Internal Medicine for Practice, 2006, issue 2

Editorial

Dělejme správné věci správným způsobem

MUDr. Eliška Sovová Ph.D., MBA

Interní Med. 2006; 8(2)

Review articles

Medical therapy in obesity

MUDr. Jiří Polák

Interní Med. 2006; 8(2): 54-57

Since the prevalence of obesity in population is high medical therapy becomes an important part of the treatment; the author presents currently accepted essential criteria of the obesity treatment and reveals treatment options that could have a favourable influence in future.

Outpatient treatment of deep vein thrombosis

MUDr. Zdislava Kasalová, MUDr. Zdislava Kasalová jr

Interní Med. 2006; 8(2): 58-61

Low-molecular heparin offer the new prospects for the outpatient treatment. The basic principles: of the modern clinical solution: low-molecular heparin, the relevant compressive therapy and the walking starting the first day of the treatment. The mentioned procedure originate in metaanalysis studies presented in the 7th Conference of American College of Chest Physicians on Antithrombotic and Thrombolytic Therapy: Evidence - Based Guidelines.

Cought, diagnostic and therapy

MUDr. Ján Dindoš

Interní Med. 2006; 8(2): 62-66

Cough is normal reflex of defense, characterized with his fulminating and forced expirium. His goal is tendency for cleanup from foreign body and foreign substances. As symptom exist from this time, when persist and this complication is reason for patient to attend his practitioner. Is the one of the most frequent symptoms in the practice of the practitioners. This situation is real in all world, not excepting Czech Republic. Frequently is underestimated sign of serious illness, which his diagnostic is mission for general practitioner.

Combination therapy for hypertension

doc. MUDr. Milan Grundmann CSc, MUDr. Ivana Kacířová

Interní Med. 2006; 8(2): 68-73

Current outcomes of antihypertensive therapy remain unsatisfactory since only one in four patients are treated adequately. Most patients with diabetes, stroke and in elderly achieve good compensation of hypertension only using combination therapy. The most commonly used double combinations include diuretics + betalytics, diuretics + ACEI, diuretics + AT1 blockers, and ACEI + calcium channel blockers. Additional options of combination therapy are highlighted in this review. The evidence for double combination use according to evidence based medicine remains inadequate, while for triple combination use there is none. Triple combination drugs are selected...

An Influenza - a permanent threat for mankind

prof. MUDr. Jiří Havlík DrSc

Interní Med. 2006; 8(2): 74-75

Influenza is a highly contagious viral disease that is transmitted by air-borne infection and involves predominantly respiratory airways. Almost every year epidemics occur in winter involving more than 50% of population to a various extent. Since 1997 several epidemics of avian influenza of a different size occurred by a subtype A H5N1 involving more than 100 patients with more than 50% mortality. There is fear about humanization of the virus that could cause a pandemic.

The occurrence of Helicobacter pylori infection and gastroesophageal reflux disease

MUDr. Karel Lukáš CSc

Interní Med. 2006; 8(2): 76-78

Prevalence of Helicobacter pylori in patients with gastroesophageal reflux disease does not differ from a general population. The bacteria are present neither in normal epithelium nor in epithelium changed by inflammation because under normal conditions no gastric epithelium is found in esophagus. The increased prevalence of gastroesophageal reflux disease during recent years is associated with a decrease of Helicobacter pylori infection leading to speculations that Helicobacter pylori might be beneficial. The gastric inflammation caused by Helicobacter pylori infection decreases a gastric acid secretion that may explain why the intensity of reflux...

Title antioxidants in clinical practice

doc. MUDr. Pavel Hlúbik CSc, Ing. Hana Střítecká PhD, MUDr. Jana Fajfrová

Interní Med. 2006; 8(2): 79-81

Reactive forms of oxygen and other free radicals are formed in a human body in the course of biochemical processes continuously. Highly reactive forms of oxygen play an important role in antimicrobial protection of human organisms supporting killing of microorganisms during fagocytosis. Oxidative stress caused by free radicals takes part in protein, lipids and nucleic acid degradation. Oxidative stress is responsible for acceleration of atherosclerosis, degenerative diseases, carcinogenesis. Sufficient level of antioxidants in biological tissues plays a protective role.

Comments

Metabolický syndrom: nová choroba nebo módní nálepka?

MUDr. Petr Sucharda CSc

Interní Med. 2006; 8(2): 94-95

Information

Náhle srdcové úmrtie a šport - I. časť

prof. MUDr. Dušan Meško Ph.D

Interní Med. 2006; 8(2): 92-93

Case report

Neobvyklá příčina horečky nejasného původu - generalizovaná panikulitida typu Weber-Christianovy choroby

MUDr. Pavel Malina, MUDr. Eva Cimburová, MUDr. Alena Kůsová, MUDr. Ladislav Fábik, MUDr. Martina Olejárová

Interní Med. 2006; 8(2): 85-87

Jaká může být souvislost mezi synkopou, akutním infarktem myokardu a TIA?

MUDr. Josef Lebr, MUDr. Petr Kala Ph.D, MUDr. Jiří Pařenica, MUDr. Tomáš Brychta, MUDr. Martin Poloczek

Interní Med. 2006; 8(2): 88-90

Interdisciplinary overviews

Delirium due to not alcohol etiology in non psychiatric department

MUDr. Josef Chval

Interní Med. 2006; 8(2): 82-84

This article summarizes principal knowledge of occurrence, causes, pathophysiology, clinical manifestation, diagnosis and treatment of delirium in patients whom hospitalized in non psychiatric department.