diseases].

In May 1988 in the North Bohemian region an anonymous enquiry was made among a representative group of 3,767 respondents which was focused among others on problems of health education. The respondents consider the most important source of health education in 60.37% a talk with their doctor, in 37.67% television and in 17.67% lectures. Newspaper articles, pamphlets and films are rated roughly equally (cca 5% of the respondents). Posters are negligible as a source of health education. Health education is most appreciated by the oldest age group and least by respondents aged 16-30 years. It is necessary to prefer the most appreciated forms of health education and to seek contents and forms attractive for the youngest group of patients. Part of the enquiry was focused on knowledge of risk factors of cardiovascular diseases. Smoking is considered generally most harmful, less than half know about the harmfulness of stress, few respondents know that diabetes is a risk factor (26.3%). The most frequently incorrectly mentioned factor was alcohol.

Adult↗
PubMed1989

[Satisfaction with health services in the North Bohemia Region].

In May 1988 in the North Bohemian region an anonymous survey was made in which 3,767 respondents participated, i.e. 0.42% of the population living in the region. The survey was focused on the satisfaction with and attitudes of patients to the health services. 73.64% of the respondents evaluated the provided services positively, 24.39% had an ambivalent attitude and 1.97% evaluated them negatively. Material shortcomings in the health services were criticized by 54.05% of the respondents, 37.75% criticized long waiting periods and 23.17% shortage of health personnel. The greatest advantage of our health services is that they are free of charge (49.91% respondents); availability (48.23%) and good interpersonal relations (21.56%). The satisfaction with the health services was expressed by 85.72% respondents verbally, 5.57% by criticism, 1.57% by a bribe and 1.43% by complaints. The most pretentious group are young patients working in industry. A positive attitude to the health services correlates with a positive evaluation of health workers. Thus the necessity arises to guard the ethical and professional standard of the health workers.

Adult↗
PubMed1989

[Bribes in health care and the patients' opinions].

In May 1988 in the North Bohemian region an anonymous enquiry was made in which 3,767 respondents participated. The enquiry was focused among others on the problem of bribes in the health services. In the paper the author analyzes views of respondents why they give "small gifts" to health workers and why they assume that the patients get better treatment when they bribe. The reason for making "small gifts" or bribes is in 31.3% to manifest appreciation of treatment, in 27.7% an attempt to obtain better treatment and in 7.1% fear of receiving no treatment. People above 45 years, pensioners, employees of the services and chronic patients are more convinced of the positive motive of making "small gifts". Almost 10% of the entire group are convinced of the effect of bribes as a stimulant for provision of better care, 49% deny it and the remainder do not know. The most critically minded patient groups are those working in industry and respondents under 30 years. From the entire group 1.57% admitted making "small gifts", i.e. 59 of 3,767 respondents, the motive of almost half of them (42.3%) was appreciation of the care provided by the attending staff. An unequivocal bribe to obtain better care or fear that care will be refused was involved in 45.8% of the "bribing group". The views of patients who admitted "small gifts" as regards the health services are worse than the views of all respondents.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude↗