Rozhádané sestry a medicína

MUDr. Radkin Honzák, CSc.

Med. praxi. 2024;21(3):127  

Association between excessive sodium intake and prevalence of obesity

Mgr. Erika Čermáková, Mgr. Martin Forejt, Ph.D.

Med. praxi. 2024;21(3):131-133 | DOI: 10.36290/med.2024.010  

In recent years, studies aimed at finding the causes of obesity have increasingly pointed to the possible role of excessive sodium intake, even though it has no energy value on its own. This association can be explained from many aspects. Excessively salty foods are usually high in energy. Increased consumption of sweetened beverages after consuming a diet with high in salt is also the most commonly discussed cause. An addiction to salty foods, which leads to their increased intake, may also play an important role. Excessive energy and sodium intake was also found with the consumption of ultra-processed foods, which may be due to their typically lower...

Cystic fibrosis - diagnosis and treatment

MUDr. Eva Pokojová

Med. praxi. 2024;21(3):135-145 | DOI: 10.36290/med.2024.018  

Cystic fibrosis (CF) is an inherited disease caused by a mutation in the transmembrane conductance regulator (CFTR) gene. A non-functional CFTR channel causes dysfunction of the exocrine glands resulting in a high concentration of chlorides in sweat and the accumulation of viscous secretions in the respirátory and digestive tract. Cystic fibrosis is typically a progressive respiratory disease and an impaired nutritional status of the patient due to exocrine pancreatic insufficiency. Up to 98 % of adult men are infertile due to obstructive azoospermia. The newborn screening of CF, the availability of innovative therapy with CFTR modulators (CFTRm),...

Use of selected activation techniques in seniors with dementia

PhDr. Iveta Ondriová, PhD., PhDr. Terézia Fertaľová, PhD.

Med. praxi. 2024;21(3):146-150 | DOI: 10.36290/med.2024.019  

Dementia syndrome is caused by diffuse damage to the brain and is one of the most common and feared diseases of older people. A person loses the ability to perform meaningful activities, understand the surrounding events, loses self-sufficiency and gradually becomes dependent on another person. Disorders of memory, orientation, intellect, thinking, emotions, and social functions gradually develop. Non-pharmacological approaches are an important part of dementia management. The goal of non-pharmacological treatment is to preserve or improve the level of gross and fine motor skills, walking, self-sufficiency and cognitive functions, meaningful fulfillment...

Self­‑reflection in the daily practice of a doctor

MUDr. Tereza Pinkasová

Med. praxi. 2024;21(3):151-154 | DOI: 10.36290/med.2024.020  

The article delves into the importance of self-reflection for the personal and professional development of doctors. It highlights the benefits of self-reflection in fostering self-awareness, maintaining the mental health of doctors, preventing burnout syndrome, and enhancing empathy and communication skills. The article provides an overview of easily adoptable self-reflective techniques that can be integrated into everyday medical practice, promoting a healthier and more meaningful approach to providing medical care.

Pharmacotherapy for chronic pain

MUDr. Dana Vondráčková

Med. praxi. 2024;21(3):155-161  

Chronic pain is a chronic disease that significantly impairs the patient's quality of life. Pharmacotherapy is based on international recommendations (IASP, EFNS) adapted by the Society for the Study of Pain Management (SSLB) for our conditions. The correct pain treatment must be complex. It should combine application of pharmaceuticals, intervention techniques, psychotherapy, rehabilitation, and cooperation with other specialists as well. The article deals with pharmacotherapy. Treatment by drugs includes WHO analgesics (1st grade non-opioid analgesics, NSAIDs, 2nd grade weak opioids, 3rd grade strong opioids), co-analgesics, antidepressants, antiepileptics,...

How cyanocobalamin and its species tamed diabetic neuropathy or the importance of neurotropic vitamins in the prevention and adjuvant therapy of diabetic neuropathy from the perspective of a pharmacist

Mgr. Ondřej Šimandl

Med. praxi. 2024;21(3):162-169 | DOI: 10.36290/med.2024.021  

Diabetic neuropathy, especially symmetrical distal sensory-motor polyneuropathy, is one of the most common late complications of diabetes. According to various statistics, its prevalence in the general population of diabetics is between 10-50 %, with the duration of the disease and, in particular, the degree of its decompensation over time, its prevalence continues to increase. The possibilities of pharmacotherapy in the case of this disease are largely limited, and its effectiveness and tolerance by the patient are individual. In contrast, supplementation with neurotropic vitamins, which support the function of neurons and contribute to their protection...

Obezita a farmakoterapie pod lupou

MUDr. Zuzana Zafarová

Med. praxi. 2024;21(3):170-176  

Kam kráčí kardiovaskulární prevence aneb jak žít déle

MUDr. Zuzana Zafarová

Med. praxi. 2024;21(3):177-182