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Indications for the Surgical Management of Benign Goiter in Adults.
CONCLUSION: The decision to operate should be made on an interdisciplinary basis and in conformity with the relevant guidelines after all of the appropriate diagnostic studies have been performed. The radicality of any proposed surgical procedure should be weighed against its potential complications. PMID: 29345225 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Failure to Use Ultrasound Is a Glaring Shortcoming.
Authors: Lang M PMID: 29345226 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Experience and a Certain Amount of Time Are Required.
Authors: Gläser M PMID: 29345227 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Ultrasound First.
Authors: Seitz K PMID: 29345228 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Oral Contrast is no Longer Needed.
Authors: Knöpfle E PMID: 29345229 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Critical Scrutiny Needed.
Authors: Nickel T PMID: 29345230 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

In Reply.
Authors: Vilz TO PMID: 29345231 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

A Rare Cause of Chronic Cough.
Authors: Schulze G, Seyfarth HJ PMID: 29345232 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Multiple Endobronchial Chondromas.
Authors: Harsch IA, Ghopreal T PMID: 29345233 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Current Approaches to Epistaxis Treatment in Primary and Secondary Care.
CONCLUSION: The treatment of severe or recurrent epistaxis requires the interdisciplinary collaboration of the primary care physician, the emergency physician, the practice-based otolaryngologist, and the hospital otolaryngology service. Uniform guidelines and epidemiological studies on this topic would be desirable. PMID: 29345234 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 20, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Spondylodiscitis: Diagnosis and Treatment Options.
CONCLUSION: The quality of life of patients who have been appropriately treated for spondylodiscitis has been found to be highly satisfactory in general, although back pain often persists. The risk of recurrence increases in the presence of accompanying illnesses such as diabetes mellitus, renal failure, or undrained epidural abscesses. PMID: 29321098 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 13, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Non-Specific Low Back Pain.
CONCLUSION: A physician should be in charge of the overall care process. The patient should be kept well informed over the entire course of his or her illness and should be encouraged to adopt a healthful lifestyle, including regular physical exercise. PMID: 29321099 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 13, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Retinal Injury Following Laser Pointer Exposure.
CONCLUSION: Laser pointers can cause persistent retinal damage and visual impairment. In view of the practically unimpeded access to laser pointers (even high-performance ones) over the Internet, society at large now needs to be more aware of the danger posed by these devices, particularly to children and adolescents. PMID: 29271340 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Community-Acquired Pneumonia in Adults.
CONCLUSION: Major considerations include appropriate risk stratification and the implementation of a management strategy adapted to the degree of severity of the disease, along with the establishment of structured follow-up care and secondary prevention, especially for patients with comorbidities. PMID: 29271341 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Changing Infection Patterns.
Authors: Krause G PMID: 29271342 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

The Prevalence of Nosocomial Infection and Antibiotic Use in German Hospitals.
Authors: Behnke M, Aghdassi SJ, Hansen S, Diaz LAP, Gastmeier P, Piening B Abstract BACKGROUND: In 2011 and again in 2016, the European Centre for Disease Prevention and Control (ECDC) asked all European countries to carry out nationwide studies on the prevalence of nosocomial infection (NI) and antibiotic use (AU). Data on NI and AU constitute an essential basis for the development of measures to prevent infection and lessen antibiotic resistance. METHODS: The German prevalence study of 2016 was carried out according to the ECDC protocol. Alongside a sample of 49 acute-care hospitals requested by the ECDC that...
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Condyloma in the Nose.
Authors: Streit E, Gholam P PMID: 29271344 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Surveillance of Antibiotic Use and Resistance in Intensive Care Units (SARI).
CONCLUSION: The resistance density of gram-negative multiresistant pathogens in the participating intensive care units increased markedly. The rise in imipenem-resistant pathogens arouses particular concern. The increased use of broad-spectrum/reserve antibiotics may well have contributed to this development. Efforts to use antibiotics rationally, e.g., with the support of multidisciplinary "antibiotic stewardship" teams, are therefore vitally important. As participation in SARI is voluntary, these surveillance data cannot be considered representative of Germany as a whole. PMID: 29271345 [PubMed - in process...
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Uncomplicated Bacterial Communityacquired Urinary Tract Infection in Adults.
CONCLUSION: Physicians who treat uncomplicated urinary tract infections should familiarize themselves with the newly revised guideline's recommendations on the selection and dosage of antibiotic treatment so that they can responsibly evaluate and plan antibiotic treatment for their affected patients. PMID: 29271346 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Invasive Mycosis in an Immunosuppressed Patient.
Authors: Dietze N, Wendt S PMID: 29271347 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Yellow Nail Syndrome.
Authors: Lübbert C, Kunz M PMID: 29271348 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 24, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

The New Modesty.
Authors: Gertz HJ PMID: 29249222 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 20, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Occult Focus of Septic Shock.
Authors: Christ M, Otte P, Achterberg A PMID: 29249223 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 20, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Non-Pharmacological Treatment in People With Cognitive Impairment.
CONCLUSION: MAKS therapy is effective for persons with cognitive impairment ranging from mild cognitive impairment (MCI) to moderate dementia who live at home and regularly visit a day care center. The fact that 32 day care facilities from all over Germany participated in this study gives its findings high external validity. PMID: 29249224 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 20, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Tranexamic Acid in Endoprosthesis.
Authors: Maegele M PMID: 29249225 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 20, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Tranexamic Acid Prophylaxis in Hip and Knee Joint Replacement.
CONCLUSION: The prophylactic intravenous administration of tranexamic acid lessens the amount of bleeding in endoprosthetic knee and hip procedures and reduces the likelihood of blood transfusion. According to the current state of the evidence, complications are rare. Nonetheless, consideration of the risks and benefits implies that tranexamic acid should not be given for this purpose to patients who have recently had urogenital bleeding, pulmonary embolism, or a myocardial infarction, who have recently undergone percutaneous transluminal coronary angioplasty or stenting, or who are known to have epilepsy. PMID: 292492...
Source: Deutsches Arzteblatt International - December 20, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

