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[Shaping specialist oncology training in nursing with Care Reflection Online (CARO)]. [利用在线护理反思（CARO）塑造肿瘤专科护理培训]。
IF 0.5 4区 医学
Urologie Pub Date : 2024-08-01 Epub Date: 2024-03-26 DOI: 10.1007/s00120-024-02320-8
Ingrid Darmann-Finck
{"title":"[Shaping specialist oncology training in nursing with Care Reflection Online (CARO)].","authors":"Ingrid Darmann-Finck","doi":"10.1007/s00120-024-02320-8","DOIUrl":"10.1007/s00120-024-02320-8","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"790-793"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294779","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}
引用次数: 0
[Artificial intelligence (AI) in diagnostic and therapeutic decision-making-a tool or communication partner?] [诊断和治疗决策中的人工智能（AI）--工具还是交流伙伴？］
IF 0.5 4区 医学
Urologie Pub Date : 2024-08-01 Epub Date: 2024-06-27 DOI: 10.1007/s00120-024-02381-9
J Matthias Wenderlein
{"title":"[Artificial intelligence (AI) in diagnostic and therapeutic decision-making-a tool or communication partner?]","authors":"J Matthias Wenderlein","doi":"10.1007/s00120-024-02381-9","DOIUrl":"10.1007/s00120-024-02381-9","url":null,"abstract":"<p><p>Artificial intelligence (AI) is a tool that is only as good as its user. In the case of humanoid robots, an AI system can be seen as a social counterpart. Decision intelligence (DI) is a term that stems from engineering. DI as a science is used to process data with findings from the social sciences and decision theories. The aim is to improve decision-making processes. However, AI should be categorized as a tool and not as a communication partner. AI analyzes information from studies, guidelines, and textbooks from the outset-taking individual patient information into account. Physicians with a high level of clinical expertise can ask more specific questions about the latter. ChatGPT is trained with millions of texts from the internet, social media, online forums, journal articles, and books; it covers almost all areas of life.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"773-778"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459637","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}
引用次数: 0
[Vasectomy of finances sidelines politicians' promises of 24/7 services]. [财政输精管切除术让政客们对全天候服务的承诺望而却步]。
IF 0.5 4区 医学
Urologie Pub Date : 2024-08-01 Epub Date: 2024-06-25 DOI: 10.1007/s00120-024-02383-7
Günter Scherer
{"title":"[Vasectomy of finances sidelines politicians' promises of 24/7 services].","authors":"Günter Scherer","doi":"10.1007/s00120-024-02383-7","DOIUrl":"10.1007/s00120-024-02383-7","url":null,"abstract":"<p><p>The German healthcare system is outdated, no longer reflects reality and needs to be reformed. In addition to a lack of ideas, there is a lack of courage and will to implement necessary reforms. Where will current developments lead us? When it comes to financing the healthcare system, immense challenges await political decision-makers. Demographic change is already posing major problems for healthcare today. Parallel to the increase in the number of patients, the time that physicians have available for their patients has been decreasing for years. Ultimately, social change and the increase in part-time employment mean that there is significantly less money available. Patient dissatisfaction is increasing as expectations are not being met. While hospitals receive financial support, the outpatient sector has been left empty-handed for years. As financial investors are forcing their way into outpatient care, the focus must be prevented from being purely on maximizing profits. Thus, a reorganization of the healthcare system is necessary.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"754-760"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447193","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}
引用次数: 0
[Sustainable residency training in urology in context of current changes in the German healthcare system]. [德国医疗保健系统当前变革背景下的泌尿外科可持续住院医师培训]。
IF 0.5 4区 医学
Urologie Pub Date : 2024-08-01 Epub Date: 2024-07-11 DOI: 10.1007/s00120-024-02382-8
Henrike Beverungen, Anna Heinrichs, Carolin Siech
{"title":"[Sustainable residency training in urology in context of current changes in the German healthcare system].","authors":"Henrike Beverungen, Anna Heinrichs, Carolin Siech","doi":"10.1007/s00120-024-02382-8","DOIUrl":"10.1007/s00120-024-02382-8","url":null,"abstract":"<p><p>Promoting sustainable structures and measures in residency is crucial to meet current and future requirements of the German healthcare system. This process does not only involve the integration of social, ecological, and economic aspects into everyday professional life but also into residency training. Specifically, sustainable structures and measures in residency include initiatives such as structured training curricula, simulation-based training, digital training opportunities, flexible working time models, and gender equality. In addition, consideration of environmental aspects as well as expansion of quality management programs are essential. A holistic approach that considers both the efficiency and the needs of physicians and their patients is the key to sustainable urologic residency programs. This way, urology will remain an attractive specialty for future generations.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"779-783"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141580967","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}
引用次数: 0
[Urinary diversion in old patients (80+ years)]. [老年患者（80 岁以上）的尿路改道]。
IF 0.5 4区 医学
Urologie Pub Date : 2024-08-01 Epub Date: 2024-07-16 DOI: 10.1007/s00120-024-02384-6
D Oswald, T R W Herrmann, C Netsch, B Becker, G Hatiboglu, R Homberg, J T Klein, K Lehrich, A Miernik, P Olbert, D S Schöb, K D Sievert, J Herrmann, A J Gross, M Pallauf, S Deininger, C Ramesmayer, J Peters, L Lusuardi
