Deutsches Arzteblatt international最新文献

{"title":"Sudden Hearing Loss: Concert Pianist with Round Window Membrane Rupture.","authors":"Katharina Stölzel, Marc Bloching, Philipp P Caffier","doi":"10.3238/arztebl.m2026.0075","DOIUrl":"10.3238/arztebl.m2026.0075","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 13","pages":"373"},"PeriodicalIF":8.7,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Health in Toddlers Before and After Adenotomy and Adenotonsillotomy.","authors":"Joerg Lindemann, Thomas K Hoffmann, Janina Hahn, Gabriel Gschwend, Raphael Leitgeb, Milena Gojnic","doi":"10.3238/arztebl.m2026.0058","DOIUrl":"10.3238/arztebl.m2026.0058","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 13","pages":"362-363"},"PeriodicalIF":8.7,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13371968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Reply.","authors":"Vera von Dossow","doi":"10.3238/arztebl.m2026.0069","DOIUrl":"10.3238/arztebl.m2026.0069","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 13","pages":"m1065-m1066"},"PeriodicalIF":8.7,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heat- and Cold-Associated Mortality in Germany, 2000-2023.","authors":"Roland Rau, Carlotta Dietrich, Bernhard Köppen","doi":"10.3238/arztebl.m2026.0059","DOIUrl":"10.3238/arztebl.m2026.0059","url":null,"abstract":"<p><strong>Background: </strong>The number of deaths in Germany attributed to heat has risen in recent years. At the same time, winters have become milder, which implies that there may be fewer deaths due to extreme cold. In this study, we estimated the mortality associated with both heat and cold in Germany for the years 2000-2023.</p><p><strong>Methods: </strong>We used daily death counts and mean temperature records to estimate the percentage of heat- and cold-associated deaths for the years 2000-2023 by means of a generalized additive model (GAM). We also carried out a meta-analysis to estimate the effect of temperature on the relative mortality risk (exposure-response curve).</p><p><strong>Results: </strong>We confirmed the recent increase in heat-associated mortality already reported elsewhere, while also documenting a decline in cold-associated mortality from approximately 2015 onward. As a result, overall temperature-associated mortality has fallen slightly over the past 10 years. We estimate that 4-5% of deaths are temperature-associated; typically, 3-4% are linked to cold, and just under 1% to heat.</p><p><strong>Conclusion: </strong>The slight decline in temperature-associated mortality does not imply that there is no cause for concern in the future, nor can it be simply extrapolated to future developments. Temperature-associated mortality reflects both the relative mortality risk at a given temperature and the number of days with that temperature. If the number of days with high temperatures continues to rise, adaptation strategies will have to be developed rapidly to prevent a marked rise in heat-related deaths.</p>","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 13","pages":"357-361"},"PeriodicalIF":8.7,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Amyloid-Related Imaging Abnormalities (ARIA) in Alzheimer's Disease.","authors":"Jonathan Vöglein, Johannes Levin, Matthias Brendel","doi":"10.3238/arztebl.m2025.0204","DOIUrl":"10.3238/arztebl.m2025.0204","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 13","pages":"366"},"PeriodicalIF":8.7,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13371967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Indications for Percutaneous Coronary Intervention: A Multicenter Analysis after the Diagnosis of Chronic Coronary Syndrome.","authors":"Uwe Zeymer, Natalia Kelsch, Karl Werdan, Jan-Peter Braun, Claudia Winklmair, Bernward Lauer, Holger Thiele, Thomas Riemer, Michael Weber","doi":"10.3238/arztebl.m2026.0041","DOIUrl":"10.3238/arztebl.m2026.0041","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous coronary intervention (PCI) is performed 300 000 times a year in Germany. Half of these procedures involve patients with chronic coronary syndrome. Little information is available on the quality of decision-making about the indication for PCI in this patient group.</p><p><strong>Methods: </strong>The Center for Health Services Research of the German Cardiac Society (<i>Zentrum für kardiologische Versorgungsforschung der Deutschen Gesellschaft für Kardiologie - Herz- und Kreislaufforschung e.V.,</i> DGK-ZfKVF), in collaboration with the Initiative on Quality in Medicine (<i>Initiative Qualitätsmedizin e.V.,</i> IQM) carried out this study, in which the indication for PCI in randomly selected patients with chronic coronary syndrome was reviewed by peers on site.