Wiener medizinische Wochenschrift
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In Physical Medicine and Rehabilitation structural and functional disorders in the genesis of back pain are of great importance. From an epidemiological point of view this has great consequences. Active and passive forms of physical therapy are available. ⋯ Sometimes a combination of active and passive forms are of benefit. Every treatment concept has to pay regard to the actuality of pain, the load of every day life and the physical and social situation of the patient. Last but not least one has to learn to cope with the pain.
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Wien Med Wochenschr · Jan 1992
Review[Placebo forte: contribution to the demystification of a therapy principle].
Placebo effects are an important component in the success of any therapy. Several forms of placebos exist. ⋯ Thus they exceed the frequently cited "suggestion". The discriminative use of placebos in therapy can be helpful.
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Wien Med Wochenschr · Apr 1990
Review[Performance modification in sports by beta receptor blockers].
Beta-adrenoceptor-blockers modify the physical performance due to their haemodynamic and metabolic effects. Additionally, these substances influence the concentration of serum-potassium and the thermoregulation. The reduction in heart rate yields to a diminished cardiac output resulting in a restricted muscular blood flow at submaximal and maximal exercise. ⋯ Arterial peak lactate concentration usually is diminished. After beta-adrenoceptor-blockade, the concentration of serum-potassium increases slightly, and sweat production is enhanced. Beta-adrenoceptor-blockers influence the performance in different sports to a various extent, due to the multitude of the different effects they take.
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Wien Med Wochenschr · Apr 1990
Review[How do beta receptor blockers modify physical performance and metabolism?].
Beta-blockers reduce physical capacity and lead to an increased sensation of muscular fatigue. The limits of endurance capacity, which is important for both leisure-sports and fitness, are set primarily by metabolic factors, because the energy liberation via the metabolism of lipids and carbohydrates is reduced as a result of the inhibition of lipolysis and glycogenolysis. ⋯ Beta-blockers with intrinsic sympathicomimetic activity (ISA) are not superior to others. Physically active patients should be treated with beta 1-selective blockers.
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Severely burned patients should be admitted to a burn center within 24 hours following the thermal trauma. Fluid therapy and emergency treatment of accompanying injuries has to start at the scene of the accident and must be continued at the primary hospital. During primary and secondary transport of the burn victim 3 key problems have to be considered: 1. adequate fluid resuscitation, 2. maintenance of oxygenation and ventilation, 3. prevention of burn wound contamination and iatrogenic hypothermia. Self limitation on therapeutic essentials and refraining from a polyphragmatic approach are the basis for a rational concept for the initial therapy of burn casualties.