Praxis最新文献

{"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}

{"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}

{"title":"[15 years of the foundation for the promotion of continuing education in general practice (WHM FMF)].","authors":"Christian Häuptle, Henrik Zimmermann, Sarina Keller, Réka Veress-Daugaard","doi":"10.23785/PRAXIS.2025.07.002","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.07.002","url":null,"abstract":"<p><strong>Introduction: </strong>For the past 15 years, the WHM FMF Foundation has actively promoted postgraduate training in primary care and played a pioneering role in developing structured postgraduate training, also known as \"practice assistance\". Practice assistance and the so-called curricular rotation programs (rotations in disciplines relevant to primary care) are now integral components of primary care postgraduate training and contribute signifcantly to securing primary healthcare provision in Switzerland. Today, all cantons provide financial support for practice assistance and have implemented their programs. For the sustainable development of postgraduate primary care training, increased intercantonal collaboration and coordinated program structures will be key in the future.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"263-268"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795186","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":"[Irritable cough, fatigue, weight loss in a patient who has undergone cardiac surgery].","authors":"Kyriakos Marinakis, Annegret Meyer-Hari, Corina Dommann-Scherrer, Urs Karrer, Adrian Schmid","doi":"10.23785/PRAXIS.2025.07.006","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.07.006","url":null,"abstract":"<p><strong>Introduction: </strong>We report the diagnosis and clinical course of a 62-year-old patient with non-specific symptoms, such as dry cough, weight loss, increased fatigue, and a long-standing previously operated aortic graft prosthesis. Extensive investigations led to the diagnosis of a chronic infection of the aortic graft caused by Coxiella burnetii (Q-fever), following which an antibiotic therapy with Doxycycline and Hydroxychloroquine was established.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"288-292"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795192","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":"Updated Swiss Practice Recommendations for the Treatment of Acne.","authors":"Severin Läuchli, Florian Anzengruber, Antonio Cozzio, Laurence Feldmeyer, Jean-Philippe Görög, Laurence Imhof, Martin Kägi, Beat Keller, Emmanuel Laffitte, Carlo Mainetti, Andreas Moser, Maya Wolfensperger, Nikhil Yawalkar, Andreas Zeller","doi":"10.23785/PRAXIS.2025.07.003","DOIUrl":"10.23785/PRAXIS.2025.07.003","url":null,"abstract":"<p><strong>Introduction: </strong>Acne is one of the most common skin diseases. It has a high impact on the quality of life of the affected patients. It is now recognized that in some patients, acne shows characteristics of a chronic disease. Because of a lack of current recommendations/guidelines in Switzerland, a group of hospital and private practice based dermatologists, specialized in acne, as well as an experienced general practitioner revised the available literature on acne and its treatment. The group subsequently developed several consensus statements regarding grading, treatment and monitoring of acne. The first version of the recommendations was published in 2020 and is now being updated. The experts agreed that acne severity should be determined by a subjective method and that, for short-term therapy, treatment success is defined as an approximately 50 % reduction of inflammatory lesions within 3 months. The choice of induction treatment is based on the severity of the disease. Its main component is a topical retinoid alone or - in more severe case - in combination with benzoyl peroxide (BPO). Only in moderate to severe forms of acne or if a more rapid resolution of inflammatory lesions is desired, a systemic antibiotic should be added to induction treatment. For severe acne with a tendency to scarring, systemic retinoids are the induction treatment of choice in the absence of contra-indications. Maintenance therapy is indicated in all patients with acne, independent of disease severity. The choice of maintenance therapy should always be based on acne severity, duration of disease, current treatment and history of relapse. The preferred options for maintenance therapy are topical retinoids with/without BPO. While treating acne, a special focus should lie on the prevention of scars. For this reason, patients should be evaluated 3 months after treatment initiation to determine whether they have responded or whether further therapeutic options should be considered. The expert group also recommends counselling patients on nutrition, psychological aspects, stress, use of contraceptives, skin care, use of cosmetics and use of other drugs (like steroids). Monitoring of patients with acne should particularly focus on adherence to treatment and quality of life. Patients with severe forms of acne (acne with a tendency of scarring, patients with acne conglobata or acne fulminans), patients with insufficient treatment response after 3 months and patients with frequent relapses should be referred to a dermatologist.