Pediatr. praxi. 2007;8(6):327
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Celiac sprue – state of art.
Pediatr. praxi. 2007;8(6):336-342
Rotaviruses are the most common cause of diarrhoeal diseases in infants and small children worldwide, including European countries. Rotaviral gastroenteritis affects virtually all children up to 5 years of age. In developing countries it is the third most cause of mortality out of infectious causes in this age group. In developed countries, rotaviruses are responsible for high morbidity, increased hospital admissions due to acute gastroenteritis and present the most common cause of nosocomial infections in children. Preventive sanitary and epidemiological measures have only limited impact. The only way of prevention of clinically important cases is...
Pediatr. praxi. 2007;8(6):343-346
Pediatric plastic surgery provides the treatment of facial congenital disorders including facial clefts, external genitalia disorders, trunk deformities, upper limb and lower extremity malformations. The field of plastic surgery also includes the treatment of melanocytic nevi, hemangiomas and vascular anomalies. The goal of treatment of congenital disorders is an interdisciplinary cooperation and suitable timing of operations.
Pediatr. praxi. 2007;8(6):348-352
Acne is the most common disease affecting especially adolescents of all ethnic groups with different incidence. Prevalence is almost 100 % with differences of disease seriousness. Although not life-threatening and not a major player in clinical and laboratory research, acne markedly influences quality of life and constitutes a socioeconomic problem. Not less than 15–30 % of acne patients require medical treatment due to severity of their clinical condition, 2–7 % of them experience life long post-acne scars. Choice of the treatment depends on severity of the clinical stage, i. e. number of skin leasions, extent or duration...
Pediatr. praxi. 2007;8(6):353-357
Psychosocial and cognitive late effects represent one of the most prevalent health problems after the treatment for childhood cancer. The seriousness and relevance of late effects, e.g. cardiovascular and other lifestyle diseases, must be addressed by adequate interventional strategies, with non-smoking, physical activities and dietary routine being the most important ones. Multidisciplinary approach, understanding the principles and appropriate interventional programs can positively influence the quality of life of the target population.
Pediatr. praxi. 2007;8(6):358-362
Diagnosis of urinary tract infections (UTI) is based on clinical symptoms and laboratory findings. It is not usually easy to make this diagnosis in infants and toddlers and it is necessary to keep the diagnosis of UTI in mind in febrile child. The therapy of UTI respects local bacterial resistance and the rules of rational antibiotic use. Treatment strategy depends on child´s clinical state and age. Children with chronic and recurrent UTI require complex care.
Pediatr. praxi. 2007;8(6):363-368
Streptococcus pneumoniae became the most important bacterial pathogenic microorganism, especially in children under 5 years. Due to its specific characteristics it causes numerous invasive disorders with serious prognosis. Case reports document clinical symptoms and the course of severe pneumococcal infections. Various aspects of clinical symptoms are discussed, especially diagnostic facilities, therapy and prevention of infection induced by Streptococcus pneumoniae.
Pediatr. praxi. 2007;8(6):369-373
The aim of the article is to familiarize clinicians and other practitioners with the therapy of IBD in children, emphasizing the role of medications in induction and maintenance. The modern molecular techniques have made possible the production of highly specific monoclonal antibodies to target particular cellular and humeral mediators of mucosal inflammation. Infliximab was the first agent of this class to demonstrate clinical efficacy for the treatment of patients with IBD. This modern biological treatment is used in patients with corticosteroid-resistant or fistulizing disease. Gastroenterologist carrying for children with IBD must develop an optimal...
Pediatr. praxi. 2007;8(6):374-378
Varicella (chickenpox) is an acute highly contagious disease with world-wide occurrence caused by primary infection by varicella zoster virus (VZV). After varicella the latent infection persists in sensory neural ganglia and its reactivation cause herpes zoster (shingles). Varicella is primarily a childhood disease and in children it usually is self-limited, although even in a healthy child it might be complicated, the risk of complications is substantially higher in newborns, adolescents, adults and immunocompromised. Chickenpox and shingles may be treated with antiviral drugs and both clinical entities can be prevented by vaccination.
Pediatr. praxi. 2007;8(6):379-381
The review article is based on literature and personal experience with treatment of these patients in a specialized rheumatologic clinic. At the end of the article they present an algorithm of examination, treatment and follow-up of children with Raynaude phenomenon.
Pediatr. praxi. 2007;8(6):383-386
Influenza is a cause of 10–20 % of respiratory infection, frequently with a complicated course. Children and teenagers suffer from the infection the most frequently and in population they represent a potential source of infection mainly for a group of elderly and chronically ill people who are in the highest danger. This risk can be decreased by vaccination. The youngest children under the age of two, children with immune deficiencies and chronic illnesses are also endangered. The article discusses clinical picture of influenza in children including options of vaccination.
Pediatr. praxi. 2007;8(6):387-388
The review article provides a brief charactertic of vaccines used against measles, mumps and rubella (Trivivac, Priorix) in the Czech Republic. An overview of postvaccination reaction and ther treatment is provided. The approach to vaccination of children with allergies, or primary and secondary immune deficiencies are described. Rules of safe vaccinations are strengthened.
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