I sociální pediatrie zachraňuje životy

MUDr. Ivan Peychl

Pediatr. praxi. 2020;21(2):71  

Abusive head trauma in infants and small children

MUDr. Ivan Peychl

Pediatr. praxi. 2020;21(2):74-78 | DOI: 10.36290/ped.2020.014  

Shaken baby syndrome represents a type of abusive head trauma in small children. In this syndrome, an adult care-giver inflicts intracranial trauma in a child with vigorous movements and shaking of the child's body. These are usually performed in an attempt to appease a crying baby. As a consequence, subarachnoid/subdural bleeding, brain contusion, axonal injury and bilateral retinal bleeding may all develop. The syndrome may cause acute death, long-term neurologic morbidity or late mortality. Primary prevention consists of education of young adults and adolescents in knowledge of developmentally normal behaviour of children, coping with emotional...

The role of imaging methods in suspected non‑accidental injury

MUDr. Eliška Popelová, MUDr. Martin Kynčl, Ph.D., MUDr. Marcela Dvořáková, prof. MUDr. Miloslav Roček, CSc., prof. MUDr. Erika Rubešová

Pediatr. praxi. 2020;21(2):79-84 | DOI: 10.36290/ped.2020.015  

Several hundred children are physically abused annualy in the Czech Republic. Young age is the most important risk factor. Physical abuse can manifest in numerous ways. Some findings have high specificity for abuse, especially when present in infants. The radiology findings with high specificity for abuse include classic metaphyseal lesions, rib fractures and duodenal trauma. Investigating abused children is difficult because the history tends to be unreliable, children present to hospital after a significant time delay, and the children cannot provide a history themselves due to young age. Moreover, the children often show no visible signs of trauma...

Dangerous Challenges on the Internet

doc. Mgr. Kamil Kopecký, Ph.D., Mgr. Pavla Střílková, PhDr. René Szotkowski, Ph.D., José-Marĺa Romero-Rodríguez

Pediatr. praxi. 2020;21(2):85-89 | DOI: 10.36290/ped.2020.016  

Online challenges are a phenomenon that existed before the advent of the Internet and has developed massively, mainly through Internet-based services that allow the sharing of large amounts of information (mainly audiovisual content) among other users. Online challenges can be positively targeted, for example, to different types of campaigns to support information, research and development of treatment methods for a specific diagnosis (typically the Ice Bucket Challenge). However, a large number of challenges can cause serious physical or psychological harm to people (often children) involved. Examples include the Choking Challenge, the Salt and Ice...

Thermal injury of skin

doc. MUDr. Karel Ettler, CSc., MUDr. Jiří Ettler

Pediatr. praxi. 2020;21(2):90-94 | DOI: 10.36290/ped.2020.017  

High temperatures applied directly on the skin surface for a sufficient amount of time cause thermal burns. Similar damage in skin can be induced by ionising and solar irradiation. Protective measures could prevent both of them. Contact with high temperature for a long period of time provokes livedo (erythema ab igne). Low or freezing temperatures cause frostbites. Exposition to lower temperatures for a long period of time induces perniones.

New diagnosis in neonatology: sudden unexpected postnatal collaps

MUDr. Martin Jouza, MUDr. Josef Macko, Ph.D., MUDr. Jakub Pecl, MUDr. Eva Slouková, MUDr. Petr Jabandžiev, Ph.D.

Pediatr. praxi. 2020;21(2):95-98 | DOI: 10.36290/ped.2020.018  

Sudden unexpected postnatal collapse of newborn, SUPC is relatively new diagnosis in neonatology, characterized by sudden cardiopulmonal collaps at apparently heatlhy newborn in fist seven days of life. Accurate definition of SUPC currently doesn´t exist at literature. This is one of reasons why setting right incidence of SUPC remains challenging. Aim of article is to review this new phenomenon, with current widly accetable diagnostic criteria and description of well known rick factors. Case report from autors workplace is part of article.

Management of patients with acute pharyngitis - foreign data and recommendations, proposal diagnostic-therapeutic algorithm

MUDr. Jiří Nečas, MUDr. Tomáš Nečas

Pediatr. praxi. 2020;21(2):99-103 | DOI: 10.36290/ped.2020.019  

Alcohol drinking of children and youth - risks and possibilities of prevention

prof. PhDr. Ingrid Emmerová, PhD.

Pediatr. praxi. 2020;21(2):104-106 | DOI: 10.36290/ped.2020.020  

The article deals with the problem of alcohol drinking in children and youth in the Slovak Republic. It points out risks of alcohol drinking and new trends. The article reveals official statistics by the National Health Information Centre and actual researches. A special attention is paid to possibilities of prevention.

