O nových nemocech z povolání

prof. MUDr. Petr Brhel, CSc.

Med. praxi. 2011;8(10):403  

Allergen-specific immunotherapy for allergy and asthma

doc.MUDr.Vít Petrů, CSc.

Med. praxi. 2011;8(10):407-409  

Allergen-specific immunotherapy (AIT) is the term used to describe a prolonged process of repeated administration of extracts of allergen sources to patients with a demonstrable allergic etiology for the purpose of reducing symptoms. AIT may alter the allergic march of inhalant allergic sensitization, also prevents the development of new sensitization to inhalant allergens. The precise mechanism of action of immunotherapy remains uknown. AIT has been demonstrated to be effective for stinging insect hypersensitivity, allergic rhinitis and allergic asthma.

Clinical pharmacology of profon pump inhibitors

prof.MUDr.Milan Lukáš, CSc., MUDr.Martin Lukáš jr.

Med. praxi. 2011;8(10):410-414  

The introduction of proton pump´s inhibitors (PPIs) in clinical practice more than twenty years ago meant the most important progress in the medicamentous therapy of inner medicine in 20th century. The rational use of PPIs has to be based on the understanding of PPIs clinical pharmacology. Contrary to H2 antagonists the PPIs are administered once daily morning before breakfast. The combination with other antiulcerous drugs are not recommended due to decreasing production of active PPIs metabolite. All PPIs are well tolerated and side effects occur infrequently. Currently, a lot of discussion is focused on the drugs interaction between PPIs...

Diagnosis and treatment of early stages of chronic venous disease

doc.MUDr.Dalibor Musil, Ph.D.

Med. praxi. 2011;8(10):415-418  

Early stages of chronic venous disease (C1 and C2 of the CEAP classification) are manifested by lower limb varicose veins (telangiectasia, reticular veins and trunk varicose veins) and mild swelling. They affect more than 50 % of the adult population of Europe. Diagnosis requires a complete history and thorough physical examination, supplemented with duplex ultrasonography. The primary treatment of symptomatic varicose veins is compression in case the condition cannot be managed by saphenous ablation. The gold standard of surgical treatment of varicose veins in the great and small saphenous veins is ligation and stripping. Subsequently, surgery...

Properly selected = optimal treatment of hypertension compensation in everyday practice

MUDr.Michal Vrablík, Ph.D., MUDr.Martina Prusíková, MUDr.Eva Motyková

Med. praxi. 2011;8(10):419-423  

Arterial hypertension continues to rank among the most important health issues of today. Thanks to better understanding and improved therapeutic and diagnostic options the standards of care in hypertension have improved markedly. After the publication of the most recent results of clinical trials, target values of blood pressure have moved to the 130–140/80–90 mmHg range suitable for most circumstances of everyday common practice. The same trials provided guidance on the best management of hypertension. Therefore, most commonly used antihypertensive treatment is based on a blocker of the rennin-angiotensin-aldosterone system, and,...

Depression in the GP's surgery

MUDr.Radim Kubínek

Med. praxi. 2011;8(10):424-427  

The paper reviews the issue of depression from the perspective of a general practitioner as being a common and serious medical topic, presents an overview of diagnostic and pharmacotherapeutic strategies and adds some elementary psychotherapeutic issues that should not be neglected even in the primary care.

Chronic daily headache and it's treatment

MUDr.Ingrid Niedermayerová

Med. praxi. 2011;8(10):428-430  

Chronic daily headache (CDH) represents a heterogenous group including both primary and secondary headaches resulting from various organic causes. Primary CDH results from chronification of migraine, tension headache or cluster headache. It is often associated with overuse of analgetics or other acute medications, or with depression and anxiety. Treatment depends on the underlying type of headache and present complications. Serious conditions require hospitalization.

Acute ischemia of lower extremities

MUDr.David Ručka, MUDr.Jean Claude Lubanda, PhD., MUDr.Miroslav Chochola, CSc., doc.MUDr.Debora Karetová, CSc.

Med. praxi. 2011;8(10):431-434  

Acute lower limb ischemia is a serious disease with high morbidity and mortality if left untreated. The prognosis is significantly influenced by the correct diagnosis and early initiation of therapy. Successful endovascular treatment of acute limb ischemia is illustrated in the reported case of a 68 year old woman with acute vascular occlusion due to cardiac embolization. Causes of acute limb ischemia, diagnostic procedures and treatment options are briefly discussed in this article.

Diagnosis and treatment of idiopathic inflammatory bowel diseases

prof.MUDr.Jiří Ehrmann, CSc., MUDr.Michal Konečný, Ph.D.

Med. praxi. 2011;8(10):435-437  

The educational article reviews main principles of the diagnostic procedures and treatment of the inflammatory bowel diseases, in the concrete the ulcerative colitis and Crohn´s diseaase. The article is determined especially to general practitioners but also to specialists in internal medicine and gastroenterology. The etiology and pathogenesis of a both diseases are alike and are described together. The epidemiology, patology, clinical course and diagnosis are different and are described separately. The special interest is in the conservative and surgical treatment of the inflammatory bowel diseases.

Low back pain in nurses and its prevention

PhDr.Petr Uhlíř, MUDr.Milada Betlachová, Mgr.Zuzana Kuchařová

Med. praxi. 2011;8(10):438-440  

The work is focused on low back pain of nurses. It outlines the basic causes of the problem. The following is a list of options applicable to the prevention of problems. The following is a list of options applicable to the prevention of problems.

Podzimní odborný program nalákal velké množství zájemců o nové praktické zkušenosti

Mgr. Michaela Majerová

Med. praxi. 2011;8(10):441