Vnitrni lekarstvi最新文献_第7页

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.021

Jiřina Bartůňková, Markéta Bloomfield, Magdalena Havlišová, Adam Klocperk, Helena Kubešová, Michal Podrazil, Zuzana Střížová, Anna Šedivá

{"title":"News in immunology.","authors":"Jiřina Bartůňková, Markéta Bloomfield, Magdalena Havlišová, Adam Klocperk, Helena Kubešová, Michal Podrazil, Zuzana Střížová, Anna Šedivá","doi":"10.36290/vnl.2023.021","DOIUrl":"10.36290/vnl.2023.021","url":null,"abstract":"The field of immunology has undergone a very significant development in recent decades, which has been reflected especially in the beginning of this millennium in significant advances in the understanding of the immune system and in the application of this knowledge in practice. The progress and acceleration of research and advances in the field of immunology was further prompt by the unexpected onset of the COVID-19 pandemic in 2020. The intense scientific work has not only led to the development of our understanding of the immune response to viruses, but also to the rapid conversion of this knowledge into practical pandemic management on a global scale, as exemplified by the development of vaccines against SARS-Cov-2 virus. The pandemic era has further contributed to the acceleration of the application of not only biological discoveries but also technological approaches into practical applications, such as use of advanced mathematics, computer science and, more recently, artificial intelligence which are all are adding to the advances that are significantly moving the field of immunology forward. In this communication, we present specific advances in particular areas of immunopathology, which are mainly allergy, immunodeficiency, immunity and infection, vaccination, autoimmune diseases and cancer immunology.","PeriodicalId":23501,"journal":{"name":"Vnitrni lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Statement of the Expert Discussion Panel of the 1st Expert Conference on Point‑of‑Care ultrasound. 第一届护理点超声专家会议专家讨论小组声明。

Vnitrni lekarstvi Pub Date : 2023-01-01

Roman Škulec, Martin Balík, Vladimír Černý, David Doležal, David Halata, Zdeněk Monhart, Martin Štěpán

引用次数: 0

Role of eplerenone in the threatment of cardiovascular diseases. 依普利酮在心血管疾病威胁中的作用。

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.025

Filip Málek

引用次数: 0

Perioperative care about a patient with multimorbidity. 对多病症患者的围手术期护理。

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.027

Eduard Havel

{"title":"Perioperative care about a patient with multimorbidity.","authors":"Eduard Havel","doi":"10.36290/vnl.2023.027","DOIUrl":"10.36290/vnl.2023.027","url":null,"abstract":"The assumption of accelerated postoperative recovery according to the ERAS (Enhanced Recovery After Surgery) method is good condition of the patient prepared for surgery and gently operated on. Application of ERAS in postoperative care in the situation of patient with multimorbidity requires an individual approach and greater pre-operative preparation. During the healing process, the operation causes a systemic inflammatory reaction in the body, which is proportional to the size of the surgery trauma. There is fluid movement between the intravascular and interstitial spaces, increased protein catabolism, increased susceptibility to infectious complications and increased risk of decompensation of chronic diseases. The mandatory content of the pre-operative examination is a functional cardiopulmonary reserves assessment, nutritional risk screening, update of diagnostic summary and optimization of chronic medication before surgery. Prehabilitation and nutritional preparation before the planned operation is influenced by the time urgency of the operation, but even in the case of cancer, short-term nutritional preparation is indicated., Medical workplaces are the most suitable for parenteral and enteral pre-operative nutrition however some surgical departments perform the preparation themselves if necessary. The GDT (Goal Directed Therapy) regimen with a higher degree of hemodynamic monitoring and intervention is applied in the postoperative care of hemodynamic unstable risk patients. Next to decompensation of a chronic disease is mainly heart rhythm disorders (most often atrial fibrillation), cardiac complications including coronary event, stroke, acute delirium.","PeriodicalId":23501,"journal":{"name":"Vnitrni lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differentiated thyroid cancer - possible risks of treatment, suppressive therapy and adherence to current recommendations. 分化型甲状腺癌症-可能的治疗风险、抑制性治疗和遵守当前建议。

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.061

Petra Němčíková, Ludmila Brunerová

引用次数: 0

Anemia of inflammatory: does eiderr knowledge mean better diagnosis and treatment? 炎症性贫血：eiderr 知识是否意味着更好的诊断和治疗？

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.023

Jaromír Tupý

引用次数: 0

Development of chronic venous disease. 慢性静脉疾病的发展。

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.012

Jiří Spáčil, Jaroslava Svobodová

{"title":"Development of chronic venous disease.","authors":"Jiří Spáčil, Jaroslava Svobodová","doi":"10.36290/vnl.2023.012","DOIUrl":"10.36290/vnl.2023.012","url":null,"abstract":"Introduction: Chronic venous disease is known to gradually worsen in the course of years. However, little clinical data is available. The patient group and methods: We used the set of our patients with completed clinical examination, duplex sonography and photoplethysmography and selected 160 patients examined at our office after 10 and more years. Females represented 79% in the group. The mean age was 54 years (range 18-82 years). Venous varices in lower limbs in the family were reported by 49% patients. Venous sclerotization had been undergone by 6.3% and venous surgery by 10.6% patients. The mean body mass index was 27. We used CEAP classification. The clinical class C1 included 50 patients, C2 included 81, C3 included 15 and C4 included 14 patients. Regurgitation in superficial veins was found in 43%. The mean venous return time after physical activity was 24.5 s.Results: The last examination was performed after 13 years on average (range 10-28 years). Deterioration of the clinical condition and progression to a higher class were observed in 36% patients in class C1, in 23.5% patients in C2, in 13% patients in C3 and in 7% patients in C4. We did not demonstrate any statistically significant effect of the followed parameters on the progression of the disease.Conclusion: The progression rate of the disease in our patient group followed at the vascular office for 10 and more years is lower compared to population studies.","PeriodicalId":23501,"journal":{"name":"Vnitrni lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9144215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of sodium-glucose co-transporter-2 inhibitor empagliflozin on disease progression in a patient with heart failure and preserved ejection fraction. 钠-葡萄糖协同转运体-2抑制剂empagliflozin对一名射血分数保留型心力衰竭患者病情进展的影响

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.032

Filip Málek

引用次数: 0

Osteomalacia. 骨质软化症。

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.048

Jan Rosa

引用次数: 0

Cardiovascular disease and kidney transplantation. 心血管疾病和肾移植。

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI: 10.36290/vnl.2023.056

Silvie Rajnochová Bloudíčková

引用次数: 0