36,136 results match your criteria Deutsche Medizinische Wochenschrift [Journal]


[Enterococci With Special Resistance Patterns - Epidemiology, Hygiene and Therapy].

Dtsch Med Wochenschr 2019 Apr 15;144(8):553-560. Epub 2019 Apr 15.

Enterococci with special resistance patterns (mainly vancomycin-resistant enterococci) play an important role in everyday clinical practice. Rising resistance rates to linezolid, daptomycin or tigecycline are also increasingly reported. Therapeutically, linezolid and daptomycin are the most important substances mainly in infections due to vancomycin-resistant enterococci. Read More

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http://dx.doi.org/10.1055/a-0655-6454DOI Listing
April 2019
1 Read

[Step-by-Step tutorial of bedside percutaneous dilatational tracheostomy].

Dtsch Med Wochenschr 2019 Apr 15;144(8):547-552. Epub 2019 Apr 15.

Bedside percutaneous dilatational tracheostomy has become one of the most commonly used interventions in ICU medicine. Different techniques have been developed, but guidance of percutaneous dilatational tracheostomy by video bronchoscope has been suggested to be clinically reasonable for direct visualization. The current Step-by-Step tutorial gives a detailed instruction of the procedure with visualization of every single step offering tips and pitfalls of the procedure. Read More

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http://dx.doi.org/10.1055/a-0665-6444DOI Listing

[Ascites and Renal Insufficiency in a 25 Year Old Woman].

Dtsch Med Wochenschr 2019 Apr 15;144(8):544-546. Epub 2019 Apr 15.

Abteilung für Tropenmedizin und Infektiologie und Sektion Nephrologie, Zentrum für Innere Medizin II, Universitätsmedizin Rostock.

Clinical Case:  We report of a 25 year old woman who presented with acute dysuria. She had a normal vaginal delivery three months earlier. She developed increasing ascites and laboratory findings were indicative for acute renal failure. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0819-6331
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http://dx.doi.org/10.1055/a-0819-6331DOI Listing
April 2019
1 Read

[Hepatitis C: From Individual Cure to Worldwide Elimination?]

Dtsch Med Wochenschr 2019 Apr 15;144(8):535-542. Epub 2019 Apr 15.

With the implementation of highly effective direct acting antivirals (DAAs), global control or even elimination of chronic hepatitis C virus (HCV) infection might have come into reach. In fact, DAA therapy leads to complete virus elimination, defined as sustained viral response (SVR), in the vast majority of patients. Moreover, in patients without cirrhosis, the risk of developing HCC after DAA therapy is significantly reduced. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0837-2424
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http://dx.doi.org/10.1055/a-0837-2424DOI Listing
April 2019
1 Read

[Current and Future Therapy of Hepatitis B and D].

Authors:
Frank Tacke

Dtsch Med Wochenschr 2019 Apr 15;144(8):528-534. Epub 2019 Apr 15.

With approximately 240 million chronically infected people, hepatitis B virus (HBV) infection is a leading cause of cirrhosis and hepatocellular carcinoma in the world. Chronic HBV infection should be treated with antivirals, if either liver cirrhosis with detectable HBV DNA or relevant viral load (HBV DNA > 2000 IU/ml) and signs of liver damage (transaminase elevation, fibrosis, risk of liver cancer or similar) are present. The current standard therapy is a long-term treatment with nucleoside or nucleotide analogues such as entecavir, tenofovir disoproxil fumarate or tenofovir alafenamide, while in selected cases interferon treatment (for 48 weeks) may be useful. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0807-7774
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http://dx.doi.org/10.1055/a-0807-7774DOI Listing
April 2019
2 Reads

[Viral Hepatitis: When to be Considered in Clinical Routine?]

Dtsch Med Wochenschr 2019 Apr 15;144(8):520-527. Epub 2019 Apr 15.

Chronic viral hepatitis can remain unrecognized but may nevertheless lead to liver cirrhosis and hepatocellular carcinoma. Thus, patients with elevated liver enzymes as well as risk groups need to be screened and treated for viral hepatitis. These groups include, in particular, migrants from countries with high HBV or HCV prevalence, persons with previous or current intravenous drug use, and homosexual men. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0640-3627
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http://dx.doi.org/10.1055/a-0640-3627DOI Listing
April 2019
1 Read

[Missing Left Coronary Artery During Cardiac Catheterization].

