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Background: Surgical further training faces the challenging task of reconciling technological advancements and patient safety, particularly in the context of the planned hospital reform. Additionally, the generation shift and evolving expectations of Generations Y and Z in the workplace present further challenges. In response to these demands, the Berlin-Brandenburg Surgical Society (Berlin-Brandenburgische Chirurgische Gesellschaft, BCG) initiated a structured discussion and developed a position paper during the Neuhardenberg talks (Neuhardenberger Gespräche). Methodology: Within the framework of the Neuhardenberg talks, four sessions with keynote presentations and discussions took place. Based on the main discussion points, theses and positions were subsequently formulated and digitally voted on. Results: The results reveal a clear consensus favoring flexible working hours models, earlier specialization options and the integration of external rotations in surgical further training. Regarding talent acquisition and early recruitment of residents, there was a clear consensus supporting the promotion of employee engagement and structured early recruitment of students. There was unanimous agreement on the introduction of training associations as an effective means to ensure high-quality surgical further training. Discussion: One of the central points in the discussions was that high-quality surgical further training will only be achievable within training associations, especially given the impending hospital reform. The BCG plans to develop a modular further training association to make surgical further training in Berlin/Brandenburg fit for the future. [ABSTRACT FROM AUTHOR]

Background: Even now the further training in surgery faces considerable challenges. The planned hospital structural reform will result in new bureaucratic and organizational hurdles, which could lead to a considerable loss of quality in advanced surgical training across all disciplines. Objective: The aim of this position paper is to describe the current and future challenges for advanced surgical training and to identify possible approaches and opportunities for the further development against the background of the planned hospital structural reform. Material and methods: For the development of this position paper a committee of representatives of the Young Forums of the German surgical societies identified and critically discussed current problems and challenges of the present residency training system and formulated a list of demands for a sustainable residency training concept. Results: The planned shift to outpatient treatment and centralization were identified as central challenges for surgical residency training. Surgical training must be considered consistently and from the outset in all political reform efforts. In addition to a transparent and cost-appropriate financing of residency training, we call for the involvement of all German surgical societies in the reform process. Furthermore, the social framework conditions for junior surgeons should be considered. Conclusion: The structural change in the hospital landscape in Germany, which is being forced by politicians, harbors the risk of a further loss of quality and experience in surgical treatment and training. At the same time, the planned hospital reform offers a unique opportunity to address existing problems and challenges in surgical training and to consider them as a starting point for structural changes which are fit for the future. [ABSTRACT FROM AUTHOR]

»I want to grow into the sky, but that could destroy the world.« Psychotherapeutic treatment of a traumatized child in the field of tension between stabilization and structural change This paper describes the therapist's approach with a traumatized and psychologically already prestressed boy and reflects on it based on various theoretical concepts. The structural weaknesses of the patient appeared in the play in the fragility of the symbolization ability and the pretend mode. Strong feelings of anxiety and confusion, perceptible in the countertransference, as well as the presence of defense mechanisms such as splitting, idealization, omnipotence or dissociation, demand to a greater extent the therapist's container function. Therefore, at the beginning of the treatment, an initial phase served to stabilize the patient. Only gradually, after a good working alliance was established, a clearer confrontation with the fears became possible. Instead of being left alone with it, the patient found in therapy a language, images, space. Thus, the patient was able to reduce his omnipotent control and the transformation of stressful fantasies and feelings also developed in the relationship with the therapist. A gradual integration and de-idealization became possible. [ABSTRACT FROM AUTHOR]

Extracorporeal life support systems (ECLS) are life-sustaining measures for severe cardiovascular diseases, serving as bridging treatment either until cardiovascular function is restored or alternative treatment, such as heart transplantation or the implantation of permanent ventricular assist devices is performed. Given the insufficient evidence and frequent urgency of implantation without initial patient consent, the ethical challenges and psychological burden for patients, relatives and the interprofessional intensive care team are significant. As with any treatment, an appropriate therapeutic goal for ECLS treatment based on the indications and patient informed consent is mandatory. In order to integrate the necessary ethical considerations into everyday clinical practice, a structured algorithm for handling ECLS is proposed here, which takes ethical aspects into due account. [ABSTRACT FROM AUTHOR]

