36,042 results match your criteria Deutsche Medizinische Wochenschrift [Journal]


[The Pandemic Influenza 1918].

Dtsch Med Wochenschr 2018 Dec 18;143(25):1858-1863. Epub 2018 Dec 18.

Stabsstelle Infektiologie, Universitätsklinikum Regensburg.

The pandemic influenza 1918 was the greatest pandemic of the 20th century with a high death toll worldwide. Due to the wartime, the public reaction in Germany to the pandemic was subdued. The international scientific debate in Europe began with the first publications by the Deutsche Medizinische Wochenschrift in July 1918. Read More

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http://dx.doi.org/10.1055/a-0666-1962DOI Listing
December 2018

[Life of a Century: Gottfried Bermann Fischer (1897-1995) - Surgeon and Publisher].

Authors:
Florian Bruns

Dtsch Med Wochenschr 2018 Dec 18;143(25):1866-1870. Epub 2018 Dec 18.

Gottfried Bermann Fischer was a German-Jewish physician and publisher who dedicated his life to the S. Fischer publishing company which ranks among the most significant German-language publishers in the 20th century. In 1925 Bermann left his position as a surgeon and married Brigitte Fischer, daughter of the company's founder Samuel Fischer. Read More

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http://dx.doi.org/10.1055/a-0630-4437DOI Listing
December 2018

[50 Years ago: First Successful Treatment of Acute Allograft Rejection after a Human Heart Transplantation].

Authors:
Walter G Land

Dtsch Med Wochenschr 2018 Dec 18;143(25):1864-1865. Epub 2018 Dec 18.

The first clinical use of the "Munich antilymphocyte globulin" (ALG) at the occasion of the first successful human heart transplantation is briefly described. The cardiac transplantation was carried out by Christiaan Barnard and his team in Cape Town, South Africa, in 1968. The patient developed an acute allograft rejection which could be successfully reversed within three weeks using the intravenous administration of ALG. Read More

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http://dx.doi.org/10.1055/a-0573-5623DOI Listing
December 2018

[Searching the Roots of Erb's Auscultation Point].

Dtsch Med Wochenschr 2018 Dec 18;143(25):1852-1857. Epub 2018 Dec 18.

"Erb's point" is the fifth point of auscultation for the heart exam, located in the third intercostal space close to the sternum. It has sometimes been attributed to famous German neurologist Wilhelm Heinrich Erb (1840 - 1921), but without historical evidence. Erb's focus on neurology suggested that the auscultation point may have been confused with other points in the neck named after Erb. Read More

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http://dx.doi.org/10.1055/a-0596-4733DOI Listing
December 2018

[Santiago Ramón y Cajal - Neuroanatomist, Artist and Writer].

Dtsch Med Wochenschr 2018 Dec 18;143(25):1847-1851. Epub 2018 Dec 18.

Santiago Ramón y Cajal came from North Spain and was very talented in painting and writing. Actually he wanted to become a painter but his father, who was a medical doctor himself, forced him to study medicine. In the end, he became a famous neuroanatomist, developed the neuron theory and, together with Camillo Golgi, was awarded the Nobel Price for medicine in 1906. Read More

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http://dx.doi.org/10.1055/a-0640-4652DOI Listing
December 2018

[Physicians of Gladiators in the Ancient Rome].

Dtsch Med Wochenschr 2018 Dec 18;143(25):1842-1846. Epub 2018 Dec 18.

Gladiators in ancient Rome were an integral part of the Roman world and were a unique phenomenon. Their bloody fight presumably originated from the cult of the dead. Later it was a feature of the self-portrayal of many Roman noblemen, especially during the election campaigns. Read More

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http://dx.doi.org/10.1055/a-0601-0440DOI Listing
December 2018

[Demented Presidents: Risks and Side-Effects].

Authors:
Hans Förstl

Dtsch Med Wochenschr 2018 Dec 18;143(25):1837-1841. Epub 2018 Dec 18.

Intellectually challenged heads of state have had a remarkable impact on the course of history and the problem of age-associated impairment in politicians appears to increase with growing life expectancy. Lenin, Paul Deschanel, Woodrow Wilson, Franklin D. Roosevelt, Heinrich Lübke, Urho Kekkonen, Mao tse tung, Ronald Reagan, Pope John Paul II. Read More

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http://dx.doi.org/10.1055/a-0601-0682DOI Listing
December 2018

[Shostakovich's Opera "The Nose" and its Connection to Medicine].