Dtsch Med Wochenschr 2019 Apr 15;144(8):517-518. Epub 2019 Apr 15.

Klinik für Diagnostische und Interventionelle Radiologie, Uniklinikum Ulm.

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http://dx.doi.org/10.1055/a-0826-2613DOI Listing

[Virus Hepatitis in Transition].

Authors:
Robert Thimme

Dtsch Med Wochenschr 2019 Apr 15;144(8):505. Epub 2019 Apr 15.

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http://dx.doi.org/10.1055/a-0835-7427DOI Listing

[Real World Management of Gouty Arthritis: Clinical, Epidemiological and Comorbidity Data from 4016 Patients in Rhineland-Palatinate, Germany].

Dtsch Med Wochenschr 2019 Apr 15;144(8):e51-e57. Epub 2019 Apr 15.

ACURA Rheuma-Kliniken, Bad Kreuznach, Deutschland.

Background:  To examine clinical, comorbidity and demographic aspects of gout and to explore the routine clinical practice of gout treatment among general practitioners (G.P.'s) in southwest Germany. Read More

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http://dx.doi.org/10.1055/a-0755-1341DOI Listing

[The PRIMA Project - Electronically-Supported Physician-Pharmacist Cooperation to Generate and Update Medication Plans in Germany].

Dtsch Med Wochenschr 2019 Mar 29. Epub 2019 Mar 29.

Geschäftsbereich Arzneimittel, ABDA - Bundesvereinigung Deutscher Apothekerverbände e. V., Berlin.

Background:  A complete overview on the patient's medication is one precondition for medication safety. For this, a complete and current medication plan (MP) is an appropriate instrument. We aimed to develop and implement software to evaluate and exchange medication plans in local software systems of general practitioners (GPs) and community pharmacies (CPs). Read More

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http://dx.doi.org/10.1055/a-0859-5862DOI Listing

[Structured Career Pathways in the University Medicine - From Promotion to Clinician Scientist Programs].

Dtsch Med Wochenschr 2019 Apr 29;144(7):489-493. Epub 2019 Mar 29.

Scientifically active medical doctors are required for successful translation of novel basic findings into the clinic. However, there is an increasing tendency of young medical doctors to primarily follow a more clinically and not scientifically orientated career pathway. Therefore, the establishment of novel career education structures and career perspectives in university medicine are important to stop this development. Read More

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http://dx.doi.org/10.1055/a-0851-5750DOI Listing

[Aortic Intramural Hematoma: a Challenging Diagnosis].

Dtsch Med Wochenschr 2019 Apr 29;144(7):484-488. Epub 2019 Mar 29.

Abteilung für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Würzburg.

History And Clinical Findings:  A 75-year-old woman was admitted to our institution for acute abdominal pain. She had a history of atrial fibrillation, pacemaker implantation and diastolic heart failure. At time of admission, she was under oral anticoagulation therapy with apixaban. Read More

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http://dx.doi.org/10.1055/a-0851-2226DOI Listing
April 2019
1 Read

[Endovascular Recanalization of Chronic Venous Outflow Obstructions].

Dtsch Med Wochenschr 2019 Apr 29;144(7):478-483. Epub 2019 Mar 29.

Klinik für Angiologie, Klinikum Hochsauerland GmbH, Arnsberg.

Approximately 60 % of patients with acute iliofemoral deep vein thrombosis recover without further symptoms. However, 40 % will have some degree of post-thrombotic syndrome (PTS) and 4 % will develop severe PTS. PTS is the most common complication; it reduces quality of life and increases DVT-related costs. Read More

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http://dx.doi.org/10.1055/a-0653-7714DOI Listing
April 2019
1 Read

[23-Year-Old Patient from Afghanistan with Unclear Pulmonary Finding].

Dtsch Med Wochenschr 2019 Apr 29;144(7):475-476. Epub 2019 Mar 29.

