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Praxis (Bern 1994). 2009 Nov 18;98(23):1333 Authors: Brunckhorst CB PMID: 19918724 [PubMed - as supplied by publisher] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Brunckhorst CB Tags: Praxis (Bern 1994) Source Type: journals

[-data on asthma control using budesonide/formoterol for both maintenance and relief: the swiss experience.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Budesonide/formoterol maintenance and reliever therapy improves asthma control in a non randomised real-life setting. PMID: 19918725 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Steurer-Stey C, Courteheuse C, Taegtmeyer AB, Leuppi JD Tags: Praxis (Bern 1994) Source Type: journals

[COPD - Update 2009.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the last years understanding of mechanisms in COPD has grown. At the same time therapeutic options have increased. Therapeutic nihilism is not anymore indicated when facing a patient with newly diagnosed COPD. Different strategies are important: Nicotine cessation, long-acting bronchodilators acting against bronchial obstruction and exertional dynamic hyperinflation, and an intensive physical training in the setting of a pulmonary rehabilitation program. They allow altogether a significant improvement of life quality and daily life activities. PMID: 19918726 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Rothe T Tags: Praxis (Bern 1994) Source Type: journals

[Specific immunotherapy in hay Fever: a practical overview.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pollinosis affects up to 20% of the Swiss population and increased substantially during the last century. Diagnosis of pollinosis is based on anamnesis, skin tests and determination of specific IgE in the serum. Treatment includes allergen avoidance, pharmacotherapy and allergen-specific immunotherapy (SIT). A proper patient and allergen extract selection, an ideally adapted application regimen and good patient-guidance are decisive for the success of the SIT. Under such conditions immunotherapy leads to a benefit in more than 80% of pollinosis-patients. Component-resolved diagnosis is an important step in more specifi...
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Harder D, Schmid-Grendelmeier P Tags: Praxis (Bern 1994) Source Type: journals

[Chronic rhinosinusitis in morbus widal: clinical aspects and therapeutic options.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents the clinical aspects with a special focus on the therapy with acetylsalicylacid (ASA). The substance is used to induce a tolerance against ASA or other NSAID (desensitation or <<adaptive desactivation>>) with the purpose to improve the symptoms in the upper airways sustainable. As addition we present a retrospective study generated out of data of our own patients. PMID: 19918728 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Jung H Tags: Praxis (Bern 1994) Source Type: journals

[Chronic Cough in Children - What to Consider and how to Evaluate?]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is a long list of differential diagnoses for chronic cough lasting longer than 4 weeks in children. Diagnostic work up starts with a detailed history taking and a clinical investigation followed by a chest X-ray (in one plane) and a spirometry. For the latter reliable results can be achieved by children older then 5 years. If the diagnostic work up is still inconclusive and if the child is in good clinical condition, a 4 weeks' course of inhalation therapy with steroids and betamimetics together with a 2 weeks' course of antibiotics with a macrolide is warranted. In case coughing persists a thorough diagnostic wo...
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Iseli P Tags: Praxis (Bern 1994) Source Type: journals

[Atopic Dermatitis and Psoriasis: What is the Benefit of In-Patient High Altitude Climate Therapy?]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Atopic dermatitis as well as psoriasis are characterized as common, chronic, often long lasting disorders of the cutis. In case of (a) a refractory out-patient therapy, (b) an acute severe exacerbation of skin lesions, (c) functional impairment of hands and feet, (d) suberythroderma or erythroderma, (e) complex topical as well as systemic treatment modalities, (f) complicating somatic or psychological co-morbidity, a referral to in-patient treatment at high altitude must be considered. The therapy at the Hochgebirgsklinik Davos (1'560 m above see level) is characterized by application of natural-borne UV radiation all ...
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Steiner C Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19918731 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Doherty S Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19918732 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Steurer J Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19918733 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Steurer J Tags: Praxis (Bern 1994) Source Type: journals

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Authors: PMID: 19918734 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19918735 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Tuma J Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19918736 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Dennler S Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19918737 [PubMed - in process] (Source: Praxis)
Source: Praxis - November 18, 2009 Category: Journals (General) Authors: Ziegler Y Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19916259 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 21, 2009 Category: Journals (General) Authors: Wettstein A Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19844875 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Wagner CC, Locher P, Elke B, Corti N Tags: Praxis (Bern 1994) Source Type: journals

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Praxis (Bern 1994). 2009 Oct 21;98(21):1193-1194 Authors: Vergopoulos A PMID: 19844876 [PubMed - as supplied by publisher] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Vergopoulos A Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19844877 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Sieber U, Escher R, Wallmann D Tags: Praxis (Bern 1994) Source Type: journals

[Perioperative antiplatelet therapy of patients with coronary stents.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the current data of perioperative problems in patients after percutaneous coronary intervention. PMID: 19844878 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Chatterjee T, Akin I, Rehders TC, Chatterjee A, Schüpfer C, Nienaber CA, Ince H Tags: Praxis (Bern 1994) Source Type: journals

