Ctností lodi je udržet se na hladině a plout, ctností lékaře je schopnost léčit

Mgr.Jana Heřmanová

Med. praxi. 2010;7(4):159  

Perioperative bridging of peroral anticoagulant therapy in patients requiring surgery

doc.MUDr.Věra Krčová, CSc., MUDr.Antonín Hluší

Med. praxi. 2010;7(4):161-162  

Patients receiving chronic anticoagulation therapy posse a clinical challenge when therapy needs to be interrupted for surgical or invasive procedures. The management of warfarin therapy in patients undergoing surgery or other risk of hemorrhage needs to evaluate risk of thrombotic or hemorrhagic complications. Procedures with the low risk of hemorrhage can be provided with continuing of anticoagulation therapy. In the other hand, surgery with high risk of haemorrhage need stopping warfarin and starting bridging anticoagulant therapy with unfractionated heparin or mostly in our conditions with low molecular heparin prior and after surgery....

Prevention of venous thromboembolism

MUDr.Jaromír Gumulec

Med. praxi. 2010;7(4):163-167  

Deep vein thrombosis and pulmonary embolism are a major health problem with potentially fatal sequelae. The risk of venous thromboembolism increases with advancing age, and it has been confirmed that most hospitalized patients have at least one risk factor for venous thromboembolism. When there is no thromboprophylaxis, the incidence of objectively confirmed, hospital-acquired deep vein thrombosis in internal medicine and general surgery patients is approximately 10 to 40 percent, and in patients undergoing elective orthopaedic procedures it is 40 to 60 percent. Furthermore, primary thromboprophylaxis, using low-dose unfractionated heparin,...

Rational diagnostics and treatment of diseases of the thyroid gland

MUDr.Jan Jiskra, Ph.D.

Med. praxi. 2010;7(4):167-172  

Thyroid disorders are common diseases and, when untreated, are associated with significant health risks. On the contrary non-reasoned treatment and levothyroxine overdose may have negative consequences, especially in the elderly. Correct diagnosis including determination of etiology is always the precondition for effective treatment. The treatment is always individual with respect to age and other circumstances and the patients should be followed up. Levothyroxine overtreatment should be avoided and subclinical hyperthyroidism should be more frequently treated in patients over 80 years.

Allergen immunotherapy

doc.MUDr.Petr Kučera, Ph.D.

Med. praxi. 2010;7(4):174-176  

Specific allergen immunotherapy is a therapeutic procedure with preventive features, it can reduce symptoms triggered by allergen and reduce symptomatic therapy. Major indication are allergic rhioconjunctivitis, ocasionally rhinitis linked to bronchial asthma and severe hypersensitivity reaction induced by allergy to Hymenoptera venom.

Systemic lupus erythematosus - a prototype of the autoimmune disorder, diagnosis, therapy

doc.MUDr.Pavel Horák, CSc., MUDr.Martina Skácelová, MUDr.Andrea Smržová, doc.MUDr.Josef Zadražil, CSc., MUDr.Hana Ciferská, MUDr.Tomáš Tichý, MUDr.Zuzana Heřmanová, Mgr.Kateřina Langová, MUDr.Martin Žurek

Med. praxi. 2010;7(4):177-182  

Autoimmunity is a process, in which some parts of the immune systém recognize the own organizm and cause its damage. Systemic lupus erythematosus is a prototype of the autoimmune organ non-specific disorder. It affects predominantly young females. Lupus is highly heteregenous disease with various clinical manifestations and prognosis. The correct identification of the autoimmune clinical symptoms, testing for auto-antibodies, assessment of disease activity and organ damage play the crucial role in the SLE diagnosis. The therapy of the severe forms of SLE should be coordinated by a specialist. The axis of the SLE therapy comprises glucocorticoids,...

Leg ulcers and chronic pain

MUDr.Olga Haklová

Med. praxi. 2010;7(4):182-184  

The multifactorial aetiology of leg ulcers requires comprehensive treatment. According to the current guidelines, the treatment should primarily include causal therapy and effective pharmacoanalgesia because of the chronic painful condition the course of which is often aggravated by acute pain during dressing changes or interventions.

Dermatomycoses and onychomycoses

MUDr.Magdalena Skořepová, CSc.

Med. praxi. 2010;7(4):185-188  

The article presents a review of the commonest superficial skin mycoses encountered in adult general practice. As to the etiology, the diseases are classified as dermatophytoses, cutaneous candidoses and keratomycoses. Characteristic clinical pictures are described, as well as the differential diagnosis and therapy.

Choice of therapeutical dressing in the simple summary (according to stadium chronicle wounds)

Mgr.Markéta Koutná, Bc.Lenka Šeflová

Med. praxi. 2010;7(4):189-195  

The purpose of this presentation is to provide a clear and concise guide to topical therapy of chronic wounds. The report offers some of the representatives of the generic groups using dressing materials according to type wounds. Presentation is intended primarily for health professionals (doctors and nurses) who are dedicated to healing as complementary activities in addition to their basic interests. colonization, epithelial wound.

ESPEN Guidelines on enteral and parenteral nutrition in oncology

MUDr.Zuzana Grofová

Med. praxi. 2010;7(4):196-198  

ESPEN (European Society of Clinical Nutrition) guidelines on enteral nutrition (EN) provide evidence based recommendations for oral nutrition supplements (ONS) and tube feeding strategies in cancer patients. They were developed by an interdisciplinary expert group in accordance with officially accepted standards and are based on all relevant publications since 1985. They were discussed and accepted in a consensus-conference. The aim of Guidelines on parenteral nutrition (PN) is to provide evidence based recommendations for a usage of parenteral nutrition in cancer patients. They were developed in the same way as Guidelines on EN and many conclusions...

Use kinesiotherapy in home care

Mgr.Monika Valešová, MUDr.Jiří Valeš

Med. praxi. 2010;7(4):199-200  

The worldwide increasing interest in the health of seniors. Vital role in the experience of active and dignified old age has correctly chosen diet and physical activity. Regular kinesiotherapy leads to quality and delaying the age dependence on the other person, reduces the risk of certain diseases and their complications. The movement has a beneficial effect on the psyche and brings joy and experience exerciser senior.

Autodidaktický test 4/2010

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Med. praxi. 2010;7(4):201