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Verbessert die Apple Watch die Früherkennung von Vorhofflimmern? – Die EQUAL-Studie. Apple Watch能改善早产儿的早期检测吗？-平等研究。
Praxis Pub Date : 2026-06-01 DOI: 10.23785/PRAXIS.2026.06.001
Meenu Bollier, Thomas Rosemann
{"title":"Verbessert die Apple Watch die Früherkennung von Vorhofflimmern? – Die EQUAL-Studie.","authors":"Meenu Bollier, Thomas Rosemann","doi":"10.23785/PRAXIS.2026.06.001","DOIUrl":"10.23785/PRAXIS.2026.06.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"154"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318105","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
[A patient with dizziness and gait instability - a diagnostic challenge]. [一个头晕和步态不稳的病人——诊断上的挑战]。
Praxis Pub Date : 2026-06-01 DOI: 10.23785/PRAXIS.2026.06.005
Jose Luis Magarzo, Michael Schüpbach, Simon Schneiter
{"title":"[A patient with dizziness and gait instability - a diagnostic challenge].","authors":"Jose Luis Magarzo, Michael Schüpbach, Simon Schneiter","doi":"10.23785/PRAXIS.2026.06.005","DOIUrl":"10.23785/PRAXIS.2026.06.005","url":null,"abstract":"<p><strong>Introduction: </strong>A 58-year-old patient presented with progressive cerebellar ataxia and lymphocytic pleocytosis with normal MRI findings. Detection of Anti-TR(DNER) antibodies led to the diagnosis of paraneoplastic encephalitis. Tumor workup revealed anaplastic large cell lymphoma. Combined immunotherapy and chemotherapy resulted in clinical stabilization.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"171-175"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318108","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 doctors think about cardiovascular risk factors and guidelines?] [瑞士医生如何看待心血管危险因素和指南？］
Praxis Pub Date : 2026-06-01 DOI: 10.23785/PRAXIS.2026.06.002
Andrea Rosemann, Thomas F Lüscher, Thomas Rosemann
{"title":"[What do Swiss doctors think about cardiovascular risk factors and guidelines?]","authors":"Andrea Rosemann, Thomas F Lüscher, Thomas Rosemann","doi":"10.23785/PRAXIS.2026.06.002","DOIUrl":"10.23785/PRAXIS.2026.06.002","url":null,"abstract":"<p><strong>Introduction: </strong>While cardiovascular diseases are highly prevalent, their risk factors, especially hyperlipidemia, hypertension, and diabetes mellitus, are also very treatable with medication. Nevertheless, only a comparatively small percentage of patients in European countries meet the guideline recommendations. This survey of 224 Swiss physicians showed that smoking was considered a higher risk factor for cardiovascular disease than hypertension, diabetes mellitus, and hyperlipidemia. The vast majority of respondents rated their knowledge of cardiovascular risk factors as high. In particular, a majority of respondents were not convinced by the available data on primary prevention and considered higher blood pressure and lipid levels to be appropriate in old age and therefore deemed the guideline recommendations in this regard too strict. Interestingly, however, the majority did not see the strict guidelines as the main obstacle to implementing the recommendations, but rather a lack of patient adherence, side effects, or insufficient patient knowledge.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"155-160"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318126","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
[Meningoencephalitis caused by listeria monocytogenes]. [由单核增生李斯特菌引起的脑膜脑炎]。
Praxis Pub Date : 2026-06-01 DOI: 10.23785/PRAXIS.2026.06.006
Irina Franke, Carol Strahm, Arno Lauber, Carmen Lienert
{"title":"[Meningoencephalitis caused by listeria monocytogenes].","authors":"Irina Franke, Carol Strahm, Arno Lauber, Carmen Lienert","doi":"10.23785/PRAXIS.2026.06.006","DOIUrl":"10.23785/PRAXIS.2026.06.006","url":null,"abstract":"<p><strong>Introduction: </strong>This case report illustrates the difficulties that can arise when diagnosing a CNS infection. Following an episode of gastroenteritis, our patient developed dizziness, a fever up to 39 °C, photophobia, double vision, multiple cranial nerve deficits, and a resting nystagmus with alternating directions, and presented to the emergency department. Blood inflammatory markers were unremarkable, and a contrast-enhanced head CT scan revealed no abnormalities. The patient was discharged home with a provisional diagnosis of Meniere's disease. Two days later, the patient developed increasing lethargy and was transferred by his wife to the central hospital. Clinical evidence of multiple cranial nerve deficits and a central oculomotor disorder, accompanied by impaired consciousness and tetraataxia, were found; neurocranial MRI revealed rhombencephalitis and cervical myelitis, whilst cerebrospinal fluid analysis showed an inflammatory-infectious profile with Listeria monocytogenes cultured from the