Wiener Klinische Wochenschrift最新文献

{"title":"Feasibility and acceptance of transdermal auricular vagus nerve stimulation using a TENS device in females suffering from long COVID fatigue: a comment.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1007/s00508-025-02580-0","DOIUrl":"https://doi.org/10.1007/s00508-025-02580-0","url":null,"abstract":"","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733567","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":"Authors' response to the letter to the editor \"Feasibility and acceptance of transdermal auricular vagus nerve stimulation using a TENS device in females suffering from long COVID fatigue\".","authors":"Richard Crevenna, Mohammad Keilani","doi":"10.1007/s00508-025-02578-8","DOIUrl":"10.1007/s00508-025-02578-8","url":null,"abstract":"","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733566","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":"Safety and feasibility of a multimodal approach for orchestra musicians with playing-related musculoskeletal disorders (PRMDs).","authors":"Paul Emmerich Krumpoeck, Gerold Ebenbichler, Christina Knosp, Ricarda-Samantha Roiger-Simek, Nicoletta Margreiter-Neuwirth, Wolfgang Neuwirth, Gregor Kasprian, Karl-Heinz Nenning, Victor Schmidbauer, Emir Benca, Fritz Sterz","doi":"10.1007/s00508-025-02566-y","DOIUrl":"https://doi.org/10.1007/s00508-025-02566-y","url":null,"abstract":"<p><strong>Introduction: </strong>Orchestra musicians frequently experience painful playing-related musculoskeletal disorders (PRMDs) yet often lack access to effective specialized treatment. This feasibility study aimed to establish proof-of-concept for a novel, multimodal treatment regimen and to explore potential diagnostic tools for PRMDs.</p><p><strong>Methods: </strong>Musicians from the Orchestra Academy of the Vienna Philharmonic Orchestra participated in different interventions from a therapeutic and diagnostic protocol. The therapeutic part encompassed self-administered transcranial direct current stimulation (tDCS) sessions targeting the primary motor cortex with tailored physiotherapeutic exercises and psychological coaching. Separate diagnostic interventions included comprehensive physiotherapeutic and psychological assessments, pain questionnaires, and the acquisition of magnetic resonance imaging and 3D motion capture data. The feasibility of these methods was thoroughly evaluated through safety questionnaires, completion checklists, direct observation by the investigators, and detailed participant feedback.</p><p><strong>Results: </strong>The therapeutic tDCS sessions with concurrent physiotherapeutic exercises were completed by 2 participants across all 10 scheduled sessions. Mild to moderate tingling/burning sensations during tDCS sessions were reported in 3 of 10 sessions (30%), and electrode connectivity issues occurred in 3 of 10 sessions (30%), which participants could resolve independently. All seven participants engaged in various diagnostic assessments. The novel pain assessment questionnaire was completed by four participants in under 5 min, with reported pain intensities ranging from 0-5 on a 0-10 scale, most frequently in the neck, wrist/hand, and upper and lower back. Functional magnetic resonance imaging during simulated instrument playing revealed discernible activation patterns, including bilateral primary motor cortex activation, and 3D motion capture provided detailed kinematic data from a violinist.</p><p><strong>Discussion: </strong>This study provides initial evidence for the feasibility and safety of a combined treatment approach (tDCS, physiotherapy, psychological support) for musicians suffering from PRMDs. Furthermore, the results encourage further exploration of advanced imaging and motion capture techniques as potential diagnostic and monitoring tools. These findings support conducting a larger scale, randomized clinical trial to investigate the efficacy of these approaches.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733568","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":"Health risk factors in different educational groups and their association to Barrett's esophagus.","authors":"Nikolaus Götz, Andreas Völkerer, Hannah Hofer, Sarah Wernly, Georg Semmler, Ewald Wöll, Elmar Aigner, Maria Flamm, Christian Datz, Bernhard Wernly","doi":"10.1007/s00508-025-02575-x","DOIUrl":"https://doi.org/10.1007/s00508-025-02575-x","url":null,"abstract":"<p><strong>Introduction: </strong>General health risk factors may vary significantly across different education groups. These disparities in lifestyle choices can contribute to the development of chronic conditions, including gastrointestinal disorders. Barrett's esophagus (BE), a premalignant condition associated with increased risk of esophageal cancer, may be influenced by these social determinants of health. This work explores how education status shapes the prevalence of BE, considering how key health risk factors in different education groups impact the development of the condition.</p><p><strong>Methods: </strong>We analyzed data from a cohort of 5160 Austrian individuals who underwent esophagogastroduodenoscopy (EGD) and screening colonoscopy. Participants were categorized into three education groups: low (n = 1933), medium (n = 2780), and high (n = 447). The distribution of risk factors across education groups was observed and the prevalence of BE (including any BE and dysplastic BE) was assessed using univariate and multivariable regression analyses, adjusting for potential confounders such as age, sex, metabolic syndrome, smoking, alcohol consumption, reflux severity, hiatal hernia and proton pump inhibitor intake.