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Deutsches Ärzteblatt International

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https://www.readbyqxmd.com/read/29321099/non-specific-low-back-pain
#1
Jean-François Chenot, Bernhard Greitemann, Bernd Kladny, Frank Petzke, Michael Pfingsten, Susanne Gabriele Schorr
BACKGROUND: For many years, low back pain has been both the leading cause of days lost from work and the leading indication for medical rehabilitation. The goal of the German Disease Management Guideline (NDMG) on nonspecific low back pain is to improve the treatment of patients with this condition. METHODS: The current update of the NDMG on non-specific low back pain is based on articles retrieved by a systematic search of the literature for systematic reviews...
December 25, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29321098/spondylodiscitis-diagnosis-and-treatment-options
#2
Christian Herren, Norma Jung, Miguel Pishnamaz, Marianne Breuninger, Jan Siewe, Rolf Sobottke
BACKGROUND: A recent population-based study from Denmark showed that the incidence of spondylodiscitis rose from 2.2 to 5.8 per 100 000 persons per year over the period 1995-2008; the age-standardized incidence in Germany has been estimated at 30 per 250 000 per year on the basis of data from the Federal Statistical Office (2015). The early diagnosis and treatment of this condition are essential to give the patient the best chance of a good outcome, but these are often delayed because it tends to present with nonspecific manifestations, and fever is often absent...
December 25, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271348/yellow-nail-syndrome
#3
Christoph Lübbert, Manfred Kunz
No abstract text is available yet for this article.
December 15, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271347/invasive-mycosis-in-an-immunosuppressed-patient
#4
Nadine Dietze, Sebastian Wendt
No abstract text is available yet for this article.
December 15, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271346/uncomplicated-bacterial-communityacquired-urinary-tract-infection-in-adults
#5
Jennifer Kranz, Stefanie Schmidt, Cordula Lebert, Laila Schneidewind, Guido Schmiemann, Florian Wagenlehner
BACKGROUND: Uncomplicated bacterial community-acquired urinary tract infection is among the more common infections in outpatient practice. The resistance level of pathogens has risen markedly. This S3 guideline contains recommendations based on current evidence for the rational use of anti - microbial agents and for the prevention of inappropriate use of certain classes of antibiotics and thus of the resulting drug resistance. The prevention of recurrent urinary tract infection is considered in this guideline for the first time...
December 15, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271345/surveillance-of-antibiotic-use-and-resistance-in-intensive-care-units-sari
#6
Cornelius Remschmidt, Sandra Schneider, Elisabeth Meyer, Barbara Schroeren-Boersch, Petra Gastmeier, Frank Schwab
BACKGROUND: The project entitled Surveillance of Antibiotic Use and Resistance in Intensive Care Units (SARI) was initiated in Germany in 2000. In this article, we describe developments in antibiotic use and resistance rates in the participating intensive care units over the years 2001-2015. METHODS: The intensive care units supplied monthly figures on patient days, antibiotic use (in defined daily doses, DDD), and resistance data for 13 pathogens. The density of antibiotic use per 1000 patient days was calculated on the basis of antibiotic use, DDD, and patient days, and the resistance density per 1000 patient days was calculated from the number of resistant pathogens...
December 15, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271344/condyloma-in-the-nose
#7
Enrico Streit, Patrick Gholam
No abstract text is available yet for this article.
December 15, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271343/the-prevalence-of-nosocomial-infection-and-antibiotic-use-in-german-hospitals
#8
Michael Behnke, Seven Johannes Aghdassi, Sonja Hansen, Luis Alberto Peňa Diaz, Petra Gastmeier, Brar Piening
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 was representative in terms of size (number of beds), further hospitals were invited to participate as well...
December 15, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271342/changing-infection-patterns
#9
EDITORIAL
Gέrard Krause
No abstract text is available yet for this article.
December 15, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271341/community-acquired-pneumonia-in-adults
#10
Martin Kolditz, Santiago Ewig
BACKGROUND: The clinical spectrum of community-acquired pneumonia ranges from infections that can be treated on an outpatient basis, with 1% mortality, to those that present as medical emergencies, with a mortality above 40%. METHODS: This article is based on pertinent publications and current guidelines retrieved by a selective search of the literature. RESULTS: The radiological demonstration of an infiltrate is required for the differentiation of pneumonia from acute bronchitis regardless of whether the patient is seen in the outpatient setting or in the emergency room...
