Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Nov 2020
Review[The Gastrointestinal Tract in Intensive Care Medicine - Overview 2020].
Gastrointestinal dysfunctions and failure are common clinical incidents in critically ill patients, which are recognized as both, primary and even more often as secondary diagnoses as consequence of an already existing disease or as a corollary of intensive care treatment. These functional complications may aggravate into life-threatening emergencies and are highly associated with prognosis and increased mortality. This article gives an overview about the pathophysiology, diagnostics and therapy of three very relevant current topics in intensive care medicine: prophylaxis and management of gastrointestinal bleeding, gastrointestinal motility and absorption disorders as well as different forms of liver dysfunctions.
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Dtsch. Med. Wochenschr. · Nov 2020
Case Reports[Polycythemia vera as a cause for progressive cognitive impairment].
A 82-years old woman was admitted with a progressive cognitive decline for further investigations and treatment. ⋯ In this case report we were able to relate the progressive cognitive impairment in the context of newly diagnosed Pv in conjunction with pre-existing SAE. After Pv-directed therapy cognition improved. This case report underlines the importance of a good diagnostic work-up of patients with cognitive impairment to rule out secondary and possible treatable causes.
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Dtsch. Med. Wochenschr. · Nov 2020
[Impact of environmental risk factors such as noise and air pollution on mental health: What do we know?]
An increasing number of studies underlines the role of noise and air pollution as important environmental risk factors. It is unclear, how noise and air pollution impact mental health. ⋯ Environmental risk factors such as noise and air pollution can have a significant impact on mental health. Due to the partly heterogeneous study results and the limited availability of methodically high-quality longitudinal studies, further studies are absolutely necessary, which allow deeper insights into these relationships.
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Dtsch. Med. Wochenschr. · Nov 2020
Review[Depressive disorders: An often underestimated comorbidity in diabetes].
People with diabetes often have a depressive disorder in addition to diabetes, which makes therapy more difficult and worsens the prognosis of the disease. Depression is an often underestimated risk factor in the context of diabetes. The aim of this article is to illustrate the significance of depression in diabetes for the course of the disease and to provide an overview of the most important diagnostic and therapeutic recommendations for practice.