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[Measures restricting freedom in the geriatric psychiatry]. [老年精神病学中限制自由的措施]。
Praxis Pub Date : 2023-12-01
Stefan Klöppel, Dan Georgescu
{"title":"[Measures restricting freedom in the geriatric psychiatry].","authors":"Stefan Klöppel, Dan Georgescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Measures restricting freedom include physical restraints restricting movement and treatment without consent according to the Swiss Civil Code. Patients incapable of consenting to treatments and other measures of care and who are somatically multimorbid in addition to their mental illness are frequently encountered in the geriatric psychiatry inpatient setting. In this group of patients, physical restraints are repeatedly used to prevent falling and to quarantine patients due to infectious diseases. Frequently, treatment is conducted with the apparent agreement of the patient but which are to be recorded as measures restricting freedom due to the inability to give informed consent. The National Association for Quality Development in Hospitals and Clinics (ANQ) has introduced geriatric psychiatry as a separate department category; this differentiation should also be seen as an opportunity and invitation to take a differentiated look at measures restricting freedom in geriatric psychiatry.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404115","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/direct oral anticoagulants (DOAK)]. [新型/直接口服抗凝剂（DOAK）]。
Praxis Pub Date : 2023-12-01
Andrea Rosemann, Oliver Senn, Stefan Neuner-Jehle, Stefan Markun, Giuseppe Pichierri, Thomas Rosemann
{"title":"[New/direct oral anticoagulants (DOAK)].","authors":"Andrea Rosemann, Oliver Senn, Stefan Neuner-Jehle, Stefan Markun, Giuseppe Pichierri, Thomas Rosemann","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Due to their advantageous benefit-risk-profile, direct oral anticoagulants (DOACs) are preferred over vitamin-K-antagonists for stroke prevention in atrial fibrillation as well as therapy and secondary prevention of venous thromboembolism. This guideline provides information on the practical use of DOACs, their advantages and disadvantages and limitations. It is based on recommendations from international guidelines (ESC, EHRA, DGA) and adapts them for the general practitioner setting in Switzerland.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404116","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
[Urinary retention in young female patients]. [年轻女性患者的尿潴留]。
Praxis Pub Date : 2023-12-01
Désirée Abgottspon, René Hornung, Tanja Hülder, Larissa Greive
{"title":"[Urinary retention in young female patients].","authors":"Désirée Abgottspon, René Hornung, Tanja Hülder, Larissa Greive","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>This practice case describes a 28-year-old female patient suffering from unclear residual urine formation. Urogynecologic examination reveals a severely hypercapacitated bladder with atonic detrusor. After ruling out other gynecologic and neurologic differential diagnoses, the diagnosis of Fowler syndrome was made. This is a painless residual urine formation with typical pelvic floor EMG with detrusor sphincter dyscoordination. Causal therapies do not exist. Sacral neuromodulation, percutaneous tibial nerve stimulation, or intermittent self-catheterization.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404118","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
[Lipid Management in Practice]. [血脂管理实践]。
Praxis Pub Date : 2023-12-01
Barbara Dehos, Stefan Bilz
{"title":"[Lipid Management in Practice].","authors":"Barbara Dehos, Stefan Bilz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Locally advanced rectal cancer has a high risk of local recurrence which can be reduced by multimodal therapy. Neoadjuvant radiotherapy or radiochemotherapy has been established. Nevertheless, this has not proved to improve overall survival. The benefit of adjuvant chemotherapy after neoadjuvant radiotherapy or radiochemotherapy remains unclear. Current studies are investigating total neoadjuvant therapy with different sequences of radiotherapy and chemotherapy followed by rectal resection. This procedure shows high pathologic complete remissions up to 28 % as well as an improvement in disease-free and metastasis-free survival. Under study conditions, in case of clinical complete remission, watchful waiting with close follow-up and surgery can be considered only in case of local tumor recurrence.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404114","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
[Quality development in Consultation and Liaison Psychiatry and Psychosomatics]. [咨询与联络精神病学和心身医学的质量发展]。
Praxis Pub Date : 2023-12-01
Rafael Meyer, Dan Georgescu
