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[Diagnosis and treatment of venous thrombosis - part 2]. [静脉血栓的诊断和治疗--第二部分]。
Praxis Pub Date : 2024-09-01 DOI: 10.23785/PRAXIS.2024.08.005
Andrea Rosemann, Isabell Witzel, Matthias R Meyer, Stefan Neuner-Jehle, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn
{"title":"[Diagnosis and treatment of venous thrombosis - part 2].","authors":"Andrea Rosemann, Isabell Witzel, Matthias R Meyer, Stefan Neuner-Jehle, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn","doi":"10.23785/PRAXIS.2024.08.005","DOIUrl":"10.23785/PRAXIS.2024.08.005","url":null,"abstract":"<p><strong>Introduction: </strong>The subject of this guideline from the Institute of Family Medicine at the University of Zurich (IHAMZ) is the management of venous thrombosis. The review summarizes the current evidence and recommendations from international guidelines (1-6). The IHAMZ-guidelines focus on primary care, they also provide guidance on the coordination of general and specialist medical care as well as on the transition between outpatient and hospital care taking into account the special features of the Swiss healthcare system. The guideline is devided in two parts. Part 1 discusses the diagnosis and treatment of deep vein thrombosis (DVT). A validated algorithm is recommended for the diagnostic process, which begins with the assessment of the clinical probability. With the inclusion of the D-dimer test, the need for subsequent imaging diagnostics can be reduced. The differences between the evaluation of an initial and recurrent DVT are shown and the indications and scope of evidence-based environmental diagnostics (thrombophilia and tumor search) are presented. All patients with DVT should receive anticoagulation (AC) for 3-6 months, as there is a high risk of recurrence with AC 3 months. The duration of the subsequent secondary prophylaxis depends on the presumed risk of recurrence on the one hand and the risk of bleeding on the other. Part 2 is dedicated to special thrombosis situations such as isolated distal thrombosis of the deep and muscle veins (idDVT, iMVT), shoulder-arm vein thrombosis (SAVT), cancer-associated thrombosis (CAT) and superficial vein thrombosis (SVT). The article on hormone- and pregnancy-associated DVT, developed together with the Department of Gynecology at the University Hospital of Zurich, discusses the importance of hormonal contraception and menopausal hormone replacement therapy (HRT) as thrombogenic risk factor as well as special features in the diagnosis and treatment of thrombosis in pregnancy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 8","pages":"202-209"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605491","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
Ältere US-Amerikaner nehmen immer noch zu häufig ­Aspirin zur kardiovaskulären Primärprophylaxe ein. 美国老年人仍然过于频繁地服用阿司匹林来进行心血管疾病的初级预防。
Praxis Pub Date : 2024-09-01 DOI: 10.23785/PRAXIS.2024.08.002
Thomas Rosemann, Andrea Rosemann
{"title":"Ältere US-Amerikaner nehmen immer noch zu häufig ­Aspirin zur kardiovaskulären Primärprophylaxe ein.","authors":"Thomas Rosemann, Andrea Rosemann","doi":"10.23785/PRAXIS.2024.08.002","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.08.002","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 8","pages":"186"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605515","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 Swiss Memory Clinics recommendations for the treatment of dementia]. [瑞士记忆诊所对痴呆症治疗的建议]。
Praxis Pub Date : 2024-09-01 DOI: 10.23785/PRAXIS.2024.08.003
Stefan Klöppel, Tatjana Meyer-Heim, Michael Ehrensperger, Angelika Rüttimann, Isabelle Weibel, Angela Schnelli, Daniela Frehner, Anne-Gabrielle Mittaz Hager, Fabienne Hasler, Ylena Fuchsberger, Fiona Haag, Rahel Roth-Sutter, Manuela Röker, Franziska Wirz, Julius Popp, Stefanie Becker, Elisa Choudery, Ansgar Felbecker
{"title":"[The Swiss Memory Clinics recommendations for the treatment of dementia].","authors":"Stefan Klöppel, Tatjana Meyer-Heim, Michael Ehrensperger, Angelika Rüttimann, Isabelle Weibel, Angela Schnelli, Daniela Frehner, Anne-Gabrielle Mittaz Hager, Fabienne Hasler, Ylena Fuchsberger, Fiona Haag, Rahel Roth-Sutter, Manuela Röker, Franziska Wirz, Julius Popp, Stefanie Becker, Elisa Choudery, Ansgar Felbecker","doi":"10.23785/PRAXIS.2024.08.003","DOIUrl":"10.23785/PRAXIS.2024.08.003","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 8","pages":"187-194"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605512","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
