This content is machine translated Spondylodesis, disc prosthesis and co. - Part 1 Spine surgery for low back pain: what is possible? Chronic low back pain may have a defined pathomorphologic correlate; the main difficulty remains the detection of this correlate. The gold standard of evaluation for back pain is history, clinic,…
View Post 7 min This content is machine translated General allergic reactions Emergency management – anaphylaxis is too rarely recognized The most common triggers of anaphylaxis in adults are drugs and insect bites, and food in children. The development and dynamics of anaphylaxis are unpredictable. According to the WAO recommendation…
View Post 10 min This content is machine translated From high-dose chemotherapy to gene expression. Developments in adjuvant chemotherapy of breast carcinoma. The use of multigene testing is currently limited to the adjuvant setting in HER2-negative luminal breast carcinoma and allows reproducible predictions of recurrence risk. The tests will lead to fewer…
View Post 7 min This content is machine translated Tablets instead of infusions Oral chemotherapy in metastatic breast carcinoma. Oral chemotherapy is an evidence-based option in drug therapy for metastatic breast cancer. Both the favorable side effect profile and the patient autonomy ensured by the oral form of administration…
View Post 4 min This content is machine translated Gain time without delaying therapy Neoadjuvant chemotherapy for breast carcinoma Neoadjuvant chemotherapy is always possible when adjuvant chemotherapy is also indicated. During neoadjuvant chemotherapy, treatment response should be documented so that treatment can be modified if necessary. Neoadjuvant chemotherapy allows…
View Post 8 min This content is machine translated Acute pulmonary embolism The role of surgery Pulmonary embolectomy has become an important therapeutic option in patients with acute massive pulmonary embolism with present signs of right ventricular strain when the indication is carefully and interdisciplinary (cardiac…
View Post 13 min This content is machine translated Mostly harmless, but burdensome Gastrointestinal complaints during pregnancy Nausea, reflux and other functional gastrointestinal symptoms are common in pregnancy and can often be managed with dietary or lifestyle modification. Drug interventions, although safe for mother and child, are…
View Post 6 min This content is machine translated Nail fungus infection What should be considered for onychomycosis in practice? Onychomycosis diagnosis by histology and/or culture is mandatory before any systemic therapy. Topical therapy is sufficient if nail infestation is less than 50% without matrix infestation. Dermatophytes are among the…
View Post 6 min This content is machine translated Hot flashes during menopause The most effective is menopausal hormone therapy Vasomotor symptoms (VMS) such as hot flashes and sweats are among the most common menopausal symptoms. Menopausal hormone therapy (MHT) is the most effective therapy. The decision for or against…
View Post 4 min This content is machine translated Mechanical effects on the foot Crooked nails and calluses The feet and therefore their skin and toenails are stressed every day. There is an interaction between the foot and the shoe. Wearing closed-toe shoes alone can contribute to the…
View Post 7 min This content is machine translated The double taboo Urinary incontinence and sexuality Stress incontinence and overactive bladder affect the sexual experience of affected women. Depression and anxiety disorders are often associated with incontinence. Conservative and surgical incontinence therapies can improve patients’ sexual…
