{"title":"Utilization of telemedicine in the care of children with obesity.","authors":"Lenka Veselá, Irena Aldhoon Hainerová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity is a chronic, relapsing, and progressive disease with increasing prevalence, that significantly impacts health and quality of life, even in children. It is associated with an increased risk of metabolic and cardiovascular diseases such as insulin resistance, type 2 diabetes mellitus, hypertension, dyslipidemia, and metabolic dysfunction-associated steatotic liver disease. Additionally, obesity can lead to the development of sleep apnea syndrome, orthopedic issues, and psychological complications. The cornerstone of the care is educating the whole family about a healthy lifestyle; however, this may often be challenging due to obstacles such as time constraints, limited access to specialists, and low long-term adherence of families. Telemedicine offers an innovative approach to improving obesity treatment in children through digital tools, online consultations, smart applications, and wearable technologies. It enables more effective monitoring of dietary and physical activity habits, supports mental health, and reduces time and financial burdens for families. Studies indicate that combining in-person and remote support, along with active involvement of family members, leads to higher success rates in weight reduction and a healthy lifestyle maintenance. This article focuses on the use of telemedicine in the treatment of obesity in children, providing an overview of the methods applied in this field and their effectiveness in the context of current scientific knowledge.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 2","pages":"63-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858956","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}
{"title":"The benefits of the MEDEVAC project for the Czech healthcare system.","authors":"Jan Bříza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The MEDEVAC Permanent Medical Humanitarian Program of the Czech Republic focuses on providing medical care to vulnerable groups of the population in regions affected by migration, burdened by many refugees or in places where specialized medical care is not available. Treatment is provided free of charge and exclusively to civilians who are in a serious health condition or whose health condition does not allow them to lead a dignified life. The program started in 1993 in Bosnia and Herzegovina, continued in Kosovo and has gradually been extended to several other countries. At present, MEDEVAC is a program of the Government of the Czech Republic coordinated by the Department of Asylum and Migration Policy of the Ministry of the Interior of the Czech Republic in cooperation with the Ministry of Foreign Affairs, the Ministry of Health, the Ministry of Defense and the Army of the Czech Republic. The MEDEVAC program is of fundamental educational importance. Participants expand their practical experience with situations typical of conflict and natural disaster areas and become acquainted with the organizational specifics of care in crisis areas. The experience gained in crisis areas is a significant contribution to the preparedness of our health care system, especially traumatology and related fields. The General University Hospital in Prague has been involved in several of its departments since 2011, in addition to the First Surgical Clinic, the Department of Ophthalmology, the Department of Rehabilitation Medicine and the Department of Gynaecology, Obstetrics and Neonatology.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 3","pages":"84-86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858964","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}
{"title":"History of the ENT and Head and Neck Surgery Clinic in Hradec Králové.","authors":"Viktor Chrobok","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 5","pages":"237-240"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502164","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}
Kristýna Pospíšilová, Josef Vošmik, Romana Marková Volejníčková, Martin Zielina
{"title":"Three pain points of medical schools - time for change.","authors":"Kristýna Pospíšilová, Josef Vošmik, Romana Marková Volejníčková, Martin Zielina","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article presents selected findings from the research project KULTIMED - Cultivation of Medicine (relationships, environment, and conditions). It is a multidisciplinary project supported by the Technology Agency of the Czech Republic (TA CR) within the Sigma program, carried out by the Institute of Sociology of the Czech Academy of Sciences (IS CAS) in cooperation primarily with the First and Second Faculties of Medicine of Charles University. The article introduces the most important findings from a survey conducted at the beginning of 2025 at almost all medical faculties in the Czech Republic. The aim of the survey was to map the environment of medical faculties, study conditions, and the most pressing problems currently faced by medical students in the Czech context. Three key problems include 1) organizational shortcomings of studies, 2) students' psychological distress, 3) a very high prevalence of inappropriate behavior by teachers and other persons in the educational process toward students. KULTIMED pursues awareness-raising, cultivation, and educational goals, which are also briefly introduced in the article. In conclusion, the article offers an overview of recommendations for each of the three identified problem areas.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 7-8","pages":"333-345"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092273","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}