</p><p><strong>Results: </strong>441 assessment forms from 16 hospitals were included in the study. More than half of the patients (52.2%) had typical chest pain, 20.1% had mainly dyspnea, 17.7% had chest pain and dyspnea, and 10% had no symptoms. Three-quarters had symptoms or ischemia despite optimal drug treatment. Most patients were treated for clinical symptoms and proven ischemia or stenosis of more than 90%. In 11% of patients, the indication was complete revascularization as a staged procedure after a prior myocardial infarction treated with PCI. 73.7% of indications for PCI were judged to be in adherence to the guidelines; guideline adherence was judged to be questionable in 24.1% and to be absent in 2.2%.</p><p><strong>Conclusion: </strong>These data on the quality of indications for elective PCI reveal a need for improvement in adherence to the recommendations of the current German and international guidelines. In particular, the non-invasive or invasive proof of ischemia should be performed more frequently. These findings underscore the importance of peer review of indications for interventional procedures.</p>","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 11","pages":"321-325"},"PeriodicalIF":8.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ventricular Fibrillation Following Electrical Cardioversion.","authors":"Hatti Seidl, Marcel Haug, Jens Nee","doi":"10.3238/arztebl.m2025.0235","DOIUrl":"10.3238/arztebl.m2025.0235","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 12","pages":"326"},"PeriodicalIF":8.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dermatomyofibroma on the Breast.","authors":"Ulrich Mrowietz, Thomas Schwarz","doi":"10.3238/arztebl.m2026.0039","DOIUrl":"10.3238/arztebl.m2026.0039","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 12","pages":"326"},"PeriodicalIF":8.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco and Nicotine Consumption and the Motivation to Stop Smoking in Smokers With and Without Coronary Heart Disease: A Comparative Analysis of Two Cross-Sectional Studies.","authors":"Stephanie Klosterhalfen, Sabrina Hoppe, Daniel Kotz, Ute Mons, Sabrina Kastaun","doi":"10.3238/arztebl.m2026.0057","DOIUrl":"10.3238/arztebl.m2026.0057","url":null,"abstract":"<p><strong>Background: </strong>Smoking worsens the prognosis of patients with coronary heart disease (CHD). Only limited population-based data are available on smoking cessation and its characteristics in people with CHD. We compared smokers with and without CHD.</p><p><strong>Methods: </strong>We analyzed pooled data from nine waves (June 2023-August 2024) of two representative cross-sectional surveys in Germany (DEBRA and OptiCor). We included adults aged 35 years and above who provided information on their smoking behavior and CHD status (n = 11 069; 994 [9%] with CHD). The endpoints included smoking status, tobacco dependence, motivation to quit smoking, and attempts to do so, as well as the use of electronic inhalation products (e-cigarettes, tobacco heaters). Regression models with CHD as an independent variable were adjusted for age, sex, education, and income.</p><p><strong>Results: </strong>People with CHD were less likely to be current smokers (23.8%, 95% confidence interval [21.2; 26.6], versus 29.3% [28.5; 30.2]), but they were more likely to be former smokers (32.2% [29.3; 35.3] versus 18.9% [18.1; 19.6]). Being a smoker with CHD was associated with the use of electronic inhalation products (odds ratio [OR] = 2.53 [1.43; 4.48]), higher motivation to quit smoking (OR = 1.41 [1.02; 1.96]), and greater tobacco dependence (OR = 1.63 [1.05; 2.53]). Among current smokers and those who smoked in the past year, those with CHD were also more likely than those without CHD to have made at least one attempt to quit in the past year (OR = 2.90 [1.98; 4.25]).</p><p><strong>Conclusion: </strong>One-quarter of people with CHD smoke. Despite a greater degree of tobacco dependence, they show higher motivation and make more attempts to quit smoking compared with smokers without CHD. As smoking cessation is crucial in this group, healthcare professionals should consistently assess the smoking status of people with CHD and offer them evidence-based support for smoking cessation.</p>","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 12","pages":"327-332"},"PeriodicalIF":8.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabis-Related Hospitalizations Before and After Partial Legalization: An Analysis From Five Psychiatric Clinics in the Rhine-Ruhr Metropolitan Area.","authors":"Udo Bonnet, Norbert Scherbaum, Eugen Davids, Bodo Lieb, Benedikt Bernd Claus, Georg Juckel","doi":"10.3238/arztebl.m2026.0042","DOIUrl":"10.3238/arztebl.m2026.0042","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"123 12","pages":"339-340"},"PeriodicalIF":8.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}