Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Feb 2022
Case Reports[Late neurological consequences of a SARS-CoV-2 infection].
Persistent neurological late symptoms of SARS-CoV-2 infection are common and require regular follow-up treatment. In order to establish uniform therapy concepts, it is necessary to evaluate individual therapeutic approaches for long COVID and post-COVID-19 syndrome. ⋯ Whole body and brain FDG PET can be helpful in long COVID and post-COVID-19 syndrome patients with neurological symptoms of unknown origin. These patients benefit from systematic rehabilitation. Glucocorticoids and colchicine appear to accelerate symptom reduction. The rehabilitative therapy should be continued on an outpatient basis.
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For initial cognitive diagnostics in the practice, various screening tools in the form of short paper-pencil-tests are available. Such initial screenings take between 5 and 15 minutes, but do not replace detailed neuropsychological diagnostics. Of the screening-tools reviewed, DemTect is suitable for suspected early onset dementia, while MMSE and MoCA cover other cognitive domains in greater detail. ⋯ A more comprehensive diagnosis of dementia is not possible with the screening tools reviewed. However, they can help to decide whether a detailed dementia analysis is necessary or whether one can wait with it. The screening methods reviewed are freely available on the internet.
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Dtsch. Med. Wochenschr. · Jan 2022
Review[Wind turbine and infrasound: No evidence for health-related impairment - a physical, medical and social report].
Based on the recent discussion about health impacts of wind turbine noise and infrasound emissions, we present the physical facts and summarize related studies in a narrative review. We are exposed to infrasound emissions from different sources, where wind turbine farms do not cause particularly high infrasound emissions. ⋯ Health complaints are more frequently proven, if anti-wind-turbine-groups were active, which is consistent with the psychogenic hypotheses with nocebo effects likely play an important role. Without evidence of health impacts from wind turbine farms, an ongoing slowdown in the urgently needed expansion of renewable energies is not justifiable.