Hrdý člen důvěryhodné profese

Mgr. Stanislav Havlíček

Prakt. lékáren. 2009; 5(6): 259  

Therapy for functional gastrointestinal disorders - Irritable bowel syndrome - IBS

MUDr.Jitka Prokešová

Prakt. lékáren. 2009; 5(6): 266-268  

Patients suffering from functional gastrointestinal disorders are often seen by their GPs as well as by specialists-gastroenterologists. The estimated incidence in the population is 15–20 % of adolescents and adults, with a higher prevalence in women. In the case of IBS, the patients repeatedly complain of changes in the character of the stools and, commonly, no obvious association can be found. A thorough examination is imperative since one cannot leave out of consideration the fact that a serious organic disease can be detected. The therapy for these diseases is multicomponent. It includes a nonpharmacological approach (changing dietary...

Palliative medicine for pharmacists

MUDr.Ladislav Kabelka, Ph.D., MUDr.Ondřej Sláma, Ph.D.

Prakt. lékáren. 2009; 5(6): 270-273  

Palliative medicine is an active multidisciplinary care for incurable patients, with advanced disease state. Holistic model of care and multidisciplinary access are the fundamental principles of care. Methods of treatment must follow patient´s and family´s opinion and aims about quality of resting life. The article gives a definion for basic principles of farmacologic methods in specialized palliative care.

Pharmacotherapy of dyslipidemia

MUDr.Michal Vrablík, Ph.D., MUDr.Michaela Šnejdrlová

Prakt. lékáren. 2009; 5(6): 275-278  

Pharmacotherapy of dyslipidemia is a corner stone of prevention of cardiovascular complications in high-risk patients. Best documented lipid lowering agents are statins being used in monotherapy as well as the core of combination treatment regimens. Fibrates, ezetimibe, resins and (in the Czech Republic still unavailable) niacin represent other treatment options of dyslipidemia. Complex intervention of all lipid abnormalities using combination of different drug classes is a new approach to achieve further reduction of cardiovascular atherothrombotic complications.

Current therapy of skin and mucosal mycoses

doc.RNDr.Vladimír Buchta, CSc., doc.MUDr.Radovan Slezák, CSc., doc.MUDr.Jiří Špaček, Ph.D., MUDr.Marie Košťálová, Ph.D., Mgr.Marcela Vejsová, doc.PharmDr.Martin Doležal, Ph.D.

Prakt. lékáren. 2009; 5(6): 279-288  

Superficial fungal infections are common, particularly dermatophytoses, onychomycoses, and vulvovaginal Candida infections. Most of these mycoses are treated with topical antimycotic drugs unless the infection involves an extensive area or is resistant to initial therapy. The use of griseofulvin in dermatology is limited to a few indications (tinea capitis in children), ketoconazole is replaced by other triazole drugs with a better pharmacological profile (no risk of idiopathic hepatitis) in most indications. Onychomycosis – one of the most difficultto- treat dermatomycosis largely requires systemic therapy with terbinafine or itraconazole...

Rivaroxaban in prevention of tromboembolism after major orthopedic surgeries

doc.MUDr.Karel Urbánek, Ph.D., MUDr.Jiří Gallo, Ph.D.

Prakt. lékáren. 2009; 5(6): 263-265  

Rivaroxaban is an oral selective, direct factor Xa inhibitor. It has well predictable pharmacodynamics and pharmacokinetics and is generally well tolerated. Rivaroxaban is used in patients undergoing knee and hip arthroplasty as a prevention of deep vein thrombembolism in the dose 10 mg once daily as long as the risk of venous thromboembolism persists (in elective hip replacements for 5 weeks). In clinical trials, rivaroxaban showed a significant reduction in the incidence of venous thromboembolism as compared with enoxaparin.

Medication errors and experience with their monitoring I.

Mgr.Josef Malý, Mgr.Michal Hojný, prof.RNDr.Jiří Vlček, CSc.

Prakt. lékáren. 2009; 5(6): 290-293  

Medications are the most commonly used therapeutic means of modern medicine. The studies performed have confirmed that health care provision is burdened with errors. Up to 40 % of damage in hospitalized patients may be related to medications. Therefore, issues concerning safe medication use have increasingly been rightly discussed among both the expert and lay public. Safe medication use is seen as prevention of damaging the patient's health during medication use and includes activities by which medication errors may be avoided, prevented, or corrected.

Ginger - use in therapy and his possible interactions with other drugs

doc.PharmDr.Lenka Tůmová, CSc.

Prakt. lékáren. 2009; 5(6): 296-297  

The powdered rhizome of the ginger plant is a part of some natural products that help to suppress the feeling of nausea during travelling (by car, plane, ship, etc.). These preparations do not induce sleepiness and, therefore, are also suitable for drivers. Their use is not recommended to pregnant women and patients taking anticoagulants and immunosuppressants.

Hand care in winter

MUDr.Iva Obstová

Prakt. lékáren. 2009; 5(6): 294  

Hand skin is in continuous contact with the adverse effects of the external environment. Thus, it is rather stressed and requires appropriate care. The winter season contributes to a more significant skin dehydration, which is usually not only a cosmetic problem, but also a risk factor for numerous health complications.

Studie prokázala časté nevyhovující poradenství a špatnou komunikaci zásilkových lékáren

PharmDr.Martin Dočkal

Prakt. lékáren. 2009; 5(6): 304  

Německé soukromé zdravotní pojišťovny nechtějí e-kartu

PharmDr. Martin Dočkal

Prakt. lékáren. 2009; 5(6): 304  

Acute upper airway inflammations in children

MUDr.Pavel Horník

Prakt. lékáren. 2009; 5(6): 298-302  

Acute upper airway disease is the most common reason for seeing a paediatrician during the winter months. The paper provides an overview of the most frequent diagnoses and their treatment algorithm.

XXV. lékárnické dny, Litoměřice 2.- 4. 10. 2009

PharmDr.Martin Dočkal

Prakt. lékáren. 2009; 5(6): 305  

Autodidaktický test 6/2009

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Prakt. lékáren. 2009; 5(6): 306