Pediatrics for Practice, 2020, issue 6

Editorial

Co předat dětem v době koronavirové?

PhDr. Václav Mertin

Pediatr. praxi. 2020;21(6):387

Review articles

Children and Digital Media

MUDr. Zuzana Sadílková

Pediatr. praxi. 2020;21(6):391-394 | DOI: 10.36290/ped.2020.081

The large majority of children use digital technologies, especially cell phones and tablets, nowadays. Extensive usage of such technologies can lead to a large scale of health and social problems. In this article, I apply the neurophysiological perspective to explain why children are not able to self-regulate in digital activities. Later, I discuss the possibility of involvement of pediatricians in primary prevention. I based the discussion on the recommendations of the American Academy of Pediatrics (AAP), World Health Organization (WHO), various international and Czech studies on the use of digital technologies as well as by my observation of children's...

Epiglottitis acuta return

doc. MUDr. Ivan Novák, CSc., MUDr. Martin Prchlík, MUDr. Martin Fajt, , MUDr. Pavel Heinige, MUDr. Vítězslav Dedek, CSc.

Pediatr. praxi. 2020;21(6):396-399 | DOI: 10.36290/ped.2020.082

Infectious diseases caused by Haemophilus influenzae b (hereinafter Hib) were the most common cause of death of children under 5 years of age from bacterial infections. Before the introduction of regular vaccination (from July 1, 2001), dozens of children died annually. Severe Hib infections have the character of purulent meningitis, which can be diagnosed and treated with the usual procedures. An insidious disease is acute epiglottitis, when Hib causes phlegmon of the epiglottis to threaten the child's life by suffocation. Epiglottitis acuta used to be unrecogned and was followed by mishandling of the child. The child should be in primary care...

Development and eruption of deciduous dentition

MUDr. Přemysl Krejčí, Ph.D.

Pediatr. praxi. 2020;21(6):400-404 | DOI: 10.36290/ped.2020.083

Around the 6^th week of intrauterine development, the epithelial thickening transforms into a crescent-shaped strip of epithelium, the dental lamina, which is then gradually divided into a number of ten separate islets, dental buds, the foundations of future deciduous teeth. Deciduous teeth are erupt from 6 to 30 months of age and the eruption is accompanied by a sharp increase in differentiated enzymatic activity. Deciduous tooth takes place through the mucosa during an eight-day window that includes four days before tooth eruption, the day of the eruption and three subsequent days. Systemic symptoms ascribed to deciduous teeth eruption...

Body composition in anorexia nervosa patients

Mgr. Michaela Ulrichová, doc. MUDr. Jiří Radvanský, CSc., MUDr. Jiří Koutek, Ph.D.

Pediatr. praxi. 2020;21(6):405-408 | DOI: 10.36290/ped.2020.084

Anorexia nervosa is a severe psychiatric disorder which causes demage of all organ systems including musculoskeletal system. Osteopenia, osteoporosis, sarkopenia and peripheral neuropathy develops as a consequence of malnutrition. Anorexia nervosa leads to extreme and very dynamic changes of body composition. The weight expected according to age and height is dropping as a result of long-term starvation and the patient is loosing the fat mass and the musscle tissue. To reach the adequate weight patient has to undergo the several months long realimentation process. The fat mass increases rapidly and redistributes to the center of the body during the...

Plant based diets: breastfeeding and complementary feeding

MUDr. Martin Světnička, MUDr. Eliška Selinger, MUDr. Jan Gojda, MUDr. Eva El‑Lababidi, Ph.D.

Pediatr. praxi. 2020;21(6):409-413 | DOI: 10.36290/ped.2020.085

Popularity of plant-based diets, vegetarianism and veganism, is growing nowdays. This dietetic style is also spreading among young families, who also lead their children to leave out animal products from their diet even during the time of pregnancy and breastfeeding. With the wrong composition of the diet and lack of information, the exclusion of all animal products could cause nutritional deficiencies and affect the physiological development of the child. The major potential problem may arise from the absolute absence of vitamin B12 in a strict plant-based diet, the problem the most common yet simple to handle. It is also necessary to focus on vitamin...

Modern techologies, e‑Health and practical experience with a child patients

Mgr. Petr Fabián, Ph.D., MUDr. Radim Dudek, MBA

Pediatr. praxi. 2020;21(6):414-418 | DOI: 10.36290/ped.2020.086

The article desriptions e-Health systems with children patinets. Systems of e-Health will be lead systems medical and social cares. There artical we have utillized dates from 17 months of monitoring. Of the thirds parts of the articel is dedicated mottivations of parents and them children for therapy.

Case report

Phosphate solution overdose

MUDr. Lenka Petrů, MUDr. Josef Gut

Pediatr. praxi. 2020;21(6):419-421 | DOI: 10.36290/ped.2020.087

Phosphate solution is commonly used in a neonatology department unit to treat metabolic bone disease of prematurity. Fortunately intoxication with phosphate solution are rare but serious situation, which can lead to life-threatening event. This case report presents the course and treatment of intoxication by phosphate solution after discharging from neonatology department.

