Alkohol včera, dnes – a zítra?

doc. MUDr. Michal Hladík, Ph.D.

Pediatr. praxi 2019; 20(6): 311  

The F10.0 diagnosis: Where do we go from here?

MUDr. Josef Grym

Pediatr. praxi 2019; 20(6): 317-319  

The author draws attention to the increasing number of children hospitalized for acute alcohol intoxication and the increasing proportion of intoxicated girls. There has been an increase both in intentional alcohol use as a way of solving problems, particularly in adolescents with mental and social issues, and the inability to tackle these situations in the family. Case reports are used to highlight the problems associated with the management of intoxicated adolescents with aggressive behaviour who present a burden and risk for the operation of a paediatric department, with care of these conditions not being addressed adequately by legislation.

Whooping cough not only in black and white terms

MUDr. Zuzana Blechová, Ph.D.

Pediatr. praxi 2019; 20(6): 320-324  

The half-forgotten presentation of whooping cough may, in the era of vaccination refusal, become a real threat for newborns andsusceptible infants. The incidence of pertussis is rising, also as a result of a more rapid waning of immunity post-vaccination andadaptability of the Bordetella species. Early and thorough vaccination coverage in infants and pertussis revaccination in womenduring pregnancy are the only real precautions. The paper compares a historical perspective of the disease with current knowledge.

Early cleft defect surgery and its importance from the ETN point of view

MUDr. Michal Jurovčík, MUDr. Jiří Borský, Ph.D., MUDr. Petra Dytrych, Ph.D., MUDr. Jiří Černý, MUDr. Jiří Skřivan, CSc.

Pediatr. praxi 2019; 20(6): 325-329  

Almost all patients with cleft palate suffer from Eustachian tube insufficiency.The result is usually the development of otitis media with effusion. Its first manifestation can be observed in newborns. Over ten years, we have performed primary suture of the lip in more than 300 newborns. Most surgical procedures were performer by day 7. Audiologic diagnosttics was indicated before the procedure. Using high frequency tympanometry, we were able to predict with high probability the presence of fluid in the middle ear. Middle ear secretion was detected in newborns, but only in those who had cleft palate. In all patients with isolated cleft lip, the middle...

Early Screening of Autism Spectrum Disorders in Pediatrician’s Offices

Mgr. Lenka Slepičková, Ph.D., doc. PhDr. Karel Pančocha, Ph.D., PhDr. Helena Vaďurová, Ph.D.

Pediatr. praxi 2019; 20(6): 330-334  

About 1000–2000 children with Autism Spectrum Disorders (ASD) are born in the Czech Republic every year. Early diagnostics is a critical factor in initiating an early intensive intervention, which has a significant positive impact on the child‘s prognosis as well as the quality of life of the child and its family. At the end of 2016, Decree no. 70/2012 Coll., On Preventive Examinations, was amended. The general preventive examination at 18 months of age now includes an examination for early signs of ASD. The Modified Checklist for Autism in Toddlers (M-CHAT) is a psychological questionnaire used in the examination. It contains 20 YES/ NO...

The aspects of cooperation between pediatricians and physiotherapists

MUDr. Lucie Vosecká, MUDr. Jan David, Ph.D., Ing. Bc. Iva Urbanová, MUDr. Vasil Janko

Pediatr. praxi 2019; 20(6): 335-338  

The care of children with motoric diseases needs interdisciplinary cooperation, most often this includes pediatricians, pediatricneurologists and physiotherapists. Physiotherapy is ranked among the most crucial ones. The aim of this article is to present theaspects of cooperation between pediatricians and physiotherapists.

Significance of vitamin C for children’s body

prof. MUDr. František Kopřiva, Ph.D., MUDr. Pavel Frühauf, CSc., MUDr. Boris Hruškovič, MUDr. Pavel Kostiuk, CSc., PharmDr. Zdeněk Procházka, PharmDr. Lucie Kotlářová, MUDr. Jiří Slíva, Ph.D., MUDr. Vendula Látalová, MUDr. Jan Boženský

Pediatr. praxi 2019; 20(6): 339-346  

Vitamin C is one of the essential nutritional elements and is an irreplaceable substance for man, playing a crucial role at all stages of life. Due to its effect on the genome and because of its epigenetic role, vitamin C influences the development as well as health status at all stages of prenatal and postnatal development. It has a major impact on various functions of the immune system. It is a cofactor in a number of enzymes catalysing important reactions in the biosynthesis of indispensable substances (e.g. neurotransmitters, carnitine, collagen). It is one of the most significant antioxidants protecting tissues from oxidative stress, thereby having...

The assessment of psychomotor development in children with fetal growth restriction

Mgr. Julie Žalmanová

Pediatr. praxi 2019; 20(6): 348-351  

The present article focuses on the assessment of psychomotor development in children with fetal growth restriction. The articledescribes the diagnosis of fetal growth restriction as such, the article then focuses on the ways in which the psychomotor developmentcan be assessed. At last, the article analyzes different factors that need to be taken into account while assessing thepsychomotor development.

