Congenital diaphragmatic hernia: a single-centre experience at Kepler University Hospital Linz
SummaryCongenital diaphragmatic hernia (CDH) is found in about 1 of 3000 live births and is often complicated by pulmonary hypoplasia and alteration of the pulmonary arterial wall with resulting pulmonary hypertension. Since 2005, with the fusion of the children ’s hospital and the maternity clinic of the Kepler University Hospital Linz, affected neonates have been treated according to a standard protocol at our perinatal centre. Some prenatally measured parameters have been used to predict mortality, e.g., observed-to-expected lung-to-head ratio or lung volume measurements by nuclear magnetic resonance imaging. We perf...
Source: Wiener Medizinische Wochenschrift - October 6, 2021 Category: General Medicine Source Type: research
Rare manifestation of a large stenosing gastrointestinal tumor caused by Mycobacterium tuberculosis in a previously healthy man from Austria
ConclusionGastrointestinal involvement mimicking an intestinal tumor is a very rare TB manifestation in previously healthy Austrians. However, it should be kept in mind due to increasing migration from countries with higher rates of extrapulmonary TB and due to an increasing number of immunocompromised patients. TB telephone consultations can support medical professiona ls in the diagnosis and the management of complex TB patients. TB management is currently at a transitional stage from a programmatic to personalized management concept including therapeutic drug monitoring or biomarker-guided treatment duration to achi...
Source: Wiener Medizinische Wochenschrift - October 6, 2021 Category: General Medicine Source Type: research
Inferior vena cava thrombosis —rope ladder sign
SummaryCongenital heart disease comprises one of the largest groups of congenital defects, affecting approximately 1% of births. Advances in pre- and postoperative critical care treatment as well as surgery and interventional procedures have improved survival rates, but treatment and long-term care of children with complex congenital heart disease remains challenging, and is associated with a number of complications.Here, we report on a 17-month-old infant with congenital univentricular heart disease who devloped post-operatively inferior vena cava (IVC) thrombosis. IVC thrombosis was confirmed by a bedside contrast m...
Source: Wiener Medizinische Wochenschrift - October 6, 2021 Category: General Medicine Source Type: research
Focal increta placentomegaly of the posterior nonscarred uterine wall and posterior asynclitic presentation
ConclusionTimely identified malplacentation as well as adequate medical and surgical measures taken by an experienced team of obstetricians and anesthesiologists can contribute to preservation of the uterus and thus the life of mother and neonate. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - October 6, 2021 Category: General Medicine Source Type: research
Congenital diaphragmatic hernia: a single-centre experience at Kepler University Hospital Linz
SummaryCongenital diaphragmatic hernia (CDH) is found in about 1 of 3000 live births and is often complicated by pulmonary hypoplasia and alteration of the pulmonary arterial wall with resulting pulmonary hypertension. Since 2005, with the fusion of the children ’s hospital and the maternity clinic of the Kepler University Hospital Linz, affected neonates have been treated according to a standard protocol at our perinatal centre. Some prenatally measured parameters have been used to predict mortality, e.g., observed-to-expected lung-to-head ratio or lung volume measurements by nuclear magnetic resonance imaging. We perf...
Source: Wiener Medizinische Wochenschrift - October 6, 2021 Category: General Medicine Source Type: research
Rare manifestation of a large stenosing gastrointestinal tumor caused by Mycobacterium tuberculosis in a previously healthy man from Austria
ConclusionGastrointestinal involvement mimicking an intestinal tumor is a very rare TB manifestation in previously healthy Austrians. However, it should be kept in mind due to increasing migration from countries with higher rates of extrapulmonary TB and due to an increasing number of immunocompromised patients. TB telephone consultations can support medical professiona ls in the diagnosis and the management of complex TB patients. TB management is currently at a transitional stage from a programmatic to personalized management concept including therapeutic drug monitoring or biomarker-guided treatment duration to achi...
