Začněme výživou …

Ing. Ivan Mach, CSc.

Med. praxi. 2014;11(2):51  

Diagnosis and treatment of blood clotting disorders

prof.MUDr.Jan Kvasnička, CSc.

Med. praxi. 2014;11(2):58-61  

It gives an overview of the pathophysiology of disorders of hemostasis associated with bleeding, including life-threatening bleeding during pregnancy or after massive trauma. The survey also lists general principles of diagnosis and treatment of these conditions.

Degenerative spinal diseases

MUDr.Marta Olejárová, CSc.

Med. praxi. 2014;11(2):62-64  

Degenerative spinal diseases represent a common problem in routine clinical practice. Degenerative changes can affect all anatomical structures of the spine but their extent does not correlate with the severity of subjective symptoms, only advanced degenerative changes leading to compression of adjacent neurological structures are clinically significant. Diagnosis is based on imaging, where standard radiography is the most used and in indicated case also CT or MRI can be done. Treatment of mild and moderate forms includes appropriate physical regimen, analgesics or NSAIDs on demands and physiotherapy. Conditions associated with neurological...

Eye problems with which the patient comes to the physician

MUDr.Milan Odehnal, MBA

Med. praxi. 2014;11(2):65-68  

Eye difficulties which the patient visits a GP, are very colorful. These include in particular symptoms within an image called red eye, which includes eye redness, feeling of cutting, burning, itching, photophobia, lacrimation, and sometimes pain. Below the image of the red eye is mostly hidden from conjunctivitis, especially bacterial, viral and allergic etiology. Eye pain when blinking, persistent irritation are testifying, along with a history, for foreign body on the conjunctiva, on the cornea or under the upper eyelid. The initial symptoms of stye or lupine grain are pain, local swelling and redness of the eyelids. Eye symptoms such as...

Supportive treatment of acne vulgaris - part of a comprehensive treatment

MUDr.Eliška Langerová

Med. praxi. 2014;11(2):69-73  

Acne vulgaris is a chronic inflammatory androgen-dependent disease of pilosebaceous unit. It is one of the most frequent diseases at all. Nearly one hundred percent of population is affected by this disease with multifactorial etiopathogenesis. Its social impact is very serious. Clinical appearance differs in patients. There exists many classification systems which influence the treatment. The therapy is usually combined to focus on all etiological factors. Beside the classical topical, systemic and physical treatment is also important supportive therapy. This therapy does not include only cosmetics, but aims at the personality of individuals,...

Mild cognitive impairment - Do we know more now?

MUDr.František Honzák

Med. praxi. 2014;11(2):74-77  

Mild cognitive impairment is heterogenous entity comprising both subjective and objektive impairment of at lest one of cognitive functions. Mild cognitive impairment is pathological condition, which is no more normal, but still not fulfilling kriteria for dementia. Review describes historical context of terminology, basic diagnostic kriteria for mild cognitive impairment, differential diagnostics and outskirt of therapeutic modalities of mild cognitive impairment.

Adverse effects and drug interactions of long-term proton pump inhibitor therapy

MUDr.Michal Prokeš, PharmDr.Josef Suchopár

Med. praxi. 2014;11(2):78-81  

Proton pump inhibitors (PPI) have an excelent safety profile. Long-term use is becoming increasingly common at variety of patients. This paper is a brief review of current evidence and view on this important drug group, focusing on potential adverse effects of long-term PPI use that have generated some concern: Vitamin B12 deficiency, iron deficiency, hypomagnesemia, bone fractures and enteric infections. Clinical relevant drug-drug interactions of PPI are also mentioned.

Dietary measures in hyperkalaemia

Bc.Miroslava Matějková, DiS.

Med. praxi. 2014;11(2):82-83  

Hyperkalaemia refers to a condition in which there is an elevated potassium level in the blood. Hyperkalaemia is particularly life threatening by potentially causing cardiac arrhythmia or even sudden death. Therefore, it is essential to adhere to dietary measures with potassium restriction. A nutritional therapist must take a highly individual approach to the patients and develop an appropriate nutritional plan. When designing the plan, he or she must take into account the laboratory results, the patient's dietary habits, and the physician's requirements.

Next types of wound dressing - news, use, aplication

RNDr.Romana Mrázová, Ph.D.

Med. praxi. 2014;11(2):84-87  

Appropriately selected therapeutic materials for moist wound healing and to educate patients and their families not only helps healthcare professionals in the care of patients with leg ulcers, pressure ulcers, diabetic foot ulcers, but also ensures the quality of life of the patient. We must not forget the economic profitability, which can be achieved using appropriate therapeutic material which corresponds to the phase of healing. If we look into the current General Health Insurence Company, we find that a group of 01, and where were these new groups of medical devices regularly added, is for ordinary users and non-serving little transparent...