Innere Medizin (Heidelberg, Germany)最新文献_第2页

Primärversorgung. 保健.

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-10-01 DOI: 10.1007/s00108-026-02192-4

引用次数: 0

[Psychosocial factors and long-term adherence to lifestyle interventions in individuals with type 2 diabetes mellitus]. [2型糖尿病患者长期坚持生活方式干预的社会心理因素]。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-10-01 Epub Date: 2026-09-02 DOI: 10.1007/s00108-026-02175-5

Marta Csanalosi, Stefan Kabisch

{"title":"[Psychosocial factors and long-term adherence to lifestyle interventions in individuals with type 2 diabetes mellitus].","authors":"Marta Csanalosi, Stefan Kabisch","doi":"10.1007/s00108-026-02175-5","DOIUrl":"10.1007/s00108-026-02175-5","url":null,"abstract":"Type 2 diabetes (T2D) is a complex chronic illness that requires continuous management across multiple domains: nutrition, physical activity, psychological wellbeing and pharmacological therapy. The long-term success of these interventions depends on whether they can be maintained over time. This article discusses systemic, psychosocial and lifestyle factors that influence adherence to dietary lifestyle interventions and their implications for routine clinical care. Current guidelines are patient-focused, emphasizing individualization and adaptation to patients' needs within a multidisciplinary team. Nevertheless, there is a gap between guidelines and real-world implementation. Adherence in T2D is influenced by the interaction of psychosocial, behavioral and structural factors. Psychological factors, such as social support, depression, self-efficacy and coping mechanisms, among others, as well as socioeconomic factors, are all predictors of adherence. We discuss different dietary patterns, such as the mediterranean diet, with regard to adherence and the effects on glycemic control. Across all dietary patterns, adherence consistently declines over time. Less restrictive approaches are associated with higher adherence and lower attrition rates. Consultation times and the integration of behavioral and psychological care into routine management are essential for increasing long-term adherence. Improving these aspects may improve long-term adherence and, consequently, metabolic outcomes.","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":"1073-1083"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fortbildungen des BDI. BDI培训。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-10-01 DOI: 10.1007/s00108-026-02188-0

引用次数: 0

Erratum zu: Versorgung von Patienten mit chronisch-obstruktiver Lungenerkrankung im klinischen Alltag. 慢性阻塞性肺病患者的日常护理。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-10-01 DOI: 10.1007/s00108-026-02173-7

Hendrik Pott, Bernd Schmeck, Peter Alter, Gernot Rohde

引用次数: 0

[Sarcopenia: diagnosis, clinical implications, and treatment]. [肌肉减少症：诊断、临床意义和治疗]。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1007/s00108-026-02172-8

Stephan von Haehling, Christine A F von Arnim

引用次数: 0

[Continuous glucose monitoring and automated insulin dosing systems in clinical routine]. [临床常规连续血糖监测和自动胰岛素给药系统]。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-10-01 Epub Date: 2026-08-21 DOI: 10.1007/s00108-026-02166-6

Annie Mathew, Dagmar Führer

{"title":"[Continuous glucose monitoring and automated insulin dosing systems in clinical routine].","authors":"Annie Mathew, Dagmar Führer","doi":"10.1007/s00108-026-02166-6","DOIUrl":"10.1007/s00108-026-02166-6","url":null,"abstract":"Background: Continuous glucose monitoring (CGM), connected insulin pens, insulin pumps, and automated insulin delivery (AID) systems enable increasingly data-driven and partially automated diabetes management.Objective: A practice-oriented evaluation of the indications, clinical benefits, and safety of modern diabetes technologies.Materials and methods: An analysis of current guidelines, position papers, randomized controlled trials, meta-analyses, and selected real-world data.Results and conclusion: Diabetes technologies should be offered according to individual needs, abilities, preferences, and life circumstances and, when appropriate, implemented early, including at the time of diagnosis. CGM supports diabetes treatment in individuals receiving insulin therapy, those at significant risk of hypoglycemia, and clinical situations in which CGM data improve clinical decision-making. Connected insulin pens facilitate the documentation and combined review of glucose and insulin data. AID systems are preferred for individuals with type 1 diabetes and also represent an effective therapeutic option for those with type 2 diabetes receiving intensive insulin therapy. Regular training, standardized data review, and a back-up plan are required. Patients may continue using their own diabetes devices in the hospital when clinically appropriate and institutional processes are in place. Future developments aim to reduce user burden, improve interoperability, and increase time in range (TIR).","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":"1063-1072"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Fever and rash after international travel: two cases of vaccine failure]. [国际旅行后发热和皮疹：2例疫苗接种失败]。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-10-01 Epub Date: 2026-09-08 DOI: 10.1007/s00108-026-02182-6

