Therapeutische Umschau. Revue thérapeutique
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Emergencies are frequent in the everyday ENT outpatient clinic. From a great variety of emergencies only the most frequent ones were outlined, such as epistaxis, acute unilateral deafness, injuries of the tympanic membrane, foreign bodies events and acute external otitis. The clinics, etiology and therapy are discussed in order to help the general practitioner to cope with emergencies in the ENT field.
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Reactions of 20 physicians to cardiopulmonary resuscitation were examined by describing their emotions and communication in over 260 situations of resuscitation. All actions of physicians being helpful for the relatives in their grief change physicians' emotions after resuscitation. Though denial helps the physicians in confrontation with the relatives, it also seems to impair their emotional coping. ⋯ Physicians with recent loss seem to cope very little emotionally. Active resuscitation behaviour results after resuscitation in being relieved for a short time, but coping is impaired because of the activity pattern. Speaking after resuscitation seems to improve coping.
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The extensor apparatus of the fingers is a complex structure. The diagram of the extensor apparatus as seen in figure 1 is in reality not so clearly structured. Closed lesions are the mallet finger, where either an avulsion of the bony insertion of the tendon occurs or where a fracture of the base of the distal phalanx with dislocation of a bone-fragment together with the tendon insertion has happened. ⋯ In early cases by stretching the finger passively the lateral band will be repositioned. In these cases, a conservative treatment with a splint holding the PIP-joint in extension may be successful. This can be combined with revision and suturing of the ruptured part.(ABSTRACT TRUNCATED AT 250 WORDS)
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Worldwide, acute infections of the respiratory tract are one of the main causes of disease, and the majority of these are due to viruses. As a consequence of the development of new methods, rapid laboratory diagnosis of virus-induced acute respiratory tract infections has greatly improved. An efficient immunoprophylaxis is still only available for influenza virus infections, and recent reports indicate that intravenous administration of immunoglobulins can protect against or reduce the severity of RS virus infections in children. At present, specific antiviral chemotherapy is only available for infections with influenza A virus and for RS-virus-infected children at high risk of a severe course of disease.
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The therapeutic objectives of conventional back schools are a) instruction of people with and without back pain to use their backs according to currently accepted ergonomic principles, b) improvement of the cardiovascular performance of back school participants and c) acquisition of knowledge of simple methods of pain and stress management. Due to the diversity of back pain causes and the biopsychosocial complexity of back pain as the therapeutic target, back schools can never be the sole solution of a multifaceted problem. The prime objectives of this review are to describe the recent back school curriculums and to define possible therapeutic components of future back schools.