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Wiener klinische Wochenschrift OnlineFirst articles

Complications of forgotten ureteral stents: stone encrustation and stent embedded in stone

  • images in clinical medicine

Forgotten ureteral stents are a significant clinical issue, often leading to serious complications such as encrustation, stone formation and obstruction. These complications arise from the accumulation of mineral deposits on the stent surface …

Gustav Klimt and the Vienna School of Medicine

  • Open Access
  • history of medicine

On 13 November 2024 an approximately 12 × 8 m color reproduction, created using artificial intelligence (AI), of the faculty painting “Medicine” by Gustav Klimt, which was destroyed in 1945, was presented to the public on the facade of a research …

Feasibility and acceptance of transdermal auricular vagus nerve stimulation using a TENS device in females suffering from long COVID fatigue

  • Open Access
  • original article

Infections with SARS-CoV‑2 (COVID-19) have become a global health crisis, causing high morbidity and mortality rates. While around 80% of those infected experience mild to moderate symptoms, about 5% develop critical conditions [ 1 ]. A small …

Smartphone use-related acute accommodative esotropia

  • case report

We present a rare case of a 9-year-old child with acute accommodative comitant esotropia, a form of acquired strabismus caused by excessive smartphone use. Symptoms commonly include double vision, closing or covering one eye when working at close …

A rare case of a rectal neuroendocrine neoplasm growing within a lipoma with ulcerative lesions

  • case report

Neuroendocrine neoplasms (NENs) are a heterogeneous group of tumors with different immunophenotypes, morphological features, clinical presentations, and outcomes. Therefore, the diversity of NENs can easily confuse clinicians and lead to …

Conservative treatment of knee arthrofibrosis according to a cellular cytokine-based model

  • Open Access
  • original article

Arthrofibrosis (AF) is one of the most frequent complications after knee surgery, such as anterior cruciate ligament repair or total knee arthroplasty (TKA). Concerning the epidemiology, the reported incidences range from 1–35% [ 1 – 6 ]; however …

Predictors of 7-day mortality in critically ill patients with hyperglycemic crisis

  • original article

Hyperglycemia on admission to hospital is relatively frequent (8%), often needs hospitalization (up to 80%) and is an independent predictor of mortality and length of hospital stay [ 1 , 2 ]. Diabetic ketoacidosis (DKA) and hyperosmolar …

A comic that explains palliative care: how patients experience comic-based educational material

Medizinische Informationen werden von Patient:innen oft unzureichend aufgenommen, insbesondere bei Themen, die Angst auslösen. Gerade in der Palliativversorgung ist es entscheidend, zu erforschen, wie man Menschen am besten über die Vorteile und den Umfang der Versorgung aufklären kann. Kreative Methoden zur Vermittlung solcher Informationen können einen positiven Einfluss haben.

Associations of malnutrition factors with dysphagia mediated by ADL among nursing home residents

  • original article

The global population is aging rapidly. The proportion of the population aged ≥ 60 years is expected to double from 2020 to 2050, while the population aged ≥ 80 years is expected to triple [ 1 ]. In addition to the aging population, the proportion …

Self-administration of aspirin for acute chest pain—Does it prevent premature cardiovascular mortality?

  • Open Access
  • short report

Aspirin as a class I guideline recommended medical treatment for acute coronary syndrome has been established for decades [1]. As early intake of aspirin is crucial, self-administration of aspirin in acute chest pain might be beneficial when …

Adequate bowel preparation of patients undergoing screening colonoscopy

  • Open Access
  • original article

Colorectal cancer is the third most common cancer worldwide with 1,931,590 new cases registered in 2020 [ 1 ]; however, colorectal cancer can be detected at an early stage and thus prevented [ 2 ]. The gold standard examination for detecting …

Determinants of undergraduate medical students’ satisfaction with clinical supervision: A cohort study in a longitudinally structured sixth year clinical placement

  • Open Access
  • original article

A clinical supervisor acts as a gatekeeper by carefully steering students’ access to tasks to ensure the quality of professional services provided by trainees to patients, as a trainer to develop their competence, and as a mentor to support …

Myeloid sarcoma of the heart—A clinicopathological correlation

  • Open Access
  • case report

A 63-year-old woman with a history of acute myeloid leukemia followed by stem cell transplantation presented with acute heart failure. Transthoracic echocardiography revealed a preserved left ventricular ejection fraction with severe ventricular …

Clinical characteristics of human brucellosis in different age groups in the Republic of North Macedonia—A case series

  • original article

Brucellosis is a severe zoonotic infection transmitted to humans through the consumption of undercooked animal products, inhalation of contaminated aerosols, or direct contact with infected animals [ 1 , 2 ]. The disease can affect individuals of …

Mid-term results of intra-articular calcaneal fractures treated with minimally invasive two-point distractor

  • Open Access
  • original article

Displaced intra-articular calcaneal fractures (DIACF) are of particular concern to trauma surgeons because even small displacements and subsequent incongruencies mainly in the subtalar joint are associated with a poor long-term outcome. Due to the …

