Diagnostic challenges, best sources, and future paths for diagnoses of Beethoven ’s physical and mental illnesses
SummarySignificant problems have plagued medical and musicological researchers who wish to understand the complexities of Beethoven ’s physical and mental health. The most significant is a lack of detailed information on the composer’s medical and mental conditions as they appeared and progressed. Though he consistently saw well-regarded doctors from around 1800 to his death, only one wrote a detailed description and only a few left information in the conversation books. Other problems are the limited medical knowledge about certain diseases at the time (such as the causes of deafness) and treatments with no or limi...
Source: Wiener Medizinische Wochenschrift - July 1, 2021 Category: General Medicine Source Type: research
Pflegepraxis durch Pflegewissenschaft in Zeiten von COVID-19 sichtbar machen
ZusammenfassungDie Pflegepraxis steht durch die COVID-19-Pandemie vor enormen Herausforderungen. Dennoch war die Pflegewissenschaft als Sprachrohr f ür die Praxis im öffentlichen Diskurs rund um die COVID-19-Pandemie kaum aktiv vertreten. Dementsprechend stellt sich die Frage, welche Projekte mit Fokus auf Pflege und COVID-19 an österreichischen Hochschulen durchgeführt wurden. Insgesamt wurden 6 Projekte mittels Schneeballverfahren identif iziert. Eine Studie zeigte, dass eine erhöhte Tragedauer von Masken mit einem erhöhten Stresslevel der Pflegepersonen zusammenhängt. Ein weiteres Studienergebnis zeigte, dass 50...
Source: Wiener Medizinische Wochenschrift - July 1, 2021 Category: General Medicine Source Type: research
Diagnostic challenges, best sources, and future paths for diagnoses of Beethoven ’s physical and mental illnesses
SummarySignificant problems have plagued medical and musicological researchers who wish to understand the complexities of Beethoven ’s physical and mental health. The most significant is a lack of detailed information on the composer’s medical and mental conditions as they appeared and progressed. Though he consistently saw well-regarded doctors from around 1800 to his death, only one wrote a detailed description and only a few left information in the conversation books. Other problems are the limited medical knowledge about certain diseases at the time (such as the causes of deafness) and treatments with no or limi...
Source: Wiener Medizinische Wochenschrift - July 1, 2021 Category: General Medicine Source Type: research
Working relationship between primary and specialist care in analysing elevated liver values —a survey from the point of view of gastroenterologists
This article focuses on the status quo as well as poten tial hurdles and challenges in the relationship between general practitioners and specialists with regard to analysing elevated liver values of uncertain origin. A total of 529 physicians in gastroenterological practices in the German states of Baden-Württemberg, Hesse and Thuringia were invited t o take part in an online survey in 2020, of which 313 responded. This contribution focuses on those parts of the survey covering the relationship between general practitioners and specialists. According to the results, 72% of the surveyed gastroenterologists saw working re...
Source: Wiener Medizinische Wochenschrift - June 29, 2021 Category: General Medicine Source Type: research
Status quo der Immunonkologie bei Plattenepithelkarzinomen des Kopf-Halsbereichs
ZusammenfassungChirurgie, Strahlentherapie und Chemotherapie dominierten über Jahrzehnte die Behandlung von Kopf-Hals-Malignomen. Weiterentwicklungen in diesen Behandlungsabläufen, sei es in der Chirurgie oder in der Strahlentherapie, haben die onkologischen Ergebnisse verbessert. Das Langzeitüberleben ist aber nach wie vor nicht zufriedenstellend und das Nebenwirkung sprofil der Therapien ist hoch. Daher sind die Verbesserung des Gesamtüberlebens und die Reduktion von Nebenwirkungen nach wie vor das Hauptziel in der Behandlung von Kopf-Hals-Tumoren. Immunmodulierende und zielgerichtete Therapien stellen heute die neue...