Institut für Infektionsmedizin und Krankenhaushygiene, Universitätsklinikum Jena.

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http://dx.doi.org/10.1055/a-0778-6635DOI Listing

[Digital Health Innovation in Gastroenterology].

Dtsch Med Wochenschr 2019 Apr 29;144(7):470-474. Epub 2019 Mar 29.

Medizinische Klinik 1, Universitätsklinikum Dresden.

While digital health is changing the way we perform medicine, implementation of novel diagnostic or therapeutic approaches into clinical practice remains challenging. In this paper we discuss strategies and problems that need to be addressed to enable the translation of new technologies. With its broad spectrum of diseases and procedures the field of gastroenterology offers a perfect test bed for digital innovation. Read More

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http://dx.doi.org/10.1055/a-0740-8853DOI Listing

[Digital Health in Rheumatology - Status 2018/19].

Dtsch Med Wochenschr 2019 Apr 29;144(7):464-469. Epub 2019 Mar 29.

Klinik für Rheumatologie & Klinische Immunologie, Evangelisches Krankenhaus, Kliniken Essen-Mitte, Essen.

State Of The Art:  Innovations in information and communication technology have been used in rheumatology for many years. In 2018 the German Society for Rheumatology established the Commission "Digital Rheumatology".

Digital Applications In German Rheumatology:  Mobile data acquisition in rheumatological patients is feasible. Read More

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http://dx.doi.org/10.1055/a-0740-8773DOI Listing

[Digital Health in Respiratory Medicine - Current Status].

Dtsch Med Wochenschr 2019 Apr 29;144(7):457-462. Epub 2019 Mar 29.

Philipps-Universität Marburg (Standort Schönau), Deutsches Zentrum für Lungenforschung (DZL), Schön Klinik Berchtesgadener Land.

Everyday life is increasingly influenced by digitization. Digitization creates large, often unstructured amounts of data ("big data"), which have been used in consumer industry for years, but yet not widely in medicine. For pulmonology, digitization offers opportunities and risks in different areas like obstructive lung diseases, thoracic oncology, pulmonary rehabilitation, sleep medicine, home mechanical ventilation, and in intensive care medicine. Read More

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http://dx.doi.org/10.1055/a-0740-8692DOI Listing
April 2019
2 Reads

[Digital Nephrology].

Dtsch Med Wochenschr 2019 Apr 29;144(7):452-456. Epub 2019 Mar 29.

Deutsches Forschungszentrum für Künstliche Intelligenz (DFKI GmbH), Berlin.

Clinical Nephrology faces considerable structural challenges. Digitization can be a critical catalyst to better address the needs of patients and their healthcare providers with new system solutions. Improved communication is the key driver. Read More

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http://dx.doi.org/10.1055/a-0740-8662DOI Listing

[Digital Cardiology].

Dtsch Med Wochenschr 2019 Apr 29;144(7):447-451. Epub 2019 Mar 29.

Klinik für Innere Medizin und Kardiologie, Schön Klinik Neustadt.

The increase in life expectancy and Healthy Life Years in Europe is largely attributable to the success of cardiovascular medicine. Technical developments enable ever more detailed insights into disease processes and enable a precise, multimodal diagnosis of even complex diseases using digital imaging, cardiac biomarkers and genomic information. The rapid availability of this data, often in real time, allows optimized planning and performing of tailored interventional, surgical, or pharmacotherapies. Read More

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http://dx.doi.org/10.1055/a-0740-8631DOI Listing

[Infectious Diseases - Pioneer of Digital Medicine].

Dtsch Med Wochenschr 2019 Apr 29;144(7):442-446. Epub 2019 Mar 29.

Universität zu Köln, Medizinische Fakultät und Uniklinik Köln, Klinik I für Innere Medizin, Deutschland.

Digital Medicine has become an integral part of clinical infectious diseases. For chronic infections such as HIV and Hepatitis C, treatment with software tools for resistance phenotyping has become standard of care. Computer-assisted decision aids as well as electronic health records are currently being implemented on a regional basis in Germany. Read More

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http://dx.doi.org/10.1055/a-0740-8510DOI Listing
April 2019
1 Read

[Digitization in Intensive Care Medicine].

