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Rehabilitation des Schlaganfalls - Funktionelle Besserung über multimodale Therapieansätze 增强中风治疗功能以多态治疗方法
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-06-01 DOI: 10.1055/s-2008-1081553
D. Sander1 , 2, Holger Poppert2, K. Sander1 , 2
{"title":"Rehabilitation des Schlaganfalls - Funktionelle Besserung über multimodale Therapieansätze","authors":"D. Sander1 , 2, Holger Poppert2, K. Sander1 , 2","doi":"10.1055/s-2008-1081553","DOIUrl":"https://doi.org/10.1055/s-2008-1081553","url":null,"abstract":"Stroke is the leading cause of long-term major disability in developed countries, although several improvements could be achieved in acute stroke therapy (e. g. thrombolysis, stroke-unit treatment). Therefore, an early onset of an intensive and multimodal rehabilitation workup is of particular importance to reduce stroke morbidity and stroke-related dependency. Stroke rehabilitation was enhanced due to a better understanding of the natural course of functional reorganisation after stroke and the development of techniques to modulate these processes. During the last years several therapeutic strategies for stroke rehabilitation were studied in controlled clinical trials. Therefore, there are evidence-based recommendations available for some of these therapies. This review summarizes the actual status of evidence-based stroke rehabilitation particular focussing on early rehabilitation.","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126170583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Schlaganfall - „Time ist Brain” 中风时光倒流
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-06-01 DOI: 10.1055/s-2008-1081549
M. Siebler
{"title":"Schlaganfall - „Time ist Brain”","authors":"M. Siebler","doi":"10.1055/s-2008-1081549","DOIUrl":"https://doi.org/10.1055/s-2008-1081549","url":null,"abstract":"","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131167307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Wie funktioniert eigentlich eine optimale Krisenprävention? - Maßnahmen gegen den Super-Gau 如何才能更好地预防危机?…为消灭大爆炸而采取的措施
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-06-01 DOI: 10.1055/S-2008-1081548
Rahel Huhn
{"title":"Wie funktioniert eigentlich eine optimale Krisenprävention? - Maßnahmen gegen den Super-Gau","authors":"Rahel Huhn","doi":"10.1055/S-2008-1081548","DOIUrl":"https://doi.org/10.1055/S-2008-1081548","url":null,"abstract":"","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124040292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Der amerikanische Patient - Nachdenkliches über unser Gesundheitssystem 美国病人，思考我们的医疗系统
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-06-01 DOI: 10.1055/S-2008-1081547
M. Leschke
{"title":"Der amerikanische Patient - Nachdenkliches über unser Gesundheitssystem","authors":"M. Leschke","doi":"10.1055/S-2008-1081547","DOIUrl":"https://doi.org/10.1055/S-2008-1081547","url":null,"abstract":"","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129259752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fragebogen 问卷
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-06-01 DOI: 10.1055/s-2008-1081555
{"title":"Fragebogen","authors":"","doi":"10.1055/s-2008-1081555","DOIUrl":"https://doi.org/10.1055/s-2008-1081555","url":null,"abstract":"","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131977833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Der beatmete Patient mit Sepsis und Multiorgan-Dysfunktion - Rasche zielgerichtete Therapie für eine bessere Prognose 接受过败血症及多器官功能障碍的患者——快速具有针对性的治疗预测
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-05-01 DOI: 10.1055/S-2008-1081272
Joachim Wilhelm1, Gerold Soeffker1, H. Schmidt1, M. Winkler1
{"title":"Der beatmete Patient mit Sepsis und Multiorgan-Dysfunktion - Rasche zielgerichtete Therapie für eine bessere Prognose","authors":"Joachim Wilhelm1, Gerold Soeffker1, H. Schmidt1, M. Winkler1","doi":"10.1055/S-2008-1081272","DOIUrl":"https://doi.org/10.1055/S-2008-1081272","url":null,"abstract":"Septic diseases continue to be conspicuous for their high prevalence on intensive-care units and for their high lethality. It is particularly effective to initiate treatment at a very early stage by, first of all, stabilizing the patient haemodynamically and by administering antibiotics without delay - which, of course, requires an early diagnosis. As the treatment proceeds, it is of particular importance to sanitize septic areas and to make the necessary arrangements for protective ventilation of the patient and for blood sugar control. General supportive or adjunctive therapy is governed by the current treatment recommendations for septic conditions, severe sepsis and septic shock. It is the aim of this therapeutic concept consisting of early on-target measures and causal procedures (for example, focal sanitation) and of the supporting adjunctive and prophylactic measures to initially prevent as far as possible any aggravation of the disease and to subsequently stabilize the multi-organ distress syndrome, as well as to protect the patient as much as possible by initiating ventilation of the lungs by means of a maximally protective and brief procedure.","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125510706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Differenzierte Beatmungstechniken für Atemunterstützung und Weaning - Lungenfunktion bestmöglich ersetzen, beatmungsassoziierte Schäden minimieren 呼吸支持和运动辅助呼吸功能的细小性能，最大程度地改善呼吸促进功能，减少损害
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-05-01 DOI: 10.1055/s-2008-1081271
Gerold Soeffker1, Stefan Hettwer1, M. Ruß1, M. Winkler1
{"title":"Differenzierte Beatmungstechniken für Atemunterstützung und Weaning - Lungenfunktion bestmöglich ersetzen, beatmungsassoziierte Schäden minimieren","authors":"Gerold Soeffker1, Stefan Hettwer1, M. Ruß1, M. Winkler1","doi":"10.1055/s-2008-1081271","DOIUrl":"https://doi.org/10.1055/s-2008-1081271","url":null,"abstract":"Pulmonary failure can be caused by primary lung injury as well as secondary due to a systemic inflammation or ventilator-associated lung injury. Beside the causal treatment situational therapy-approaches are used to minimize the risk for ventilator-associated traumata. Lung-protective ventilation with a low tidal volume as well as high ventilator frequency and high positive end-expiratory pressure (PEEP) can be used. Noninvasive ventilation is limited in septic pulmonary failure. A ventilator-associated pneumonia should be treated immediately by an adequate antibiotic therapy.","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126773642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Internistische Intensivmedizin - Der beatmete Patient 是内科重症监护室病人
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-05-01 DOI: 10.1055/S-2008-1081270
K. Werdan, M. Winkler
{"title":"Internistische Intensivmedizin - Der beatmete Patient","authors":"K. Werdan, M. Winkler","doi":"10.1055/S-2008-1081270","DOIUrl":"https://doi.org/10.1055/S-2008-1081270","url":null,"abstract":"","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134437302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intensivmedizin - Organmedizin: Wer gehört zusammen? 重症监护室器官:谁在一起?
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-05-01 DOI: 10.1055/S-2008-1081269
W. Hardinghaus
{"title":"Intensivmedizin - Organmedizin: Wer gehört zusammen?","authors":"W. Hardinghaus","doi":"10.1055/S-2008-1081269","DOIUrl":"https://doi.org/10.1055/S-2008-1081269","url":null,"abstract":"","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122454892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fragebogen 问卷
Klinikarzt - Medizin im Krankenhaus Pub Date : 2008-05-01 DOI: 10.1055/s-2008-1081275
{"title":"Fragebogen","authors":"","doi":"10.1055/s-2008-1081275","DOIUrl":"https://doi.org/10.1055/s-2008-1081275","url":null,"abstract":"","PeriodicalId":181498,"journal":{"name":"Klinikarzt - Medizin im Krankenhaus","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123908411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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