{"title":"The relationship of B vitamins to diabetes mellitus.","authors":"Štefan Sotak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vitamins, together with trace elements, belong to the group of essential nutrients called micronutrients, as they are needed by the human body in relatively small quantities. Their deficiency usually develops over a longer period, and therefore most often manifests itself in patients with chronic diseases, malnutrition or insufficient supplementation within the framework of long-term artificial nutrition. B vitamins are water-soluble vitamins that are primarily related to hematopoiesis and the nervous system; their deficiency can cause various anemias and neuropathies. However, the relationships of all B vitamins to various types of diabetes mellitus and their complications have also been described. B vitamins are related to glucose metabolism, their reduced serum level can be a risk factor for the onset and development of diabetes mellitus. Supplementation of individual vitamins is relevant for the prevention and/or therapy of diabetes mellitus and its complications.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 7-8","pages":"316-320"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092290","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}
{"title":"Is there a beneficial dose of alcohol?","authors":"Miroslav Souček","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Souček M. Is there a beneficial dose of alcohol? Alcohol consumption has a significant impact on overall health burden and is one of the main causes of morbidity and premature mortality. On average, 10 liters of pure alcohol per capita are consumed annually in the Czech Republic. Based on recent studies, we are moving away from the concept of a beneficial dose of alcohol, and a minimal dose, ideally none, is recommended. This particularly applies to oncological diseases and liver diseases. From the perspective of cardiovascular diseases, the maximum tolerable dose is reported to be 20-30 g of alcohol for men and 10-15 g for women.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 7-8","pages":"291-293"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092330","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}
{"title":"Survey of experiences of chronically ill patients with care provided by general practitioners and evaluation of the outcomes of this care.","authors":"Bohumil Seifert, Norbert Král, Renata Chloupková, Lenka Vostalová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aging population and the increase in chronic multimorbidity are challenges for health systems. The PaRIS international survey assesses the experiences of chronically ill patients with primary healthcare provision and the outcomes of this care. Questionnaires were collected from 1,816 primary care providers and 107,011 patients from 19 OECD countries participating in the project. The Czech Republic contributed 110 questionnaires from primary care providers and 4,136 questionnaires from patients. In the Czech Republic, people with chronic diseases have better experiences with the quality of primary care and care coordination compared to the OECD PaRIS average. More chronically ill people in Czechia rate the fulfillment of social functions positively, while other care outcomes are around OECD PARIS average. This assessment is based on 10 key indicators, assessing patient-reported outcomes of care (PROMs) and evaluating patient-reported experiences (PREMs). The project provides valuable information for health policy and ongoing reforms.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 6","pages":"252-258"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145793383","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}
Pavel Ryška, Antonín Krajina, Miroslav Šercl, Romana Březinová
{"title":"Radiology of yesterday, today, and tomorrow.","authors":"Pavel Ryška, Antonín Krajina, Miroslav Šercl, Romana Březinová","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 5","pages":"202-204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502118","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}
{"title":"On the 80th anniversary of the Eye Clinic in Hradec Králové.","authors":"Libor Hejsek","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 5","pages":"236"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502120","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}
{"title":"Vocational rehabilitation of patients after injury or with chronic illness.","authors":"Petr Džambasov, Pavla Povolná","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vocational rehabilitation plays a key role in the overall improvement of the quality of life for patients with chronic illness or after injury. Physicians have an important role in identifying suitable patients and recommending vocational rehabilitation as part of a comprehensive rehabilitation treatment. This article provides an overview of the use of vocational rehabilitation in the treatment of various patients with different types of illnesses and suggests criteria for selecting appropriate patients for involvement in vocational rehabilitation. The review presents the current state of vocational rehabilitation, its possibilities, limitations, and challenges for further development. One of the main challenges is the potential use of vocational rehabilitation for patients on temporary disability leave. Although employment law has allowed this possibility for 20 years, in practice, the tool of vocational rehabilitation has not yet been used for this group of individuals. The article also brings new findings revealed by research conducted within an experimental project that pilot tested the concept of so-called \"vocational rehabilitation centers.\" The research showed, among other things, that the early involvement of individuals with disabilities in vocational rehabilitation, combined with a multidisciplinary approach, more than triples their chances of obtaining or retaining employment.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"163 4","pages":"155-158"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280717","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}