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
[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
[Lung Cancer screening? Who should get it and how it should be done].
In large clinical studies, lung cancer screening has been demonstrated to be effective in reducing lung cancer mortality in defined high risk populations using low-dose CT techniques. However, in different studies, results and definitions of persons of high risk have varied which needs to be taken into account when screening programmes should be implemented in clinical routine. In order those programmes to be as effective as possible, the careful definition of a risk population is crucial as much as the careful use of radiant exposure. Ideally, the number of false positive findings should be as low as possible with the best reduction in lung cancer mortality and limited financial burden.
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Dtsch. Med. Wochenschr. · Dec 2019
Historical Article[Allowing, accepting, releasing: A philosophical-psychological approach to an active concept of suffering].
Pain or misery strike us - but it is up to us how to deal with them. Suffering is a verb; this underlines the active nature of suffering. ⋯ It suggests that suffering, if allowed and accepted, has the potential to facilitate transformation and, subsequently, to release from pain. The text ends with reflections on how a transformative understanding of suffering can be opened up in the accompaniment of suffering or dying.