Interprofessional cooperation in outpatient health care
Praxis (Bern 1994). 2024 Feb;113(2):27.ABSTRACTPMID:38536189 (Source: Praxis)
Source: Praxis - March 27, 2024 Category: General Medicine Authors: Katja Weiss Source Type: research

Forms of Interprofessional Cooperation in Outpatient Health Care. A Cross-Case Analysis in German-Speaking Switzerland
Praxis (Bern 1994). 2024 Feb;113(2):28-33.ABSTRACTThe quality of care for the chronically ill is to be improved through interprofessional cooperation (IPC). To date, evaluation projects on IPC have mostly focused on the inpatient sector. The aim was to use a multiple case study design to investigate forms of IPC in primary care and to identify facilitating and inhibiting factors. Factors that facilitated the implementation of IPC included having a responsible person employed to provide the service, supportive training, and the introduction of evidence-based interventions. There appeared to be insufficient incentives to imp...
Source: Praxis - March 27, 2024 Category: General Medicine Authors: Bettina Schwind Sonja Merten Eva Hollenstein Kaspar Wyss Jana Gerold Source Type: research

Recommendations for the diagnostic and therapy of behavioural and psychological symptoms of dementia (BPSD)
Praxis (Bern 1994). 2024 Feb;113(2):34-43.ABSTRACTThe «Recommendations for the Diagnosis and Treatment of Behavioral and Psychological Symptoms of Dementia (BPSD)» were developed in parallel with the Swiss National Dementia Strategy 2014-2019 under the auspices of the Swiss Society for Geriatric Psychiatry and Psychotherapy (SGAP) and mark the beginning of a series of recommendations for geriatric psychiatric disorders. They depict the evidence-based state of knowledge about diagnostics and therapy, based on the clinical experience of the experts, and are designed for interprofessional and interdisciplinary use. The non-...
Source: Praxis - March 27, 2024 Category: General Medicine Authors: Egemen Savaskan Dan Georgescu Stefanie Becker Brigitte Benkert Andreas Blessing Markus B ürge Ansgar Felbecker Martin Hatzinger Ulrich Michael Hemmeter Therese Hirsbrunner Stefan Kl öppel Gabriela Latour Erlinger Finn Jacob Lornsen Theofanis Ngamsri Jes Source Type: research

BCG instillation sepsis in bladder carcinoma
Praxis (Bern 1994). 2024 Feb;113(2):44.ABSTRACTPMID:38536192 (Source: Praxis)
Source: Praxis - March 27, 2024 Category: General Medicine Authors: Hubert John Source Type: research

Complications of intravesical BCG therapy
Praxis (Bern 1994). 2024 Feb;113(2):45-49.ABSTRACTBCG instillations are considered to be the standard of care therapy for superficial urothelial bladder carcinoma. Although serious adverse events are uncommon, the presence of high fever for at least two days in conjunction with systemic and/or local organ manifestations (except for urogenital symptoms), with the exclusion of other causes, suffice for the diagnosis of a disseminated BCG infection. Microbiologic detection of the pathogen is not necessary for diagnosis, as the detection of granuloma is more often successful and sufficient. Therapy for this infection includes ...
Source: Praxis - March 27, 2024 Category: General Medicine Authors: Aresh Farokhnia Silvana K Rampini Micha Gundelfinger Source Type: research

Pregnancy Management in a Patient with Long QT Syndrome Type 2 (LQT2) carrier of the variant KCNH2: Trp100X
We present a case report of a 30-year-old pregnant woman with known long QT syndrome Type 2 (LQT2) and discuss the management in cardiological practice.PMID:38536194 (Source: Praxis)
Source: Praxis - March 27, 2024 Category: General Medicine Authors: Greta Hametner Martin Osranek Corinna Brunckhorst Argelia Medeiros Domingo Source Type: research

Acute coronary syndrome: after revascularisation is before (secondary) prevention
Praxis (Bern 1994). 2024 Jan;113(1):1-2.ABSTRACTPMID:38381101 (Source: Praxis)
Source: Praxis - February 21, 2024 Category: General Medicine Authors: Stephan Windecker Jonas Dominik H äner Source Type: research

Acute coronary syndrome: diagnosis and treatment
Praxis (Bern 1994). 2024 Jan;113(1):3-7.ABSTRACTIn Switzerland, about 20 000 people experience an acute coronary syndrome (ACS) event each year. Acute coronary syndromes comprise ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), and unstable angina. The diagnosis is made based on the clinical presentation, a rise in cardiac biomarkers, and ischemic ECG changes. In patients with acute STEMI, urgent coronary angiography with primary percutaneous coronary intervention (PCI) to open the occluded artery is indicated. In patients with NSTEMI and unstable angina, the timi...
Source: Praxis - February 21, 2024 Category: General Medicine Authors: Julia Stehli Barbara E St ähli Source Type: research