Dreams and temptations: Unveiling the journey to self-discovery This thesis documents the long-term psychoanalytic therapy of an adolescent patient who developed a severe depressive episode and post-traumatic stress disorder following a serious traumatic event - an abduction and experience of sexual violence. Over a period of several years, the therapeutic work is described, which not only addresses the patient's individual symptoms, but also sheds light on profound family dynamics and the development of the therapist's psychoanalytical identity. The therapy focused on processing the traumatic experience and aimed to create corrective relational experiences, strengthen self-representation and promote the ability to self-care and build supportive social relationships. The case study illustrates the complexity and challenges of psychoanalytic work with traumatized adolescents and emphasizes the need for an individually tailored approach. [ABSTRACT FROM AUTHOR]

Whereof one cannot speak, thereof one can sing The article describes an in-depth psychoanalytic treatment of a man suffering from depression, inner emptiness and the consequences of earlier traumatic experiences. It begins with behavioral pre-treatment, which lays the foundation for later psychoanalytic psychotherapy. Over the course of the therapy, an intensive process unfolds in which the patient works through deep inner states and traumatic experiences. The article sheds light on the complexity of the treatment, which is characterized by the interweaving of structural, conflict-related and traumatic aspects, and shows how the therapeutic relationship and creative forms of expression contribute to healing. [ABSTRACT FROM AUTHOR]

The first analysis - a tango with the mother? The course of treatment of a patient suffering from a moderate depressive episode, somatization disorder and narcissistic neurosis structure is described. The treatment, which takes place over 300 sessions in an individual analytical setting, reveals deep-rooted conflicts of self-worth and a strong dependence on the approval of others. Through the therapeutic work, the patient succeeds in recognizing and working through his inner conflicts, which helps him to better understand and shape himself and his relationships with others. The author also reflects on the challenges and learning processes that this first psychoanalytic treatment entailed for her as a therapist. [ABSTRACT FROM AUTHOR]

An Adlerian view on some examples of pastoral care in a clinical setting and with people in old-age The final thesis for the Individual Psychological Counselor provides insights into the diverse application of individual psychological concepts in pastoral practice by looking at encounters in different contexts. The reflections show how individual psychology can help to understand and support people in different life situations by emphasizing the importance of a sense of community, feelings of inferiority and lifestyles. [ABSTRACT FROM AUTHOR]

The Maternity Protection Act is intended to protect the mother and the child from hazards, excessive demands and damage to health in the workplace, and from financial disadvantages and loss of employment. However, the objectives defined by the Maternity Protection Act—the safety and health of the pregnant employee on the one hand and the prevention of disadvantages in working life on the other—are not yet adequately achieved in the intensive care unit (ICU). Implementation of the Maternity Protection Act to the benefit of all involved parties should also be promoted in the specialist areas represented by the DIVI, in particular the work of pregnant physicians and nursing staff and other working specialists (respiratory therapists, physiotherapists, speech therapists, psychotherapists, and social workers) in the ICU. The aim of this paper is to raise awareness of the need to consider each pregnant and breastfeeding staff member individually and to work together to find a personal solution for continuing to work in the ICU. Possible ways and solutions to achieve this goal are outlined and practical examples are given for implementation in everyday clinical routine. These are also based on comprehensive presentation of activities according to a traffic light color-code system for all occupational groups. Arguments against pregnant employees working in the ICU are discussed and possible solutions are presented [ABSTRACT FROM AUTHOR]

Paper was already being used in southwestern Germany before the first paper mills began production there in the late 14th century. But it was the establishment of a local paper industry that made the still relatively new writing material available in large quantities. The demand for paper made the operation of a paper mill seem profitable, and the increased supply of paper in turn fueled the rise in writing. At the end of the Middle Ages, paper thus became the material basis of a media evolution that extended far into modern times. But how was the new writing material produced? The new craft of papermaking differed significantly from the production of parchment, the traditional writing material, in terms of equipment, raw materials, capital requirements, and working methods. Nevertheless, papermaking could use already existing infrastructures, especially in the field of energy supply by waterwheels. This article examines the specific characteristics of the new craft using the example of the German southwest, where numerous paper mills were established in the 15th century. [ABSTRACT FROM AUTHOR]

