Dušičkové zamyšlení aneb „memento mori“

MUDr. Josef Grym

Pediatr. praxi. 2009;10(5):283  

Puberty at a paediatrician‘s practice

RNDr. Daniela Zemková CSc, doc. MUDr. Marta Šnajderová, CSc

Pediatr. praxi. 2009;10(5):289-293  

Normal timing and course of puberty are very important for the child‘s normal sexual and mental development as well as for attaining optimal body height. The practical paediatrician plays an irreplaceable role in monitoring the child‘s development, detecting deviations from the norm, and making an early diagnosis. The review article summarizes the essential knowledge on the hormonal control of puberty, the development of secondary sex characteristics, and the most common disorders of puberty onset and/or course. It features practical recommendations of what the paediatrician should pay attention to during preventive check-ups of boys...

Specifics in pediatric neurotraumatology

MUDr. Eva Brichtová, Ph.D

Pediatr. praxi. 2009;10(5):294-298  

Craniocerebral trauma in childhood is socially much more compelling than in adults. Negative affection of future development, psychic and mental disabilities should be assumed in case of severe focal or difuse cerebral injury in childhood. Relative brain immaturity and specific skull physical parameters are the basic factors which influence the course of such a trauma in pediatric patients. Age specific kinds of craniotrauma occur in newborns and infants, as are ping pong fracture, growing fracture, traumatic cerebral suture diastasis or cephalhaematoma. Proper treatment of pediatric patients suffering from craniocerebral trauma demands different...

Risk of death and insidious complications of eating disorders

doc. MUDr. Libuše Stárková CSc

Pediatr. praxi. 2009;10(5):299-304  

Why do the eating disordered patients die? What are the causes of their sudden deaths? The article is based on works published abroad and presents several case reports which shows us the covered face of these serious disorders.

Tick-borne encephalitis

MUDr. Václav Chmelík

Pediatr. praxi. 2009;10(5):306-310  

Tick-borne encephalitis (TBE) as a disease of the central nervous system is endemic in many regions of Europe and Asia. There is increasing number of hot spot areas in all parts of the Czech Republic, probably due to climate changes. The outdoor activities of people in natural foci are essential for infection. Most of the patients have biphasic course of disease. In the second phase, the central nervous system is affected: meningitis, more serious encephalitis and encephalomyelitis are observed. Encephalitis and encephalomyelitis have temporary or long lasting sequelae very profoundly changing the quality of life. More serious diseases are observed...

Childhood rhinitis

MUDr. Petr Schalek

Pediatr. praxi. 2009;10(5):311-315  

Rhinitis is defined as an inflammation of the nasal mucous membrane characterized by the following symptoms: anterior or posterior rhinorrhoea, nasal congestion, sneezing, and itching. The causes of rhinitis in children are numerous; however, 50 % are reported to be caused by an allergy. The paper presents the current classification of rhinitides and particular attention is paid to the most common ones – acute infectious rhinitis and allergic rhinitis. The other types of rhinitis, complications, and differential diagnosis of childhood rhinitides are dealt with briefly.

Systemic antifungal therapy in children - trends, experience, recommendation

doc. MUDr. Petr Sedláček, CSc, MUDr. Petra Keslová

Pediatr. praxi. 2009;10(5):316-321  

Despite enlarged spectrum of antifungal drugs invasive fungal infection (IFI) as a proportion of morbidity and mortality in children with severe primary or secondary immunodeficiency is increasing. Candida species and Aspergillus species are the most common pathogens, but incidence of resistant and other less frequent opportunistic pathogens is increasing. Use of several new effective antifungal drugs in children (especially neonates, infants and toddlers) is limited by lack of pharmacokinetic and pharmacodynamic data. Therefore some of these drugs are not licensed in children and dosing is not established. Some recommendation is availab le only...

Approach to infants with muscle hypertonia in the first year of life

MUDr. Eva Dortová, MUDr. Jana Knězová, doc. MUDr. Jiří Dort, Ph.D, MUDr. Jitka Rokytová

Pediatr. praxi. 2009;10(5):322-324  

Authors describe symptoms of muscle hypertonia in newborns and infants, its causes and negative influence on motor development. On the basis of literary facts and their own ample experiences explain in details the approach to an infant with this disorder that may alleviate it.

