Obraz psychiatrie v médiích

MUDr. Lucie Nawková

Psychiatr. pro Praxi, 2010; 11(3): 91  

Dependencies in old age

MUDr.Richard Krombholz, MUDr.Hana Drástová

Psychiatr. pro Praxi, 2010; 11(3): 95-98  

The issue of dependence in old age does not belong among the topics that would be in the limelight of the AT specialists or gerontopsychiatrists. Nevertheless, in the clinical practice we meet the patients suffering from addiction, and these patients and the results of their treatment are often a source of embarrassment rather than job satisfaction. They are the ill people, who are usually in contact with their general practitioner, but psychiatrists get into the game only when things go wrong. The authors in the article size up the situation within this area and demonstrate the typical examples by means of the short casuistic presentations.

Pharmacotherapy of dissociative disorders

MUDr.Bc.Aleš Grambal, MUDr.Zuzana Grambalová, MUDr.PhDr.Petr Pastucha, doc.MUDr.Ján Praško, CSc.

Psychiatr. pro Praxi, 2010; 11(3): 99-102  

Dissociative disorders have heterogenic and mostly dramatic manifestation. Dissociative states are frequently present in patiens suffering from other psychiatric disorders. Usually we can find a context between dissociative disorder and traumatic experience in the patients history. The psychogenic etiology is evident. The promptitude for reaction to stress with disociation begans in the disharmonious childhood. Several years persisted disorder becomes chronic and resisted to treatment. The specific therapy of the disociative disorders does not exist. The first choice of the therapies are psychoterapautic interventions. Pharmacological methods...

Pharmacotherapy in hospitalized depressed patients

prof.MUDr.Eva Češková, CSc.

Psychiatr. pro Praxi, 2010; 11(3): 103-106  

Nowadays, we have at our disposal a large spectrum of antidepressants; however, only in a part of patients a remission is achieved. One of the reasons, undoubtedly, is the fact that depressive disorder represents a very heterogeneous group. We have no robust markers of the disease and the diagnosis is based on the number and to a certain degree on the severity of the symptoms. In clinical trials an important inclusion criterion is a score of the evaluation scales. In a common, especially out-patient clinical practice, we are using a more general evaluation of the treatment effect. Among newer ADs there are differences not only in tolerability...

Use of ergotherapy in gerontopsychiatry

Bc.Aneta Vávrová, PhDr.Václav Červenka

Psychiatr. pro Praxi, 2010; 11(3): 107-109  

The authors aim at acquainting the reader briefly with the possible use of ergotherapy, or an experienced ergotherapist, in the field of acute as well as follow-up gerontopsychiatry. In the area of nonpharmacological intervention in dementia patients, a wide range of professionals are encountered including nurses, psychologists, occupational therapists, orderlies and others. The involvement of ergotherapists is still relatively little widespread even though it is apparent from our experience that, in the field of gerontopsychiatry, the work of an ergotherapist is irreplaceable.

Pathophysiology of pain and depression

doc.RNDr.Anna Yamamotová, CSc., prof.MUDr.Hana Papežová, CSc.

Psychiatr. pro Praxi, 2010; 11(3): 110-114  

Patients with chronic pain suffer more than just from the pain. Immobilization, isolation, lost of social contacts, depression and catastrophic thinking considerably changes their quality of life. Frequent co-morbidity of chronic pain and depression arise a question of overlapping pathophysiological mechanisms. This review discusses different mechanisms of pain and clinical pain representation in the human brain. The treatment of chronic pain with adjuvant analgesics is briefly mentioned.

Woman’s detoxification during the in-patient care

MUDr.Veronika Kotková

Psychiatr. pro Praxi, 2010; 11(3): 115-116  

Detoxification means the process at the beginning of drug dependence treatment, being the first step of a long pathway which addict woman gets together with. This period can impact her relation to treatment. First empathic contact with health worker together with understanding differences from men‘s problems can improve women persistence in drug abuse treatment. Paper summarizes author‘s experience with women‘s detoxification.

Repetitive transcranial magnetic stimulation in the treatment of depression

MUDr.Bc.Libor Ustohal

Psychiatr. pro Praxi, 2010; 11(3): 117-121  

This article concerns with the use of repetitive transcranial magnetic stimulation (rTMS) in the treatment of depression. Its principal is to influence the brain using variable magnetic field. This method is safe and well tolerated with the minimum of side-effects. We have most experiences in psychiatry just in the treatment of depression. It is documented that rTMS influences cortical excitability and metabolic activity of neuronal cells. It has been conducted a lot of studies of its efficacy in the treatment of depression, which can be divided into three generations. Their outcomes were summarized in several metaanalyses. Last metaanalyses...

AD.

MUDr.Jan Kolouch, CSc., MUDr.František Koukolík, DrSc., MUDr.Barbora Balíková

Psychiatr. pro Praxi, 2010; 11(3): 122-124  

A surprising effect of memantine on the progression of Alzheimer‘s disease A case report illustrates the effect of memantine in a previously professionally successful physician during the course of his disease from 81 to 85 years of age when cared for in a home setting. During six weeks of medication, the patient regained cognitive and executive functions of almost premorbid level of social adaptability. Treatment with memantine exhibits a negligible risk of adverse side effects. This raises the question of usefulness of establishing the treatment with memantine as the first-choice drug therapy.

Intracranial bleeding associated with selective serotonin reuptake inhibitor paroxetine

prof.MUDr.Alexandra Žourková, CSc.

Psychiatr. pro Praxi, 2010; 11(3): 125-126  

and coadministration with ibuprofen The observational case report deal with a 48-year old woman who used paroxetine and ibuprofen developed intracranial bleeding. Paroxetine and ibuprofen synergistically inhibit platelet function. Doctors should be aware of the increased risk of hemorrhage among patients on selective serotonin reuptake inhibitors.

Prevention of cardiovascular risk and diabetes in schizophrenia patients: application of internet in clinical praxis

MUDr.Jiří Masopust, Ph.D., MUDr.Radovan Malý, Ph.D.

Psychiatr. pro Praxi, 2010; 11(3): 130-134  

The excess cardiovascular mortality associated with schizophrenia is attributed in part to an increased risk of the modifiable coronary heart disease factors as obesity, diabetes mellitus, hypertension, dyslipidaemia, and smoking. We describe assessment of these cardiovascular risk factors using a special webpage.

Spiritual care and psychotherapy

Mgr.Jaromír Odrobiňák

Psychiatr. pro Praxi, 2010; 11(3): 127-129  

The aim of this survey article is to present the concept of the spiritual care and to differentiate its narrower and broader conception, to clarify the relationship between the spiritual care and psychotherapy and to describe the actual situation in the introduction of the spiritual care into the system of health care in the Czech Republic. The second part introduces examples of concrete forms of the spiritual care, warns of pathological forms of spirituality and presents the ways how to offer the spiritual care to patients with some selected psychiatric diagnoses.

Autodidaktický test 3/2010

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Psychiatr. pro Praxi, 2010; 11(3): 135