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Erhöhen Antidepressiva (SSRIs) das Blutungsrisiko bei antikoagulierten Patienten? 抗抑郁药（SSRIs）会增加抗凝患者的出血风险吗？
Praxis Pub Date : 2024-05-01
Thomas Rosemann
{"title":"Erhöhen Antidepressiva (SSRIs) das Blutungsrisiko bei antikoagulierten Patienten?","authors":"Thomas Rosemann","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141306692","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 manifestation of a type 2-inflammation in the upper respiratory tract with nasal polyposis under treatment with an asthma biologic]. [在使用哮喘生物制剂治疗期间，上呼吸道出现新的 2 型炎症表现，并伴有鼻息肉病]。
Praxis Pub Date : 2024-05-01 DOI: 10.23785/PRAXIS.2024.05.005
Anita E Gander, Mona Leuenberger, Yves Brand, Tsogyal Daniela Latshang, Thomas Rothe
{"title":"[New manifestation of a type 2-inflammation in the upper respiratory tract with nasal polyposis under treatment with an asthma biologic].","authors":"Anita E Gander, Mona Leuenberger, Yves Brand, Tsogyal Daniela Latshang, Thomas Rothe","doi":"10.23785/PRAXIS.2024.05.005","DOIUrl":"10.23785/PRAXIS.2024.05.005","url":null,"abstract":"<p><strong>Introduction: </strong>For 7 years we gained experience of how asthma and chronic rhinosinusitis with nasal polyposis respond to biologics. In contrast, it is much less known, how ASA/NSAID intolerance (Widal's disease) behaves under biologicals. We therefore describe the case of a patient with both clinical conditions who reacted with a severe intolerance reaction under perioperative metamizole administration.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141306689","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
[Current diagnostics and therapy in chronic rhinosinusitis]. [慢性鼻炎的当前诊断和治疗]。
Praxis Pub Date : 2024-05-01 DOI: 10.23785/PRAXIS.2024.05.002
Letizia Meier, Christoph Schlegel
{"title":"[Current diagnostics and therapy in chronic rhinosinusitis].","authors":"Letizia Meier, Christoph Schlegel","doi":"10.23785/PRAXIS.2024.05.002","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.05.002","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic rhinosinusitis is a prevalent condition with significant implications for both patients and society at large. The diagnostic and treatment approaches are primarily guided by the EPOS2020 guidelines in Europe, which increasingly delve into the molecular -mechanism of the disease and its resulting phenotypes. In recent years, biologics have emerged as a promising option, in particular for cases that are refractory to conventional therapies. However, the management landscape has become more intricate, necessitating consideration and potential concurrent treatment of comorbidities. Moreover, the utilization of biologics is accompanied by substantial costs, warranting personalized assessment for each patient. Hence, the establishment of specialized boards comprising clinicians from diverse disciplines to collaborate on treatment recommendations is imperative.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141306687","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
[«Digital Postcovid Syndrome» - possibilities and limits in digital communication with neurological patients]. [数字后视综合症"--与神经病患者进行数字交流的可能性和局限性]。
Praxis Pub Date : 2024-04-01 DOI: 10.23785/PRAXIS.2024.04.002
David Czell
{"title":"[«Digital Postcovid Syndrome» - possibilities and limits in digital communication with neurological patients].","authors":"David Czell","doi":"10.23785/PRAXIS.2024.04.002","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.04.002","url":null,"abstract":"<p><strong>Introduction: </strong>Background: This work deals with the question of which digital touchpoints in the course of a patient journey are desired by neurological patients, important for effective treatment and easy to implement. Methodology: 100 (44 men, 56 women) patients in a neurological practice at three different locations were examined using a written questionnaire with closed questions on topics of online booking, making appointments and reminders via SMS, video consultation with the doctor and chat with the doctor or the medical practice assistant. Results: It was shown that the older a person is, the less they prefer digital booking and consultation and that the more they work, the more they prefer digital booking and consultation and the longer they live in Switzerland, the less they prefer chat advice. Data protection plays a more important role in older patients. Regarding gender no significant differences can be shown. Discussion: The results are in line with a survey conducted by the Swiss Medical Association (Foederatio Medicorum Helveticorum) of 2020, which shows that the population wants to relieve the burden on doctors in administrative tasks through the use of digital solutions considered desirable. In this study, both younger and older patients are very interested in booking appointments online and to receive an appointment reminder via text message. Since older patients tend to prefer conservative booking, a «hybrid model» should be offered so that both options are available.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081281","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