Source: Wiener Medizinische Wochenschrift - June 29, 2021 Category: General Medicine Source Type: research
Histopathological progression of hidradenitis suppurativa/acne inversa
ConclusionOur observations coincide with the classical pathological studies on the progressive changes of HS/AI; however, in our specimens, the virtually normal skin peripheral to the fully developed lesions show seemingly initial follicular changes that suggest development error. This finding would support the hypothesis of combined mutation-induced epithelial differentiative defects and immunological derangement in HS/AI pathogenesis. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - June 29, 2021 Category: General Medicine Source Type: research
qSOFA score poorly predicts critical progression in COVID-19 patients
ConclusionA low qSOFA score cannot be used to assume short-term stable or noncritical disease status in COVID-19. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - June 29, 2021 Category: General Medicine Source Type: research
Working relationship between primary and specialist care in analysing elevated liver values —a survey from the point of view of gastroenterologists
This article focuses on the status quo as well as poten tial hurdles and challenges in the relationship between general practitioners and specialists with regard to analysing elevated liver values of uncertain origin. A total of 529 physicians in gastroenterological practices in the German states of Baden-Württemberg, Hesse and Thuringia were invited t o take part in an online survey in 2020, of which 313 responded. This contribution focuses on those parts of the survey covering the relationship between general practitioners and specialists. According to the results, 72% of the surveyed gastroenterologists saw working re...
Source: Wiener Medizinische Wochenschrift - June 29, 2021 Category: General Medicine Source Type: research
Status quo der Immunonkologie bei Plattenepithelkarzinomen des Kopf-Halsbereichs
ZusammenfassungChirurgie, Strahlentherapie und Chemotherapie dominierten über Jahrzehnte die Behandlung von Kopf-Hals-Malignomen. Weiterentwicklungen in diesen Behandlungsabläufen, sei es in der Chirurgie oder in der Strahlentherapie, haben die onkologischen Ergebnisse verbessert. Das Langzeitüberleben ist aber nach wie vor nicht zufriedenstellend und das Nebenwirkung sprofil der Therapien ist hoch. Daher sind die Verbesserung des Gesamtüberlebens und die Reduktion von Nebenwirkungen nach wie vor das Hauptziel in der Behandlung von Kopf-Hals-Tumoren. Immunmodulierende und zielgerichtete Therapien stellen heute die neue...
Source: Wiener Medizinische Wochenschrift - June 29, 2021 Category: General Medicine Source Type: research
Histopathological progression of hidradenitis suppurativa/acne inversa
ConclusionOur observations coincide with the classical pathological studies on the progressive changes of HS/AI; however, in our specimens, the virtually normal skin peripheral to the fully developed lesions show seemingly initial follicular changes that suggest development error. This finding would support the hypothesis of combined mutation-induced epithelial differentiative defects and immunological derangement in HS/AI pathogenesis. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - June 29, 2021 Category: General Medicine Source Type: research
qSOFA score poorly predicts critical progression in COVID-19 patients
ConclusionA low qSOFA score cannot be used to assume short-term stable or noncritical disease status in COVID-19. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - June 29, 2021 Category: General Medicine Source Type: research
Neuropathologie der Demenzen
ZusammenfassungDemenz ist die klinische Folge verschiedener neurologischer Erkrankungen mit einer Vielzahl von Ätiologien. Dabei ist die genaue Kenntnis der zugrunde liegenden pathologischen Veränderungen entscheidend für die passgenaue Versorgung der Patienten und für die Entwicklung geeigneter Krankheitsbiomarker. Eine definitive Diagnose vieler dieser Erkrankungen, insbesondere der neurodegenerativen Formen, kann nur nach gründlicher postmortaler neuropathologischer Untersuchung gestellt werden. Dies unterstreicht die Wichtigkeit der Durchführung einer Gehirnautopsie und die Relevanz einer engen Zusammenarbeit zwi...
Source: Wiener Medizinische Wochenschrift - June 15, 2021 Category: General Medicine Source Type: research
What is the significance of guidelines in the primary care setting?
SummaryMedical guidelines aim to ensure that care processes take place in an evidence-based and structured manner. They are especially relevant in outpatient primary care due to the wide range of symptoms and clinical pictures. In German-speaking countries, there is a lack of current findings documenting general practitioners’ opinions and experiences regarding guidelines, their expectations and their views on what improvements could be made to increase the use of this type of evidence-based instrument in the primary care setting. Between April and August 202 0, a total of 3098 general practitioners were surveyed in t...
Source: Wiener Medizinische Wochenschrift - June 8, 2021 Category: General Medicine Source Type: research
Mentored undergraduate operating room teaching during the orthopedic trauma curriculum —No evidence of gender differences
ConclusionPreviously published literature as well as our presented data indicate that the interest of medical students in starting a surgical career can only be increased if negative influencing factors are reduced. This includes especially positive communication with medical students and in daily professional interaction. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - June 8, 2021 Category: General Medicine Source Type: research
