Syndrom vyhoření: změna paradigmatu

Mgr. et Mgr. Marek Vácha, Ph.D.

Med. praxi. 2024;21(4):187

Whooping cough and its treatment - up­‑to­‑date situation in the Czech Republic

MUDr. Jana Kovačiková, MUDr. Petr Jakubec, Ph.D.

Med. praxi. 2024;21(4):194-198 | DOI: 10.36290/med.2024.031

Whooping cough is a highly contagious bacterial disease that affects the ciliated epithelium of the respiratory tract. The disease is transmitted by the inhalation of infected droplets and easily spreads mainly in the population of responsive subjects (newborns, infants). The disease manifests by a paroxysmal unproductive cough, in childhood, and in a high-risk group of people (seniors, immunosuppressed patients, and patients with chronic lung disease) can have a complicated or fatal course. This infection was a frequent cause of infant morbidity and mortality before the development of the vaccine, in present the vaccine against pertussis is a part...

Immunization of adults in practice

MUDr. Eva Pernicová, MBA

Med. praxi. 2024;21(4):200-207 | DOI: 10.36290/med.2024.034

Vaccination is one of the most important discoveries of modern medicine, and it has made a major contribution to the protection of public health. Thanks to vaccination, it has been possible to eradicate or substantially reduce the incidence of many serious infectious diseases, from which hundreds of thousands of people died in the past. This article focuses on practical information on the vaccination of adults, including literature references, current guidelines, and related legislation.

Joint migraine treatment by GP and neurologist

MUDr. Rudolf Kotas, Ph.D., MUDr. Jolana Mračková, Ph.D.

Med. praxi. 2024;21(4):209-214 | DOI: 10.36290/med.2024.026

The paper describes the cooperation of the general practitioner and neurologist in the algorithm of the diagnostics and treatment of migraine. First, the detailed clinical manifestation of migraine is presented and its distinguishing from other most frequent primary headaches such as tension-type headache and cluster headache. In the next part, the algorithm for the treatment of migraine is described. The general practitioner plays a decisive role in treating a few frequent uncomplicated migraine attacks (approximately up to four monthly migraine days). Except for the prescription of acute antimigraine drugs the general practitioner should actively...

Holidays and travel for patients in the dialysis programme

David Martynek, PhDr. Jana Haluzíková, Ph.D.

Med. praxi. 2024;21(4):215-217 | DOI: 10.36290/med.2024.028

Chronic diseases are characterized by a protracted, long-term, often lifelong course. To varying degrees, they affect the quality of life not only biologically, but also psychosocially. Dialysis patients must regularly come to the dialysis center, they are attached to a specific place and time, so many people believe that a vacation in another city or country is impossible. Currently, patients can use so-called holiday dialysis, which allows dialysis patients to use the possibility to travel within the Czech Republic or abroad. The patients can make the reservation themselves or their parent center can help them, or they can contact a holiday dialysis...

How to prevent organ damage in patients with hypertension - focusing on the kidneys

MUDr. Eva Kociánová, Ph.D.

Med. praxi. 2024;21(4):241-246 | DOI: 10.36290/med.2024.045

Renal impairment is one of the underestimated risks of uncompensated hypertension. Long-term adverse effects of high blood pressure are risky from a young age. Early diagnosis and consistent treatment of hypertension are needed in the prevention of hypertensive kidney damage. According to the new recommendations, treatment should be guided to target BP values < 130/80 mmHg, which should be optimally achieved within 3 months of therapy. In addition, it is recommended that every hypertensive patient be examined glomerular filtration rate and albuminuria (using the albumin : creatinine ratio in the urine) at least once a year. In the management of...

Effect of paracetamol on blood pressure and comparison with NSAIDs

MUDr. Michal Prokeš, PharmDr. Josef Suchopár

Med. praxi. 2024;21(4):247-253 | DOI: 10.36290/med.2024.030

It is well known that suboptimal treatment of hypertension increases patient morbidity and mortality and that NSAIDs belong to the drugs that can raise blood pressure. Until recently, paracetamol was considered an analgesic that does not have such effects. However, some new information raises concerns about the safety of at least some patients with arterial hypertension when taking paracetamol. This review article presents information on the possible effect of paracetamol and NSAIDs on the blood pressure of hypertensive and non-hypertensive patients. From the available data, it appears that the negative impact of NSAIDs is more intense than the effect...

Acute upper respiratory tract infections - diagnosis and treatement

MUDr. Karolina Edelmannová

Med. praxi. 2024;21(4):218-221

Inflammation of the oropharynx is one of the most common infections across all age categories. The oropharynx, which contains a large amount of lymphatic tissue participating in the defense against external influences, is the gateway for infections. Most inflammations of the oropharynx are of viral origin, so over-the-counter preparations containing substances with a disinfecting and local numbing effect are sufficient. It is also advisable to recommend the overall use of analgesics and antipyretics to treat all symptoms and, of course, a regimen of measures such as bed rest and plenty of fluids. In the case of bacterial inflammations, sometimes we...

Self treatment of insomnia

Mgr. Olga Nedopílková, Šárka Močidlanová

Med. praxi. 2024;21(4):222-227

Insomnia is a main sleep disorder that significantly disrupts an individual's daily activity. Poor-quality or insufficient sleep can lead to fatigue, work inefficiency, a decrease in daytime vigilance, and even impaired cognitive functions. Good sleep is perceived as one of the basic attributes of good health. Therefore, information about insomnia should always be paid close attention to.

Pharmaceutical care in the self-treatment of common urological problems

PharmDr. Jana Šolínová

Med. praxi. 2024;21(4):229-240

In case of self-treatment of common urological disorders, a pharmacist or pharmacy assistant is often the first healthcare professional the patient turns to. Appropriate information should be obtained from the interview with the patient to distinguish between symptoms and conditions suitable for self-treatment and, conversely, to recommend a visit to the physician. The first contact of a patient with healthcare professionals in a pharmacy can also contribute to the detection of more serious diseases. The article deals with the possibilities of pharmaceutical care for a patient with common urological difficulties and the requirement of a recommendation...

Gluten­‑induced diseases and when to think about them

MUDr. Pavel Svoboda, Ph.D.

Med. praxi. 2024;21(4):256-258 | DOI: 10.36290/med.2024.037

Gluten is a mixture of proteins in the grains of wheat, rye, barley and oats that can cause a variety of diseases, whether autoimmune (celiac disease), allergic (wheat allergy) or otherwise (non-celiac gluten/wheat sensitivity). The following procedures are mainly used in diagnosis: careful history taking, determination of celiac-specific autoantibodies supplemented by histological examination of the duodenal mucosa, determination of allergen-specific IgE antibodies in serum and skin tests, or gluten elimination and exposure tests. It is important to think about these diseases when intestinal or extraintestinal symptoms are suspected or in some autoimmune...

Sukrosomální železo SiderAL Folic®

Firemní sdělení

Med. praxi. 2024;21(4):254