PraxisPub Date : 2025-09-01DOI: 10.23785/PRAXIS.2025.08_09.004
Celine Schumacher, Felix Mangold, Holger Dressel
{"title":"[Work-related asthma].","authors":"Celine Schumacher, Felix Mangold, Holger Dressel","doi":"10.23785/PRAXIS.2025.08_09.004","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.08_09.004","url":null,"abstract":"<p><strong>Introduction: </strong>Bronchial asthma is a well-known and common disease. However, there is less knowledge about the fact that asthma can also have an association with the profession. However, this is very relevant because young patients who are in the middle of their working lives are often affected and suffer far-reaching consequences if a diagnosis of occupational asthma is made. The consequences are of a health as well as of a socio-economic nature. Since the asthma symptoms are present inconsistently and corresponding questions about the job may not be asked in the anamnesis, the workplace association is sometimes misunderstood and the diagnosis is therefore delayed. In this article we would like to raise medical awareness of work-related asthma, focus on occupational asthma and the steps to clarify it and finally explain the further procedure regarding suitability for work.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 8-9","pages":"321-325"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186540","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}
PraxisPub Date : 2025-09-01DOI: 10.23785/PRAXIS.2025.08_09.001
Rahel Eberle, Thomas Rosemann
{"title":"Ist eine reduzierte DOAK-Dosis bei VTE-Patienten mit hohem Rezidivrisiko der vollen Dosis nicht unterlegen?","authors":"Rahel Eberle, Thomas Rosemann","doi":"10.23785/PRAXIS.2025.08_09.001","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.08_09.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 8-9","pages":"307"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186564","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}
PraxisPub Date : 2025-09-01DOI: 10.23785/PRAXIS.2025.08_09.008
Michelle Küting, Irene Abela, Felix Grimm, Marisa Kälin
{"title":"[A case of acute fascioliasis in a traveler returning from Australia and Vanuatu].","authors":"Michelle Küting, Irene Abela, Felix Grimm, Marisa Kälin","doi":"10.23785/PRAXIS.2025.08_09.008","DOIUrl":"10.23785/PRAXIS.2025.08_09.008","url":null,"abstract":"<p><strong>Introduction: </strong>A patient presented with fever and upper abdominal pain after returning from Australia and Vanuatu. Pronounced eosinophilia served as a diagnostic clue, leading to a successful treatment of acute fascioliasis with Triclabendazole. Following the therapy, the patient experienced complete symptom relief.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 8-9","pages":"337-341"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186542","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}
PraxisPub Date : 2025-09-01DOI: 10.23785/PRAXIS.2025.08_09.007
Fabiola Lugano, Alexander Böhler, Jan Borovicka, Thomas Steffen, Stephan Brand
{"title":"[Symptomatic cholecystolithiasis after cholecystectomy].","authors":"Fabiola Lugano, Alexander Böhler, Jan Borovicka, Thomas Steffen, Stephan Brand","doi":"10.23785/PRAXIS.2025.08_09.007","DOIUrl":"10.23785/PRAXIS.2025.08_09.007","url":null,"abstract":"<p><strong>Introduction: </strong>In rare cases, dilatation of the remaining cystic duct remnant after cholecystectomy can lead to a neogallbladder, in which gallstones can recur and cause further biliary problems (such as choledocholithiasis). The differential diagnosis of a \"neogallbladder\" should therefore be considered in cases of biliary colic even after cholecystectomy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 8-9","pages":"334-336"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186600","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}
PraxisPub Date : 2025-09-01DOI: 10.23785/TU.2025.08_09.002
Jessica Gaylord, Judith Weiss, Janette Ribaut, Frank Zimmermann, Sonja Beckmann, Sabina De Geest, Isabelle Gisler, Anja Hermann, Kathrin Horlacher, Rahel Käufeler, Susanne König, Jörg Leuppi, Anita Manser, Oliver Mauthner, André Nienaber, Franziska Perini, Melanie Capaul-Schmocker, Michael Simon, Caroline Stade, Markus Wepf, Franziska Zúñiga
{"title":"[Nurse Practitioners and Physician Associates in Swiss Healthcare].","authors":"Jessica Gaylord, Judith Weiss, Janette Ribaut, Frank Zimmermann, Sonja Beckmann, Sabina De Geest, Isabelle Gisler, Anja Hermann, Kathrin Horlacher, Rahel Käufeler, Susanne König, Jörg Leuppi, Anita Manser, Oliver Mauthner, André Nienaber, Franziska Perini, Melanie Capaul-Schmocker, Michael Simon, Caroline Stade, Markus Wepf, Franziska Zúñiga","doi":"10.23785/TU.2025.08_09.002","DOIUrl":"10.23785/TU.2025.08_09.002","url":null,"abstract":"<p><strong>Introduction: </strong>Physician Associates (PAs) and Nurse Practitioners (NPs) are healthcare professionals with advanced clinical skills who play a key role in strengthening integrated care and mitigating physician shortages. PAs hold a CAS or MAS (15-60 ECTS) and support physicians by taking on specific responsibilities (task shifting) to improve efficiency and ensure high-quality care. NPs have a Master of Science in Nursing (90-180 ECTS), and work with physicians (task-sharing) to care for a defined population, establishing diagnoses, managing treatment, and providing self-management support. PAs and NPs work in both inpatient and outpatient settings. Their training, competencies and scopes of practice differ; allowing them to complement each other. National regulation and tariff structures are necessary for both professions to reach their full potential.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 8-9","pages":"308-312"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186588","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}