Too Much of a Good Thing: Severe Hypercalcemia Presenting with Lethargy and Kidney Failure. 好东西太多：严重高钙血症伴有嗜睡和肾衰竭。
Praxis Pub Date : 2024-04-01 DOI: 10.23785/PRAXIS.2024.04.005
Patrick Hofmann, Arcangelo Friedrich Carta, Christian Trachsel, Birgit Maria Helmchen
{"title":"Too Much of a Good Thing: Severe Hypercalcemia Presenting with Lethargy and Kidney Failure.","authors":"Patrick Hofmann, Arcangelo Friedrich Carta, Christian Trachsel, Birgit Maria Helmchen","doi":"10.23785/PRAXIS.2024.04.005","DOIUrl":"10.23785/PRAXIS.2024.04.005","url":null,"abstract":"<p><strong>Introduction: </strong>We present a case of a 58-year-old man with a history of laryngo-pharyngectomy including bilateral thyroidectomy due to hypopharyngeal cancer presenting with lethargy, acute kidney failure, and hypercalcemia. Milk alkali syndrome was diagnosed given the history of high-dose calcium / vitamin D supplementation after ruling out other causes of hypercalcemia. After initial treatment with normal saline, furosemide and denosumab, the patient developed severe symptomatic hypocalcemia as a rare adverse effect of denosumab.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081577","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
[Swelling on the neck]. [颈部肿胀］
Praxis Pub Date : 2024-04-01 DOI: 10.23785/PRAXIS.2024.04.004
Benita Janisch, Tobias Öttl
{"title":"[Swelling on the neck].","authors":"Benita Janisch, Tobias Öttl","doi":"10.23785/PRAXIS.2024.04.004","DOIUrl":"10.23785/PRAXIS.2024.04.004","url":null,"abstract":"<p><strong>Introduction: </strong>A 30-year-old female patient presented with a swelling of a cervical left lymph node measuring 1x3 cm, which had been presenting for three weeks. Lymph node excision revealed a metastasis of a malignant melanoma, but the primary tumor was not found. The guidelines recommend neck dissection and adjuvant systemic or immunotherapy. The patient opted for immunotherapy with pembrolizumab and was tumor-free one year later.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081495","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
[E-cigarettes make it easier to stop smoking]. [电子烟让戒烟更容易】。］
Praxis Pub Date : 2024-04-01
Johann Steurer
{"title":"[E-cigarettes make it easier to stop smoking].","authors":"Johann Steurer","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081345","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 medical emergency kit - a suggestion for acute situations]. [医疗应急包--紧急情况下的建议]。
Praxis Pub Date : 2024-04-01
Christian Häuptle
{"title":"[The medical emergency kit - a suggestion for acute situations].","authors":"Christian Häuptle","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081452","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
[You only ECHO Twice]. [你只能回声两次]。
Praxis Pub Date : 2024-03-01
Dominik Paugsch, Margret Dabrowski
{"title":"[You only ECHO Twice].","authors":"Dominik Paugsch, Margret Dabrowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Ischaemic stroke results from a sudden interruption of cerebral blood flow, often caused by thrombosis, embolism or hypoperfusion. Rarely, cardiac tumours are the cause of an embolic event. We report on an 80-year-old woman with a cerebral stroke. Successful thrombectomy revealed a histopathologically confirmed papillary fibroelastoma as the embolic source. Although it was not detectable on initial echocardiography, the tumour was discovered by transesophageal echocardiography. This case emphasises the importance of considering primary cardiac tumours as potential sources of emboli in ischaemic stroke. Keywords.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866463","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
[Pharmacolgic osteoporosis treatment of nursing home residents]. [疗养院居民的骨质疏松症药物治疗]。
Praxis Pub Date : 2024-03-01 DOI: 10.23785/PRAXIS.2024.04.003
Sara Tancredi, Robert Theiler, Gabriela Bieri-Brüning, Gregor Freystätter
{"title":"[Pharmacolgic osteoporosis treatment of nursing home residents].","authors":"Sara Tancredi, Robert Theiler, Gabriela Bieri-Brüning, Gregor Freystätter","doi":"10.23785/PRAXIS.2024.04.003","DOIUrl":"10.23785/PRAXIS.2024.04.003","url":null,"abstract":"<p><strong>Introduction: </strong>Fragility fractures in older people are common and are often associated with nursing home admission in frail people. Only few institutionalized residents with documented osteoporosis receive pharmacologic osteoporosis treatment. Studies demonstrating the benefit of osteoporosis drug therapy in this multimorbid and vulnerable population are lacking.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081494","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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