Source: Wiener Medizinische Wochenschrift - October 6, 2021 Category: General Medicine Source Type: research
Inferior vena cava thrombosis —rope ladder sign
SummaryCongenital heart disease comprises one of the largest groups of congenital defects, affecting approximately 1% of births. Advances in pre- and postoperative critical care treatment as well as surgery and interventional procedures have improved survival rates, but treatment and long-term care of children with complex congenital heart disease remains challenging, and is associated with a number of complications.Here, we report on a 17-month-old infant with congenital univentricular heart disease who devloped post-operatively inferior vena cava (IVC) thrombosis. IVC thrombosis was confirmed by a bedside contrast m...
Source: Wiener Medizinische Wochenschrift - October 6, 2021 Category: General Medicine Source Type: research
Focal increta placentomegaly of the posterior nonscarred uterine wall and posterior asynclitic presentation
ConclusionTimely identified malplacentation as well as adequate medical and surgical measures taken by an experienced team of obstetricians and anesthesiologists can contribute to preservation of the uterus and thus the life of mother and neonate. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - October 6, 2021 Category: General Medicine Source Type: research
A Choosing Wisely top-5 list to support general practitioners in Austria
SummaryFrom a pool of 147 reliable recommendations, ten experts from the Austrian Society of General Practice and Family Medicine selected 21 relevant recommendations as the basis for the Delphi process. In two Delphi rounds, eleven experts established a top‑5 list of recommendations designed for Austrian fa mily practice to reduce medical overuse. Three of the chosen recommendations address the issue of antibiotic usage in patients with viral upper respiratory tract infections, in children with mild otitis media, and in patients with asymptomatic bacteriuria. The other two “do not do” recommendatio ns concern ima...
Source: Wiener Medizinische Wochenschrift - October 1, 2021 Category: General Medicine Source Type: research
Evaluation of long-term quitters: who stays smoke free forever?
ConclusionDue to the low response rate, conclusions are limited; however, the 1 ‑year abstinence rate might not be as reliable as thought so far; long-term “sober” nicotine addicts remain at risk of relapse. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - October 1, 2021 Category: General Medicine Source Type: research
Opioidrotation bei „mixed pain“ in der Tumorschmerztherapie
ZusammenfassungIm vorliegenden Fallbericht wird die Situation einer 67-j ährigen chronischen Schmerzpatientin geschildert, die aufgrund eines Zufallsbefundes mit der Diagnose eines metastasierten kleinzelligen Bronchialkarzinoms konfrontiert wird. Bisher hatte sie mit einer chronischen Lumboischialgie zu kämpfen. Im Verlauf traten zunehmend therapieresistente Tumorschm erzen in den Vordergrund. Es wird beschrieben, wie wichtig es ist, die veränderte Schmerzqualität zu erkennen. Der Tumorschmerz mit neuropathischer Komponente beziehungsweise „mixed pain“ erschwerte im vorliegenden Fallbeispiel eine zufriedenstellend...
Source: Wiener Medizinische Wochenschrift - October 1, 2021 Category: General Medicine Source Type: research
Complications of influenza in 272 adult and pediatric patients in a German university hospital during the seasonal epidemic 2017–2018
ConclusionPatients with influenza should be monitored for secondary pneumonia and myocardial infarction, and vaccination should be enforced especially in patients with coronary heart disease and cardiac insufficiency. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - September 28, 2021 Category: General Medicine Source Type: research
Evaluation of a rapid-antigen test for COVID-19 in an asymptomatic collective
ConclusionRAT can be an important tool for screening for SARS-CoV ‑2 COVID-19 at the point of care. With low cost and resource needs, high specificity, and high specificity, RAT are performed best during the early stages of SARS-CoV‑2 COVID-19, when the viral loads are high. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - September 28, 2021 Category: General Medicine Source Type: research
“I would not wait for them to commit crime”: Cesare Lombroso’s criminal anthropology in Croatia
SummaryCroatia is a Central European and Mediterranean country with a long maritime border with Italy. Throughout history, it was not only goods but also knowledge and medical practices that were exchanged over its borders. Following archival sources, individual informal networks, professional publications, d aily newspapers, and public lectures, we aimed to present main channels by which Croatian intellectuals embraced Lombroso’s criminal anthropology at the end of the 19th and the beginning of the 20th centuries. We illuminated the fact that the adoption of Cesare Lombroso’s concepts stimulated th e joint engag...
Source: Wiener Medizinische Wochenschrift - September 28, 2021 Category: General Medicine Source Type: research
