Publications by authors named "M Friedrich-Rust"
Two-Dimensional and Point Shear-Wave Elastography to Predict Esophageal Varices and Clinically Significant Portal Hypertension in Patients with Chronic Liver Disease.
J Clin Med
December 2024
The non-invasive assessment of disease severity remains pivotal in patients with chronic liver disease (CLD) as it has wide implications in predicting liver-related complications or death. Shear-wave elastography (SWE) is an emerging ultrasound-based method to non-invasively measure liver stiffness. The aim of our study was to evaluate two-dimensional (2D) and point (p) SWE to predict the presence of esophageal varices (EV) or clinically significant portal hypertension (CSPH).
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- Language barriers in healthcare can lead to serious issues like misdiagnosis and high medical errors, highlighting the need for effective translation methods that go beyond traditional interpreters.
- * This pilot study evaluates Translatly, a digital translation platform, to see how well it can help healthcare professionals communicate during consultations, particularly assessing its usability and acceptance in clinical settings.
- * The study involved interviews and observations in a German hospital, focusing on how the platform functions with volunteer translators, primarily medical students, offering support in multiple languages.
Background: Patients with advanced chronic liver disease (ACLD) are at high risk of developing hepatocellular carcinoma (HCC). Therefore, biannual surveillance is recommended. This large-scale multicenter study aimed to stratify the risk of HCC development in ACLD.
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- This study compares two methods for drying endoscopes after disinfection: a standard drying method (SD) using an endoscope washer-disinfector (EWD) and a novel drying method (ND) using a special device with laminar and turbulent airflow.
- Results showed that the ND was more effective, with no residual water left in endoscope channels compared to 90% in the SD group, and significantly less bacterial contamination after 14 days.
- The ND also reduced drying time from over 16 minutes to under 6 minutes, highlighting its efficiency and potential as a better alternative for reprocessing flexible endoscopes.
Article Synopsis
- A study assessed a new ultrasound-based algorithm for determining when to remove pancreatic stents placed to prevent post-ERCP pancreatitis, aiming to minimize unnecessary X-ray imaging.
- Out of 88 patients, the ultrasound approach successfully reduced the need for X-rays by 74%, accurately visualizing stents in 81% of cases but with limited specificity.
- The authors recommend implementing the ultrasound algorithm with training for experienced personnel due to challenges with visualizing shorter stents.