Potřebují lékaři lékařskou etiku?

doc. MUDr. Jiří Šimek, CSc.

Med. praxi. 2013;10(1):3  

Fixed combination: a new trend in hypertension management

MUDr.Eva Kociánová, MUDr.Jan Václavík, MUDr.Miloš Táborský

Med. praxi. 2013;10(1):8-11  

Due to its prevalence of 20–50 % in the adult population in industrialized countries, hypertension along with diabetes, obesity, hyperlipidaemia, and smoking is among the major risk factors for cardiovascular mortality. This risk is significantly reduced by achieving target blood pressure levels with adequate treatment and lifestyle measures. The low proportion of hypertensive patients who achieve these target levels remains a problem. In the majority of them, it cannot be achieved by using monotherapy, and combination therapy is the method of choice. Fixed drug combinations are more comfortable for the patient, improve their relationship...

Significance of vaccination against infections in the general practitioner's surgery

MUDr.Zuzana Blechová

Med. praxi. 2013;10(1):12-15  

The significance and options of vaccination as the most effective way of preventing infectious diseases are constantly increasing. The guidelines developed also take into account the specific features of adult population risk groups. The low vaccination rate in the adult population in the Czech Republic can be particularly increased by sufficient awareness at all levels. The general practitioner has an irreplaceable role in educating and making a positive impact on the lay public.

Options of immunomodulatory therapy in the management of recurrent respiratory infections

doc.MUDr.Jaromír Bystroň, CSc.

Med. praxi. 2013;10(1):16-21  

The author presents a review article on the options of immunomodulatory therapy of recurrent respiratory infections (RRI). He first focuses on defining the term RRI and, next, on possible immunomodulatory strategies in the management of these conditions, with a particular regard to the options for general practitioners. He deals in detail with bacterial immunomodulators and the drug OLIMUNOVAC that he has most clinical experience with and that can be used in field practice by general practitioners.

Treatment of diabetes insipidus in adults

prof.MUDr.Jan Čáp, CSc.

Med. praxi. 2013;10(1):22-25  

The cause of diabetes insipidus is either impaired vasopressin secretion (central diabetes insipidus) or lack of its function (nephrogenic diabetes insipidus). In patients with polyuria it is crucial to rule-out osmotic diuresis and kidney disease. The dehydration test is necessary for differential diagnosis between diabetes insipidus and primary polydipsia. Desmopressin has been the drug of choice for central diabetes insipidus for many years. Only sublingual form is available today, when less than 1 % of administered dose is absorbed. Sufficient compensation is usually achieved by the dose of 120 μg twice a day, sometimes higher and/or...

Iatrogenic hepatotoxicity focused on paracetamol and NSAIDs

MUDr.Jiří Slíva, Ph.D.

Med. praxi. 2013;10(1):26-27  

The liver is the most important metabolizing organ of our body. There are a myriad of substances potentially acting hepatotoxically (halotan, troglitazone, hormonal contraceptives etc.). This article focuses on the risk of hepatotoxicity in relation with the use of paracetamol and non-steroidal antiinflammatory drugs.

Erectile dysfunction, cardiovascular risk and current treatment options

MUDr.Taťána Šrámková, CSc.

Med. praxi. 2013;10(1):28-32  

Czech men (aprox. 54 %) suffer from erectile dysfunction (ED). Erectile dysfunction is defined as an inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse. Erectile dysfunction is the first symptom of seriouse diseases, especially cardio vascular ones. Modern oral therapy by PDE 5 inhibitors is safe, effective and well tolerated. The second line therapy is based on intracavernous injections of prostaglandin E 1. ED therapy leeds to achievement partner’s satisfaction and quality of life of inable man.

Malignant fluidothorax in patients enrolled in the program of palliative cancer care

doc.MUDr.Ladislav Slováček, Ph.D.

Med. praxi. 2013;10(1):33-34  

Therapeutically inevitable progression of malignant neoplasm and its previous cancer treatment, the patient graduated, are a common cause of sudden deterioration of the general condition of the patient. One of the most serious symptom is shortness of breath. Author‘s communication deals with dyspnea appearing on the basis of malignant fluidothorax including the possibility of treatment in patients enrolled in the program of palliative cancer care.

Kinesio Taping techniques in neurology - anatomical aspects

Mgr. Radka Filipčíková, Ph.D., RNDr. Marcela Bezdičková, Ph.D., MUDr. Dalibor Pastucha, Ph.D., MBA, Dana Ripplová, MUDr. Martin Dobiáš, Mgr. Zdeňka Blažková, MUDr. Alžběta Poprachová, Mgr. Renáta Váverková, RNDr. Jana Březinová, Ph.D., doc. MUDr. Ivana Oborná, Ph.D., Lucie Krestová, Dis, PT, CMTI, doc. MUDr. Stanislav Laichman, CSc.

Med. praxi. 2013;10(1):35-37  

Objective: The objective of the paper is to provide a clear description and explanation of Kinesio Taping in selected diagnoses, and also introduce anatomical aspects of this very effective technique, and the possibilities of its application in the field of neurology to health care professionals. Methods: Kinesio Taping technique was developed in Japan in the 1970’s. Using hypoallergenic elastic tapes provides strengthening, fixation or support for problematic areas. This article describes anatomical principles and schematic performance of Kinesio Tape in intercostal and vertebral neuralgia. Conclusion: Kinesio Tape technique using...

Care of a patient with a movement disorder in the home setting: part 1

MUDr.Radmil Dvořák, Ph.D., MUDr.Milada Betlachová

Med. praxi. 2013;10(1):40-42  

Types of disorders and their significance The article introduces the issue of a patient with a movement disorder in the home care setting. It provides an overview of conditions that the carer of a patient with a movement disorder may encounter and factors that can affect the care.

Antibiotika - dvousečná zbraň v rukou lékaře

Med. praxi. 2013;10(1):38-39