Innere Medizin (Heidelberg, Germany)最新文献_第9页

[Stress-Strain-Recovery-Resilience: how do all these fit together?] 应力-应变-恢复-弹性：这些是如何结合在一起的？］

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-10 DOI: 10.1007/s00108-025-01872-x

Thomas Uhlig

{"title":"[Stress-Strain-Recovery-Resilience: how do all these fit together?]","authors":"Thomas Uhlig","doi":"10.1007/s00108-025-01872-x","DOIUrl":"10.1007/s00108-025-01872-x","url":null,"abstract":"From a psychological point of view resilience is closely related to aspects of stress. As a further development of the classical stress model, the skills of individuals are described in the context of psychological resource models which enable an appropriate coping with situations that trigger stress. These differential aspects of the stress reaction are frequently highlighted in the literature on psychology. Based on a sophisticated description of stressors (i.e., environmental stimuli which are able to induce stress) characters of a person, such as personality, age, gender and strategies of coping are responsible for the expression of the stress response. The individual \"translation\" of the effects of stressors into a (stress) response is mediated by various somatic systems and aspects of emotionality. At the different levels of the stress reaction restoration processes occur which are helpful in modifying the potentially harmful effects of stressors and a homeostasis is restored. These restoration processes can be systematically described as a buffer function for the extent of a stress reaction and can be influenced in a targeted way. Therefore, the term resilience which has been used for some time appears to be a type of metaphor for psychological processes which have been known for a long time in the context of psychological research on stress and recovery.","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":"341-349"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598417","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

[Climate resilience and health: the planet's vital signs are flashing red]. [气候适应能力和健康：地球的生命迹象正在闪烁红色]。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-13 DOI: 10.1007/s00108-025-01867-8

Martin Herrmann, Christian M Schulz

{"title":"[Climate resilience and health: the planet's vital signs are flashing red].","authors":"Martin Herrmann, Christian M Schulz","doi":"10.1007/s00108-025-01867-8","DOIUrl":"10.1007/s00108-025-01867-8","url":null,"abstract":"Six of the nine Earth systems are dangerously stressed: climate change, biodiversity loss, land use, pollution, freshwater availability, and the global biogeochemical cycles of nitrogen and phosphorus. Analogous to human multi-organ failure, cascading planetary tipping points threaten to cause irreversible damage to our societies. This ecological crisis is already manifesting in a variety of health risks, from heat-related deaths and respiratory diseases to mental health. For future generations, continuing business as usual in the present means much less prosperity, security, freedom, and-most importantly-health. The ecological crisis is the greatest threat to human health in the 21st century. Climate resilience is defined as the necessary integration of climate adaptation and mitigation, and is a central component of preventive health care. Key action areas include: 1) considering the current and future health impacts of the ecological crisis in prevention, diagnosis, and treatment; 2) educating policymakers about climate resilience and health, and deriving concrete actions for municipalities, states, and federal governments; 3) implementing climate-sensitive health advice in outpatient and inpatient settings and educating the public; 4) initiating and participating in municipal, regional, and national sectoral and cross-sectoral action alliances; 5) monitoring greenhouse gas emissions and developing implementation plans for emission-free health facilities; and finally, 6) prioritizing climate resilience and health in research and education. Special attention is given to measures that have multiple positive effects on both human health and Earth systems, known as co-benefits. By not limiting themselves to medical measures alone, but overcoming displacement and intervening in political and societal processes, health experts can play a key role in combating this crisis.","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":"365-372"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625879","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

Mitteilungen der DGIM. DGIM通讯。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-04-01 DOI: 10.1007/s00108-025-01887-4

引用次数: 0

[Resilience as an integral component of action competence in internal medicine]. [弹性是内科行动能力的一个组成部分]。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-01-14 DOI: 10.1007/s00108-024-01830-z

Franziska Reinhardt, Jonas Tesarz, Imad Maatouk

{"title":"[Resilience as an integral component of action competence in internal medicine].","authors":"Franziska Reinhardt, Jonas Tesarz, Imad Maatouk","doi":"10.1007/s00108-024-01830-z","DOIUrl":"10.1007/s00108-024-01830-z","url":null,"abstract":"Physicians in internal medicine are exposed to high levels of stress. Conditions of chronic emotional fatigue and burnout are widespread. Resilience, the ability to cope with difficult situations and to adapt to adverse circumstances, is essential. Resilient physicians remain calm, make clear decisions and are in a position to support the collegial environment as well as to requisition and utilize support themselves. Resilience can be described at a biological level and is influenced by biological mechanisms, such as the hypothalamic-pituitary-adrenal axis; , even resilience of patients should be more strongly considered in internal medicine. Resilient patients can cope better with the stress due to the disease and sequelae of the treatment, which not only facilitates the healing and regeneration process but also strengthens the adaptability to altered life situations in the case of newly occurring health challenges. Interventions that activate the individual coping strategies and social support can positively influence the course of chronic diseases. A high level of resilience contributes to the quality of patient care. In addition to biological factors, this is based particularly on psychological and social factors and can be specifically promoted and trained.","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":"350-359"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985643","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

