Nezdravé zdravotnictví

prof. RNDr. Stanislav Komenda DrSc

Interní Med. 2007; 9(3)

Update on dietary guidelines for diabetic patients

doc. MUDr. Zdeněk Rušavý, MUDr. Silvie Lacigová Ph.D

Interní Med. 2007; 9(3): 110-113  

The article presents update in the area of dietology in diabetes mellitus. It discusses in detail 3 pathologic entities of metabolic syndrome: obesity, hyperlipoproteinemia and type II diabetes mellitus, because in this disease dietary therapy plays a key role. „A healthy weight“is stressed in modern dietology that is why the basics of application of physical activity are briefly discussed. Life style change is essential, reduction diet at BMI over 25 kg/m2 and physical activity 3–5x weakly at least for 30 minutes. Dietary fiber is necessary to prefer, the most advantageous is soluble fiber (vegetable, legume, fruit) thanks to positive...

Up-to-date Therapy of Allergic Rhinitis

MUDr. Ester Seberová

Interní Med. 2007; 9(3): 114-117  

Allergic rhinitis is the most frequent allergic disease afflicting respiratory system. It has strong negative impact on quality of life of patients and can couse several serious complications. Diagnose setting and plan of long-term therapy of allergic rhinitis should be made by both allergy and ENT specialists. This articel contains survey of pharmacs used in therapy of allergic rhinitis together with description of their features, mechanism of action and recommendation for their use.

Contrast media - induced nephropathy

MUDr. Darja Krusová

Interní Med. 2007; 9(3): 118-122  

Contrast media – induced nephropathy (CMIN) is an iatrogenic disorder, resulting from exposure to contrast media. With the growing number of diagnostic and interventional radiologic procedures in recent years, the prevalence of this order can be expected to increase.This article briefly tackles the currently known patophysiological mechanisms that lead to CMIN. There are the number of patient-related risk factors which increase the probability of its occurance after radiologic procedures, as the presence of diabetes mellitus, preexisting renal impairment and hypertension. In addition the development of contrast nephropathy is much more increased...

Diuretics in the treatment of heart failure

doc. MUDr. Eva Goncalvesová CSc

Interní Med. 2007; 9(3): 124-128  

Retention of fluid with congestion, hypervolemia, and volume overload of heart are regular components of syndrome of advanced heart failure. The principle of the diuretic effect is the increase of urine formation as a consequence of the interference with transport mechanisms of chlorides, sodium, potassium and water on the level of tubuli and collecting ducts in kidneys. The article discusses pathophysiological and clinical consequences of congestion, strategies of diuretic therapy and its influence on morbidity and mortality of patients with heart failure.

Diagnosis and treatment of primary hyperparathyroidism

prof. MUDr. Petr Broulík DrSc, doc. MUDr. Stanislav Adámek CSc, MUDr. Petr Libánský, MUDr. Jiří Tvrdoň

Interní Med. 2007; 9(3): 130-132  

One of the most common endocrine diseases is primary hyperparathyrodism (PHPT). PHPT is generalized disturbances of calcium, phosphate and bone metabolism, which is caused by long time increased secretion of parathormone (PTH). PHPT is caused by increased production of PTH by adenoma of one or more parathyroid glands or by hyperplazia of parathyroid glands. Clinical picture of PHPT dramatically changed during the last years especially in states with high medical level duo to rutine estimation of calcemia, phosphatemia and iPTH. In contrast with this in our set of our patients (912) there are still patients suffering from bone, renal and metabolic complication...

Mumps - epidemic continues in the eastern part of the Czech Republic

MUDr. Luděk Rožnovský CSc, MUDr. Irena Orságová, MUDr. Irena Martinková, MUDr. Čestmír Beneš

Interní Med. 2007; 9(3): 133-136  

Mumps is an acute viral illness with fever, pain swelling of one or more salivary glands, especially parotid glands, less frequent manifestations include meningitis and orchitis in adolescents and men. Universal vaccination against mumps was started in the Czech Republic in 1987 year. Only sporadic cases and small local epidemics were observed in the period of 1997–2004 year. Epidemic spread of mumps started in the eastern part of the Czech Republic in 2005 year, till this time approximately 7 000 cases were observed. Most of cases are in the age group of 10–24 years; patients younger than 20 years were vaccinated against mumps in childhood.

Screening kolorektálního karcinomu

doc. MUDr. Miroslav Zavoral Ph.D, prof. MUDr. Přemysl Frič DrSc

Interní Med. 2007; 9(3): 149-150  

Maligní fibrózní histiocytom břišní dutiny mimoorgánové lokalizace

MUDr. Jan Španihel, doc. MUDr. Pavel Weber CSc, MUDr. Jiří Tomášek, prof. MUDr. Zdeněk Kala CSc, MUDr. Lucie Křikavová, MUDr. Zdeněk Pavlovský

Interní Med. 2007; 9(3): 143-145  

Ventilační funkce a aktivita kardiálního autonomního nervového systému u pacientů s ankylozující spondylitidou

Mgr. Eva Zdařilová Ph.D, Mgr. Kateřina Burianová, prof. MUDr. Jaroslav Opavský CSc

Interní Med. 2007; 9(3): 146-148  

Rosiglitazon a jeho klinický efekt: studie ADOPT

MUDr. Zuzana Vlasáková CSc

Interní Med. 2007; 9(3): 137-140  

Racionální léčba akutní bolesti

MUDr. Marek Hakl Ph.D

Interní Med. 2007; 9(3): 141-142