Plaque psoriasis is one of the most common skin disorders and has been recognized as a systemic disease for a few years. It,s part of the immune-mediated inflammatory diseases. This is why the management of these patients includes the investigation of possible comorbidity like the metabolic syndrome, depression or psoriatic arthritis.
Therapeutic procedures are dictated by burden and duration of disease, previous therapies and comorbidity. Possible triggers are to be taken into consideration and eliminate whenever possible.
In general, every cancer patient should have access to psycho-oncological treatment, aiming at helping patients to deal with the difficult situation. The patient’s individual need for treatment can be ascertained by measuring the patient’s degree of distress. The general and individual treatment goal should be to maintain a certain quality of life and to assess and treat serious psychiatric diseases resulting from the cancer diagnosis such as anxiety disorder or depression. Treatment possibilities include: psycho-oncological psychotherapy as depth psychology, supportive, analytic or behavioral psychology, as well as group therapy in terms of support groups, with relatives or without as a mere patient group.
In the last ten years opioid prescription has increased considerably. It is not that cancer patients would receive more analgesics, but it rather can be traced to a rising use of opioids for non cancer chronic pain (NCCP). There is evidence that serious opioid overuse may be present. Why should NCCP patients not benefit from opioid therapy and which side effects would justify to deprive NCCP patients of these strong analgesics? Our article summarizes the current discussion on opioid use in NCCP and outlines current evidence.
Degenerative aortic stenosis is a disease of the elderly and of growing importance in an ageing population. Due to the impaired life-expectancy of patients with symptomatic aortic stenosis, valve replacement should be performed. Surgical aortic valve replacement is the gold standard treatment; however, median sternotomy and use of extracorporal circulation is a risk for elderly patients with comorbidities. The introduction of transcatheter aortic valve implantation (TAVI) into clinical practice has revolutionized treatment of aortic stenosis in elderly patients. In most patients, TAVI can be performed through the groin vessels using local anaesthesia. Most patients fully recover within a few days. Current debate focuses on whether TAVI should also be used to treat younger patients as data on long-term durability of these valves is insufficient and there is a remaining risk of paravalvular leackage.
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：