Depending on the physician's specialty and experience, LPR may be over-or under-diagnosed. LPR is often misdiagnosed in primary care because of the lack of typical gastroesophageal reflux disease (GERD) symptoms and findings on endoscopy. Laryngopharyngeal reflux (LPR) is a common disease in the general population with acute or chronic symptoms. In case of prescription of medication, proton pump inhibitors and alginate have to be considered in association to protect the upper aerodigestive tract mucosa from acid, weakly acid and alkaline pharyngeal reflux events. Physician may prescribe an empirical treatment based on diet and behavioral changes with or without medication, depending on the complaint severity of the patient. In this algorithm, physician has to exclude some confounding conditions such as allergy or other causes of pharyngolaryngitis and red flags. In this review, we provide a practical algorithm of management of LPR for primary care physician or other specialists that cannot perform fiberoptic examination. The use of patient-reported outcome questionnaire such as reflux symptom score-12 and the consideration of some oral and pharyngeal findings visualized through the mouth opening may help the primary care physician to evaluate the LPR findings at the diagnosis time and throughout treatment. The management of LPR is possible in primary care medicine but primary care physician has to consider some red flags that requires to address the patient to otolaryngologist or gastroenterologist. Depending on the physician field of expertise and experience, LPR may be clinically over- or under-diagnosed. LPR may be misdiagnosed in primary care medicine regarding the lack of gastroesophageal reflux disease symptoms and the lack of findings at the gastrointestinal endoscopy. Okay, not clear to me what the problem is yet.Laryngopharyngeal reflux (LPR) is a prevalent disease in the general population and may have acute or chronic clinical presentation. usr/share/cups/model/OpenPrintingPPDs/postscript/ I found the following ppds for C510 on my system: (Usually just lacking in a few printer-specific features/options.) *cupsFilter: “application/vnd.cups-pdf 0 foomatic-rip” *cupsFilter: “application/vnd.cups-postscript 100 foomatic-rip” *% “foomatic-rip” backend filter script of Foomatic 4.0.0 or newer. I changed to a different C510 driver and it gives: Okay, that probably suggests the manufacturer-supplied postscript driver, (so no filter needed). Gave no result with the current configuration I’d be glad for any help on how to repair that. (but I have the impression, that with earlier installs there where more filters) I tried different filters without difference. With yast I deleted the printer and installed it again - no difference. The yast setup tells me that the printer is set as default. I can print a document from within okular, but it’s printed in color although the setting is greyscale. QPainter::setRenderHint: Painter must be active to set rendering hints QPainter::begin: Paint device returned engine = 0, type: 3 When trying to print from within libreoffice, the following is written to the console: Printing a postscript file (with printer specified) works from the command line. When trying to print a pdf file (what so far worked without problems) I get "lpr: Unsupported document-format “application/pdf” When trying to print a text file (with the printer specified) I get "lpr: Unsupported document-format “text/plain” When trying to print with lpr from the command line, I get “lpr: Error - no default destination available.” Without changing anything in the configuration suddenly printing is no longer working. I have a Lexmark C510 installed via yast in OS 12.3 (yes, I will update, but this will take a few days)
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