Blokátory angiotenzinových receptorů typu 1 (AT1-blokátory, sartany) patří mezi základní antihypertenzní látky vhodné pro monoterapii i kombinační léčbu hypertenze. AT1-blokátory mají srovnatelné účinky s dalšími hlavními třídami antihypertenziv včetně ACE-inhibitorů. Dle současných doporučení České společnosti pro hypertenzi jsou sartany spolu s ACE-inhibitory a blokátory kalciových kanálů považovány za tzv. univerzální antihypertenziva. Mají ze všech antihypertenziv nejméně nežádoucích účinků a nemocní léčení sartany vykazují nejlepší dlouhodobou perzistenci k léčbě. V článku jsou diskutovány mechanizmy antihypertenzního účinku jakož i srovnání antihypertenzních účinků sartanů s dalšími antihypertenzními látkami. Jsou uvedeny výsledky větších klinických studií se sartany a indikace u arteriální hypertenze., Angiotensin receptor antagonists (AT1-blockers) are considered as one of the major classes of antihypertensive drugs suitable for monotherapy as well as for combination treatment. AT1-blockers have comparable antihypertensive efficacy with other major classes of antihypertensive drugs. AT1-blockers are considered by current guidelines of Czech society of hypertension altogether with ACE-inhibitors and calcium channel blockers as universal antihypertensive drug class. AT1-blockers has the lowest profile of side-effects among all antihypertensive drug classes and thus very high persistence to therapy. Mechanisms of antihypertensive effects of AT1-blockers are discussed altogether with the results of large clinical trials and indications in the treatment of hypertension., and Jiří Widimský Jr.
Anthocyanins and nonphotochemical quenching (NPQ) are two important tools that provide photoprotection in plant leaves. In order to understand how plants use these tools for acclimation to changing seasonal conditions, we investigated pigments, antioxidative capacity, and photosynthesis in leaves of an evergreen tree (Acmena acuminatissima) in two contrasting seasons. Young leaves of A. acuminatissima appeared in distinct colors, being light green in summer and red in winter due to the presence of anthocyanins. In the winter young leaves, anthocyanins contributed less than 2% to the antioxidant pool. In the summer, young leaves had higher NPQ than that of mature leaves, but in the winter, they did not derive any NPQ-related advantage over mature leaves. These results suggest that the accumulation of anthocyanins in young leaves in the winter may compensate for the insufficient photoprotection afforded by NPQ and that anthocyanins function as a light attenuator to protect the photochemical apparatus against excess light., H. Zhu, T.-J. Zhang, J. Zheng, X.-D. Huang, Z.-C. Yu, C.-L. Peng, W. S. Chow., and Obsahuje bibliografické odkazy
In our previous studies, a decreased blood pressure was reported in children treated by anthracycline (AC). The aim of this study was to assess the long-term effects of AC anticancer therapy in 45 subjects aged 13-22 years by repeated 24-hour Holter monitoring of blood pressure. Sixty four aged-matched subjects served as controls. The differences between mean values of systolic (SBP) and diastolic blood pressure (DBP) in each hour of both groups were evaluated by Mann-Whitney test. Also the parameters of the least-squares fit of the sinusoidal curve in each subject were estimated (M - mesor, midline-estimating, a mean value of sinusoidal curve corresponds to 24-hours mean pressure; A - amplitude, double amplitude corresponds to nightday difference; Acr - acrophase is a time of maximal value of a sinusoidal curve). SBP and DBP was significantly lower only during night hours in anthracycline patients 19-22 years old. Also M was lower in this age subgroup of patients comparing to age matched controls (SBP: 112±6 mm Hg versus 117±7 mm Hg, p<0.05; DBP: 67±3 mm Hg versus 69±6 mm Hg, p<0.05), A was not different, Acr in patients was shifted one hour earlier (SBP: 2.4 p.m. versus 3.6 p.m., p<0.05; DBP: 2.1 p.m. versus 3.3 p.m., p<0.01). This corresponds to the shift of the morning blood-pressure increase seen on 24-hours blood pressure profiles. M correlated with age in controls (SBP: r=0.374, p<0.01; regression coefficient b=1.34 mm Hg/1 year; DBP: r=0.365, p<0.01; b=0.95 mm Hg/1 year), but not in patients (SBP: r=0.182, DBP: r=0.064). A and Acr were age-independent in all subjects. It is concluded that blood pressure in 19-22 years old AC patients is lower during night hours, the age-dependent increase of blood pressure seen in healthy controls between 13 and 22 years of age does not occur in patients. This finding is consistent with the long-lasting impairment of the sympathetic nervous system caused by anthracyclines., Z. Nováková ... [et al.]., and Obsahuje bibliografii a bibliografické odkazy
Autoimmune thyropathies are frequently linked to many infections, such as Helicobacter pylori, which are also supposed to play a role in their pathogenesis. The aim of this study was to evaluate the relationships between thyroid and gastric autoimmunity and H. pylori infection on a large sample of Czech population (n=1621) by monitoring the autoantibodies against thyroglobulin (anti-Tg) and thyroid peroxidase (anti-TPO) and gastric parietal cell (anti-GPC, representing thyrogastric syndrome) in correlation with antibodies against Helicobacter pylori (anti-H. pylori) of classes IgG and IgA. The interrelation between autoantibodies and H. pylori antibodies was assessed by H. pylori seropositivity. In H. pylori seropositive persons as compared to seronegative irrespective of age and sex, a higher occurrence of anti-TPO (10.4 % vs. 5.8 %, p=0.001) and anti-GPC (6.1 % vs. 1.7 %, p<0.001) was found. Differences in anti-TPO occurrence were significant in both men (7.0 % vs. 3.3 %, p=0.03) and women (12.7 % vs. 8.0 %, p=0.02), differences in anti-GPC occurrence were significant only in women (7.2 % vs. 1.7 %, p<0.001). Results of this study support the idea of a connection between infection of H. pylori and the occurrence of anti-TPO autoantibodies representing thyroid autoimmunity and gastric parietal cells autoantibodies representing the thyrogastric syndrome., I. Šterzl, P. Hrdá, P. Matucha, J. Čeřovská, V. Zamrazil., and Obsahuje bibliografii a bibliografické odkazy
