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Elgg / Städtchen und Umgebung, Switzerland

Feller-Heppt G.,Skin and Face Clinic | Haneke E.,Universitatsspital Bern | Heppt M.V.,Ludwig Maximilians University of Munich
Facial Plastic Surgery

Abstract Fillers are frequently used in beautifying procedures. Despite major advancements of the chemical and biological features of injected materials, filler-related adverse events may occur, and can substantially impact the clinical outcome. Filler granulomas become manifest as visible grains, nodules, or papules around the site of the primary injection. Early recognition and proper treatment of filler-related complications is important because effective treatment options are available. In this report, we provide a comprehensive overview of the differential diagnosis and diagnostics and develop an algorithm of successful therapy regimens. Copyright © 2014 by Thieme Medical Publishers, Inc. Source

Verra M.L.,Universitatsspital Bern
Therapeutische Umschau

In this review the therapeutical options of physiotherapy in patients with chronic musculoskeletal pain, especially non-specific back pain, are reported. The importance of the objective "reduction of pain related disability of individual activities of daily living" is reported. Various methods of exercise therapy and their application in either a monodisciplinary setting or in an interdisciplinary pain management team are discussed. © 2011 by Verlag Hans Huber, Hogrefe AG, Bern. Source

Purpose: Assessment of experience gained by local referring physicians with the procedure of coronary computed tomographic angiography (CCTA) in the everyday clinical routine. Materials and Methods: A 25-item questionnaire was sent to 179 physicians, who together had referred a total of 1986 patients for CCTA. They were asked about their experience to date with CCTA, the indications for coronary imaging, and their practice in referring patients for noninvasive CCTA or invasive catheter angiography. Results: 53 questionnaires (30 %) were assessable, corresponding to more than 72 % of the patients referred. Of the referring physicians who responded, 94 % saw a concrete advantage of CCTA in the treatment of patients, whereby 87 % were 'satisfied' or 'very satisfied' with the reporting. For excluding coronary heart disease (CHD) where there was a low pre-test probability of disease, the physicians considered CCTA to be superior to conventional coronary diagnosis (4.2 on a scale of 1 - 5) and vice versa for acute coronary syndrome (1.6 of 5). The main reasons for unsuitability of CCTA for CT diagnosis were claustrophobia and the absence of a sinus rhythm. The level of exposure to radiation in CCTA was estimated correctly by only 42 % of the referring physicians. 90 % of the physicians reported that their patients evaluated their coronary CT overall as 'positive' or 'neutral', while 87 % of the physicians whose patients had undergone both procedures reported that the patients had experienced CCTA as the less disagreeable of the two. Conclusion: CCTA is accepted by the referring physicians as an alternative imaging procedure for the exclusion of CHD and received a predominantly positive assessment from both the referring physicians and the patients. Key points: • A high percentage of referring physicians had positive experiences with noninvasive CT coronary angiography (CCTA) so far. • CCTA is accepted by referring physicians as an alternative imaging procedure for the exclusion of coronary heart disease. • Noninvasive CT coronary angiography is perceived by patients in direct comparison with conventional invasive coronary angiography as less disagreeable. Citation Format: • Maurer MH, Zimmermann E, Hamm B et al. CT Coronary Angiography Versus Conventional Invasive Coronary Angiography - The View of the Referring Physician. Fortschr Röntgenstr 2014; DOI: 10.1055/s-0034-1366432 © Georg Thieme Verlag KG. Source

Tutuian R.,Universitatsspital Bern
Therapeutische Umschau

Obesity and gastro-esophageal reflux disease (GERD) are two of the major health problems of the industrialized world. Both condition have increasing prevalence, pathophysiologic and endoscopic studies identified obesity a major risk factor in the development of GERD. Conversely, successful weight reduction improves GERD symptoms and diminishes the use of acid suppressive medications. Bariatric interventions are not all equal when it comes to controlling GERD symptoms, lesions and use of medication. Gastric banding has a variable influence on GERD, while most patients report improved reflux symptoms, up to 20 % of patient can develop "de novo" reflux symptoms following gastric banding. Gastric sleeve resection increases reflux symptoms, in particular in patients with an ideal, tubular gastroplasty and those with proximal (fundic) pouch. Roux-en-Y gastric bypass has a positive effect of GERD, reducing symptoms and use of acid suppressive medications. From an esophageal perspective, gastric bypass is the preferred bariatric procedure to treat and prevent GERD in morbidly obese patients. © 2013 Verlag Hans Huber, Hogrefe AG, Bern. Source

Haneke E.,Universitatsspital Bern
Facial Plastic Surgery

Injectable fillers nowadays represent a pillar in facial rejuvenation and make a significant contribution to the success of the treatment. Despite their obvious benefits, a wide range of possible complications such as immediate, late, delayed, temporary, or irreversible adverse effects have to be respected. Differentiating the various filler materials, these effects are assigned to histopathology findings and currently available treatment options. © 2014 by Thieme Medical Publishers, Inc. Source

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