Authors:
Martin Middeke

Dtsch Med Wochenschr 2018 Dec 18;143(25):1832-1836. Epub 2018 Dec 18.

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http://dx.doi.org/10.1055/a-0708-6250DOI Listing
December 2018

[It can not be healthy not to be ill].

Dtsch Med Wochenschr 2018 Dec 18;143(25):1826-1831. Epub 2018 Dec 18.

This article is written in remembrance of Karl Valentin's 70th anniversary of his death. He was a comedian and song writer suffering from vegetative dystonia and depression lifelong. This hypochondriac developed extreme self observation and had anxiety to get ill permanently. Read More

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http://dx.doi.org/10.1055/a-0649-0274DOI Listing
December 2018

["Humor does not make disease" - Paracelsus' scientific revolution].

Authors:
Christian Hick

Dtsch Med Wochenschr 2018 Dec 18;143(25):1820-1825. Epub 2018 Dec 18.

Paracelsus was an adventurer in more than one way. We retrace the little that is known about his life and then focus on his adventures in the history of ideas, namely the scientific revolution he brought about for humoral pathology. Following the landmark study of Pagel (1982) we identify two of his conceptions of disease: diseases as fruits and diseases as minerals, discovered by a new science, a "scientia separationis". Read More

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http://dx.doi.org/10.1055/a-0601-0473DOI Listing
December 2018

[ELITE study - Nutrition, lifestyle and individual information for the prevention of stroke, dementia and heart attack - Study design and cardiovascular status].

Dtsch Med Wochenschr 2018 Dec 13. Epub 2018 Dec 13.

St.-Josefs-Hospital Cloppenburg, Cloppenburg.

Background:  For the prevention of cardiovascular risk factors (RF) there are numerous recommendations of professional societies, which relate to the personal way of life of individuals (for example nutrition/diet, physical activity, stress reduction etc.). The implementation of these recommendations is so far poor. Read More

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http://dx.doi.org/10.1055/a-0714-3835DOI Listing
December 2018

[Simvastatin-Induced Myopathy after Dose Increase].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1791-1794. Epub 2018 Dec 3.

Klinik für Geriatrie mit Neurologie und Tagesklinik, Johanniter-Krankenhaus Bonn, Johanniter GmbH.

History And Clinical Findings:  We present a 86-year-old patient who suffered from progressive weakness in his right leg. Due to a hypercholesterinemia he had received Simvastatin for a few years. Because of higher cholesterine levels the dosis had been increased from 40 to 80 mg 6 months ago. Read More

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http://dx.doi.org/10.1055/a-0759-2544DOI Listing
December 2018

[Incidental Finding in the Chest X-Ray].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1789-1790. Epub 2018 Dec 3.

Institut für Diagnostische und Interventionelle Radiologie, HELIOS Klinikum Krefeld.

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http://dx.doi.org/10.1055/a-0734-3848DOI Listing
December 2018

[Treatment of Hepatitis C: State of the Art 2018].

Authors:
Stefan Zeuzem

Dtsch Med Wochenschr 2018 Dec 3;143(24):1784-1788. Epub 2018 Dec 3.

Medizinische Klinik 1, Universitätsklinikum Frankfurt am Main.

Aims Of Antiviral Therapy:  Aim of antiviral therapy on an individual patient level is a sustained virologic response, on a population level the elimination of the hepatitis C virus (HCV). The latter is an aim also defined by the WHO.

Antiviral Drugs And Drug-drug Interactions:  Specific inhibitors of the RNA-dependent RNA-polymerase, the NS3/4A protease, and the NS5A protein as well as ribavirin are available for antiviral therapy of HCV. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0591-5916
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http://dx.doi.org/10.1055/a-0591-5916DOI Listing
December 2018
5 Reads

[Sjögren's Syndrome: Early diagnosis and effective treatment].

Authors:
Torsten Witte

Dtsch Med Wochenschr 2018 Dec 3;143(24):1778-1782. Epub 2018 Dec 3.

Klinik für Immunologie und Rheumatologie der Medizinischen Hochschule Hannover.