This article analyses the importance of paper in the context of early modern warfare. During the war against the Ottoman Empire at the end of the 17th century, the Habsburgs were establishing a new administration in Hungary, which served both military and civil purposes. Not only did administrative tasks have to be organized, but the very success of military operations depended on the well-ordered work of the administration: communication had to be smooth, and a wide variety of tasks had to be properly and reliably processed. To fulfil these requirements, the administration needed large quantities of paper. This study follows the traces of paper in the records of the Chamber Administration in Buda and points to the vital need for paper at the heart of the new Habsburg rule. The challenges of acquiring and producing paper themselves became crucial aspects of the administration’s work. The article argues that a reliable supply of paper competed even with the distribution of arms and food to become an essential resource in warfare. [ABSTRACT FROM AUTHOR]

Point-of-care sonography is a precondition in acute and emergency medicine for the diagnosis and initiation of therapy for critically ill and injured patients. While emergency sonography is a mandatory part of the training for clinical acute and emergency medicine, it is not everywhere required for prehospital emergency medicine. Although some medical societies in Germany have already established their own learning concepts for emergency ultrasound, a uniform national training concept for the use of emergency sonography in the out-of-hospital setting is still lacking. Experts of several professional medical societies have therefore joined forces and developed a structured training concept for emergency sonography in the prehospital setting. The consensus paper serves as quality assurance in prehospital emergency sonography. [ABSTRACT FROM AUTHOR]

The timely integration of palliative medicine is an important component in the treatment of various advanced diseases. While a German S‑3-guideline on palliative medicine exists for patients with incurable cancer, a recommendation for non-oncological patients and especially for palliative patients presenting in the emergency department or intensive care unit is missing to date. Based on the present consensus paper, the palliative care aspects of the respective medical disciplines are addressed. The timely integration of palliative care aims to improve quality of life and symptom control in clinical acute and emergency medicine as well as intensive care. [ABSTRACT FROM AUTHOR]

The study "Retracted papers originating from paper mills: cross sectional study" examines the scientific misconduct of so-called paper mills, which produce and sell fake articles. The authors mainly come from Chinese institutions and most of the articles were published in high-impact factor journals. The study identified 1182 retracted articles from paper mills and warns that this could only be the tip of the iceberg. The falsification of scientific literature through manipulated data is a serious problem. Editorial boards of scientific journals must take measures to detect and reject such submissions. [Extracted from the article]

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Jane Addams – social researcher, socio-political activist, and Nobel Peace Prize winner – is one of those „women in sociology“ (Honegger/Wobbe 1998) who are seldom remembered today in the history of the discipline. Although Addams’ research and sociopolitical activities shaped academic and public life in Chicago significantly at that time, her work has been overshadowed by the „Men of the Chicago School“ (Deegan 1988) at the end of the 19th and beginning of the 20th century. Our contribution intends to pay tribute to Jane Addams as a classic figure of problem-oriented social research and is structured as follows: We begin with a brief biographical portrait of Jane Addams (1) and then describe the Hull-House and the Hull- House Maps & Papers in the socio-historical context of the settlement movement (2). In the next step we outline the approach of sociological cultures of knowledge, in order to proceed with a knowledge-culture interpretation of Addams’ work (3). We conclude with a plea for a greater reception of the Maps & Papers and for the recognition of Jane Addams’ pioneering role in sociology, which unfolded beyond the confines of university and non-university research and the later established lines of academic discourse (4). [ABSTRACT FROM AUTHOR]

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This article focuses on the professional writing of women in the transformation phase around 1800. Referring specifically to the woman of letters Helmina von Chézy (1783-1856) and her family, which participated in the literary market over four generations, it asks how authors could use paper(s) as assets or resources. It is shown that writersʼ papers were collected and kept as material evidence of life, that they could be an indicator of financial status and provide insight into financial practices, and that they were used particularly to position oneself (as a writer) and to relate to others. Within changing personal and historical contexts, the writing work of family members was based ultimately, in varying forms and shapes, on the logics of their social relations, lived as well as negotiated and recorded on paper. Thus, the papers used and inscribed in the family can be conceptualized as a multi-perspective kaleidoscope, offering new views on central aspects and mechanisms of writerly economies. [ABSTRACT FROM AUTHOR]

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Copyright of Die Kardiologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The discussion paper "Institutionalization of Teacher Education" was developed within the framework of the QLB-Camp and aims to establish institutional standards for teacher education in central scientific institutions. There are no institutional standards for teacher education in Germany, and the diversity of teacher education leads to problems and challenges. The Quality Initiative for Teacher Education has brought about positive changes, but there is uncertainty about how the created structures can be sustained and legally secured. The text describes various key points for the institutionalization of teacher education, including anchoring it in state higher education laws and promoting scholars in subject didactics and educational sciences. Teacher education institutions should regularly evaluate their measures and the development of teacher education students. [Extracted from the article]