Acute myeloid leukemia in the next-generation sequencing era

  • Open Access
  • original article

Acute myeloid leukemia (AML) is the most frequent form of acute leukemia in adults. While the prognosis is still dismal for many AML patients, the recent progress in diagnostics and risk stratification combined with the emergence and approval of …

Periprosthetic seromas and a third space effect after high-dose methotrexate

  • Open Access
  • original article

While osteosarcomas are the most common primary malignancies of bones, which mainly occur in children, adolescents, and young adults (below 24 years) [ 1 , 2 ], they are rare representing less than 1% of all malignant cancers diagnosed in the USA [ …3

Amyloid-beta antibody treatment in Alzheimer’s disease

  • Open Access
  • review article

Amyloid-beta (Aβ) antibody treatment has emerged as a promising approach for the treatment of Alzheimer’s disease (AD), targeting the accumulation of Aβ plaques, which are a hallmark of the disease. This review provides an update on recent …

A retrospective cross-sectional study on district-based socioeconomic status and prostate cancer diagnosis

  • Open Access
  • original article

Prostate cancer (PCa) is the second most common malignancy among men globally [ 1 ]. In Austria PCa accounts for approximately one quarter of all new malignant neoplasms diagnosed in males and is responsible for nearly one eighth of all cancer …

Surgical and oncological outcome after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal mesothelioma

  • Open Access
  • original article

Peritoneal mesothelioma (PM) is a rare disease originating from the serosal layer of the peritoneum. Various subtypes can be distinguished histologically that vary according to their malignant potential [ 1 ]. While diffuse malignant peritoneal …

Monoclonal anti-amyloid antibody treatment: the epidemiological profile of the target patients in Austria and the status of treatment-eligible patients registered at an outpatient memory clinic

  • Open Access
  • short report

The development of monoclonal anti-amyloid antibodies, a disease-modifying treatment for Alzheimer’s disease (AD), has raised the necessity to identify the epidemiological profile of the possible target patients who would benefit from such …

Unlocking the hidden power of the subconscious: 30 years of the postgraduate course in Vienna

  • editorial

Have you ever wondered what your subconscious mind is truly capable of? We often enter spontaneous trances, natural states that help our minds process and heal in the background. This year, we celebrate not only the 30th anniversary of the new …

The role of institutional ethics committees in Austria

  • Open Access
  • original article

Research involving human subjects or identifiable human material and data must be assessed by an ethics committee. The Karl Landsteiner University of Health Sciences has established a Commission on Ethics and Scientific Integrity to evaluate …

S100 as marker for immune effector cell-associated neurotoxicity syndrome

  • Open Access
  • short report

Chimeric antigen receptor (CAR)-T cell therapy is a new and successful treatment for otherwise refractory malignancies but despite the growing number of applications, this form of treatment is still associated with significant toxicity. Cytokine …

Integrating palliative care into multiple myeloma management

  • Open Access
  • original article

Multiple myeloma (MM) is a paradigmatic example of the evolving landscape of cancer treatment. With advances in therapeutic modalities, including novel targeted agents and immunotherapies, patients diagnosed with MM are now experiencing prolonged …

Gastrointestinal function and pain outcomes following segmental resection or discoid resection for low rectal endometriosis

  • original article

Colorectal deep endometriosis (DE) affects 3–20% of women of reproductive age [ 1 , 2 ]. Patients with deep endometriosis have several treatment options including surgery. This may involve partial, full-thickness discoid resection (FTDR) or …

Olfaction and thyroid hormones in patients with subjective cognitive decline, non-amnestic and amnestic mild cognitive impairment

  • Open Access
  • original article

Dementia is emerging as one of the most serious problems in care of old people. As the mean age of the population increases, the incidence and prevalence of this condition continue to steadily rise worldwide [ 1 ]. Alzheimer’s disease (AD) is the …

Neurofibromatosis type 1 adult surveillance form for Austria

  • Open Access
  • original article

With approximately 1 in 2000–3000 individuals affected, neurofibromatosis type 1 (NF1) is one of the most common hereditary cancer syndromes [ 1 ]. Approximately 50% of patients inherit the disorder in an autosomal dominant way, while the remaining …

Palliative care in terminally ill advanced chronic liver disease patients

  • Open Access
  • review article

While mortality rates from advanced chronic liver disease (ACLD) are rapidly increasing, patients with an advanced disease stage have a comparable or even higher symptom burden than those with other life-limiting diseases. Although evidence is …

Effects of low-level laser therapy on symptomatic calcific rotator cuff tendinopathy

  • original article

Shoulder pain is one major reason for primary care consultations, concerning 16–21% of the general population and with many cases remaining for years. Rotator cuff (RC) tendinopathy is one of the most prevalent causes of shoulder pain. Its …

Association of family history with patient characteristics and prognosis in a large European gastroesophageal cancer cohort

  • Open Access
  • original article

Gastroesophageal cancer is a devastating disease with high mortality rates worldwide particularly in younger patients [ 1 ]. Moreover, the longstanding belief that the prevalence is highest in Asian patients due to lifestyle and environmental …

Assessing the effects of spontaneous intracranial hypotension on quality of life, work ability and disability