Primary Sjögren's syndrome (pSS) is an autoimmune disease affecting the salivary and lachrymal glands. The patients complain of symptoms of dry eyes and dry mouth, but up to 50 % may additionally develop extraglandular manifestations such as arthritis, vasculitis, polyneuropathy, pulmonary fibrosis or interstitial nephritis. Most therapeutic studies on the glandular manifestations of pSS failed to meet their primary endpoints, possibly since many of the patients had already advanced and irreversible disease. Read More

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http://dx.doi.org/10.1055/a-0547-1025DOI Listing
December 2018
2 Reads

[Diagnosis and Treatment of Interstitial Lung Diseases].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1774-1777. Epub 2018 Dec 3.

Klinik Schillerhöhe, Abteilung für Pneumologie und Beatmungsmedizin, Gerlingen, Robert-Bosch-Krankenhaus.

Interstitial lung diseases compromise a group of diffuse predominantly chronic inflammatory and fibrosing disorders of the lung parenchyma. This article reviews practice-relevant publications on the diagnosis and treatment of idiopathic pulmonary fibrosis - the most common form of idiopathic interstitial lung diseases. The new patient questionnaire of the German Society of Pneumology facilitates collection of a complex case history of diverse interstitial lung diseases in individual patients. Read More

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http://dx.doi.org/10.1055/a-0622-9299DOI Listing
December 2018
2 Reads

[Abstract - Update Arterial Hypertension 2018].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1770-1773. Epub 2018 Dec 3.

Medizinische Klinik, Agaplesion Bethesda Krankenhaus Wuppertal.

Inadequate blood pressure measurement is among the main reasons for poor blood pressure control and misclassification of patients with normal or increased blood pressure. 24-hour ambulatory blood pressure measurement has the best predictive value for cardiovascular mortality, and it could be shown that those with masked hypertension (normal office blood pressure values but hypertensive values with 24-hour measurement) are especially at risk. An increased blood pressure variability seems to be a risk factor for the development of dementia and also raises the cardiovascular risk after TIA and minor stroke. Read More

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http://dx.doi.org/10.1055/a-0622-9218DOI Listing
December 2018
1 Read

[Heart Valve Disease - update ESC guideline 2017].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1765-1769. Epub 2018 Dec 3.

Klinik für Kardiologie, Pneumologie und Angiologie, Universitätsklinikum Düsseldorf, Düsseldorf.

Surgical management of patients with aortic valve stenosis is declining and Transcatheter aortic valve implantation (TAVI) is becoming the treatment of choice in many patients. The ESC guideline integrated results of randomized controlled trials in patients with intermediate surgical risk for the first time. TAVI showed good and comparable results to the standard surgical approach. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0601-1430
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http://dx.doi.org/10.1055/a-0601-1430DOI Listing
December 2018
3 Reads

[Current Developments in Nutritional Therapy of Intensive Care Patients].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1759-1764. Epub 2018 Dec 3.

Medizinische Klinik III (Gastroenterologie, Stoffwechselerkrankungen und Internistische Intensivmedizin) Universitätsklinikum, RWTH-Aachen.

The goals of nutritional therapy for critically ill patients are the enteral or parenteral provision of calories, proteins, electrolytes, vitamins, trace elements and fluids. The metabolism of critically ill patients is characterized by a catabolic stress condition, which is caused by a systemic inflammatory response and is associated with an increased infection rate, occurrence of multiple organ failure and increased mortality.Traditionally, nutritional therapy has been considered as an "adjunctive" therapy for critically ill patients with the primary goal of providing energy to maintain muscle mass. Read More

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http://dx.doi.org/10.1055/a-0647-9417DOI Listing
December 2018
1 Read

[Opportunistic infections: What's new?]

Dtsch Med Wochenschr 2018 Dec 3;143(24):1755-1758. Epub 2018 Dec 3.

Klinische Arbeitsgemeinschaft AIDS Deutschland (KAAD), Sektion der Deutschen AIDS-Gesellschaft (DAIG).

Guidelines from 3 clinical societies and peer-reviewed publications have been reviewed for recent changes in the management of opportunistic infections. Trimethoprim and sulfamethoxazol administered intravenously is an option to treat cerebral toxoplasmosis if oral therapy is not feasible. CD4 T cell cut-off for starting prophylaxis with trimethoprim and sulfamethoxazole is now 200/µl. Read More

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http://dx.doi.org/10.1055/a-0641-9456DOI Listing
December 2018
1 Read

[Systemic Treatment of Early and Metastatic Breast Cancer].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1751-1754. Epub 2018 Dec 3.

Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Hamburg-Eppendorf.

Within the last years significant improvements have been achieved in early and metastatic breast cancer treatment by innovative targeted therapies and new drug combinations. GnRH-analogues have been confirmed as an important part of endocrine treatment in premenopausal patients. Endocrine based strategies including CDK-4/6-Inhibitors substantially improve progression-free survival in metastatic patients. Read More

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http://dx.doi.org/10.1055/a-0638-4231DOI Listing
December 2018

[2018 ESC/ESH Guidelines for the Management of Arterial Hypertension: What's New with Regard to Our Older People?]

Dtsch Med Wochenschr 2018 Dec 3;143(24):1745-1748. Epub 2018 Dec 3.

Klinik für Allgemeine Innere Medizin und Geriatrie, Angiologie, Diabetologie, Endokrinologie, Nephrologie, Krankenhaus Barmherzige Brüder Regensburg.

In the "2018 ESC/ESH Guidelines for the management of arterial hypertension" there are new blood pressure (BP) recommendations with regard to older patients based on randomized controlled trials and well-conducted meta-analyses performed during the last years.It is recommended to base the diagnosis of hypertension on repeated office BP measurements under standardized conditions and in older people in out-of-office BP measurement with ABPM and/or HBPM if logistically and economically feasible. Furthermore lying and standing BP measurements should also be considered in subsequent visits in older people to exclude orthostatic hypotension. Read More

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http://dx.doi.org/10.1055/a-0622-9131DOI Listing
December 2018

[New Diagnostic Standard in Diabetes Insipidus].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1739-1744. Epub 2018 Dec 3.

Medizinische Klinik III, Klinik für Endokrinologie und Nephrologie, Universitätsklinikum Leipzig.

2018 brings new insights into the differential diagnosis of patients with hypotonic polyuria syndrome. Exact localization of the antidiuretic defect in patients with hypotonic polyuria can be challenging, especially the distinction of primary polydipsia from partial pituitary or renal forms of diabetes insipidus. However, diagnostic precision is vital since therapeutic management differs substantially and false treatment may result in serious consequences. Read More

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http://dx.doi.org/10.1055/a-0660-5366DOI Listing
December 2018
1 Read

[Bleeding Management under Direct Oral Anticoagulants (DOAC)].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1734-1738. Epub 2018 Dec 3.

Klinik für Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Vivantes Klinikum im Friedrichshain, Berlin.

Despite the widespread use of DOAC and recommendations of regulatory agencies and first consensus meetings on handling of bleeding situation under DOAC uncertainty still exists. In case of mild bleeding, the medical care of these patients and the delay of the next dose is advised. A laboratory analysis is indicated i. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0585-8166
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http://dx.doi.org/10.1055/a-0585-8166DOI Listing
December 2018
2 Reads

[The art of omitting - two examples from everyday's practice].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1729. Epub 2018 Dec 3.

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http://dx.doi.org/10.1055/a-0649-3364DOI Listing
December 2018

[Alginate on demand as add-on for patients with gastro-oesophageal reflux disease and insufficient PPI effect].

Dtsch Med Wochenschr 2018 Nov 22. Epub 2018 Nov 22.

Diakonie-Klinikum, Jung-Stilling-Krankenhaus, Siegen.

Background:  Chronic reflux patients with long-term PPI therapy frequently have persistent symptoms. A critical source of the persistent acid reflux is the acid pocket, which can be treated effectively by the non-systemic reflux suppressing action of alginates.

Methods:  GERD patients with at least one year of PPI long-term therapy, who were dissatisfied with their therapy, were treated over a period of 14 days with alginate as add-on and when required (up to 4 times daily) in a prospective, multi-centre, non-randomised, non-interventional and uncontrolled study in GP practices. Read More

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http://dx.doi.org/10.1055/a-0736-5959DOI Listing
November 2018

[Evolving Epidemiology of Home Mechanical Ventilation: A Rapidly Growing Challenge for Patient Care].

Dtsch Med Wochenschr 2018 Nov 21. Epub 2018 Nov 21.