Dtsch Med Wochenschr 2019 Apr 29;144(7):436-441. Epub 2019 Mar 29.

Klinik für Innere Medizin 8, Schwerpunkt Kardiologie, Universitätsklinik der Paracelsus Medizinischen Privatuniversität, Klinikum Nürnberg, Standort Süd.

Digitization is one of the most important tools for improving the standards of our Intensive Care Units. Patient Data Management Systems (PDMS) increase patient safety and help clinicians to tailor their therapy for the individual critical ill patient. A new approach is the provision of critical care medicine for patients in remote ICUs with a telemedicine intervention. Read More

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http://dx.doi.org/10.1055/a-0740-8551DOI Listing

[Digital Medicine in Oncology: Clinical Decision Support, Real World Data and Patient Involvement].

Dtsch Med Wochenschr 2019 Apr 29;144(7):430-434. Epub 2019 Mar 29.

Medizinische Klinik 2, Hämatologie/Onkologie, Goethe-Universität Frankfurt.

Oncology has experienced a massive growth in knowledge over the last years. However, the growing amount of knowledge and data increases the complexity of clinical decisions and presents oncologists with new challenges. Currently, oncology-specific IT solutions are being developed with the aim to improve survival of cancer patients. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0740-8480
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http://dx.doi.org/10.1055/a-0740-8480DOI Listing
April 2019
3 Reads

[The Cardiorenal Syndrome].

Dtsch Med Wochenschr 2019 Mar 28;144(6):e2. Epub 2019 Mar 28.

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http://dx.doi.org/10.1055/a-0884-5458DOI Listing
March 2019
2 Reads

[Life Situation of Young women with Turner Syndrome: Results of a Questionnaire-based Study in Germany].

Dtsch Med Wochenschr 2019 Mar 14. Epub 2019 Mar 14.

Universitäts-Kinderklinik, Pädiatrische Endokrinologie und Diabetologie, Bonn.

Introduction:  Psychosocial problems such as anxious personality, low self-esteem, late separation from home and/or late sexual experience have been described in girls and women with Turner syndrome (TS).

Methods:  The study was performed in 2015 based on a questionnaire that was sent out to 779 women with TS aged 25 years (median). The questionnaire was devised by a French team and used with their permission. Read More

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http://dx.doi.org/10.1055/a-0841-9918DOI Listing
March 2019
1 Read

[Incidental Findings in Oncological Staging CT Examinations].

Dtsch Med Wochenschr 2019 Mar 14;144(6):411-417. Epub 2019 Mar 14.

Incidental findings are frequently detected in modern cross sectional imaging in up to 73 % of all radiological examinations with an increasing incidence. Especially clinically relevant findings, such as thromboembolisms, inflammation or therapy associated findings can be found in staging examinations of oncological patients. Those findings should be categorized according to their clinical relevance. Read More

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http://dx.doi.org/10.1055/a-0825-8689DOI Listing
March 2019
1 Read

[The Swollen Leg in Vascular Medical Practice].

Dtsch Med Wochenschr 2019 Mar 14;144(6):398-410. Epub 2019 Mar 14.

In case of an acute leg swelling a deep leg vein thrombosis needs to be excluded. In order to do this, compression sonography and the D-dimer-test are applied in the framework of an established diagnostic algorithm. The ensuing therapy consists in anticoagulation and compression. Read More

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http://dx.doi.org/10.1055/a-0379-9997DOI Listing
March 2019
6 Reads

[Persistent Diarrhea of an Elderly Lady - How to Combine Blood Pressure and Diarrhea].

Dtsch Med Wochenschr 2019 Mar 14;144(6):394-397. Epub 2019 Mar 14.

BG Klinikum Bergmannstrost Halle, Medizinische Klinik.

History And Clinical Findings:  A 72-year-old female presented with a therapy-resistant diarrhea.

Examinations:  In the case of negative stool cultures and inconspicuous radiological imaging, further endoscopic diagnostics were performed. Histological implicated the image of a celiac disease in the duodenum and lymphocytic colitis reaching into the terminal ileum. Read More

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http://dx.doi.org/10.1055/a-0830-6521DOI Listing
March 2019
2 Reads

[Diuretic Therapy].