The Opportunities and Limitations of Minimally Invasive Cardiac Surgery.
CONCLUSION: Specialized surgeons and centers can now carry out many cardiac valvular and bypass operations via minithoracotomy rather than sternotomy. According to current evidence, these minimally invasive techniques yield results that are at least as good as classic open-heart surgery. PMID: 29229038 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Analgesia in Patients with Trauma in Emergency Medicine.
CONCLUSION: Ketamine, fentanyl, and morphine are suitable for analgesia in spontaneously breathing trauma patients. Fentanyl and ketamine have a rapid onset of action and a strong analgesic effect. Our quantitative meta-analysis revealed no evidence for the superiority of any of the three substances over the others. Suitable monitoring equipment, and expertise in emergency procedures are prerequisites for safe and effective analgesia by healthcare professionals.. PMID: 29229039 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Persistent Retrosternal Pain in a 72-Year-Old Woman.
Authors: Ludwig Stich H, Bott-Flügel L PMID: 29229040 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Continuity and Innovation.
Authors: Remschmidt H PMID: 29229041 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Economic Pressure in Hospitals.
Authors: Köbberling J PMID: 29229042 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Seizure or Syncope?
Authors: Krause O, Walle E, Terres W PMID: 29229043 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

The Commercialization of Patient-Related Decision Making in Hospitals.
CONCLUSION: The doctors' responses indicate that the current economic framework conditions and the managers of hospitals are currently influencing medical care to the detriment of the patients, physicians, and nurses. It is important to acknowledge that economic pressure on hospitals can undermine the independence of medical decision-making. The dilemmas facing doctors and hospital CEOs should be openly discussed. The economic framework conditions and steering concepts should be changed as suggested by these findings. PMID: 29229044 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Accidental Thumb Injection With an Epinephrine Autoinjector.
Authors: Fritz T, Pohlemann T, Klein M PMID: 29229045 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Unemployment Following Childhood Cancer.
CONCLUSION: Childhood cancer survivors are at considerable risk of unemployment in adulthood. They may benefit from psycho-social care services along the cancer trajectory to support labor market integration. PMID: 29229046 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 14, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

The Investigation of Suspected Fracture-a Comparison of Ultrasound With Conventional Imaging.
CONCLUSION: Strong evidence supports the use of ultrasound imaging for certain indications in the detection of fractures. PMID: 29202925 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 7, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Impingement Syndrome of the Shoulder.
CONCLUSION: Randomized controlled therapeutic trials are needed so that a standardized treatment regimen can be established. PMID: 29202926 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - December 7, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Spontaneous Pneumothorax.
CONCLUSION: The danger to life and the likelihood of an accompanying pulmonary diagnosis are both low up to age 45. Treatment on an intensive care unit and computerized tomography of the chest should be performed only for strict indications in patients under age 45. The pathophysiological basis of the differing patterns of illness depending on age and sex requires further investigation. PMID: 29169430 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Monoclonal IgM Gammopathy and Waldenstr öm's Macroglobulinemia.
CONCLUSION: Evidence-based treatment decisions in Waldenström's macroglobulinemia now rely mainly on small-scale, single-armed trials. Patients with this disease should be treated in the setting of a clinical trial if possible. Trials aimed at improving the quality of treatment for other IgM-associated diseases, such as IgM neuropathies and cold agglutinin disease, would also be desirable. PMID: 29169431 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Consider the Risk of Goiter.
Authors: Schmoll D PMID: 29169432 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

In Reply.
Authors: Schübel J, Voigt K PMID: 29169433 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Additional Comments.
Authors: J Stein W PMID: 29169434 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Paying Attention to Electrolytes.
Authors: Bienentreu S PMID: 29169435 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

In Reply.
Authors: Kratz T PMID: 29169436 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Oriental Sore (Old-World Cutaneous Leishmaniasis).
Authors: Schüürmann M, Kunz M, Lübbert C PMID: 29169437 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Separate Septic and Aseptic Operating Areas.
Authors: Büttner-Janz K PMID: 29169438 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

In Reply.
Authors: Kramer A, Harnoss JC, Kohlmann T PMID: 29169439 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Multiple Pulmonary Emboli of Bone Cement after Kyphoplasty.
Authors: Butscheidt S, Ritter J, Püschel K PMID: 29169440 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 27, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

The Treatment of Depression in Primary Care.
Authors: Trautmann S, Beesdo-Baum K Abstract BACKGROUND: General practitioners play a key role in the care of patients with depressive disorders. We studied the frequency and type of treatment of depressive disorders in primary care. METHODS: In a cross-sectional epidemiological study on a particular day in six different regions in Germany, 253 physicians and 3563 unselected patients were asked to fill in a questionnaire assessing the diagnosis and treatment of depression. A total of 3431 usable patient data sets and 3211 sets of usable data from both the patient and the physician were subjected to further anal...
Source: Deutsches Arzteblatt International - November 17, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Surgical and Endovascular Treatment of Extracranial Carotid Stenosis.
CONCLUSION: These data reveal a low periprocedural rate of stroke or death for both CEA and CAS. This study does however not permit any conclusions as to the superiority or inferiority of CEA and CAS. PMID: 29143732 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - November 17, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research