Obezita, její komorbidity a jak je porazit?

MUDr. Pavol Holéczy, CSc.

Med. praxi. 2017;14(1)  

Screening of nephropathies within preventive care

prof. MUDr. Ondřej Viklický, CSc.

Med. praxi. 2017;14(1):6-10 | DOI: 10.36290/med.2017.002  

Chronic kidney diseases (CKD) affect a substantial portion of the population and are defined as abnormalities of the renal structure or function present for more than three months and affecting health. Diabetic nephropathy, hypertensive (ischaemic) nephropathy, glomerular diseases, and hereditary nephropathies are among the most frequent chronic kidney diseases. Fifty percent of patients having end-stage chronic kidney disease are unaware of their condition and/or are not followed in nephrology outpatient services; they are offered neither kidney transplantation nor peritoneal dialysis, and haemodialysis treatment of these patients is associated with...

Patient motivation for lifelong use of antihypertensive medication

doc. MUDr. Ondřej Ludka, Ph.D.

Med. praxi. 2017;14(1):11-14 | DOI: 10.36290/med.2017.003  

Compliance to the treatment with medical drugs consists of persistence with drugs use in the time and adherence with every day use. Compliance to lifelong treatment of arterial hypertension is a major problem of our time. The article provides information about the compliance of patients with hypertension and options for improvement. Are presented the advantages of combination therapy of hypertension, but also a potential risk of drug interactions in patients with polypharmacy.

Some aspects of diagnostics and treatment of cough especially in pregnancy and children

MUDr. Michal Švarc

Med. praxi. 2017;14(1):16-20 | DOI: 10.36290/med.2017.004  

Cough is a common symptom of many diseases. Cough could be according to it’s duration acute, subacute or chronic. Differential diagnostics may vary. The therapy is either specific according to the underlying disease or symptomatic including anti tussive, mucolytic or expectorant drugs. The therapy of pregnant patients or children must be guided according to the restricitions and limitations of drugs intended for treatment of those two special groups. Eligible antibiotics for pregnant patients are penicilin derived, selected macrolides and clindamycin. Most of the asthma controling drugs are approved for treatment of asthma in pregnancy....

Volunary vaccination in the general practitioner΄s office

MUDr. Zarina Karimová, MUDr. Vendula Petrůjová, MUDr. Hana Roháčová, Ph.D.

Med. praxi. 2017;14(1):21-24 | DOI: 10.36290/med.2017.005  

In spite of the existing series of myths and unreasonable fear of vaccination, it still endures as one of the most effective and safe tool in preventing different infectious diseases, which remain the significant cause of morbidity and mortality all over the globe in all possible age groups. Infectious diseases are held responsible for over one third of deceases worldwide and for almost half of the deceases in the developing countries. Vaccination is a reliable prevention tool in any age and therefore should not be a subject of interest only for pediatricians. Priority for general practitioners must be vaccination of patients in so called “risk...

Is it any real cause of safety concern regarding high-dose statin treatment?

doc. MUDr. Otto Mayer, CSc.

Med. praxi. 2017;14(1):25-27 | DOI: 10.36290/med.2017.006  

Statin treatment represents one of most important procedure in secondary prevention of atherovascular disease or in primary prevention of asymptomatic high-risk subjects. However, the prescription rate of high-dose statin remains in clinical reality far from being optimal, and possible reason can be safety concerns. The article summarizes recent facts on the risk of statin-induced myotoxicity, as the most prominent adverse effect of this treatment.

Significance of rehabilitation in treating the symptoms of patients with multiple sclerosis

Mgr. Klára Novotná

Med. praxi. 2017;14(1):19-26  

Comprehensive rehabilitation care by a multidisciplinary team of professionals should be an integral part of symptomatic treatment in patients with multiple sclerosis (MS). The article presents the recommended rehabilitation procedures in the most common symptoms accompanying MS.

Current possibilities of treatment of atopic eczema

MUDr. Štěpánka Čapková

Med. praxi. 2017;14(1):28-33  

Atopic eczema (AE) is a chronic, inflammatory skin disorder. In spite of intensive investigations, the causes of AE remain uncelar, but are likely to be multifactorial in nature. Among various measures of AE managment skin hydration, which improves barrier function and relieve itchiness, may be helpful to reduce the need for topical steroid use and therefore it should be used as a basic treatment. Avoiding aggravating factors is also a basic treatment of AE. Standard medical treatment with a pharmacologic approach may be necessary if basic treatment fails to control symptoms sufficiently. Recently,more attention is given to proactive treatment regimen...

Overview of drug-induced exanthemas

MUDr. Hana Mičaníková

Med. praxi. 2017;14(1):39-44 | DOI: 10.36290/med.2017.009  

Increasing drug consumption and usage of new pharmaceuticals leads to more frequent side effects and new adverse reactions. For their treatment we need medical history to be properly obtained and carefully written down. We need to know the characteristics of the suspected medicament and to recognize indicators of the adverse drug reaction in time. This review text is focused on the most frequent drug-induced exanthemas after systemic administration of medication.

Idiopathic pulmonary fibrosis – early diagnosis is important

MUDr. Martina Doubková, Ph.D.

Med. praxi. 2017;14(1):45-48 | DOI: 10.36290/med.2017.011  

Idiopathic pulmonary fibrosis (IPF) is a progressive and usually fatal form of idiopathic interstitial pneumonia (IIP). In recent years, the views on etiopathogenesis and treatment of IPF have been changing, so early diagnosis is important for prognosis. We describe two case reports of IPF patients with different stages of the disease.

News in assessing the medical fitness to drive a motor vehicle

MUDr. Dana Kuklová, CSc., Mgr. Michal Barák

Med. praxi. 2017;14(1):49-50  

The article deals with the process of assessing the medical fitness in all driver categories, i.e. both amateur drivers driving motor vehicles for private purposes and professional drivers in whom driving motor vehicles is either the subject of the work or its integral part, while taking into account and emphasizing the changes incorporated in the issue in question by an amendment to the Act on Road Traffic.

Psychological aspects during triage of injured persons

MUDr. Petr Hubáček, MBA, LL. M., Mgr. Vladimíra Odehnalová, Mgr. Radka Filipčíková, Ph.D., MBA, LL. M., Mgr. Marinella Danosová, Mgr. Tomáš Bortl, Mgr. Zdeňka Blažková, Ph.D., Bc. Monika Labonková

Med. praxi. 2017;14(1):40-41 | DOI: 10.36290/med.2017.010  

The triage method of injured and sick persons, is the process of efficient management of clinical risk requiring rapid assessment to determine the urgency of the patient's clinical condition and is completed with the inclusion of the patient into categories according to different triage systems. We use the triage methods by all persons requiring pre-hospital and hospital emergency care.