Obezita zabíjí - neznalost také

MUDr. Dita Pichlerová

Med. praxi 2013; 10(6-7): 219  

Treatment of type 2 diabetes mellitus at general practitioner

MUDr.Martina Lášticová

Med. praxi 2013; 10(6-7): 223-225  

Both the incidence and prevalence of type 2 diabetes mellitus are increasing worldwide, particularly in developing countries, in conjunction with increased obesity rate, sedentary lifestyle and inadequate food intake. As a result, economic burden for health care system increases owing to the costs associated with treatment and development of complications. Early diagnosis and effective treatment is crucial to reduce risk of complications. Diabetes mellitus pathogenesis and clinical manifestation is heterogenous; therefore, optimal therapeutic strategy has to be individualized.

Treatment of the ENT infections in spring and summer

MUDr.Petra Bruthansová, prof.MUDr.Jan Plzák, Ph.D., MUDr.Pavol Jablonický

Med. praxi 2013; 10(6-7): 226-229  

Review of the most common upper airway and upper digestory tract infections, their epidemiology and clinical course is presented. The paper is focused on clinical course and the diagnostical and therapeutical approach is proposed.

Constipation and its treatment in the general practicioner

MUDr.Ilja Tachecí, Ph.D.

Med. praxi 2013; 10(6-7): 231-233  

Constipation is defined as uncommon (< 3× per week) and difficult emptying of tough stool. Constipation is a relatively common disorder affecting up to 17% of the population. Secondary constipation is based on another underlying disease, primary constipation is caused by impaired intestinal motility or disorder of anorectal segment. Diagnosis is focused on the exclusion of organic causes of constipation. Treatment of secondary constipation is based on affecting the underlying disease. The diet modification (fiber, plenty of fluids) and use of laxatives are the basic approaches in primary constipation cases.

Options of the general practitioner for diagnosing and treating an allergic patient

MUDr.Jaroslava Braunová, Ph.D.

Med. praxi 2013; 10(6-7): 235-237  

The aim of the present article is to introduce general practitioners to the basic diagnostic and therapeutic strategies that can be utilized in their practice in patients with symptoms of allergic disease.

Summer diarrhea

MUDr.Helena Ambrožová, Ph.D.

Med. praxi 2013; 10(6-7): 238-241  

Diarrheal diseases are very common in summer. They may be infectious and non – infectious causes which are listed in article. Diarrhea is also the most common illness in travellers to the tropics and subtropics; enterotoxigenic strains of Eschericha coli are the most frequent causative agents. In treatment of summer diarrhea only symptomatic therapy (rehydration, diet, non-specific treatment) is usually necessary. Antibiotics are usually used rarely in indicated cases.

Specificity of a comprehensive approach to a patient of older age: a multimorbid elderly

prof.MUDr.Hana Matějovská Kubešová, CSc.

Med. praxi 2013; 10(6-7): 242-245  

The approach to an elderly patient with multiple morbidities is specific from the very first contact with the patient with the medical history itself posing challenges one has to be aware of; the symptomatology of diseases in elderly patients also has specific features including oligosymptomatology, microsymptomatology or transfer to another organ. In the elderly, pharmacotherapeutic strategies must be adjusted to the degree of multimorbidity, the functional status of their organ systems as well as the ability of compliance. The outcome of treatment differs as well from that in younger age groups with the goal in the elderly usually not being...

What are the risks associated with vaccination in patients with multiple sclerosis? Myths and Reality

MUDr.Jiří Piťha, prof.MUDr.Roman Prymula, CSc., Ph.D.

Med. praxi 2013; 10(6-7): 246-250  

Infection is one of the most common factors that lead to exacerbation of multiple sclerosis. Ebstein Barr Virus is even suspected infectious agents involved in the pathogenesis of the disease. The clinical experience suggests that patients with multiple sclerosis is not recommended any vaccination for fear of worsening disease. An analysis of clinical studies, it is clear that the majority of vaccines is safe and may even risk groups to protect patients from infection. For 0.5% of the vaccinees may develop autoimmune/inflammatory syndrome induced adjuvant.

Treatment of ocular allergy

MUDr.Alena Feuermannová, Ph.D.

Med. praxi 2013; 10(6-7): 251-255  

Ocular allergy is inflammatory response of anterior segment of the eye. Allergic disease includes seasonal allergic conjunctivitis (SAC), perennial allergic conjunctivitis (PAC), gigant papillary conjunctivitis (GPC) vernal keratoconjunctivitis (VKC), atopic keratoconjunctivitis (AKC) and contact allergy (CA). There is a summary of various diagnosis and possibilities of the treatment in this article.

Tick-borne encephalitis: two complicated cases

MUDr.Martina Pýchová, MUDr.Lenka Vojtilová, MUDr.Marta Šnelerová, MUDr.Michaela Freibergerová, MUDr.Radana Pařízková, prof.MUDr.Petr Husa, CSc.

Med. praxi 2013; 10(6-7): 256-258  

Tick-borne encephalitis (TBE) is a viral infection transmitted by ticks. It is a central nervous system disease. Typically it causes meningitis, encephalitis or less often meningomyeloencephalitis. There can be even permanent consenquences of the disease such as post-encephalitic syndrom or palsies which are treatable very slowly. Mortality is about 1–2%. Vacccination is the only effective protection against TBE. This article presents two patients hospitalized in The Department of Infectious Diseases Faculty Hospital Brno, in which disease ended fatally or with permanent health problems.

Care of a patient with a movement disorder in the home setting: part 3, continuation 1

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

Med. praxi 2013; 10(6-7): 259-261  

CNS (central nervous system) traumas 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 from movement disorders. This part deals with patients after a CNS trauma.

Diabetická noha

MUDr. Eva Tůmová

Med. praxi 2013; 10(6-7): 262