Facka mezi paragrafy

PhDr. Petr Šmolka

Pediatr. praxi. 2008;9(3):143  

What is known about pediatric asthma?

doc. MUDr. Vít Petrů CSc

Pediatr. praxi. 2008;9(3):148-152  

Bronchial asthma is one of the most common chronic diseases worldwide. The prevalence of asthma symptoms in children varies from 1 to more than 30 percent in different populations and is increasing in most countries, especially among young children. Asthma is a chronic inflammatory disorder of the airways. Chronically inflamed airways are hyperresponsive; they become obstructed and airflow is limited (by bronchoconstriction, mucus plugs, and increased inflammation) when airways are exposed to various risk factors. A stepwise approach to pharmacologic treatment to achieve and maintain control of asthma should take into account the safety of treatment,...

Cerebrovascular accidents in childhood - part 1

MUDr. Josef Gut

Pediatr. praxi. 2008;9(3):154-157  

Cerebrovascular accidents (stroke) are infrequent in childhood, however their course may be very serious. They differ from stroke in adulthood by proportional incidence of ischaemic and hemorrhagic accidents. A wide spectrum of diseases may cause a stroke in children. In the acute phase besides a rapid evaluation with CT or MRI it is necessary to look for risk factors – besides risk factors frequent in adults (hypertension, lipid disorders, diabetes mellitus) mainly vessel anomalies, thrombophilic states, cardiac pathology, metabolic disorders, drug abuse. Rapid and correct diagnosis is necessary for early therapeutic intervention.

Pediatric aspects of protection against bioterrorism

doc. MUDr. Roman Prymula CSc., Ph.D, MUDr. Roman Chlíbek Ph.D, MUDr. Miroslav Špliňo

Pediatr. praxi. 2008;9(3):158-160  

Biological risks play a key role in emergency planning recently. National security systems create model plans, how to protect their inhabitants against possible biological threats. However emergency planning omits frequently specific problems of pediatric aspects of bio preparedness. Generally valid therapeutic schedules do not exist, therefore we come out of US schedules. Elementary differences concern not only therapeutic regimens but even procedures and psychological approach.

Early Symptoms of Autism in Infants Are Key to Timely Diagnosis

MUDr. Hana Ošlejšková Ph.D

Pediatr. praxi. 2008;9(3):161-163  

Autism is an older term used for a group of severe disorders occurring in the developing brain that are nowadays classified as „pervasive developmental disorders – PDD or autistic spectrum disorders – ASD“. In most autistic spectrum disorders the diagnosis is made at the age of 36 months except for Asperger´s syndrome – at 72 months. However, clinical symptoms of the disease can be often recognized by one year of age. Nevertheless, children with autism have been still referred late to diagnostics. The report aims at giving the most frequent early clinical manifestations of autism for the needs of general practitioners...

Mucosal immunity in childhood, immunization and allergy

MUDr. Eva Vernerová

Pediatr. praxi. 2008;9(3):164-168  

Mucosae are constantly bombarded with foreign substances and micro-organisms and must therefore be protected by appropriate defence mechanisms reffered as mucosal immunity. Protective responses at mucosal surfaces differ in some ways from systemic immunity. These differences are discussed in this article. The attempts to prevent infectious diseases involving mucosal surfaces by modulating the immune system were made almost 100 years ago and over the last number of years new strategies for mucosal immunization have evolved.

Middle ear infection, diagnosis and treatment

prof. MUDr. Ivo Šlapák CSc

Pediatr. praxi. 2008;9(3):171-176  

Acute middle ear infection-otitis media acuta (OMA) is the most frequent inflammatory disease in early childhood all the year round. Causes of OMA are dysfunction of Eustachian tube, penetration of infection, insufficient immune system. Symptoms and signs of OMA are ear ache, decreased hearing, fever, restlessness. Diagnosis is based on otologic examination, especially on otoscopy. Differential diagnosis must include external ear infection, obstructing cerumen or a foreign body in the ear canal. OMA may be complicated by tympanic necrosis, acute mastoiditis (with or without abscess formation), thrombophlebitis or thrombosis of sagittal sinuses or intracranial...

Dermatophytoses in childhood

MUDr. Magdalena Skořepová CSc

Pediatr. praxi. 2008;9(3):177-180  

Dermatophytoses belong to the most frequent skin disorders together with eczematous diseases and crural ulcers both in outpatient and inpatient care. The diseases involve a wide range of population and it is necessary to pay attention also to prevention. They are important from epidemiologic perspective because they are more or less infective. Some persistent disease may warn us about a serious systemic disease (diabetes mellitus, disorders of immune system).

The treatment with growth hormone in childhood

doc. MUDr. Ľudmila Košťálová CSc

Pediatr. praxi. 2008;9(3):181-186  

The treatment with recombinant growth hormone started in Slovakia in 1992. The first indication was a deficit of growth hormone in childhood, later on the indications broadened to the use of growth hormone in children with Turner syndrome and children who have growth retardation and have chronic renal failure. New evidence about metabolic effect of growth hormone as a neurotransmitter lead to its use in the treatment of children with Prader-Willy syndrome and in adults with a heavy deficit of growth hormone, especially after surgeries on adenohypophysis or in patients with persistent deficit of growth hormone since childhood. Last two years children...

Kombinace divertiklu urachu a Meckelova divertiklu jako neobvyklá příčina „psychogenních“ bolestí břicha

MUDr. Petra Guňková, MUDr. Helena Strmeňová

Pediatr. praxi. 2008;9(3):192-194  

Syndrom toxického šoku

MUDr. Jarmila Seifertová

Pediatr. praxi. 2008;9(3):195  

Čtyři gastroenterologické diagnózy a jeden pacient

MUDr. Eva Karásková, MUDr. Josef Tenora, MUDr. Vratislav Smolka, MUDr. Jarmila Vospělová, MUDr. Michal Konečný Ph.D, MUDr. Ivana Lančová, prof. MUDr. Vladimír Mihál CSc

Pediatr. praxi. 2008;9(3):196-198  

Vliv sociálních faktorů na problémové chování adolescentů

Mgr. Marie Marková Ph.D

Pediatr. praxi. 2008;9(3):190-191  

Jaká je Vaše diagnóza? Proč jej polykání trápilo?

MUDr. Jarmila Vospělová, MUDr. Eva Karásková, MUDr. Josef Tenora, MUDr. Hana Flöglová, MUDr. Miroslava Vašutová, MUDr. Josef Grym, MUDr. Tomáš Malý Ph.D

Pediatr. praxi. 2008;9(3):189,199-201  

BILATERÁLNÍ INTRAVEZIKÁLNÍ URETEROKÉLY U NOVOROZENCE JAKO PŘÍČINA OBOUSTRANNÉ DILATACE KALICHOPÁNVIČKOVÉHO SYSTÉMU LEDVIN

prof. MUDr. Vladimír Mihál CSc, MUDr. Kamila Michálková, MUDr. Hana Flögelová, MUDr. Oldřich Šmakal Ph.D

Pediatr. praxi. 2008;9(3):202-203  

Pediatr a dětská sestra musí řešit problém v ordinaci v symbióze

Mgr. Iva Daňková

Pediatr. praxi. 2008;9(3):204-205