Medicine for Practice, 2016, issue 2
Review articles
Chicken pox and its possible complications
MUDr.Hana Roháčová, Ph.D.
Med. praxi. 2016;13(2):58-60 | DOI: 10.36290/med.2016.011 
Chicken pox is currently most often reported infectious illness in the Czech Republic. Nevertheless, while immunization is possible, the percentage of those vaccinated against the disease is so far very low. One of the reasons for this is that the vast majority of cases are mild. However, the illness can be accompanied by a range of complications, not only among at-risk groups such as immunosuppresed persons and newborns but also among completely healthy persons.
Pharmacotherapy in low back pain
MUDr.Marek Hakl, Ph.D.
Med. praxi. 2016;13(2):61-62 | DOI: 10.36290/med.2016.012
Increasing number of patients with low back pain can be seen in developed countries. The greatest impact on this state has a sedentary lifestyle with no or irregular physical activity. It should be noted that the pharmacotherapy of low back pain treatment is a symptomatic therapy and the first treatment step should be done by man himself by reflecting on own lifestyle and not to underestimating right and especially regular physical activity.
Opportunistic pathogen Sarcina ventriculi
Ing.Věra Bunešová, Ph.D., MUDr.Barbora Drnková, prof.Ing.Eva Vlková, Ph.D.
Med. praxi. 2016;13(2):64-67 | DOI: 10.36290/med.2016.013
Bacteria of the genus Sarcina are morphologically very interesting microorganisms. They occur naturally in soil, mud and cereal corns. Their finding is also connected with different pathologies of gastrointestinal tract, especially with syndromes characterized by retarded evacuation of stomach and food passage to lower parts of the intestine. They can be found in the stool samples of humans, who do not suffer any acute or chronic diseases. The pathogenicity of the organism is not entirely confirmed, and it is an interesting subject for future research.
Interdisciplinary overviews
Over-the-counter products in treatment of acne vulgaris
Mgr.Markéta Obrovská
Med. praxi. 2016;13(2):68-71
Acne is a chronical non-infectious inflammatory disease. Patients visit pharmacy with mild acne very often. This article summarises common use and side effects of over-the-counter products. The text also describes possibilities of additional therapy.
Amaurosis fugax
MUDr.Helena Štrofová
Med. praxi. 2016;13(2):72-74 | DOI: 10.36290/med.2016.015
Amaurosis fugax is a transitory monocular visual loss, mostly monocular, which takes a few minutes, is no exception 1–2 hours. Visual functions are then fully restored. Usually amaurosis fugax is caused by transient ischemia or vascular insufficiency of the retina or optic nerve emboli from the carotid vessels or one of its branches. The cooperation of ophthalmologist, neurologist and internist is particularly needed.
Multiple sclerosis: Treating and managing fatigue
doc.MUDr.Martin Vališ, Ph.D., MUDr.Zbyšek Pavelek, doc.MUDr.Jiří Masopust, Ph.D.
Med. praxi. 2016;13(2):75-78 | DOI: 10.36290/med.2016.016
Multiple sclerosis (MS) is a chronic inflammatory disease which is characterized by infiltration of leukocytes into the central nervous system. This situation leads to the destruction of myelin and to the loss of axons and olidendrocytes. MS is an autoimmune disease and the most common cause of neurologic disability in young and middle-aged adults. Fatigue, one of the most common symptoms of MS, may lead to a shortened or decreased quality of life. The cause of fatigue is not clear but probably multifactorial. Diagnosis of fatigue and its quantification is very difficult.
Herpes viruses and papillomaviruses in the general practitioner’s surgery
MUDr.Lucie Růžičková Jarešová
Med. praxi. 2016;13(2):79-82 | DOI: 10.36290/med.2016.017
Herpes infections are among very common diseases and are manifested with skin symptoms. They are caused by DNA viruses that are antigenically homogeneous. Human is the only virus source and host. Seroprevalence of the population is very high. Herpes simplex and varicella are the most common conditions. Papillomavirus infections are caused by human papillomaviruses (HPV) that belong to DNA viruses. They most frequently induce the formation of verruca and condylomata. Condylomata are transmitted sexually and associated with risks. Their incidence is increasing worldwide. The exact prevalence of verruca is unknown but it is estimated to affect...
Case report
A patient with hypertension and high cardiovascular risk
MUDr.Jaroslav Brotánek
Med. praxi. 2016;13(2):83-88 | DOI: 10.36290/med.2016.018
Hypertensive disease is among the most significant risk factors of atherosclerosis in the developed world and represents one of the causes of premature death worldwide. The management of hypertension in patients with a high cardiovascular risk is a major issue. Currently, the main goal of hypertension management is to interfere with the renin-angiotensin-aldosterone system. However, even treatment with RAAS blockers may not always be unequivocal and may have certain pitfalls. The present case report describes a hypertensive patient with an already developed subclinical organ injury. It illustrates treatment considerations with respect to...
At a glance
Allergy, anaphylaxis, anaphylactic shock
MUDr.Božena Kalabusová
Med. praxi. 2016;13(2):89-92
Anaphylaxis is a severe, life-threatening systemic reaction that is almost always unanticipated and may lead to death by airway obstruction or vascular collapse. The most fleguent cause of anaphylaxis are food, drugs and insect. Administration of intramuscular epinephrine at the onset of anaphylaxis, before respiratory failure or cardiovascular compromise, is essential. Histamine H1 receptor antagonists and corticosteroids may be useful adjuncts. All pacients at risk of recurent anaphylaxis should be educated about use of epinefrine autoinjektor and drugs for first aid.
For nurses
Approach of professional carers to patient with dementia
Mgr.Marcel Koňařík, prof.MUDr.Hana Matějovská Kubešová, CSc.
Med. praxi. 2016;13(2):93-95 | DOI: 10.36290/med.2016.020
The approaches, behavior and attitudes to patients with dementia are very important determinants of quality of care. In practice, however, often we meet with dysfunctional approaches, such as stereotypes, prejudices and discrimination. Good and right care is not only based on good knowledge about dementia, but also on the personality the caregiver and his ability to master a professional and correct attitudes and behavior.
Cardiac function in hypertensive patients with metabolic syndrome and microalbuminuria
PhDr.Petr Uhlíř, Ph.D., MUDr.Milada Betlachová, Petra Stará, DiS.
Med. praxi. 2016;13(2):96-98 | DOI: 10.36290/med.2016.021
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 with movement disorders.