Dtsch Med Wochenschr 2019 Mar 14;144(6):387-392. Epub 2019 Mar 14.

The treatment of generalized edema includes primarily the treatment of the underlying disease as well as the sodium restriction. Often, however, the volume balance alone can not be controlled satisfactorily. Commonly, diuretics are used for the treatment of chronic heart failure, liver cirrhosis, nephrotic syndrome and renal failure. Read More

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http://dx.doi.org/10.1055/a-0661-4426DOI Listing
March 2019
1 Read

[The Cardiorenal Syndrome].

Dtsch Med Wochenschr 2019 Mar 14;144(6):382-386. Epub 2019 Mar 14.

In patients with chronic cardio renal syndrome chronic heart disease coexists with chronic kidney disease and poses the patients to a specifically high risk for cardiovascular events and mortality. Treatment recommendations in this condition with a high level of evidence are sparse. Mainstay of therapy in cardiorenal syndrome is fluid metabolism control and stabilization of renal and cardiac function, which can basically been achieved by substances modifying the renin-angiotensin-aldosterone-system as well as diuretics. Read More

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http://dx.doi.org/10.1055/a-0661-4456DOI Listing
March 2019
1 Read

[Edema - the nephrologist's perspective].

Dtsch Med Wochenschr 2019 Mar 14;144(6):376-381. Epub 2019 Mar 14.

Edema is a common symptom with mostly extrarenal causes. Nevertheless, it may also be a sign of glomerular disease. So renal causes should always be clarified to avoid serious complications, such as renal insufficiency, cardiovascular or thrombembolic events. Read More

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http://dx.doi.org/10.1055/a-0664-5507DOI Listing
March 2019
1 Read

[63-Year-Old Female Patient with a Reduced Movement of the Legs].

Dtsch Med Wochenschr 2019 Mar 14;144(6):373-374. Epub 2019 Mar 14.

Neurologische Klinik, Universitätsklinik der RWTH Aachen.

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http://dx.doi.org/10.1055/a-0736-0495DOI Listing

[Edema diseases].

Dtsch Med Wochenschr 2019 Mar 14;144(6):361. Epub 2019 Mar 14.

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http://dx.doi.org/10.1055/a-0774-8708DOI Listing
March 2019
1 Read

[Estimation of Preload Dependence in Intensive Care - Step by Step].

Dtsch Med Wochenschr 2019 Mar 5;144(5):340-345. Epub 2019 Mar 5.

The determination of the cardiac preload is still a challenge for intensive care physicians. In addition to clinical assessment, both non-invasive and invasive methods exist for evaluating fluid responsiveness. The following article demonstrates one possible approach for systematic assessment of fluid responsiveness using a practical algorithm for critical care patients. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0665-6581
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http://dx.doi.org/10.1055/a-0665-6581DOI Listing
March 2019
4 Reads

[Leukemia caused by collision with a wild pig?]

Dtsch Med Wochenschr 2019 Mar 5;144(5):335-339. Epub 2019 Mar 5.

Medizinische Klinik 3, Centrum für Integrierte Onkologie (CIO) Köln-Bonn, Universitätsklinikum Bonn.

History:  A 23 years old, previously healthy woman was admitted to our clinic with neutropenic fever to rule out acute leukemia. Upon admission the patient reported that a few days ago the carcass of a pig had fallen on her from above, so that she experienced strong back pain.

Findings And Diagnosis:  The blood count showed thrombocytopenia and marked neutropenia of 0. Read More

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http://dx.doi.org/10.1055/a-0826-2446DOI Listing
March 2019
1 Read

[Translating Early Vascular Aging into Clinical Practice].

Authors:
Martin Middeke

Dtsch Med Wochenschr 2019 Mar 5;144(5):329-333. Epub 2019 Mar 5.

Early Vascular Aging, a concept describing pathophysiologic and clinical aspects of premature arterial stiffness and arteriosclerosis, has attracted attention in recent years. Early diagnosis and intervention is essential for prevention and postponing cardiovascular events. Read More

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http://dx.doi.org/10.1055/a-0657-1708DOI Listing

[Therapy of Hypercholesterolemia in Primary Prevention].

