Abstracts by keywords: general practice
Krisen wie die Coronapandemie, der Klimawandel oder auch ein akuter Stromausfall stellen die Gesundheitsversorgung vor Herausforderungen. Aktuelle Kriege beeinflussen unsere Infrastruktur, zum Beispiel über die Abhängigkeit von Öl und damit verbundene steigende Energie- und Lebenshaltungskosten (Romanello et al. 2022), was wiederum Einfluss auf die Gesundheit der Bevölkerung haben kann. Studien aus Kriegsgebieten wie dem Sudan, […]
03.08.2026
Damage to the central nervous system and the central nervous sensorimotor cell and pathway systems often result in spastic movement disorders (SMD). According to the guidelines for the treatment of spasticity syndrome (AWMF/DGN), spasticity is defined as "increased, speed-dependent stretch resistance of the skeletal muscles, which occurs as a result of a lesion of the descending motor pathways of the central nervous system (CNS) (cerebrum, brainstem, spinal cord) and usually accompanied by other symptoms such as muscle paresis, slowing of movement, increased intrinsic muscle reflexes, pathologically uninhibited synergism and spastic dystonia". In earlier studies, spasticity was described as a "rate-dependent increase in muscle tone resulting from hyperexcitability of the spinal tonic stretch reflex" [1]. An expanded definition of the SPASM group refers to spasticity as positive phenomena produced due to a disturbance in sensorimotor control resulting from a lesion of the first motor neuron. The manifestation is persistent involuntary activation of muscles [2]. SMD is a common syndrome of diseases such as stroke, multiple sclerosis or traumatic brain injury. According to estimates, up to 260,000 people in Germany suffer a stroke every year [3]. Almost half of survivors (up to 46%) experience spasticity within the first three months after the stroke [4, 5]. Spasticity can also develop at a later point in time [4]. Severe paralysis and sensory disorders are predictors of the development of spasticity, e.g. B. as a result of a stroke, and can be associated with severe limitations in coping with everyday life [6]. If you look at the time periods after a stroke in more detail, it can be seen that within the first four weeks at 4% to 27% the patient spasticity could be observed. The prevalence increases to 19% to 26.7% in the post-acute phase (one to three months). Over a period of three months there is a PSS (Post Stroke Spasticity) of 17% to 42.6% [4].
22.07.2022
The increase in new infections reported daily, the problem of travelers returning, the reopening of schools and kindergartens, the approaching election campaign - our group of authors needed to decide whether there should be a fourth paper after the theses from the beginning of April, the beginning of May and the end of June , no long discussions. The enormous dynamics of the current situation cannot be overlooked, especially since positive developments are now becoming visible behind the numbers, such as the quite significant drop in the hospitalization rate, the low intensive care utilization due to CoViD-19, the decline in mortality to 0.4% of infected people and - let's pick it out - initial findings of an apparently persistent cellular immunity, which seems to significantly strengthen the somewhat unreliable antibody-related defense (as is common in viral diseases).
08.10.2020
Current data from a cross-sectional study of referral patients from 29 general practitioner practices in Germany suggest that around a quarter of referrals take place at the request or request of the patient [1]. Information about such transfers in Germany is mainly based on opinion pieces and experience reports. There are numerous hits on the topic in the open Internet search service Google, especially in health-related public publications and general medical publications (“medical tribune”, “Ärztezeitung”, etc.). Referrals are sometimes issued after this without any doctor-patient contact having taken place [2-3]. Such referrals can lead to oversupply and thus endanger patient safety and strain medical and solidarity-funded resources. Due to the sparse scientific data for the German care system, the aim of this work was to collect experiences and opinions from general practitioners in the context of the active demand from patients explore transfer.
24.01.2013
According to estimates from individual doctors, the vaccination status of around 40 percent of patients does not correspond to the current recommendations of the Standing Vaccination Commission. However, reliable data on the vaccination protection of outpatient primary care patients is sparse. Methods: In this study, standardized vaccination-related data were collected from patients from 118 primary care practices. Results: The results of the survey (n=557) suggest that vaccination gaps exist among older general practitioner patients and that factors influencing vaccination rates in the general practitioner sector in Germany have both patient and, in some cases, practice-specific characteristics. Conclusion: Relevant data on vaccination protection could be collected using a representative cross-sectional survey. As part of applied family medicine research, the present study contributes to improving the data situation on vaccinations in older adults.