Deutsche medizinische Wochenschrift (1946)最新文献_第7页

[Shortfalls of new data 2017-2020 in the German transplant registry]. [德国移植登记处 2017-2020 年新数据不足]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-07-26 DOI: 10.1055/a-2347-3975

Gerd Otto, Klemens Budde, Christoph Bara, Jens Gottlieb

引用次数: 0

[IT Failures in Hospitals - Structures and Processes in Hospitals for Coping Cyber Attacks]. [医院的信息技术故障--医院应对网络攻击的结构和流程]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-08-29 DOI: 10.1055/a-2360-1258

Ernst Pfenninger, Manuel Königsdorfer

{"title":"[IT Failures in Hospitals - Structures and Processes in Hospitals for Coping Cyber Attacks].","authors":"Ernst Pfenninger, Manuel Königsdorfer","doi":"10.1055/a-2360-1258","DOIUrl":"https://doi.org/10.1055/a-2360-1258","url":null,"abstract":"Clinics are, by definition, part of a country's critical infrastructure. In recent years, hospitals have increasingly become the target of cyber attacks, resulting in disruptions to their functionality lasting weeks to even months. According to the \"National Strategy for the Protection of Critical Infrastructures (CRITIS Strategy)\", clinics are legally obligated to take preventive measures against such incidents. This involves evaluating, defining, and developing failure concepts for IT-dependent processes within a clinic to be prepared for a cyber attack. Specifically tailored emergency plans for computer system failures should be created and maintained in all IT-dependent areas of a clinic.Additionally, paper-based alternative solutions, such as request forms for diagnostic or consultation services, department-specific emergency documents, and patient documentation charts, should be kept in a readily accessible location known to staff in the respective areas. The complete restoration of a clinic's network after a cyber attack often requires extensive recovery of numerous IT systems, which may take weeks to months in some cases.If the hospital has robust plans for cyber emergency preparedness, including regular scans and real-time backups, stabilization and a quicker resumption of operations may be possible.","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"149 18","pages":"1094-1104"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116425","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

[Importance and prevalence of multidrug-resistant gram-negative bacteria in Germany]. [德国耐多药革兰氏阴性菌的重要性和流行率]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1055/a-2283-6807

Niels Pfennigwerth, Sören Gatermann

{"title":"[Importance and prevalence of multidrug-resistant gram-negative bacteria in Germany].","authors":"Niels Pfennigwerth, Sören Gatermann","doi":"10.1055/a-2283-6807","DOIUrl":"https://doi.org/10.1055/a-2283-6807","url":null,"abstract":"Infections with multidrug-resistant gram-negative bacterial species are a great concern in clinics in Germany. By limiting therapeutic options dramatically, these bacteria pose a significant threat to patient health and cause extensive pressure on hygiene systems and patient management. In Germany, the recommendations on how to deal with these bacteria are called MRGN classification, using the terms 3MRGN and 4MRGN for bacteria resistant to three or four major classes of antibiotics. To be resistant to this large number of antibiotics and become classified as 3MRGN or 4MRGN, bacterial strains need to acquire multiple resistance mechanisms with beta-lactamases, especially carbapenemases, being the most important ones. According to established surveillance systems like national reporting systems, KISS or the National Reference Centre, multidrug-resistant bacteria are constantly on the rise in Germany. Although several novel therapeutic options have been approved recently, these bacteria represent a constant challenge and it may be necessary to discuss if the present hygiene recommendations need an update for an efficient and targeted prevention of transmission.","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"149 19","pages":"1143-1150"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304532","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

[IgE- and non-IgE-mediated food allergies - an overview]. [IgE和非IgE介导的食物过敏--综述]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-08-29 DOI: 10.1055/a-2194-9047

