THERAPEUTISCHE UMSCHAU最新文献_第8页

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-12-01 DOI: 10.23785/TU.2024.07.001

Markus Knupp

引用次数: 0

[Chronic exertional compartment syndrome - an overlooked diagnosis of exercise related leg pain]. 慢性运动筋膜室综合征——一种被忽视的与运动相关的腿部疼痛诊断。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-12-01 DOI: 10.23785/TU.2024.07.003

Anja Hirschmüller, Kerstin Recktenwald, Roman Gähwiler, Lukas Weisskopf

{"title":"[Chronic exertional compartment syndrome - an overlooked diagnosis of exercise related leg pain].","authors":"Anja Hirschmüller, Kerstin Recktenwald, Roman Gähwiler, Lukas Weisskopf","doi":"10.23785/TU.2024.07.003","DOIUrl":"10.23785/TU.2024.07.003","url":null,"abstract":"Introduction: Chronic exertional compartment syndrome (CECS) is an underdiagnosed clinical condition primarily affecting young, physically active people between the ages of 15 and 25. Pathophysiologically, there is an activity associated pressure increase in one or more muscle compartments of the lower leg, usually triggered by sports including running or jumping. The lower legs are most affected, but compartment syndromes of arms, thighs, feet and even the paravertebral muscles have also been described. Typically, CECS manifests as bilateral exercise related leg pain, quickly subsiding after the end of activity. Intracompartmental pressure measurement is required to make a definitive diagnosis. Vascular entrapments, spinal pathologies and myopathies should be considered in the differential diagnosis. Conservative therapy measures include activity modifications, detonation of the muscles, gait retraining, optimization of biomechanics, compression stockings, dry needling and Botulinum toxin injections. If symptoms persist, an endoscopically assisted fasciotomy is a surgical procedure with few complications and a high success rate.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 7","pages":"245-248"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626087","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

[Foot Ulcers in Orthopedics]. [骨科中的足部溃疡]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-12-01 DOI: 10.23785/TU.2024.07.004

Felix Waibel, Madlaina Schöni

{"title":"[Foot Ulcers in Orthopedics].","authors":"Felix Waibel, Madlaina Schöni","doi":"10.23785/TU.2024.07.004","DOIUrl":"10.23785/TU.2024.07.004","url":null,"abstract":"Introduction: Foot ulcers are most often vascular, pressure-related or diabetes-related. The presence of neuropathy with loss of protective sensation and/or peripheral arterial disease are essential risk factors for diabetic foot ulcers. Prevention aims at identifying the foot at risk, regularly checking the foot at risk, educating patients, relatives and healthcare professionals, ensuring the routine wearing of appropriate footwear and treating risk factors for ulceration. In the presence of a diabetic foot ulcer, therapy consists of a combination of mechanical relief (gold standard during the ulcer phase: total contact cast), treatment of peripheral arterial disease, treatment of infections, metabolic control and treatment of comorbidities, local ulcer control and education of patients and relatives. Infected ulcers must be examined for the presence of osteomyelitis. Without osteomyelitis, therapy consists of local debridement and 1-2 weeks of antibiotic therapy. If osteomyelitis is present, therapy consists either of a combination of surgical therapy (amputation vs. internal resection) with accompanying short antibiotic therapy or of purely conservative therapy with 6 weeks of antibiotics. After the ulcer has healed, orthopedic shoe care is indicated to prevent recurrence.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 7","pages":"249-253"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626257","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

[Flatfoot in Children - A Look at Myths and Their Evidence]. [儿童扁平足--误解及其证据]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-12-01 DOI: 10.23785/TU.2024.07.006

Bernhard Speth

引用次数: 0

[The knowledge of medical law among medical students and medical service providers in Switzerland]. [瑞士医科学生和医疗服务提供者的医疗法律知识]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-10-01 DOI: 10.23785/TU.2024.06.003

