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Risk prediction models are an established component of the preoperative evaluation. In its guidelines the European Society for Cardiology proposes several risk scores but the benefit of these is mostly unclear for clinicians. This article describes the individual steps in the preparation of a valid prediction model with a focus on the parameters, discrimination, calibration and external validation. The clinical benefits of the risk scores proposed in the guidelines with respect to these parameters was investigated. All proposed risk scores appear to show a good discrimination in the validation cohorts. Only a few reliable data for a good calibration could be compiled. The external validity of the individual models is unclear. The general benefit of the risk scores cannot be recommended as data for calibration or discrimination in external cohorts are lacking. A precise estimation of the risk cannot be expected. [ABSTRACT FROM AUTHOR]

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Copyright of Österreichische Zeitschrift für Kartellrecht (ÖZK) is the property of Verlag Oesterreich GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zeitschrift für Rheumatologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Die Urologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ensuring “animal welfare” is the central moral principle in various socio-political discussions on the “humane” use of animals. The German Federal Ministry of Food and Agriculture indirectly defines uninterrupted well-being and continuous species-appropriate development as the general content of the animal welfare of horses being utilised in the version of the “Guidelines on the Handling and Use of Horses from an Animal Welfare Perspective”, which has been binding since October 2020. By assuming these two utopian contents to be a real possibility, the “Guidelines” ignore the moral problem of the use of the sentient living being “horse”, which is inevitably associated with physical and psychological stress. In addition to the principle of maintaining health and promoting the development of eufunctional movement, reality-orientated “Guidelines” should respect the difference between the complex phenomenon of well-being in humans and the “positive emotional status” of a horse, which consists primarily of the non-existence of pain, fear and suffering as well as pleasant sensory experiences. A procedure to determine “well-being”, which can sometimes be understood as a state, other times as a process, is not made explicit in the “Guidelines”. The difference between animal psychology and behavioural research is discussed here to make this problem clear. The present work refers in various contexts to essays published in equine medicine in recent decades, which – in contrast to the largely ideological position of the “Guidelines”, especially in their general principles – aim to discuss the experience and use of horses based on observable behaviour and not on ideas determined by anthropomorphism and empathy. [ABSTRACT FROM AUTHOR]

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Copyright of Public Health Forum is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Public Health Forum is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Acute mesenteric ischemia (AMI) is still a time-critical and life-threatening clinical picture. If exploration of the abdominal cavity is necessary during treatment, an intraoperative assessment of which segments of the intestines have a sufficient potential for recovery must be made. These decisions are mostly based on purely clinical parameters, which are subject to high level of uncertainty. This review article provides an overview of how this decision-making process and the determination of resection margins can be improved using technical aids, such as laser Doppler flowmetry (LDF), indocyanine green (ICG) fluorescence angiography or hyperspectral imaging (HSI). Furthermore, this article compiles guideline recommendations on the role of laparoscopy and the value of a planned second-look laparotomy. In addition, an overview of strategies for preventing short bowel syndrome is given and other aspects, such as the timing and technical aspects of placement of a preternatural anus and an anastomosis are highlighted. [ABSTRACT FROM AUTHOR]

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The so-called planetary crises climate change, biodiversity loss, and pollution threaten health and the social cohesion of societies. Vulnerable groups are particularly affected. Against this background, the planetary health concept has evolved from previous concepts of public and global health. It focuses on the connections between the environment, society, and the health of all beings. The widely adopted and transdisciplinary concept Planetary Health is also described as a social–societal movement. This article highlights health consequences of the planetary crises and corresponding fields of action in the healthcare system with a focus on general medicine and aims to stimulate discussion. The integration of planetary health in general practice is becoming more important as environmental health impacts become tangible for patients and practitioners. At the same time, strengthening the primary care sector creates opportunities for adaptation and mitigation. Several approaches of planetary health and general medicine overlap in terms of adapting to environmental impacts, preparing for further crises and strengthening health promotion as well as prevention. However, as medical care has a high environmental impact, it is also necessary to manage general practice offices sustainably. With the integration of planetary health into guidelines, important aspects could be incorporated into everyday general medicine routines. Environmentally sensitive health counselling and prevention are of particular importance here. In order to promote transformation in medicine and society, education on planetary health as well as further initiatives from the health sector are necessary [ABSTRACT FROM AUTHOR]

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Copyright of Herz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Abstract: Cognitive communication disorders (CCDs) mainly affect communicative pragmatics, primarily as a result of associated cognitive impairment of memory, attention, and executive functioning. Impairments of social cognition (e. g., empathy, theory of mind) play a particularly important role. It is thus obvious why the assessment and treatment of CCDs is relevant for both neuropsychologists and speech language therapists. In 2023, an international, interdisciplinary network, the so-called INCOG-Group, published updated evidence-based guidelines for the assessment and treatment of CCDs and associated sociocognitive disorders, specifically following moderate to severe traumatic brain injury. The article presents these guidelines in a condensed and commented fashion. Initial suggestions are made for the interdisciplinary treatment of CCDs by clinical neuropsychologists and speech therapists. [ABSTRACT FROM AUTHOR]

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Copyright of Die Radiologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Until now, clinical guidelines have been understood as generalized representations of clinical knowledge that, based on best available evidence, show the requirements for patient care in specific patient situations. This expert opinion article is intended to discuss how digital guidelines should be designed and which requirements must be met for the structured development, application and evaluation of such guidelines. The digitalization of guidelines must take into account the transformation of analogue text-based guideline information into formats that enable human-machine interaction via user interfaces, that show physicians the requirements for guideline-compliant patient care and that also enable machine storage, machine execution and machine processing of patient data. [ABSTRACT FROM AUTHOR]

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Leitlinienbasiertes Arbeiten hat Vorteile für Patient*innen und das Gesundheitssystem. Trotz dieser Vorteile arbeiteten in der Vergangenheit nur ca. 10 % der österreichischen Physiotherapeut*innen leitlinienbasiert. Zur Behandlung von Mobilitätseinschränkungen nach Schlaganfall empfehlen aktuelle, internationale Leitlinien aufgabenorientiertes Training sowie den Einsatz standardisierter Assessments. Das Ziel dieser Studie ist es, die Arbeitsweise von in der ambulanten Schlaganfallversorgung tätigen Physiotherapeut*innen in Österreich bezüglich dieser Leitlinienempfehlungen darzustellen.

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Heart failure (HF) is an important clinical syndrome in outpatient and inpatient care with treatment costs accounting for approximately 2% of all health care expenditures in Germany. Since many symptoms of HF are nonspecific, the initial diagnosis is often made in consultations with family practitioners. A diagnostic algorithm for the low prevalence patient population of family practice is based on the National Treatment Guideline "Chronic Heart Failure" (NVL-HF). It takes into account clinical signs and symptoms as well as risk factors to aid decisions on further laboratory diagnostics (NT-pro-BNP) and/or echocardiography. Guidelinedirected medical therapy after diagnosis of HI is based on the reduction in left ventricular ejection fraction and NYHA stages. It consists of prognostic agents and an additive diuretic therapy to attenuate symptoms of volume overload. [ABSTRACT FROM AUTHOR]

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