Girl with congenital disorder of glycosylation - case report

MUDr. Martin Magner, Ing. Kateřina Veselá, RNDr. Hana Hansíková, CSc, prof. MUDr. Jiří Zeman, DrSc, MUDr. Tomáš Honzík, Ph.D

Pediatr. praxi. 2009;10(5):329-330  

2-year old girl with craniofacial dysmorphy, strabismus, inverted nipples, unusual fat pads, musle hypotonia and psychomotor delay is presented in this work. Laboratory analyses showed hepatopathy and koagulopathy. Systemic involvement with typical finding in physical examination supported the suspicion on congenital disorder of glycosylation – CDG syndrome. The most common type CDG Ia syndrome was diagnosed in our patient. CDG syndrome belongs to the differential diagnosis of each multisystemic disease. The diagnostics is available at our department.

Cognitive development in dependence on the leght of breastfeeding

Mgr. Ivana Stehlíková

Pediatr. praxi. 2009;10(5):332-334  

This article studies the question of interrelation between the lenght of breastfeeding and forming of cognitive functions in children, it briefly describes the period of infancy (from 5th to 8th months of age) and presents a part of the research, the aim of which was to observe possible differences in the development of 6-month-old children.

The attitudes of the today’s young people to smoking of cigarettes and drinking of alcohol

Mgr. Jaroslava Fendrychová

Pediatr. praxi. 2009;10(5):335-337  

The article deals with the attitude of the today´s young people (students of three types of high schools in the age 15–19) to smoking of cigarettes and to drinking of alcohol, and it compares the found data with the sex and education of the respondents. The article also mentiones the research of Krch and Drábková (1999), which had similar goals and respondents, and research of The European School Survey Project on Alcohol and Other Drugs (ESPAD) mentioned by Škapíková (2009). In the end the article reminds the book Health 21 published by Ministry of Health of Czech Republic.

Leukomeningeal infiltration in a child with acute lymphoblastic leukemia

prof. MUDr. Vladimír Mihál CSc, MUDr. Kamila Michálková, doc. MUDr. Dagmar Pospíšilová Ph.D, MUDr. Jiří Houda, MUDr. Barbora Ludíková, MUDr. Zbyněk Novák

Pediatr. praxi. 2009;10(5):338-339  

The authors present a 6-year-old patient suffering from mature B-ALL, who had at dignosis evident leptomeningeal infiltration and multiplentiful focal changes in the skeleton of thoracic vertebrae, pelvis and sacrum on MRI scan. Patient was treated by protocol B-NHL BFM 2002, combination of systemic and local chemotherapy. After completion of the treatment the patient has remained in complete primary remission and all infiltrative lesions were vanished.

Acute upper airway inflammations in children

MUDr. Pavel Horník

Pediatr. praxi. 2009;10(5):340-342  

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.

Hormonální antikoncepce u dívek mladších 15 let - pro a proti

Pediatr. praxi. 2009;10(5):350  

Conjugate vaccines in prevention of pneumococcal infections

MUDr. Jiří Slíva

Pediatr. praxi. 2009;10(5):344-347  

Undoubtedly, Streptococcus pneumoniae is one of the most important pathogens causing pneumonia, meningitis, otitis or sepsis in children. Currently, there are two types of conjugate vaccines used as a prophylaxis in the Czech Republic – Prevenar and Synflorix. The article summarizes so far published data on their efficacy and safety.

Mnohočetná osteonekróza kostí tarza oboustranně u adolescentní dívky s akutní lymfatickou leukémií

prof. MUDr. Vladimír Mihál CSc, MUDr. Petr Kamínek, Ph.D, MUDr. Kamila Michálková, MUDr. Ondřej Prášil

Pediatr. praxi. 2009;10(5):331  

Autodidaktický test 5/09

Pediatr. praxi. 2009;10(5):348  

Stojí za přečtení...

Pediatr. praxi. 2009;10(5):324