Urologie最新文献_第4页

[Innovative systemic treatment approaches for advanced penile cancer]. 【晚期阴茎癌的创新系统治疗方法】。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-19 DOI: 10.1007/s00120-025-02605-6

Désirée L Dräger

引用次数: 0

[Securing the future: How can healthcare professions become irresistible to young talent again?] 保障未来：医疗保健行业如何才能再次成为年轻人才无法抗拒的行业？］

IF 0.5 4区医学

Urologie Pub Date : 2025-05-16 DOI: 10.1007/s00120-025-02612-7

Samira Reuß, Melina Brohm, Markus Schubert

{"title":"[Securing the future: How can healthcare professions become irresistible to young talent again?]","authors":"Samira Reuß, Melina Brohm, Markus Schubert","doi":"10.1007/s00120-025-02612-7","DOIUrl":"https://doi.org/10.1007/s00120-025-02612-7","url":null,"abstract":"Demographic change is leading to a higher number of people who are ill or are in need of care. Medical advances, particularly through minimally invasive procedures, make numerous interventions possible even for older people. This is leading to a current increase in medical demand that is expected to continue into the future. Declining birth rates have led to a shortage of skilled workers in the healthcare sector, which is projected to be even more pronounced in coming years. This is leading to a staff shortage, followed by increasing workloads. Shift work, heavy bureaucratic burdens, and inflexible work hours are making patient-centered careers increasingly unpopular. Although many young people can imagine working in nursing or medical professions, the current working conditions mean that many young professionals prioritize private and family life, seek part-time jobs, or leave the profession altogether. Only improvements in working conditions and, where appropriate, adjusted remuneration can reverse this trend. Reduced bureaucracy, predictable working hours and vacation times, as well as modern personnel development and leadership are potential solutions. Future challenges, such as those posed by the current healthcare reform, can only be met through regional networks for medical education and training.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080956","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

[Pediatric testicular tumors]. [小儿睾丸肿瘤]。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-09 DOI: 10.1007/s00120-025-02601-w

Pia Paffenholz

{"title":"[Pediatric testicular tumors].","authors":"Pia Paffenholz","doi":"10.1007/s00120-025-02601-w","DOIUrl":"https://doi.org/10.1007/s00120-025-02601-w","url":null,"abstract":"Background: Testicular tumors are rare in childhood but differ significantly from adult forms in terms of etiology, histology, and prognosis. Early diagnosis and appropriate treatment are crucial for the prognosis and quality of life of affected children.Objective: The aim of this article is to provide an overview of the etiology, classification, clinical presentation, diagnostic tests, and treatment of pediatric testicular tumors.Materials and methods: This article is based on an analysis of current literature.Results: Pediatric testicular tumors are benign in 60-75% of cases, most commonly teratomas or Leydig cell tumors. Malignant tumors such as yolk sac tumors are rare and show low metastatic potential. Diagnostics include ultrasound, tumor markers (AFP, hCG, LDH), and imaging (MRI, CT). Treatment consists of organ-sparing surgery in suspected benign cases and orchiectomy in malignant cases. Chemotherapy is reserved for metastatic tumors. In localized stage I disease, surveillance is often sufficient.Conclusion: Pediatric germ cell tumors differ from adult testicular tumors in terms of incidence, malignancy, and histology. Treatment decisions should always be made within an interdisciplinary framework.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052847","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

[Nursing assistants and nursing associates-What are neighboring countries doing?] 护理助理和护理助理——邻国在做什么？］

IF 0.5 4区医学

Urologie Pub Date : 2025-05-01 Epub Date: 2025-02-18 DOI: 10.1007/s00120-025-02539-z

Yvonne Lehmann

引用次数: 0

[Improving residency programs in urology: status quo et quo vadis : Future perspectives]. [改进泌尿外科住院医师计划：现状与现状：未来展望]。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-01 Epub Date: 2025-03-22 DOI: 10.1007/s00120-025-02567-9