The Use of dermal substitution Matriderm® in the reconstruction of a deep skin defect caused by chemical trauma in an infant

doc. MUDr. Břetislav Lipový, Ph.D., MBA, MUDr. Filip Raška, MUDr. Radimír Mager, Ph.D., , MUDr. Ivan Suchánek, MUDr. Martin Knoz, MUDr. Jakub Holoubek

Pediatr. praxi. 2020;21(6):422-425 | DOI: 10.36290/ped.2020.088

Chemical trauma is only a small part of the etiology of burns in both children and adults. Special attention should always be paid to the treatment of these injuries, due to their unique and unpredictable behavior. In the case of chemical skin injuries, it is always necessary to shorten the exposure time as much as possible and to recognize systemic toxicity in time, thus reducing the severity of the injury along with the overall morbidity. Unfortunately, the low incidence of this type of injury does not correlate with the degree of tissue damage and therefore often needed surgical therapy.

Ceftazidime/avibactam as a possible treatment in gram-negative nosocomial sepsis in a premature newborn

MUDr. Hana Wiedermannová, MUDr. Pavla Zárubová, MUDr. Václava Adámková, , MUDr. Hana Burčková, MUDr. Jan Pavlíček, Ph.D.

Pediatr. praxi. 2020;21(6):426-428 | DOI: 10.36290/ped.2020.089

Nosocomial infection is a serious diagnosis and the increase in the incidence of resistant bacterias significantly affects the mortality and morbidity of patients. Developed and new antibiotics are usually not recommended for early childhood or we have insufficient experience with them. One of the novel antibiotic is Ceftazidime/avibactam, containing broad-spectrum cephalosporin III. generation ceftazidime and the non-betalactam β-lactamase inhibitor avibactam. The use of this antibiotic in Gram-negative nosocomial sepsis caused by Klebsiella pneumoniae in the premature neonate is presented. Indication of this antibiotic led to the management...

Case study used communication methods in children suffering from autism

PhDr. Iveta Ondriová, PhD., PhDr. Terézia Fertaľová, PhD., PhDr. Lívia Hadašová, PhD., MBA

Pediatr. praxi. 2020;21(6):429-431 | DOI: 10.36290/ped.2020.090

Autism spectrum disorders are a congenital disorder of some brain functions and affect all components of the child's personality. The development is different from that of a healthy child, the autistic child does not understand what he sees and hears. The word autism is automatically associated with a symptom of closeness. It is very diverse, we do not find two autistic people who have the same speeches. In this paper, the authors present communication methods in children suffering from autism.

For nurses

Screening the risk of eating disorders in adolescent girls with diabetes

doc. PhDr. Lucie Sikorová, Ph.D., Bc. Tatiana Valiašková

Pediatr. praxi. 2020;21(6):440-442 | DOI: 10.36290/ped.2020.093

Dissatisfaction with one's own body or body weight, perception of lack of support from the social environment, feelings of unfulfilled family expectations, and ineffective stress management are factors that can lead to potential development of eating disorders. Increased attention to food is also a predisposing factor. However, a more intensive monitoring of food intake is a common part of treatment for young people with diabetes. Screening the risk of eating disorders may therefore be difficult in this population. The article aims to present information on the incidence of eating disorders in adolescent diabetics compared to the risk in healthy peers....

Monitoring and promotion of health literacy in primary care, general practitioners for children and adolescents

Mgr. Ilona Lískovcová, Ph.D., MBA

Pediatr. praxi. 2020;21(6):443-446 | DOI: 10.36290/ped.2020.094

In recent years, the professional community has agreed that timely promotion of health literacy can be the basis for improving health status and positively impacting health throughout life. There is little evidence of the level of health literacy in children, especially in the younger population. This deficiency is related to the lack of measuring tools. Best practices in health communication, appropriate education and educational materials, as well as regular monitoring and implementation of health literacy assessments in GPs and pediatrician surgeries can help to improve health literacy. The evaluation results could become an output for a possible...

Clinicoradiological diagnosis

Dangerous pathogen of two faces (Streptococcus intermedius) the cause of brain abscess

prof. MUDr. Vladimír Mihál, CSc., doc. MUDr. Eva Klásková, Ph.D., doc. MUDr. David Krahulík, Ph.D., MBA, MUDr. Kamila Michálková

Pediatr. praxi. 2020;21(6):432-436 | DOI: 10.36290/ped.2020.091

Streptococcus intermedius is a common commensal of human mucosa, but can also be a source of serious infections. We present the case of a 5-year-old girl with the development of a brain abscess who was hospitalized for several days of fever, vomiting and the development of meningeal irritation. Lumbar puncture showed mild pleocytosis in the cerebrospinal fluid with a predominance of neutrophils and proteinorachia. Culturally, immunologically and genomically, the cerebrospinal fluid was negative. The diagnosis of a brain abscess was made only after further deterioration of the overall condition by magnetic resonance imaging. PCR examination of the purulent...

Orbis Pictus Medicus

Otok beder jako neobvyklá manifestace Henochovy‑Schönleinovy purpurywww.pediatriepropraxi.cz

MUDr. Jan Papež, prof. MUDr. Zdeněk Doležel, CSc., MUDr. Markéta Jurkovičová

Pediatr. praxi. 2020;21(6):437-438 | DOI: 10.36290/ped.2020.092