National Repository of Grey Literature 4 records found  Search took 0.01 seconds. 
Examination methods of skin microcirculation in diabetes foot syndrome
Krčma, Michal ; Rušavý, Zdeněk (advisor) ; Filipovský, Jan (referee) ; Horký, Karel (referee) ; Prázný, Martin (referee)
Introduction: Since the mid 1980s, a lot of attention has been dedicated to the importance of microcirculation; a part of arterial bed including arterioles, precapillary sphincters, capillaries, venules and arteriovenous shunts. It is a structure of decisive importance for an organism; in its domain an exchange of blood gases and metabolic products takes place and it contributes to thermoregulation. Mediation of vasomotor reaction and vasoarterial reflex maintaining a stable hydrostatic pressure is also an important function. Microcirculation is for its dimensions (capillary diameter approx. 5 x 10-5 mm2, blood flow velocity around 0.4 mm.s-1) relatively difficult to access for more detailed examination, yet its impairments are very severe and dominate in many metabolic disorders. Microcirculation impairment is crucial in diabetes mellitus, where arteriovenous shunts open at the expense of nutritive bed due to a loss of sympathetic tone in peripheral circulation in diabetic neuropathy (Netten, Houben). Blood flow is therefore seemingly sufficient, but the affected tissue undergoes ischemia (warm ischemia). To what extent hyperinsulinemia contributes to this effect is not yet clearly known, one of the possible explanations may be a stimulation of sympathetic activity. Not a few studies are dealing with...
Relationship between metabolism, autonomic neuropathy and vascular disease in patients with type 1 and 2 diabetes mellitus
Malá, Šárka ; Keil, Radan (advisor) ; Lhotská, Lenka (referee) ; Krčma, Michal (referee)
The study aims to evaluate the relationship between cardiac autonomic neuropathy (CAN) and intima-media thickness (IMT) of carotid arteries in patients with diabetes mellitus. Individuals with type 1 and type 2 diabetes mellitus were included, with non-diabetic controls. Medical history, anthropometric and biochemical data, IMT measurements and heart-rate- variability (HRV) analysis in all probands were evaluated. A model of semiparametric logistic regression from the class of generalized additive models was used for statistical analysis. CAN demonstrated significant increasing effects on IMT values in type 1 diabetes patients. The model showed greater IMT values in type 2 diabetes mellitus patients suffering from CAN, but the effect of CAN was not significant. The interaction of CAN and diabetes mellitus effects on IMT values was proven. The interactions of CAN and age, CAN and BMI were also demonstrated. In CAN positive groups, IMT values increased more quickly with greater age and BMI. The results suggest that CAN may play a role in the pathogenesis of atherosclerosis in patients with diabetes mellitus. The secondary objective was to evaluate the usage of the recurrence quantification analysis of HRV in CAN diagnostics. Between the group of healthy individuals and patients with vasovagal...
Regulatory mechanisms affecting etiopathogenesis of obesity, insulin resistance and type 2 diabetes mellitus.
Cinkajzlová, Anna ; Haluzík, Martin (advisor) ; Krčma, Michal (referee) ; Kříž, Jan (referee)
Subclinical inflammation plays a pivotal role in the development of obesity- related complications including type 2 diabetes mellitus, hypertension and cardiovascular diseases. Macrophages are considered important players participating in the initiation and progression of subclinical inflammation within as well as outside of adipose tissue. The first part of this dissertation thesis was focused on macrophage characterization and their quantitative and qualitative changes accompanying metabolic improvements after bariatric surgery. We have demonstrated that the number of macrophages in subcutaneous adipose tissue is reduced regardless of their M1 or M2 polarization manifested as positivity of both the M1- associated CD40 antigen and the M2-associated CD163 and CD206 antigens 6 months after bariatric surgery. Thus, as suggested by previously published data, subcutaneous adipose tissue macrophages seem to have a mixed phenotype. We further confirmed a higher number of non- classical monocytes, which play a role in the control of vascular integrity, in obese subjects as well as a classical monocyte-derived origin of CD163 positive monocytes. Our data also support the previous suggestion of the soluble form of CD163 antigen being a suitable marker of metabolic complications of obesity. The second part...
Examination methods of skin microcirculation in diabetes foot syndrome
Krčma, Michal ; Rušavý, Zdeněk (advisor) ; Filipovský, Jan (referee) ; Horký, Karel (referee) ; Prázný, Martin (referee)
Introduction: Since the mid 1980s, a lot of attention has been dedicated to the importance of microcirculation; a part of arterial bed including arterioles, precapillary sphincters, capillaries, venules and arteriovenous shunts. It is a structure of decisive importance for an organism; in its domain an exchange of blood gases and metabolic products takes place and it contributes to thermoregulation. Mediation of vasomotor reaction and vasoarterial reflex maintaining a stable hydrostatic pressure is also an important function. Microcirculation is for its dimensions (capillary diameter approx. 5 x 10-5 mm2, blood flow velocity around 0.4 mm.s-1) relatively difficult to access for more detailed examination, yet its impairments are very severe and dominate in many metabolic disorders. Microcirculation impairment is crucial in diabetes mellitus, where arteriovenous shunts open at the expense of nutritive bed due to a loss of sympathetic tone in peripheral circulation in diabetic neuropathy (Netten, Houben). Blood flow is therefore seemingly sufficient, but the affected tissue undergoes ischemia (warm ischemia). To what extent hyperinsulinemia contributes to this effect is not yet clearly known, one of the possible explanations may be a stimulation of sympathetic activity. Not a few studies are dealing with...

See also: similar author names
2 Krčma, Marek
4 Krčma, Martin
2 Krčma, Matěj
10 Krčma, Miroslav
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