Slovo úvodem

prof. MUDr. Milan Lukáš, CSc.

Med. praxi. 2011;8(9):347  

Influenza - a neglected preventable disease

MUDr.Jan Kynčl, Ph.D., MUDr.Martina Havlíčková, CSc.

Med. praxi. 2011;8(9):351-353  

Influenza is a relatively serious infection that is a cause of morbidity in hundreds of thousands of people in the Czech Republic every year, resulting in unnecessary deaths. The highest incidence is reported in schoolchildren and young adults; the death rates are highest among the elderly. Currently, influenza is one of few viral infections that can cause a difficult-to-manage pneumonia and/or even lead to sudden death. Most deaths due to an infection with a pandemic virus were primarily associated with a rapidly developing respiratory failure. Vaccination remains to be the most important method of preventing influenza and its possible serious...

Celiac Disease for Practice

prof.MUDr.Přemysl Frič, DrSc., doc.MUDr.Radan Keil, Ph.D.

Med. praxi. 2011;8(9):354-359  

Celiac disease is a frequent autoimmune disorder of children and adults with world-wide distribution. The prevalence in Czech Republic amounts to 1:200–1:250. In Czech population celiac disease remains underdiagnosed and frequently diagnosed at a late stage. The reasons include an altered phenotype of the disease with frequent extraintestinal symptoms in adults. The manifestation of celiac disease depends on the genetic disposition as well as on the permeability of the intestinal mucosal barrier modulated by the intestinal microbiome and the mucosal immune system. Undiagnosed celiac disease may be a serious condition due to malnutrition,...

Drug treatment options for Crohn’s disease and ulcerative colitis

prof.MUDr.Milan Lukáš, CSc.

Med. praxi. 2011;8(9):360-363  

The options of medicamentous therapy in Crohn´s disease and ulcerative colitis aminosalicylates, corticosteroids, immunosuppressants, and recently also biological therapy are the mainstays of pharmacotherapy of inflammatory bowel diseases (IBD). Aminosalicylates (sulphasalazine, mesalazine) are essential drugs for both induction and maintenance treatments of patients with ulcerative colitis. They are administered orally, in limited disease they may also be administered locally in the form of suppositorias or enemas or rectal foams. Corticosteroids with systemic effect have a strong anti-inflammatory effect and are used in oral or parenteral...

Treatment of allergic diseases

doc.MUDr.Jaromír Bystroň, CSc.

Med. praxi. 2011;8(9):364-369  

The author presents an overview of current treatment options for allergic diseases in routine clinical practice, especially in the treatment of allergic rhinitis, bronchial asthma, allergic skin manifestations, and mentions the principles of treatment of anaphylactic conditions.

Pain during pregnancy and lactation

MUDr.Pavlína Nosková

Med. praxi. 2011;8(9):370-373  

Treatment of pain during pregnancy and lactation brings certain limitation in terms of variety of analgetics.The reason is eventual negative impact on featus during pregnancy or infant later on. The article introduce an overview of possible use of analgetics in this period with regard to legislation and results from clinical trials.

Internal timing system

prof.RNDr.Helena Illnerová, DrSc., PharmDr.Alena Sumová, DSc.

Med. praxi. 2011;8(9):374-378  

The circadian system provides an endogenous daily programme for the entire organism and may fulfil even the role of a calendar. It is an integrating system: it encompasses a central clock and clocks in peripheral organs which are coordinated and synchronized by the central clock. At the same time the circadian system depends on its environment and is periodically entrained by surrounding stimuli, mostly by photic ones. The discipline which studies the role of time in biology, the so called chronobiology, covers mostly the circadian rhythmicity and affects many branches of theoretical medicine like physiology, biochemistry, molecular biology,...

Biomechanical perspective on the female pelvic floor structure

MUDr.Miroslav Krhovský

Med. praxi. 2011;8(9):379-384  

The past 20 years have recorded great changes in the reconstructive surgery of the female pelvic floor. These changes primarily resulted from viewing the pelvis as a whole, a perspective which has been based on detailed anatomical studies whose purpose was not only to describe various pelvic structures but to look at them in a broader sense as a structure of functional interactive components. While the focus of modern methods is on determining exactly the damaged structures, it subsequently concentrates on making attempts to recover their function, whenever possible, by mini-invasion. Today, in order to perform successful surgeries and to achieve...

Tinnitus at a general practitioner’s surgery

MUDr.Peter Sila

Med. praxi. 2011;8(9):386-390  

Tinnitus (ear ringing) is a symptom. It may last several seconds or nearly a lifetime. It can be divided into objective and subjective. In the vast majority of cases, tinnitus is subjective, i.e. undetectable by the examiner. It may be a symptom of various diseases, result in psychic alteration in the patient, and seriously restrict his or her daily routine activities and leisure time. The treatment is individual based on the aetiological factors determined, the duration of tinnitus, and the results of examination. It can be divided into medical, physiatric, physical, psychiatric-psychological, alternative, surgical and combined. The treatment...

Ability to identity disoiders in the elderly self - care and compensation

Mgr.Eva Smičková, DiS.

Med. praxi. 2011;8(9):391-393  

Home environment is important element of keeping self sufficiency of senior as long aspossible. To the most significant moments in maintaining self sufficiency belongs keeping motion ability and psychosocial development of personality. If an individual is not able to manage common activities of everyday life and satisfy his basic needs in home environment for any reasons, he becomes self insufficient or even dependent. Detection at an early phase or prevention such a state, providing care which corresponds with particular needs and enables high-quality life in home environment or in environment most appropriate considering one’s health...

Novinky z kongresu Evropské společnosti pro hypertenzi: 21st European Meeting of Hypertension and Cardiovascular Prevention (ESH)

MUDr.Filip Málek, Ph.D., MBA

Med. praxi. 2011;8(9):394-397  

Autodidaktický test 8/2011

Med. praxi. 2011;8(9):398-399