Abstract: Aims: In the scientific community no consensus exists regarding the question whether excessive smartphone use (ESU) should be considered as a behavioral addiction. This position paper summarizes relevant aspects of previous research on ESU with respect to content and methodology. From this, recommendations are derived as to which approaches should be given greater consideration in future research work. Conclusions: Our recommendations include the following points: 1. Development and consistent use of smartphone-based measuring instruments that allow the collection of real-time usage data and the submission of time-controlled questionnaire, 2. Validation of these instruments in large representative samples in Germany, 3. Using real-time smartphone user data to address the question whether ESU can become addictive in nature, 4. Clarification of the central question of the extent to which ESN is specific (i. e., use of specific smartphone functions such as social networks) or generalized (in terms of a behavioral pattern of general smartphone overuse). In the long term, further studies on the neurobiology and long-term stability of ESN should be carried out before the classification of ESN as a behavioral addiction can be recommended. [ABSTRACT FROM AUTHOR]

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Copyright of Elektronik Industrie is the property of Hüthig GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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The article informs on the restoration of two turbines at the hydroelectric power station Kaplan turbines at the Sappi paper mill in Gratkorn, Austria by Geppert GmbH. It mentions that optimizations were also implemented on the generators, and the result is an increase in performance in the upper single-digit percentage range and a significantly improved environmental compatibility of the system.

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Personal papers such as diaries or memoirs are established sources for historical, cultural and literary research. Special archival collections have been built up over the past decades. Depending on the focus of the content, these collections are composed very differently. With an intersectional approach, some of these differences are presented in this article: Are women and men documented differently in collections of personal papers from artists, scientists or politicians? How is the gender comparison in collections with an everyday history approach? Are women and men possibly represented here with different auto/biographical formats? And what about members of different social classes? Are there also diaries of workers or servants in the archives? The systematic comparison exposes structural inequalities in archival collections and thus shows the direct effects of documentation policies that have a lasting influence on which sources are ultimately available to research – and which are not. [ABSTRACT FROM AUTHOR]

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In the 1740s and 1750s, the public scene in Italy was abuzz with a debate weighing the pros and cons of swallowing small pieces of paper with a prayer to the Virgin Immaculate printed on them. Having been introduced to the city of Naples by the Jesuit missionary Francesco Pepe, the practice drew the ire of the Catholic reformer Ludovico Antonio Muratori, whose pointed intervention entailed a flurry of publications from both Jesuits and Franciscans. Responding to Muratori, these authors actively sought to establish the paper pills as part of an embodied and sensual religion superior to the reading of pious texts that Muratori was proposing as an alternative to baroque Catholicism. Leveraging Muratori's elitism, his critics touted the paper pills as an expression of the untainted religion of uneducated men and women uncorrupted by the reading revolution that was converting sections of the elite to enlightened values. In later decades, this populist corporeal, anti-intellectual religion was weaponized against the Enlightenment and the French Revolution. Drawing on insights from religious media studies, this article argues that the battle between baroque and reform Catholicism should not be seen exclusively as one of ideas, but rather as embedded in a complex media configuration in which partook both sides of the argument and which accounts for the unlikely survival of baroque Catholicism in the age of mass reading. [ABSTRACT FROM AUTHOR]

Climate change and the resulting higher frequency of extreme weather events have a direct negative impact on mental health. Natural disasters are particularly associated with an increase in the prevalence of depression, anxiety and posttraumatic stress disorder. Indirect consequences of climate change, such as food shortages, economic crises, violent conflicts and forced migration, additionally represent severe psychological risk and stress factors. Climate anxiety and solastalgia, the distress induced by environmental change, are new psychological syndromes in the face of the existential threat posed by the climate crisis. Accordingly, a sustainable psychiatry must prepare for increasing and changing demands. The principles of psychiatric treatment need to focus more on prevention to reduce the overall burden on the healthcare system. Waste of resources and CO2 emissions in psychiatric treatment processes as well as infrastructure must be perceived and prevented. Psychiatric education, training and continuing education concepts should be expanded to include the topic of climate change in order to comprehensively inform and sensitize professionals, those affected and the public and to encourage climate-friendly and health-promoting behavior. More in-depth research is needed on the impact of climate change on mental health. The DGPPN becomes a sponsor and aims for climate neutrality by 2030 by committing to climate-friendly and energy-saving measures in the area of finance, in relation to the DGPPN congress as well as the DGPPN office. [ABSTRACT FROM AUTHOR]

