Pozitivní emoce a zdraví

MUDr. Karel Nešpor, CSc.

Med. praxi. 2015;12(5)  

Post-thrombotic syndrome: risk of development, prevention, and treatment

doc.MUDr.Dalibor Musil, Ph.D.

Med. praxi. 2015;12(5):215-217  

Post-thrombotic syndrome (PTS) is the most serious chronic complication of deep vein thrombosis (DVT). It is manifested by pain, swelling, skin changes, and ulcerations in the affected limb. The pathophysiology involves post-thrombotic venous stenoses and valve destruction, resulting in ambulatory venous hypertension. Recurrence of DVT increases the relative risk of PTS by about eight-fold, and there is also an inverse relationship when the patients with PTS have a higher risk of DVT recurrence. Therefore, PTS prevention consists in preventing the development, progression, and, in particular, recurrence of DVT. Currently, the treatment is mainly...

The place of naproxen among other non-steroidal anti-inflammatory drugs used to treat pain and inflammation

prof.MUDr.Pavel Horák, CSc.

Med. praxi. 2015;12(5):218-222  

in the most common rheumatic diseases Naproxen is a classic non-selective non-steroidal anti-inflammatory drug (NSAID), a derivative of propionic acid, used to treat a number of painful conditions. It has a firm place in the treatment of osteoarthritis, rheumatoid arthritis, ankylosing spondylitis as well as psoriatic arthritis, gout, and other diseases. Its long elimination half-life allows twice-daily administration. It has a rapid onset of action. As with other non-selective NSAIDs, the administration of naproxen is associated with an increased risk of gastric toxicity. However, its low cardiovascular toxicity is unique in comparison with other...

Options of pharmacotherapy in hemorrhoidal disease

PharmDr.Kateřina Tuhá

Med. praxi. 2015;12(5):223-226  

The article presents a view of the pharmacological (non-invasive) treatment of hemorrhoidal disease – both local and systemic. the possibility of drug administration is mentioned because of the risk of using drugs during pregnancy and lactation.

Antibiotic therapy

MUDr.Václava Adámková

Med. praxi. 2015;12(5):227-230  

Antibiotic therapy of bacterial infections is based on in vitro activity, clinical efficacy and safety and epidemiological safety. Right choice of antibiotic reflects its pharmacokinetic and pharmacodynamic properties. The spectrum of causative agents is unchanged, but their resistance to antimicrobial agents is increasing. Knowledge of local epidemiology is essential.

How to care of irritated and sensitive skin in winter?

MUDr.Stanislava Hasalová

Med. praxi. 2015;12(5):231-232  

Skin, as a largest organ of human body, works as a barrier protecting the body from elements. This function is especially important during the period of winter, when human body is exposed to low temperatures, wind and sunlight. There is a need of special care for sensitive and irritated skin during this period.

Diagnosing multiple sclerosis; typical clinical symptoms

MUDr.Vladimíra Sládková, Ph.D.

Med. praxi. 2015;12(5):236-242  

Cerebrospinal multiple sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system (CNS) leading to demyelination of nerve fibres and their subsequent loss. It is an autoimmune disease in which the target antigens are those of the nerve fibre myelin sheath in the CNS. It mainly affects young people aged 20 to 40 years. In the Czech Republic, its prevalence is reported to be 170 patients per 100,000 population. In the past, the diagnosis of MS was established only based on the course of the disease and typical symptoms – an attack of neurological symptoms with a gradual increase in the patient's disability....

Clinical manifestations of motor dysfunction after distal radius fractures

Mgr.Věra Jančíková, MUDr.Pavel Dráč, Ph.D., prof.MUDr.Jaroslav Opavský, CSc.

Med. praxi. 2015;12(5):244-246  

The aim of this article is to point out the variability in manifestations motoric dysfunction of distal radius fractures. These injuries are still the most common type of fractures and the period of their treatment may reach till two years.

Combined analgesics and antipyretics and their risks

MUDr.Michal Prokeš, PharmDr.Josef Suchopár

Med. praxi. 2015;12(5):247-251  

In this review the list of combined medicinal products containing analgesics and antipyretics is presented as well as the information about the content of each medicinal product. Drug risks include not only adverse drug reactions and drug-drug interactions, but also the drug duplications, when patient takes two or more different medicinal product with the content of the same substance, which can lead to overdose. Prescribing physicians have to ask patients which other drug they use including OTC products to prevent adverse drug reactions.

Perceptions of health roma ethnicity

Mgr.Marinella Danosová, DiS., PhDr.Lenka Machálková, Ph.D., Mgr.Lenka Mazalová, Ph.D., Mgr.Štěpánka Bubeníková, MUDr.Dalibor Pastucha, Ph.D., MBA

Med. praxi. 2015;12(5):256-259  

This article is focused on the perceived health of Roma ethnicity. The pilot study was focused on the evaluation of health for Roma ethnicity. It was used selective empirical method and descriptive statistics. Selected characteristics evaluation of health, were collected using a questionnaire, structured interviews and observation. Among the characteristics that assess health, were included - lack adaptive behavior of the surrounding changes, lack of knowledge about basic health practices, lack of interest in improving the health-promoting behaviors, inability to take responsibility for compliance with basic health practices and deterioration...

This should not happen to respiratory specialist - unfortunate end of IPF story in Czech Republic

MUDr.Martina Šterclová, Ph.D., prof.MUDr.Martina Vašáková, Ph.D.

Med. praxi. 2015;12(5):257-260  

Idiopatic pulmonary fibrosis (IPF) is a serious treatable disease of variable course and lethal prognosis. Presented case report reviews case of the patient, who was treated for many years by inhaled corticosteroids despite known fibrotic interstitial lung involvement detected by computed tomography. This case happened in the era of antifibrotic treatment, which could have been used for Czech IPF patients since 2011. The patient underwent in 2014 acute exacerbation of the disease and he died of this exacerbation. Further discussion involves possible impact of both medical and patients oriented approach to IPF course, especially with regards to early...

Triplixam in general practitioner΄s office

MUDr.Kateřina Študentová

Med. praxi. 2015;12(5):261-262  

The achievement of target value of blood pressure in patients with arterial hypertension is crucial for reducing cardiovascular mortality. Insufficient correction of hypertension causes poor patient‘s compliance. It is lowered by increased quantity of medications, and the complexity of their dosage. Contemporary medicine, however, offers a modern combination of drugs that simplifies the treatment of hypertension. Smaller amounts of tablets are better accepted by patient, there is better cooperation of active ingredients used, and therefore greater treatment success. An example of a fixed combination of drugs is Triplixam. It contains...

Seznam specializovaných dermatologických center pro léčbu chronické spontánní kopřivky

prof. MUDr. Petr Arenberger, DrSc., MBA

Med. praxi. 2015;12(5):253  

Onemocnění z nachlazení

PharmDr. Jana Jurušová

Med. praxi. 2015;12(5):254