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[Acute coronary syndrome: diagnosis and treatment]. [急性冠状动脉综合征：诊断与治疗]。
Praxis Pub Date : 2024-01-01
Julia Stehli, Barbara E Stähli
{"title":"[Acute coronary syndrome: diagnosis and treatment].","authors":"Julia Stehli, Barbara E Stähli","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>In Switzerland, about 20 000 people experience an acute coronary syndrome (ACS) event each year. Acute coronary syndromes comprise ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), and unstable angina. The diagnosis is made based on the clinical presentation, a rise in cardiac biomarkers, and ischemic ECG changes. In patients with acute STEMI, urgent coronary angiography with primary percutaneous coronary intervention (PCI) to open the occluded artery is indicated. In patients with NSTEMI and unstable angina, the timing of coronary angiography and PCI is based on the clinical presentation and on a comprehensive and individualized risk stratification. Optimal secondary prevention and aggressive cardiovascular risk factor control are important following the acute event. Keywords.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 1","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913283","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
[Lifelong Mask Mandate]. [终身面具任务]。
Praxis Pub Date : 2024-01-01
Jörn Eggimann, Sara Eggimann, Philipp Grob-Blum
{"title":"[Lifelong Mask Mandate].","authors":"Jörn Eggimann, Sara Eggimann, Philipp Grob-Blum","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>A 31-year-old farmer is being treated for suspected pneumonia. As the symptoms persist despite antibiotic treatment, the suspicion of hypersensitivity pneumonitis type Farmer´s lung arises after taking into account the patients occupational history. Information from various examination modalities and the clinical course confirm the suspected diagnosis. Thanks to the rapid diagnosis and the measures taken as a result, it was possible for the patient to remain in his profession.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 1","pages":"20-22"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913286","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
[Interdisciplinary approaches for bladder voiding disorders]. [膀胱排尿障碍的跨学科治疗方法]。
Praxis Pub Date : 2023-12-01
Daniel Passweg
{"title":"[Interdisciplinary approaches for bladder voiding disorders].","authors":"Daniel Passweg","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"112 13","pages":"655"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404113","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
Antithrombotic therapy and assessment for bleeding diathesis in elective gastrointestinal endoscopy - Expert Opinion Statement on behalf of the Swiss Society of Gastroenterology. 抗血栓治疗和评估择期胃肠道内窥镜检查中的出血症状--代表瑞士胃肠病学会发表的专家意见声明。
Praxis Pub Date : 2023-12-01
Nico Wiegand, Martin Geyer, Gianluca Lollo, Walter A Wuillemin, Patrick Aepli, Remus Frei, Sébastien Godat, Michael Manz, Stefan Seewald, Frans Olivier The, Reiner Wiest, Jan Borovicka, Stephan Brand, Sophie Buyse, Lukas Degen, Tobias Ehmann, Florian Riniker, Daniele Riva, David Semela, Kaspar Truninger, Ellen Utzinger, Alain Vonlaufen
{"title":"Antithrombotic therapy and assessment for bleeding diathesis in elective gastrointestinal endoscopy - Expert Opinion Statement on behalf of the Swiss Society of Gastroenterology.","authors":"Nico Wiegand, Martin Geyer, Gianluca Lollo, Walter A Wuillemin, Patrick Aepli, Remus Frei, Sébastien Godat, Michael Manz, Stefan Seewald, Frans Olivier The, Reiner Wiest, Jan Borovicka, Stephan Brand, Sophie Buyse, Lukas Degen, Tobias Ehmann, Florian Riniker, Daniele Riva, David Semela, Kaspar Truninger, Ellen Utzinger, Alain Vonlaufen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"112 13","pages":"635-641"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404119","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
[Measures restricting freedom in the geriatric psychiatry]. [老年精神病学中限制自由的措施]。
Praxis Pub Date : 2023-12-01
Stefan Klöppel, Dan Georgescu
{"title":"[Measures restricting freedom in the geriatric psychiatry].","authors":"Stefan Klöppel, Dan Georgescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Measures restricting freedom include physical restraints restricting movement and treatment without consent according to the Swiss Civil Code. Patients incapable of consenting to treatments and other measures of care and who are somatically multimorbid in addition to their mental illness are frequently encountered in the geriatric psychiatry inpatient setting. In this group of patients, physical restraints are repeatedly used to prevent falling and to quarantine patients due to infectious diseases. Frequently, treatment is conducted with the apparent agreement of the patient but which are to be recorded as measures restricting freedom due to the inability to give informed consent. The National Association for Quality Development in Hospitals and Clinics (ANQ) has introduced geriatric psychiatry as a separate department category; this differentiation should also be seen as an opportunity and invitation to take a differentiated look at measures restricting freedom in geriatric psychiatry.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"112 13","pages":"642-648"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404115","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
[New/direct oral anticoagulants (DOAK)]. [新型/直接口服抗凝剂（DOAK）]。
Praxis Pub Date : 2023-12-01
Andrea Rosemann, Oliver Senn, Stefan Neuner-Jehle, Stefan Markun, Giuseppe Pichierri, Thomas Rosemann
