Děti jsou naše zrcadlo

prof. MUDr. Vladimír Mihál, CSc.

Pediatr. praxi. 2010;11(4):211  

Scoliosis - comprehensive diagnostic and therapeutic procedures

doc.MUDr.Martin Repko, Ph.D.

Pediatr. praxi. 2010;11(4):218-222  

Scoliotic deformity that progresses in child age is a serious spinal condition that affects in a complex manner not only the locomotor system of the child but also, secondarily, his organ systems, particularly the cardiopulmonary system. A number of medical disciplines are involved in the diagnosis and treatment of this deformity. The role of paediatricians in diagnosis, surveillance and conservative treatment of scolioses is essential. The aim of the paper is to summarize the definition, classification and examination methods for scolioses as well as to summarize modern therapeutic procedures.

Risk of sports activites in children

MUDr.Dalibor Pastucha, Ph.D., MUDr.Jana Malinčíková, Ph.D., MUDr.Renata Tichá

Pediatr. praxi. 2010;11(4):224-227  

Although movement and physical activity is one of the manifestations of basic biological needs, it has been falling in quantity dramatically in recent decades due to lifestyle changes, even though the genetic characteristics of individuals, and hence the need for movement, have not changed. Obesity is considered to be one of the biggest health problems associated with the lack of exercise. But also inadequate sports activity can cause health problems in children. The aim of this thesis was to show the risk of sports activites in children such as a functional disorders of musculosceletal system, injuries, doping, diatery suplements and eating...

Minor head injury in children

MUDr.Jan Hálek

Pediatr. praxi. 2010;11(4):228-231  

Minor head injury occurs commonly in children. Most head injury is not associated with clinicaly important brain injury. It is not clear how to identify those with traumatic brain injury while limiting unnecesary procedures (radiographics procedures, hospital admission). The review provides comprehensive information about the condition including the latest findings.

Risky medications in paediatric dermatological extemporaneous formulation and their suitable alternatives

PharmDr.Zbyněk Sklenář, Ph.D.

Pediatr. praxi. 2010;11(4):232-235  

When prescribing local dermatological medicinal products prepared individually at the pharmacy for paediatric patients, it must be kept in mind that some medications are currently qualified as problematic or even considered obsolete in paediatrics. However, in an effort to prescribe a suitable alternative, the physician lacks appropriate specialized literature that would address this issue. The paper presents selected active substances used in extemporaneous formulations which, in terms of contemporary therapy, are considered hazardous or contraindicated in paediatric patients, and offers prospective suitable alternatives in the form of individually...

Infant colic

MUDr.Martin Gregora

Pediatr. praxi. 2010;11(4):236-238  

A large percentage of sucklings suffer from regular crying and fussy period in their first month of life. A part of them meet the criteria of colic. Considering the ambigous etiology it is not easy for doctors to choose the remedy. Elimination of cow’s milk products brings the definite effect only for children with cow’s milk allergy. A positive effect comes among others also from the probiotics.

Failure to thrive in infancy

doc.MUDr.Josef Sýkora, Ph.D., MUDr.Michal Huml

Pediatr. praxi. 2010;11(4):240-244  

Failure to thrive is a descriptive term for various entities. Failure to thrive is organic, nonorganic or has components of both. The pathophysiology, etiology, growth charts, evaluation, management and outcomne of failure to thrive are discussed here.

Presence of the 13-valent pneumococcal conjugate vaccine

doc.MUDr.Roman Chlíbek, Ph.D., MUDr.Jan Smetana, Ph.D., RNDr.Vanda Boštíková, Ph.D.