  • Open Access
  • original article

Spontaneous intracranial hypotension (SIH), characterized by headaches worsening in an upright position due to cerebrospinal fluid (CSF) leaks or low CSF pressure, presents diagnostic challenges due to its rarity (5 cases per 100,000 person-years) …

The Viennese dissection course—A model for Habsburg medical teaching (1787–1848)

  • Open Access
  • original article

This article delves into the beginnings of the dissection course, a teaching practice which today is still in place in Vienna and continues to shape future medical practitioners. Based on a comparison of different historical sources the article …

Efficacy and safety of intradetrusor abobotulinumtoxinA and incobotulinumtoxinA in women with overactive bladder and the value of local anesthesia: a randomized clinical study

  • Open Access
  • original article

Overactive bladder (OAB) syndrome is defined by the International Continence Society as urinary urgency, with or without urgency urinary incontinence (UUI), and usually accompanied by frequency and nocturia in the absence of urinary tract …

Excessive smartphone use increases self-reported auditory and vestibular symptoms

  • Open Access
  • original article

Smartphones are undoubtedly one of the greatest inventions of recent times. These devices enable us to do much more than communicate; we can play games, listen to music, surf the internet, and perform many other activities [ 1 ]. Smartphones make …

PCSK9 inhibitors in real life—Cardiometabolic risk management in dyslipidemic patients in Vienna

  • Open Access
  • original article

Proprotein convertase subtilisin kexin type 9 inhibitors (PCSK9i) are an approved class of antilipemic agents that have emerged as therapeutic options for patients unable to achieve the low-density lipoprotein (LDL-C) target or to tolerate …

Addressing healthcare vulnerabilities in nursing homes

  • Open Access
  • original article

Individuals with severe psychiatric disorders, including affective and psychotic disorders as well as older citizens with dementia are frequently admitted to nursing homes due to a compromised physical and mental health [ 1 , 2 ]. In light of …

Healing chronic idiopathic eosinophilic pneumonia using mepolizumab alone without corticosteroids

  • Open Access
  • case report

While glucocorticoids remain the standard first-line treatment for chronic idiopathic eosinophilic pneumonia (CIEP), the long-term use is marred by significant side effects. This case study explores the effectiveness of mepolizumab, an …

Does surgeon or hospital volume influence outcome in dedicated colorectal units?—A Viennese perspective

  • Open Access
  • original article

Colorectal cancer (CRC) remains the third most commonly diagnosed cancer worldwide, accounting for approximately 1.9 million new cases annually [ 1 ]. Despite the implementation of screening programs, a better understanding of the underlying …

Genetic relationship between rheumatoid arthritis and cardiovascular diseases

  • Open Access
  • review article

RA is a chronic autoimmune disease characterized by systemic inflammation and synovial joint destruction. It affects approximately 1% of the global population, with a higher prevalence among women [ 1 ]. While RA primarily targets the joints …

Analysis of the impact of a university distance learning course on digitalization in medicine on students and healthcare professionals

  • Open Access
  • original article

Digitalization entered the healthcare sector years ago, and the number of digital applications is growing rapidly. This increasing number of future digital health applications can easily be seen in the application process of the US Food and Drug …

A causal relationship between hypothyroidism and rheumatoid arthritis, but not hyperthyroidism: evidence from the mendelian randomization study

  • Open Access
  • original article

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease characterized by symmetrical multiarticular synovitis. Inflammatory cell infiltration results in the degeneration of synovitis, articular cartilage, and bone [ 1 , 2 ]. RA primarily …

Distance to thrombus, ischemic lesion volume and clinical outcome after thrombectomy for M1 middle cerebral artery occlusion

  • Open Access
  • original article

Stroke resulting from large vessel occlusion (LVO) of the proximal middle cerebral artery (MCA) is a devastating disease and a significant contributor to loss of independence [ 1 ]. Endovascular thrombectomy (EVT) as a reperfusion procedure for …

25 years of lipid-lowering therapy: secular trends in therapy of coronary patients

  • original article

The most prominent and causal risk factor for cardiovascular events and progression of cardiovascular disease is low-density lipoprotein cholesterol (LDL-C) [ 1 ]. Hence, historical guidelines have consistently advised the regulation of LDL‑C [ 2 …3

Gene therapy: principles, challenges and use in clinical practice

  • Open Access
  • review article

Already in 1972, Friedmann and Roblin hypothesized that genetic modification might be the way to cure hereditary diseases [ 1 ]. Following many years of scientific groundwork and technical advancements, the first clinical gene therapy studies …

The Landsteiner lung cancer research platform (LALUCA)

  • Open Access
  • original article

Lung cancer is the most common cause of cancer-related deaths and the second most frequently diagnosed cancer worldwide [ 1 ]. As in the rest of the world, lung cancer is a major health burden in Austria comprising 19% of all cancer deaths. With …

Perspectives in treatment-resistant depression: esketamine and electroconvulsive therapy

  • perspective

Modern electroconvulsive therapy (ECT) and the approval of nasal esketamine for clinical use have significantly improved the approach to treatment-resistant depression (TRD), which is defined as non-response to at least two different courses of …