Některé užitečné prvky komunikace

MUDr. Radkin Honzák, CSc.

Med. praxi. 2014;11(3):91  

Fixed combination: can cardiovascular risk be reduced by 50%?

doc.MUDr.Filip Málek, Ph.D., MBA

Med. praxi. 2014;11(3):97-98  

Individual pharmacotherapy involving antihypertensive drugs, statin, and acetylsalicylic acid demonstrably reduces the risk of cardiovascular diseases in secondary prevention and in primary prevention in individuals with a high risk. It is assumed that the use of these agents alone or in a fixed combination is capable of reducing the risk of cardiovascular events by up to 50–60 %. Furthermore, it is assumed that the use of these drugs coupled with adherence to healthy lifestyle practices (dietary and lifestyle measures) is capable of reducing the cardiovascular risk by up to 70–80 %. The largest experience thus far has been with...

Extraarticular manifestations of rheumatic diseases

MUDr.Martina Skácelová, prof.MUDr.Pavel Horák, CSc., MUDr.Martin Žurek, Ph.D.

Med. praxi. 2014;11(3):99-103  

Rheumatic diseases may involve body organs and systems, this symptoms may be the first sign of the disease, and knowledge of them may help with diagnosis. In this review the renal, cardiovascular, pulmonary, skin and ocular involvement is mentioned.

Pollen allergy

MUDr.Božena Kalabusová

Med. praxi. 2014;11(3):104-105  

Article describes causes, symptoms and therapy of pollen allergy.

Chronic kidney disease - role of nephrologist and general practitioner

prof.MUDr.Romana Ryšavá, CSc.

Med. praxi. 2014;11(3):106-108  

Chronic kidney disease affects nearly one tenth of the population and is becoming not only a medical, but also socioeconomic problem. The best measure taken in order to slow down the epidemic of development of advanced disease stages is the implementation of screening programmes to search for patients with a pre-existing renal injury or to identify those who have risk factors for its development (e.g. hypertension, cardiovascular disease, diabetes mellitus or other metabolic disorders, risky medications etc.). New recommendations for assessment and treatment of chronic kidney disease focus not only on the assessment of renal function by means...

Quality of life and quality of working life in patients with multiple sclerosis

Ing.Veronika Mezerová, MUDr.Eva Meluzínová, MUDr.Ing.Lubomír Poušek, MBA

Med. praxi. 2014;11(3):109-113  

An autoimmune, inflammatory, neurodegenerative disease with chronic progression, multiple sclerosis (MS), is the most frequent disease of productive young adults, which affects more women than men. It is a very treacherous chronic disease that often strikes the attack, when a man waits at least. MS has an impact on the quality of life; therefore it is necessary to study the changed quality of life due to illness. Because the MS is incurable disease and the number of patients is increasing, it is necessary to apply to their employment by economic and social perspective. Isolation of capable patients is even more stressful for them.

Quality of life in some dermatological diseases

PhDr.Drahomír Balaštík

Med. praxi. 2014;11(3):114-119  

Quality of life in patients is becoming one of the aims of dermatological treatment and at the same time serves as a criterion of a treatment’s efficiency. Quality of life is a multi-layer, dynamic – and most importantly – a subjective concept, including both general quality of life (QoL) and health related quality of life (HRQoL). HRQoL indicates how a disease and its treatment influence the level of satisfaction in various areas of a patient’s life. Since deteriorating HRQoL can retrospectively aggravate the patient’s mental state and his/her skin disorders, interdisciplinary cooperation between a dermatologist...

Primary prevention strategy

prof.MUDr.Drahoslava Hrubá, CSc.

Med. praxi. 2014;11(3):120-123  

Cardiovascular diseases, cancer, metabolic and chronic respiratory diseases are the leading causes of the premature deaths and disabilityadjusted life years (DALYs) worldwide, especially in developed countries. All these diseases are determined by the same modifiable risk factors: (a) lifestyle (smoking, excessive alcohol use, physical inactivity); (b) poor nutrition (low intake of fruits and vegetables, high intake of salt and fat); (c) metabolic (hypertension, overweight/obesity, hypercholesterolemia). Also poor social relationships seems to be the comparable risk factor as smoking and hypertension. The effective interventions both on the...

Drugs affecting renin-angiotensin-aldosterone system, diuretics and kalemia: are we vigilant enough?

MUDr.Michal Prokeš, PharmDr.Josef Suchopár

Med. praxi. 2014;11(3):127-130  

The therapy of cardiovascular diseases has significantly improved following addition of drugs affecting renin-angiotensin-aldosterone system (RAAS) to clinical practice, but the risk of hyperkalemia must also be considered, especially when other drugs with the same adverse effect are prescribed. In this review article, we offer information from clinical trials and also from clinical praxis, where co-prescription of drugs affecting RAAS and mineralocorticoid receptor antagonists (MRA, e.g. spironolacton and eplerenon) is used. There seems to be more patients affected by serious hyperkalemia in clinical praxis than clinical studies revealed....

Bartonellosis - cat-scratch disease

MUDr.Ludmila Máslová, MUDr.Irena Martinková, Bc.Monika Vašutová

Med. praxi. 2014;11(3):131-132  

Three cases of bartonellosis from the same family have been reported from the town of Novy Jicin, Moravian – Silesian region at the end of 2012. So far only two cases of this disease have been registered in the Czech republic within last ten years. The basic information given in the article is about bartonellosis, its transmission, treatment and preventive measures.

The importance of proper communication of vaccination in primary care - how to do it

MUDr.Silvana Jakubalová

Med. praxi. 2014;11(3):124-126  

Vaccinations and travel medicine centers do twice a year a survey among its clients, which relates to their views and assessments of customer care at these centers. The questionnaire repeatedly showed, among other things, how much is the opinion of the general practitioner important for a patient's decision. Almost all patients want from their general practitioner to receive advice on disease prevention through individual recommendations. Patients expect talks on prevention as a part of every visit to the doctor. The doctors had been placed increasing demands in communication skills. Each physician should lead discussions on how to prevent...

Larva migrans

prof. MUDr. Alena Pospíšilová, CSc.

Med. praxi. 2014;11(3):133