(Ne)věřte rodičům

Luděk Ryba

Pediatr. praxi. 2022;23(4):251  

Possibilities of pain treatment in children with selected analgesics

MUDr. Petra Matalová, Ph.D., MUC. Benedikt Krížek

Pediatr. praxi. 2022;23(4):256-261 | DOI: 10.36290/ped.2023.002  

Pain is distressing sensory, emotional and mental experience accompanied by psychological or autonomic symptoms and change of behavior. It is therefore necessary to effectively treat pain using nonpharmacological and pharmacological methods. Pediatric pharmacotherapy has many peculiarities, in the following article we summarize pharmacological treatment options in children, currently used nonopioid and opioid analgesics, their characteristics and the dosage of selected orally used analgesics.

CBIT - a new treatment method for tics and Tourette syndrome

MUDr. Štěpánka Kicková, Ph.D., MUDr. Ondřej Fiala, Ph.D.

Pediatr. praxi. 2022;23(4):262-264  

Tics are the most common movement disorder in childhood affecting up to 28% of children. The exact cause of tic is unknown, curative therapy does not exist. So far, a symptomatic pharmacotherapy has been the main treatment option. This paradigm has undergone a fundamental change in recent years, and the non-pharmacological method CBIT (Comprehensive Behavioral Intervention for Tics) has become the first-choice treatment. CBIT is at least as effective as drug therapy without the risk of adverse side-effects, moreover it can be effectively delivered online. Although CBIT is not very widespread in the Czech Republic, it should be gradually introduced...

Nutrition in infants with food allergy

MUDr. Vendula Látalová

Pediatr. praxi. 2022;23(4):267-268 | DOI: 10.36290/ped.2023.004  

Food allergy is at the onset of the atopic march and, in infancy, it primarily occurs in the form of cow's milk protein allergy. This allergic condition may have multiple organ manifestations which are often difficult to distinguish from other "functional" difficulties typical for this age. Assessment of the presumed immunological mechanism (IgE vs. non-IgE), properly chosen elimination diet with subsequent re-exposure to confirm the diagnosis, and close anthropometric monitoring of children with dietary restrictions are essential in the diagnostic-therapeutic process.

The concept of preventive paediatric eye examinations in youngest children and preschool children using the method of photorefraction

MUDr. Anna Zobanová

Pediatr. praxi. 2022;23(4):270-273 | DOI: 10.36290/ped.2023.005  

The goal of preventive eye care is early detection of critical refractive errors and subsequent correction with spectacles to allow the best possible vision development. In the Czech Republic, paediatricians and general practitioners for children and adolescents are the coordinators of paediatric care who are at the frontline of detection of various sensory impairments. The schedule of preventive eye check-ups by paediatricians and general practitioners for children and adolescents was derived from the standardized protocol of the Regulation No. 70/2012 Coll., on preventive check-ups, as amended by the Regulation No. 45/2021 Coll. of 29 January 2021,...

Clinicopathological and dermoscopic findings of rare scarring COVID-19 associated alopecia in a pediatric patient

MUDr. Gabriela Takáčová, prof. MUDr. Jagienka Jautová, PhD., MBA

Pediatr. praxi. 2022;23(4):274-277 | DOI: 10.36290/ped.2023.006  

The COVID-19 (coronavirus disease) pandemic has brought many health problems that need to be solved, especially in acute stage of the disease. However, diagnoses belonging to the group of post-covid conditions are becoming more and more important. Cases of alopecia after overcoming COVID-19 disease such as telogen effluvium and alopecia areata have been described in the literature so far. In a short case report we demonstrate the development of a rare form of scarring alopecia in a 4-year-old patient after overcoming COVID-19 with mild course. We emphasize early diagnosis. Due to clinical similarity to other, nonscarring forms of alopecia, we point...

