Zamyšlení nad sexualitou ve stáří

MUDr. Tamara Tošnerová

Med. praxi. 2011;8(4):151  

Current treatment of essential arterial hypertension

MUDr.Filip Málek, Ph.D., MBA

Med. praxi. 2011;8(4):156-159  

The efficacy of antihypertensive therapy on cardiovascular mortality and morbidity is based on the effect on blood pressure lowering. Effective decrease of blood pressure is provided by: thiazide diuretics, beta-blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers. These drugs represent the treatment of choice either for monotherapy, or for the combination. Pharmacotherapy of hypertension is guided either by blood pressure level, the presence of associated clinical condition, the severity of target organ damage and the total cardiovascular risk. Up-to now, there is no evidence of the...

Novel antithrombotic drugs

MUDr.Petr Kessler

Med. praxi. 2011;8(4):160-163  

Antithrombotic drugs used in the arterial bed are mainly represented by antiplatelet agents, most commonly acetylsalicylic acid and clopidogrel, which are often administered in combination in at-risk patients. In the prophylaxis of thromboembolic disease (TED), lowmolecular- weight heparins are predominantly used. Dabigatran and rivaroxaban are novel agents so far approved to be used as prophylaxis of TED following hip and knee replacement. Their advantages include the possibility of oral administration, a wide therapeutic window and, thus, no need for laboratory monitoring; the absence of an antidote is a limitation. Interactions with other...

Calcium and vitamin D for older people

MUDr.Milena Bretšnajdrová, MUDr.Marie Terrichová, MUDr.Mgr.Petr Závodný, CSc.

Med. praxi. 2011;8(4):163-166  

Lack of calcium and vitamin D are especially vulnerable seniors, because they are often found people with insufficient exposure to sunlight, reduced oral intake or impaired absorption in the intestine. If a person is immobile, then these patients are at risk of osteoporosis with all its consequences. This view is particularly useful for seniors to pay sufficient attention to intake of both calcium and vitamin D and thus contribute to the preventive maintenance of bone mineral density in old age.

Acute pancreatitis as an adverse drug reaction in inflammatory bowel diseases

MUDr.Ilona Vinklerová, doc.MUDr.Karel Urbánek, Ph.D.

Med. praxi. 2011;8(4):168-171  

Drug-induced acute pancreatitis belonngs to relatively rare gastrointestinal adverse drug reactions. Both published papers and our own results show higher incidence of drug-induced acute pancreatitis in patients suffering inflammatory bowel diseases than in general population. However, causes of this remain unknown. The most threatened patients seems to be females suffering Crohn`s disease, the most dangerous drugs being azathioprine and mesalazine. The risk of other drugs is significantly lower.

Lymphedema in general practicioner

MUDr.Dominika Diamantová

Med. praxi. 2011;8(4):172-176  

Lymphedema is an issue general practitioners can encounter with their patients in their everyday practice. It is a serious chronic disease of the lymphatic system. If not diagnosed and cured in time and properly, the disease can end up in long-continuing, or even permanent disablement of the patients.

Cervicogenic headache

prof.MUDr.Zdeněk Ambler, DrSc.

Med. praxi. 2011;8(4):177-180  

Cervicogenic headache is a referred pain from the cervical spine. It is typically an asymmetric or unilateral headache that can be provoked by neck movement, awkward head positions or pressure on tender points in the neck. The current International Headache Society and Cervicogenic Headache International Study Group diagnostic criteria are presented. In the differential diagnosis secondary organic disorders such as a space-occupying lesion particularly in the posterior cranial fossa or subarachnoid hemorrhage should be excluded. Neurologic examination in cervicogenic headache should be normal and special manual musculoskeletal assessment will...

Drug eruptions total after drug administration

doc.MUDr.Marie Viktorinová, CSc.

Med. praxi. 2011;8(4):181-185  

This paper presents an overview of etiopathogenetic factors, clinical picture, diagnosis and treatment of adverse effects of drugs on the skin after application, the overall focus on practitioners.

Role of immunotherapy in prophylaxis of reccurent urinary tract infection

MUDr.Ladislava Lyerová, CSc., prof.MUDr.Vladimír Teplan, DrSc.

Med. praxi. 2011;8(4):186-189  

Recurrent urinary tract infections (UTIs) are a most frequent clinical problem affecting particularly women. Long-term use of antibiotic prophylaxis, although effective, has its limitations making search for alterative treatments an option. Our recommendation for the prevention of recurrent UTIs is to use herbal remedies containing cranberry products, D-mannose or nasturtium. Also effective is improvement of microbial microflora using both oral and vaginal probiotics. However, the most important role in the prevention of these infections is played by immunotherapy represented primarily by Uro-Vaxom. The efficacy of this product has been confirmed...

Triple infection due to one parasite or a harm single tick can cause

MUDr.Martina Pýchová, MUDr.Marta Šnelerová, MUDr.Hana Kocourková, MUDr.Michaela Freibergerová, MUDr.Radana Pařízková, prof.MUDr.Petr Husa, CSc.

Med. praxi. 2011;8(4):190-192  

This article presents the case of the 53-years old woman, who was hospitalized in summer 2008 with diagnosis tick-borne encephalitis in combination with Lyme disease. A course of the infection was complicated by incurred paralysis of lower limbs and patient required intensive medical care and long-time rehabilitation therapy. In addition there was diagnosed another tick-borne transmitted disease – ehrlichiosis.

Warfarin, food and dietary supplements

MUDr.Miloslava Matýšková, CSc.

Med. praxi. 2011;8(4):194-197  

Anticoagulation treatment with warfarin and other dicoumarol derivates shows significant interindividual and also intraindividual variation. The effect and doses depend not only on inherited disposition in each individual but also on a range of acquired conditions. Among the acquired factors, besides clinical status, food composition accompanied by medicaments and dietary supplements are very important. In nutrition, content of vitamin K plays an important role. According the latest recommendations, its acquisition should be as stable as possible. It is also simultaneously necessary to avoid a range of dietary supplements because they could...

Knowledge-based nursing care for patients with venous leg ulcers

PhDr.Andrea Pokorná, Ph.D.

Med. praxi. 2011;8(4):198-201  

The article presents basic requirements for the evidence based nursing care toward the patients with leg ulcers. Summarise techniques and procedures which all the general nurses should know in relation to the comprehensive treatment process.

Autodidaktický test 4/2011

Med. praxi. 2011;8(4):202-203