</p><p><strong>Results: </strong>General health risk factors, such as metabolic syndrome, alcohol consumption, gastroesophageal reflux and smoking are more prevalent in lower education groups, contributing to a higher burden of chronic diseases. The prevalence of histologically confirmed Barrett's esophagus was low across all education levels, showing no significant differences (p = 0.90). Nondysplastic BE was present in 1% of participants, with similar rates across the low, medium and high education groups (1% each). Only one case of high-grade dysplasia (HGD) was found in the medium education group. In the unadjusted analysis no significant link was found between education level and Barrett's esophagus. Compared to those with lower education, the odds were 1.25 (95% confidence interval, CI: 0.71-2.19, p = 0.443) for medium and 0.91 (95% CI: 0.31-2.69, p = 0.864) for high education. In the fully controlled model, accounting for age, sex, metabolic syndrome, smoking, alcohol consumption, reflux severity, hiatal hernia, and proton pump inhibitor use, the association remained nonsignificant, with odds ratios of 1.15 (95% CI: 0.55-2.40, p = 0.719) for medium and 1.01 (95% CI: 0.30-3.36, p = 0.986) for high education.</p><p><strong>Conclusion: </strong>Our study indicates that education level is associated with the distribution of general risk factors, but it is not a key factor in Barrett's esophagus risk in an asymptomatic screening population. Although education impacts health outcomes in many conditions, its influence on BE seems minimal. Future research should explore broader socioeconomic factors, such as income, occupation and healthcare access for a better understanding of the BE risk and detection disparities.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709169","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":"Emerging antimicrobial resistance and high prevalence of genital Mycoplasma hominis and Ureaplasma urealyticum infections among infertile women in Algeria : Implications for reproductive health.","authors":"Assia Mairi, Nasir Adam Ibrahim, Thagrawla Idres, Nosiba S Basher, Ahlam Smaili, Takfarinas Idres, Abdelaziz Toutati","doi":"10.1007/s00508-025-02569-9","DOIUrl":"https://doi.org/10.1007/s00508-025-02569-9","url":null,"abstract":"<p><strong>Background: </strong>Genital infections caused by Mycoplasma hominis and Ureaplasma urealyticum are increasingly linked to female infertility, yet their epidemiology and resistance patterns remain poorly characterized in low-resource settings.</p><p><strong>Objective: </strong>This study aimed to determine the prevalence, antimicrobial resistance (AMR) profiles, and risk factors of M. hominis and U. urealyticum infections among infertile women in Akbou, Algeria.</p><p><strong>Methods: </strong>In this cross-sectional analysis (February-July 2024), cervicovaginal swabs from 79 infertile women were tested using the MYCOFAST® RevolutioN 2 system. Demographic, clinical, and reproductive data were collected via structured questionnaires. Statistical analyses included χ²-testsand logistic regression.</p><p><strong>Results: </strong>The overall infection prevalence was 37.9% (n = 30), with U. urealyticum (17.7%), M. hominis (13.9%), and co-infections (6.3%) predominating. Infections peaked in women aged 31-35 years (63.3%). Resistance to tetracycline was high (U. urealyticum: 71.4%; M. hominis: 54.5%), while doxycycline and clindamycin retained full efficacy. Significant risk factors included prior abortion (adjusted odds ratio, OR = 4.2, p < 0.001), STI history (OR = 3.8, p < 0.001), and artificial insemination (OR = 2.9, p = 0.018).</p><p><strong>Conclusion: </strong>The high prevalence of genital Mycoplasma infections and emerging AMR in Algeria underscores the need for routine screening, updated treatment guidelines, and targeted antimicrobial stewardship programs to safeguard reproductive health.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691754","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":"Transhepatic embolization of jejunal variceal bleeding in a patient with liver cirrhosis: a case report.","authors":"M D Rathenböck, G Hagleitner, P Pichler, K Szabo, A Moschen, A Shamiyeh, F Fellner","doi":"10.1007/s00508-025-02560-4","DOIUrl":"https://doi.org/10.1007/s00508-025-02560-4","url":null,"abstract":"<p><p>Jejunal variceal bleeding due to portal hypertension remains a rare but serious complication of decompensated liver cirrhosis. Potential treatment options include endoscopic, surgical or interventional management. We present a case report of a patient with intestinal blood loss due to jejunal variceal bleeding who was treated using interventional transhepatic embolization.</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":"144609670","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":"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}

{"title":"Endoscopic ultrasound-assisted removal of a submucosal foreign body in the duodenum.","authors":"Jiaojiao Yang, Meiling Wang, Jun Tian, Jing Wang","doi":"10.1007/s00508-025-02564-0","DOIUrl":"https://doi.org/10.1007/s00508-025-02564-0","url":null,"abstract":"","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":"144609669","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":"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}

{"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241288/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}