Foreign body ingestion
Praxis (Bern 1994). 2024 Jan;113(1):8-11.ABSTRACTForeign body ingestion by young children has been increasing for years. Ingestions of batteries and magnets are particularly problematic.[1] Before and during diagnosis, there are some important steps that should be followed to allow for proper patient management.PMID:38381103 (Source: Praxis)
Source: Praxis - February 21, 2024 Category: General Medicine Authors: Yannic A Gretener Thierry A G M Huisman Source Type: research

No Differences in Testis Cancer Outcomes between urban and rural regions in the Canton of Berne
Praxis (Bern 1994). 2024 Jan;113(1):12-14.ABSTRACTTestis cancer is highly curable. However, historical data point to differences between urban and rural areas with more advanced diseases at presentation and worse outcomes in the latter. In a cohort of 296 men with testis cancer diagnosed and treated at the Inselspital Berne between 2010 and 2020, we found no clinically relevant differences in presentation and outcomes depending on their residential area.PMID:38381104 (Source: Praxis)
Source: Praxis - February 21, 2024 Category: General Medicine Authors: Simon Helnwein Dennis Hoch J örg Beyer Source Type: research

Do All Very Old Patients Benefit from Osteoporosis Drug Treatment?
Praxis (Bern 1994). 2024 Jan;113(1):15-19.ABSTRACTOsteoanabolic osteoporosis drugs have become better available. The osteoanabolic therapeutic principle has a stronger, faster-onset fracture-reducing effect than the antiresorptive preparations. It has also been newly recognized that the significance of a first fragility fracture as a risk factor is time-dependent: the less time that has elapsed since the first fracture, the higher the resulting re-fracture risk. Patients older than 65 years whose index fragility fracture occurred less than two years before are therefore grouped in a separate "Imminent Fracture Risk" catego...
Source: Praxis - February 21, 2024 Category: General Medicine Authors: Norbert Suhm Karl Stoffel Source Type: research

Lifelong Mask Mandate
Praxis (Bern 1994). 2024 Jan;113(1):20-22.ABSTRACTA 31-year-old farmer is being treated for suspected pneumonia. As the symptoms persist despite antibiotic treatment, the suspicion of hypersensitivity pneumonitis type Farmer´s lung arises after taking into account the patients occupational history. Information from various examination modalities and the clinical course confirm the suspected diagnosis. Thanks to the rapid diagnosis and the measures taken as a result, it was possible for the patient to remain in his profession.PMID:38381106 (Source: Praxis)
Source: Praxis - February 21, 2024 Category: General Medicine Authors: J örn Eggimann Sara Eggimann Philipp Grob-Blum Source Type: research

Panhypopituitarism, Diabetes Insipidus and Bone Pain - Is There a Systemic Disease Behind it?
Praxis (Bern 1994). 2024 Jan;113(1):23-26.ABSTRACTA 27-year-old man presented due to unilateral leg pain. He had a history of diabetes insipidus and panhypopituitarism. Laboratory analysis revealed hormonal undersupply. MRI showed a large contrast medium-absorbing mass in the pituitary gland extending into the hypothalamus. FDG-PET/CT examination revealed a hypermetabolic soft tissue lesion around the left femoral shaft. After biopsy of the lesion, a diagnosis of multisystemic Langerhans cell histiocytosis was made.PMID:38381107 (Source: Praxis)
Source: Praxis - February 21, 2024 Category: General Medicine Authors: Martina Bertschinger Lisa Sze Irene Bosma Corina Dommann-Scherrer Jeroen Goede Source Type: research

Acute coronary syndrome: after revascularisation is before (secondary) prevention
Praxis (Bern 1994). 2024 Jan;113(1):1-2.ABSTRACTPMID:38381101 (Source: Praxis)
Source: Praxis - February 21, 2024 Category: General Medicine Authors: Stephan Windecker Jonas Dominik H äner Source Type: research

Acute coronary syndrome: diagnosis and treatment
Praxis (Bern 1994). 2024 Jan;113(1):3-7.ABSTRACTIn Switzerland, about 20 000 people experience an acute coronary syndrome (ACS) event each year. Acute coronary syndromes comprise ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), and unstable angina. The diagnosis is made based on the clinical presentation, a rise in cardiac biomarkers, and ischemic ECG changes. In patients with acute STEMI, urgent coronary angiography with primary percutaneous coronary intervention (PCI) to open the occluded artery is indicated. In patients with NSTEMI and unstable angina, the timi...
Source: Praxis - February 21, 2024 Category: General Medicine Authors: Julia Stehli Barbara E St ähli Source Type: research