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Wiener Klinische Wochenschrift

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https://www.readbyqxmd.com/read/29340766/wanted-a%C3%A2-better-cut-off-value-for-the-epworth-sleepiness-scale
#1
Karin Trimmel, Magdalena Żebrowska, Marion Böck, Andrijana Stefanic, Daniel Mayer, Gerhard Klösch, Eduard Auff, Stefan Seidel
BACKGROUND: Excessive daytime sleepiness (EDS) is the main complaint in many neurological sleep disorders, such as idiopathic hypersomnia, narcolepsy, or obstructive sleep apnea/hypopnea syndrome (OSAS). The validity of the Epworth Sleepiness Scale (ESS) as a screening tool for EDS remains controversial. We therefore investigated (1) the interrelation of the ESS total score and the mean sleep latency (MSL) during the multiple sleep latency test (MSLT) and (2) the diagnostic accuracy of the ESS total score to detect EDS in patients with the chief complaint of subjective EDS...
January 16, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29340765/orotracheal-tube-as-a%C3%A2-risk-factor-for-lower-respiratory-tract-infection-preliminary-data-from-a%C3%A2-randomised-trial
#2
Igor Muzlovic, Janja Perme, David Stubljar
PURPOSE: The aim of the study was to investigate whether polyurethane (PU) endotracheal tubes, continuous measurements of cuff pressure and aspiration of the subglottic space as a bundle of parameters could reduce patients' risk for developing ventilator associated pneumonia (VAP). METHODS: Two groups of patients that differed only in terms of endotracheal tubes and intubation intervention were compared. Group A was ventilated using PU tubes a with conical cuff; they also had continuous cuff pressure measurement and continuous subglottic aspiration...
January 16, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29322378/health-literacy-pain-intensity-and-pain-perception-in-patients-with-chronic-pain
#3
Philipp Johannes Köppen, Thomas Ernst Dorner, Katharina Viktoria Stein, Judit Simon, Richard Crevenna
BACKGROUND: Chronic pain poses a large burden for the healthcare system and the individuals concerned. The impact of health literacy (HL) on health status and health outcomes is receiving more and more attention. The aim of this study was to evaluate the association of HL with chronic pain intensity and pain perception. METHODS: A total of 121 outpatients suffering from chronic pain (pain duration >3 months) were evaluated. The HL was measured using the health literacy screening questions...
January 10, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29322377/s-ketamine-current-trends-in-emergency-and-intensive-care-medicine
#4
REVIEW
Helmut Trimmel, Raimund Helbok, Thomas Staudinger, Wolfgang Jaksch, Brigitte Messerer, Herbert Schöchl, Rudolf Likar
S(+)-ketamine, the pure dextrorotatory enantiomer of ketamine has been available for clinical use in analgesia and anesthesia for more than 25 years. The main effects are mediated by non-competitive inhibition of the N-methyl-D-aspartate (NMDA) receptor but S(+)-ketamine also interacts with opioid receptors, monoamine receptors, adenosine receptors and other purinergic receptors. Effects on α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors, metabotropic glutamate receptors (mGluR) and L‑type calcium chanels have also been described...
January 10, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29322376/muw-researcher-of-the-month
#5
Simona Saluzzo
No abstract text is available yet for this article.
January 10, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29322375/predictors-of-short-term-lama-ineffectiveness-in-treatment-na%C3%A3-ve-patients-with-moderate-to-severe-copd
#6
Vladimir Fijačko, Marina Labor, Mirjana Fijačko, Sanda Škrinjarić-Cincar, Slavica Labor, Iva Dumbović Dubravčić, Tatjana Bačun, Aleksandar Včev, Sanja Popović-Grle, Davor Plavec
BACKGROUND: No specific (only subgroup) recommendations for the use of long-acting muscarinic antagonists in chronic obstructive pulmonary disease (COPD) exist. The aim of this exploratory hypothesis generating study was to assess whether different phenotypic/endotypic characteristics could be determinants of the short-term ineffectiveness of the initial tiotropium bromide monotherapy in treatment naïve moderate to severe COPD patients. METHODS: A total of 51 consecutively recruited COPD patients were followed for 3 months after the initial evaluation and prescribed initial treatment (tiotropium)...
January 10, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29313101/how-many-calories-did-santa-claus-consume-on-christmas-eve
#7
EDITORIAL
Gary P Wormser, Alexander Ladenheim
No abstract text is available yet for this article.
January 8, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29270720/pain-and-chronic-pain-epidemiology-implications-for-clinical-and-public-health-fields
#8
EDITORIAL
Thomas E Dorner
No abstract text is available yet for this article.
December 21, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29256002/muw-researcher-of-the-month
#9
Sandra Haider
No abstract text is available yet for this article.