[Rare cause of recurrent hypoglycemia]. [罕见的反复低血糖的原因]。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-04-01 DOI: 10.1007/s00108-025-01889-2

Ifigeneia Barmpa, Apostolos Chatzitomaris, Eva Maria Lüngen, Ralf Lobmann

引用次数: 0

[The effects of environmental stressors on cardiovascular health]. [环境压力对心血管健康的影响]。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2024-12-30 DOI: 10.1007/s00108-024-01823-y

Thomas Münzel, Marin Kuntic, Paul Stamm, Jos Lelieveld, Andreas Daiber

{"title":"[The effects of environmental stressors on cardiovascular health].","authors":"Thomas Münzel, Marin Kuntic, Paul Stamm, Jos Lelieveld, Andreas Daiber","doi":"10.1007/s00108-024-01823-y","DOIUrl":"10.1007/s00108-024-01823-y","url":null,"abstract":"Noncommunicable diseases (NCDs) are responsible for the premature deaths of more than 38 million people each year, making them the leading cause of the global burden of disease, accounting for 70% of global mortality. The majority of these deaths are caused by cardiovascular diseases. The risk of NCDs is closely related to exposure to environmental stressors such as air pollution, noise pollution, artificial light at night, and climate change, including extreme heat, sandstorms, and wildfires. In addition to the traditional risk factors for cardiovascular diseases such as diabetes, high blood pressure, smoking, hypercholesterolemia and genetic predisposition, there is increasing evidence that physicochemical factors in the environment significantly contribute to the high NCD numbers. In addition, urbanization is related to the accumulation and intensification of these stressors. This expert review will summarize the epidemiology and pathophysiology of environmental stressors with a focus on cardiovascular NCDs. In addition, solutions and measures to mitigate the effects of environmental risks, especially concerning cardiovascular diseases, will be discussed.","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":"373-384"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911274","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

[Acute abdominal pain with surprising etiology-rare complication of a common disease]. [病因出人意料的急性腹痛--常见病的罕见并发症]。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2024-10-24 DOI: 10.1007/s00108-024-01804-1

Katharina Grotemeyer, Roxana Motronea, Jörn M Schattenberg

引用次数: 0

[Endovascular therapy of aorto-iliac occlusive disease]. 主动脉-髂闭塞性疾病的血管内治疗。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2025-02-14 DOI: 10.1007/s00108-025-01854-z

Thomas Zeller

{"title":"[Endovascular therapy of aorto-iliac occlusive disease].","authors":"Thomas Zeller","doi":"10.1007/s00108-025-01854-z","DOIUrl":"10.1007/s00108-025-01854-z","url":null,"abstract":"Background: Arterial occlusive disease of the central arteries involving the abdominal aorta and iliac arteries leads to multiple symptoms such as intermittent claudication, including of the gluteus muscle, and erectile dysfunction.Objectives: A description of the indications, technique and clinical outcomes of the endovascular therapy of aorto-iliac artery occlusive disease.Results: Due to new endovascular techniques and improved stents and stent grafts developed over the last two decades, the endovascular therapy of aorto-iliac obstructions has become the standard method for the treatment of intermittent claudication in experienced centers. Open surgical bypass revascularisation is mainly indicated after a failed endovascular attempt or in the case of unfavourable anatomy for endovascular therapy, including flush occlusions distal to the renal artery origins. A less frequently used revascularisation technique, the hybrid revascularisation, combines open surgical thromboendarterectomy of the common femoral artery and stent implantation of the ipsilateral iliac artery or aorta. Obstructions of the internal iliac artery resulting in, among other things, erectile dysfunction and hip claudication are ever more frequently treated with either drug-eluting stents or balloons.Conclusion: In the case of appropriate operator experience and suitable anatomy, endovascular therapy has become the first-line revascularisation strategy for aorto-iliac occlusive disease involving the internal iliac artery.","PeriodicalId":73385,"journal":{"name":"Innere Medizin (Heidelberg, Germany)","volume":" ","pages":"249-257"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426762","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

[Ways to improve vaccination rates : Indication vaccinations for adults]. [提高疫苗接种率的途径：成人指征疫苗接种]。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2025-02-11 DOI: 10.1007/s00108-025-01857-w

Jürgen Floege, Toralf Schwarz, Christoph Wanner, Uwe Heemann, Baptist Gallwitz, Oliver Witzke

引用次数: 0

[AVK III: Below the knee]. [AVK III：膝盖以下]。

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2025-02-28 DOI: 10.1007/s00108-025-01871-y

Erwin Blessing

引用次数: 0