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Unfallchirurg最新文献

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[45/m-Motorcycle accident with fall on the right hand : Preparation for the medical specialist examination: part 82]. [45/m-右手摔倒的摩托车事故:医学专家检查的准备:第82部分]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 Epub Date: 2021-03-19 DOI: 10.1007/s00113-021-00992-x
Evi Fleischhacker, Elisabeth-Maria Haas-Lützenberger
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引用次数: 0
[Clinical studies in trauma surgery and orthopedics: read, interpret and implement]. [创伤外科与骨科临床研究:阅读、解读与实施]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 Epub Date: 2021-11-10 DOI: 10.1007/s00113-021-01101-8
Dirk Stengel, Wolf Mutschler, Luzi Dubs, Stephan Kirschner, Tobias Renkawitz

Informative, participatory clinical decision-making needs to combine both skills and expertise as well as current scientific evidence. The flood of digital information makes it difficult in everyday clinical practice to keep up to date with the latest publications. This article provides assistance for coping with this problem. A basic understanding of prior and posterior probabilities as well as systematic error (bias) makes it easier to weigh up the benefits and risks, e.g. of a (surgical) intervention compared to a nonsurgical treatment. Randomized controlled trials (RCT, with all modern modifications) deliver undistorted results but in orthopedic and trauma surgery can lead to a heavily selected nonrepresentative sample and the results must be confirmed or refuted by further, independent RCTs. Large-scale observational data (e.g. from registries) can be modelled in a quasi-experimental manner and accompany RCTs in health technology assessment.

信息性的、参与性的临床决策需要结合技能和专业知识以及当前的科学证据。数字信息的洪流使得在日常临床实践中很难跟上最新的出版物。本文为解决这个问题提供了帮助。对先验概率和后验概率以及系统误差(偏差)的基本理解可以更容易地衡量收益和风险，例如，与非手术治疗相比(手术)干预。随机对照试验(RCT，所有的现代修改)提供了不变的结果，但在骨科和创伤外科中，可能导致大量选择的非代表性样本，结果必须通过进一步的独立RCT来证实或反驳。大规模观测数据(例如来自登记的数据)可以以准实验方式建模，并与随机对照试验一起用于卫生技术评估。
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引用次数: 4
[60/f-stumbling fall onto the left wrist : Preparation for the medical specialist examination-Part 4]. [60/f-绊倒左手腕:为医学专家检查做准备-第4部分]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 DOI: 10.1007/s00113-020-00870-y
Georg Siebenbürger
{"title":"[60/f-stumbling fall onto the left wrist : Preparation for the medical specialist examination-Part 4].","authors":"Georg Siebenbürger","doi":"10.1007/s00113-020-00870-y","DOIUrl":"https://doi.org/10.1007/s00113-020-00870-y","url":null,"abstract":"","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":"124 Suppl 1","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00113-020-00870-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38442533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[65/f-falling down the stairs with sequelae : Preparation for the medical specialist examination-Part 24]. [65/f-从楼梯上摔下来并留下后遗症:为医学专家检查做准备-第24部分]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 DOI: 10.1007/s00113-020-00880-w
Tobias Helfen
{"title":"[65/f-falling down the stairs with sequelae : Preparation for the medical specialist examination-Part 24].","authors":"Tobias Helfen","doi":"10.1007/s00113-020-00880-w","DOIUrl":"https://doi.org/10.1007/s00113-020-00880-w","url":null,"abstract":"","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":"124 Suppl 1","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00113-020-00880-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38446186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[28/f-Ankle sprains: not always are the lateral ligaments injured : Preparation for the medical specialist examination: part 64]. [28/f]脚踝扭伤:并非总是外侧韧带受伤:为医学专家检查做准备:第64部分]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 Epub Date: 2021-02-23 DOI: 10.1007/s00113-021-00961-4
Kathrin Rellensmann, Sebastian F Baumbach, Hans Polzer
{"title":"[28/f-Ankle sprains: not always are the lateral ligaments injured : Preparation for the medical specialist examination: part 64].","authors":"Kathrin Rellensmann,&nbsp;Sebastian F Baumbach,&nbsp;Hans Polzer","doi":"10.1007/s00113-021-00961-4","DOIUrl":"https://doi.org/10.1007/s00113-021-00961-4","url":null,"abstract":"","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":"124 Suppl 1","pages":"179-183"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00113-021-00961-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25401617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[58/m-Collision with loss of motor function and sensibility : Preparation for the medical specialist examination: part 70]. [58/m-碰撞导致运动功能和敏感性丧失:医学专家检查的准备:第70部分]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 Epub Date: 2021-03-03 DOI: 10.1007/s00113-021-00971-2
Felix Kurt Maßen
{"title":"[58/m-Collision with loss of motor function and sensibility : Preparation for the medical specialist examination: part 70].","authors":"Felix Kurt Maßen","doi":"10.1007/s00113-021-00971-2","DOIUrl":"https://doi.org/10.1007/s00113-021-00971-2","url":null,"abstract":"","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":"124 Suppl 1","pages":"194-199"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00113-021-00971-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25427234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[71/m-fall onto the hip and inserted total hip endoprosthesis : Preparation for the medical specialist examination-Part 6]. [71/m-落髋置入全髋关节内假体:医学专科检查准备-第6部分]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 DOI: 10.1007/s00113-020-00871-x
Wolf Mutschler
{"title":"[71/m-fall onto the hip and inserted total hip endoprosthesis : Preparation for the medical specialist examination-Part 6].","authors":"Wolf Mutschler","doi":"10.1007/s00113-020-00871-x","DOIUrl":"https://doi.org/10.1007/s00113-020-00871-x","url":null,"abstract":"","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":"124 Suppl 1","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00113-020-00871-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38446185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[43/f-Barbecue accident : Preparation for the medical specialist examination: part 36]. [43/f]烧烤事故:医学专家检查的准备:第36部分]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 DOI: 10.1007/s00113-020-00900-9
Julia Schneller, Moritz Billner, Tobias Jaehn, Tobias Helfen
{"title":"[43/f-Barbecue accident : Preparation for the medical specialist examination: part 36].","authors":"Julia Schneller,&nbsp;Moritz Billner,&nbsp;Tobias Jaehn,&nbsp;Tobias Helfen","doi":"10.1007/s00113-020-00900-9","DOIUrl":"https://doi.org/10.1007/s00113-020-00900-9","url":null,"abstract":"","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":"124 Suppl 1","pages":"94-99"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00113-020-00900-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38538341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Use of drones for the rescue service and transport of medicaments : Possibilities and risks]. [使用无人机进行救援服务和运送药物:可能性和风险]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 Epub Date: 2021-10-15 DOI: 10.1007/s00113-021-01098-0
Claudia Steinhoff