[Acquired von Willebrand syndrome: case report and literature review]. [获得性冯-维勒布兰德综合征:病例报告和文献综述]。
Praxis Pub Date : 2024-09-01 DOI: 10.23785/PRAXIS.2024.08.007
Vincent Jendly, Nora Schwotzer, Jérôme Voegeli, Francisco J Gomez, Sébastien Kissling, Lorenzo Alberio
{"title":"[Acquired von Willebrand syndrome: case report and literature review].","authors":"Vincent Jendly, Nora Schwotzer, Jérôme Voegeli, Francisco J Gomez, Sébastien Kissling, Lorenzo Alberio","doi":"10.23785/PRAXIS.2024.08.007","DOIUrl":"10.23785/PRAXIS.2024.08.007","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 8","pages":"213-218"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605484","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
[Diagnosis and treatment of venous thrombosis]. [静脉血栓的诊断和治疗]。
Praxis Pub Date : 2024-07-01 DOI: 10.23785/PRAXIS.2024.06.002
Andrea Rosemann, Isabell Witzel, Matthias R Meyer, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn
{"title":"[Diagnosis and treatment of venous thrombosis].","authors":"Andrea Rosemann, Isabell Witzel, Matthias R Meyer, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn","doi":"10.23785/PRAXIS.2024.06.002","DOIUrl":"10.23785/PRAXIS.2024.06.002","url":null,"abstract":"<p><strong>Introduction: </strong>The subject of this guideline from the Institute of Family Medicine at the University of Zurich (IHAMZ) is the management of venous thrombosis. The review summarizes the current evidence and recommendations from international guidelines (1-6). The IHAMZ-guidelines focus on primary care, they also provide guidance on the coordination of general and specialist medical care as well as on the transition between outpatient and hospital care taking into account the special features of the Swiss healthcare system. The guideline is devided in two parts. Part 1 discusses the diagnosis and treatment of deep vein thrombosis (DVT). A validated algorithm is recommended for the diagnostic process, which begins with the assessment of the clinical probability. With the inclusion of the D-dimer test, the need for subsequent imaging diagnostics can be reduced. The differences between the evaluation of an initial and recurrent DVT are shown and the indications and scope of evidence-based environmental diagnostics (thrombophilia and tumor search) are presented. All patients with DVT should receive anticoagulation (AC) for 3-6 months, as there is a high risk of recurrence with AC  3 months. The duration of the subsequent secondary prophylaxis depends on the presumed risk of recurrence on the one hand and the risk of bleeding on the other. Part 2 is dedicated to special thrombosis situations such as shoulder-arm vein thrombosis (SAVT), cancer-associated thrombosis (CAT) and superficial vein thrombosis (SVT). The article on hormone- and pregnancy-associated DVT, developed together with the Department of Gynecology at the University Hospital of Zurich, discusses the importance of hormonal contraception and menopausal hormone replacement therapy (HRT) as a thrombogenic risk factor as well as special features in the diagnosis and treatment of thrombosis in pregnancy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"148-159"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018329","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
[Can we learn to die?] [我们能学会死亡吗? ]
Praxis Pub Date : 2024-07-01 DOI: 10.23785/PRAXIS.2024.06.003
Annina Seiler, Caroline Hertler, Sophia Rose Evstigneev, Markus Schettle, Steffen Eychmüller, Jan Gärtner, Sandra Eckstein, Cristian Camartin, Beat Müller, Mirjam Buschor-Bichsel, Tanja Fusi-Schmidhauser, Christa Hauswirth Siegenthaler, Brigitte Boothe, Simon Peng-Keller, David Blum
{"title":"[Can we learn to die?]","authors":"Annina Seiler, Caroline Hertler, Sophia Rose Evstigneev, Markus Schettle, Steffen Eychmüller, Jan Gärtner, Sandra Eckstein, Cristian Camartin, Beat Müller, Mirjam Buschor-Bichsel, Tanja Fusi-Schmidhauser, Christa Hauswirth Siegenthaler, Brigitte Boothe, Simon Peng-Keller, David Blum","doi":"10.23785/PRAXIS.2024.06.003","DOIUrl":"10.23785/PRAXIS.2024.06.003","url":null,"abstract":"<p><strong>Introduction: </strong>The topic of death and the dying is a crucial aspect of patient care, especially for individuals with terminal illnesses. However, discussions about death and dying are often avoided during patient interactions. In this article, our aim is to explore the reasons behind our fear of death and dying and to assess the importance of addressing these issues in shaping and cultivating relationships with our patients and in our personal lives. We argue that being open to impermanence is a valuable tool in our work with patients and their families and should be integrated into conversations with them. Furthermore, discussions about death and dying should play a central role in medical and nursing education as well as professional development.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"160-168"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018328","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
