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[Complications of intravesical BCG therapy]. [膀胱内卡介苗治疗并发症]。
Praxis Pub Date : 2024-02-01
Aresh Farokhnia, Silvana K Rampini, Micha Gundelfinger
{"title":"[Complications of intravesical BCG therapy].","authors":"Aresh Farokhnia, Silvana K Rampini, Micha Gundelfinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>BCG instillations are considered to be the standard of care therapy for superficial urothelial bladder carcinoma. Although serious adverse events are uncommon, the presence of high fever for at least two days in conjunction with systemic and/or local organ manifestations (except for urogenital symptoms), with the exclusion of other causes, suffice for the diagnosis of a disseminated BCG infection. Microbiologic detection of the pathogen is not necessary for diagnosis, as the detection of granuloma is more often successful and sufficient. Therapy for this infection includes oral Isoniazid, Rifampicin and Ethambutol for six months.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294332","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
[BCG instillation sepsis in bladder carcinoma]. [膀胱癌中的卡介苗灌注败血症]。
Praxis Pub Date : 2024-02-01
Hubert John
{"title":"[BCG instillation sepsis in bladder carcinoma].","authors":"Hubert John","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294331","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
[Recommendations for the diagnostic and therapy of behavioural and psychological symptoms of dementia (BPSD)]. [痴呆症行为和心理症状（BPSD）的诊断和治疗建议]。
Praxis Pub Date : 2024-02-01
Egemen Savaskan, Dan Georgescu, Stefanie Becker, Brigitte Benkert, Andreas Blessing, Markus Bürge, Ansgar Felbecker, Martin Hatzinger, Ulrich Michael Hemmeter, Therese Hirsbrunner, Stefan Klöppel, Gabriela Latour Erlinger, Finn Jacob Lornsen, Theofanis Ngamsri, Jessica Peter, Mathias Schlögl, Marc Sollberger, Henk Verloo, Samuel Vögeli, Franziska Zúñiga
{"title":"[Recommendations for the diagnostic and therapy of behavioural and psychological symptoms of dementia (BPSD)].","authors":"Egemen Savaskan, Dan Georgescu, Stefanie Becker, Brigitte Benkert, Andreas Blessing, Markus Bürge, Ansgar Felbecker, Martin Hatzinger, Ulrich Michael Hemmeter, Therese Hirsbrunner, Stefan Klöppel, Gabriela Latour Erlinger, Finn Jacob Lornsen, Theofanis Ngamsri, Jessica Peter, Mathias Schlögl, Marc Sollberger, Henk Verloo, Samuel Vögeli, Franziska Zúñiga","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The «Recommendations for the Diagnosis and Treatment of Behavioral and Psychological Symptoms of Dementia (BPSD)» were developed in parallel with the Swiss National Dementia Strategy 2014-2019 under the auspices of the Swiss Society for Geriatric Psychiatry and Psychotherapy (SGAP) and mark the beginning of a series of recommendations for geriatric psychiatric disorders. They depict the evidence-based state of knowledge about diagnostics and therapy, based on the clinical experience of the experts, and are designed for interprofessional and interdisciplinary use. The non-pharmacological intervention options and pharmacotherapy are discussed in detail. This paper is the revised version of the 2014 publication and compiles the development in this area for everyday clinical practice.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294336","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
Mentoring for New Teachers 指导新教师
Praxis Pub Date : 2024-01-11 DOI: 10.29307/cme/.2015.1.2.mm
Matthew McInturf
{"title":"Mentoring for New Teachers","authors":"Matthew McInturf","doi":"10.29307/cme/.2015.1.2.mm","DOIUrl":"https://doi.org/10.29307/cme/.2015.1.2.mm","url":null,"abstract":"The focus of this issue of Praxis is mentoring. Most professions recognize the mentoring process as a requisite component for licensure or certification leading to the privilege of practice. Similar to the fields of medicine and law, the tradition of mentoring in the teaching profession has been apprenticeship. Unlike most other professions, however, the law requires teacher candidates to earn their certification credentials before being placed as an apprentice.","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139627054","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: 79
[Panhypopituitarism, Diabetes Insipidus and Bone Pain - Is There a Systemic Disease Behind it?] [泛垂体功能减退症、糖尿病性贫血和骨痛--背后有系统性疾病吗？］
Praxis Pub Date : 2024-01-01
Martina Bertschinger, Lisa Sze, Irene Bosma, Corina Dommann-Scherrer, Jeroen Goede
