Wiener klinische Wochenschrift

http://link.springer.com/journal/508

List of Papers (Total 307)

Management of malignant pleural mesothelioma—part 2: therapeutic approaches

Treatment of malignant pleural mesothelioma (MPM) depends on performance status of the patient, tumor stage, and histological differentiation. Chemotherapy (CHT) can be administered as first- and second-line treatment in unresectable MPM or as neoadjuvant or adjuvant treatment before or after surgery. A combination of an antifolate and platinum-based CHT is the only approved...

Impfungen bei Immundefekten/Immunsuppression – Expertenstatement und Empfehlungen

ZusammenfassungImmunsuppression unterschiedlicher Genese ist mit einem erhöhten Infektionsrisiko verbunden; daher ist die Prävention von impfpräventablen Erkrankungen bei den betroffenen Personengruppen besonders wichtig. Allerdings ist das Angehen von Impfungen oftmals reduziert bzw. die Applikation von Lebendimpfungen während Immunsuppression kontraindiziert.Im folgenden...

Bone microarchitecture deteriorations and a fragility fracture in a patient with beta and alpha heterozygous thalassemia: a case report

To date there are few studies that have investigated bone mineral density (BMD) and markers of bone metabolism in patients with thalassemia minor form. None of the previous trials presented bone structure analysis in the patient populations. We present the case of a 24-year-old Turkish woman with heterozygous beta and alpha thalassemia who sustained a low-trauma fracture of the...

Diagnosis and management of asthma – Statement on the 2015 GINA Guidelines

SummaryThis statement was written by a group of pulmonologists and pediatric pulmonologists belonging to the corresponding professional associations ÖGP (Austrian Society for Pulmonology) and ÖGKJ (Austrian Society for pediatric and adolescent medicine) to provide a concise overview of the latest updates in the 2015 GINA Guidelines and to include aspects that are specific to...

Portal vein resection in advanced pancreatic adenocarcinoma: is it worth the risk?

SummaryIntroductionPortal vein resection represents a viable add-on option in standard pancreaticoduodenectomy for locally advanced ductal pancreatic adenocarcinoma, but is often underused as it may set patients at additional risk for perioperative and postoperative morbidity and mortality. We aimed to review our long-term experience to determine the additive value of this...

Influence of conversation technique seminars on the doctoral therapeutic attitude in doctor–patient communication

This study investigates medical students’ therapeutic attitude before and after communication skills training seminars with simulated patients. The aim was to find out whether the therapeutic attitude of medical students is trainable and whether there is a difference in therapeutic attitude before and after the communication skills training with standardized patients. The...

Expert position paper on prolonged dual antiplatelet therapy in secondary prevention following myocardial infarction

SummaryThe protective effect of dual antiplatelet therapy (DAPT) following acute coronary syndrome is undisputed, but its duration is subject of debate. Several studies show that prolonged therapy provides a clinical benefit in patients following acute coronary syndrome. The aim of this position paper authored by Austrian experts is to outline the current evidence and provide an...

Left main occlusion – a classic electrocardiogram

Left main occlusion is associated with a dire prognosis, as the left main supplies blood to >75 % of the left ventricle. This is a case showing a classic electrocardiogram (ECG) together with the echocardiogram videos and images from coronary angiography.

Tracheostomy is associated with decreased hospital mortality after moderate or severe isolated traumatic brain injury

Background Data regarding the impact and timing of tracheostomy in patients with isolated traumatic brain injury (TBI) are ambiguous. Our goal was to evaluate the impact of tracheostomy on hospital mortality in patients with moderate or severe isolated TBI. Materials and Methods We performed a retrospective cohort analysis of data prospectively collected at 87 Austrian intensive...

Andere spezifische Diabetesformen

Zahlreiche endokrine Erkrankungen können Störungen des Kohlenhydratstoffwechsels bewirken und zur Manifestation eines Diabetes mellitus führen bzw. diese begünstigen. Mit Ausnahme der Hyperthyreose, bei der dies nur in Ausnahmefällen zu beobachten ist, sind diese Erkrankungen selten. Akromegalie und Cushing-Syndrom sind besonders häufig mit gestörter Glukosetoleranz oder Diabetes...

Diabetische Nierenerkrankung – Update 2016

Rezente epidemiologische Untersuchungen zeigen, dass etwa 5 % aller Österreicher Diabetes mit Nierenbeteiligung aufweisen. Diese betrifft somit in Österreich etwa 400.000 Menschen. Das Risiko des Auftretens und Fortschreitens der Erkrankung kann durch Lebensstilinterventionen und Optimierung der Einstellung des Blutdrucks und Blutzuckers vermindert werden. In diesem gemeinsamen...

Austrian Lipid Consensus on the management of metabolic lipid disorders to prevent vascular complications

In 2010, eight Austrian medical societies proposed a joint position statement on the management of metabolic lipid disorders for the prevention of vascular complications. An updated and extended version of these recommendations according to the current literature is presented, referring to the primary and secondary prevention of vascular complications in adults, taking into...

Typ 2 Diabetes mellitus – Screening und Prävention

Die Diabetesprävalenz nimmt weltweit zu, wobei etwa die Hälfte aller Betroffenen noch nicht diagnostiziert ist. Dieses Positionspapier der Österreichischen Diabetesgesellschaft basiert auf aktueller Evidenz zu Screening und Prävention des Typ 2 Diabetes mellitus.

Adipositas und Typ 2 Diabetes

Adipositas und Typ 2 Diabetes werden heute gerne unter dem Namen „Diabesity“ zusammengefasst. Das trägt dem Umstand Rechnung, dass die Adipositas dem Diabetes häufig vorangeht und wohl der wichtigste Faktor in der Zunahme des Typ 2 Diabetes mellitus ist. Der Body-Mass-Index (BMI) ist nur ein sehr grobes Maß der Körperverfettung. Sogar Normalgewichtige können bei Muskelmangel zu...

Insulinpumpentherapie bei Kindern, Jugendlichen und Erwachsenen

Dieses Positionspapier zur Anwendung der subkutanen Insulinpumpentherapie (CSII) bei Diabetes mellitus basiert auf aktueller Evidenz zu Sicherheit und Vor-und Nachteile der CSII, insbesondere im Hinblick auf glykämische Kontrolle, Hypoglykämie, ketoazidotische Entgleisung, Lebensqualität und Anwendung in der Schwangerschaft. Dieser Artikel beinhaltet die Empfehlungen der...

Association of cytomegalovirus infection with hypertension risk: a meta-analysis

Background Information regarding association between cytomegalovirus (CMV) infection and essential hypertension (EH) risk is not consistent across studies. Therefore, we conducted a meta-analysis to investigate the association in detail. Methods We comprehensively searched the published literature from the PubMed and Embase databases for any study analyzing the association...

Supporting cardiac patient physical activity: a brief health psychological intervention

Background One of the most important risk factors for coronary artery disease is physical inactivity. Health psychological research demonstrates the importance of planning for behaviour change success. Consequently, a health action process approach (HAPA) model-based design to support the uptake of physical activity was initiated for the first time in an acute cardiac ward...

Use of mental techniques for competition and recovery in professional athletes

Background The present study aims to describe knowledge about and usage of mental techniques to prepare before competitions and after sport-associated injuries (SAIs) by professional athletes (team sports) in Austria. Methods In this cross-sectional study, 191 professional athletes (basketball, football, hockey, ice hockey, and volleyball teams, m:f = 142:49, 24 ± 5, 18–39 years...