The market for drones has been growing for years and the prognosis for the future assumes a further increase in growth. Currently, drones deliver retail goods, foodstuffs, industrial and medicinal goods. Furthermore, drones can relieve rescue services and first responders in difficult situations, such as the assessment of the situation at scenes of accidents. They can be at the scene more quickly than ambulances or helicopters: this is particularly important in built-up areas with traffic jam problems and difficult to access or remote areas. Drones must be integrated as a meaningful supplement into existing safety and rescue chains. This article presents research projects and specific cases of application, which range from the needs-based supply of regional hospitals with medicaments using drones, the delivery of blood conserves in rural areas of South Africa by drones and many scenarios in the rescue service. The next developmental steps affect the scalability and automation of drone-supported missions; however, technical progress alone is insufficient; the legal and regulatory frameworks must be set for certain drone scenarios. In order to safely and efficiently administrate the European airspace and to achieve further possible applications for drones, the U‑Space concept of the European Union represents a possible essential prerequisite.

无人机市场多年来一直在增长，对未来的预测假设增长进一步增加。目前，无人机运送零售商品、食品、工业和医药产品。此外，无人机可以在困难的情况下减轻救援服务和第一响应者的负担，例如在事故现场评估情况。它们可以比救护车或直升机更快地到达现场:这在交通堵塞、难以进入的建筑密集地区或偏远地区尤为重要。无人机必须作为现有安全和救援链的有意义的补充。本文介绍了研究项目和具体应用案例，其中包括使用无人机为区域医院提供基于需求的药物供应，使用无人机在南非农村地区运送血液储备以及救援服务中的许多场景。接下来的发展步骤将影响无人机支持任务的可扩展性和自动化;然而，仅靠技术进步是不够的;必须为某些无人机场景设置法律和监管框架。为了安全有效地管理欧洲空域，并实现无人机的进一步应用，欧盟的U - Space概念可能是一个必要的先决条件。
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引用次数: 1
[Medical drones: innovative therapeutic strategies]. [医疗无人机:创新治疗策略]。
4区 医学 Q2 Medicine
Unfallchirurg
Pub Date : 2021-12-01 Epub Date: 2021-11-30 DOI: 10.1007/s00113-021-01099-z
Peter Biberthaler
{"title":"[Medical drones: innovative therapeutic strategies].","authors":"Peter Biberthaler","doi":"10.1007/s00113-021-01099-z","DOIUrl":"https://doi.org/10.1007/s00113-021-01099-z","url":null,"abstract":"","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":"124 12","pages":"957-958"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39678297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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