96 Works

Basic resuscitation skills of medical students – a monocenter randomized simulation trial

Cara Bülow, Stella-Karolin Krispin, Franziska Lehmanski, Grit Spalding, Anja Haase-Fielitz, Christian Butter & Jonathan Nübel
Objective: The aim of this study was to evaluate resuscitation skills, defined as recognition of resuscitation situations and performance of Basic Life Support (BLS) in students at the Brandenburg Model Medical School (BMM). Methods: Participating students (n=102) were randomized to different simulation scenarios: unconscious person with physiological breathing (15/min), gasping (<10/min) and apnea (resuscitation dummy AmbuMan® Wireless with electronic recording). Primary endpoint was the proportion of students with correct decision for or against resuscitation. Secondary...

Medical students’ mental burden and experiences of voluntary work in COVID-19 patient support and treatment services: a qualitative analysis

Christoph Nikendei, Ulrike Dinger-Ehrenthal, Florian Schumacher, Till J. Bugaj, Anna Cranz, Hans-Christoph Friedrich, Sabine C. Herpertz & Valentin Terhoeven
Aim: Medical training is undergoing a dramatic shift toward alternative training methods due to the SARS-CoV-2 pandemic. This study is the first to examine medical students' expectations, experiences, and mental burden related to volunteering in COVID-19 patient support and treatment services using semi-structured interviews. Methods: In May 2020, all 194 Heidelberg University Medical School students involved in volunteer COVID-19 support and treatment services were invited to participate in a cross-sectional, qualitative interview study. The semi-structured...

Die sozialmedizinische Bedeutung der Therapie-induzierten Polyneuropathie bei onkologischen Patienten

Monika Steimann
Polyneuropathies are one of the most common long-term side effects of oncological therapies. With the help of targeted clinical examinations including vibration sensation and functional tests, they are reliably detected and treated. However, therapeutic options are still limited. Validated active trainings are becoming increasingly established. Furthermore, the socio-medical relevance of therapeutically induced polyneuropathies has not been sufficiently researched. At present, there are only few data available that describe the effects of this long-term toxicity on...

Sensitivity analysis of SARS-CoV-2 aerosol exposure

Christian Redder & Christian Fieberg
As vaccination campaigns are in progress in most countries, hopes to win back more normality are rising. However, the exact path from a pandemic to an endemic virus remains uncertain. While in the pre-vaccination phase many critical indoor situations were avoided by strict control measures, for the transition phase a certain mitigation of the effect of indoor situations seems advisable. To better understand the mechanisms of indoor airborne transmissions, we present a new time-discrete model...

Frequency of hlyA, hlyB, hlyC and hlyD genes in uropathogenic Escherichia coli isolated from UTI patients in Shiraz

Heliyaneh Moeinizadeh & Marjan Shaheli
Background and objectives: One of the most important causes of urinary tract infections (UTI) is Escherichia coli. The infection is mainly due to the uropathogenic strain (UPEC), which has key virulence factors, including hemolysis. In this study, we evaluated the frequency of hlyA, hlyB, hlyC and hlyD genes in UPEC strains isolated from clinical samples from Shiraz city, Iran. Materials and methods: 130 urine samples with suspected UTI were collected from Shiraz medical centers and...

Breast reconstruction during the COVID-19 pandemic in resource-limited settings

Sammy Al-Benna & Andreas Gohritz
The coronavirus disease 2019 (COVID-19) is a novel, rapidly changing pandemic. It has affected specialized medical services in unprecedented ways. Surgical decision making, always the most important aspect of care has taken on an added layer of complexity in the face of the COVID-19 pandemic. Therefore, recommendations for breast reconstruction during COVID-19 remain challenging and unclear. This article reviews the impact of the COVID-19 pandemic and suggests potential approaches that could be considered in the...

Medical students’ engagement in the context of the SARS-CoV-2 pandemic: The influence of psychological factors on readiness to volunteer

Luisa Mühlbauer, Johanna Huber, Martin R. Fischer, Pascal O. Berberat & Martin Gartmeier
Objective: To avert staff shortages during the first wave of the SARS-CoV-2 pandemic in spring 2020, the medical faculties of the Technical University of Munich (TUM) and the Ludwig Maximilian University of Munich (LMU) appealed to their students to volunteer for relief work. In this study, we examine the influence of psychological factors on the students’ decisions to respond to this call or not. Methodology: We report on a cross-sectional study based on an online...

Evaluating the effectiveness of a structured, simulator-assisted, peer-led training on cardiovascular physical examination in third-year medical students: a prospective, randomized, controlled trial

David M. Kronschnabl, Christoph Baerwald & Daisy E. Rotzoll
Background: Previous research suggests that cardiac examination skills in undergraduate medical students frequently need improvement. There are different ways to enhance physical examination (PE) skills such as simulator-based training or peer-assisted learning (PAL). Aim: The aim of this study was to evaluate the effectiveness of a structured, simulator-assisted, peer-led training on cardiovascular PE. Methods: Participants were third-year medical students at Leipzig University Faculty of Medicine. Students were randomly assigned to an intervention group (IG) and...