Perforated Meckel's diverticulum in an 11-year-old boy

MUDr. Martin Holas

Pediatr. praxi. 2022;23(4):278-280 | DOI: 10.36290/ped.2023.007  

The author presents the case of an 11 year old patient who undertook an acute surgery for peritonitis. The work deals with less common bowel perforation, which was caused by an ulcerative lesion of Meckel´s diverticulum.

Factors influencing the burden and stress of parents taking care of a children with disability: systematic review

Mgr. Petra Benešová, doc. PhDr. Lucie Sikorová, Ph.D.

Pediatr. praxi. 2022;23(4):287-291 | DOI: 10.36290/ped.2023.009  

Aim: The aim of the study was to identify and analyse factors which are related to burden and stress of parents with disabled children. Methods: The systematic review includes full-text primary research papers, published in English, in the period 2005-2021. Freely accessible as well as licensed databases CINAHL EBSCO, SCOPUS, Wiley Library Online, ProQuest a Web of Science have been used for the search. Results: The literature review shows that over a period of fifteen years, numerous studies have been published that address the factors causing stress and burden n parents taking care for children with disabilities. A total of 325 studies have been...

Elements of developmental care for the premature newborn

Mgr. Jana Kučová, Ph.D.

Pediatr. praxi. 2022;23(4):294-298 | DOI: 10.36290/ped.2023.010  

The development of a premature newborn is influenced not only with the applied therapeutic approach but also with the mana­gement and quality of the provided nursing care. The aim of developmental care for premature newborns is to support the correct development of the newborn and limit the negative impact of stressful interventions. The concept of developmental care assumes individualized approach, uniform attitude of the staff participating upon the care for the newborn, adjustment of the environment, and perception of parents as partners in childcare.

Pyogenic granuloma (lobular capillary hemangioma) - acquired benign vascular hyperplasia

prof. MUDr. Vladimír Mihál, CSc., MUDr. Bohumil Zálešák, Ph.D., MUDr. Jana Janková

Pediatr. praxi. 2022;23(4):283-286 | DOI: 10.36290/ped.2023.008  

Vascular tumors in children are an important entity for the pediatricians to recognize and correctly diagnose. They may present at birth or develop at any point during infancy, childhood, or adolescence. Most are benign, but even benign lesions may have significant morbidity without proper intervention. Such an entity is undoubtedly pyogenic granuloma, also known as lobular capillary hemangioma. We present a 2.5-year-old boy whose diagnosis with histopathological verification was only made at the age of 28 months after repeated episodes of profuse bleeding from a fragile pyogenic granuloma.

Prevention od celiac disease?

MUDr. Pavel Frühauf, CSc.

Pediatr. praxi. 2022;23(4):304-305  

Prevention is defined as any activity that reduces the burden of mortality or morbidity from disease, taking place at the primary, secondary, or tertiary level.

How do the criteria of infant colic change over time?

MUDr. Pavel Frühauf, CSc.

Pediatr. praxi. 2022;23(4):306  

The prevalence of infant colic is affected by parental perception of the intensity and duration of crying episodes, methods used to collect data, parents' well-being, and culturally dependent infant care practices.

Significant steps in the development of care for deaf-mute children in the First Czechoslovak Republic

doc. Mgr. et Mgr. Andrej Tóth, Ph.D., prof. PhDr. Valérie Tóthová, Ph.D., doc. PhDr. Lukáš Novotný, Ph.D., PhDr. Martin Červený, Mgr. Věra Hellerová, Ph.D., Mgr. Inka Kratochvílová, Ing. Jakub Drábek, Ph.D., Ing. Jan Hladík

Pediatr. praxi. 2022;23(4):299-303  

The care of deaf-mute children involves multi-layered care, namely health, social and school care. Only the collaboration of experts from all fields led to setting up to the right direction for comprehensive care ­- new institutes were created, the procedures of work in teaching, communication and preventive care were unified. The aim of the paper is to introduce the reader on the basis of a historical analysis of primary and secondary sources the significant steps in the development and changes that led to the improvement of care for deaf-mute children in the period of the First Czechoslovak Republic, when the foundations of modern health and social...