Jak si užít dovolenou bez kil navíc

PhDr. Iva Málková

Med. praxi. 2011;8(6):255  

New advances in treating diabetic nephropathy

prof.MUDr.Vladimír Tesař, DrSc.

Med. praxi. 2011;8(6):259-264  

Diabetic nephropathy is the most common cause of terminal renal failure in developed countries. Albuminuria precedes the development of manifest diabetic nephropathy in most diabetic patients and is also the most significant predictor of cardiovascular mortality/ morbidity in these patients. Progression of albuminuria can be favourably affected by both good metabolic control of diabetes and good blood pressure control. Angiotensin-converting enzyme inhibitors and angiotensin antagonists reduce albuminuria and slow down (but do not stop) the progression of chronic renal insufficiency. Despite this treatment, most patients will develop terminal...

Differential diagnostics of collapse and transitional states of impaired consciousness

MUDr.Jana Šeblová, Ph.D., MUDr.Roman Škulec

Med. praxi. 2011;8(6):265-267  

The authors analyze causes of collapses, syncopes and temporary loss of consciousness. They discuss both differential diagnostics of these conditions and severity of various clinical symptoms especially within the first contact with the patient. They outline the situations which enable outpatient treatment or those when the admission to the hospital is necessary.

Travel medicine: infections during travel

MUDr.Michaela Fraňková

Med. praxi. 2011;8(6):268-270  

Travel medicine is a new speciality concerned with the prevention, diagnosis and treatment of diseases that occur in association with travel. The aim is to protect travellers from disease and injury. Injuries account for up to 60 % of health complications in travellers followed by infectious diseases and psychosocial problems. The most common infectious complications include traveller’s diarrhoea, malaria, acute respiratory infections, viral hepatitis A, dengue fever, viral hepatitis B and gonorrhoea. Each traveller should contact a specialized vaccination and travel medicine centre at least two months in advance and obtain information...

Hearing loss in general practicioner

MUDr.Alena Cechnerová, MUDr.Jan Bouček

Med. praxi. 2011;8(6):272-274  

Hearing loss affects 10 % of adults, in the age over 75 years more than 40 % of population. This article gives a brief review of causes, clinical features, evaluation and therapy of hearing loss. There is an important role of interdisciplinary cooperation of general practicioner and otorinolaryngologist in evaluation and therapy of hearing loss.

Dry eye syndrome

MUDr.Michalis Palos

Med. praxi. 2011;8(6):276-279  

Dry eye syndrome is a multifactorial disease associated with events occuring locally in the eye and can be also the reflection of a systemic disease. Diagnosis and treatment of local or systemic disease and tears substitution may improve patient´s quality of life and avoid sight-threatening complications.

Photoprotectives

Mgr.Dana Koktavá

Med. praxi. 2011;8(6):280-282  

Sun is our nearest star. Solar radiation can be harmful, but the impact on the body, especially the skin. Dermatologists around the world highlight the need to protect the skin from sunlight

Peripheral neuropathy: diagnosis and treatment in a general practitioner’s surgery

MUDr.Pavel Otruba

Med. praxi. 2011;8(6):285-287  

A variety of manifestations of peripheral nervous system involvement are commonly encountered. It is determined by a number of endogenous or exogenous factors. Differential diagnosis involves searching for possible causes and objectively determining the extent and degree of involvement (sensory or motor symptoms). In order to identify the cause, laboratory workup is essential and electromyography is required to confirm the type of involvement. The paper characterises the two main types of peripheral neuropathies.

Erectile dysfunction from a sexuologist view

MUDr.Pavel Turčan

Med. praxi. 2011;8(6):288-291  

We have been getting in contact with erectile dysfunction more and more often in our office recently. Its early detection can help us recognize a number of subsequent cardiovascular and atherosclerotic disorders at the same time. The origin of ED can be organic, psychogenic or mixed, and to diagnose such a disorder we have to look at things in a complex way. It is very important, while examining the patient, to concentrate on taking very detailed medical history including risk factors, farmacologic history, and good physical examinaton. A good way of getting suitable informations are questionnaire methods. From the basic laboratory methods...

Treatment of pain and inflammation in rheumatic diseases and the role of a general practitioner

prof.MUDr.Karel Pavelka, DrSc.

Med. praxi. 2011;8(6):293-297  

To explain the principles of pain treatment in rheumatic diseases, the author has chosen to present the cases of four specific patients from his practice that have been diagnosed with rheumatoid arthritis, ankylosing spondylitis, gouty arthritis and osteoarthritis. These are the most commonly diagnosed conditions the treatment of which may be used as a model for a number of related disease entities. The mainstay of pain treatment in rheumatoid arthritis and ankylosing spondylitis is to effectively suppress inflammatory activity, most commonly by combining low doses of glucocorticoid, a disease-modifying antirheumatic drug (DMARD) and/or a biological...

Crystal-induced arthropathies

MUDr.Martin Žurek, Ph.D.

Med. praxi. 2011;8(6):299-301  

Crystal-induced arthropathies are common inflammatory diseases of joints. They are characterised by the formation of crystal deposits in tissues and an inflammatory response of the body to their presence in a joint or in periarticular structures. The review article briefly deals with their aetiology, clinical presentation, diagnosis and therapeutic options. enthesopathy and periarthropathy.

Autodidaktický test 6/2011

Med. praxi. 2011;8(6):302-303