Jak se vede českému lázeňství?

MUDr. Eduard Bláha

Med. praxi. 2014;11(5):195  

Some diagnostic aspects of bronchial asthma

MUDr.Irena Krčmová, CSc., MUDr.Jakub Novosad, Ph.D.

Med. praxi. 2014;11(5):200-203  

Individual asthma phenotypes are characterized by a different type of bronchial inflammation and present with distinct clinical features, a different response to anti-inflammatory pharmacotherapy, and a different course and prognosis. The combination of current classifications (severity, type of mucosal inflammation, and control achievement) provides a relatively precise presentation of the disease and prognosis in an asthma sufferer. The diagnosis includes the degree of breathing disorder, reversibility of bronchial obstruction, exhaled nitric oxide testing prior to treatment (or during its course), and triggers of asthma attacks. The diagnosis...

Myths, half-truths and and lies regarding the vaccination must not influence the quality of primary care

doc.MUDr.Rastislav Maďar, Ph.D.

Med. praxi. 2014;11(5):204-206  

The advice from the general practitioner (GP) is the most influential factor that may convince patient to change the risky style of life and make use of available methods of prevention including the vaccination. Passive attitude of the primary care physician may be considered as a missed opportunity that may never repeat again in a specific patient and it also means giving up the effort to contribute to the reduction of morbidity and mortality of the population in the Czech Republic. The increase of the vaccination rate in the Czech population will not be achievable without an active participation of primary care physicians, not even with cooperation...

Vascular disease in women before menopause

MUDr.Jan Piťha, CSc.

Med. praxi. 2014;11(5):207-209  

Atherosclerotic disease affects women to similar extent as men. Nevertheless, in women atherosclerosis develops and progresses later in life. Regarding atherosclerotic changes and cardiovascular risk factors, women are more susceptible to smoking, diabetes mellitus and dyslipidemia, the latter mainly represented by remnant lipoproteins; mechanisms of this increased sensitivity are not yet known. The main reason for the differences between men and women could be female sex hormones, namely estrogens. After menopause the level of estrogen significantly decreases and leads to an increased cardiovascular risk. However, hormone replacement therapy...

How to talk with patient with sexual problems

MUDr.Zlatko Pastor, Ph.D.

Med. praxi. 2014;11(5):210-212  

The goal of the article is to draw attention to the fact that patients‘ sexual problems do not receive adequate care. General practitioners and specialists do not usually hold conversation about sexual dysfunctions with their patients at all or they pay to it just marginal attention. The article describes the most common male sexual dysfunctions, primarily focusing on communication problems encountered by patients but also by their attending physicians. It provides information about prevalence of erectile dysfunction and premature ejaculation in population and states precise dysfunction definitions. The article highlights the need for...

Treatment of multiple sclerosis in Czech Republic - options and reality

MUDr.Michal Dufek

Med. praxi. 2014;11(5):214-218  

Treatment options in multiple sclerosis have expanded considerably in the recent years. In 2013, several new effective drugs were registered and more will be introduced in therapeutic practice in the coming years. However, the availability of drugs is limited due to restrictions of health care payers. Reimbursement regulations are often in conflict with evidence-based medicine. This article deals with both the good prospects in treating multiple sclerosis including an overview of new drugs and the current situation in the Czech Republic. The article presents specific cases of discrepancy between therapeutic options and the clinical reality.

Atopic eczema from the perspective of an allergist

MUDr.Martin Fuchs

Med. praxi. 2014;11(5):219-223  

Allergist should be an integral part of a comprehensive care for atopic eczema. Allergist should prioritize the detection of potential and right triggers. There are plenty of diagnostic procedures, but the interpretation of results is difficult. The treatment success often necessarily includes a therapeutic trial, for example the elimination diet, a variety of immunointerventions or even the specific immunotherapy by etiologically relevant aeroallergens.

Serotinin syndrome: what we should know about it

MUDr.Michal Prokeš, PharmDr.Josef Suchopár

Med. praxi. 2014;11(5):226-230  

Serotonin syndrome is a rare potentially life-threatening condition, which is caused by drugs with serotoninergic aktivity. It is characterized by mental status changes, autonomic instability and neuromuscular hyperactivity. Patients with moderate and severe cases of serotonin toxicity require hospitalisation. Diagnostic problems are documented by several case reports published in medical literature, the diagnostic criteria are explained and the list of drugs which can cause the serotonin syndrome is presented in this article.

The importance of movement and ways of prevention and self-treatment of vertebropathies

MUDr. Stanislav Horák, MUDr. Dalibor Pastucha, Ph.D. MBA, MUDr. Petr Konečný, Ph.D., MBA, doc. MUDr. Marie Nakládalová, Ph.D., Mgr. Jiří Stacho, Mgr. Luboš Spisar, Mgr. Naděžda Calabová, Mgr. Radka Filipčíková, Ph.D., MBA, MUDr. Petr Hubáček, MBA

Med. praxi. 2014;11(5):232-237  

The aim of this review is to highlight the risks of contemporary lifestyle.Currently continually points to the risks of hypomobility and immobilisation. Few, however, realize how close to this hypomobility through our lifestyle we are. The present review summarizes the effects of physical activity and points to the risks of hypoactivity. In the second part of the review are presented the possibilities of prevention and self-treatment.

Brusinky v léčbě a prevenci infekcí dolních močových cest

Med. praxi. 2014;11(5):231