N‑metyl‑D‑aspartát receptorová (NMDAR) encefalitida je nedávno definované autoimunitní postižení centrálního nervového systému (CNS). Podstatou neurologických potíží je porucha synaptického přenosu v důsledku internalizace NMDA receptorů po navázání autoprotilátek. V následujícím sdělení přinášíme nejnovější informace o onemocnění a jeho diagnostice. Současně dokládáme klinický průběh, strategii léčby a sledování našich pěti pacientek., N-methyl-D-aspartate encephalitis is a recently defined autoimmune disorder of the central nervous system. Neurological symptoms are associated with antibody-dependent internalization of NMDA receptors that leads to synapse disruption. Information about the disease, therapy and diagnosis are followed by clinical experience with our group of five patients., and Z. Libá, J. Hanzalová, V. Sebroňová, V. Komárek
Štúdia sa kriticky zaoberá diskurzívnymi aktivitami politikov a novinárov, ktorí slúžia ako modely pre imitáciu potvrdzovania, alebo naopak oponovania negatívnym stereotypom voči Rómom. Empiricky overuje tézu, že mediálny marketing politických strán zneužíva diskriminované a marginalizované skupiny na dosahovanie straníckych cieľov. Prostredníctvom kritickej systemickej lingvistiky analyzuje významové štruktúry predvolebného bilbordu, čím odhaľuje intencie komunikácie politickej strany s verejnosťou. Postupmi kritickej diskurzívnej analýzy mediálnych textov o anti-rómskom bilborde autorky identifikujú diskurzívne pozície rozmanitých aktérov, prípadne ich argumentačné stratégie, pričom kriticky reflektujú najmä asymetriu ich mediálnej prezentácie. Popisujú Diskuze / 401 sa spôsoby, akými parlamentná strana SNS implicitne (prostredníctvom bilbordu) a explicitne (vo svojich vyjadreniach) znevažuje celú etnickú skupinu. Z analýzy vyplýva, že hoci médiá uvádzajú názory rôznych diskurzívnych aktérov, v textoch chýba prezentácia argumentov, ktoré by pomohli širokej verejnosti pochopiť, prečo dehonestácia tejto stigmatizovanej skupiny je neprijateľná. Politické zneužívanie „rómskeho problému“ novinári demaskovali, avšak nevysvetlili negatívne dôsledky falošnej etnizácie nezamestnanosti, chudoby a verejnej dehonestácie Rómov., The study deals critically with discursive activities of politics and newspapermen which serve as models for imitation of confirmation or on the contrary of opposing the negative stereotypes against Roma. The thesis that the media marketing of political parties misuses the discriminated and marginalized groups for achieving the party goals is empirically verified. The meaning structures of pre-election billboard are analyzed by the means of critical systemic linguistics and thus reveals the intentions of communication of political party with the public. The authors identify the discursive positions of diverse participants, alternatively their argumentation strategies, and critically reflect especially the asymmetry of their media presentation by procedures of critical discursive analysis of media texts about the anti-Roma billboard. The ways how the parliament party SNS implicitly (through the billboard) and explicitly (in its statements) discredit the whole ethnic group are described. From the analysis follows that although media present the opinions of different discourse participants, the texts are lacking the presentation of arguments that could help the wide public to understand why the dehonestation of this stigmatized group is unacceptable. The political misuse of „Roma problem“ was unmasked by newspapermen but the negative consequences of false ethnic attribution of unemployment, poverty, and public dehonestation of Roma were not explained., Jana Plichtová, Vlasta Paholíková., and Obsahuje seznam literatury
Anti-suit injunctions are rather unknown in the civil law legal system of the Czech Repbulic. The policy reasons for the rejection of anti-suit injunctions in the Czech Republic are rooted in the constitutional right of every person to assert, through the legally prescribed procedure, their rights before an independent and impartial court or, in specified cases, before another body. In other words, every person may commence proceedings before a competent court, or respectively before any court or another body (e.g. like an arbitral tribunal, etc.), which is then exclusively empowered to rule on its jurisdiction. Therefore, there is also no distinction between anti-suit injunctions in domestic and international litigation. Czech law does not have any alternative procedural or substantive devices that may have similar functions as anti-suit injunctions related to arbitration. It means that it is not possible to obtain a court order against a respondent prohibiting the respondent from commencing or continuing court proceedings in another forum in violation of an arbitration agreement., Alexander J. Bělohlávek., and Obsahuje bibliografické odkazy
Tumour necrosis factor (TNF) plays a central role in the inflammatory process. In the skin, it contributes to immune containment of tick-transmitted pathogens like Borrelia burgdorferi. In the saliva of some tick species, active compounds are present that inhibit detection of TNF in specific ELISA. We compared the presence of anti-TNF activity in saliva or salivary gland extract from 11 tick species from the family Ixodidae and demonstrated it in genera Ixodes Latreille, 1795 and Haemaphysalis Koch, 1844. Analysis of anti-TNF activity in Ixodes ricinus (Linnaeus, 1758) saliva during the feeding period showed that it is present in the late, rapid phase of engorgement. Significance of anti-TNF activity for tick feeding and transmission of tick-borne pathogens is discussed., Markéta Rezková, Jan Kopecký., and Obsahuje bibliografii