Casopis lekaru ceskych最新文献

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What to consider when sharing health information on-line? 在网上分享健康信息时要考虑什么?
Casopis lekaru ceskych Pub Date : 2025-01-01
Barbora Dubanská
{"title":"What to consider when sharing health information on-line?","authors":"Barbora Dubanská","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 6","pages":"269"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145793355","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
Interdisciplinary recommendations for thrombophilia testing. 血栓病检测的跨学科建议。
Casopis lekaru ceskych Pub Date : 2025-01-01
Eva Drbohlavová, Jaromír Gumulec, Alena Buliková, Petr Dulíček, Jana Hirmerová, Radovan Malý, Ester Zápotocká, Jan Blatný, Jan Václavík, Petr Kessler
{"title":"Interdisciplinary recommendations for thrombophilia testing.","authors":"Eva Drbohlavová, Jaromír Gumulec, Alena Buliková, Petr Dulíček, Jana Hirmerová, Radovan Malý, Ester Zápotocká, Jan Blatný, Jan Václavík, Petr Kessler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this interdisciplinary consensus of four medical societies dealing with thrombophilic disorders, we summarize the rules of diagnosis and care of patients with congenital or acquired thrombophilias, i.e. factors increasing the risk of venous thromboembolic disease. The primary goal is to standardize the care of these patients with respect to the rules of evidence-based medicine. The recommendations imply under which circumstances, in which clinical situations, for which patients and which tests it is useful to investigate which thrombophilias and when not. Despite the long history and very good availability of diagnostic tests for individual thrombophilias, no similar recommendation has been published in the Czech Republic.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 7-8","pages":"356-360"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092282","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
Utilization of telemedicine in the care of children with obesity. 远程医疗在肥胖症儿童护理中的应用。
Casopis lekaru ceskych Pub Date : 2025-01-01
Lenka Veselá, Irena Aldhoon Hainerová
{"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}
引用次数: 0
A pilot project of retrospective analysis of the use of is-CGM aimed at evaluating the quality of therapy for geriatric patients with type 2 diabetes treated with insulin hospitalized in internal or long-term care beds (PRAVis-CGM: Project of Retrospecti…. 一项回顾性分析is-CGM使用情况的试点项目,旨在评估住院或长期护理床位接受胰岛素治疗的老年2型糖尿病患者的治疗质量(PRAVis-CGM:回顾性项目....)
Casopis lekaru ceskych Pub Date : 2025-01-01
Milan Kvapil
{"title":"A pilot project of retrospective analysis of the use of is-CGM aimed at evaluating the quality of therapy for geriatric patients with type 2 diabetes treated with insulin hospitalized in internal or long-term care beds (PRAVis-CGM: Project of Retrospecti….","authors":"Milan Kvapil","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>New glucose monitoring technologies improve diabetes compensation and reduce the risk of hypoglycemia. The aim of the multicenter pilot project of retrospective analysis of the use of is-CGM (PRAVis-CGM: Retrospective Analysis of is-CGM Project) is to evaluate the benefit of intermittently scanned continuous glucose monitoring for improving the quality of therapy of geriatric patients with type 2 diabetes treated with insulin hospitalized in inpatient or long-term care beds. The main goals are the quantification of hypoglycemic events using the time spent in lower values of glycemia concentration and providing data for the implementation of is-CGM into the routine operation of the inpatient facility. We assume that the selected parameters can subsequently be defined as indicators of the quality of care for seniors treated with insulin during hospitalization.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 4","pages":"161-165"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146050367","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
Doxycycline post-exposure prophylaxis (Doxy-PEP) in Czech clinical practice: a review of efficacy, safety, and implications for antimicrobial resistance. 多西环素暴露后预防(Doxy-PEP)在捷克临床实践:疗效,安全性和抗菌素耐药性的影响的回顾。
Casopis lekaru ceskych Pub Date : 2025-01-01
Marek Broul, Pavel Dlouhý
{"title":"Doxycycline post-exposure prophylaxis (Doxy-PEP) in Czech clinical practice: a review of efficacy, safety, and implications for antimicrobial resistance.","authors":"Marek Broul, Pavel Dlouhý","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Doxycycline post-exposure prophylaxis (Doxy-PEP; a single 200 mg dose of doxycycline within 72 hours after sexual exposure, not exceeding 200 mg per 24 hours) has been shown in randomized trials among men who have sex with men (MSM) and transgender women (TGW) to reduce the incidence of syphilis and Chlamydia trachomatis infection; its effect on Neisseria gonorrhoeae transmission is smaller and varies by locale. In 2024, the U.S. Centers for Disease Control and Prevention (CDC) published the first clinical guidance recommending targeted use of Doxy-PEP for MSM/TGW with a bacterial sexually transmitted infection (STI) in the previous 12 months; European branch of International Union Against Sexually Transmitted Infectuions (IUSTI-Europe) in June 2024 acknowledged individual benefits while urging caution; and in 2025 the World Health Organization initiated development of global guidance. To provide a clinically oriented review of the effectiveness, safety, and risks of Doxy-PEP and to place these findings within the Czech context of epidemiology and antimicrobial resistance, including interpretation of the national position statement of the Society for Infectious Medicine (SIL ČLS JEP). Doxy-PEP is an effective tool for preventing syphilis and Chlamydia trachomatis infection in high-risk MSM/TGW. Given potential adverse effects, the risk of antimicrobial resistance (AMR) development, and the still limited data for other populations, cautious, data-driven use within comprehensive sexual health care is advisable. This approach is consistent with international recommendations and the current SIL ČLS JEP position statement.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 7-8","pages":"311-315"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092307","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
The benefits of the MEDEVAC project for the Czech healthcare system. 医疗后送项目对捷克医疗系统的好处。
Casopis lekaru ceskych Pub Date : 2025-01-01
Jan Bříza
{"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}
引用次数: 0
History of the ENT and Head and Neck Surgery Clinic in Hradec Králové. hradac耳鼻喉科和头颈外科诊所的历史Králové。
Casopis lekaru ceskych Pub Date : 2025-01-01
Viktor Chrobok
{"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}
引用次数: 0
Is there a beneficial dose of alcohol? 是否有有益的酒精剂量?
Casopis lekaru ceskych Pub Date : 2025-01-01
Miroslav Souček
{"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}
引用次数: 0
Three pain points of medical schools - time for change. 医学院的三大痛点——是时候改变了。
Casopis lekaru ceskych Pub Date : 2025-01-01
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}
引用次数: 0
The relationship of B vitamins to diabetes mellitus. B族维生素与糖尿病的关系。
Casopis lekaru ceskych Pub Date : 2025-01-01
Štefan Sotak
{"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}
引用次数: 0
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