96 results match your criteria: "University Hospital Tulln[Affiliation]"

Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care.

Eur J Anaesthesiol

January 2025

From the Anesthesiology Division, Integrated Hospital Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates (ML, BT, SM), Department of Anesthesia and Intensive Care, University General Hospital of Valencia (CSR). Department of Methodology, Universidad Europea de Valencia, Spain (CSR), Azienda Ospedaliero Universitaria Pisana, Cardiothoracic and vascular Anaesthesia and Intensive Care, Pisa (FG), Department of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara (GC), Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy (LV), Péterfy Sándor Hospital, Anesthesia and Intensive Care Unit. Budapest, Hungary (FL), Servei d'Anestesiologia i Medicina Periopeatòria, Hospital General de Granollers, Spain (JJMF), Department of Anaesthesia and Intensive Care, University Hospital Tulln, Austria (AD), Department of Anaesthesiology and Intensive Care Medicine, Hospital of Merano (SABES-ASDAA), Merano - Meran, Italy (MB), Teaching Hospital of Paracelsus Medical University and Department of Anaesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria (MB), the Outcomes Research Consortium, Department of Anesthesiology, Cleveland Clinic, Cleveland, Ohio, USA (KR), Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Rostock University Medical Center, Rostock, Germany (DAR), Anesthesia and Intensive Care. Policlinico "G. Rodolico-San Marco", Catania, Italy (LLV), Department of Anaesthesiology and Intensive Care Medicine, Hospital of Merano (SABES-ASDAA), Merano - Meran (SR), Teaching Hospital of Paracelsus Medical University, Anesthesia and Intensive Care, School of Medicine, Kore University, Enna (SR), Anesthesia and Intensive Care, Giovanni Paolo II Hospital, Ragusa, Italy (SR), Rigshospitalet & Institute of Clinical Medicine, University of Copenhagen (MS) and Department of Paediatric and Obstetric Anaesthesia, Juliane Marie Centre, Rigshospitalet, Denmark University of Copenhagen, Denmark (AA).

Article Synopsis
  • The guidelines from the European Society of Anaesthesiology and Intensive Care Medicine (ESAIC) focus on improving patient assessments before surgery to evaluate risks and enhance the surgical experience.
  • A rigorous literature review was conducted, with 17,668 titles initially found, which were narrowed down to 204 relevant studies for a comprehensive analysis using the GRADE methodology.
  • Feedback from ESAIC members was gathered on a draft version of the guidelines, which was then refined and officially approved by the Guidelines Committee and ESAIC Board.
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Background: Serious pathology masking as musculoskeletal conditions is rare, still it is pertinent that physiotherapists can recognise it. This ability has been investigated internationally, however the decision-making skills of registered Austrian physiotherapists has not been examined. The aim of this study was to assess the ability of registered Austrian physiotherapists to make accurate keep-refer decisions based on clinical vignettes.

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Background And Purpose: Centers for training in autonomic nervous system (ANS) disorders are not widely available and the recent coronavirus 2019 pandemic temporarily reduced training opportunities in autonomic medicine across European countries. Here we evaluated the current state of education, clinical skills and postgraduate educational preferences on ANS disorders of European neurology residents and consultants.

Methods: A 23-item questionnaire was developed and distributed online amongst European neurology residents and consultants via mailing lists of the European Academy of Neurology.

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Power modulation spectrum - a promising approach for the indispensable quality control of electrocardiogram signals from monitoring units for the detection of autonomic dysfunction.

J Neurol Sci

October 2024

Karl Landsteiner University of Health Sciences, Dr. Karl-Dorrek-Straße 30, 3500 Krems, Austria; Department of Neurology, University Hospital Tulln, Alter Ziegelweg 10, 3430 Tulln, Austria.

Objective: Electrocardiogram (ECG) is essential for evaluating the autonomic nervous system. Ensuring the quality of real-world ECG datasets is critical, but manual control of large datasets is impractical. Thus, automated quality control is necessary.

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Media portrayal of mental disorders has a significant impact on awareness and stigma. Given the high prevalence of depression and anxiety as mental disorders, it is crucial to understand how they are represented. This scoping review aimed to map the existing literature on the portrayal of depression and anxiety in mainstream and social media.

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Introduction: Anti-Xa serves as a clinical surrogate for assessing the efficacy and bleeding risk in patients treated with enoxaparin for thromboembolic events. Evidence from the literature and empirical observations suggest that patients are underdosed in clinical practice to avoid bleeding complications. This study aimed to investigate such underdosing of enoxaparin and its potential impact on achieving therapeutic anti-Xa levels.

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Introduction: Mental health problems are steadily increasing worldwide. In Austria, the overall supply of mental health services is low, especially in rural areas. Mobile technology and a blended care approach have the potential to overcome problems with service provision.

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Alcohol use disorder (AUD) is defined as the impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences and still represents one of the biggest challenges for society regarding health conditions, social consequences, and financial costs, including the high relapse rates after traditional alcohol rehabilitation treatment. Especially, the deficient emotional competence in AUD is said to play a key role in the development of AUD and hinders the interruption of substance compulsion, often leading to a viscous circle of relapse. Although the empirical evidence of a neurophysiological basis of AUD is solid and increases even further, clinical interventions based on neurophysiology are still rare for individuals with AUD.

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Background: 'Definite Neuroborreliosis (NB)' is diagnosed with the presence of NB-specific symptoms, cerebrospinal fluid (CSF) pleocytosis and an elevated antibody index. However, some diagnostic uncertainties exist. The B-cell chemokine CXCL13 represents an emerging biomarker for the diagnosis and treatment of NB because its intrathecal concentration rises prior to the Borrelia antibody index and drops rapidly after antibiotic therapy.