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"269-275"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795194","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":"[Benign prostate syndrome: Recommendations for treatment in the primary care setting].","authors":"Malte Rieken, Alexander Müller, Thomas Rosemann, Helge Seifert, Christoph Schregel, Stephen Wyler, Daniel Engeler, Hubert John","doi":"10.23785/PRAXIS.2025.07.004","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.07.004","url":null,"abstract":"<p><strong>Introduction: </strong>Benign prostate syndrome (BPS) is one of the most common diseases in men. As a result of subvesical obstruction caused by the enlargement of the prostate, the function of the lower urinary tract is impaired. The symptoms of BPS are determined by the occurrence of voiding and bladder storage disorders. In addition to a patient's history and physical examination, the diagnosis also includes a sonographic examination of the urinary tract. Treatment should be symptom-focused and interdisciplinary. For medical treatment, a variety of different drugs are available, which are also used in general practice. For surgical therapy, various technologies are available which are selected depending on prostate volume, comorbidities and the patient's expectations. The following text provides an overview of the relevant aspects of BPS management.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 7","pages":"276-282"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795187","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":"[Fever of unknown origin: A diagnostic challenge].","authors":"Roman Zimmermann, Szilveszter Pekardi, Julia Zimmermann, Alptug Doganci, Annette Enzler-Tschudy, Alexander Kueres-Wiese","doi":"10.23785/PRAXIS.2025.06.009","DOIUrl":"10.23785/PRAXIS.2025.06.009","url":null,"abstract":"<p><strong>Introduction: </strong>Fever of unknown origin (FUO) presents a significant diagnostic challenge, particularly in young patients. A 25-year-old patient presents with persistent fever, with no clear cause identified through initial investigations. Stepwise advanced diagnostics ultimately lead to an unexpected diagnosis that significantly influences treatment. This case highlights the importance of a structured and interdisciplinary approach in the evaluation of FUO.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 6","pages":"253-256"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317774","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":"[Sex and Gender Differences in Patients Undergoing Catheter Ablation for Supraventricular Tachyarrhythmias].","authors":"Vera Quiriconi, Firat Duru, Corinna Brunckhorst","doi":"10.23785/PRAXIS.2025.06.005","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.06.005","url":null,"abstract":"<p><strong>Introduction: </strong>This study assessed sex and gender differences in patients with atrial fibrillation (AF), atrial flutter (AFL), and other supraventricular tachycardias (SVT) undergoing catheter ablation. Four hundred patients (36.3 % female) with a median age of 62 were included. Significant gender differences were found in age at diagnosis and ablation of AF, with women with AF being diagnosed later. In the AF and AFL groups, fewer women were referred for EPS. Women experienced more dizziness in AF, more syncope in AFL, and more dyspnea in SVT. Ablation success was high and equal for both sexes. Awareness of these sex differences is crucial for establishing equal healthcare management.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 6","pages":"228-233"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317778","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":"[The Hospital at Home care model in Switzerland - initial results from a pioneering clinic].","authors":"Caroline Schneider, Severin Pöchtrager, Tane Lammers, Thomas Bürkle, Christiane Eberhardt, Philipp Busche, Lukas Schöb, Daniel Krüerke, Markus Singer, Werner Vach, Friederike Johanna Schirin Thilo","doi":"10.23785/PRAXIS.2025.06.002","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.06.002","url":null,"abstract":"<p><strong>Introduction: </strong>Hospital at Home (HaH) is a form of care in which acutely ill patients are treated at home rather than in hospital. It is well established in many countries. In Switzerland, HaH is currently being piloted by various providers. The Arlesheim Hospital in the canton of Basel-Landschaft is one of these pioneers and has been offering HaH in its catchment area since January 2023. Referrals can be made by the emergency department, by general practitioners, specialists or by hospitals. This article provides an insight into how such a HaH programme works in practice and into the effects and opportunities that this new form of care offers. First results on safety of care, quality of care and satisfaction are presented.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 6","pages":"217-221"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317779","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}