Urinary retention in young female patients
Praxis (Bern 1994). 2023 Dec;112(13):656-658.ABSTRACTThis practice case describes a 28-year-old female patient suffering from unclear residual urine formation. Urogynecologic examination reveals a severely hypercapacitated bladder with atonic detrusor. After ruling out other gynecologic and neurologic differential diagnoses, the diagnosis of Fowler syndrome was made. This is a painless residual urine formation with typical pelvic floor EMG with detrusor sphincter dyscoordination. Causal therapies do not exist. Sacral neuromodulation, percutaneous tibial nerve stimulation, or intermittent self-catheterization.PMID:38193474 (Source: Praxis)
Source: Praxis - January 9, 2024 Category: General Medicine Authors: D ésirée Abgottspon Ren é Hornung Tanja H ülder Larissa Greive Source Type: research
Measures restricting freedom in the geriatric psychiatry
Praxis (Bern 1994). 2023 Dec;112(13):642-648.ABSTRACTMeasures restricting freedom include physical restraints restricting movement and treatment without consent according to the Swiss Civil Code. Patients incapable of consenting to treatments and other measures of care and who are somatically multimorbid in addition to their mental illness are frequently encountered in the geriatric psychiatry inpatient setting. In this group of patients, physical restraints are repeatedly used to prevent falling and to quarantine patients due to infectious diseases. Frequently, treatment is conducted with the apparent agreement of the pat...
Source: Praxis - January 9, 2024 Category: General Medicine Authors: Stefan Kl öppel Dan Georgescu Source Type: research
Quality development in Consultation and Liaison Psychiatry and Psychosomatics
Praxis (Bern 1994). 2023 Dec;112(13):628-634.ABSTRACTQuality or quality development and the corresponding regulations are becoming increasingly important in the Swiss healthcare system, in particular due to the link with aspects of permission for the provision of services and financing. In doing so, the focus is directed to varying degrees on structural, processual or outcome criteria. Specific quality aspects of the specialist area consultation-liaison psychiatry and psychosomatics (CLPP) are compiled and the indicators derived from them are grouped according to the quality criteria mentioned. There are numerous requireme...
Source: Praxis - January 9, 2024 Category: General Medicine Authors: Rafael Meyer Dan Georgescu Source Type: research
New/direct oral anticoagulants (DOAK)
Praxis (Bern 1994). 2023 Dec;112(13):616-627.ABSTRACTDue to their advantageous benefit-risk-profile, direct oral anticoagulants (DOACs) are preferred over vitamin-K-antagonists for stroke prevention in atrial fibrillation as well as therapy and secondary prevention of venous thromboembolism. This guideline provides information on the practical use of DOACs, their advantages and disadvantages and limitations. It is based on recommendations from international guidelines (ESC, EHRA, DGA) and adapts them for the general practitioner setting in Switzerland.PMID:38193470 (Source: Praxis)
Source: Praxis - January 9, 2024 Category: General Medicine Authors: Andrea Rosemann Oliver Senn Stefan Neuner-Jehle Stefan Markun Giuseppe Pichierri Thomas Rosemann Source Type: research
Antithrombotic therapy and assessment for bleeding diathesis in elective gastrointestinal endoscopy - Expert Opinion Statement on behalf of the Swiss Society of Gastroenterology
Praxis (Bern 1994). 2023 Dec;112(13):635-641.ABSTRACTPMID:38193471 (Source: Praxis)
Source: Praxis - January 9, 2024 Category: General Medicine Authors: Nico Wiegand Martin Geyer Gianluca Lollo Walter A Wuillemin Patrick Aepli Remus Frei S ébastien Godat Michael Manz Stefan Seewald Frans Olivier The Reiner Wiest Jan Borovicka Stephan Brand Sophie Buyse Lukas Degen Tobias Ehmann Florian Riniker Daniele Ri Source Type: research