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Statine führen auch in hohem Alter in der Primärprävention zu ­weniger Herz-Kreislauf-Erkrankungen.
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.001
Thomas Rosemann, Andrea Rosemann
{"title":"Statine führen auch in hohem Alter in der Primärprävention zu ­weniger Herz-Kreislauf-Erkrankungen.","authors":"Thomas Rosemann, Andrea Rosemann","doi":"10.23785/PRAXIS.2025.03.001","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"84"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Acute Oliguric Kidney Failure - Gut feeling versus Imaging].
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.007
Susanne Winkler, Jakob Brune, Michael Dickenmann
{"title":"[Acute Oliguric Kidney Failure - Gut feeling versus Imaging].","authors":"Susanne Winkler, Jakob Brune, Michael Dickenmann","doi":"10.23785/PRAXIS.2025.03.007","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.007","url":null,"abstract":"<p><strong>Introduction: </strong>We present the case of a 68-year-old patient with acute postrenal kidney failure, without evidence of hydronephrosis on repeated imaging. Diagnosis was complicated by a transient recovery of renal function and concomitant development of severe glomerular proteinuria. The decision to perform a bilateral nephrostomy despite the absence of hydronephrosis was based on the highly suggestive history of a postrenal kidney failure. Following the intervention, there was an immediate resumption of diuresis and complete recovery of the previously dialysis-dependent renal failure.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Norovirus - an update for practitioners].
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.005
Dominique Scherer, Corinna Schönweiss, Mirjam de Roche, Franca Flubacher, Sandra Koehli Weber, Angelika Noethiger, Thomas Goetz, Tanja Kudrnovsky, Philip Tarr
{"title":"[Norovirus - an update for practitioners].","authors":"Dominique Scherer, Corinna Schönweiss, Mirjam de Roche, Franca Flubacher, Sandra Koehli Weber, Angelika Noethiger, Thomas Goetz, Tanja Kudrnovsky, Philip Tarr","doi":"10.23785/PRAXIS.2025.03.005","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.005","url":null,"abstract":"<p><strong>Introduction: </strong>Norovirus is one of the most infectious pathogens of all. Norovirus often poses a major logistical challenge for medical practices and hospitals in terms of isolation, visiting restrictions, material requirements, cleaning services, time off for sick staff etc. Serious complications are rare, but those affected by Norovirus can feel surprisingly ill. Dehydration and its consequences can occur, especially in the very old and very young.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Off Course with Delirium - Medication Challenges].
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.008
Benjamin Hutter, Adrian Rohrbasser
{"title":"[Off Course with Delirium - Medication Challenges].","authors":"Benjamin Hutter, Adrian Rohrbasser","doi":"10.23785/PRAXIS.2025.03.008","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.008","url":null,"abstract":"<p><strong>Introduction: </strong>A 75-year-old patient admitted to geriatric rehabilitation after a fall showed symptoms initially misinterpreted as hyperactive delirium. After he experienced tonic-clonic seizures, it was discovered he had been taking high doses of amitriptyline, which was missed during the medication history. The diagnosis was revised to antidepressant withdrawal syndrome upon review.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"115-118"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Oropouche Virus Infection After Travelling to Cuba].
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.010
Céline Ghidoni, Nadine Hollenstein, Alexia Cusini
{"title":"[Oropouche Virus Infection After Travelling to Cuba].","authors":"Céline Ghidoni, Nadine Hollenstein, Alexia Cusini","doi":"10.23785/PRAXIS.2025.03.010","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.010","url":null,"abstract":"<p><strong>Introduction: </strong>We present a case report of aseptic meningoencephalitis in an immunocompetent patient that resulted from oropouche virus acquired in Cuba in June 2024. He was diagnosed with a positive rt-PCR (blood and liquor serum) for the Oropouche virus. Due to the current situation, this rare disease should be considered in travelers from middle or southern America, especially those with fever and negative serology for dengue, zika, and chikungunya viruses.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"123-126"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lungenembolie: Thrombektomie ist der Thrombolyse überlegen.
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.002
Thomas Rosemann, Andrea Rosemann
{"title":"Lungenembolie: Thrombektomie ist der Thrombolyse überlegen.","authors":"Thomas Rosemann, Andrea Rosemann","doi":"10.23785/PRAXIS.2025.03.002","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.002","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"85"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The somewhat different embolism].
