Deutsche medizinische Wochenschrift
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Ludwig van Beethoven's Opus 119 represents a series of "bagatelles" for piano. On closer inspection, or better listening, one can get to the thought: How should one interpret the pause that the Maestro has woven into bar 65 of the first piece?
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Dtsch. Med. Wochenschr. · Dec 2019
[Update ESC-Guideline: Management of cardiovascular diseases during pregnancy - What is important?]
The treatment of pregnant patients with a cardiovascular disease is a special challenge to deal with. Before getting pregnant all cardiac patients should get medical advice accordingly to their risk profile in the modified World Health Organization classification of maternal cardiovascular risk. This article has the aim to give an overview of the new or changed recommendations of the new ESC-Guideline for the management of cardiovascular diseases during pregnancy.
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We report the case within a 22-year-old patient, initially seen because of fatigue, weight loss and discoloration of the skin. A Hashimoto-Thyroditis had been diagnosed a few months prior to the clinical presentation. ⋯ The presented case underlines the importance of focused examinations and diagnostics when dealing with a patient with unspecific symptoms and a pre-existing autoimmune disease. This also applies to patients with a positive family history for autoimmune disorders.
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In Germany, the group of geriatric patients is the biggest part of all decedents. That is the reason why the medical staff, who is taking care of elderly patients, needs not only curative, rehabilitative and preventive competencies but also palliative skills. ⋯ However, there is no tool for the identification of palliative needs of geriatric inpatients in emergency rooms and in other places in the hospitals. In primary care, the Supportive and Palliative Care Indicators Tool (SPICT) is available for this purpose.
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Dtsch. Med. Wochenschr. · Dec 2019
Historical Article[Natural Science as a Kind of Natural Poetry: A Statement by Christoph Wilhelm Hufeland (1762-1832) Against Natural Philosophical Medicine].
At the turn to the 19th century, medicine in Germany became strongly influenced by the teachings of John Brown, who was a scottish physician. He had advocated a theory which regards and treats disorders as caused by defective or excessive excitation. His teachings were welcomed by natural philosophers like Schelling or Hegel. ⋯ As viewed from today, evidence based medicine eventually established our modern ways for successfully diagnosing and treating disease. However, Hufelands disapproval appears to be still relevant. There are many people that even now advocate alternative ways and who consult quacks, healers etc.