Shaken baby syndrome

MUDr. Erik Nedorost, MUDr. Jakub Pecl, MUDr. Tereza Pinkasová, MUDr. Jan Šenkyřík, MUDr. Anna Seehofnerová, MUDr. Ondřej Horák, MUDr. Petr Jabandžiev, Ph.D.

Pediatr. praxi. 2020;21(2):107-112 | DOI: 10.36290/ped.2020.021  

Child abuse and neglect syndrome is a serious social problem which greatly affects health and long-term development of an individual. The physical form of child abuse and neglect syndrome with the highest mortality is the so-called shaken baby syndrome (SBS). It is a form of inflicted head trauma in small children caused by violent shaking, blunt impact or by combination of both of these mechanisms. Nonspecific symptoms often in combination with incomplete or vague history and social controversy are causes of insufficient evidence of the cases. Reported incidence is very likely underestimated and we can speak of the tip of the iceberg of all the cases...

Gastric Burkitt's lymphoma as the cause of sideropenic anemia in a 14 years old boy

MUDr. Anna Baštan, MUDr. Barbora Ludíková, Ph.D., MUDr. Zbyněk Novák, MUDr. Eva Karásková, Ph.D.

Pediatr. praxi. 2020;21(2):113-116 | DOI: 10.36290/ped.2020.022  

Burkitt lymphoma is agressive non-Hodgkin lymphoma. It is formed by mature B cells. It represents 30-50% of all non-Hodgkin lymphoma among pediatric population. Therapeutic outcome is great compared to adult population. Treatment constitutes of chemotherapy including also central nervous system prophylaxis together with biological treatment. In our case report we describe 14 years old boy with severe sideropenic anemia as the first symptom of gastric Burkitt´s lymphoma.

Primary hypomagnesemia with secondary hypocalcemia

MUDr. Jan Papež, MUDr. Jiří Štarha, Ph.D., MUDr. Petr Jabandžiev, Ph.D., MUDr. Štefánia Aulická, Ph.D., prof. MUDr. Zdeněk Doležel, CSc.

Pediatr. praxi. 2020;21(2):117-119 | DOI: 10.36290/ped.2020.023  

Primary hypomagnesia with secondary hypocalcemia is a rare genetic disorder that appears in early infancy. The cause of this disease is an impaired intestinal absorption of magnesium leading to its low serum level accompanied by hypocalcemia. Typical signs at initial manifestation are generalized seizures, tetany and/or muscle spasms. The prognosis of the disease depends on rapidity and accuracy of the diagnosis.

Respiratory support in neonates

Bc. Hana Juránková, Mgr. Dana Soldánová

Pediatr. praxi. 2020;21(2):125-128 | DOI: 10.36290/ped.2020.026  

The article focuses on the neonatal respiratory support. The first part applies to respiratory support definition, its aims, types and complications. It also describes guidelines of a nursing care for ventilated neonate. The results of our research, which was focused on neonates, requiring an invasive respiratory support, its indications and complications, are presented in the second part. The results of our research were compared to the most recent and relevant literature.

Coin in the upper esophagus: imaging examination

prof. MUDr. Vladimír Mihál, CSc., MUDr. Lukáš Varhaník, MUDr. Pavel Sychra, MUDr. Kamila Michálková

Pediatr. praxi. 2020;21(2):121-124 | DOI: 10.36290/ped.2020.025  

Foreign bodies ingestion is a common and serious problem in children, which can present with a wide variety of symptoms. Coins are the most common foreign bodies, which make up to 80% of all removed foreign bodies from the esophagus. We present the case of a two-year-old child in which the ingestion of the coin was presented primarily with respiratory symptoms, but inaccurate management led to a delayed diagnosis.

Management of acute gastroenteritis in children

MUDr. Peter Szitányi, Ph.D.

Pediatr. praxi. 2020;21(2):129-134 | DOI: 10.36290/ped.2020.027  

Acute gastroenteritis/diarrhea represents one of most frequent diseases in childhood age. Correct management of AGE is considered as a standard care in pediatrics. Rehydratation and prevention remain the main treatment tools, adjuvant therapy could complete the complex therapeutical approach.

Human milk lipids and infants nutrients intake - guidelines

MUDr. Pavel Frühauf, CSc.

Pediatr. praxi. 2020;21(2):135-138 | DOI: 10.36290/ped.2020.028  

Human milk lipids provide a major portion of the energy supply to breastfed infants as well as essentials vitamins, polyunsaturated fatty acids, complex lipids, and bioactive components.

Unilaterální přechodný erytém - fenomén Harlekýn

MUDr. Jan Hálek, Ph.D., MUDr. Hana Zedníčková-Škodová, MUDr. Eva Bazgerová

Pediatr. praxi. 2020;21(2):120 | DOI: 10.36290/ped.2020.024