Pediatr. praxi. 2010;11(4):246-250  

At present, the possibility of prevention of pneumococcal disease is expanding. There are available 7 -, 10 – and 13-valent conjugate vaccines (PCV-7, PCV-10, PCV-13). PCV-13 (Prevenar 13) was registered as the newest in 2009. This vaccine contains a protein carrier identical as the previous vaccine PCV-7 (Prevenar) and plus six new serotypes (ST) Streptococcus pneumoniae: 1, 3, 5, 6A, 7F and 19A. The reasons of addition new serotypes were their clinical severity and global presence. Vaccine PCV-13 at any assessment (immunogenicity, safety) demonstrated non-inferiority compared with PCV-7. PCV-13 vaccine should be effective in preventing...

Perinatal cephalhaematomes - to evacuate or not to do?

MUDr.Eva Brichtová, Ph.D.

Pediatr. praxi. 2010;11(4):252-254  

Cephalhaematoma is defined as subperiostal blood collection occurring in newborns secondary to birth trauma of a head. The group of 254 children suffered from cephalhaematoma were treated at Clinic of Pediatric Surgery, Orthopaedics and Traumatology in Brno Faculty Hospital within 7 years. 235 patients were treated by aspirations and 19 patients underwent neurosurgery, it means that all patients were treated with determined surgical intervention. The surgery was indicated and performed very early, so that the calvaria bone under the ossified cephalhaematoma was intact and there was no need of cranioplasty. The results were excellent, as all...

Papilocarcinoma of the urinary bladder in a 17-year-old-female smoker

MUDr.Michal Fedorko, MUDr.Miroslav Krhovský

Pediatr. praxi. 2010;11(4):255-256  

We present a case of an urothelial bladder tumour in a 17-year-old girl and describe clinical and pathological features of bladder cancer in young patients.

Severly malnutrished infant

MUDr.Markéta Nowaková, doc.MUDr.Michal Hladík, CSc.1

Pediatr. praxi. 2010;11(4):257-260  

Malnutrition is defined as the imbalance between supply of nutrients and energy and the body‘s demand for them. It affects every organ systems, particularly in a growing organism. In this article, a case report of a severly malnutrished one-year-old boy is presented.

Parent Awareness Concerning Optional Children’s Vaccinations

PhDr.Lucie Sikorová, Ph.D, Bc.Romana Kroczková

Pediatr. praxi. 2010;11(4):264-266  

Optional vaccinations consist of vaccinations against serious illnesses; from the epidemiological point of view, they can be recommended to various groups of children, depending on their age and other circumstances. They are not part of the regular vaccination programme. To make a responsible decision as to what other vaccinations, above the regular vaccination programme, are suitable for their child, parents of children under the age of 6 need to have enough information about such issues. The aim of the contribution is to introduce to experts the current state of awareness among those parents concerning optional children’s vaccinations....

Pyogenic spondylitis as a cause of back pain

prof.MUDr.Vladimír Mihál, CSc., MUDr.Kamila Michálková, MUDr.Hana Flögelová, MUDr.Marta Neklanová, MUDr.Miloslava Micková, MUDr.Iva Vágnerová, Ph.D., MUDr.David Krahulík

Pediatr. praxi. 2010;11(4):261-263  

The authors describe a 16-year-old boy with a ten-week history of spinal pain who was admitted to hospital for severe blockade of the thoracolumbar junction and marked paravertebral spasm accompanied by fever. An MRI scan of the thoracolumbar spine revealed spondylitis at the level of the L1 and L2 vertebrae. Microbiological examination (haemoculture) confirmed Staphylococcus aureus as the cause of the infection; it was well sensitive to selected the long-term antibiotic treatment.

Sestry nacvičovaly mj. ošetřování ran

Jiří Šefl, Bc.Lenka Šeflová

Pediatr. praxi. 2010;11(4):270  

Paličkovité prsty (pachyakrie, Hippokratovy prsty)

MUC.Marcela Hladná, doc.MUDr.Jiřina Zapletalová, Ph.D., prof.MUDr.Vladimír Mihál, CSc.

Pediatr. praxi. 2010;11(4):267  

Autodidaktický test 4/2010

Pediatr. praxi. 2010;11(4):268