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[Pain Therapy Follows Function: Interventional Pain Therapy in an Interdisciplinary Setting]. 疼痛治疗遵循功能：跨学科背景下的介入性疼痛治疗。
Praxis Pub Date : 2025-01-01 DOI: 10.23785/PRAXIS.2025.01.007
Michael Hartmann, Jutta Kirchner, Tomislav Kovacevic
{"title":"[Pain Therapy Follows Function: Interventional Pain Therapy in an Interdisciplinary Setting].","authors":"Michael Hartmann, Jutta Kirchner, Tomislav Kovacevic","doi":"10.23785/PRAXIS.2025.01.007","DOIUrl":"10.23785/PRAXIS.2025.01.007","url":null,"abstract":"<p><strong>Introduction: </strong>Reducing pain is an indubitable ethical requirement; the need for pain treatment is compelling. Modern pain therapy should take place in an interdisciplinary context in order to use the advantages of combined somatic and psychological therapies. The aim is to support patients in strengthening their self-efficacy and developing strategies for accepting (some residual) chronic pain. Interventional pain therapy should be favored over administering analgesics on a long-term basis. Both psychotherapeutic and body therapy techniques should be used to strengthen self-efficacy and acceptance. Successes in pain therapy from a cooperation between the various disciplines create the conditions for patients to become active again themselves and to try to give any remaining pain the space it deserves in their lives.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"30-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441600","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
[Albumin-corrected calcium]. (Albumin-corrected钙)。
Praxis Pub Date : 2025-01-01 DOI: 10.23785/PRAXIS.2025.01.010
Patrick Hofmann, Martin Risch, Thomas Fehr
{"title":"[Albumin-corrected calcium].","authors":"Patrick Hofmann, Martin Risch, Thomas Fehr","doi":"10.23785/PRAXIS.2025.01.010","DOIUrl":"10.23785/PRAXIS.2025.01.010","url":null,"abstract":"<p><strong>Introduction: </strong>In order to correctly interpret laboratory findings, it is essential to be aware of the limitations and background of laboratory values and correction formulas for everyday clinical practice. The determination of total calcium is sufficient as a screening test, while the determination of ionised calcium is the clinical gold standard. An albumin correction can lead to misinterpretations, unnecessary additional diagnostics and therapies and should be critically questioned.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"42-44"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441396","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
[Metabolic syndrome and the liver: an increasing challenge for internists and hepatologists]. [代谢综合征和肝脏：内科医生和肝病学家面临的越来越大的挑战]。
Praxis Pub Date : 2025-01-01 DOI: 10.23785/PRAXIS.2025.01.004
David Semela
{"title":"[Metabolic syndrome and the liver: an increasing challenge for internists and hepatologists].","authors":"David Semela","doi":"10.23785/PRAXIS.2025.01.004","DOIUrl":"10.23785/PRAXIS.2025.01.004","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"16-17"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441413","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
[Residency Programmes and Curricula in Primary Care: Importance for the Next Generation of Physicians in the Canton of Zurich]. [住院医师计划和初级保健课程：对苏黎世州下一代医生的重要性]。
Praxis Pub Date : 2025-01-01 DOI: 10.23785/PRAXIS.2025.01.003
Andreas Plate, Stefania Di Gangi, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn
{"title":"[Residency Programmes and Curricula in Primary Care: Importance for the Next Generation of Physicians in the Canton of Zurich].","authors":"Andreas Plate, Stefania Di Gangi, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn","doi":"10.23785/PRAXIS.2025.01.003","DOIUrl":"10.23785/PRAXIS.2025.01.003","url":null,"abstract":"<p><strong>Introduction: </strong>Residency programmes and curricula in primary care (PC) provide low-threshold access to PC training, with the aim of attracting more physicians into these setting. Alumni from the canton of Zurich were asked about their careers and the content of PC curricula. Of 178 alumni, 46.6 % (83 alumni) completed the survey. 79.5 % had completed training and 84.3 % reported that they intended to work in PC in the medium term. The majority work in the canton of Zurich. Dermatology, otorhinolaryngology, rheumatology and psychiatry were rated as the most attractive specialties within a curriculum. The majority of alumni are aiming for a career in PC in the medium term. Accordingly, the programmes are an important instrument for promoting young talents.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441604","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 rare cause of splenic rupture]. [脾脏破裂的罕见原因]。
