[Experience in group therapy of obese patients]. / Zkusenosti ze skupinové práce s obézními pacienty.

The aim of the investigation was to verify in patients repeatedly failing the reduction the existence of personality traits which can increase an individual predisposition for development and relapse of obesity. In 1995, 65 patients of the Geronto-Metabolic Clinic in Hradec Králové (average age 41.23 +/- 10.9 years, BMI 32.4 +/- 1.2 kg/m2) were systematically examined. A psychological examination (Freiburg's personality questionnaire SUPOS 7, SCL 90, KSAT) was added to standard somatic examination. The results of this investigation demonstrate the presence of psychosocial factors in combination with specific configuration of personal features that are reflected in the quality of emotional feelings, social interactions and in the autoplastic picture of the disease (lower sociability, depression, higher score of somatic anxiety, impulsivity, muscle tension, increased sensitivity to body image). Knowledge of the patients personal features enables a more complex view of the disease. The stimulation of self-healing abilities of the patient and forming of her affinities based on partnership are the most important. For these reasons, we include person centered approach (P.C.A.) in classical cognitive behaviour therapy (CBT) and both these therapies are part of the group therapy.

[Multi-causal etiology of obesity--case report]. / Multikauzální etiologie obezity--kazuistika.

Etiology of obesity is influenced not only by hormonal and metabolic but also psychological factors. With increasing number of eating disorders, the number of patients without visible psychopathic personal features increases, but some personality characteristics which increase vulnerability of human organism and probability of disease exist. Therefore, we pay attention to examinations and therapy of personal characteristics of the patient and his past history. The symptom of the patient is connected not only with special organic changes but also with social environment. Multicausal characteristic of obesity can be documented by case reports of patients in the group therapy within the Programme of Systemic Therapy of Obesity carried out in our Department. In all the case long-term or actual incongruence, which does not make possible the change of life style and active patient's participation in the therapy, necessary precondition for the reduction of weight and its keeping up, is present. The case report of R.K., in which the gradual process of change of subjective feeling and self-exploration of R.K. in the group therapy are documented, is elaborated in more detail. The resulting change of Self is the precondition for more effective intervention at the level of energetic intake--the energetic expenditure. The patient is able to take more responsibility for her food behaviour, smaller dependence on the estimation of other people increases the possibility of permanent change of life style.

[Evaluation of the kinetics of the left ventricular wall using the Cardio 200 computer]. / Hodnocení kinetiky sten levé komory srdecní pomocí pocítace Cardio 200.

The WALLMO program was used in comparing normal kinetic values of left ventricle wall with those obtained from control patients and literature sources. Authors concluded that, when based on the original data for RAO projection, the evaluation of regional LV wall contractility gives erroneous results in estimating whether a given section is normo- hypo- or hyperkinetic. Therefore, the set of normal kinetic values of LV motion has been formed for individual numbers of radials. This set may be used also at other working sites.

Contribution to the problems of volume parameters of the left heart ventricle of patients with ischaemic heart disease.

The authors studied some methodological questions associated with evaluation of the X-ray of the left ventriculogram (VTG). On the basis of their results they suggest that, in addition to the usual comprehensive volume parameters of the left ventricle (EDVI, ESVI, and EF), further indices, obtained either by drawing the cardiac contour frame-by-frame (norm dV/dtmin), or by dividing the diastole into halves or thirds (the indices norm FF 1/2 or norm FF 1/3), should be used. These indices allow more sensitive differentiation of patients with impaired left ventricular function.

[Hexakis, (t-butylisonitryl/technetium, 99mTc-TBI), a cold-focal cardiac radiopharmaceutic agent and its distribution in the body]. / Studenoloziskové srdecní radiofarmakon Hexakis (t-Butylisonitryl/Technetium (99mTc-TBI) a jeho distribuce v organismu.

The distribution of coldfocal cardiopharmacological substance 99mTc-TBI has been studied on a total of 14 dogs in relation to the healthy heart tissue. The quality heart scan resulted from the use of 99mTc-TBI. It may be performed 30 min after the administration of mentioned substance, when its blood activity is smaller than 10% activity of myocardium From the other organs, the myocardium scan may be influenced negatively with only liver which achieves 200% activity of left heart ventricle what is evidently consequential in worse imaging of "lower" ischemic lesions. These results justify us to conclude that the 99mTc-TBI is a substance suitable for scintigraphical imaging of myocardium.

[Review of the present findings on the possibilities and uses of radiographic ventriculography for evaluation of left ventricular function]. / Prehled soucasných poznatku o moznostech a pouzití rentgenové ventrikulografie pri hodnocení funkce levé komory srdecní.

Contrast left ventriculography is generally used for evaluation of the left ventricular function in the patients with ischemic heart disease. This study tries to summarize contemporary knowledge on possibilities and limitation of clinical application of this method. A survey of available literary reports suggested to evaluate even diastolic filling rate and objective evaluation of wall motion.