Duchovní rozměr zdravotní péče

PhDr. Marta Hošťálková, Th.D.

Interní Med. 2012; 14(12): 451  

The treatment of chronic rhinosinusitis

MUDr.Jiří Hoza

Interní Med. 2012; 14(12): 455-457  

The treatment of chronic rhinosinusitis (CRS) represents a major problem given the prevalence of this condition in the population and the resulting socioeconomic impacts. The etiology and pathogenesis of CRS are discussed. The treatment involves both conservative and surgical methods. In addition to the standardly used topical steroids, conservative therapy mainly employs so-called immunolides (e.g. erdosteine), systemic pharmaceuticals that block the mediators involved in the complex chain of CRS development. Surgical treatment, with the exception of complications, is regarded as second-choice modality, with modern technological procedures...

Diuretics and beta blockers in treating hypertension

prof.MUDr.Jiří Vítovec, CSc., FESC, prof.MUDr.Jindřich Špinar, CSc.

Interní Med. 2012; 14(12): 458-460  

In treating high blood pressure, both diuretics and beta blockers are among the primary drugs for blood pressure control; however, due to their metabolic adverse effects, they are not among the first-choice drugs in uncomplicated hypertension. Diuretics are administered in edema, cardiac failure, isolated systolic hypertension, and in elderly patients. Beta blockers are used in all forms of ischemic heart disease, including post-myocardial infarction conditions, in cardiac failure, and in increased sympathetic tone with hyperkinetic circulation. Clear indications, inappropriate indications, and contraindications for these antihypertensive drugs...

New insights in pathogenesis and treatment of iron deficiency nad iron overload

doc.MUDr.Jaroslav Čermák, CSc.

Interní Med. 2012; 14(12): 461-464  

New mechanisms involved in pathogenesis of iron deficiency nad iron overload has been reported within past twenty years. A regulation of intracellular iron level caused by control of synthesis of proteins involved in iron metabolism by labile free cytoplasmic iron via binding of IRP on mRNA IRE has been described. Hepcidin represents an essential regulator of iron output from cells to circulation. Substitution of iron still represents the main treatment approach to patients with iron deficiency. A concomitant administration od iron in patients with anemia of chronic disease treated with erythropoetin has been recently discussed. New oral iron...

Notes to treatment inflammatory bowel diseases

MUDr.Karel Lukáš, CSc.

Interní Med. 2012; 14(12): 466-469  

Ulcerative colitis (UC) and Crohn disease (CD) are chronic intestinal inflammatory diseases that can present as bloody diarrhea, abdominal pain, and malnutrition. Collectively, these disorders are referred to as inflammatory bowel disease. This article reviews current approaches to the management of patients with UC and CD with aminosalicylates, corticosteroids, immunosupresives and anti-TNF α. When patient respond to the induction regimen is used maintenance terapie to prevent disease relapse. Surgical treatment is reserved for patients with persistent symptoms and disease or for the management of complications of the disease. When surgery...

Komentář k Evropským doporučeným postupům prevence kardiovaskulárních onemocnění v klinické praxi, verze 2012

doc. MUDr. Michal Vrablík, Ph.D.

Interní Med. 2012; 14(12): 489-490  

Cryoglobulinemic vasculitis in a patient with multiple myeloma - a case report

MUDr.Mgr.Jiří Minařík, Ph.D., MUDr.Tomáš Pika, Ph.D., doc.MUDr.Jaroslav Bačovský, CSc., prof.MUDr.Vlastimil Ščudla, CSc.

Interní Med. 2012; 14(12): 478-480  

The aim of our paper is to present cryoglobulinemia, its types, and clinical manifestation. We describe a case report of a patient with newly diagnosed cryoglobulinemic vasculitis associated with multiple myeloma. Mild symptoms of cryoglobulinemia, however, were present and unrecognized for more than 10 years. We describe the presenting symptoms, laboratory findings an examinations that lead to diagnosis confirmation. We also aim at the pitfalls of diagnostics as well as the treatment of patients with cryoglobulinemia. In routine practice, it is necessary to know the symptoms of the disease and in legitimate casesto think of the possibility...

Spondylodiscitis, an „orthopedic“ disease frequently diagnosed by internists: a case report

MUDr.Alexandra Šimončičová

Interní Med. 2012; 14(12): 481-483  

Spondylodiscitis (SD) is an infection of the vertebral column, most often being developed occurring through a hematogenicous pathway route. Because it is present in older age, frequently in patients with chronic back pain, the diasease is not always considered in the first place. The A drawback of imaging methods is athe fact, that the results mayight be negative inat the beginning. A minimum of six weeks of antibiotics treatment is a causal therapy for the disease. In the case of a local progression, a surgical intervention is indicated. In the article there presents are two case reportscasuistics of SD patients. Both of them were repeatedly...

Possibilities of the individual approach to patients in the hospice care

doc.MUDr.Miroslav Kala, CSc.

Interní Med. 2012; 14(12): 484-485  

Author presents three case reports from hospice. He gives information about the individual approach to every patient as to the quite unique human beeing. The aim od the palliative hospice care is to reach the highest quality of life as possible and to respect patient human dignity.

Vertigo, disorders of balance, falls

MUDr.Lenka Hronovská

Interní Med. 2012; 14(12): 470-472  

Diseases in old age may have atypical manifestations in some patients. The clinical picture, course and prognosis are influenced by basic diagnosis and associated diseases, which may impair the body and the ability to adapt to the current state of health. If due attention is not paid to this fact, it may lead to misdiagnosis and, subsequently, to inappropriate treatment with all possible consequences. Geriatric medicine is referred to as the medicine of five I’s: instability, immobility, incontinence, intellectual disturbances, and iatrogeny. For geriatric medicine, multimorbidity is typical when more diseases occur in an elderly person...

Urinary incontinence in women

MUDr.Zdeněk Adamík, Ph.D.

Interní Med. 2012; 14(12): 474-477  

The work describes the problems of urinary incontinence in women. It focuses on the contemporary definition, the distribution of individual types of incontinence, diagnostics and treatment. Urinary incontinence in women is becoming a serious socio-economic problem. Treatment is complex due to multifactorial causes. It includes a variety of therapies. In order that these procedures be most effective, they should focus on careful diagnosis and the treatment should be individually directed.The main therapeutic procedures include physical therapy with rehabilitation, medical and surgical treatment. The current methods achieve good results.

Can complementary and herbal medicine help in treatment of diabetes mellitus?

MUDr.Pavlína Piťhová

Interní Med. 2012; 14(12): 486-488  

Many diabetic patiens try to help themselves using complementary and alternative medicine preparations. In this review there are discussed the most frequently over-the-counter sold products that could influence the glucose and lipid metabolism. Psyllium, Aloe vera, Coccinia indica, Gymnema Sylvestre and Trigonella foenum – graecum have slight hypoglycaemic effect, cinnamon and Momordica charantia influence the level of insulin resistance and garlic, green tea extract and ginkgo biloba extrakt decrease the total and LDL cholesterol level.