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.009
Sebastian Axmann, Markus Schneemann, Dominik Müntener
{"title":"[The somewhat different embolism].","authors":"Sebastian Axmann, Markus Schneemann, Dominik Müntener","doi":"10.23785/PRAXIS.2025.03.009","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.009","url":null,"abstract":"<p><strong>Introduction: </strong>This report discusses a 79-year-old patient with coxarthrosis and atrial fibrillation who underwent elective implantation of a hip pros-thesis. Postoperatively, after a symptom-free interval, the patient presented with disorientation, slowness, dysarthria and hemisymptomatic symptoms. Together with imaging showing multiple punctate ischemic lesions and microbleeds in the brain, a diagnosis of fat embolism was made. This case emphasizes the importance of considering fat embolism especially after orthopaedic surgery in patients with postoperative neurological symptoms.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"119-122"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The patient with rheumatoid arthritis in general practice - what needs to be considered before and during therapy?]
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.006
Melanie Kraus, Kriemhild Lippay
{"title":"[The patient with rheumatoid arthritis in general practice - what needs to be considered before and during therapy?]","authors":"Melanie Kraus, Kriemhild Lippay","doi":"10.23785/PRAXIS.2025.03.006","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.006","url":null,"abstract":"<p><strong>Introduction: </strong>Rheumatoid arthritis (RA) is the most common chronic inflammatory autoimmune disease in Switzerland, affecting up to 1 % of patients. Accordingly, these patients are also frequently seen in general practitioner consultations. The first-line therapy consists of methotrexate +/- glucocorticoids. Further disease modifying antirheumatic drugs (DMARDs) are necessary depending on symptom control, disease activity and side effects. Therapy goals are 1. improving quality of life, 2. preventing bone destruction and 3. controlling inflammation and thus reducing cardiovascular mortality. Patients with RA have an increased risk of infection due to their disease and therapy. Vaccination status should be checked and screening for relevant infectious diseases should be carried out before starting treatment. This article is intended to provide an overview of the treatment options as well as screening and prophylaxis of infections in accordance with the current recommendations of the European Alliance of Associations for Rheumatology (EULAR) and the Swiss Society of Rheumatology (SGR).</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"105-110"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Workplace-Based Assessments in Postgraduate -Specialist Palliative Medicine: a narrative review].
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.004
Andreas Samuel Ebneter, Steffen Eychmueller, Monica Fliedner, Yoon Soo Park, Sören Huwendiek
{"title":"[Workplace-Based Assessments in Postgraduate -Specialist Palliative Medicine: a narrative review].","authors":"Andreas Samuel Ebneter, Steffen Eychmueller, Monica Fliedner, Yoon Soo Park, Sören Huwendiek","doi":"10.23785/PRAXIS.2025.03.004","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.004","url":null,"abstract":"<p><strong>Introduction: </strong>Workplace-based assessments (WBAs) are the main drivers of experiential learning and are a key part of competency-based medical education (CBME). However, the literature on WBAs in postgraduate specialist palliative care (PC) training is sparse. This narrative review synthesizes the current evidence of WBAs in specialist PC training and reveals that WBAs in postgraduate PC training are used in countries with CBME programs; however, they are not specifically evaluated. In Swiss post-graduate PC physician training, WBAs have not been fully implemented. Although WBAs are feasible and accepted for the training of medical professionals in general, they are inconsistently used in Swiss PC physician training. Their consistent introduction could be an opportunity to assist in transitioning toward a CBME training model.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"92-98"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[What do Swiss people know about cardiovascular risk factors?]
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.003
Thomas Rosemann, Thomas F Lüscher, Andrea Rosemann
{"title":"[What do Swiss people know about cardiovascular risk factors?]","authors":"Thomas Rosemann, Thomas F Lüscher, Andrea Rosemann","doi":"10.23785/PRAXIS.2025.03.003","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.03.003","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular diseases are associated with a high morbidity burden in Switzerland and are the leading cause of death. Important cardiovascular risk factors such as hypertension, hyperlipidemia and diabetes can be treated extremely effectively with medication. A prerequisite for good therapy adherence is that those affected have sufficient knowledge. An anonymized online questionnaire was distributed via a health magazine and answered by 3166 participants. The majority of participants, 61.2 % (1902), were between 59 and 79 old. 2584 participants (83.1 %) were of the opinion that cardiovascular diseases can be well treated with medication. 1,781 (64.3 %) stated that they knew their blood pressure very precisely and 1,086 (39.25) stated that they knew their cholesterol value very precisely. 697 (25.2 %) did not know their cholesterol value or blood pressure (71; 2.6 %). When it comes to risk factors, smoking was classified as the most important factor (statement \"strong\" or \"very strong\": 2102; 77.6 %), almost on a par with blood pressure (2081, 77 %), lack of exercise (2047; 75.6 %) and Cholesterol (1906; 70.4 %). Overall, our survey shows that the Swiss have a comparatively good orientation about cardiovascular risk factors. However, even in our sample, which is certainly very health-conscious, there is still a clear need for education. However, our results also show that the majority are willing to implement preventative measures using medication.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"86-91"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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