December 18, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29218412/epilepsy-surgery-in-infants-safety-issues-and-developmental-outcome
#10
Gudrun Gröppel, Christian Dorfer, Anastasia Dressler, Angelika Mühlebner, Barbara Porsche, Thomas Czech, Daniela Prayer, Martha Feucht
PURPOSE: To evaluate the efficacy and safety of epilepsy surgery in infants. METHODS: Included were patients with epilepsy onset during the first year of life, epilepsy surgery before the age of 36 months at the study center and a minimum follow-up of 24 months after surgery. Patients who were surgically treated before the age of 12 months were compared with those between 13 and 36 months. Group differences with respect to efficacy (seizure outcomes and developmental progress measured by the social interaction quotient, SIQ) as well as safety (i...
December 7, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29209825/performance-of-4%C3%A2-years-of-population-based-mammography-screening-for-breast-cancer-combined-with-ultrasound-in-tyrol-austria
#11
Sabine Geiger-Gritsch, Martin Daniaux, Wolfgang Buchberger, Rudolf Knapp, Willi Oberaigner
BACKGROUND: Systems for the delivery of screening mammography vary among countries and these differences can influence screening effectiveness. We evaluated the performance of organized mammography screening for breast cancer combined with ultrasound in Tyrol / Austria, an approach that differs from many other population-based screening programs. METHODS: Data on women aged 40-69 years screened in the period from June 2008 to May 2012 were collected within the framework of an organized screening program...
December 5, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29209824/the-2017-esc-eacts-guidelines-on-the-management-of-valvular-heart-disease-what-is-new-and-what-has-changed-compared-to-the-2012-guidelines
#12
REVIEW
Helmut Baumgartner
Numerous new data on the diagnosis and management of valvular heart disease published since 2012 made an update of the practice guidelines of the European Society of Cardiology and European Association of Cardiothoracic Surgery necessary. This was particularly the case for the use of catheter interventional treatment, indications for intervention in asymptomatic patients, medical treatment and organization of care. This review summarizes the most important changes in the recommendations.
December 5, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29204737/initial-slovenian-experience-with-mitraclip-therapy-careful-selection-of-patients-is-crucial-for-optimal-outcome
#13
Jana Ambrožič, Marta Cvijič, Mojca Bervar, Špela Mušič, Matjaž Bunc
BACKGROUND: MitraClip is a percutaneous mitral repair technology increasingly used for high surgical risk patients with primary or secondary mitral regurgitation. We describe initial Slovenian experience with MitraClip and discuss the importance of identifying the suitable candidates for this procedure. METHODS: We retrospectively analyzed the first 10 patients (mean age 75.6 ± 6.9 years, logistic Euroscore 28.4 ± 10.9%) with severe and moderate to severe mitral regurgitation (8 secondary, 1 primary and 1 mixed etiology) who underwent a MitraClip procedure between January 2015 and February 2017...
December 4, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29164318/clinical-pathological-conference-series-from-the-medical-university-of-graz-case-no-153-a%C3%A2-55-year-old-woman-with-atypical-multiple-sclerosis-and-irritable-bowel-syndrome
#14
Elisabeth Fabian, Dietmar Schiller, Hermann Toplak, Michaela Brunner-Krainz, Franz Fazekas, Rainer Schoefl, Guenter J Krejs
No abstract text is available yet for this article.
November 21, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29164317/veranstaltungen
#15
(no author information available yet)
No abstract text is available yet for this article.
November 21, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29150725/muw-researcher-of-the-month
#16
(no author information available yet)
No abstract text is available yet for this article.
November 17, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29138926/disease-management-programs-in-heart-failure-half%C3%A2-a%C3%A2-century-of-an-unmet-need
#17
EDITORIAL
Deddo Moertl
No abstract text is available yet for this article.
November 14, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29124430/oversensing-of-the-wearable-cardioverter-defibrillator-during-bipolar-ventricular-stimulation
#18
Martin Manninger, Tanja Odeneg, Friedrich Fruhwald, Helmut Brussee, Daniel Scherr
The wearable cardioverter defibrillator (WCD) is a temporary treatment option for patients with potentially reversible risk of sudden cardiac death. This case demonstrates a pitfall during WCD usage in a pacemaker-dependent patient as well as a possible solution allowing continuation of WCD therapy. Bipolar stimulation may lead to double counting of the WCD detection algorithm resulting in false alarm or inappropriate therapy.
November 9, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29116409/chronic-meningoencephalitis-caused-by-echo-virus%C3%A2-6-in-a%C3%A2-patient-with-common-variable-immunodeficiency-successful-treatment-with-pleconaril
#19
Igor Radanović, Deni Rkman, Paulo Zekan, Marko Kutleša, Bruno Baršić
Chronic enteroviral meningoencephalitis, most commonly caused by echoviruses, can particularly be seen in agammaglobulinemic patients. In spite of the fact that no specific treatment for enteroviral infections exists, pleconaril is an antiviral drug reported to be efficient against enteroviral infections in infants and adults. We present a case of a 42-year-old male, previously diagnosed with common variable immunodeficiency, who presented with severe chronic meningoencephalitis caused by Echo virus 6 and was successfully treated with pleconaril...
November 7, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29116408/synthetic-extracellular-volume-fraction-state-of-play
#20
EDITORIAL
Thomas A Treibel, James C Moon
No abstract text is available yet for this article.
November 7, 2017: Wiener Klinische Wochenschrift
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