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[Mobile health for detection of atrial fibrillation-Status quo and perspectives]. 【用于心房颤动检测的移动健康现状与展望】。
4区 医学
Internist Pub Date : 2022-03-01 Epub Date: 2022-02-11 DOI: 10.1007/s00108-022-01267-2
Dennis Lawin, Urs-Vito Albrecht, Zoe Sophie Oftring, Thorsten Lawrenz, Christoph Stellbrink, Sebastian Kuhn
{"title":"[Mobile health for detection of atrial fibrillation-Status quo and perspectives].","authors":"Dennis Lawin,&nbsp;Urs-Vito Albrecht,&nbsp;Zoe Sophie Oftring,&nbsp;Thorsten Lawrenz,&nbsp;Christoph Stellbrink,&nbsp;Sebastian Kuhn","doi":"10.1007/s00108-022-01267-2","DOIUrl":"10.1007/s00108-022-01267-2","url":null,"abstract":"<p><p>Mobile health (mHealth) for the detection of atrial fibrillation is an innovative domestic monitoring of the heart rhythm. The use of mHealth in the context of atrial fibrillation increases the availability of diagnostic technologies and facilitates the integration into telemedical treatment concepts as well as the active participation of patients in the treatment process. The detection of atrial fibrillation with mHealth applications is usually based on electrocardiography (ECG) or by detection of the pulse wave using photoplethysmography (PPG). Some applications require additional sensors, others make use of sensors integrated into smartphones or smartwatches. A high diagnostic accuracy for the detection of atrial fibrillation has been shown for most mHealth applications regardless of the underlying technology (analytical validation); however, the evidence on positive care effects and improvement of medical endpoints (clinical validation) is so far scarce. Screening of symptomatic or asymptomatic patients and the follow-up care after antiarrhythmic measures are possibilities for the integration into the reality of care. The preventive detection of atrial fibrillation is an attractive field of application for mHealth with great potential for the future. Nevertheless, at present mHealth is only integrated to a limited extent into the reality of patient care. Adequate reimbursement and medical remuneration as well as opportunities to derive information and qualification are prerequisites in order to be able to guarantee a comprehensive implementation in the future. The Digital Health Care Act passed in 2019, regulates the reimbursement of digital healthcare applications but issues of primary preventive applications have not yet been included.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8832086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10264499","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
[Thrombus in all four heart chambers in a 67-year-old female patient with pulmonary artery embolism and open foramen ovale]. [67岁女性肺动脉栓塞及卵圆孔开放性患者四个心室均有血栓]。
4区 医学
Internist Pub Date : 2022-03-01 Epub Date: 2021-11-26 DOI: 10.1007/s00108-021-01210-x
O Kherbouche, W Ehrhardt, H Schweneker, R R Plentz, L P Graf
{"title":"[Thrombus in all four heart chambers in a 67-year-old female patient with pulmonary artery embolism and open foramen ovale].","authors":"O Kherbouche,&nbsp;W Ehrhardt,&nbsp;H Schweneker,&nbsp;R R Plentz,&nbsp;L P Graf","doi":"10.1007/s00108-021-01210-x","DOIUrl":"https://doi.org/10.1007/s00108-021-01210-x","url":null,"abstract":"<p><p>A 67-year-old woman presented to the emergency department due to acute dyspnea. Computed tomography of the chest showed a pronounced bilateral pulmonary artery embolism. Echocardiography demonstrated a large floating thrombus in the right atrium and right ventricle, which extended through a persistent foramen ovale via the left atrium into the left ventricle. A thrombectomy was later successfully performed.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39661183","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
[Practical use of digital health applications (DiGA) in internal medicine]. [数字健康应用(DiGA)在内科的实际应用]。
4区 医学
Internist Pub Date : 2022-03-01 Epub Date: 2022-01-17 DOI: 10.1007/s00108-022-01264-5
Mirja Mittermaier, Christian Sina, Jutta G Richter, Matthias Raspe, Patrick Stais, Jörg Vehreschild, Sebastian Wolfrum, Christina Anthes, Martin Möckel
{"title":"[Practical use of digital health applications (DiGA) in internal medicine].","authors":"Mirja Mittermaier,&nbsp;Christian Sina,&nbsp;Jutta G Richter,&nbsp;Matthias Raspe,&nbsp;Patrick Stais,&nbsp;Jörg Vehreschild,&nbsp;Sebastian Wolfrum,&nbsp;Christina Anthes,&nbsp;Martin Möckel","doi":"10.1007/s00108-022-01264-5","DOIUrl":"https://doi.org/10.1007/s00108-022-01264-5","url":null,"abstract":"<p><p>Since 2020 physicians can prescribe digital health applications (DiGA), also colloquially known as apps on prescription, which are reimbursed by the statutory health insurance when they are approved by the Federal Institute for Drugs and Medical Devices (BfArM) and are included in the DiGA Ordinance. Currently, there is one approved DiGA (indication obesity) for internal medicine. There are many questions on the practical use of the DiGA, ranging from the prescription, the effectiveness, the complexities and reimbursement as well as the liability risks. The DiGA are innovative new means, which maybe support internal medicine physicians in the diagnostics and treatment in the future. The benefits in this field of indications are limited by unclarified issues, especially on the prescription practice and the currently low number of DiGA available in internal medicine.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826951","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: 5