PraxisPub Date : 2025-07-01DOI: 10.23785/PRAXIS.2025.07.008
Johanna Kuppinger
{"title":"[Delayed bone healing after osteotomy - what the family history revealed].","authors":"Johanna Kuppinger","doi":"10.23785/PRAXIS.2025.07.008","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.07.008","url":null,"abstract":"<p><strong>Introduction: </strong>A 35-year-old woman presented with delayed bone healing after periacetabular osteotomy, despite appropriate postoperative unloading and vitamin D supplementation. Laboratory evaluation revealed persistently low serum alkaline phosphatase (ALP) activity with otherwise normal bone metabolism markers. The patient's family history, which included a known ALPL gene mutation, ultimately led to the diagnosis of a rare metabolic bone disorder. Genetic testing confirmed the adult form of hypophosphatasia. This case highlights the importance of subtle biochemical findings and thorough family history in the diagnosis of rare conditions.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"297-301"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795189","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}
PraxisPub Date : 2025-07-01DOI: 10.23785/PRAXIS.2025.07.009
Elena Pletzer, Katia Boggian, Matthias Arnold, Claudia Schrag
{"title":"[Fever, tetraparesis and confusion - neurological phenomena in influenza].","authors":"Elena Pletzer, Katia Boggian, Matthias Arnold, Claudia Schrag","doi":"10.23785/PRAXIS.2025.07.009","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.07.009","url":null,"abstract":"<p><strong>Introduction: </strong>In this case study, we present an unusual course of a 40-year-old patient with clinical signs of a viral infection with leading gastrointestinal symptoms. In the short term, he developed a progressive ascending sensorimotor tetraparesis with autonomic symptoms as well as qualitative disturbance of consciousness and the need for intensive medical care. Imaging revealed transverse myelitis and a diffusion disorder of the splenium (so-called CLOCC lesion). A diagnosis of \"mild encephalopathy with reversible splenial lesion (MERS)\" and \"longitudinally extensive transverse myelitis (LETM)\" was made. An influenza B infection was diagnosed as the causative disease. This is an immunologically triggered pathogenesis. Immunosuppressive therapy indicated.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"302-306"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795190","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}
PraxisPub Date : 2025-07-01DOI: 10.23785/PRAXIS.2025.07.007
Lisa Stoilov, Veronika Blum, Beat Müller
{"title":"[Unclear abdominal pain as an indication of a serious condition].","authors":"Lisa Stoilov, Veronika Blum, Beat Müller","doi":"10.23785/PRAXIS.2025.07.007","DOIUrl":"10.23785/PRAXIS.2025.07.007","url":null,"abstract":"<p><strong>Introduction: </strong>A 60-year-old patient suffered from non-specific complaints (recurrent abdominal pain). Targeted diagnostics were only carried out after hemoptysis, anemia and an inflammatory condition occurred. Due to lesions suspected to be malignant in imaging (pulmonary nodules, osteolytic changes) the diagnosis of angiosarcoma was finally confirmed by biopsy. In summary, angiosarcomas are aggressive subtypes of soft tissue sarcomas with poor prognosis an limited treatment options. On the basis of the following case report the difficulties of making a diagnosis as well as the limited treatment options will be discussed.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"293-296"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795193","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}
PraxisPub Date : 2025-07-01DOI: 10.23785/PRAXIS.2025.07.001
Bigna Hut, Thomas Rosemann
{"title":"[Decision aids improve the quality of care in stroke prevention for atrial fibrillation patients].","authors":"Bigna Hut, Thomas Rosemann","doi":"10.23785/PRAXIS.2025.07.001","DOIUrl":"10.23785/PRAXIS.2025.07.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"261-262"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795188","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}
{"title":"[Heatstroke].","authors":"Christophe Bianchi, Laurent Vallotton, Pierre-Nicolas Carron","doi":"10.23785/PRAXIS.2025.07.005","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.07.005","url":null,"abstract":"<p><strong>Introduction: </strong>Heat stroke is a serious and underdiagnosed condition, which is subdivided into exercise and classic subtypes. Climate change and increasing temperatures are making this pathology more and more common. Its pathophysiology is closely linked to the ability of the cardiovascular system to adapt. Multi-organ damage can complicate this disease, through a systemic inflammatory response. Acute neurological symptoms and signs are the typical clinical presentation of heatstroke. Management is based on early and active cooling, as well as support for vital functions. Preventing this problem requires a community and public health response.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"283-287"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795191","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}