Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis
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Schweiz. Rundsch. Med. Prax. · Mar 1994
Biography Historical Article[Physicians facing Paracelsus. Final thoughts at an art exhibit for physicians in honor of the 500th anniversary of Paracelsus in Old Bad Pfäfers on 18 September 1993].
The symposium for physicians in the Old Bad Pfäfers in honor of the 500th anniversary of Paracelsus' was framed by an art-exhibition with art-works from eleven amateur artists. Nine physicians, one psychologist/psychotherapist and one nurse met for the exhibition in order to get involved intensively with the personality of the medical colleague, natural scientist and philosopher Theophrast von Hohenheim. ⋯ The artists have briefly been introduced during the opening session. The importance of the 'imagination' and of the creative work of a physician are emphasized.
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Paracelsus stayed in Bad Pfäfers in 1535, but he was engaged with this thermal springs in a publication before that. One may assume August 31st 1535 as reliable date for his stay in Pfäfers. Only few details are known about this stay. ⋯ For abbot Johann Jakob Russinger of Pfäfers living at that time, Paracelsus wrote a report, a medical consilium, in which he particularly stressed the stomach problems of the abbot. This paper preserved in the archives of the abbey of Pfäfers (today in the archives of the abbey of St. Gallen) represents the last autographic writing of the famous physician.
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Transesophageal echocardiography (TEE) is a new semi-invasive diagnostic tool in cardiology. We studied tolerance of TEE. 95 out of 121 consecutive patients were interviewed using a detailed, structured questionnaire (42 questions). Most patients (97%) received midazolam prior to TEE. ⋯ Females were more often afraid of TEE (53%) and the endoscope (56%) than males (35% and 23%, p < 0.08 and p < 0.002) and also disliked the endoscope more often (42%) than men (19%, p < 0.03). Some women complained about headaches after TEE (10%), whereas men did not (p < 0.05). Thus, TEE, after premedication with midazolam, is subjectively well tolerated.(ABSTRACT TRUNCATED AT 250 WORDS)
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Schweiz. Rundsch. Med. Prax. · Jan 1994
[Strategies in insulin treatment in insulin-dependent diabetes mellitus].
Late diabetic sequelae can be largely prevented by striving for near normoglycemic blood glucose control. In type-1 diabetes this can in most of the cases only be achieved by some sort of intensified insulin regimen. In this article the principle, advantages and drawbacks as well as the consequences for the patients' education are reviewed with respect to conventional, intensified 'conventional' and functional insulin treatment.
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Hyperthyroidism may result from excessive synthesis for thyroid hormones, from leaking of stored hormones in inflammatory thyroid disease, or from the inappropriate ingestion of thyroid hormones or iodine containing drugs. An overview of the clinical picture and the different types of hyperthyroidism as well as the various approaches used in the diagnostic work-up and in the therapy of hyperthyroidism is presented.