Wiener medizinische Wochenschrift
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Wien Med Wochenschr · Jan 1999
[Current status of therapy of lymphedema in Austrian hospitals--a comprehensive Austrian survey].
The overall Austrian survey of the Austrian Lymph-Liga on the acutal state of the diagnosis and therapy of the hospitals of Austria is represented by making enquiries in 178 hospitals. The response was moderate at 34%, with only 46 hospitals offering a therapy of lymphedemas (approximately 26%). The type of therapy does not seem standardized at the Austrian hospitals. ⋯ Supplementary data of a "Quality of life" survey among lymphedema patients underline the necessity of a concept for standards, diagnosis and therapy. More than half of the patients asked (65%) complained about a time period of 5 to 10 years from the beginning of the illness till the beginning of a definitive therapy. Every other patient does not feel optimally treated and is under an increased pressure of suffering.
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Wien Med Wochenschr · Jan 1998
Multicenter Study Clinical Trial Controlled Clinical Trial[Therapy of febrile neutropenia episodes in systemic hematologic illnesses with new once daily ceftriaxone administration].
In this open label prospective multicenter trial, 420 patients with neutropenia < 1000/microliter, fever > 38.5 degrees C and hematological malignancies were treated with ceftriaxone. Acute leukemia (n = 238) and high-grade lymphoma patients (n = 182) from 35 centers were enrolled. Between February 1992 and January 1996, patients were treated with 2 g ceftriaxone i.v. per day either as monotherapy (n = 135), or in combination with aminoglycosides (n = 235), glycopeptides (n = 37), or other antimicrobial agents (n = 13). ⋯ At the end of the observation, an overall response was obtained in 88.3% of the patients (n = 371) without statistical difference between patients treated with ceftriaxone alone or in combination. Once daily ceftriaxone either alone or in combination was effective in patients with hematological malignancies. Monotherapy was effective in a low risk group characterized by neutrophil counts (> or = 500/microliter), a Karnofsky-performance-score (> or = 7) and a duration of neutropenia (< or = 5 days) at the commencement of treatment.
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Wien Med Wochenschr · Jan 1998
Review[Prolonged video EEG monitoring in differential diagnosis of seizures and in presurgical epilepsy diagnosis].
Prolonged video-EEG-monitoring facilitates a correlation of clinical seizure semiology and corresponding EEG changes. Indications for prolonged video-EEG-monitoring comprise differential diagnosis of epileptic and psychogenic seizures, correct classification of epileptic syndromes and presurgical evaluation of patients with medically refractory focal epilepsies. 6000 patients in Austria would benefit from epilepsy surgery with an additional 150 bis 200 new patients appearing each year. ⋯ If the epileptogenic zone cannot be localized adequately with these methods, invasive electrophysiological techniques with intracranial (epidural peg-electrodes, foramen-ovale electrodes, subdural strip or grid electrodes) or intracerebral electrodes (stereotaxically implanted depth electrodes) have to be applied. Epilepsy surgery renders 70 to 80% of patients seizure free and thus can regarded an effective and safe treatment option for patients with medically refractory focal epilepsies.
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Wien Med Wochenschr · Jan 1998
Review[Acupuncture in prevention of postoperative nausea and vomiting].
In this review the effectiveness of the acupuncture point Pericard 6 (P 6) on postoperative nausea and vomiting (PONV) is described. Use of the acupuncture, acupressure as well as the laser stimulation of P 6 proved as efficient prophylaxis of PONV in numerous studies. These methods are free of side effects and represent therefore a good alternative to the pharmacological prophylaxis and treatment of PONV.