Deutsche medizinische Wochenschrift
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Dizziness is a common symptom with many potential causes. Medical and especially cardiac aetiologies are associated with a poor overall prognosis such that identification of the underlying cause is essential. This article gives an overview of possible causes of dizziness, how the differential diagnoses should be investigated, and describes potential therapeutic approaches to the treatment of the most important underlying conditions.
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Barrett's esophagus has been an important issue in clinical medicine for many years. In the 70 s of the last century, the association between gastroesophageal reflux disease and BE was detected. Only ten years later, the association between BE and adenocarcinoma of the esophagus was reported. ⋯ Only in case of malignant transformation of BE which may range from low-grade dysplasia to high-grade dysplasia and early Barrett's cancer, endoscopic therapy is indicated. At present, there are emerging techniques of artificial intelligence. Due to these rapid developments in BE management, it is important to keep an eye on the current status of BE management.
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Dtsch. Med. Wochenschr. · Feb 2023
[A comprehensive screening for hepatitis B and C as an effective means of cancer prevention and as a prerequisite for elimination of chronic viral hepatitis - Data and comments on a discussion].
Since October 2021 in Germany all people with a statutory health insurance aged 35 and older have the right to be tested once for hepatitis B and C in a general preventative examination, regardless of specific risk-factors. This is a milestone on the way of eliminating these infections and also a great contribution to cancer prevention. ⋯ According to available Data this screening strategy combined with a vaccination for HBV is necessary in Germany too to reach the agreed elimination goals till the year of 2030. Furthermore, an offer of such a testing for all adults can be regarded as ethically imperative to prevent as many life-threatening consequences or deaths as possible by effective therapies.
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Dtsch. Med. Wochenschr. · Feb 2023
Comment[Neglected differentiations: Of relative and absolute risk reduction and of seat belts and vaccines].
It is often reported that established COVID-19 vaccines have an efficacy of 70 % or more in preventing serious illnesses or deaths. On the other hand, critics claim that the vaccines have actually shown less than 1 % efficacy in studies and are therefore of little use. Which statement is correct? And where do these discrepancies come from?
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Dtsch. Med. Wochenschr. · Feb 2023
Review[20 years of screening colonoscopy in Germany: current status, critical review and outlook].
20 years of colonoscopy for early cancer detection and screening in Germany. A success story - there is no longer any doubt about that, but a critical look should not be missing either.