Lungenklinik Köln-Merheim, ARDS- und ECMO-Zentrum, Kliniken der Stadt Köln gGmbH, Köln, Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin.

Background:  Home mechanical ventilation is dramatically evolving in Germany. Patients with non-invasive and invasive ventilation are increasingly treated at home. In-hospital treatment of these patients is also necessary either for control visits or the management of acute medical problems. Read More

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http://dx.doi.org/10.1055/a-0758-4512DOI Listing
November 2018
1 Read

[Development and status of personalized medicine in Germany].

Authors:
Stefan Kohler

Dtsch Med Wochenschr 2018 Nov 21;143(22):e1. Epub 2018 Nov 21.

Heidelberger Institut für Global Health, Universität Heidelberg, Heidelberg.

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http://dx.doi.org/10.1055/a-0795-1603DOI Listing
November 2018

[A 56-Year-Old Patient with Unusual Tongue Findings].

Dtsch Med Wochenschr 2018 Oct 19;143(21):e1. Epub 2018 Nov 19.

Klinik für Dermatologie, Venerologie und Allergologie, HELIOS St. Elisabeth Krankenhaus Oberhausen, Universität Witten-Herdecke.

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http://dx.doi.org/10.1055/a-0766-8124DOI Listing
October 2018
0.550 Impact Factor

[Mosquitoes and Ticks: The Influence of Global Warming in the Transmission of Infectious Diseases in Germany].

Dtsch Med Wochenschr 2018 Nov 15;143(23):1714-1722. Epub 2018 Nov 15.

During the last 135 years, the average temperature in Germany has increased by 1.4 °C. By 2050, a further rise by 1. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0653-6333
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http://dx.doi.org/10.1055/a-0653-6333DOI Listing
November 2018
3 Reads

[Acute Renal Failure in a Healthy Young Woman].

Authors:
Guido Kleine

Dtsch Med Wochenschr 2018 Nov 15;143(23):1702-1704. Epub 2018 Nov 15.

Enzkreiskliniken Mühlacker, Medizinische Klinik.

History:  A healthy young woman comes to admission because of an acute renal failure with hypercalcemia.

Findings And Diagnosis:  An infective and a non-infective inflammation could be disclosed, as well as a granulomatosis and a myeloma. Drug history was essential for diagnosis. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0721-3764
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http://dx.doi.org/10.1055/a-0721-3764DOI Listing
November 2018
5 Reads

[Dermal Clues to Systemic Diseases].

Dtsch Med Wochenschr 2018 Nov 15;143(23):1690-1699. Epub 2018 Nov 15.

Many systemic diseases go along with dermal involvement. Only a few of systemic diseases show characteristic skin derangements directly leading to the diagnosis of the underlying disease. Ten of these entities are described within this article. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0569-3822
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http://dx.doi.org/10.1055/a-0569-3822DOI Listing
November 2018
9 Reads

[Pitfalls of Differential Diagnosis in Dermatologic Surgery].

Dtsch Med Wochenschr 2018 Nov 15;143(23):1682-1689. Epub 2018 Nov 15.

Evaluation of skin diseases can be challenging for non-dermatologists. Even obvious well-characterized skin pathologies might be misleading and thus treatment can fail. Particularly the differentiation of surgical treated entities is important, for example the management of a wound healing disturbance profoundly differs from that of a pyoderma gangrenosum. Read More

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http://dx.doi.org/10.1055/a-0655-7103DOI Listing
November 2018
1 Read

[Frequent Skin Findings in Daily Routine of the General Practitioner].

Dtsch Med Wochenschr 2018 Nov 15;143(23):1674-1681. Epub 2018 Nov 15.

Diseases of the skin are the cause of approximately one fifth of outpatient visits to general practitioners (GPs) in Germany. GPs are expected to be competent in both knowledge and skills required to manage dermatological diseases, but making the correct diagnosis can be challenging facing the broad clinical spectrum of dermatological disorders. Knowledge of morphological characteristics is essential in the accurate diagnosis of a dermatological condition and to ensure optimal patient care. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0588-1421
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http://dx.doi.org/10.1055/a-0588-1421DOI Listing
November 2018
8 Reads
0.550 Impact Factor

[17-Year-Old Pupil with Cervical Lymphe Node Masses].

Dtsch Med Wochenschr 2018 Nov 15;143(23):1671-1672. Epub 2018 Nov 15.

