Dobrovolníci v hospici? K čemu vlastně?

Mgr. Martina Ležáková

Med. praxi. 2013;10(4):135  

Treatment options of resistant hypertension

doc.MUDr.Věra Čertíková Chábová, Ph.D.

Med. praxi. 2013;10(4):139-141  

Resistant hypertension is defined as hypertension that remains uncontrolled despite treatment with three different optimally dosed antihypertensive agents, one of which is a diuretic. Prior to making a definitive diagnosis, it is necessary to rule out pseudoresistance that is often caused by the fact that the patient is not taking medications as prescribed. It is also of importance to eliminate factors that increase blood pressure, such as excessive salt intake and use of medications and other substances causing hypertension. Not uncommonly, resistance may occur in secondary hypertension due to obesity, sleep apnoea syndrome, vascular and endocrine...

Vaccination in adults - general principles

MUDr.Jana Krausová, MUDr.Pavel Kosina, Ph.D., MUDr.Jan Smetana, Ph.D.

Med. praxi. 2013;10(4):142-145  

Vaccination, or active immunization is the most effective means by which it is possible to significantly reduce the incidence of certain infectious diseases. Consistent implementation of immunization programs in the Czech Republic and many other countries around the world has shown that infections are successfully controlled by systematic vaccination. Besides decree defined regular, special and emergency vaccination, extra vaccinations of adults and people with chronic diseases and/or immunodeficiency is becoming increasingly important. For adults there are also available vaccines to mandatory or (strongly) recommended immunization before traveling...

Anaphylaxis and its managment in the field

doc.MUDr.Jaromír Bystroň, CSc.

Med. praxi. 2013;10(4):146-148  

The author gives a brief overview of the clinical symptoms of anaphylaxis, describes the differences between anaphylactic and anaphylactoid reactions, analyzes the causes and diagnosis options. Provides an analysis of the treatment of anaphylaxis in the field and describe emergency package, which should be equipped with high-risk patients.

Importance of early diagnosis and treatment in the life perspective of patients with multiple sclerosis

doc.MUDr.Jan Mareš, Ph.D.

Med. praxi. 2013;10(4):149-153  

Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease with a varying degree of neurodegeneration of the central nervous system (CNS). The clinical presentation is determined by dissemination of inflammatory lesions in the CNS and the degree of brain atrophy. An isolated and abrupt development of focal neurological signs consistent with a possible development of MS is referred to as clinically isolated syndrome (CIS). Since early stages of the disease, processes take place that result in permanent axonal loss correlating with the severity of clinical disease. Important facts supporting early treatment particularly include the...

Excessive daytime sleepiness

prof.MUDr.Karel Šonka, DrSc., MUDr.Marek Šusta, Ph.D., MBA

Med. praxi. 2013;10(4):154-156  

Excessive daytime sleepiness (EDS) is an important clinical symptom with many obnoxious consequences both on individual and society levels. EDS in healthy people in most of cases results from night sleep shortage while in ill and elderly people is EDS caused by fragmentation of nocturnal sleep and just a small group is formed by patients suffering from central hypersomnias. This paper describes measurement of a tendency to fall asleep, EDS epidemiology and its after-effects including common clinical practice. Brief overview of treatment procedures is also included.

Treatment of neuropathic pain

MUDr.Eva Hegmonová

Med. praxi. 2013;10(4):157-159  

The effective management of chronic pain is fundamental goal for all clinicians, who treat the pain. Neuropathic pain is one of two basic kinds of pain, which appears separetly or in combination with nociceptic pain. Neuropathic pain is very often treated by group of specialist. The author of this article recommends the use of the anticonvulsants – gabapentin and tricyclic antidepressants which should be the first choice by treatment patients with postherpetic neuralgia. In the case of strong neuralgic pain, treatment with opioids drugs is widely accepted. At the end the article the author concludes with cause of patient with progresive...

Myalgic Encephalomyelitis - Practical Application of the International Consensus Criteria (ICC)

Ing.Jarmila Rýdlová, Ph.D., MUDr.Jaromíra Fabiánová

Med. praxi. 2013;10(4):160-162  

The paper presents symptomatological analysis of ME/CFS based on the International consensus criteria, which are applied to a particular case of a patient suffering from this disease for nine years. The acquired knowledge is useful for a timely identification of the disease, which is very problematic from both diagnostic and therapeutic aspects.

Coued vitamin use help in the treatment of type 2 diabetes?

MUDr.Pavlína Piťhová

Med. praxi. 2013;10(4):163-165  

Vitamins are essential for the human life. They catalyze important biochemical pathways and take part in protein, lipid and glucose metabolism. Unsurprisingly some of them influence the metabolism in people suffering from diabetes and their supplementation could help in the treatment. Especially the supplementation of vitamin D is beneficial in people with diabetes. There should be important to enhance the intake of vitamin E and C with multifarious food.

Care of a patient with a movement disorder in the home setting: part 3

MUDr.Milada Betlachová, MUDr.Radmil Dvořák, Ph.D., PhDr.Petr Uhlíř

Med. praxi. 2013;10(4):167-169  

The most important neurological diagnosis in terms of rehabilitation The article is focused on the issues related to patients with movement disorders in domestic environment. The most frequent movement disorders that may be encountered in home care are outlined here. Further, the most frequent causes of movement disorders are discussed. Particular emphasis is given to a complex care of patients suffering with movement disorders.

Varicella

MUDr. Olga Filipovská

Med. praxi. 2013;10(4):170