Skin care of the skin skin with atopy

MUDr. Helena Michalíková

Pediatr. praxi 2019; 20(6): 352-356  

The first manifestation of atopy in early childhood is atopic dermatitis. Later, food allergies, allergic rhinitis and asthma may follow as part of the so-called atopic march. The impaired skin barrier function in the development of atopic dermatitis is the most important. Here, the decisive function of the topmost layer of the epidermis stratum corneum is crucial. In the care of atopic skin, it is necessary to identify factors that further worsen the condition of the skin barrier, eliminate them or at least minimize them. Cleansing the atopic skin requires the use of mild detergents and the subsequent hydration of the skin with an appropriate emoliant...

Meningomyelitis with multiple abscesses in the spinal cord as result of complication of dermal dorsal sinus

MUDr. Vojtěch Balatka, MUDr. Tomáš Radovnický, Ph.D., MUDr. Magdalena Tykvová

Pediatr. praxi 2019; 20(6): 357-360  

In the following case report we present the case of a 4-month old boy, who was transferred to our department from a smaller regional hospital and presented with a 3-day lasting fever and upper respiratory catarrh. His clinical examination was insignificant however, he was diagnosed with a dorsal dermal sinus and tethered cord syndrome at birth, making him a high-risk patient. The initial MRI showed merely a band of fibrous tissue reaching from the spinal canal to the dermal surface. However, not even an MRI scan reveals everything, as was shown later. Our patient developed multiple abscesses from cervical to sacral spine, which resulted in severe paraparesis...

Nephrogenic diabetes insipidus – not just the point of view of nephrologist

MUDr. Miroslava Brndiarová, PhD., doc. MUDr. Zuzana Havlíčeková, PhD., MUDr. Martin Števík, PhD., MUDr. Alena Szökeová, prof. MUDr. Peter Bánovčin, CSc.

Pediatr. praxi 2019; 20(6): 362-365  

Nephrogenic diabetes insipidus is a rare disease characterized by impaired renal concentration ability. In addition to typical polyuria and polydipsia, a variety of gastrointestinal symptoms (anorexia, failure to thrive, vomiting and constipation) may be present in the clinical picture, which may predominate in the youngest age groups. Analysis of dietary habits and diet composition will help to direct the differential-diagnostic procedure, initiate adequate treatment and prevent possible fatal outcomes of the disease under stress conditions. The authors present case reports of two boys (8- and 15-month old) with predominant gastrointestinal symptomatology...

Antibiotic treatment for children in the home environment

PhDr. Iveta Ondriová, PhD., PhDr. Terézia Fertaľová, PhD., PhDr. Slávka Mrosková, PhD.

Pediatr. praxi 2019; 20(6): 373-376  

Therefore, when administering medicines to children, it is imperative to adhere to the rules of compliance with the drug applicationspecification as well as the developmental level of the child. This also applies to parents who need to be aware of fact thatthey are responsible for the health of their children. Antibiotics interfere with the child’s natural immunity, cause resistance andside effects. In the present paper, we try to point out the drug adherence of children, describe the principles of drug delivery inchildren, and evaluate exploratory findings in parents.

Early diagnosis and treatment of acute complicated mastoiditis in a four‑week‑old infant

prof. MUDr. Vladimír Mihál, CSc., MUDr. Tomáš Bakaj, Ph.D., MUDr. Lenka Bakaj‑Zbrožková, Ph.D., MUDr. Martin Zápalka, Ph.D., MUDr. Kamila Michálková

Pediatr. praxi 2019; 20(6): 366-370  

Acute mastoiditis (AM) is a very rare but serious complication of acute otitis media (AOM) in young infants. Subperiosteal abscess is the most common complication of AM, and when occurring as the sole complication was successfully managed with antibiotics and surgical intervention. A four-week-old infant born of uncomplicated pregnancy was presented to the otolaryngology clinic with two days history of persistent agitated and irritability along with a protrusion of the auricle, redness and edema behind the ear. High-resolution CT scans of the temporal bone was performed; findings were normal except for the right coalescent mastoiditis, osteolytic lesions...

„Sluneční“ vitamin D3

RNDr. Pavel Rác

Pediatr. praxi 2019; 20(6): 380-382  

Revidovaná diagnostická kritéria ESPGHAN pro celiakii 2020

MUDr. Pavel Frühauf, CSc.

Pediatr. praxi 2019; 20(6): 383  

Pseudotrombocytopenie – satelitismus trombocytů

prof. MUDr. Zdeněk Doležel, CSc., MUDr. Veronika Fiamoli, Ph.D.

Pediatr. praxi 2019; 20(6): 371-372  

Paracetamol aneb o čem se mluví?

MUDr. Jiří Slíva, Ph.D.

Pediatr. praxi 2019; 20(6): 378  

Kdy myslet na primární a sekundární imunodeficit

Připravila MUDr. Zuzana Zafarová

Pediatr. praxi 2019; 20(6): 384-386