Maike Neutzer, Axel Heidenreich

{"title":"[Improving residency programs in urology: status quo et quo vadis : Future perspectives].","authors":"Maike Neutzer, Axel Heidenreich","doi":"10.1007/s00120-025-02567-9","DOIUrl":"10.1007/s00120-025-02567-9","url":null,"abstract":"Well-founded and structured training in urology are the fundamental basis for high-quality, evidence-based, and personalized management of patients with significant diseases of the upper and lower urogenital tract. A major goal of residency programs in urology is the teaching of practical skills in interventional and conservative urology so that residents will be able to implement those skills independently as board certified urologists. Residency programs in Germany, however, are highly heterogeneous due to the fact that the specific contents are defined by state (Länder) medical associations. Furthermore, the implementation of the specific contents is the responsibility of the program directors, which is not assessed transparently. This inconsistency might explain the fact that about one third of residents are highly dissatisfied with the quality of their training programs. To meet future challenges due to the aging population and the already existing additional need of well-trained urologists, we need (1) to implement nationwide, structured, uniform, generally binding and transparent residency programs, (2) the teaching of communicative skills with patients and within interdisciplinary teams, and (3) work schedules that are flexible, including interdisciplinary education, regional and supraregional rotations. The current article summarizes the current landscape of urological training programs in Germany, discussing future perspectives for potential improvement.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"418-423"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693627","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

[Innovative training concepts in urology]. 【泌尿外科创新培训理念】。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-01 Epub Date: 2025-03-13 DOI: 10.1007/s00120-025-02566-w

Ulrike Hendrika Necknig, Nadim Moharam, Nicola Edith von Ostau

引用次数: 0

[Report on the 15th symposium of the German Research Association for Bladder Cancer (DFBK) on 24 and 25 January 2025 in Jena]. [2025年1月24日至25日在耶拿举行的第15届德国膀胱癌研究协会（DFBK）研讨会报告]。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-01 Epub Date: 2025-03-05 DOI: 10.1007/s00120-025-02556-y

Thorsten H Ecke, Daniel Steinbach, Christoph Becker, Susanne Füssel, Michèle J Hoffmann, Nadine T Gaisa, Roman Nawroth

引用次数: 0

Berufspolitik BvDU. Berufspolitik BvDU .

IF 0.5 4区医学

Urologie Pub Date : 2025-05-01 DOI: 10.1007/s00120-025-02590-w

引用次数: 0

[New working time models-what is possible and how?] 新的工作时间模式——什么是可能的？如何实现？］

IF 0.5 4区医学

Urologie Pub Date : 2025-05-01 Epub Date: 2025-03-17 DOI: 10.1007/s00120-025-02569-7

B Nübel, P König, B Wullich, F Kunath, L Bellut

{"title":"[New working time models-what is possible and how?]","authors":"B Nübel, P König, B Wullich, F Kunath, L Bellut","doi":"10.1007/s00120-025-02569-7","DOIUrl":"10.1007/s00120-025-02569-7","url":null,"abstract":"Background: Workforce scheduling in healthcare faces significant challenges as overload, bureaucracy, and insufficient digitalization severely impact the satisfaction of physicians. In particular, the desire for a better work-life balance and more flexible working models is becoming increasingly important in order to retain skilled workers and to cope with the impending shortage of skilled workers.Objectives: This review article presents current working time models, their advantages and disadvantages, the legal basis, and some practical statements.Materials and methods: A comprehensive literature review was conducted to analyze current studies and publications.Results: Current challenges in healthcare present opportunities to enhance the attractiveness of medical professions, promote work-life balance, and secure the future of the medical profession through innovative work models such as part-time schedules, flexible hours, 4‑day workweeks, shift systems, time accounts, and hybrid working arrangements.Conclusion: While restructuring work hours offers opportunities to improve efficiency, employee satisfaction, and staff retention, it also entails risks such as increased organizational costs, implementation difficulties in day-to-day practice, and potential workload issues, making clear objectives, employee involvement, and technical support essential.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"434-440"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651145","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

[Certified continuing education curriculum of the German Society for Urology (WECU) : WECU status report and implications of the new continuing education regulations in clinical practice]. [德国泌尿外科学会（WECU）的认证继续教育课程：WECU现状报告和新的继续教育法规在临床实践中的意义]。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-01 Epub Date: 2025-03-20 DOI: 10.1007/s00120-025-02568-8

Herbert Leyh, Mira Faßbach, Carolin Siech

引用次数: 0