Dtsch Arztebl Int
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Comparative Study Observational Study
Conservative Versus Operative Treatment of Proximal Humerus Fractures in Older Individuals—an Analysis of Insurance Data.
Little is known about the frequency and results of conservative treatment of proximal humerus fractures (PHF) in older individuals. ⋯ The conservative treatment of PHF is associated with a lower overall rate of complications due to surgery or trauma, but also with more MAE, more TE, and higher mortality. These findings underline the need for individualized and risk-adjusted treatment recommendations.
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Practice Guideline
Clinical Practice Guideline: Microhematuria in Children and Young Adults—Evaluation for the Early Detection of Kidney Disease.
Occult blood in the urine, or microhematuria, is a common finding (about 10%) in children and young adults. It is often of brief duration and therefore harmless. In persistent microhematuria, acanthocytes in the urine are a frequently unrecognized early marker of glomerular kidney disease. The purpose of this guideline is to promote the early detection of kidney disease in children and young adults with practical, evidence-based recommendations. ⋯ In the absence of a guideline until now, findings have often been incorrectly assessed, leading either to an inadequate work-up or to excessive diagnostics. As a result, in approximately 30% of young patients, valuable opportunities for early treatment to protect the kidneys have been missed.
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Observational Study
Regional Deprivation and Suicide—an Ecological Study.
Regional deprivation due to regional economic and social differences can increase the risk of suicide. This study investigated whether regional structural deprivation in Germany is associated with a higher rate of suicide. ⋯ These findings document an association between regional deprivation and suicide. They highlight the need for a more targeted approach to suicide prevention in deprived regions. At the same time, more research is needed into the mechanisms and effects of regional deprivation on mortality due to suicide.
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Letter Case Reports
Morphine Infusion Pump at the End of Life-Evaluation With a Surprising Result.