Casopís lékar̆ů c̆eských
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Casopís lékar̆ů c̆eských · Jan 2008
Randomized Controlled Trial[Tracheal intubation without muscle relaxant--the impact of different sufentanil doses on the quality of intubating conditions: a prospective study].
Following opioid and intravenous anaesthetic, tracheal intubation may be accomplished without any muscle relaxant. In this study, we evaluated the dose requirements for sufentanil with propofol without muscle relaxant administration to obtain clinically acceptable intubation conditions and cardiovascular responses. ⋯ Sufentanil (0.3-0.4 microg x kg(-1)) in combination with propofol (2 mg.kg(-1)) provided clinically acceptable intubating conditions in 93-97% patients.
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Casopís lékar̆ů c̆eských · Jan 2008
Historical Article[Ten years after the latest revision International Anatomical Terminology].
Ten years ago, the latest revision of the Latin anatomical nomenclature was approved and published as Terminologia Anatomica (International Anatomical Terminology), and is acknowledged by the organization uniting national anatomical societies--International Federation of Associations of Anatomists. The authors concentrate on new terms included in the nomenclature and on the linguistic changes of terminology. ⋯ The usage of this Latin anatomical nomenclature version is suggested by the International Federation to follow in theoretical and clinical fields of medicine. The authors of the article strongly recommend using the recent revision of the Latin anatomical nomenclature both in the oral and written forms, when educating and publishing.
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Casopís lékar̆ů c̆eských · Jan 2008
[Experience with early enteral nutrition application in critically ill patients in medical intensive care unit].
Early enteral nutrition is recommended in patients with critical illness. Generally implementing of nutritional support algorithm is advised. The aim of study was evaluation of early enteral nutrition application in critically ill patients in medical intensive care unit. ⋯ Early enteral nutrition applied according to protocol was given succesfully to the substantial number of the critical patients. In 18% of the patients enteral nutrition had to be replaced for parenteral one due to complications. The caloric intake 25-30 calories/kg was reached in 60% of patients.
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Casopís lékar̆ů c̆eských · Jan 2008
Historical Article[Rationality and irrationality in the medicine and in the life].
The spiritual life of man has a rational and irrational component. Both have positive as well as negative effects and under normal circumstances they are well balanced. In medicine rationality is an essential feature of the medical science and the basis of medical practice but it is not sufficient for fulfilling all curative needs. In the practice, gaps in knowledge must be complemented by empiricism and empathy which originate in the personality of the physician.
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Casopís lékar̆ů c̆eských · Jan 2008
[Decrease of the prevalence of Helicobacter pylori infection in the Czech Republic].
Helicobacter pylori (Hp) is the most common chronic bacterial infection in humans. Hp has been demonstrated worldwide and in individuals of all ages. ⋯ This decrease can be explained mostly by the relatively favourable and improving socioeconomic conditions after the fall of communist regime. However, it is necessary to consider also the fundamental determinants of "modern times" that could cause gradual disappearing of Hp from the human "microbiome".