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Source: Deutsches Arzteblatt International
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Total 861 results found since Jan 2013.
Juvenile Stroke.
CONCLUSION: The high rates of cryptogenic stroke and ESUS among patients with juvenile stroke indicate that uncertainties remain in the diagnosis and treatment of this entity. The identification of rare causes of juvenile stroke requires a major diagnostic effort. Which diagnostic tests are useful or necessary in which patients is a matter that is currently decided on an individual basis. This is true, above all, of the indication for long-term cardiac monitoring.
PMID: 28835326 [PubMed - in process]
Source: Deutsches Arzteblatt International - August 26, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Cystic Fibrosis.
CONCLUSION: Early diagnosis and optimized treatment prolong the lives of persons with cystic fibrosis and improve their quality of life. Causally directed treatment for all patients and their effects on the course of disease are now central issues for further research.
PMID: 28855057 [PubMed - in process]
Source: Deutsches Arzteblatt International - September 1, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Cannabinoids in Pain Management and Palliative Medicine.
CONCLUSION: The public perception of the efficacy, tolerability, and safety of cannabis-based medicines in pain management and palliative medicine conflicts with the findings of systematic reviews and prospective observational studies conducted according to the standards of evidence-based medicine.
PMID: 29017688 [PubMed - in process]
Source: Deutsches Arzteblatt International - October 12, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
The Health Effects of Aluminum Exposure.
CONCLUSION: The internal aluminum load is measured in terms of the concentration of aluminum in urine and blood. Keeping these concentrations below the tolerance values prevents the development of manifest and subclinical signs of aluminum toxicity. Large-scale epidemiologic studies of the relationship between aluminum-containing antiperspirants and the risk of breast cancer would be desirable.
PMID: 29034866 [PubMed - in process]
Source: Deutsches Arzteblatt International - October 18, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Monoclonal IgM Gammopathy and Waldenstr öm's Macroglobulinemia.
CONCLUSION: Evidence-based treatment decisions in Waldenström's macroglobulinemia now rely mainly on small-scale, single-armed trials. Patients with this disease should be treated in the setting of a clinical trial if possible. Trials aimed at improving the quality of treatment for other IgM-associated diseases, such as IgM neuropathies and cold agglutinin disease, would also be desirable.
PMID: 29169431 [PubMed - in process]
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Impingement Syndrome of the Shoulder.
CONCLUSION: Randomized controlled therapeutic trials are needed so that a standardized treatment regimen can be established.
PMID: 29202926 [PubMed - in process]
Source: Deutsches Arzteblatt International - December 7, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Analgesia in Patients with Trauma in Emergency Medicine.
CONCLUSION: Ketamine, fentanyl, and morphine are suitable for analgesia in spontaneously breathing trauma patients. Fentanyl and ketamine have a rapid onset of action and a strong analgesic effect. Our quantitative meta-analysis revealed no evidence for the superiority of any of the three substances over the others. Suitable monitoring equipment, and expertise in emergency procedures are prerequisites for safe and effective analgesia by healthcare professionals..
PMID: 29229039 [PubMed - in process]
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Tranexamic Acid Prophylaxis in Hip and Knee Joint Replacement.
CONCLUSION: The prophylactic intravenous administration of tranexamic acid lessens the amount of bleeding in endoprosthetic knee and hip procedures and reduces the likelihood of blood transfusion. According to the current state of the evidence, complications are rare. Nonetheless, consideration of the risks and benefits implies that tranexamic acid should not be given for this purpose to patients who have recently had urogenital bleeding, pulmonary embolism, or a myocardial infarction, who have recently undergone percutaneous transluminal coronary angioplasty or stenting, or who are known to have epilepsy.
PMID: 292492...
Source: Deutsches Arzteblatt International - December 20, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Uncomplicated Bacterial Communityacquired Urinary Tract Infection in Adults.
CONCLUSION: Physicians who treat uncomplicated urinary tract infections should familiarize themselves with the newly revised guideline's recommendations on the selection and dosage of antibiotic treatment so that they can responsibly evaluate and plan antibiotic treatment for their affected patients.
PMID: 29271346 [PubMed - in process]
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Community-Acquired Pneumonia in Adults.
CONCLUSION: Major considerations include appropriate risk stratification and the implementation of a management strategy adapted to the degree of severity of the disease, along with the establishment of structured follow-up care and secondary prevention, especially for patients with comorbidities.
PMID: 29271341 [PubMed - in process]
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Retinal Injury Following Laser Pointer Exposure.
CONCLUSION: Laser pointers can cause persistent retinal damage and visual impairment. In view of the practically unimpeded access to laser pointers (even high-performance ones) over the Internet, society at large now needs to be more aware of the danger posed by these devices, particularly to children and adolescents.
PMID: 29271340 [PubMed - in process]
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Non-Specific Low Back Pain.
CONCLUSION: A physician should be in charge of the overall care process. The patient should be kept well informed over the entire course of his or her illness and should be encouraged to adopt a healthful lifestyle, including regular physical exercise.
PMID: 29321099 [PubMed - in process]
Source: Deutsches Arzteblatt International - January 13, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Spondylodiscitis: Diagnosis and Treatment Options.
CONCLUSION: The quality of life of patients who have been appropriately treated for spondylodiscitis has been found to be highly satisfactory in general, although back pain often persists. The risk of recurrence increases in the presence of accompanying illnesses such as diabetes mellitus, renal failure, or undrained epidural abscesses.
PMID: 29321098 [PubMed - in process]
Source: Deutsches Arzteblatt International - January 13, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Current Approaches to Epistaxis Treatment in Primary and Secondary Care.
CONCLUSION: The treatment of severe or recurrent epistaxis requires the interdisciplinary collaboration of the primary care physician, the emergency physician, the practice-based otolaryngologist, and the hospital otolaryngology service. Uniform guidelines and epidemiological studies on this topic would be desirable.
PMID: 29345234 [PubMed - in process]
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Indications for the Surgical Management of Benign Goiter in Adults.
CONCLUSION: The decision to operate should be made on an interdisciplinary basis and in conformity with the relevant guidelines after all of the appropriate diagnostic studies have been performed. The radicality of any proposed surgical procedure should be weighed against its potential complications.
PMID: 29345225 [PubMed - in process]
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
