Deutsche medizinische Wochenschrift
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Primordial prevention targets the healthy population. It aims at supporting people in developing and maintaining a healthy lifestyle to minimize the development of risk factors for noncommunicable diseases. Childhood offers special starting points and opportunities for this. ⋯ This requires the participation of medical and non-medical professionals. Community organizing can significantly foster this process of interdisciplinary and setting-related work. Primordial prevention in childhood cannot be achieved without the active participation of pediatricians.
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Dtsch. Med. Wochenschr. · Mar 2021
Review[Embolic stroke of undetermined source (ESUS) - Classification of a new stroke entity].
Embolic stroke of undetermined source (ESUS) represents a subpopulation of cryptogenic strokes defined by its embolic stroke pattern on imaging and if after a carefully performed diagnostic evaluation, a specific, well recognized cause of stroke has not been identified. This review article analyses the basics of the ESUS concept and provides an overview of the evidence from recent cohort studies. The definition, aetiology and diagnosis of ESUS are reassessed. Targeted diagnostics in ESUS patients can reduce the number of cryptogenic strokes by making a specific diagnosis.
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The heart is closely connected with the endocrine system. On the one hand, the heart is an endocrine organ itself and produces several hormones like atrial and brain natriuretic peptides. On the other hand, cardiac structures are targets of many hormones like catecholamines, thyroid hormones, and corticosteroids. ⋯ In this article, we describe three instructive clinical cases of patients with hormonal disorders that mimicked cardiovascular disease. Furthermore, we shortly discuss useful diagnostic and treatment algorithms. All cases emphasize the value of interdisciplinary management of patients with cardiac symptoms.
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Dtsch. Med. Wochenschr. · Mar 2021
[Non-dialysis chronic kidney disease in primary care - a questionnaire study among general practitioners].
The majority of patients with non-dialysis chronic kidney disease are cared for by general practitioners. Especially for Germany, the evidence of this topic is still very low. The aim of the survey was to estimate the perceived frequency of non-dialysis chronic kidney disease in general practice, the use of diagnostics and therapy, used tools considering the professional background and experience of the responding general practitioners. ⋯ · General practitioners estimate the prevalence of non-dialysis chronic kidney disease in their practice at 6-15 %.. · Using the albumin/creatinine-ratio for proteinuria diagnostics is requested too rarely compared to the urine dipstick test.. · General practitioners, specialists in general medicine and internists working in general medicine have a comparable level of competence to treat patients with non-dialysis chronic kidney disease.. · Working experience is an important factor in choosing tools, especially guidelines..