Yihong Zhou, Zheyi Zhao, Xiang Wu, Xi Chu, Min Liu, Yuxin Tang, Yingbo Dai
{"title":"Epididymitis with abscess formation: experiences from a tertiary center in China.","authors":"Yihong Zhou, Zheyi Zhao, Xiang Wu, Xi Chu, Min Liu, Yuxin Tang, Yingbo Dai","doi":"10.1007/s00508-025-02559-x","DOIUrl":"https://doi.org/10.1007/s00508-025-02559-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to describe the clinical characteristics and summarize the treatment outcomes in epididymitis patients with abscess formation.</p><p><strong>Material and methods: </strong>From February 2016 to August 2022, epididymitis was diagnosed in 442 patients in the outpatient setting or emergency department. Patient information and laboratory data were extracted from electronic medical records. The treatment was analyzed.</p><p><strong>Results: </strong>A total of 24 epididymitis patients developed abscess formation. Pain was the most common symptoms and abscess rupture was presented in 8 patients. A causative microorganism was more likely to be positively detected in caput epididymitis than corpus or caudal epididymitis in both urine culture and abscess culture (p = 0.023 and p = 0.038, respectively). All patients received a complete course of antimicrobial therapy.</p><p><strong>Conclusion: </strong>Abscess formation is a severe disease condition of epididymitis, and requires systemic treatment including complete antimicrobial therapy, abscess incision and drainage and even epididymectomy or epididymo-orchiectomy. Caput epididymitis is more likely to be combined with orchitis, and easier to detect pathogenic microorganisms.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michaela Wagner-Menghin, Anna-Maria Mayer, Angelika Hofhansl, Gerhard Zlabinger
{"title":"Response to: Comments on \"Determinants of undergraduate medical students' satisfaction with clinical supervision\".","authors":"Michaela Wagner-Menghin, Anna-Maria Mayer, Angelika Hofhansl, Gerhard Zlabinger","doi":"10.1007/s00508-025-02514-w","DOIUrl":"10.1007/s00508-025-02514-w","url":null,"abstract":"","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":"430-431"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martin Baumgartner, Michaela Wagner-Menghin, Christian Vajda, Gernot Lecaks, Armin Redzic, Georg Dorffner
{"title":"Analysis of the impact of a university distance learning course on digitalization in medicine on students and healthcare professionals.","authors":"Martin Baumgartner, Michaela Wagner-Menghin, Christian Vajda, Gernot Lecaks, Armin Redzic, Georg Dorffner","doi":"10.1007/s00508-024-02393-7","DOIUrl":"10.1007/s00508-024-02393-7","url":null,"abstract":"<p><strong>Purpose: </strong>The public medical universities in Austria (educating 11,000 students) developed a joint public distance learning series in which clinicians discussed current digital lighthouse projects in their specialty. This study aims to examine the changes in attitude and knowledge of the participants before and after the lecture series to gain insights for future curriculum developments.</p><p><strong>Method: </strong>The lecture series was announced via various channels at the universities, in health newsletters and in social media. Attitudes toward digitalization in medicine were surveyed before and after the lecture series, together with demographic data. The data were analyzed statistically and descriptively for four groups of interest: female medical students, male medical students, faculty members and members from industry and public agencies.</p><p><strong>Results: </strong>Out of 351 subjects who attended at least 1 lecture, 117 took part in the survey before and 47 after the lectures. Most participants had a positive attitude towards digitalization (85.3%). They improved their self-assessment of their knowledge from 34.4% to 64.7% (p < 0.05). After the lecture series 55.8% of participants considered digital medical applications to be important or very important today and 68.6% in the future.</p><p><strong>Conclusion: </strong>The study shows that the presentation and discussion of lighthouse projects improves understanding of digitalization in medicine but does not trigger a strong desire for additional further training.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":"412-418"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michaela Wagner-Menghin, Angelika Hofhansl, Lena Bach, Anna-Maria Mayer, Anita Rieder, Gerhard Zlabinger
{"title":"Determinants of undergraduate medical students' satisfaction with clinical supervision: A cohort study in a longitudinally structured sixth year clinical placement.","authors":"Michaela Wagner-Menghin, Angelika Hofhansl, Lena Bach, Anna-Maria Mayer, Anita Rieder, Gerhard Zlabinger","doi":"10.1007/s00508-024-02477-4","DOIUrl":"10.1007/s00508-024-02477-4","url":null,"abstract":"<p><strong>Background: </strong>Work satisfaction is associated with fewer employee turnover intentions, increased job engagement and interest, and has a greater impact on employee well-being than environmental factors, such as workload. In workplace learning, clinical supervisors promote student satisfaction by meeting students' supervision needs in providing safe practice opportunities, training, and guidance in the social field. To quantitatively investigate this relationship, we proposed a supervision deficit index as a measure of learner-centered supervision received and explored its correlation with satisfaction in workplace learning.</p><p><strong>Method: </strong>In total, 1017 Austrian medical students (2015-2017) in year 6 selected the 5 most helpful supervisory activities (from 26 options) and rated their experience levels of these activities during surgery and internal medicine placement. A supervision deficit index was then created (range 0-3; 0 = no deficit).</p><p><strong>Results: </strong>Students with no, minor or moderate supervision deficits reported higher overall satisfaction with their placements than those experiencing considerable deficits. Students' gender, clinical experience, hospital size, placement year, and clinical field did not influence the relationship. The deficit index's psychometric qualities were good. Training activities supporting competence, such as discussing patients, planning disease management, and practicing skills, were selected more often than activities supporting autonomy, such as an appropriate level of clinical duties, and social relatedness.</p><p><strong>Discussion: </strong>Students favored competence support. Highlighting the importance of autonomy support to students and encouraging supervisors to engage in learner-centered supervision may improve the supervision experience and work satisfaction for both. The deficit index can be used to evaluate the effects of such interventions.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":"419-427"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gustav Klimt and the Vienna School of Medicine.","authors":"Markus Müller, Oswald Wagner, Franz Smola","doi":"10.1007/s00508-025-02503-z","DOIUrl":"10.1007/s00508-025-02503-z","url":null,"abstract":"","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":"397-404"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Viennese dissection course-A model for Habsburg medical teaching (1787-1848).","authors":"Sophia Bauer, Leo Schaukal, Wolfgang J Weninger","doi":"10.1007/s00508-024-02433-2","DOIUrl":"10.1007/s00508-024-02433-2","url":null,"abstract":"<p><p>This article delves into the beginnings of the dissection course, a teaching practice which today is still in place in Vienna and continues to shape future medical practitioners. Based on a comparison of different historical sources the article shows that the Viennese tradition of a dissection course dates back to the 1780s and the initiative of the anatomist Joseph Barth to build a dissection institute and to implement a dissection course, two endeavors that coincided with Joseph II's reform ideas regarding a practically orientated medical and surgical education and a Europe-wide practice turn. Additionally, this paper shows the role of the Viennese dissection course as model for other Habsburg universities and, thus, explains the similarities of today's dissection courses in different former Habsburg universities.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":"405-411"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MUW researcher of the month.","authors":"","doi":"10.1007/s00508-025-02572-0","DOIUrl":"https://doi.org/10.1007/s00508-025-02572-0","url":null,"abstract":"","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":"137 13-14","pages":"457-458"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comments on \"Determinants of undergraduate medical students' satisfaction with clinical supervision\".","authors":"Rachana Mehta, Shubham Kumar, Ranjana Sah","doi":"10.1007/s00508-025-02516-8","DOIUrl":"10.1007/s00508-025-02516-8","url":null,"abstract":"","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":"428-429"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}