{"title":"[New/direct oral anticoagulants (DOAK)].","authors":"Andrea Rosemann, Oliver Senn, Stefan Neuner-Jehle, Stefan Markun, Giuseppe Pichierri, Thomas Rosemann","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Due to their advantageous benefit-risk-profile, direct oral anticoagulants (DOACs) are preferred over vitamin-K-antagonists for stroke prevention in atrial fibrillation as well as therapy and secondary prevention of venous thromboembolism. This guideline provides information on the practical use of DOACs, their advantages and disadvantages and limitations. It is based on recommendations from international guidelines (ESC, EHRA, DGA) and adapts them for the general practitioner setting in Switzerland.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"112 13","pages":"616-627"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404116","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
[Urinary retention in young female patients]. [年轻女性患者的尿潴留]。
Praxis Pub Date : 2023-12-01
Désirée Abgottspon, René Hornung, Tanja Hülder, Larissa Greive
{"title":"[Urinary retention in young female patients].","authors":"Désirée Abgottspon, René Hornung, Tanja Hülder, Larissa Greive","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>This practice case describes a 28-year-old female patient suffering from unclear residual urine formation. Urogynecologic examination reveals a severely hypercapacitated bladder with atonic detrusor. After ruling out other gynecologic and neurologic differential diagnoses, the diagnosis of Fowler syndrome was made. This is a painless residual urine formation with typical pelvic floor EMG with detrusor sphincter dyscoordination. Causal therapies do not exist. Sacral neuromodulation, percutaneous tibial nerve stimulation, or intermittent self-catheterization.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"112 13","pages":"656-658"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404118","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
[Lipid Management in Practice]. [血脂管理实践]。
Praxis Pub Date : 2023-12-01
Barbara Dehos, Stefan Bilz
{"title":"[Lipid Management in Practice].","authors":"Barbara Dehos, Stefan Bilz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Locally advanced rectal cancer has a high risk of local recurrence which can be reduced by multimodal therapy. Neoadjuvant radiotherapy or radiochemotherapy has been established. Nevertheless, this has not proved to improve overall survival. The benefit of adjuvant chemotherapy after neoadjuvant radiotherapy or radiochemotherapy remains unclear. Current studies are investigating total neoadjuvant therapy with different sequences of radiotherapy and chemotherapy followed by rectal resection. This procedure shows high pathologic complete remissions up to 28 % as well as an improvement in disease-free and metastasis-free survival. Under study conditions, in case of clinical complete remission, watchful waiting with close follow-up and surgery can be considered only in case of local tumor recurrence.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"112 13","pages":"649-654"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404114","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
[Quality development in Consultation and Liaison Psychiatry and Psychosomatics]. [咨询与联络精神病学和心身医学的质量发展]。
Praxis Pub Date : 2023-12-01
Rafael Meyer, Dan Georgescu
{"title":"[Quality development in Consultation and Liaison Psychiatry and Psychosomatics].","authors":"Rafael Meyer, Dan Georgescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Quality or quality development and the corresponding regulations are becoming increasingly important in the Swiss healthcare system, in particular due to the link with aspects of permission for the provision of services and financing. In doing so, the focus is directed to varying degrees on structural, processual or outcome criteria. Specific quality aspects of the specialist area consultation-liaison psychiatry and psychosomatics (CLPP) are compiled and the indicators derived from them are grouped according to the quality criteria mentioned. There are numerous requirements, the implementation of which requires considerable efforts from the service providers, not least because of the shortage of specialists and limited financial resources. The requirements listed should be continuously evaluated and developed as well as sensibly anchored in regulation. Linking quality requirements with corresponding financial aspects within the framework of national tanning structures as well as national and cantonal permission regulations should be sought.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"112 13","pages":"628-634"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404117","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
[Small Tick - Big Danger]. [小蜱-大危险]。
Praxis Pub Date : 2023-10-01
Lukas Maager, Christian Lehmann, Katja Weiss, Beat Knechtle
{"title":"[Small Tick - Big Danger].","authors":"Lukas Maager, Christian Lehmann, Katja Weiss, Beat Knechtle","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>We report a 23-year-old patient who presented to the general practitioner due to persisting headache, fever, and vomiting. In the further course, a tetraparesis dominated on the right side, dysphagia and dysarthria occurred, and a general tonic-clonic seizure. Further examinations confirmed tick-borne encephalomyelitis as well as polyradiculitis. After two months of rehabilitation, neuropsychological as well as focal-neurological deficits persisted in the unvaccinated patient.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"112 12","pages":"610-614"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398917","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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