Prediktivní, preventivní,

prof. MUDr. Václav Zamrazil, DrSc.

Med. praxi. 2013;10(2):47  

Functional dyspepsia

prof.MUDr.Jiří Ehrmann, CSc.

Med. praxi. 2013;10(2):50-53  

Educational narrative review apply to diagnostic procedures and treatment of the functional dyspepsia with respect to the Rome III and traditional Czech classification. The special mention is to functional overlal syndromes, treatment of PPI and positivity of H. pylori in patient with functional dyspesia. Therapy of functional dyspepsia have to be complex that is pharmacological and non-pharmacologial inclusively psychological investigation. The accent is put on very well treatment effect of sulpirid.

Thyroid gland and diabetes mellitus from the perspective of a diabetologist

MUDr.Marcela Szabó

Med. praxi. 2013;10(2):54-56  

The prevalences of diabetes mellitus, particularly of type 2, as well as of thyroid diseases have been increasing in recent years and are becoming a major problem in developed civilizations not only in medical, but also in social terms. Endocrinopathies occur much more frequently in diabetic patients than in those without diabetes, with the thyroid gland being the most commonly affected gland in diabetics (which is the same in the nondiabetic population). The most significant thyroid diseases in diabetics are autoimmune thyroiditides – due to both their high prevalence in diabetics and the severity of clinical impacts on diabetes treatment.

Sildenafil in treating erectile dysfunction

MUDr.Ondřej Trojan

Med. praxi. 2013;10(2):57-63  

The article initially describes the history of the discovery of the first PDE5 inhibitor designed to treat erectile dysfunction. It explains the mechanism of erection and the conditions for its proper functioning. It elucidates the mechanism of action of PDE5 inhibitors in treating erectile dysfunction, summarizes the experience with sildenafil during its 15 years of existence, its indications as well as contraindications, and highlights some mistakes physicians make in the management. Erectile dysfunction often serves as an initial sign of a somatic, particularly cardiovascular, disease; therefore, it is important that this sensitive issue...

Anxiety and anxiety disorders in dementia

MUDr.Vanda Franková

Med. praxi. 2013;10(2):64-67  

The article summarizes the basic literature knowledge concerning this issue, making reference to the Rating Anxiety in Dementia (RAID) scale by Shankar, et al. and the revised diagnostic criteria for generalized anxiety disorder in persons with dementia as proposed by Starkstein, et al. Also presented are some recommendations concerning psychotherapeutic approaches and pharmacotherapy of anxiety disorders in the elderly with dementia.

Thyroid-associated orbitopathy from the perspective of ophthalmologist

MUDr.Marta Karhanová, FEBO, MUDr.Jana Kalitová

Med. praxi. 2013;10(2):68-71  

Thyroid-associated orbitopathy is a chronic autoimmune disease with a proven connection to thyroid autoimmunity. Most often, patients with Graves-Basedow disease are affected, however, it may also occur in those with autoimmune thyroiditis. This condition affects all the structures of the orbit – extraocular muscles, orbital fat and connective tissue, orbital septum and tear gland. Various ocular symptoms can also be the first sign of thyroid disease. In these cases, a good knowledge of ocular signs and symptoms of thyroid-associated orbitopathy is necessary to establish the correct diagnosis. Only timely and appropriate treatment can...

Viral hepatitis A and E

prof.MUDr.Petr Husa, CSc.

Med. praxi. 2013;10(2):78-79  

Viral hepatitis A and E are relatively common acute liver diseases. In immunosuppressed persons chronic hepatitis E is possible as well. Vaccine against hepatitis A virus is accessible for a long time, safe, and highly effective. Protection against hepatitis E infection includes primarily common hygiene procedures, consumption of well-cooked pork and venison.

Omega-3 fatty acids; from theory to clinical practice

doc.MUDr.Zdeněk Wilhelm, CSc.

Med. praxi. 2013;10(2):72-76  

Fats are often spoken of in negative terms whether it is in association with cholesterol or overweight or cardiovascular diseases. Such a simplified view of lipids, however, does not reflect the reality. An example of this can be monoenoic and polyenoic fatty acids that have a wide spectrum of very important physiological effects in the human organism and their intake is important for maintaining the health of the body. This paper is focused on one of the groups of fatty acids, the so-called omega-3 fatty acids, that are significant for the clinical practice not only in terms of disease prevention, but also as effective treatment of serious...

Vitamins and their function in organism

MUDr.Jana Fajfrová, MUDr.Vladimír Pavlík

Med. praxi. 2013;10(2):81-84  

Vitamins are organic substances, which are essential for adequate growth, development and function of the organism. They are needful for optimal enzymatic activity. Many of them are irreplaceable activators of enzymatic systems; they are part of enzymes or directly react in metabolic pathways. At present the classic avitaminosis is rare in developed countries rather we could view symptoms of hypovitaminosis. Recently the attention is focus on antioxidant activity of vitamins and their role in protection against civilizational disease.

Vitiligo

MUDr. Eva Motyková

Med. praxi. 2013;10(2):86