[Basics of Gerontopharmaceutic Therapy and the Therapy of Agitation in old age.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The biggest problem of gerontopharmaceutic therapy is polypharmacy, because it potentiates side effects and malcompliance. Best practice today includes instruction of long time patients in medication self management, which includes regular use of detailed taken medication lists. In gerontopharmaceutic therapy the following substances should be avoided: anticholinergics, dopaminreceptor stimulants, long acting oral antidiabetics, benzodiazepine (other then for substitution in low dose dependency, in anaesthesia or in palliative situations) and neuroleptics (other then for psychotic symptoms). In unspecific agitation wit...
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Wettstein A Tags: Praxis (Bern 1994) Source Type: journals

[News in emergency medicine 2009.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is my personal selection of recently published scientific work on pulmonary embolism, classification of circulatory shock, betablockers in acute decompensated heartfailure, advanced cardiac life support, subarachnoid hemorrhage, inhalation therapy with ipratropiumbromide, community acquired pneumonia, diverticulosis, gout and pancreatitis. Last but not least there is a choice of prophylactic interventions, you might not yet be aware of. Some of the discussed publications may help you manage the next patient you'll encounter, when you're on call next time. PMID: 19844880 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Heer K Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19844881 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Stoppe G Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19844882 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Schönenberger PM Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19844883 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Richey R, Howdle P, Shaw E, Stokes T Tags: Praxis (Bern 1994) Source Type: journals

[Cognitive Impairment not due to Dementia.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 55 years old woman lived with the parents until they died. Recently, she refused to open her apartment for necessary repairs. An examination was possible only after police opened the apartment. She is in excellent physical health, has intact memory functions but reduced executive abilities. She has no delusion, but excessive fear from strangers as taught by her parents. The clinical impression of a debility is confirmed by enquiry at her relatives. The installation of a guardianship can give the necessary support for daily life. PMID: 19844884 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Wettstein A Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19844885 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Steurer J Tags: Praxis (Bern 1994) Source Type: journals

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Authors: PMID: 19844886 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19844887 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Dennler S Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19844888 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 20, 2009 Category: Journals (General) Authors: Ziegler Y Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19809974 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Georgi AK, Ruef C, Rampini SK Tags: Praxis (Bern 1994) Source Type: journals

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Praxis (Bern 1994). 2009 Oct 7;98(20):1131-1133 Authors: Linthoudt D, Pena J PMID: 19809975 [PubMed - as supplied by publisher] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Linthoudt D, Pena J Tags: Praxis (Bern 1994) Source Type: journals

[Secondary forms of diabetes mellitus.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Diagnosis and treatment of secondary forms of diabetes are different from the common management of type 1 or 2 diabetes. Furthermore, they are often associated with concomitant disease that are important for prognosis. Case reports are presented in order to describe secondary diabetes associated with hemochromatosis, cystic fibrosis, pregnancy, lipodystrophy, endocrinopthies, MODY and mitochondrial diabetes. PMID: 19809976 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Henzen C Tags: Praxis (Bern 1994) Source Type: journals

[Osteoporosis: diagnostic assessment.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Osteoporosis is a generalized disease of bone that increases the fracture risk. Among the multiple factors involved in osteoporosis, some, but not all, are related to bone mass. Although bone mineral density (BMD) measurement is specific for detecting high-risk individuals, it misses a notable proportion of individuals who have clinical or epidemiological risk factors for osteoporotic fractures. Therefore, composite scores that rely both on BMD and on validated clinical risk factors have been developed. The Fracture Risk Assessment Tool (FRAX) was designed to predict the 10-year probabilities of sustaining a major oste...
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Meier C Tags: Praxis (Bern 1994) Source Type: journals

[Prostate cancer: a review of therapeutic strategies.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Every third new cancer in men is a prostate cancer and we expect a steadily increase of the incidence in the next years. The median age at diagnosis is 68 years and we see about 4000 new prostate cancer patients every year. Approximately 1 in 7 men will eventually be diagnosed with PC. Stage dependent treatment strategies may include surgery, radiotherapy and systemic treatments like hormonal ablation and chemotherapy. The aim of this article is to give an overview of modern treatment strategies. PMID: 19809978 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Winterhalder RC Tags: Praxis (Bern 1994) Source Type: journals

[Obesity Surgery - Useful Knowledge in Indication and Follow up.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the last years, obesity has become one of the main problems of health care systems in Western countries. Among morbid obese patients, four out of five will develop comorbidities doubling the mortality risk in women and increase the numbers in men at a threefold risk. According to evidence based guidelines, nowadays surgery is the best and most effective treatment resulting in excellent long-term weight loss, reduction of comorbidities while extending expectation of life. A sound indication is the most important step for successful surgery. In this paper we focus on Swiss regulations and some special indications whic...
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Scheiwiller A, Sykora M Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19809980 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Adler AI, Shaw EJ, Stokes T, Ruiz F Tags: Praxis (Bern 1994) Source Type: journals