Yurdagül Zopf, Walburga Dieterich

{"title":"[IgE- and non-IgE-mediated food allergies - an overview].","authors":"Yurdagül Zopf, Walburga Dieterich","doi":"10.1055/a-2194-9047","DOIUrl":"https://doi.org/10.1055/a-2194-9047","url":null,"abstract":"Food allergies are divided into 2 main categories: IgE-mediated and non-IgE-mediated food allergies. Both forms can have significant health effects but differ in mechanism, symptoms, and management. The manifestation of the 2 forms differs between children and adults. These differences can be observed in the prevalence and the type of most common allergens and clinical presentation. The prevalence of food allergies has increased worldwide in recent decades. IgE-mediated allergies are the best researched and documented. They are particularly common in children, while non-IgE-mediated allergies are less well understood and diagnosed, leading to uncertainty about their prevalence. They often manifest as gastrointestinal symptoms that can occur hours to days after ingestion and are often difficult to distinguish from other food intolerances. The occurrence of food allergies varies significantly geographically. Differences in dietary habits, food composition, and environmental factors can partly explain these differences. There are also indications that genetics may play a role. IgE-mediated and non-IgE-mediated food allergies represent a significant and growing challenge for the global healthcare system. This article provides an in-depth review of both types of food allergy, discussing their potential causes, diagnostic possibilities, and available therapeutic strategies. Some diseases represent a mixed form of IgE and non-IgE-mediated immunological adverse reactions. Eosinophilic oesophagitis is the most common eosinophilic disease, and the diagnosis and treatment options are explained in more detail below.","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"149 18","pages":"1080-1088"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116424","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

[Skin changes around wounds: A position paper from the professional society Initiative Chronische Wunden (ICW) e.V.] [伤口周围的皮肤变化：慢性病倡议（ICW）e.V.专业协会的立场文件］

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-08-29 DOI: 10.1055/a-2359-6728

Joachim Dissemond, Anke Bültemann, Veronika Gerber, Martin Motzkus, Julian-Dario Rembe, Cornelia Erfurt-Berge

引用次数: 0

[Severe complicated malaria caused by Plasmodium falciparum in a female traveler returning from Zanzibar]. [一名从桑给巴尔返回的女性旅行者因恶性疟原虫引起的严重并发症疟疾]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-08-29 DOI: 10.1055/a-2359-7083

Johanna Eggeling, Michael Ramharter, Dominic Wichmann, Stefan Schmiedel

{"title":"[Severe complicated malaria caused by Plasmodium falciparum in a female traveler returning from Zanzibar].","authors":"Johanna Eggeling, Michael Ramharter, Dominic Wichmann, Stefan Schmiedel","doi":"10.1055/a-2359-7083","DOIUrl":"10.1055/a-2359-7083","url":null,"abstract":"Medical history: A 25-year-old female outpatient presenting with fever and micro-hematuria was treated for urinary tract infection. Her condition worsened over 3 days at home. After experiencing multiple falls caused by leg weakness and mental confusion, she was admitted to a hospital with high fever.Diagnostics: Initial laboratory findings showed hemolytic anemia, pancytopenia, and acute kidney injury, suggesting hemolytic uremic syndrome. However, a detailed fever evaluation revealed her recent return from Afrika. This prompted a malaria test, which confirmed Plasmodium falciparum infection with 80 % parasitemia.Therapy and progress: Despite the quick reduction of parasitemia following treatment with intravenous administered artesunate and oral Artemether-Lumefantrine, her condition worsened, leading to a septic shock. This required renal replacement and kinetic ventilation therapy, as well as blood transfusions due to persistent hemolysis until the laboratory values normalized after 48 days post-admission.Conclusion: The evaluation of fever is often challenging, but most often a detailed patient history is key to early diagnosis and treatment preventing deathly outcomes in severe cases.","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"149 18","pages":"1090-1093"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116426","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

[Multi-resistant bacteria - epidemiological trends and new treatment options]. [多重耐药细菌--流行病学趋势和新的治疗方案]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1055/a-2258-1412

Winfried V Kern

引用次数: 0

[Comparison of LDL cholesterol serum concentrations in patients after acute coronary syndrome between 2018 and 2022 in Germany and Europe]. [2018年至2022年德国和欧洲急性冠状动脉综合征术后患者低密度脂蛋白胆固醇血清浓度比较]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-08-07 DOI: 10.1055/a-2332-9120

Annika Reuser, Christiane Look, Ulrich Laufs

引用次数: 0

[Superbugs: epidemiology and treatment of multiresistant bacteria]. [超级细菌：多重耐药性细菌的流行病学与治疗]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1055/a-2180-0181

Marylyn Addo

引用次数: 0

[65 year-old patient with chest pain and dyspnea following an intercontinental flight]. [65 岁患者在洲际飞行后出现胸痛和呼吸困难]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-08-29 DOI: 10.1055/a-2332-7354

Nafilah Baridwan, Lasha Gortamashvili, Lothar Faber

引用次数: 0