{"title":"[Quality development in Consultation and Liaison Psychiatry and Psychosomatics].","authors":"Rafael Meyer, Dan Georgescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Quality or quality development and the corresponding regulations are becoming increasingly important in the Swiss healthcare system, in particular due to the link with aspects of permission for the provision of services and financing. In doing so, the focus is directed to varying degrees on structural, processual or outcome criteria. Specific quality aspects of the specialist area consultation-liaison psychiatry and psychosomatics (CLPP) are compiled and the indicators derived from them are grouped according to the quality criteria mentioned. There are numerous requirements, the implementation of which requires considerable efforts from the service providers, not least because of the shortage of specialists and limited financial resources. The requirements listed should be continuously evaluated and developed as well as sensibly anchored in regulation. Linking quality requirements with corresponding financial aspects within the framework of national tanning structures as well as national and cantonal permission regulations should be sought.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404117","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
[Small Tick - Big Danger]. [小蜱-大危险]。
Praxis Pub Date : 2023-10-01
Lukas Maager, Christian Lehmann, Katja Weiss, Beat Knechtle
{"title":"[Small Tick - Big Danger].","authors":"Lukas Maager, Christian Lehmann, Katja Weiss, Beat Knechtle","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>We report a 23-year-old patient who presented to the general practitioner due to persisting headache, fever, and vomiting. In the further course, a tetraparesis dominated on the right side, dysphagia and dysarthria occurred, and a general tonic-clonic seizure. Further examinations confirmed tick-borne encephalomyelitis as well as polyradiculitis. After two months of rehabilitation, neuropsychological as well as focal-neurological deficits persisted in the unvaccinated patient.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398917","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
[Individual Needs of the Patient in Breast Reconstruction - Are There Limits to Plastic Surgery?] 乳房再造患者的个性化需求——整形手术是否有限制?］
Praxis Pub Date : 2023-10-01
Martina Schneider, Farid Rezaeian
{"title":"[Individual Needs of the Patient in Breast Reconstruction - Are There Limits to Plastic Surgery?]","authors":"Martina Schneider, Farid Rezaeian","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The breast is essential to a woman's physical integrity. There are numerous techniques for breast reconstruction, so that the needs and limitations of each patient can be respected. The individual preferences of the patient play an important role in the decision of silicone implants vs. autologous tissue, size, and shape of the breast as well as the timing of the surgery. The only reasons not to perform a reconstruction are a locally incompletely removed tumor or the explicit wish of the patient against reconstruction. The costs for reconstruction are covered by the health insurance for all procedures, including symmetrizing the opposite breast, nipple reconstruction and autologous fat grafting.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398916","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
[Gender-Specific Sports Medicine]. [性别运动医学]。
Praxis Pub Date : 2023-10-01
Nora Wieloch, Johannes Scherr
{"title":"[Gender-Specific Sports Medicine].","authors":"Nora Wieloch, Johannes Scherr","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Sports medicine, as a classical cross-sectional subject, includes diverse topics which show gender-specific differences and thus require a differentiated consideration. Evidence-based research exists in the field of musculoskeletal medicine, for example, in relation to cruciate ligament injuries or concussions. Marked differences in trainability (both muscular and cardiac or pulmonary) are also emerging. Pregnancy and sport is also a topic of increasing interest. Close interdisciplinary care of female athletes, knowledge of physiological changes during pregnancy and contraindications to sports activity (especially with higher intensity) are essential here. Aspects in the field of internal sports medicine with gender differences are topics like iron deficiency or the relative energy deficit (RED-S). There are also sex and gender differences with implications for preventative aspects such as the annual screening examination (so called 'preparticipation screening').</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398915","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 the Infodemic]. [预防信息大流行的疫苗]。
Praxis Pub Date : 2023-10-01
Stefan Markun, Levy Jäger
{"title":"[Vaccination against the Infodemic].","authors":"Stefan Markun, Levy Jäger","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Misinformation about vaccination leads to vaccination hesitancy. During the SARS-CoV-2 pandemic, different patterns were observed in how misinformation spread on social media, which coined the term \"infodemic.\" There are different approaches to counter misinformation in vaccination, some of which can be implemented in medical practice. This article is an introduction and overview of the phenomenon of misinformation in social media. The article also aims to uncover individual mechanisms that make misinformation appear credible and thus the article aims to function as an \"inoculation against the infodemic.\"</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398919","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
[Women and Sports]. [妇女与体育]。
Praxis Pub Date : 2023-10-01
Sibylle Matter Brügger
{"title":"[Women and Sports].","authors":"Sibylle Matter Brügger","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136398920","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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