Klinik für Gastroenterologie und interventionelle Endoskopie, Krankenhaus Barmherzige Brüder, Regensburg.

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http://dx.doi.org/10.1055/a-0696-0251DOI Listing
November 2018
2 Reads

Leserbrief zum Beitrag: COPD – Dreifachtherapie senkt Exazerbationsrate.

Authors:
Norbert Frank

Dtsch Med Wochenschr 2018 Nov 15;143(23):1668. Epub 2018 Nov 15.

Facharzt für Innere Medizin, Schwerpunkt Pneumologie; Oberarzt.

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http://dx.doi.org/10.1055/a-0729-3610DOI Listing
November 2018
2 Reads

[Examination of the Skin - an Important Skill in General Medical Practice].

Dtsch Med Wochenschr 2018 Nov 15;143(23):1657. Epub 2018 Nov 15.

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http://dx.doi.org/10.1055/s-0043-124977DOI Listing
November 2018
1 Read

[Development and Results of Transcatheter and Surgical Aortic Valve Replacement in Germany 2014 and 2015].

Dtsch Med Wochenschr 2018 Nov 15;143(23):e206-e212. Epub 2018 Nov 15.

Universitäts-Herzzentrum Freiburg, Abteilung für Kardiologie und Angiologie I, Medizinische Fakultät, Universität Freiburg, Deutschland.

Introduction:  Treatment of aortic valve stenosis has been changing since the introduction of transcatheter aortic valve replacement (TAVR). The present study investigates the treatment of aortic valve stenosis in a real-world population 2014 and 2015 in Germany.

Methods:  Patient characteristics and in-hospital outcomes of all 38 414 isolated surgical aortic valve replacements (SAVR) or TAVR were analyzed. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0655-6218
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http://dx.doi.org/10.1055/a-0655-6218DOI Listing
November 2018
5 Reads

[Efficacy of Disease Management Programs Asthma and COPD? Results of a Cross-Sectional Study].

Dtsch Med Wochenschr 2018 Nov 14. Epub 2018 Nov 14.

Mundipharma GmbH, Limburg.

Background:  The efficacy of the German disease management programs (DMP) asthma and chronic obstructive pulmonary disease (COPD) cannot be shown with the legally bound documentations. Studies with control groups are rare. Aim of this work was to investigate in a cross-sectional study whether the disease control differs in participants (DMP+) and non-participants (DMP-) of the DMPs asthma and COPD. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0672-2461
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http://dx.doi.org/10.1055/a-0672-2461DOI Listing
November 2018
5 Reads

[Hormone Therapy During Peri- and Postmenopause].

Dtsch Med Wochenschr 2018 Nov 30;143(22):1636-1647. Epub 2018 Oct 30.

The recently published 18-year-follow-up of the WHI-study might resolve the long-standing dispute about hormone therapy, possibly reconciling the opposing parties attributing life-threatening risks to either the administration or the withholding of hormone therapy. 16 608 women without hysterectomy had taken either combined hormone therapy with estrogen and progestin or placebo for an average of 5.2 years, while 10 739 women after hysterectomy (and bilateral ovarectomy in 40 %) had taken either estrogen therapy alone or placebo for an average of 7 years. Read More

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http://dx.doi.org/10.1055/a-0441-4540DOI Listing
November 2018
1 Read

[Transesophageal Echocardiography - Step by Step].

Dtsch Med Wochenschr 2018 Nov 30;143(22):1632-1635. Epub 2018 Oct 30.

A practical step-by-step approach of transesophageal echocardiography. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-111489
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http://dx.doi.org/10.1055/s-0043-111489DOI Listing
November 2018
1 Read

[New Innovative Pacemaker Kevices - Leadless Pacemaker, Subcutaneous ICD].

Dtsch Med Wochenschr 2018 Nov 30;143(22):1617-1622. Epub 2018 Oct 30.

Conventional transvenous pacemaker and ICD-therapy is associated with significant lead- and pocket-related problems. Leadless pacemaker and subcutaneous ICD (S-ICD) therapies are innovative technologies, that avoid these complications. To date two leadless pacemaker systems have been implanted percutaneously for isolated right ventricular pacing, the Nanostim™ and the Micra™ device. Read More

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http://dx.doi.org/10.1055/a-0560-3270DOI Listing
November 2018

[Troubleshooting in Patients with Implanted Pacemaker and ICD].