Annika P Schnell, Luisa Berckenhagen, Stefan Schmiedel

引用次数: 0

[Nuclear medicine-necessity and opportunities in modern cardiology]. [核医学——现代心脏病学的必要性和机遇]。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-09-21 DOI: 10.1007/s00108-026-02189-z

Christoph Rischpler, Stephan Settelmeier, Hossein Golbarg, David Kersting

{"title":"[Nuclear medicine-necessity and opportunities in modern cardiology].","authors":"Christoph Rischpler, Stephan Settelmeier, Hossein Golbarg, David Kersting","doi":"10.1007/s00108-026-02189-z","DOIUrl":"https://doi.org/10.1007/s00108-026-02189-z","url":null,"abstract":"Nuclear cardiac imaging is a central aspect of modern cardiology and has become significantly more important as a result of technological innovations and new radiotracers. Myocardial perfusion imaging remains the most important nuclear medicine procedure for the functional diagnosis of coronary heart disease and is increasingly benefiting from cadmium-zinc-telluride (CZT) camera systems, PET tracers such as 18F‑flurpiridaz, and hybrid imaging approaches. Furthermore, FDG-PET/CT has established itself as a diagnostically and prognostically relevant procedure for inflammatory heart diseases such as endocarditis and cardiac sarcoidosis and is now an integral part of international guidelines. Another focus is on cardiac amyloidosis, where skeletal scintigraphy enables noninvasive diagnosis of ATTR amyloidosis, while new PET tracers and PET/MRI approaches open up additional diagnostic possibilities. In parallel, the use of artificial intelligence in nuclear cardiology is gaining importance, particularly in automated image analysis, prognosis assessment and risk stratification. Overall, it is evident that modern nuclear medicine techniques enable more precise diagnostics and improved therapy management.","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Echocardiography in cardiology-Basic tool, current developments and future perspectives]. [超声心动图在心脏病学中的应用-基本工具，当前发展和未来展望]。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-09-11 DOI: 10.1007/s00108-026-02178-2

Henrik Ten Freyhaus, Sebastian Kruck

{"title":"[Echocardiography in cardiology-Basic tool, current developments and future perspectives].","authors":"Henrik Ten Freyhaus, Sebastian Kruck","doi":"10.1007/s00108-026-02178-2","DOIUrl":"https://doi.org/10.1007/s00108-026-02178-2","url":null,"abstract":"Despite advances in computed tomography (CT) and magnetic resonance imaging (MRI), transthoracic echocardiography remains the central imaging method in cardiology and internal medicine. Key advantages are ubiquitous availability, repeatability and the direct linkage between findings and symptoms at the bedside. In daily practice it answers questions relevant to treatment with respect to pump function, pericardial effusion or tamponade, relevant valvular diseases, heart failure with preserved ejection fraction (HFpEF), pulmonary hypertension and the hemodynamic profile in shock, sepsis or circulatory instability. A prerequisite for reliable diagnostics is a standardized, guideline-conform examination. In valvular diseases, the goal is not only the detection but also the precise quantification of the disease and assessment of the treatment urgency. This particularly applies to challenging constellations, such as the frequently underestimated low-flow low-gradient aortic valve stenosis. In the acute setting, focused cardiac ultrasound can provide a rapid orientation but it does not replace a complete transthoracic examination. The limitations of the method reside less in the technique itself than in insufficient standardization, misapplication and poor image quality. Current and future developments will further enhance the diagnostic value. Examples are artificial intelligence (AI)-assisted assessment with automated analysis of various parameters, pattern recognition for disease detection, speckle tracking strain and accompanying refinements, left atrial strain for advanced assessment of the diastolic function, 3D echocardiography, and shear wave imaging for estimating myocardial stiffness. Echocardiography thus remains an indispensable, dynamic and effective method. Critical factors are standardized workflows, guideline-conform quantification and the interpretation of findings within the clinical context.","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Prevention and early detection of colorectal cancer]. 【结直肠癌的预防与早期发现】。

IF 0.6

Innere Medizin (Heidelberg, Germany) Pub Date : 2026-09-08 DOI: 10.1007/s00108-026-02176-4

Anna Melzer, Thomas Seufferlein

引用次数: 0