Online závislosti: Příspěvek ke zmírnění paniky

Mgr. Kateřina Škařupová, Ph.D.

Med. praxi. 2017;14(3)  

Inflammation as a cause of venous disease

prof. MUDr. Alena Pospíšilová, CSc.

Med. praxi. 2017;14(3):111-114 | DOI: 10.36290/med.2017.052  

Chronic venous disease includes the full spectrum of morphological and functional abnormalities of venous system a log-running, which are manifested either by symptoms and/or signs indicating the need for investigation and/or care. Clinical signs as the cause and functional changes in relation to the subjective symptoms most accurately defines CEAP classification. In the etiogathogenesis of chronic venous disease play an important role venous hypertension with reflux, which induce inflamation changes and their cascade in the part of macrocirculation, in which leads to damage of valve and venous wall, in the part of microcirculation to the complete...

Pharmacotherapy of irritable bowel syndrome

doc. PharmDr. Jan Juřica, Ph.D., MUDr. Radek Kroupa, Ph.D.

Med. praxi. 2017;14(3):115-122  

Irritable bowel syndrome is one of the most frequent functional diseases of gastrointestinal tract. Among typical symptoms there are GIT dyscomfort, abdominal pain, bloating, and change in stool consistency and/or stool frequency. Pharmacotherapy is supplementary to dietary and regime approaches and is truly symptomatic, but it often brings patients significant relief from symptoms. This article is pharmacological review of groups of drugs used in the treatment of irritable bowel syndrome. It introduces mechanisms of action, particularities of pharmacokinetics of spasmolytics, laxatives, antidiarhoics, prokinetics, antibiotics and psychotropic...

Pneumonia in GP practice and treatment

MUDr. Ondřej Fibigr, doc. MUDr. Norbert Pauk, Ph.D.

Med. praxi. 2017;14(3):123-126 | DOI: 10.36290/med.2017.053  

Cough, shortness of breath, fever and chest pain are the most common symptoms that brings patients with pneumonia to our ambulances. Early recognition of acute inflammatory diseases of the lung alveoli, respiratory bronchioles and pulmonary interstitium, initiation of antibiotic therapy and possible hospitalization are very important for the further development of the disease and patient's prognosis. In this case report article we want to demonstrate on specific cases, symptoms, diagnosis and treatment of pneumonia as a outpatient and discuss the case, that required hospitalization.

Significance of psychotherapy in treating multiple sclerosis

Renata Malinová

Med. praxi. 2017;14(3):46-49  

Multiple sclerosis (MS) is a disease with a very individual course that can have a limiting effect on the capacity of full workload and, later on, on the self-sufficiency of the patient, while having essential socioeconomic impact. The treatment of MS has changed dramatically over the last 20 years. Physiotherapy and psychotherapy have become an integral part of treatment. The treatment thus requires a comprehensive approach and a multidisciplinary team. The patient’s mental status has an effect on the disease course. A chronic, incurable disease with no unequivocally predictable course interferes in an essential manner with the person’s...

Allergic rhinitis – the possibility of self-medication

Mgr. Karel Hloch, PharmDr. Martin Doseděl, Ph.D.

Med. praxi. 2017;14(3):127-132  

Allergic rhinitis belongs to the group of illnesses, in which patients often tend to self-medication. In the following article we provide basic information about the disease as well as about OTC drugs, which are available for self-medication. These information should help to GPs with orientation on the broad field of OTC used to allergic rhinitis treatment.

Current view on skin photoprotection

MUDr. Jiří Ettler, doc. MUDr. Karel Ettler, CSc.

Med. praxi. 2017;14(3):134-138  

Skin photoprotection is a complex of protective measures preventing unwanted and harmful effects of ultraviolet radiation on skin. It consists of behavioral precautions, avoidance of midday sun, wearing of photoprotective clothing and aplication of sunscreens. Special attention is needed in protection of children and immunosupressed patients. Very controversial is vitamin D – its role in human body, optimal serum level and its partial dependance on exposition to ultraviolet radiation. Patients‘ education ensured by theirs dermatologists and by public health campaigns is crucial in effective primary prevention of skin cancer.

NSAIDs in the acute pain treatment from the viewpoint of a neurologist

MUDr. Tomáš Nežádal, Ph.D.

Med. praxi. 2017;14(3):142-146 | DOI: 10.36290/med.2017.026  

Nonsteroidal anti-inflammatory drugs (NSAIDs) have a common analgesic, antipyretic and at higher doses in particular antiphlogistic effect that differs this pharmacological group from other non-opioid analgesics. The term non-steroidal define these substances in 1960 against the steroids administred in rheumatology. These are some of the most commonly used drugs. Neurologist's view on the NSAIDs is not too revealing, but spectrum of NSAIDs in neurology is wide, with acute and chronic pain conditions, from vertebral and radicular syndromes to migraines and a large group of other headaches. This insight tries to chart the position of NSAIDs among...

Fixed dose combination of two antihypertensive drugs and statin in hypertensive patients in clinical practice

doc. MUDr. Jitka Mlíková Seidlerová, Ph.D.

Med. praxi. 2017;14(3)  

Medical care of hypertensive patients involves besides efforts to lower blood pressure also efforts to reduce other cardiovascular risk factors. One of the most common risk factors is dyslipidemia. This paper describes two case histories of patients in whom we used fixed dose combination of perindopril arginine + amlodipine + atorvastatin. Fixed dose combinations improves adherence to treatment. The two case histories mentioned in a present paper shows that this fixed dose combination might be used in treatment naïve patients as well as method how to increase efficiency or how to simplify existing therapy.

Complications of the diverticular disease – colocutaneous and colovesical fistula

MUDr. Zuzana Adamová, Ph.D., MUDr. Radim Slováček, MUDr. Dalibor Dvořák, MUDr. Tomáš Bár, MUDr. Rostislav Čureček, MUDr. Petr Rohlík

Med. praxi. 2017;14(3):147-149 | DOI: 10.36290/med.2017.054  

Colonic diverticular disease is common in developed countries, and its prevalence increases with age. Most affected individuals remain asymptomatic throughout their lives. We herein report a rare case of a spontaneous colocutaneous and colovesical fistula due to diverticulitis of the sigmoid colon.The condition was successfully treated by resection.

Doctors’s assessing of medical fitness to hold a firearms license

Mgr. Theodora Čáslavská

Med. praxi. 2017;14(3)  

Quick guide for doctors (especially the registering physician in the field of general practice, practical medicine for children and adolescents and physicians providing occupational medicine services) to proceed with issuing an opinion on medical fitness of the patient, respectively applicant for firearms permits.

Zaznělo na XV. kongrese praktických lékařů, Olomouc, 27.–28. dubna 2017: Dokážeme zlepšit kvalitu života pacientů s mírnou kognitivní poruchou?

MUDr. Pavel Rutar

Med. praxi. 2017;14(3):152-154