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Objective: To identify brain edema in fetuses with Chiari II malformation using a multiparametric approach including structural T2-weighted, diffusion tensor imaging (DTI) metrics, and MRI-based radiomics.

Methods: A single-center retrospective review of MRI scans obtained in fetuses with Chiari II was performed. Brain edema cases were radiologically identified using the following MR criteria: brain parenchymal T2 prolongation, blurring of lamination, and effacement of external CSF spaces.

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Bright light therapy (BLT) and pharmacological therapies currently represent the first line treatments for patients with seasonal affective disorder (SAD). Lifestyle modifications offer a diverse field of additional intervention options. Since it is unclear, if lifestyle modifications are effective in SAD patients, this systematic review aims to synthesize the current evidence on their effectiveness and safety.

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Background: Autonomic nervous system (ANS) testing has aided in our ability to evaluate autonomic dysfunction in migraine patients. We reviewed the literature in multiple databases which investigate ANS function in migraine patients and healthy subjects.

Methods: This systematic review and meta-analysis examined the respective deep breathing, Valsalva manoeuvre, orthostatic and isometric challenge results, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analyses of Observational Studies in Epidemiology (MOOSE) statements.

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Article Synopsis
  • After a stroke, many patients experience dysphagia, leading to serious complications like aspiration pneumonia and malnutrition, necessitating protective interventions.
  • Dietary changes and oral care are essential to lower aspiration risks, while nutritional support like tube feeding can help prevent malnutrition.
  • Emerging treatments include behavioral strategies for improving swallowing, pharmaceutical agents for sensory perception, and neurostimulation techniques aimed at enhancing brain function related to swallowing.
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Aim: To provide a comprehensive overview of how stroke nurses manage solid medication (SM) delivery to patients with post-stroke dysphagia.

Design: Cross-sectional study.

Methods: A self-administered online survey was carried out among nurses in German-speaking countries between September and December 2021.

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Background: The prevalence of mental illness increased in children, adolescents, and young adults during the COVID-19 pandemic, while at the same time, access to treatment facilities has been restricted, resulting in a need for the quick implementation of remote or online interventions.

Objective: This study aimed to give an overview of randomized controlled studies examining remote or online interventions for mental health in children, adolescents, and young adults and to explore the overall effectiveness of these interventions regarding different symptoms.

Methods: A systematic literature search was conducted according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines using PubMed, PsycInfo, Psyndex, Embase, and Google Scholar.

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Ultrasound evaluation of gastric emptying time of standardized high-calorie liquid meals in healthy adults: A double-blind cross-over randomized study.

Clin Nutr ESPEN

February 2024

Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria; University Hospital Tulln, Alter Ziegelweg 10, 3430, Tulln an der Donau, Lower Austria, Austria. Electronic address:

Background And Aims: Commercially available high-calorie drinks containing fat and protein can be used as dietary supplements in surgical patients. According to preoperative fasting guidelines, high-calorie drinks are non-clear fluids and should not be consumed 6 h before elective procedures. The aim of this study was to evaluate the gastric emptying time of commercially available high-calorie drink formulations in healthy adults using gastric ultrasound.

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Purpose: The prevalence of autism diagnoses has increased in recent years. The portrayal of autistic characters in mainstream media, such as TV series, may be a contributing factor. This study investigated whether young adults who consume media featuring autistic characters are more likely to self-diagnose with autism.

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Introduction: The aim of this systematic review and meta-analysis is to evaluate the efficacy of narrative-based interventions (NBIs) for individuals with post-traumatic stress disorder (PTSD). Investigating the efficacy of NBIs should yield insight on autobiographical memory (AM) phenomena implicated in PTSD onset and recovery, leading to improved intervention protocols. Furthermore, by analyzing how NBIs influence maladaptive AM distortions, we hope to shed light on the theorized narrative architecture of AM more generally.

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There is little evidence regarding the effect mechanisms of social-emotional learning programs on children's peer relationships. The current study evaluated a novel school-based social-emotional learning program for the first year of secondary school assessing effects on social-emotional skills, peer connectedness, happiness, student and teacher classroom climate. The sample included 19 intervention classrooms (n = 399) and 16 waitlist-control classrooms (n = 281), with a mean age of 10.

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Purpose: To understand the influence of the coronavirus disease 2019 (COVID-19) pandemic on clinical autonomic education and research in Europe.

Methods: We invited 84 European autonomic centers to complete an online survey, recorded the pre-pandemic-to-pandemic percentage of junior participants in the annual congresses of the European Federation of Autonomic Societies (EFAS) and European Academy of Neurology (EAN) and the pre-pandemic-to-pandemic number of PubMed publications on neurological disorders.

Results: Forty-six centers answered the survey (55%).

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Background: Augmented reality (AR) has emerged as a promising technology in educational settings owing to its engaging nature. However, apart from applications aimed at the autism spectrum disorder population, the potential of AR in social-emotional learning has received less attention.

Objective: This scoping review aims to map the range of AR applications that improve social skills and map the characteristics of such applications.

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The impact of gender on the self-confidence of practical and surgical skills among OBGYN residents: a trinational survey.

Arch Gynecol Obstet

June 2024

Division of Obstetrics and Feto-Maternal Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Währinger Guertel 18-20, 1090, Vienna, Austria.

Introduction: Gender disparities exist in the OBGYN discipline. This study investigates, for the first time, whether gender impacts on the confidence of practical and surgical skills among OBGYN residents, and of being prepared to work as a specialist.

Methods: The gynecological societies of Austria, Germany, and Switzerland established a web-based survey of 30 questions that was sent to all registered OBGYN members-in-training from August to September 2020.

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