THERAPEUTISCHE UMSCHAU最新文献_第2页

[Characteristics of palliative care in the elderly]. [老年人姑息治疗的特点]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.002

Roland Kunz

{"title":"[Characteristics of palliative care in the elderly].","authors":"Roland Kunz","doi":"10.23785/TU.2024.04.002","DOIUrl":"https://doi.org/10.23785/TU.2024.04.002","url":null,"abstract":"Introduction: Palliative care for elderly, mostly multimorbid people is an integrative concept that is included at an early stage of illness in addition to curative and rehabilitative treatments. Goals of treatment and in the rest of life are regularly discussed during the course in order to set individual priorities and to plan or question clarifications, treatments and nursing measures. The prognosis, the patient's wishes and values, the possible benefits and burdens of an intervention play a central role in the decision-making process. Advance care planning makes it easier to make decisions at a later stage, especially in the case of dementia, which increasingly impairs the ability to make judgments. Older people suffer not only from destressing symptoms such as pain, but also from functional limitations that affect their quality of life. In addition to symptom-alleviating interventions, rehabilitative measures are also part of the palliative concept. In pain treatment, age-adapted adjustments to the medication are to be considered and the multidimensionality of the pain experience must be taken into account. In the case of cognitive impairment, appropriate observation tools help to identify possible pain. In the context of dementia, palliative treatment of neuropsychiatric symptoms should be considered if the patient suffers from them.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 4","pages":"107-114"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074222","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

[Speaking and deciding with a serious illness]. [患重病时的发言和决定]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.006

Klaus Bally

引用次数: 0

[Pain therapy in palliative care]. [姑息治疗中的疼痛疗法]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.004

Mirjam Buschor-Bichsel, Andrea Berendes, Katelijne De Nys

引用次数: 0

Palliative Care – eine Herausforderung auch für die medizinische Grundversorgung. 姑息关怀--也是初级医疗保健面临的挑战。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.001

Klaus Bally

引用次数: 0

[Anxiety and fear at the end of life]. [生命终结时的焦虑与恐惧]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.003

Manuel Trachsel, Scott A Irwin, Harvey Max Chochinov

引用次数: 0

[Physical Activity and Obesity - Underlying Mechanisms, Practical Actions]. [体育活动与肥胖症--基本机制，实际行动]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-06-01 DOI: 10.23785/TU.2024.03.003

Ulrich Hamberger

引用次数: 0

[Formula diets for weight loss - chances and challenges]. [减肥配方饮食--机遇与挑战]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-06-01 DOI: 10.23785/TU.2024.03.002

Nele Endner, Lia Bally

{"title":"[Formula diets for weight loss - chances and challenges].","authors":"Nele Endner, Lia Bally","doi":"10.23785/TU.2024.03.002","DOIUrl":"https://doi.org/10.23785/TU.2024.03.002","url":null,"abstract":"Introduction: Formula diets, through the use of industrially manufactured meal replacement products, lead to effective and rapid weight reduction and improvement in obesity-associated comorbidities. The specific composition of these meal replacement products simplifies the adherence to calorie goals and ensures the supply of essential nutrients during significant energy restriction. Despite numerous potential applications, evidence from randomized controlled studies, and simplicity in practical implementation, challenges persist. Monotony and social restrictions complicate adherence and acceptance. The use of formula diets for sustainable weight loss requires integration into a multimodal treatment approach with the goal of long-term changes in eating and activity behaviour. This includes accompanying nutritional counselling, promotion of physical activity, evaluation of adjuvant pharmacological or interventional therapies, as well as psychological support. The development of new incretin-based anti-obesity medications has opened another application field for formula products. There is optimization potential in expanding the product range and combining it with digital applications to enhance acceptance and reach a larger patient group.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 3","pages":"69-73"},"PeriodicalIF":0.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564778","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

[Obesity and kidney disease]. [肥胖与肾病］

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-06-01 DOI: 10.23785/TU.2024.03.004

Boglárka Oesch-Régeni, Bernd Schultes

{"title":"[Obesity and kidney disease].","authors":"Boglárka Oesch-Régeni, Bernd Schultes","doi":"10.23785/TU.2024.03.004","DOIUrl":"https://doi.org/10.23785/TU.2024.03.004","url":null,"abstract":"Introduction: The obesity epidemic has led to an increased prevalence of obesity-related glomerulopathy (ORG). This disease is characte-rized by proteinuria, glomerulomegaly, progressive glomerulosclerosis and a decline in renal function. Individuals with obesity frequently display arterial hypertension and diabetes mellitus, exacerbating renal damage. The pathogenesis involves overactivation of the RAAS (Renin-Angiotensin-Aldosterone System), glomerular hyperfiltration, an inflammatory state with oxidative stress, hyperinsulinemia-induced hemodynamic alterations and lipotoxicity. Additionally, obesity represents a significant risk factor for kidney stone formation, further contributing to renal damage. The management of obesity-induced nephropathy primarily involves weight reduction strategies and optimized control of blood pressure and metabolic factors. Early detection is crucial to counteract the progression of kidney disease. Noteworthy, obesity significantly complicates the implementation of renal replacement procedures, including kidney transplantation, and increases the rate of complications. In summary, there are many reasons why obesity should gain attention in the field of nephrology.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 3","pages":"83-89"},"PeriodicalIF":0.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564781","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 developments and innovations in psychotherapy for obesity]. [肥胖症心理治疗的新进展和创新]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-06-01 DOI: 10.23785/TU.2024.03.006

Niclà Lozza, Matthias Baumann, Suzana Stojiljkovic

引用次数: 0

[Consequences of chronodisruption on body weight regulation and metabolism]. [时序紊乱对体重调节和新陈代谢的影响]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-06-01 DOI: 10.23785/TU.2024.03.005

Svenja Meyhöfer, Britta Wilms

{"title":"[Consequences of chronodisruption on body weight regulation and metabolism].","authors":"Svenja Meyhöfer, Britta Wilms","doi":"10.23785/TU.2024.03.005","DOIUrl":"https://doi.org/10.23785/TU.2024.03.005","url":null,"abstract":"Introduction: The prevalence of overweight and obesity has increased dramatically. At the same time, lack of sleep has become a part of the modern lifestyle, as well as shift and night work. As a result, chronodisruption, i. e. a change in physiological processes that are controlled by the internal clock, becomes commonplace. Epidemiological data show that too short but also too long sleep are associated with an increased risk of obesity, also seen for night shift work. Overweight and obesity are associated with metabolic syndrome and data likewise report an increased risk by both short and long sleep. It has not yet been conclusively clarified how chronodisruption influences the metabolic risks. Clinical experimental studies report on neuroendocrine and circadian mechanisms and it has been shown that lack of sleep increases the hunger-promoting hormone ghrelin as well as subjective feelings of hunger and increases leptin levels. Lack of sleep also increases hedonic hunger and food-related reward signals. Through preventive measures, chronodisruption and thus, the risk of obesity can be counteracted. The extent to which smartwatches and fitness trackers, which according to the manufacturer can measure and analyze sleep, provide an objective picture of sleep has not been sufficiently investigated. However, smartwatches and fitness trackers can - probably - increase awareness of sleep in the modern society.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 3","pages":"90-94"},"PeriodicalIF":0.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564777","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