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[Acute Oliguric Kidney Failure - Gut feeling versus Imaging]. [急性少尿肾衰竭-肠道感觉与影像学对比]。
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.007
Susanne Winkler, Jakob Brune, Michael Dickenmann
{"title":"[Acute Oliguric Kidney Failure - Gut feeling versus Imaging].","authors":"Susanne Winkler, Jakob Brune, Michael Dickenmann","doi":"10.23785/PRAXIS.2025.03.007","DOIUrl":"10.23785/PRAXIS.2025.03.007","url":null,"abstract":"<p><strong>Introduction: </strong>We present the case of a 68-year-old patient with acute postrenal kidney failure, without evidence of hydronephrosis on repeated imaging. Diagnosis was complicated by a transient recovery of renal function and concomitant development of severe glomerular proteinuria. The decision to perform a bilateral nephrostomy despite the absence of hydronephrosis was based on the highly suggestive history of a postrenal kidney failure. Following the intervention, there was an immediate resumption of diuresis and complete recovery of the previously dialysis-dependent renal failure.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649938","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
[Oropouche Virus Infection After Travelling to Cuba]. [前往古巴后感染Oropouche病毒]。
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.010
Céline Ghidoni, Nadine Hollenstein, Alexia Cusini
{"title":"[Oropouche Virus Infection After Travelling to Cuba].","authors":"Céline Ghidoni, Nadine Hollenstein, Alexia Cusini","doi":"10.23785/PRAXIS.2025.03.010","DOIUrl":"10.23785/PRAXIS.2025.03.010","url":null,"abstract":"<p><strong>Introduction: </strong>We present a case report of aseptic meningoencephalitis in an immunocompetent patient that resulted from oropouche virus acquired in Cuba in June 2024. He was diagnosed with a positive rt-PCR (blood and liquor serum) for the Oropouche virus. Due to the current situation, this rare disease should be considered in travelers from middle or southern America, especially those with fever and negative serology for dengue, zika, and chikungunya viruses.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"123-126"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649943","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
Lungenembolie: Thrombektomie ist der Thrombolyse überlegen. 肺栓塞：血栓切除术优于血栓溶解。
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.002
Thomas Rosemann, Andrea Rosemann
{"title":"Lungenembolie: Thrombektomie ist der Thrombolyse überlegen.","authors":"Thomas Rosemann, Andrea Rosemann","doi":"10.23785/PRAXIS.2025.03.002","DOIUrl":"10.23785/PRAXIS.2025.03.002","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"85"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649670","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 somewhat different embolism]. [有点不同的栓塞]。
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.009
Sebastian Axmann, Markus Schneemann, Dominik Müntener
{"title":"[The somewhat different embolism].","authors":"Sebastian Axmann, Markus Schneemann, Dominik Müntener","doi":"10.23785/PRAXIS.2025.03.009","DOIUrl":"10.23785/PRAXIS.2025.03.009","url":null,"abstract":"<p><strong>Introduction: </strong>This report discusses a 79-year-old patient with coxarthrosis and atrial fibrillation who underwent elective implantation of a hip pros-thesis. Postoperatively, after a symptom-free interval, the patient presented with disorientation, slowness, dysarthria and hemisymptomatic symptoms. Together with imaging showing multiple punctate ischemic lesions and microbleeds in the brain, a diagnosis of fat embolism was made. This case emphasizes the importance of considering fat embolism especially after orthopaedic surgery in patients with postoperative neurological symptoms.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"119-122"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649496","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 patient with rheumatoid arthritis in general practice - what needs to be considered before and during therapy?] 类风湿性关节炎患者在治疗前和治疗中需要考虑什么？］
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.006
Melanie Kraus, Kriemhild Lippay
{"title":"[The patient with rheumatoid arthritis in general practice - what needs to be considered before and during therapy?]","authors":"Melanie Kraus, Kriemhild Lippay","doi":"10.23785/PRAXIS.2025.03.006","DOIUrl":"10.23785/PRAXIS.2025.03.006","url":null,"abstract":"<p><strong>Introduction: </strong>Rheumatoid arthritis (RA) is the most common chronic inflammatory autoimmune disease in Switzerland, affecting up to 1 % of patients. Accordingly, these patients are also frequently seen in general practitioner consultations. The first-line therapy consists of methotrexate +/- glucocorticoids. Further disease modifying antirheumatic drugs (DMARDs) are necessary depending on symptom control, disease activity and side effects. Therapy goals are 1. improving quality of life, 2. preventing bone destruction and 3. controlling inflammation and thus reducing cardiovascular mortality. Patients with RA have an increased risk of infection due to their disease and therapy. Vaccination status should be checked and screening for relevant infectious diseases should be carried out before starting treatment. This article is intended to provide an overview of the treatment options as well as screening and prophylaxis of infections in accordance with the current recommendations of the European Alliance of Associations for Rheumatology (EULAR) and the Swiss Society of Rheumatology (SGR).</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"105-110"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649945","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
[Workplace-Based Assessments in Postgraduate -Specialist Palliative Medicine: a narrative review]. [基于工作场所的研究生专家姑息医学评估：叙述性回顾]。
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.004
Andreas Samuel Ebneter, Steffen Eychmueller, Monica Fliedner, Yoon Soo Park, Sören Huwendiek