Praxis Pub Date : 2025-01-01 DOI: 10.23785/PRAXIS.2025.01.009
Veronika Busch-Hofbauer, Cristian Camartin
{"title":"[A rare cause of splenic rupture].","authors":"Veronika Busch-Hofbauer, Cristian Camartin","doi":"10.23785/PRAXIS.2025.01.009","DOIUrl":"10.23785/PRAXIS.2025.01.009","url":null,"abstract":"<p><strong>Introduction: </strong>Splenic rupture after a colonoscopy is a rare, but potentially life-threatening complication. It should be considered in patients with acute pain in the left upper abdomen, arterial hypotension or even hemorrhagic shock. The diagnosis is made using computer tomography or sonography. Treatment depends on the severity and includes conservative management, arterial embolization or splenectomy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"38-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441376","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
[Optimised outpatient interdisciplinary smoking cessation intervention]. [优化门诊跨学科戒烟干预]。
Praxis Pub Date : 2025-01-01 DOI: 10.23785/PRAXIS.2025.01.002
Elisabeth Biewald, Denise Casanova, Macé M Schuurmans
{"title":"[Optimised outpatient interdisciplinary smoking cessation intervention].","authors":"Elisabeth Biewald, Denise Casanova, Macé M Schuurmans","doi":"10.23785/PRAXIS.2025.01.002","DOIUrl":"10.23785/PRAXIS.2025.01.002","url":null,"abstract":"<p><strong>Introduction: </strong>Our stop smoking counselling clinic at the University Hospital Zurich is based on a concept with various elements that are provided in a longer initial consultation and at least four follow-up consultations within about 3 months. Depending on the medical context, mental state, level of motivation and previous experience of the smoker, the content, intervals and number of sessions required can vary individually. As a rule, repeated counselling is supplemented by medication support, and relatively often by combination medication therapies. The frequency of treatment is high in the first 3 months because the need for support and the risk of relapse are greatest then. Initially, counselling sessions take place every 2 to 4 weeks, then they are extended individually to 6 to 8 weeks. Ideally, counselling should be provided for a period of 6 months. This allows for reliable support over a period of several months and for adjustments to be made to the plan of action if necessary.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"2-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441596","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 Patienten (> 75) mit non-STEMI profitieren nicht mehr von invasiver Therapie. 非stemi的老年患者（> 75岁）不再从侵入性治疗中受益。
Praxis Pub Date : 2025-01-01 DOI: 10.23785/PRAXIS.2025.01.001
Johann Steurer
{"title":"Ältere Patienten (> 75) mit non-STEMI profitieren nicht mehr von invasiver Therapie.","authors":"Johann Steurer","doi":"10.23785/PRAXIS.2025.01.001","DOIUrl":"10.23785/PRAXIS.2025.01.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441605","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 in adult patients with chronic lung diseases. 成人慢性肺病患者的疫苗接种。
Praxis Pub Date : 2024-12-01 DOI: 10.23785/PRAXIS.2024.11.003
Maria Boesing, Werner Albrich, Pierre-Olivier Bridevaux, Florian Charbonnier, Christian Clarenbach, Jean-Marc Fellrath, Pietro Gianella, Lukas Kern, Tsogyal Latshang, Nikolay Pavlov, Michael Osthoff, Claudia Steurer-Stey, Christophe von Garnier, Jörg D Leuppi