{"title":"[Urinary diversion in old patients (80+ years)].","authors":"D Oswald, T R W Herrmann, C Netsch, B Becker, G Hatiboglu, R Homberg, J T Klein, K Lehrich, A Miernik, P Olbert, D S Schöb, K D Sievert, J Herrmann, A J Gross, M Pallauf, S Deininger, C Ramesmayer, J Peters, L Lusuardi","doi":"10.1007/s00120-024-02384-6","DOIUrl":"10.1007/s00120-024-02384-6","url":null,"abstract":"<p><p>With increasing life expectancy there is also an increased need for the management of older (≥ 80 years) patients with the diagnosis of muscle-invasive bladder cancer. Radical cystectomy with urinary diversion is the state of the art treatment (with neoadjuvant chemotherapy, as long as the patient is fit enough). Choosing the best urinary diversion with respect to morbidity compared to functionality and quality of life remains a challenge in these patients. Physical age alone is not decisive for making a decision. A thorough preoperative assessment of medical features, physical and cognitive impairments is more important. Older patients are generally provided with an ileal conduit as an incontinent urinary diversion, as the intervention involves reduced operating times and complexity compared to continent urinary diversions; however, in the case of good health status with an adequate life expectancy and sufficient compliance, continent diversions may be considered even in aged candidates. In the case of multimorbid patients with a high perioperative risk, ureterostomy with permanent ureteric stents is an important alternative. Most importantly, a thorough preoperative counselling enables patients to reach an informed decision.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"795-803"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621036","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}
引用次数: 0
[Economization of medicine-necessary or unreasonable?] [节约用药--必要还是不合理？］
IF 0.5 4区 医学
Urologie Pub Date : 2024-08-01 Epub Date: 2024-07-26 DOI: 10.1007/s00120-024-02387-3
Axel Belusa
{"title":"[Economization of medicine-necessary or unreasonable?]","authors":"Axel Belusa","doi":"10.1007/s00120-024-02387-3","DOIUrl":"10.1007/s00120-024-02387-3","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"63 8","pages":"751-753"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767576","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}
引用次数: 0
[Nonsurgical treatment of Peyronie's disease]. [佩罗尼氏病的非手术治疗]。
IF 0.5 4区 医学
Urologie Pub Date : 2024-08-01 Epub Date: 2024-07-18 DOI: 10.1007/s00120-024-02390-8
Michael Meißner
{"title":"[Nonsurgical treatment of Peyronie's disease].","authors":"Michael Meißner","doi":"10.1007/s00120-024-02390-8","DOIUrl":"10.1007/s00120-024-02390-8","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"784-789"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724551","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}
引用次数: 0
[Cold plasma in wound healing]. [冷等离子体在伤口愈合中的应用]。
IF 0.5 4区 医学
Urologie Pub Date : 2024-07-10 DOI: 10.1007/s00120-024-02376-6
Ursula Elisabeth Maria Werra, Bernhard Dorweiler
{"title":"[Cold plasma in wound healing].","authors":"Ursula Elisabeth Maria Werra, Bernhard Dorweiler","doi":"10.1007/s00120-024-02376-6","DOIUrl":"https://doi.org/10.1007/s00120-024-02376-6","url":null,"abstract":"<p><p>Even today, not all wounds can be healed. Treatment, which often takes many years, is a burden for patients and is very cost-intensive. Therefore, additional procedures such as cold plasma are becoming increasingly popular. Active components of cold plasma include electromagnetic radiation and free radicals. The active principle is based on, among other things, damage to bacterial cells and positive interaction with epithelial and endothelial cells. Angiogenesis and cellular oxygen metabolism are stimulated. The evidence base is still limited and heterogeneous, as some results are contradictory and comparability is difficult. However, new, well-designed studies have confirmed previous findings. In order to create a solid database, further studies are needed.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564664","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}
引用次数: 0
[Botulinum toxin in male lower urinary tract symptoms (LUTS): What can we expect?] [肉毒杆菌毒素治疗男性下尿路症状（LUTS）：我们能期待什么？］
IF 0.5 4区 医学
Urologie Pub Date : 2024-07-01 Epub Date: 2024-05-02 DOI: 10.1007/s00120-024-02352-0
Sandra Schönburg
{"title":"[Botulinum toxin in male lower urinary tract symptoms (LUTS): What can we expect?]","authors":"Sandra Schönburg","doi":"10.1007/s00120-024-02352-0","DOIUrl":"10.1007/s00120-024-02352-0","url":null,"abstract":"<p><p>During the last two decades botulinum toxin has also conquered urology. Botulinum toxin reduces the contractility and sensitivity of the detrusor muscle and relieves pain. It is therefore a promising drug whose use in men also appears promising. The following article highlights the practical relevance of botulinum toxin for male lower urinary tract symptoms (LUTS). But first of all, a distinction must be made between use in male LUTS due to benign prostate syndrome (BPS) and use in cases of overactive bladder (OAB) alone. A differentiated diagnosis and treatment of male LUTS is therefore essential.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"653-657"},"PeriodicalIF":0.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871435","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}
引用次数: 0
Berufspolitik BvDU. 专业政策 BvDU。
IF 0.5 4区 医学
Urologie Pub Date : 2024-07-01 DOI: 10.1007/s00120-024-02379-3
{"title":"Berufspolitik BvDU.","authors":"","doi":"10.1007/s00120-024-02379-3","DOIUrl":"https://doi.org/10.1007/s00120-024-02379-3","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"63 7","pages":"732-743"},"PeriodicalIF":0.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493690","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}
引用次数: 0
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