Energetický přístup (nejen) v medicíně

Mgr. Martin Ronge

Med. praxi. 2013;10(5):175  

Vaccination in high-risk groups of patients in GPs for adults

MUDr.Jan Smetana, Ph.D., MUDr.Pavel Kosina, Ph.D., doc.RNDr.Vanda Boštíková, Ph.D., RNDr.Irena Hanovcová, CSc., prof.MUDr.Miroslav Špliňo, DrSc., prof.MUDr.Roman Chlíbek, Ph.D.

Med. praxi. 2013;10(5):178-182  

Vaccination coverage of vaccine preventable infections in the adult population is generally very low. Main effort should be to increase vaccination coverage among people with higher risk of infectious diseases and among people with chronic diseases, who are in higher risk of severe clinical course of infection and also in risk of decompensation of basic chronic disease. Because of the wider use of vaccination adult immunization schedule was created. It should be a simple tool for basic knowledge of whom and against what diseases is recommended to vaccinate.

News in obesity - obese patient in the GP surgery

MUDr.Dita Pichlerová

Med. praxi. 2013;10(5):183-186  

The article defines the basic terms in obezitology, clearly describes the contemporary treatment of obesity from the regime therapy, via pharmacotherapy to the bariatric surgery. States as well the questionable methods and procedures. Touches the endocrine function of adipose tissue and suggests ways in which obesity treatment could proceed in the future.

What to do with allergic in the general practitioner for adults

MUDr.Božena Kalabusová

Med. praxi. 2013;10(5):187-189  

Number of allergics in population grows constantly. In this article are shown basic information about treatment of the most common alergic diseases: rhinitis, bronchial asthma, urticaria. Description of the therapy of the anaphylactic reaction is provided.

Hypertension in pregnancy

MUDr.Yvona Hrčková, MUDr.Hana Šarapatková

Med. praxi. 2013;10(5):191-193  

A pregnant hypertensive woman is not encountered in our practice every day; indeed, this issue is most commonly faced by a consulting internist or a cardiologist. However, it has to be taken into account that even a general practitioner may face this problem in his or her practice. He or she may encounter a woman of reproductive age he or she will treat for hypertension prior to becoming pregnant and will need to determine how and what medication to use. The choice of an antihypertensive drug will certainly be affected by whether or not the woman is taking a contraceptive. It is necessary to ask what the general practitioner should know about...

Thyroid diseases and pregnancy

MUDr.Eliška Potluková, Ph.D.

Med. praxi. 2013;10(5):195-198  

Autoimmune thyroid diseases are common in the population of women of reproductive age. Positivity for anti-thyroid peroxidase antibodies occurs in approximately 10% and thyroid hypofunction in 5% of pregnant women. Low thyroid function in the mother can adversely affect the course of pregnancy, delivery, as well as the psychomotor development of the offspring. Autoimmune thyroid diseases can be easily diagnosed and treated. The Czech Society of Endocrinology recommends that all pregnant women be screened for autoimmune thyroid disease as soon as possible after the pregnancy has been established. In order to determine the correct diagnosis and...

Painful diabetic neuropathy

prof.MUDr.Zdeněk Ambler, DrSc.

Med. praxi. 2013;10(5):203-206  

Painful diabetic neuropathy is common and is associated with significant reduction in quality of life. A distal and symmetric peripheral neuropathy is the most frequent form, and small fiber damage is thought to result in painful symptoms. The much less common though well recognized are acute painful and atypical neuropathies. Management of the patient with painful neuropathy is difficult, must be tailored to individual requirements, taking into consideration comorbidities and other factors. Pharmacological management represents the most important therapeutic option for chronic neuropathic pain. Current first-line agents with proven efficacy...

Acute states in ophtalmology

MUDr.Jan Studnička, Ph.D., prof.MUDr.Hana Langrová, Ph.D.

Med. praxi. 2013;10(5):207-210  

The authors present an overview of acute states in ophthalmology relating to ocular diseases caused by infection and inflammation, eye injuries and acute glaucoma. The following diseases of retina and optic nerve are presented: occlusion of retinal artery and vein, retinal detachment, acute optic neuritis and anterior ischemic optic neuropathy. For each disease are discussed symptoms, complications and treatment.

Erectile dysfunction and interdisciplinary aspects of its treatment

doc.MUDr.Jaroslav Zvěřina, CSc.

Med. praxi. 2013;10(5):212-214  

Overview of contemporary opinions on the treatment of men with erectile dysfunctions is given. Erectile dysfunction is a psychosomatic unit. A synthesis of psychotherapeutical (sexotherapeutical) and biological approaches is therefore essential.

Vitamin D: skeletal and extraskeletal effects

prof.MUDr.Vladimír Palička, CSc.

Med. praxi. 2013;10(5):199-202  

Vitamin D is among the oldest physiological regulators of the body's development and function. The view on its role in healthy skeletal development – and in the occurrence of rachitis due to its lack – has recently expanded significantly. The pathophysiological background of the mechanism of action of vitamin D on bone tissue (the RANKL/RANK/OPG system) is known in much more detail. Of interest is the new knowledge of the effect of vitamin D on cardiovascular system and vessel impairment as well as its impact on the renin-angiotensin system. The part that vitamin D plays in insulin secretion and peripheral sensitivity to insulin...