{"title":"[Workplace-Based Assessments in Postgraduate -Specialist Palliative Medicine: a narrative review].","authors":"Andreas Samuel Ebneter, Steffen Eychmueller, Monica Fliedner, Yoon Soo Park, Sören Huwendiek","doi":"10.23785/PRAXIS.2025.03.004","DOIUrl":"10.23785/PRAXIS.2025.03.004","url":null,"abstract":"<p><strong>Introduction: </strong>Workplace-based assessments (WBAs) are the main drivers of experiential learning and are a key part of competency-based medical education (CBME). However, the literature on WBAs in postgraduate specialist palliative care (PC) training is sparse. This narrative review synthesizes the current evidence of WBAs in specialist PC training and reveals that WBAs in postgraduate PC training are used in countries with CBME programs; however, they are not specifically evaluated. In Swiss post-graduate PC physician training, WBAs have not been fully implemented. Although WBAs are feasible and accepted for the training of medical professionals in general, they are inconsistently used in Swiss PC physician training. Their consistent introduction could be an opportunity to assist in transitioning toward a CBME training model.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"92-98"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649667","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 people know about cardiovascular risk factors?] [瑞士人对心血管危险因素了解多少？］
Praxis Pub Date : 2025-03-01 DOI: 10.23785/PRAXIS.2025.03.003
Thomas Rosemann, Thomas F Lüscher, Andrea Rosemann
{"title":"[What do Swiss people know about cardiovascular risk factors?]","authors":"Thomas Rosemann, Thomas F Lüscher, Andrea Rosemann","doi":"10.23785/PRAXIS.2025.03.003","DOIUrl":"10.23785/PRAXIS.2025.03.003","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular diseases are associated with a high morbidity burden in Switzerland and are the leading cause of death. Important cardiovascular risk factors such as hypertension, hyperlipidemia and diabetes can be treated extremely effectively with medication. A prerequisite for good therapy adherence is that those affected have sufficient knowledge. An anonymized online questionnaire was distributed via a health magazine and answered by 3166 participants. The majority of participants, 61.2 % (1902), were between 59 and 79 old. 2584 participants (83.1 %) were of the opinion that cardiovascular diseases can be well treated with medication. 1,781 (64.3 %) stated that they knew their blood pressure very precisely and 1,086 (39.25) stated that they knew their cholesterol value very precisely. 697 (25.2 %) did not know their cholesterol value or blood pressure (71; 2.6 %). When it comes to risk factors, smoking was classified as the most important factor (statement \"strong\" or \"very strong\": 2102; 77.6 %), almost on a par with blood pressure (2081, 77 %), lack of exercise (2047; 75.6 %) and Cholesterol (1906; 70.4 %). Overall, our survey shows that the Swiss have a comparatively good orientation about cardiovascular risk factors. However, even in our sample, which is certainly very health-conscious, there is still a clear need for education. However, our results also show that the majority are willing to implement preventative measures using medication.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 3","pages":"86-91"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649530","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
[Vitamin K2 reduces the frequency of nocturnal leg cramps in the elderly]. [维生素K2可以减少老年人夜间腿部抽筋的频率]。
Praxis Pub Date : 2025-02-01 DOI: 10.23785/PRAXIS.2025.02.001
Johann Steurer
{"title":"[Vitamin K2 reduces the frequency of nocturnal leg cramps in the elderly].","authors":"Johann Steurer","doi":"10.23785/PRAXIS.2025.02.001","DOIUrl":"10.23785/PRAXIS.2025.02.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"46"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625621","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
[Fever and Pancytopenia - not Always a Case for Oncology]. [发烧和全血细胞减少症-并非总是肿瘤病例]。
Praxis Pub Date : 2025-02-01 DOI: 10.23785/PRAXIS.2025.02.008
Stephanie Kirch, Reto Kühne, Adrian Schibli, Felix Grimm, Corina Ebnöther
{"title":"[Fever and Pancytopenia - not Always a Case for Oncology].","authors":"Stephanie Kirch, Reto Kühne, Adrian Schibli, Felix Grimm, Corina Ebnöther","doi":"10.23785/PRAXIS.2025.02.008","DOIUrl":"10.23785/PRAXIS.2025.02.008","url":null,"abstract":"<p><strong>Introduction: </strong>The article describes the case of a 68-year-old patient who was admitted to a clinic after returning from southern Italy with fever, night sweats, and pancytopenia. After extensive diagnostic investigations that ruled out bacterial, viral, and parasitic infections as well as other diseases, visceral leishmaniasis (VL) were eventually diagnosed. This diagnosis was confirmed by the detection of Leishmania sp. in the bone marrow and positive serological tests. Additionally, the patient showed signs of macrophage activation syndrome (MAS), a severe inflammatory reaction that often occurs as a complication of infections or rheumatological diseases. The treatment included liposomal amphotericin B for leishmaniasis as well as steroids and etoposide for the treatment of MAS. The patient recovered after treatment and showed an improvement in general condition during follow-up examinations. The article emphasizes the challenge of correctly diagnosing VL and MAS, especially in combination, particularly in patients outside endemic areas. Rapid diagnosis is crucial, as delays can worsen the prognosis in these severe diseases.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"72-74"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625609","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
[Progress in the treatment of ovarian cancer]. [卵巢癌治疗的进展]。
Praxis Pub Date : 2025-02-01 DOI: 10.23785/PRAXIS.2025.02.005
Isabell Witzel, E Pierre Samartzis, Ahmed El-Balat
{"title":"[Progress in the treatment of ovarian cancer].","authors":"Isabell Witzel, E Pierre Samartzis, Ahmed El-Balat","doi":"10.23785/PRAXIS.2025.02.005","DOIUrl":"10.23785/PRAXIS.2025.02.005","url":null,"abstract":"<p><strong>Introduction: </strong>Of all gynaecological tumours, ovarian cancer has the highest mortality rate because it is often not diagnosed until the tumour is at an advanced stage due to the lack of early symptoms and suitable screening tests. The aim of this paper is to examine the current state of diagnosis and therapy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625610","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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