Dtsch Med Wochenschr 2018 Nov 30;143(22):1608-1616. Epub 2018 Oct 30.

Because of the growing number of implanted cardiac pacemakers and defibrillators and the ever-increasing complexity of these devices a fundamental knowledge of device malfunctions is of utmost importance even for the non-cardiology physician. Apart from hardware problems such as device infection, lead fracture or dislocation, basic knowledge of the pacemaker sensing and pacing algorithms is also necessary in order to judge the stimulation behavior in different clinical settings. With this respect, there are specific problems for antibradycardia and resynchronizing pacemakers as well as implantable defibrillators. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0560-3180
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http://dx.doi.org/10.1055/a-0560-3180DOI Listing
November 2018
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[Guideline-Based Indications on Pacing and ICD-Therapy].

Dtsch Med Wochenschr 2018 Nov 30;143(22):1599-1607. Epub 2018 Oct 30.

In 2016, there were 77 293 pacemakers and 28 953 ICDs implanted in Germany. This makes pacemaker- and ICD-implantations part of the most frequently performed operations in Germany. This article addresses questions of correct indication and patient selection. Read More

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http://dx.doi.org/10.1055/a-0579-5002DOI Listing
November 2018

[17-Year-Old Patient from Eritrea with Unclear Stomach Pain].

Dtsch Med Wochenschr 2018 Nov 30;143(22):1597-1598. Epub 2018 Oct 30.

Institut für Infektionsmedizin und Krankenhaushygiene, Universitätsklinikum Jena.

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http://dx.doi.org/10.1055/a-0661-7456DOI Listing
November 2018

[Pacemaker and ICD-Therapy - Relevant to the Non-Cardiologist].

Authors:
Nikolaus Marx

Dtsch Med Wochenschr 2018 Nov 30;143(22):1585. Epub 2018 Oct 30.

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http://dx.doi.org/10.1055/a-0560-3240DOI Listing
November 2018

[Health Topics of Medical Online Inquiries at the University Hospital of Zurich: Experiences of the Last 12 Years].

Dtsch Med Wochenschr 2018 Nov 30;143(22):e197-e205. Epub 2018 Oct 30.

Klinische Telemedizin, UniversitätsSpital Zürich, Schweiz.

Background:  Digitization in the healthcare sector leads to new requirements and challenges in the doctor-patient relationship. Since 1999, the UniversitätsSpital Zürich has been offering a web-based medical online consultation service for laymen. The aim of the retrospective study was to analyze which health topics are of special interest for the inquirers. Read More

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http://dx.doi.org/10.1055/a-0655-1083DOI Listing
November 2018

[Fibromyalgia: current recommendations for diagnosis and therapy].

Dtsch Med Wochenschr 2018 08 26;143(15):e1. Epub 2018 Oct 26.

Sektion Rheumatologie, Klinik für Gastroenterologie und Rheumatologie, Department für Innere Medizin, Neurologie und Dermatologie, Universitätsklinikum Leipzig AöR.

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http://dx.doi.org/10.1055/a-0758-2454DOI Listing
August 2018
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[Smoking Cessation as an Instrument of Medical Treatment - Attitudes, Barriers, Challenges - Results of an Online Survey and Conclusions].

Dtsch Med Wochenschr 2018 Oct 18;143(21):1573-1576. Epub 2018 Oct 18.

Smoking is the biggest cause of premature mortality. Almost half of smokers meet the criteria for addiction. Treatment fails primarily because of the lack of reimbursement. Read More

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http://dx.doi.org/10.1055/a-0677-9313DOI Listing
October 2018

[Practical Evaluation of Patients with Syncopal Events].

Dtsch Med Wochenschr 2018 Oct 18;143(21):1564-1572. Epub 2018 Oct 18.

Syncope is defined as a transient, self-limited loss of consciousness due to insufficient cerebral blood perfusion. In a clinical setting, syncopal events usually present a diagnostic dilemma due to its broad differential diagnosis ranging from banal to potentially harmful causes. In the absence of a working hypothesis, multiple tests are ordered that result in high costs but are of questionable diagnostic and therapeutic value. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0652-2350
Publisher Site
http://dx.doi.org/10.1055/a-0652-2350DOI Listing
October 2018
8 Reads