MMW Fortschritte der Medizin
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Regular exercise as a measure aimed at preventing renal failure results in a positive influence on blood pressure, a reduction in weight, reduction in peripheral insulin resistance, and a reduction in vessel rigidity. The same applies to patients who already have renal failure. With regard to weight reduction, however, it must be remembered that in the terminal stage of the disease, an elevated BMI is associated with a higher life expectancy, since with the need for dialysis a catabolic process with muscular atrophy and a loss of stored fat begins. In this situation, the aim of physical activity is to help reduce mortality in dialysis patients by improving cardiorespiratory function and muscular strength, as well as their quality of life.
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Headache associated with the chronic use of medications has become a significant problem in the management of headache. Typically, patients overusing analgesics suffer from tension headache, whereas those over-using triptans may experience daily migraine-type headaches or an increase in the frequency of migraine attacks. The treatment of choice in such cases is withdrawal of the medication followed as early as possible by medicinal prophylaxis of the primary headache.
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Comparative Study
[Rating of opioids. With rational use for individual treatment goal].