sample. Magnetic resonance imaging is the examination of choice for the diagnostic imaging of Listeria meningoencephalitis. Identifying the pathogen in the cerebrospinal fluid in cases of neurolisteriosis can be difficult. A relatively normal cerebrospinal fluid glucose level, moderate lymphocytic pleocytosis and a moderately elevated cerebrospinal fluid protein level may be erroneously attributed to a viral or mycobacterial infection. Cerebrospinal fluid cultures are positive in 33-43 % of cases of brainstem encephalitis and in 90 % of cases of meningitis. Listeria monocytogenes causes a neurological infection and usually presents as meningoencephalitis. Around 10 % of patients with bacterial meningitis have cranial nerve involvement, and hearing loss usually resulting from purulent labyrinthitis is observed in approximately 10-20 % of patients.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"176-179"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318089","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
[Persistent back pain after lifting trauma. From the trivial to the rare case]. 举重创伤后持续背部疼痛。从琐碎到罕见的情况]。
Praxis Pub Date : 2026-06-01 DOI: 10.23785/PRAXIS.2026.06.004
Michèle Baumann Frauchiger, Thomas Schumacher, Fabio José Weber, Beata Bode, Michael Bodmer
{"title":"[Persistent back pain after lifting trauma. From the trivial to the rare case].","authors":"Michèle Baumann Frauchiger, Thomas Schumacher, Fabio José Weber, Beata Bode, Michael Bodmer","doi":"10.23785/PRAXIS.2026.06.004","DOIUrl":"10.23785/PRAXIS.2026.06.004","url":null,"abstract":"<p><strong>Introduction: </strong>A 55-year-old patient presented with persistent back pain after a lifting injury. Later, buttock pain and hypaesthesia of the left knee developed. MRI revealed a lesion at lumbar vertebral body L3, histologically confirmed as a conventional chordoma. Chordomas are rare, locally aggressive tumors of notochordal origin with a high recurrence rate and require specialized treatment. A two-stage en-bloc spondylectomy with dorsal decompression and anterior cage implantation was performed on the patient. Postoperatively, there were motor deficits in hip flexion and knee extension, while distal strength and sensation were preserved. Due to the R1 resection, an additional proton radiation therapy is actually planned.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"166-170"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318132","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
[Laser interstitial thermotherapy (LITT): a minimally invasive neurosurgical treatment option for brain tumours and radiation necrosis]. [激光间质热疗法（LITT）：脑肿瘤和放射性坏死的微创神经外科治疗选择]。
Praxis Pub Date : 2026-06-01 DOI: 10.23785/PRAXIS.2026.06.003
Anna M Zeitlberger, Oliver Bozinov
{"title":"[Laser interstitial thermotherapy (LITT): a minimally invasive neurosurgical treatment option for brain tumours and radiation necrosis].","authors":"Anna M Zeitlberger, Oliver Bozinov","doi":"10.23785/PRAXIS.2026.06.003","DOIUrl":"10.23785/PRAXIS.2026.06.003","url":null,"abstract":"<p><strong>Introduction: </strong>Laser interstitial thermotherapy (LITT) is a minimally invasive neurosurgical procedure in which laser-induced heat is used to ablate target tissue in the brain. The ablation is performed under real-time MRT guidance, enabling the precise treatment of pathological tissue - sometimes following a prior biopsy - whilst sparing the surrounding structures. Today, the main indications for LITT include primary and se-condary brain tumours, epilepsy and radiation necrosis. Compared to conventional open neurosurgical procedures, LITT shortens the hospital stay and offers the possibility of treating patients who are not suitable for open surgery. Indications should be determined on an interdisciplinary basis and are crucial for the success of the treatment. This article summarises the technical procedure as well as the current recommendations for selecting suitable patients and pathologies based on the latest literature.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"161-165"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318073","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
[Iron deficiency anemia in primary care - when the common turns uncommon]. [初级保健中的缺铁性贫血——当常见变得不常见时]。
Praxis Pub Date : 2026-05-01 DOI: 10.23785/PRAXIS.2026.05.004
Lukas Vahldieck, Eirini Tsampikaki, Rosina Bräm-Frigerio, Anna Krkoska
