Deutsche medizinische Wochenschrift
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Suicidal tendencies are all thoughts, feelings and actions that are aimed at ending one's own life. GPs should recognize and address this in their patients, as they can intervene and coordinate further treatment. However, not every patient discloses - and it is not always possible to prevent suicide.
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Dtsch. Med. Wochenschr. · Mar 2024
[Reflux symptoms and upper abdominal pain: Reflux, Gastritis and whatever could be behind it].
Reflux symptoms and upper abdominal pain are very common symptoms in general population. Both symptoms are visceral and thus cannot be linked to an organ or a disease. Diagnostic work-up revealed organic disease in up to 30%, when patients present with dyspeptic symptoms. Gastroesophageal reflux disease (GERD) and functional dyspepsia (FD) represent the most frequent and important disorders in western countries, when diagnostic work-up is done in patients with reflux symptoms and abdominal pain.
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Dtsch. Med. Wochenschr. · Mar 2024
[A desperate family member. Suggestions for a successful interaction].
In everyday clinical practice relatives are often perceived as an additional burden, as a problem. Relatives appear, for example, to be overwhelmed, desperate, (co-)affected, demanding, or in some cases even (verbally) abusive. ⋯ Such judgements are often made intuitively and without reflection and are therefore a permanent obstacle to further communication on the ward. This article is therefore intended to provide a deeper understanding of the situation of distressed relatives and to show ways of achieving a successful relationship with these relatives.
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Dtsch. Med. Wochenschr. · Mar 2024
[Current therapeutic standards in advanced soft tissue sarcomas].
Soft tissue sarcomas account for less than 1% of tumors in adults. With more than 80 different subtypes and often dismal prognosis, treatment of patients with soft tissue sarcomas is diagnostically and therapeutically complex. In patients with localized disease, surgery remains the mainstay of therapy. ⋯ In patients with disseminated metastatic disease, chemotherapy with anthracyclines remains the backbone of therapy. Immune checkpoint inhibitors have proven to be effective for patients with alveolar soft part sarcoma and targeted therapies with NTRK-inhibitors should be evaluated in patients with NTRK-fusions. This article focuses on current standards and developments in the treatment of soft tissue sarcomas.