Dtsch Med Wochenschr 2019 Mar 5;144(5):322-328. Epub 2019 Mar 5.

Atherosclerotic cardiovascular disease is the leading cause of premature mortality and morbidity worldwide. Dyslipidemia is a commonly encountered clinical condition and is an important determinant of cardiovascular disease. The causality of plasma low-density lipoprotein-cholesterol (LDL-C) in the pathophysiology of cardiovascular disease has been established beyond any reasonable doubt. Read More

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http://dx.doi.org/10.1055/a-0657-1668DOI Listing

[Atherosclerosis as an Inflammatory Disease - Pathophysiology, Clinical Relevance and Therapeutic Implications].

Dtsch Med Wochenschr 2019 Mar 5;144(5):315-321. Epub 2019 Mar 5.

Since the early 1990 s, both experimental and clinical data have clearly demonstrated that inflammatory processes accompany atherosclerotic disease from its initiation to the development of clinical complications. Numerous biomarkers involved at various levels of the inflammation cascade have been shown to be associated with adverse cardiovascular outcomes. Among them, the classical acute phase reactant C-reactive protein (CRP) has been most intensively investigated. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0657-1595
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http://dx.doi.org/10.1055/a-0657-1595DOI Listing
March 2019
4 Reads

[Non-Invasive Diagnostics of Arteriosclerotic Manifestations].

Dtsch Med Wochenschr 2019 Mar 5;144(5):308-314. Epub 2019 Mar 5.

Arteriosclerosis is a generalized disease and manifests in different vascular regions: the most important manifestations are the coronary artery disease, the peripheral artery disease and the cerebrovascular arteriosclerosis. The challenges of modern ultrasound systems to detect early vascular damage are reviewed in this article. Colour coded duplex ultrasound is the first line method for screening and diagnostic imaging in vascular disease. Read More

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http://dx.doi.org/10.1055/a-0657-1628DOI Listing
March 2019
4 Reads

[A 82-Year-Old Female Patient with Rheumatoid Arthritis and Neck Pain].

Dtsch Med Wochenschr 2019 Mar 5;144(5):305-306. Epub 2019 Mar 5.

Klinik für Nephrologie und Rheumatologie, Universitätsmedizin Göttingen.

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http://dx.doi.org/10.1055/a-0818-9623DOI Listing
March 2019
2 Reads

[Development, Diagnosis and Prevention of Arteriosclerosis].

Authors:
Martin Middeke

Dtsch Med Wochenschr 2019 Mar 5;144(5):293. Epub 2019 Mar 5.

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http://dx.doi.org/10.1055/a-0796-6875DOI Listing

[Information Gaps in Package Inserts Cause Insufficient Patient Information on Correct Handling of Transdermal Patches].

Dtsch Med Wochenschr 2019 Mar 5;144(5):e36-e41. Epub 2019 Mar 5.

Abteilung Klinische Pharmakologie und Pharmakoepidemiologie, Universitätsklinikum Heidelberg.

Background:  The multi-step administration process of transdermal patches requires sufficient knowledge and skills of patients to prevent administration errors. The package insert is an easily accessible information source that reaches the patient automatically with drug dispensing. However, information gaps potentially limit their suitability as appropriate patient information material. Read More

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http://dx.doi.org/10.1055/a-0722-7419DOI Listing
March 2019
1 Read

["Little Old Ladies' Heart" - Ventriculoarterial Coupling in Women With Isolated Systolic Hypertension and Diastolic Dysfunction].

Dtsch Med Wochenschr 2019 Apr 1;144(8):561-567. Epub 2019 Mar 1.

The term "ventricular-arterial coupling" (va-coupling) describes the close interaction of the left ventricle with the arterial system during systole. Increased arterial stiffness in conditions such as isolated systolic hypertension (ISH) or increases in pulse wave reflection may lead to disturbed va-coupling. Pathological pulse wave reflection is closely related to increased left ventricular late systolic load, diastolic dysfunction and, in the long-term, the risk of new-onset HFpEF. Read More

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http://dx.doi.org/10.1055/a-0757-5859DOI Listing
April 2019
1 Read

[Internet-Associated Health Anxieties in Primary Care - Results of a Survey among General Practitioners and Primary Care Internists in Hesse].