{"title":"[Iron deficiency anemia in primary care - when the common turns uncommon].","authors":"Lukas Vahldieck, Eirini Tsampikaki, Rosina Bräm-Frigerio, Anna Krkoska","doi":"10.23785/PRAXIS.2026.05.004","DOIUrl":"10.23785/PRAXIS.2026.05.004","url":null,"abstract":"<p><strong>Introduction: </strong>A 52-year-old nurse with recurrent iron deficiency showed no adequate response to iron supplementation or a gluten-free diet after a diagnosis of celiac disease. Clinical evaluation, imaging, and endoscopy failed to identify a cause. Only further assessment at a university hospital, including push enteroscopy, revealed a completely resectable proximal jejunal adenocarcinoma. This case shows that a confirmed diagnosis does not exclude additional causes, highlighting malabsorption in iron deficiency anaemia and close follow-up in primary care.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 5","pages":"137-140"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148034537","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
[But it's not worth it at this age?] 但在这个年纪，不值得吗？］
Praxis Pub Date : 2026-05-01 DOI: 10.23785/PRAXIS.2026.05.007
Beat Knechtle, Katja Weiss, Luis Manrique, Thomas Rosemann
{"title":"[But it's not worth it at this age?]","authors":"Beat Knechtle, Katja Weiss, Luis Manrique, Thomas Rosemann","doi":"10.23785/PRAXIS.2026.05.007","DOIUrl":"10.23785/PRAXIS.2026.05.007","url":null,"abstract":"<p><strong>Introduction: </strong>We report on a runner who, at the age of 87, while being the reigning European champion in the 10 km and half-marathon M85, was denied a revision surgery for foot drop after a failed L5/S1 left isthmectomy due to age and poor prognosis. A revision surgery by another surgeon was successful, and at the age of 91, the runner set a European record in the M90 category for both the half-marathon and marathon distances. At 92, he improved the European record in the half-marathon and became the first European in M90 to run under 3 hours. At 94, he set an IAU world record in the 12-hour run in M90. He passed away at the age of 102. The refusal of revision surgery in older age should be critically reconsidered.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 5","pages":"149-152"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148034511","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
[A tourist in the Engadin with fever, rash and arthralgia]. [在英加丁有发烧、皮疹和关节痛的游客]。
Praxis Pub Date : 2026-05-01 DOI: 10.23785/PRAXIS.2026.05.005
Laura Blasius, Martina Matousek, Gian Flury
{"title":"[A tourist in the Engadin with fever, rash and arthralgia].","authors":"Laura Blasius, Martina Matousek, Gian Flury","doi":"10.23785/PRAXIS.2026.05.005","DOIUrl":"10.23785/PRAXIS.2026.05.005","url":null,"abstract":"<p><strong>Introduction: </strong>We present the case of an HIV-positive patient with fever, arthralgia and maculopapular exanthema following a stay in Thailand, in whom acute chikungunya infection was serologically confirmed. Treatment was purely symptomatic, as no specific antiviral therapy is available. In view of the increasing number of cases in tropical endemic areas, but also in regions close to the borders of our neighbouring countries, and the steady spread of the tiger mosquito in Switzerland, tropical viral infections such as chikungunya, dengue and Zika are becoming increasingly important for clinical practice in Switzerland.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 5","pages":"141-144"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148034564","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
[Vaccination against Covid-19 and Influenza in -Switzerland: Perceptions and Attitudes]. [在瑞士接种Covid-19和流感疫苗：认识和态度]。
Praxis Pub Date : 2026-05-01 DOI: 10.23785/PRAXIS.2026.05.002
Philippe Eggimann, Thomas Steffen, Daphne McCarthy-Pontier, Thomas Rosemann
{"title":"[Vaccination against Covid-19 and Influenza in -Switzerland: Perceptions and Attitudes].","authors":"Philippe Eggimann, Thomas Steffen, Daphne McCarthy-Pontier, Thomas Rosemann","doi":"10.23785/PRAXIS.2026.05.002","DOIUrl":"10.23785/PRAXIS.2026.05.002","url":null,"abstract":"<p><strong>Introduction: </strong>Although vaccinations can prevent severe influenza and COVID-19, coverage in risk groups in Switzerland remains low. We conducted two online surveys among 601 individuals aged ≥ 65 years and 130 health care professionals (HCPs) to explore perceptions, awareness, and vaccination attitudes. 62 % of patients were unaware that annual COVID-19 vaccination is recommended for them and 43 % were unaware of it for Influenza. Only 20 % of patients expressed readiness to receive a COVID-19 vaccine, compared with 37 % for influenza. The most important driver of vaccination uptake was a recommendation by an HCP. These findings highlight the persistent gaps in risk perception and awareness among older adults in Switzerland and underscore the critical role of HCPs in improving vaccination uptake.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 5","pages":"125-131"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147974773","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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