[Abdominal Mass and Colicky Pain in a 16-years-old Patient.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report about a 16-years-old patient with a newly developed palpable mass and pain in the epigastrium. On computed tomography, a trichobezoar was diagnosed. Complementary history, gathered retrospectively, revealed trichophagia and swallowing of chewing gum. Gastroscopic disintegration of the trichobezoar was unsuccesfull and it therefore had to be removed by open surgery. PMID: 19809981 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Michel SC, Keerl A, Kubik-Huch RA, Geyer M Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19809982 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Steurer J Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19809983 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Steurer J Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19809984 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Steurer J Tags: Praxis (Bern 1994) Source Type: journals

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Authors: PMID: 19809985 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19809986 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Schürch F Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19809987 [PubMed - in process] (Source: Praxis)
Source: Praxis - October 6, 2009 Category: Journals (General) Authors: Danieli E Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19774511 [PubMed - in process] (Source: Praxis)
Source: Praxis - September 22, 2009 Category: Journals (General) Authors: Hess-Sigrist F Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19774512 [PubMed - in process] (Source: Praxis)
Source: Praxis - September 22, 2009 Category: Journals (General) Authors: Wanner GA Tags: Praxis (Bern 1994) Source Type: journals

[Diagnosis of coronary artery disease - part 1: general approach.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tests for the diagnosis of coronary artery disease (CAD) rely on two main diagnostic principles, that is direct visualisation of coronary anatomy or detection of stress-induced myocardial ischaemia. Whether a given test is useful for the patient's management critically depends on the clinical context, that is pre-test probability for significant CAD. Not every test is suitable for every patient. Non-invasive tests have the highest diagnostic yield in patients with chest pain and intermediate pre-test probability. In these patients, tests typically confirm the presence of CAD or make it highly unlikely. In patients with...
Source: Praxis - September 22, 2009 Category: Journals (General) Authors: Maeder MT, Zellweger MJ Tags: Praxis (Bern 1994) Source Type: journals

[Diagnosis of coronary artery disease - part 2: exercise electrocardiogram and myocardial perfusion scintigraphy.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The principle of exercise stress test and myocardial perfusions scintigraphy (MPS) is based on the detection of exercise-induced myocardial ischaemia by ECG and non-invasive assessment of myocardial perfusion respectively, MPS being the more sensitive method. The exercise stress test is the method of choice in patients with a normal resting ECG and good exercise tolerance, whereas MPS is a suitable test for patients with abnormal resting ECG and/or exercise intolerance. Stressors for MPS included exercise, pharmacological stress, or a combination. Both exercise stress test and MPS are suitable for the evaluation of pat...
Source: Praxis - September 22, 2009 Category: Journals (General) Authors: Maeder MT, Zellweger MJ Tags: Praxis (Bern 1994) Source Type: journals

[Diagnosis of coronary artery disease - part 3: stress echocardiography and cardiac magnetic resonance imaging.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The diagnostic principle of stress echocardiography and cardiac magnetic resonance imaging (CMR) for the diagnosis of coronary artery disease is based on the visualisation of ischaemia-induced wall motion abnormalities. From a logistic point of view, stress echocardiography is the easiest test given that it can be performed at bedside. Both stress echocardiography and stress CMR also permit direct visualisation of myocardial perfusion at rest and during pharmacological stress (typically adenosine) using contrast administration (microbubbles for stress echocardiography, gadolinium for stress CMR). These novel methods fo...
Source: Praxis - September 22, 2009 Category: Journals (General) Authors: Maeder MT, Zellweger MJ Tags: Praxis (Bern 1994) Source Type: journals

[Diagnosis of coronary artery disease - part 4: computed tomography and coronary angiography.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Invasive coronary angiography and computed tomography (CT) coronary angiography directly visualise coronary anatomy but do not provide information about the presence of inducible myocardial ischaemia. Due to its excellent negative predictive value CT coronary angiography is a suitable test to exclude significant coronary artery disease. However, given its high rate of false positive results particularly in the presence of significant coronary calcification CT coronary angiography only rarely is a real alternative to invasive coronary angiography in clinical practice. The coronary artery calcium score (CACS) is a surrog...
Source: Praxis - September 22, 2009 Category: Journals (General) Authors: Maeder MT, Zellweger MJ Tags: Praxis (Bern 1994) Source Type: journals

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PMID: 19774517 [PubMed - in process] (Source: Praxis)
Source: Praxis - September 22, 2009 Category: Journals (General) Authors: Adhiyaman V, Adhiyaman S Tags: Praxis (Bern 1994) Source Type: journals