Usage of power by different types of trainers in the education of paramedics – evaluation by means of a validated questionnaire

Melanie Misamer, Markus Flentje, Alexander Stötefalke & Hendrik Eismann
Objective: Emergency medical services are characterized by a high pressure to act. Dealing with trainees is a challenge. It is known, that the use of power in education subsists: power can be applied in a participative and restrictive way. We investigated the transferability of existing scales to the education system of Emergency medical service trainees. We hypothesized: a restrictive (a) and participative (b) use of power, can be demonstrated in Emergency medical service training, (c)...

The prognostic validity of the formative for the summative MEQ (Modified Essay Questions)

Oliver Büssing, Jan P. Ehlers & Michaela Zupanic
Objective: The purpose of formative examinations is that students and lecturers receive an early feedback regarding the success of learning behavior and teaching methods. These also serve as practice for later summative exams. The aim of this paper is to investigate to what extent the result of the formative MEQ* at the end of the first semester at Witten/Herdecke University (UW/H) in the study program human medicine can be used as a predictor for the...

Skepticism towards advancing VR technology – student acceptance of VR as a teaching and assessment tool in medicine

Steffen Walter, Robert Speidel, Alexander Hann, Janine Leitner, Lucia Jerg-Bretzke, Peter Kropp, Jakob Garbe & Florian Ebner
Objective: The high didactic potential of Virtual Reality (VR) contrasts with the point of view of students that the technology only has a relatively low significance for current and future teaching. This discrepancy was studied in a differentiated manner in order to gear the further development and implementation of VR towards the target group. Methods: From January 2020 to July 2020, medical students (N=318) were asked to watch ten videos online and rate them on...

The case space model within the OSCE framework: more clarity for the SP, examiners and students

Ulrich Pleines Dantas Seixas, Thomas Speier & Lilian Künzler
Objective: Simulated patients play a significant role in OSCE (Objective Standardized Clinical Examination) settings. Does the understanding of one's own role or task lead to more clarity for all protagonists involved in an OSCE? Methodology: Based on the range of professional experiences and qualifications of the training team it was possible to bundle medical, acting and didactic knowledge. It was against this background that the individual understanding of one’s role was examined from its respective...

Das Cochrane COVID-19 Studienregister – eine studienbasierte, strukturierte Datenbank zur effizienten Identifizierung wissenschaftlicher Evidenz

Maria-Inti Metzendorf
During a pandemic, clinicians and scientists should be able to identify the emerging scientific evidence as efficiently as possible. A study-based register is essential for this. It should be up to date, evaluate important primary databases and increase the findability of studies by classifying them according to study characteristics. In early 2020, the surge in publications on the SARS-CoV-2/COVID-19 pandemic created an urgent need for a structured database to support the rapid development of evidence-based...

Wissenschaft im neuen Curriculum Humanmedizin – Bericht zum neuen Nationalen kompetenzbasierten Lernzielkatalog Medizin (NKLM 2.0) aus Perspektive der in der GMDS vertretenen Kompetenzen

Antje Timmer
Background: The revised National Competence-Based Learning Objectives Catalogue for Medicine (NKLM 2.0) is available since 2021. It will be part of the new licensing regulations for physicians (ApprOÄ), which are to come into force in 2025, and will also form the basis for the subject catalogue for state examinations (GK). Aim of the report: Information on the status, structure, relevant learning objectives, their location in the NKLM and specific challenges are presented to support lecturers...

S2k guideline diagnosis and treatment of carbon monoxide poisoning

Björn Jüttner, Hans-Jörg Busch, Andreas Callies, Harald Dormann, Thorsten Janisch, Guido Kaiser, Hella Körner-Göbel, Karsten Kluba, Stefan Kluge, Bernd A. Leidel, Oliver Müller, Johannes Naser, Carsten Pohl, Karl Reiter, Dietmar Schneider, Enrico Staps, Wilhelm Welslau, Holger Wißuwa, Gabriele Wöbker & Cathleen Muche-Borowski
Carbon monoxide (CO) can occur in numerous situations and ambient conditions, such as fire smoke, indoor fireplaces, silos containing large quantities of wood pellets, engine exhaust fumes, and when using hookahs. Symptoms of CO poisoning are nonspecific and can range from dizziness, headache, and angina pectoris to unconsciousness and death. This guideline presents the current state of knowledge and national recommendations on the diagnosis and treatment of patients with CO poisoning. The diagnosis of CO...

