Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Apr 2022
[The views of cancer out-patients on the impact of the COVID-19 pandemic].
This study investigates current needs and psychosocial burden of out-patients with cancer during the COVID-19-Pandemic. ⋯ Corona-specific distress of cancer patients relates in particular to the course of therapy, but also to a possible overload of the health care system. Oncology care teams should allow space for questions from their patients, acknowledge possible uncertainties, provide emotional support, and draw attention to reliable sources of information.
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Dtsch. Med. Wochenschr. · Apr 2022
Case Reports[First clinical manifestation of chronic hepatitis C in painless progressive atrophic monoparesis of the right leg].
A 60-year-old male patient was admitted with a painless reduction in the circumference of the right calf with mild gait disturbance that had been increasing for 6 months. Neurological findings included atrophic monoparesis of the right lower leg with preserved muscle reflexes without sensory disturbances. ⋯ Chronic hepatitis C may be rarely associated with painless progressive monoparesis. With regard to pathogenesis, the significance of CSF requires further studies.
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Dtsch. Med. Wochenschr. · Apr 2022
Case Reports[Neutralizing monoclonal antibodies in COVID-19: a case series in general practice].
Neutralizing monoclonal antibodies (mAB) against SARS-CoV-2 reduce the severity of COVID-19 in patients with risk factors. Early administration at the onset of infection is critical for their efficacy. At this early stage of the disease, family physicians are often the first help for patients and thus central to the further course of the disease. To date, however, mAB have only rarely been used in general practice. The purpose of this case series is to demonstrate that the administration of mAB is safely feasible in the primary care setting. ⋯ Neutralizing mAB can be administered safely and with manageable effort in primary care setting and can help prevent a severe course and hospitalization in patients with COVID-19 and risk factors.
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Dtsch. Med. Wochenschr. · Apr 2022
[Low back pain from an orthopedic and pain medical point of view].
Low back pain is not a diagnosis but a symptom of various causes. The differentiation between specific and non-specific low back pain is diagnostically difficult and only of limited help with regard to the further therapeutic procedure. ⋯ Early recognition and timely adequate therapy are crucial for the prognosis of chronic low back pain. Low back pain at risk of chronicity or chronic low back pain requires early assessment and the initiation of an interdisciplinary multimodal pain therapy program (IMPT).
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Dtsch. Med. Wochenschr. · Apr 2022
[White Paper - Improving the care of patients with impairments following sepsis and infections].
Hundreds of thousands of individuals who experience lasting sequelae after sepsis and infections in Germany do not receive optimal care. In this White Paper we present measures for improvement, which were developed by a multidisciplinary expect panel as part of the SEPFROK project. Improved care rests on four pillars: 1. cross-sectoral assessment of sequelae and a structured discharge and transition management, 2. interdisciplinary rehabilitation and aftercare with structural support, 3. strengthening the specific health literacy of patients and families, and 4. increased research into causes, prevention and treatment of sequelae. To achieve this, appropriate cross-sectoral care structures and legal frameworks must be created.