This content is machine translated Role of incretin-based therapy GLP-1-RA and DPP-4 inhibitors in the management of type 2 diabetes. Insulin secretion by pancreatic beta cells is primarily influenced by glucose levels in the portal vein. In addition, secretion is also modulated by the so-called incretins. After food intake, they…
View Post 7 min This content is machine translated Palliative care When the end is near: support for patients in terminal situations A life-affirming attitude without excluding dying is one of the principles of palliative care. It focuses on improving the quality of life of people who are taking their last steps…
View Post 9 min This content is machine translated Psychiatric diseases Update Psychiatry 2020 Interventions such as Attempted Suicide Brief Intervention (ASSIP) can significantly reduce suicide risk. Outpatient treatment can avoid the environment of an acute psychiatric ward, which is often perceived as stressful,…
View Post 17 min This content is machine translated Systemic vasculitides Therapy in the adult patient Systemic vasculitides are inflammatory syndromes of the blood vessels, which can cause a very broad spectrum of symptoms depending on the affected vessel caliber and localization. The most common primary…
View Post 6 min This content is machine translated Vocal Cord Dysfunction “Fear you have to understand as a doctor”. A patient suffers from spontaneous, intense to life-threatening shortness of breath, triggered by stress or physical exertion and accompanied by coughing – in everyday life, the diagnosis of bronchial asthma…
View Post 14 min This content is machine translated Sleep disorders in old age Recognize insomnia, treat it and avoid cognition disorders Many patients suffer from sleep disorders in old age. With increasing age, less sleep and a changed sleep architecture are natural and healthy, but sleep disorders still occur. What should…
View Post 4 min This content is machine translated Cold and flu Seasonality of respiratory viral infections. The changes in temperature and humidity typical of the cold season are associated with an increase in respiratory viral infections. For respiratory infection control, consistent hygiene and a healthy lifestyle…
View Post 3 min This content is machine translated Heart failure Natural active ingredients such as hawthorn in (preventive) therapy Heart failure is a complex clinical syndrome that is a leading cause of morbidity and mortality annually in Western industrialized countries. Nutraceuticals have already achieved good clinical results, especially in…
View Post 3 min This content is machine translated GLP-1 receptor agonists in type 2 diabetes Nephroprotection with semaglutide and liraglutide – direct or indirect effects? In a post-hoc analysis of large randomized placebo-controlled trials, HbA1c and body weight and blood pressure were examined as mediator variables regarding the renal protective effects of the GLP-1 receptor…
View Post 4 min This content is machine translated Functional gastrointestinal complaints Visceral hyperalgesia as an important pathomechanism. Visceral hypersensitivity and motility disorders are thought to be central factors in recurrent gastrointestinal symptoms without evidence of an organ pathologic cause. The gastrointestinal tract is highly innervated and has…
View Post 3 min This content is machine translated From symptom to diagnosis Lumbar lumbalgia: pseudospondylolisthesis – clinical features of segmental instability. Pseudospondylolisthesis is a form of spondylolisthesis (slipped vertebra). In most cases, a complex degenerative picture of the segmental structures is seen. Foraminal and spinal stenoses are possible consequences of vertebral…