Real-world treatment and fracture incidence in postmenopausal women with severe osteoporosis at high risk of fracture: a retrospective claims data analysis

Antje Mevius, Tanja Heidbrede, Patrick Gille, Hans Derk Pannen & Thomas Wilke
Background: Osteoporosis (OP) and its associated fractures have a significant impact on patients’ quality of life and are impacting their morbidity and mortality. For OP patients at high risk of fracture, guidelines recommend a pharmacological OP treatment. The aim of this study was to describe the real-world medication treatment of postmenopausal women with severe OP at high risk of fracture, their risk to experience a new fracture after having at least one previous fracture, and...

Zahlenspiele, die „Stanford-Liste” und das Zertifikat Epidemiologie – Betrachtungen angesichts der Zitationshäufigkeit von Epidemiologen

Antje Timmer
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Publikationsaktivität und Zitationshäufigkeit der in Deutschland tätigen Epidemiologen

H.-Erich Wichmann
Introduction: Up to now, a more detailed analysis of the publication activities and citations of German epidemiology was hardly possible because the data required for this and, above all, the assignment of the authors to the subject “epidemiology” was not available. In the Stanford list of the 2% most frequently cited scientists published in 2020, individual information on the publication activities and citation indicators is made available for the first time. These are evaluated for...

Die Neuauflage von RefHunter im Webformat: Was kann sie und was ist ihr Ziel?

Thomas Nordhausen & Julian Hirt
Since February 2018, the RefHunter manual provides tabular overviews of the basic and special functions of health-related databases as downloadable PDFs. For the purpose of further development, the transition to a web format is now being carried out. The web format will provide new, enhanced and need-oriented search and filter functions, information and presentation formats as well as improved possibilities for collaborative work and exchange.

Lisando: Ein Service der Krankenhausbibliotheken im Verbund

Beate Detlefs
E-Media can be loaned and used in hospitals, free of charge: This is possible due to the Lisando library network. E-books, e-audios. e-magazines and e-papers offer information, relaxation and distraction for patients and employees.

Inhabiting one’s body or being haunted by it: a first-person study of the recovery process of women with fibromyalgia

Camila Valenzuela-Moguillansky, Daniela Díaz, Alejandra Vásquez-Rosati & Javiera Duarte
Objective: The aim of the present study was to explore the bodily experience of fibromyalgia patients’ recovery process, focusing on the changes that, from the patients’ perspective, were significant in the progression towards health. Methods: Eight women who had recovered from fibromyalgia participated in the study. Data was gathered and analyzed using qualitative, phenomenological and arts-based methods, combining different levels of description: a narrative level using semi-structured interviews; an embodied level using the micro-phenomenological interview...

Surgical management of Miescher’s cheilitis: a case report

Juan Cámara-Pérez, José Carlo Zapata-Negreiros, Pedro Enrique Alonso & Fernando Leiva-Cepas
Miescher’s cheilitis, also known as cheilitis granulomatosa, is an infrequent disease characterized by chronic recurrent swelling of one lip or both lips. It is considered as one of the three main symptoms of the triad of the Melkersson-Rosenthal syndrome, although in many cases it may develop monosymptomatically. The initial management is based on the administration of corticoids, followed in many cases by the use of other systemic treatments. Nevertheless, because recurrence is quite frequent, surgery...

Ein Jahr COVID-19 – Herausforderungen für Medizinbibliotheken und Informationseinrichtungen

Iris Reimann & Oliver Weiner
The focus of the current issue 1/2021 of GMS Medizin – Bibliothek – Information is directed to the topic “One Year COVID-19”. The contributions to the focus were written by colleagues from medical libraries, but also from other libraries as well as from institutions of medical information in a broader sense. The current issue is supplemented by communications from the AGMB’s Evidence-Based Medicine Working Group, the Medical Library Bibliography 2020, and the board’s communication “German...

Medizinische Hochschulbibliotheken in Zeiten von Corona: Ein kollegialer Austausch nach einem Jahr Pandemie

Friederike Wille, Evamaria Krause & Oliver Weiner
The confrontation with the changes brought about by corona is an omnipresent topic, it permeates everyday life and affects us personally and professionally on many levels. On this occasion, we are looking at the past corona year from three perspectives in a collegial exchange and using single aspects to shed light on the relevance for the current and future situation of medical university libraries. As staff in medical libraries, we have not been and will...

Von der Coffee Lecture zur ausgearbeiteten Präsentation – ein erfolgreiches Instrument der Informationsvermittlung in den digitalen Semestern an der MSH Medical School Hamburg

Katrin Wieckhorst & Celine Neeser
The first coffee lectures have been offered for the students the MSH Medical School Hamburg during the winter term 2018/19. Since the number of participants fell below the expectations of the library staff, it was not sure whether the coffee lectures should be continued after the summer term 2020. With the beginning of the covid-19-pandemic and the change to digital teaching, the library team revised the already existing presentations of the coffee lectures, added explanatory...

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