Katja Meier, Thomas D Szucs

{"title":"[The knowledge of medical law among medical students and medical service providers in Switzerland].","authors":"Katja Meier, Thomas D Szucs","doi":"10.23785/TU.2024.06.003","DOIUrl":"https://doi.org/10.23785/TU.2024.06.003","url":null,"abstract":"Introduction: Legal aspects play an increasingly big role in everyday medical practice. This can lead to uncertainties when dealing with medicolegal issues, which could negatively impact the healthcare system and its involved parties. In this study, the medicolegal knowledge of medical students and physicians in Switzerland was examined to give recommendations for undergraduate, postgraduate and further education. A survey was conducted to assess how comfortable individuals feel when dealing with medicolegal issues, and their medicolegal knowledge was tested using case vignettes. Participants generally felt «rather uncomfortable» to be confronted with medicolegal issues. The results of the case vignettes suggest some medicolegal knowledge. However, there were indications of lack of knowledge or incorrect knowledge across almost the entire range of the topics surveyed. In undergraduate, postgraduate and further education, it seems appropriate to focus on the topics insurance and patient rights. Nevertheless, a generally more comprehensive medicolegal education can be considered important. In addition to medicolegal theory, its practical application should be taught as well. A more comprehensive medicolegal education should be seen as one of various approaches to address the uncertainty when facing medicolegal issues.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 6","pages":"195-202"},"PeriodicalIF":0.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814528","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

[Medicine and Law: an Introduction - Part 2]. [医学与法律：导论-第二部分]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-10-01 DOI: 10.23785/TU.2024.06.002

Thomas D Szucs

引用次数: 0

[Pharmaceutical Products and Medical Devices: Authorization and Conformity Assessment Procedures, Regulatory Data Protection, Patent Protection and Supplementary Protection Certificate]. 【药品和医疗器械：授权和合格评定程序、监管数据保护、专利保护和补充保护证书】。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-10-01 DOI: 10.23785/TU.2024.06.006

Claudia Seitz

{"title":"[Pharmaceutical Products and Medical Devices: Authorization and Conformity Assessment Procedures, Regulatory Data Protection, Patent Protection and Supplementary Protection Certificate].","authors":"Claudia Seitz","doi":"10.23785/TU.2024.06.006","DOIUrl":"10.23785/TU.2024.06.006","url":null,"abstract":"Introduction: Pharmaceutical products and medical devices can pose a potenzial risk to health. They may therefore only be placed on the market if their safety, efficacy and quality have been proven. The safety requirements are not to be understood as absolute. Rather, the safety assessment is based on a risk-benefit assessment. Pharmaceutical products and medical devices are subject to different requirements, whereby pharmaceutical products are subject to an authorization procedure, while medical devices have to undergo a conformity assessment procedure. This article first sets out the basic principles and the system of therapeutic products law and discusses the categorization of pharmaceutical products and medical devices as well as their differentiation from other products, in particular foodstuffs and cosmetics. The main features of placing pharmaceutical products on the market are then presented, with a focus on the authorization procedures for pharmaceutical products. This article also provides a brief overview of the protection rights for pharmaceutical products. In addition to the protection rights under the Therapeutic Products Act, the regulatory data protection, there are also protection rights under intellectual property law. In addition to the patent, intellectual property law grants another protection right for products that require an authorization in order to be placed on the market. The supplementary protection certificate, which is only granted to medicinal products and plant protection products as products that require an authorization, is intended to partially compensate for the lack of possibility of using the patented invention during the approval process. Due to the scope of the medicinal products and intellectual property law regulations mentioned, this article must limit itself to selected areas in an overview.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 6","pages":"214-222"},"PeriodicalIF":0.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814526","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

[Criminal law aspects in the medical field]. [医学领域的刑法方面]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-10-01 DOI: 10.23785/TU.2024.06.008

Brigitte Tag

引用次数: 0

[Digital health, telemedicine and law]. [数字卫生、远程医疗和法律]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-10-01 DOI: 10.23785/TU.2024.06.007

Nicolas Jordi

{"title":"[Digital health, telemedicine and law].","authors":"Nicolas Jordi","doi":"10.23785/TU.2024.06.007","DOIUrl":"https://doi.org/10.23785/TU.2024.06.007","url":null,"abstract":"Introduction: Due to the development of digitalisation and information technology, medicine is subject to constant change. This development raises many new legal questions, most of which are still unanswered. This article first looks at the subarea of telemedicine and its regulation in federal and cantonal law and the question of the extent to which telemedicine is legally permissible. The particular focus here is on the doctor's perspective. Furthermore, this article deals with digital healthcare from the perspective of data protection law. Due to the central position of personal data in medicine, this area has become an integral part of everyday medical practice. This article provides a brief overview of this extensive field and highlights the most important key points of data protection law. Finally, this article uses a case study to address the question of the extent to which digital health applications should be considered medical devices. In practice, it is often very difficult to determine in advance whether such a digital health application is to be considered a medical device and is therefore subject to stricter regulations. The most important conditions in this regard are then presented and analysed.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 6","pages":"223-230"},"PeriodicalIF":0.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814513","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

[Medical liability and insurance]. [医疗责任和保险]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-10-01 DOI: 10.23785/TU.2024.06.004

Simon Schönenberger

引用次数: 0