December 8, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29271340/retinal-injury-following-laser-pointer-exposure
#11
Johannes Birtel, Wolf M Harmening, Tim U Krohne, Frank G Holz, Peter Charbel Issa, Philipp Herrmann
BACKGROUND: Recent years have seen a marked increase in laser-pointerrelated injuries, which sometimes involve severe retinal damage and irreversible visual impairment. These injuries are often caused by untested or incorrectly classified devices that are freely available over the Internet. METHODS: We reviewed pertinent publications retrieved by a systematic search in the PubMed and Web of Science databases and present our own series of clinical cases. RESULTS: We identified 48 publications describing a total of 111 patients in whom both acute and permanent damage due to laser pointers was documented...
December 8, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29249226/tranexamic-acid-prophylaxis-in-hip-and-knee-joint-replacement
#12
Matthias Goldstein, Carsten Feldmann, Hinnerk Wulf, Thomas Wiesmann
BACKGROUND: The antifibrinolytic agent tranexamic acid (TXA) is widely used for the prevention and treatment of hyperfibrinolytic states, such as in severe polytrauma. It can also be used for the systemic prevention of hemorrhage in elective orthopedic procedures. In this review, we assess the efficacy and risks of the prophylactic administration of tranexamic acid before major endoprosthetic surgery of the hip and knee. METHODS: This review is based on pertinent articles retrieved by a selective literature search in the PubMed and Cochrane Library databases...
December 1, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29249225/tranexamic-acid-in-endoprosthesis
#13
EDITORIAL
Marc Maegele
No abstract text is available yet for this article.
December 1, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29249224/non-pharmacological-treatment-in-people-with-cognitive-impairment
#14
Melanie Straubmeier, Elisa-Marie Behrndt, Hildegard Seidl, Dominik Özbe, Katharina Luttenberger, Elmar Graessel
BACKGROUND: A number of non-pharmacological methods are available to help elderly people with cognitive impairment. Unstructured and non-evidencebased interventions are commonly used. The multicomponent therapy MAKS (a German acronym for Motor, Activities of daily living, Cognitive, Social) has already been evaluated in nursing homes; in this study, we investigated its use in day care centers (DCCs). METHODS: A cluster-randomized, controlled, single-blinded trial involving a 6-month intervention phase was performed...
December 1, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29249223/occult-focus-of-septic-shock
#15
Michael Christ, Peter Otte, Andreas Achterberg
No abstract text is available yet for this article.
December 1, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29249222/the-new-modesty
#16
EDITORIAL
Hermann-Josef Gertz
No abstract text is available yet for this article.
December 1, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29229046/unemployment-following-childhood-cancer
#17
Luzius Mader, Gisela Michel, Katharina Roser
BACKGROUND: Childhood cancer survivors are at risk of physical and mental long-term sequelae that may interfere with their employment situation in adulthood. We updated a systematic review from 2006 and assessed unemployment in adult childhood cancer survivors compared to the general population, and its predictors. METHODS: Systematic literature searches for articles published between February 2006 and August 2016 were performed in CINAHL, EMBASE, PubMed, PsycINFO, and SocINDEX...
November 24, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29229045/accidental-thumb-injection-with-an-epinephrine-autoinjector
#18
Tobias Fritz, Tim Pohlemann, Moritz Klein
No abstract text is available yet for this article.
November 24, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29229044/the-commercialization-of-patient-related-decision-making-in-hospitals
#19
Karl-Heinz Wehkamp, Heinz Naegler
BACKGROUND: Hospitals must make a profit to ensure their continued existence. The observed rises in case numbers and case-mix indices lead us to suspect that the admission, treatment, and discharge of patients are now being influenced not just by purely medical factors, but also by economic considerations with a view toward making a profit-i.e., that decision-making has become partially commercialized. In this study, we investigated whether doctors and hospital chief executive officers (CEOs) share this perception of their professional environment...
November 24, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29229043/seizure-or-syncope
#20
Olaf Krause, Elisa Walle, Wolfram Terres
No abstract text is available yet for this article.
November 24, 2017: Deutsches Ärzteblatt International
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