{"title":"Vaccination in adult patients with chronic lung diseases.","authors":"Maria Boesing, Werner Albrich, Pierre-Olivier Bridevaux, Florian Charbonnier, Christian Clarenbach, Jean-Marc Fellrath, Pietro Gianella, Lukas Kern, Tsogyal Latshang, Nikolay Pavlov, Michael Osthoff, Claudia Steurer-Stey, Christophe von Garnier, Jörg D Leuppi","doi":"10.23785/PRAXIS.2024.11.003","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.11.003","url":null,"abstract":"<p><strong>Introduction: </strong>In Switzerland, additional vaccinations against influenza, COVID-19, Streptococcus pneumoniae and varicella zoster virus (VZV), are recommended for patients with chronic lung diseases such as COPD, asthma or interstitial lung disease, since infectious diseases often lead to exacerbation of lung diseases resulting in increased disease burden and mortality. In this review we give an overview on recommended vaccinations for patients with chronic lung diseases, also including vaccinations against pertussis and RSV, which are recommended in international guidelines. While continuous development of vaccines against S. pneumoniae has given rise to high-valency vaccines covering up to 68% of S. pneumoniae variants in individuals aged ≥65 years, vaccination rates in this age group remain low in Switzerland (10% in 2020). Vaccination rates are higher for influenza, and particularly high-dose vaccines account for high vaccination efficacy in years of low strain matching in individuals at risk. Although mortality of COVID-19 decreased since the emergence of the first SARS-CoV-2 variant, patients with chronic lung disease are still at increased risk for exacerbation, unless vaccinated with variant-adjusted vaccines. VZV and Bordetella pertussis vaccination has also significantly countered reactivation and infection rates, respectively, and subunit vaccines against VZV show long duration. However, pertussis vaccination is still limited by its fast waning. A glimpse into the future presumes the introduction of new higher-valence vaccinations against S. pneumoniae, and several types of RSV vaccines are expected to enter the Swiss market soon.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 11-12","pages":"297-305"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855049","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
[Uncommon Yet Severe: Metabolic Acidosis from Concurrent Use of Paracetamol and Flucloxacillin]. [罕见但严重：同时使用扑热息痛和氟氯西林引起代谢性酸中毒]。
Praxis Pub Date : 2024-12-01 DOI: 10.23785/PRAXIS.2024.11.008
Nikolay Todorov, Patrick Bader
{"title":"[Uncommon Yet Severe: Metabolic Acidosis from Concurrent Use of Paracetamol and Flucloxacillin].","authors":"Nikolay Todorov, Patrick Bader","doi":"10.23785/PRAXIS.2024.11.008","DOIUrl":"10.23785/PRAXIS.2024.11.008","url":null,"abstract":"<p><strong>Introduction: </strong>A 60-year-old polymorbid patient developed severe metabolic acidosis during weeks of treatment with flucloxacillin and paracetamol. The acidosis was triggered by an accumulation of 5-oxoproline due to pre-existing risk factors for glutathione deficiency as well as a ketoacidosis due to starvation. After treatment with N-acetylcysteine and hemofiltration, the acidosis completely resolved.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 11-12","pages":"325-328"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855040","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
[Rabies and mobility: 2025 update]. [狂犬病和流动性：2025年更新]。
Praxis Pub Date : 2024-12-01 DOI: 10.23785/PRAXIS.2024.11.004
Alexia Anagnostopoulos, Anita Niederer-Loher, Daniela Hüssy, Cornelia Staehelin, Jan Fehr
{"title":"[Rabies and mobility: 2025 update].","authors":"Alexia Anagnostopoulos, Anita Niederer-Loher, Daniela Hüssy, Cornelia Staehelin, Jan Fehr","doi":"10.23785/PRAXIS.2024.11.004","DOIUrl":"10.23785/PRAXIS.2024.11.004","url":null,"abstract":"<p><strong>Introduction: </strong>Switzerland has been considered free of terrestrial rabies for more than 20 years. Nevertheless, the topics of rabies and rabies vaccination are more relevant than ever. On the one hand, this is because the demand for vaccines is increasing due to the increasing mobility of humans and animals, and on the other hand, there are frequent vaccine supply shortages. Our article highlights the key points in the face of growing challenges.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 11-12","pages":"306-312"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855031","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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