Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Dec 2019
Historical Article["Medicine is a social science" - the 200th birthday of Salomon Neumann].
Salomon Neumann (1819-1908) is one of the outstanding representatives of 19th century social medicine. As a medical reformer, statistician and city councilor, he made a significant contribution to improving social and hygienic conditions in Berlin. His most famous work was published in 1847 under the title "Die oeffentliche Gesundheitspflege und das Eigenthum" [Public Health and Property]. ⋯ Not only was Neumann exposed to anti-Semitic reprisals during his lifetime, a foundation he founded to promote the science of Judaism was dissolved by the National Socialists in 1940. On the occasion of his 200th birthday, this article commemorates the life and work of the democratically minded and socially committed doctor and health politician. Salomon Neumann has rendered great services to social medicine in Germany.
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Dtsch. Med. Wochenschr. · Dec 2019
Historical Article[Maurice Raynaud (1834-1881) and the Mystery of "Raynaud's Phanomenon"].
Maurice Raynaud first described color changes and symptoms of the fingers due to cold-induced vasospasm and restricted blood flow in his medical school thesis in 1862. Raynaud's phenomenon is common and exists as an uncomplicated primary Raynaud phenomenon and a Raynaud phenomenon secondary to underlying diseases and medication. Mechanisms contributing to altered vasoconstrictor activity are endothelial and not-endothelial. Cold-induced vasospasm is probably a thermoregulatory problem and effects are mediated by sympathetic activity and selective stimulation of alpha2c-adrenoreceptors.
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Dtsch. Med. Wochenschr. · Dec 2019
[Toxicity of quinolone antibiotics - new untoward effects and reevaluation of known side effects].
Quinolones have recently been reevaluated based on new possible side effects and new risk assessments of known side effects. Several of the recently reported untoward effects are not new to the class, and they are very rare compared with the relatively common neuropsychiatric adverse events. ⋯ Consequences were safety alerts in the USA and in European countries with recommendations that the use of the marketed fluoroquinolone antibiotics should be restricted and other antibacterial medicines be preferred if possible. The prophylactic use should be abandoned (travellers' diarrhea and prevention of relapsing cystitis) or critically reevaluated and individualized (prevention of neutropenic fever and of spontaneous bacterial peritonitis).
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Dtsch. Med. Wochenschr. · Dec 2019
[Update ESC-Guideline: Management of cardiovascular diseases during pregnancy - What is important?]
The treatment of pregnant patients with a cardiovascular disease is a special challenge to deal with. Before getting pregnant all cardiac patients should get medical advice accordingly to their risk profile in the modified World Health Organization classification of maternal cardiovascular risk. This article has the aim to give an overview of the new or changed recommendations of the new ESC-Guideline for the management of cardiovascular diseases during pregnancy.
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Dtsch. Med. Wochenschr. · Dec 2019
[Good Against Christmas Mood - Cultural Studies' Readings of a Festival].
Christmas is a celebration with a strong social radiance. It is a vehicle for political positions and debates and thus shows itself to be a controversial cosmos of significance. ⋯ But Christmas is not only unifying, it is also exclusive and creates cultural differences. The aim of the text is to look at the festival in its historical genesis and to critically illuminate Christmas as an ambivalent social phenomenon.