This paper focuses on compost use in overpasses and underpasses for wild animals over roads and other similar linear structures. In this context, good quality of compost may result in faster and more resistant vegetation cover during the year. Inter alia, this can be interpreted also as reduction of damage and saving lives. There are millions of tones of plant residue produced every day worldwide. These represent prospective business for manufacturers of compost additives called "accelerators". The opinions of the sale representatives' with regards to other alternatives of biowaste utilization and their own products were reviewed. The robust analyzes of several "accelerated" composts revealed that the quality was generally low. Only two accelerated composts were somewhat similar in quality to the blank sample that was produced according to the traditional procedure. Overlaps between the interests of decision makers on future soil fertility were weighed against the preferences on short-term profit. Possible causes that allowed the boom of these underperforming products and the possible consequences are also discussed. Conclusions regarding the ethical concerns on how to run businesses with products whose profitability depends on weaknesses in the legal system and customer unawareness are to follow.
BACKGROUND: COPD is a glo Bal concern. Currently, several sets of guidelines, statements and strategies to managing COPD exist around the world. METHODS: The Czech Pneumological and Phthisiological Society (CPPS) has commissioned an Expert group to draft recommended guidelines for the management of sta Ble COPD. Su Bsequent revisions were further discussed at the National Consensus Conference (NCC). Reviewers' comments contri Buted to the esta Blishment of the document's final version. DIAGNOSIS: The hallmark of the novel approach to COPD is the integrated evaluation of the patient's lung functions, symptoms, exacer Bations and identifications of clinical phenotype(s). The CPPS defines 6 clinically relevant phenotypes: frequent exacer Bator, COPD-asthma overlap, COPD- Bronchiectasis overlap, emphysematic phenotype, Bronchitic phenotype and pulmonary cachexia phenotype. TREATMENT: Treatment recommendations can Be divided into four steps. 1(st) step = Risk exposure elimination: reduction of smoking and environmental to Bacco smoke (ETS), decrease of home and occupational exposure risks. 2(nd) step = Standard treatment: inhaled Bronchodilators, regular physical activity, pulmonary reha Bilitation, education, inhalation training, comor Bidity treatment, vaccination. 3(rd) step = Phenotype-specific therapy: PDE4i, ICS+LA BA, LVRS, BVR, AAT augmentation, physiotherapy, mucolytic, A BT. 4(th) step = Care for respiratory insufficiency and terminal COPD: LTOT, lung transplantation, high intensity-NIV and palliative care. CONCLUSION: Optimal treatment of COPD patients requires an individualised, multidisciplinary approach to the patient's symptoms, clinical phenotypes, needs and wishes. The new Czech COPD guideline reflects and covers these requirements.
- MeSH
- chronická obstrukční plicní nemoc klasifikace diagnóza terapie MeSH
- konsensus MeSH
- lidé MeSH
- péče orientovaná na pacienta MeSH
- plánování péče o pacienty MeSH
- pneumologie MeSH
- společnosti lékařské MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- směrnice pro lékařskou praxi MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- řízení nemocnice MeSH
- společnosti lékařské MeSH
- Publikační typ
- rozhovory MeSH
- MeSH
- dospělí MeSH
- echokardiografie transezofageální metody využití MeSH
- hypertrofická kardiomyopatie diagnóza ultrasonografie MeSH
- hypertrofie levé komory srdeční diagnóza MeSH
- koronární angiografie metody využití MeSH
- troponin izolace a purifikace MeSH
- ženy MeSH
- Check Tag
- dospělí MeSH
- Publikační typ
- kazuistiky MeSH
Snake bites caused by viperid snakes of Atheris genus are extremely rare, envenoming of a bite of related viper Proatheris superciliaris was described only once in the literature. The present case study depicts the envenoming of a 57 years old Czech man, a private herpetologist, who was bitten to his finger. He developed painful local reaction, nausea, hematuria, hypertension, chest and lumbar pain. Coagulopathy and thrombocytopenia subsequently developed as well as acute renal failure, hepatic and lung lesion. Intensive care therapy was purely symptomatic and supportive as no antisera exists. Treatment included haemodialysis, substitution of fresh frozen plasma and platelets. Patient completely recovered during 1 month.
- MeSH
- akutní poškození ledvin etiologie patologie terapie MeSH
- dialýza ledvin MeSH
- jedy chřestýšů toxicita MeSH
- koagulopatie etiologie patologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- prsty ruky patologie MeSH
- transfuze trombocytů MeSH
- trombocytopenie etiologie patologie MeSH
- uštknutí hadem komplikace patologie terapie MeSH
- Viperidae MeSH
- výsledek terapie MeSH
- zvířata MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- kazuistiky MeSH
Závěrečná zpráva o řešení grantu Interní grantové agentury MZ ČR
72 s. : il. ; 32 cm
Terapeutický efekt clonidinu a clonazepamu u chron. motorické tikové poruchy a syndromu Gilles de la Tourette. XXX XXX XXX
- MeSH
- clonidin farmakologie MeSH
- klonazepam farmakologie MeSH
- poruchy chování u dětí farmakoterapie MeSH
- tiapamil-hydrochlorid farmakologie MeSH
- tiky farmakoterapie MeSH
- Tourettův syndrom farmakoterapie MeSH
- Konspekt
- Psychiatrie
- NLK Obory
- psychiatrie
- NLK Publikační typ
- závěrečné zprávy o řešení grantu IGA MZ ČR