Blutdrucksenkung bei Patienten mit Schlaganfall in der Prähospitalisationsphase nicht wirksam. 中风患者在入院前阶段降压效果不佳。
Praxis Pub Date : 2024-07-01 DOI: 10.23785/PRAXIS.2024.06.001
Johann Steurer
{"title":"Blutdrucksenkung bei Patienten mit Schlaganfall in der Prähospitalisationsphase nicht wirksam.","authors":"Johann Steurer","doi":"10.23785/PRAXIS.2024.06.001","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.06.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"147"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018332","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
[Erythema and flu symptoms of a hunter with pre-existing conditions]. [一名猎人的红斑和流感症状]。
Praxis Pub Date : 2024-07-01 DOI: 10.23785/PRAXIS.2024.06.006
Pavla Tlapa, Reto Nüesch
{"title":"[Erythema and flu symptoms of a hunter with pre-existing conditions].","authors":"Pavla Tlapa, Reto Nüesch","doi":"10.23785/PRAXIS.2024.06.006","DOIUrl":"10.23785/PRAXIS.2024.06.006","url":null,"abstract":"<p><strong>Introduction: </strong>A hunter with a history of oncology, flu-like symptoms and ring-shaped erythema was treated with doxycycline in an outpatient setting on suspicion of a tick-borne disease. After obtaining a positive Francisella tularensis serology, antibiotic treatment was continued for a total of 21 days, followed by freedom of symptoms and falling CRP, but without prompt serological follow-up. In contrast to the previously described tularemia cases in Switzerland, the article shows less pronounced local finding without palpable lymphadenopathy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"179-182"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018330","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
[28-year-old male patient with headaches on the left side and facial pain]. [28岁男性患者,左侧头痛,面部疼痛]。
Praxis Pub Date : 2024-07-01 DOI: 10.23785/PRAXIS.2024.06.004
Sena Özkaratufan, Julia Velz, Luca Regli, Daniel Kirschenbaum, Diane Möller-Goede, Urs Eriksson
{"title":"[28-year-old male patient with headaches on the left side and facial pain].","authors":"Sena Özkaratufan, Julia Velz, Luca Regli, Daniel Kirschenbaum, Diane Möller-Goede, Urs Eriksson","doi":"10.23785/PRAXIS.2024.06.004","DOIUrl":"10.23785/PRAXIS.2024.06.004","url":null,"abstract":"<p><strong>Introduction: </strong>A 28-year-old male suffers for two weeks from new-onset very severe headache located on his left temple radiating to his jaw. He also complains about left sided retroorbital pain and chewing aggravated symptoms. In addition, nausea and emesis in the mornings during the past six months were reported. Clinical examination revealed tender swelling over the left temple, but laboratory results showed no signs of inflammation, normal electrolytes, kidney and liver values. A CT-scan revealed a circumscriptive osteolytic lesion in the left os temporale.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"169-173"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018327","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
[Snakebite in Switzerland - a potentially life-threatening event?] [瑞士的蛇咬伤--可能危及生命吗?]
Praxis Pub Date : 2024-07-01 DOI: 10.23785/PRAXIS.2024.06.005
Jonas Micheroli, Markus Schneemann, Thomas Brack
{"title":"[Snakebite in Switzerland - a potentially life-threatening event?]","authors":"Jonas Micheroli, Markus Schneemann, Thomas Brack","doi":"10.23785/PRAXIS.2024.06.005","DOIUrl":"10.23785/PRAXIS.2024.06.005","url":null,"abstract":"<p><strong>Introduction: </strong>A 39-year-old healthy patient accidentally stepped barefoot on an adder and was then bitten into the foot. After initially only local complaints, severe systemic symptoms developed within 10-15 minutes with swelling of the lips and soft palate, recurrent vomiting, bradycardia, weakly palpable peripheral pulse, hypotension, dyspnea and intermittent somnolence. The potentially life-threatening consequences of this severe poisoning could be avoided by using adequate emergency measures and immediate intravenous administration of antivenin.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"174-178"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018331","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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