Jaro je tady - nastupuje sezóna pylových alergií

doc. MUDr. Jaromír Bystroň, CSc.

Med. praxi. 2013;10(3):91  

Allergic rhinitis and current treatment options

MUDr.Hana Janíčková

Med. praxi. 2013;10(3):94-96  

Allergic rhinitis is one of major chronic respiratory diseases. It is an important risk factor for the development of asthma, is associated with impairments on quality of life and with a substantial social economic impact. The diagnosis of allergic rhinitis is based upon a history, evaluation of clinical symptoms, skin tests and/or measurement of specific IgE. The treatment of allergic rhinitis encompasses patient education, enviromental control and pharmacotherapy, both symptomatic and allergen-specific immunotherapy. The management of allergic rhinitis not only reduces the symptoms and improves the quality of life of allergic patient but...

Asthma treatment - mistakes and errors in daily practice

doc.MUDr.Milan Teřl, Ph.D.

Med. praxi. 2013;10(3):97-103  

The majority of patients with asthma can be relatively easily treatead thanks to availibility of highly effective medications. In the reality, however, more than 50 % of asthmatic patients remains with poorly controlled disease, 1/3 of them have severe troubles. The most common cause of asthma mediactions not working is that the patiens are not adherent to prescribed therapy. Our challenges are to be sure that patients understand the principles of asthma management and use their inhalational drugs correctly. This article reviews and discusses the current available therapy and summarizes for clinical settings.

Pneumococcal diseases and prevention among adult

MUDr.Lenka Petroušová, doc.MUDr.Luděk Rožnovský, CSc.

Med. praxi. 2013;10(3):104-106  

Despite progress in treatment and prevention, Streptococcus pneumoniae remains a major cause of morbidity and mortality in the adult population, especially in individuals aged 65 years or more and for risk groups. It causes mucosal infections of respiratory tract or invasive pneumococcal infections including also meningitis. In the Czech Republic, the number of invasive pneumococcal diseases in children decreased due to vaccination, in adults this trend has not yet been observed. For adults there are 2 vaccines registered including 23valent polysaccharide vaccine and 13valent conjugate vaccine. An extension of adult vaccination is desirable...

Proton pump inhibitors

prof.MUDr.Milan Lukáš, CSc.

Med. praxi. 2013;10(3):108-110  

Proton pump inhibitors (PPIs) introduction into clinical practice meant the significant advance in therapy of acido-peptic disorders. PPIs are applicated to fasting patients on the morning in one daily dose usually. The treatment with other secretolytic drugs, which increase the intragastric pH level simultaneously with PPIs are unfitting. PPIs are the most important drugs for the therapy of gastro-esophageal reflux disease, peptic ulcer disease, Helicobacter pylori infection eradication and as well as there are the most powerful prophylactic therapy against NSAIDs gastropathy. The long-term experience learning us that PPIs are a very safe...

Epilepsy

MUDr.Petr Bušek, Ph.D.

Med. praxi. 2013;10(3):111-114  

One percent of adult population suffers from epilepsy. Epilepsy is diagnosed in case of occurrence of repeated unprovoked seizures that can be generalised or focal. The most frequent generalised seizures are tonic-clonic, absences, and myoclonic seizures. Focal seizures can be without impairment of consciousness or with clouded consciousness. Aetiology of epileptic syndromes can be genetic, in which genetic ground is known or presumed, structural, with known and detectable lesion. Epileptic syndromes of unknown cause can have multifactorial origin or a lesion can be presumed but cannot be detected. The most important diagnostic tools are history,...

Acne vulgaris - review on available therapy and skin care recommendation

MUDr.Zuzana Plzáková, Ph.D.

Med. praxi. 2013;10(3):115-118  

Acne vulgaris is a common problem in young population. Not only well chosen therapy but also good education on skin care by dermatologist and pharmacist is important.

Tick-borne encephalitis

MUDr.Jana Kleinerová, Ph.D.

Med. praxi. 2013;10(3):119-122  

Tick-borne encephalitis is a viral infectious disease involving the central nervous system. Clinical presentatiton of the disease varies from very mild to the most severe form which can be sometimes lethal. In this article I want highlight epidemiology and clinical picture of the disease in two cases. Further more I point out the options of preventation and vaccination before the upcoming season of tick´s activity.

Viral hepatitis B, C, and D

prof.MUDr.Petr Husa, CSc.

Med. praxi. 2013;10(3):123-125  

Viral hepatitis B and C are common cause of chronic liver diseases. Viral hepatitis D is extremely rare in the Czech Republic, only immigrants can be infected more frequently. Hepatitis D virus is a satellite virus it needs host virus – hepatitis B virus – for its replication and transfer. Vaccination against hepatitis B virus is therefore protective against hepatitis D virus infection as well. Vaccine against hepatitis C virus has not been generated yet.

Care of a patient with a movement disorder in the home setting: part 2

Obecné poznámky k praktickému přístupu k pacientovi s těžkou poruchou pohybu;

Med. praxi. 2013;10(3):128-130  

General comments on the practical approach to a patient with a severe movement disorder, particularly one who is confined to bed The paper summarizes general principles of care of a patient with a severe movement disorder in the home setting in terms of monitoring the general health condition, preventing the most frequent secondary changes and complications, including the immobilization syndrome, and ensuring the basic needs of an immobile patient are met.

Nová mezinárodní doporučení pro diagnostiku a terapii chronické žilní insuficience

MUDr. Pavel Rutar

Med. praxi. 2013;10(3):126-127