{"title":"[Panhypopituitarism, Diabetes Insipidus and Bone Pain - Is There a Systemic Disease Behind it?]","authors":"Martina Bertschinger, Lisa Sze, Irene Bosma, Corina Dommann-Scherrer, Jeroen Goede","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>A 27-year-old man presented due to unilateral leg pain. He had a history of diabetes insipidus and panhypopituitarism. Laboratory analysis revealed hormonal undersupply. MRI showed a large contrast medium-absorbing mass in the pituitary gland extending into the hypothalamus. FDG-PET/CT examination revealed a hypermetabolic soft tissue lesion around the left femoral shaft. After biopsy of the lesion, a diagnosis of multisystemic Langerhans cell histiocytosis was made.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913288","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
[Acute coronary syndrome: after revascularisation is before (secondary) prevention]. [急性冠状动脉综合征：血管重建之后是（二级）预防之前]。
Praxis Pub Date : 2024-01-01
Stephan Windecker, Jonas Dominik Häner
{"title":"[Acute coronary syndrome: after revascularisation is before (secondary) prevention].","authors":"Stephan Windecker, Jonas Dominik Häner","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913282","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
[Foreign body ingestion]. [异物摄入]。
Praxis Pub Date : 2024-01-01
Yannic A Gretener, Thierry A G M Huisman
{"title":"[Foreign body ingestion].","authors":"Yannic A Gretener, Thierry A G M Huisman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Foreign body ingestion by young children has been increasing for years. Ingestions of batteries and magnets are particularly problematic.[1] Before and during diagnosis, there are some important steps that should be followed to allow for proper patient management.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913285","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
[No Differences in Testis Cancer Outcomes between urban and rural regions in the Canton of Berne]. [伯尔尼州城乡睾丸癌发病率无差异］
Praxis Pub Date : 2024-01-01
Simon Helnwein, Dennis Hoch, Jörg Beyer
{"title":"[No Differences in Testis Cancer Outcomes between urban and rural regions in the Canton of Berne].","authors":"Simon Helnwein, Dennis Hoch, Jörg Beyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Testis cancer is highly curable. However, historical data point to differences between urban and rural areas with more advanced diseases at presentation and worse outcomes in the latter. In a cohort of 296 men with testis cancer diagnosed and treated at the Inselspital Berne between 2010 and 2020, we found no clinically relevant differences in presentation and outcomes depending on their residential area.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913287","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
[Do All Very Old Patients Benefit from Osteoporosis Drug Treatment?] [是否所有高龄患者都能从骨质疏松症药物治疗中获益？］
Praxis Pub Date : 2024-01-01
Norbert Suhm, Karl Stoffel
{"title":"[Do All Very Old Patients Benefit from Osteoporosis Drug Treatment?]","authors":"Norbert Suhm, Karl Stoffel","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoanabolic osteoporosis drugs have become better available. The osteoanabolic therapeutic principle has a stronger, faster-onset fracture-reducing effect than the antiresorptive preparations. It has also been newly recognized that the significance of a first fragility fracture as a risk factor is time-dependent: the less time that has elapsed since the first fracture, the higher the resulting re-fracture risk. Patients older than 65 years whose index fragility fracture occurred less than two years before are therefore grouped in a separate \"Imminent Fracture Risk\" category. These innovations were implemented by updating the osteoporosis therapy guideline. According to this guideline, patients in the \"Imminent Fracture Risk\" category should be offered osteoporosis therapy as soon as possible, in order to avoid as many fractures as possible. We are critical of an overly strict implementation of this algorithm in very old fracture patients. Our own data indicate that more than 30 % of this subpopulation do not experience the effect of a newly started osteoporosis therapy. We advocate a clinically based indication for osteoporosis therapy. For this, we propose a \"Question Surprise\" modified for osteological purposes. \"Would I be surprised if I had to treat the same patient for a fracture again in a year?\" If the question is answered with \"No,\" then that patient could be a candidate for specific osteoporosis treatment.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913284","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
[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":null,"pages":null},"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
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