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Source: Deutsches Arzteblatt International
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Total 860 results found since Jan 2013.
Treatment Options for Gout.
CONCLUSION: The prevalence of gout is rising around the world. Patients with gout could benefit greatly from consistent implementation of the existing treatment guidelines and recommendations. In the future, controlled trials should be conducted to determine the best time to start treatment and the optimal target level for the serum uric acid concentration in terms of a risk/benefit analysis.
PMID: 28434436 [PubMed - in process]
Source: Deutsches Arzteblatt International - April 25, 2017 Category: Journals (General) Tags: Dtsch Arztebl Int Source Type: research
The First Aid and Hospital Treatment of Gunshot and Blast Injuries.
CONCLUSION: In mass-casualty events and special casualty situations, mortality can be lowered by treating immediately life-threatening complications as rapidly as possible. This includes the early identification of patients with lifethreatening hemorrhage. Advance preparation for the management of a masscasualty event is advisable so that the outcome can be as favorable as possible for all of the injured in special or tactical casualty situations.
PMID: 28446350 [PubMed - in process]
Source: Deutsches Arzteblatt International - April 28, 2017 Category: Journals (General) Tags: Dtsch Arztebl Int Source Type: research
Tracheotomy-Related Deaths.
CONCLUSION: Bias in the data cannot be excluded, as these were not epidemiologic data and the documentation was found to be incomplete. The likelihood of a fatal complication seems to be the same with both tracheotomy techniques as far as can be determined from the available evidence. Tracheotomy-related deaths can be avoided in several ways: by thorough training under the leadership of experienced physicians, by the use of the World Health Organization's Surgical Safety Checklist regardless of where the tracheotomy is performed, and by the continuous vigilance of nursing staff.
PMID: 28502311 [PubMed - in process]
Source: Deutsches Arzteblatt International - May 17, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Red Eye: A Guide for Non-specialists.
CONCLUSION: The differential diagnosis of red eye can be narrowed down rapidly with simple baseline tests and targeted questioning. Patients with ocular emergencies should be referred to an ophthalmologist at once, as should all patients whose diagnosis is in doubt.
PMID: 28530180 [PubMed - in process]
Source: Deutsches Arzteblatt International - May 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Coma After Acute Head Injury.
CONCLUSION: Brain tissue can tolerate ischemia and elevated pressure only for a very limited time. Comatose head-injured patients must therefore be evaluated urgently to determine whether they can be helped by the surgical removal of a hematoma or by a decompressive hemicraniectomy.
PMID: 28587706 [PubMed - in process]
Source: Deutsches Arzteblatt International - June 9, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Urogenital Infection as a Risk Factor for Male Infertility.
CONCLUSION: Any suspicion of an infectious or inflammatory disease in the male genital tract should prompt a systematic diagnostic evaluation and appropriate treatment. For patients with obstructive azoospermia, the etiology and site of the obstruction determine the surgical approach to be taken. In the near future, the elucidation of underlying pathophysiological mechanisms and the identification of suitable biomarkers may enable new strategies for conservative treatment.
PMID: 28597829 [PubMed - in process]
Source: Deutsches Arzteblatt International - June 10, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Inflammatory Bowel Disease in Childhood and Adolescence.
CONCLUSION: Children and adolescents with IBD or suspected IBD should be cared for by pediatric gastroenterologists in a center where such care is provided. Individualized treatment with multidisciplinary, family-oriented longterm care is particularly important. Drug trials in children and adolescents are needed so that the off-label use of drugs to patients in this age group can be reduced.
PMID: 28597827 [PubMed - in process]
Source: Deutsches Arzteblatt International - June 10, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
The Diagnosis and Treatment of Sj ögren's Syndrome.
CONCLUSION: The main considerations in the interdisciplinary care of patients with Sjögren's disease are measures to improve quality of life, pharmacological and non-pharmacological treatments to keep disease activity in check, and management of the risk of lymphoma. Future therapeutic approaches must take the heterogeneity of the disease into account.
PMID: 28610655 [PubMed - in process]
Source: Deutsches Arzteblatt International - June 16, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Periprosthetic Infection in Joint Replacement.
CONCLUSION: The risk of infection of an artificial joint is low, but the overall prevalence of such infections is significant, as the number of implanted joints is steadily rising. Artificial joint infections should be treated by a standardized algorithm oriented toward the recommendations of current guidelines. Many of these recommendations, however, are based only on expert opinion, as informative studies providing high-grade evidence are lacking. Thus, for any particular clinical situation, there may now be multiple therapeutic approaches with apparently comparable efficacy. Randomized trials are urgently needed.
PM...
Source: Deutsches Arzteblatt International - June 16, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
The Diagnosis and Treatment of Hemoptysis.
CONCLUSION: The successful treatment of hemoptysis requires thorough diagnostic evaluation and close interdisciplinary collaboration among pulmonologists, radiologists, and thoracic surgeons.
PMID: 28625277 [PubMed - in process]
Source: Deutsches Arzteblatt International - June 20, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Latent Hypothyroidism in Adults.
CONCLUSION: Limited data are available on the relevant clinical endpoints and undesired side effects of supplementation therapy. Physicians should advise patients about the indications for such treatment on an individual basis after due consideration of the risks and benefits.
PMID: 28683860 [PubMed - in process]
Source: Deutsches Arzteblatt International - July 9, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Methamphetamine-Related Disorders.
CONCLUSION: Many of the recommendations in the guideline are made with a weak grade of recommendation because of the poor evidence base and the modest size of the reported therapeutic effects. In acute situations, symptomoriented treatment is recommended. Psychotherapy and exercise should be offered as well.
PMID: 28705298 [PubMed - in process]
Source: Deutsches Arzteblatt International - July 16, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Multiple Trauma and Emergency Room Management.
CONCLUSION: The care of the severely injured patient should be performed in structured fashion according to the A-B-C-D-E scheme, which involves the securing of the airway, breathing, and circulation, the recognition of neurologic deficits, and whole-body examination by the interdisciplinary team.
PMID: 28818179 [PubMed - in process]
Source: Deutsches Arzteblatt International - August 19, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Angioedema.
CONCLUSION: Angioedema of the upper airways requires a well-coordinated diagnostic and therapeutic approach. Steroids and antihistamines are very effective against mast-cell-mediated angioedema, but nearly useless against bradykinin-mediated angioedema. For angioedema induced by ACE inhibitors, no causally directed treatment has yet been approved.
PMID: 28818177 [PubMed - in process]
Source: Deutsches Arzteblatt International - August 19, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
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