Dtsch Med Wochenschr 2019 Mar 1. Epub 2019 Mar 1.

Zentrum für Allgemeinmedizin und Geriatrie, Universitätsmedizin Mainz.

Background:  It may happen that extensive internet search leads to health anxiety in patients, which solidify in the long term. Dealing with such 'cyberchondria' presents a special challenge for the physician. The study highlights general medical attitudes and experiences with regard to patients who are increasingly searching the Internet for symptoms, illnesses or therapies. Read More

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http://dx.doi.org/10.1055/a-0842-8285DOI Listing
March 2019
1 Read

Antwort.

Authors:
Kathrin Klein

Dtsch Med Wochenschr 2019 Feb 13;144(4):289. Epub 2019 Feb 13.

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

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http://dx.doi.org/10.1055/a-0781-8495DOI Listing
February 2019

[Standardized focused echocardiography in acute medicine].

Dtsch Med Wochenschr 2019 Feb 13;144(4):288. Epub 2019 Feb 13.

Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Freiburg.

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http://dx.doi.org/10.1055/a-0754-9059DOI Listing
February 2019

[Tremendous Increase of Home Care in Ventilated and Tracheostomized Patients - Reasons, Consequences, Solutions].

Authors:
Dieter Köhler

Dtsch Med Wochenschr 2019 Feb 13;144(4):282-285. Epub 2019 Feb 13.

Since 2005, invasive long-term ventilation in Germany has increased significantly from around 1000 to 20 000 patients in Germany. Due to complex home care, the health care system incurs additional costs of around 4 billion euros per year. In addition, in the last 2 - 3 years more tracheostomized patients have been discharged home without ventilation (usually after stroke), and they receive the same complex home care. Read More

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http://dx.doi.org/10.1055/a-0805-5284DOI Listing
February 2019

[Genome Editing with CRISPR/Cas9: First Steps Towards a new Era in Medicine?]

Dtsch Med Wochenschr 2019 Feb 13;144(4):276-281. Epub 2019 Feb 13.

The emergence of genome editing technologies can be regarded as one of the most groundbreaking revolutions in the history of science. Modern genome editing allows the introduction of precise mutations into the genome of virtually all cells and organisms without leaving any additional trace. Undoubtedly, genome editing with CRISPR/Cas9, often casually referred to as "genetic scissors", will revolutionize medical research and development. Read More

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http://dx.doi.org/10.1055/a-0759-7180DOI Listing
February 2019

[Vaccination As A Risk? - Why People and Their Children Do Not Get Vaccinated].

Dtsch Med Wochenschr 2019 Feb 13;144(4):254-261. Epub 2019 Feb 13.

Skepticism about vaccination is not new, but the perception of vaccine-related risks has changed in recent decades. In addition to aspects such as knowledge about vaccines, trust in medical care structures and political institutions, socio-economic, cultural and religious views also play an important role. These factors differ significantly worldwide and regionally. Read More

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http://dx.doi.org/10.1055/a-0479-3756DOI Listing
February 2019

[Gaps in Vaccine Coverage and Adverse Effects of Vaccines - An Overview].

Authors:
Christian Bogdan

Dtsch Med Wochenschr 2019 Feb 13;144(4):244-253. Epub 2019 Feb 13.

The success of vaccination programs is jeopardized by gaps in vaccine coverage of the target population. These are frequently due to a lack of awareness, but also result from misconceptions of adverse effects of vaccines. Subject of this article are the current vaccination rates of children, adolescents and adults as well as of medical personnel in Germany, the reporting and surveillance system for adverse effects of vaccines, the magnitude of registered permanent vaccine-induced damages and the possible immunological mechanisms underlying vaccine-triggered autoimmune diseases. Read More

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Source
http://www.thieme-connect.de/DOI/DOI?10.1055/a-0479-3957
Publisher Site
http://dx.doi.org/10.1055/a-0479-3957DOI Listing
February 2019
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