Medicine for Practice, 2011, issue 5

Editorial

Slovo úvodem

MUDr. Hana Šarapatková

Med. praxi. 2011;8(5):207

Review articles

Drug-induced upper gastrointestinal tract injury

MUDr.Karel Lukáš, CSc.

Med. praxi. 2011;8(5):209-213

Adverse effects of drugs, particularly of nonsteroidal anti-inflammatory drugs (NSAIDs), on upper gastrointestinal tract injury are significant. Gastrointestinal symptoms, particularly nausea, anorexia, abdominal pain and dyspepsia, are found in as much as one-third of patients as adverse reactions of medications. Antibiotics and nonsteroidal anti-inflammatory drugs are reported to be the most common drugs to cause adverse events. Clinically, oesophageal changes present as retrosternal pain and odynophagia. Oesophageal lesions are either temporary or permanent with strictures. Injury to the oesophageal mucosa may be induced by drugs with a...

Summer diarrhoea

MUDr.Helena Ambrožová, Ph.D.

Med. praxi. 2011;8(5):214-218

Diarrhoeal diseases most typically occur in the summer except for rotavirus and norovirus infections that are more frequent in winter and spring months. Diarrhoea may have a number of noninfective causes, such as dietary mistake or intolerance to certain foods; it may also be the presenting symptom in mushroom poisoning. Infective causes mainly include invasive bacteria (salmonellas, campylobacters, and shigellas) for which there are ideal conditions for multiplication in the summer. Summer diarrhoea may also be caused by enteroviruses, occasionally in combination with aseptic meningitis. Traveller’s diarrhoea typical for individuals...

Interdisciplinary overviews

Pharmacology of sleep disorders in clinical practice

doc.MUDr.Petr Smolík, CSc.

Med. praxi. 2011;8(5):219-221

Prevalence of insomnias and other sleep disorders has been growing up in the course of past years (1). Pharmacology of sleep disorders has always been a complex process that includes behavioral, neurophysiologic, psychological, chronobiological and, not in the least, pharmacological factors. Negative influence of different pharmaceuticals use to be very often neglected or underrated. In reverse, an extent of positive treatment possibilities of pharmacotherapy has been perceived inconsistently very often at present. The simple classification of pharmaceuticals for insomnia into sedatives/hypnotics and stimulants respectively, can’t stand...

Urinary incontinence from urologists point of view

MUDr.Miroslava Romžová, MUDr.Marie Hurtová, MUDr.Lukáš Holub, MUDr.Jaroslav Pacovský

Med. praxi. 2011;8(5):222-225

Urinary incontinence is serious problem in this time. It decreases quality of life of the patient and leads to higher economically claims. The excellent examinations go before the resolved this problem. Management is in urologist hands.

Diabetes mellitus a erectile dysfunction

MUDr.Ondřej Trojan

Med. praxi. 2011;8(5):226-229

The article reports the incidence, aetiology and prevalence of erectile dysfunction in diabetic patients and summarizes the experience with the use of PDE5 inhibitors as well as other therapeutic strategies, including psychotherapy. syndrome.

Indications and therapeutic possibilities of hip arthroscopy

doc.MUDr.Aleš Podškubka, Ph.D., MUDr.Pavel Cinegr

Med. praxi. 2011;8(5):230-233

Hip-joint arthroscopy has recently become established in the diagnostics and treatment of hip disorders. Not all pain experienced in the area of the hips originates in the hip joint, arthroscopy of the hip joint is only indicated for pain after appropriate clarification. Hip arthroscopy helps clarify intraarticular causes of problems. Proper patient selection is key to a successful outcome. The aim of this article is to provide actual information on current indications and surgical options of hip arthroscopy. However, arthroscopic operations of the hip are technically demanding as they require enough experience and good technical equipment.

General principles of diagnosis and treatment of vulvovaginal candidiasis

doc.MUDr.Vít Unzeitig, CSc., MUDr.Michal Kliment, CSc., doc.MUDr.Jiří Špaček, Ph.D., MUDr.Vladimír Dvořák, prof.MUDr.Miroslav Borovský, Ph.D.

Med. praxi. 2011;8(5):233-236

It aims to help doctors provide rational diagnostic and therapeutic procedure in cases of uncomplicated and complicated vulvovaginal candidiasis. The text provides recommendations based on generally accepted principles of evidence-based medicine for diagnostic tests, medical schemes and health promotion principles needed for effective management of vulvovaginal candidiasis.

At a glance

Diagnosis and treatment of thromboembolic disease in the GP’s surgery

doc.MUDr.Dalibor Musil, Ph.D.

Med. praxi. 2011;8(5):238-241

Thromboembolic disease is among the most common cardiovascular diseases. Early diagnosis and proper treatment may prevent serious complications associated with high morbidity and mortality rates.

For nurses

On oral hygiene

doc.MUDr.Ivo Dřízhal, CSc., Květa Prouzová, MUDr.Eva Kovalová

Med. praxi. 2011;8(5):242-245

The authors address the issue of oral hygiene for nonstomatological professionals. It is because of the fact that they, too, can become effectively involved in preventing the most common oral diseases. The present paper aims to provide information needed to introduce the problem as well as to provide arguments essential for those who want to give advice or instructions on how to care for the oral cavity even though they lack special education.

Ostomy patient in general practitioners

Mgr.Veronika Zachová

Med. praxi. 2011;8(5):246-248

Ostomy care is currently provided by specialised clinics and general practitioners. They can find out errors in basic treatment, beginning stoma complications and to inform patients about new or more appropriate tools. This applies to stoma patients who do not have problems in everyday life as well. Cooperation of general practitioners and ET nurses has many advantages, not only in terms of efficiency and accuracy of care, but also in economical point of view, because of efficient funds usage. The stoma patient care supports their inclusion to normal daily life. skin treatment, home care, ET nurse.