[Food sensitivities of the digestive tract-Part 2: Food intolerances]. [消化道食物敏感性-第2部分:食物不耐受]。
4区 医学
Internist Pub Date : 2022-03-01 Epub Date: 2022-02-09 DOI: 10.1007/s00108-021-01257-w
Stephan C Bischoff
{"title":"[Food sensitivities of the digestive tract-Part 2: Food intolerances].","authors":"Stephan C Bischoff","doi":"10.1007/s00108-021-01257-w","DOIUrl":"https://doi.org/10.1007/s00108-021-01257-w","url":null,"abstract":"<p><p>Adverse reactions to food affect about one third of the population. They are based on very different mechanisms and are triggered by specific foods. They are divided into food intolerances, which manifest mainly in the gastrointestinal tract and food allergies, which can also cause extraintestinal symptoms and have an immunological genesis. In adults, food intolerances are significantly more common than food allergies with a prevalence of approximately 10-20%. The most important food intolerances are sugar intolerances, such as lactose and fructose intolerance but intolerances to wheat also play an increasing role. The diagnostics of food intolerances require extensive exclusion diagnostics, whereby in particular irritable bowel syndrome and intestinal dysbiosis must be differentiated. The therapy of food intolerance is primarily based on a targeted elimination diet. In this advanced education article the most important food intolerances are discussed.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39902774","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: 1
Mitteilungen des BDI BDI通信
4区 医学
Internist Pub Date : 2022-02-28 DOI: 10.1007/s11560-012-0636-9
Liebe Kolleginnen
{"title":"Mitteilungen des BDI","authors":"Liebe Kolleginnen","doi":"10.1007/s11560-012-0636-9","DOIUrl":"https://doi.org/10.1007/s11560-012-0636-9","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11560-012-0636-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47580001","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
Digitalisierung in der Inneren Medizin – aktuelle Entwicklungen 公司内部医疗数字化——最新发展
4区 医学
Internist Pub Date : 2022-02-28 DOI: 10.1007/s00108-022-01285-0
C. Vogelmeier
{"title":"Digitalisierung in der Inneren Medizin – aktuelle Entwicklungen","authors":"C. Vogelmeier","doi":"10.1007/s00108-022-01285-0","DOIUrl":"https://doi.org/10.1007/s00108-022-01285-0","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51945444","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: 1
[41/f-Abdominal pain in the upper right-hand side : Preparation for the medical specialist examination: part 112]. [41/f]右上腹部疼痛:为医学专家检查做准备:第112部分]。
4区 医学
Internist Pub Date : 2022-02-01 Epub Date: 2021-09-16 DOI: 10.1007/s00108-021-01146-2
A Arlt, C Meinhardt
{"title":"[41/f-Abdominal pain in the upper right-hand side : Preparation for the medical specialist examination: part 112].","authors":"A Arlt,&nbsp;C Meinhardt","doi":"10.1007/s00108-021-01146-2","DOIUrl":"https://doi.org/10.1007/s00108-021-01146-2","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39441883","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: 1
Kongresse des BDI. Des BDI向国会致敬。
4区 医学
Internist Pub Date : 2022-02-01 DOI: 10.1007/s00108-021-01258-9
{"title":"Kongresse des BDI.","authors":"","doi":"10.1007/s00108-021-01258-9","DOIUrl":"https://doi.org/10.1007/s00108-021-01258-9","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8820369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39745996","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
[73/f-Conspicuous palpable findings of the right breast : Preparation for the medical specialist examination: part 124]. [73/f]右乳明显可触及的发现:医学专家检查的准备:第124部分]。
4区 医学
Internist Pub Date : 2022-02-01 Epub Date: 2021-12-09 DOI: 10.1007/s00108-021-01191-x
A Nuttebaum, P Ackermann, C Scholz
{"title":"[73/f-Conspicuous palpable findings of the right breast : Preparation for the medical specialist examination: part 124].","authors":"A Nuttebaum,&nbsp;P Ackermann,&nbsp;C Scholz","doi":"10.1007/s00108-021-01191-x","DOIUrl":"https://doi.org/10.1007/s00108-021-01191-x","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39794970","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
[81/f-Congested neck veins and cardiac murmur : Preparation for the medical specialist examination: part 108]. [81/f]颈静脉充血和心脏杂音:医学专科检查的准备:第108部分]。
4区 医学
Internist Pub Date : 2022-02-01 Epub Date: 2022-01-04 DOI: 10.1007/s00108-021-01230-7
L Helbig, C Misgeld
{"title":"[81/f-Congested neck veins and cardiac murmur : Preparation for the medical specialist examination: part 108].","authors":"L Helbig,&nbsp;C Misgeld","doi":"10.1007/s00108-021-01230-7","DOIUrl":"https://doi.org/10.1007/s00108-021-01230-7","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39660805","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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