Clinical expertise in infectious diseases is crucial in treating patients with infectious complications. The new board certification in infectious diseases will establish this expertise in Germany. The role of the specialty of infectious diseases in German hospitals and the definition for clinical services in hospitals (levels 2 and 3) are outlined here. [ABSTRACT FROM AUTHOR]

The article deals with the challenges for art libraries in the digital age. It is pointed out that art libraries are increasingly emancipating themselves from traditional book collections and will play an important role in the storage, findability, and consumption of digital art. It is also emphasized that art libraries are located in different places and therefore need to provide different workspaces and settings for curators, students, and researchers. The article also discusses the impact of open access and open science in art history, as well as the need for a differentiated examination of digitization in art libraries. It is noted that art libraries are evolving into hybrid learning environments and should intensify collaboration with museums. [Extracted from the article]

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This article traces the history of paper patterns from the formation of the German Empire to the early days of the Federal Republic of Germany. These patterns are often overlooked, yet provide glimpses into the transformative power of everyday fashion. I show that sewing with paper patterns both consolidated and challenged ideas of gender and the female body. The article finally argues that by delegating the making of women's clothes to the private sector, however, the responsibility for the adaption of social bodily norms was also handed over to individual women. [ABSTRACT FROM AUTHOR]

New technologies usually have potential, but their mode of action and long-term consequences are not always immediately apparent. This challenge can be met in an interdisciplinary way with approaches that integrate different perspectives. Young scientists have come together to work on meeting this challenge from an interdisciplinary perspective in the Young Forum of Technical Sciences: Technology that people really want. The aim is to support user-centred technology development based on interdisciplinary methods. Engineering, law, social sciences and the humanities can work together to shape technical developments in a way that leads to a form of technology that is adapted to the needs of society. Interdisciplinarity in research and development means mutual permeation of disciplines instead of mere coexistence. The aim is to promote interdisciplinary research groups and projects and to develop common methods. [ABSTRACT FROM AUTHOR]

Der Beitrag beschreibt die Schwierigkeiten bei der Umsetzung einer automatisierten Übernahme aller über Publikationsgelder finanzierten Open-Access-Zeitschriftenartikel in institutionelle Repositorien. Sind Verlags-Dashboards, die den wissenschaftlichen Einrichtungen im Rahmen von Vertragsvereinbarungen für die Bearbeitung der eingehenden Verifizierungsanfragen zur Verfügung gestellt werden, in diesem Zusammenhang hilfreich? The article discusses the complexities of implementing the automatic import of Open Access journal articles with a publication grant into institutional repositories, and asks whether publisher dashboards provided to academic institutions as part of contract agreements on the management of incoming verification requests are a useful tool to deal with the issue. [ABSTRACT FROM AUTHOR]

Background: Irrespective of the great impact stroke exerts on the society as a whole and far-reaching advances in acute treatment and rehabilitation of stroke, so far outpatient services for post-stroke care have not been established on a national level in Germany. Objective and methods: Against the background of this contemporary lack of care, in May 2020 the German Stroke Society (DSG) established the stroke aftercare commission. This position paper discusses structural models of future services addressing outpatient post-stroke care. Results and discussion: The specialized care by a neurologist should be central to a multidisciplinary, interprofessional and transsectoral treatment. Structural concepts of post-stroke care must take regional differences but also effective strategies for quality control into account. Certification processes and appropriate financing of follow-up registries at state and federal levels may pave the way for improvement over the medium term. Structured outpatient post-stroke care services should be open to all subgroups of stroke patients. Additionally, innovative technologies can make an important contribution to post-stroke care; however, the implementation of specialized services demands adequate funding as well as separate financial incentives for the providers. The solution must carefully balance the advantages and disadvantages of the specific care and financing models. Currently the discussion of new models of post-stroke care is gaining new momentum, which opens up perspectives for the advancement of the otherwise still insufficient contemporary care structures. [ABSTRACT FROM AUTHOR]

The acute treatment of stroke patients in Germany is of a very high standard, guaranteed by its system of stroke units. Stroke as a disease has an acute phase followed by a chronic phase that requires a high level of qualified aftercare given by multidisciplinary and interdisciplinary teams. In 2020, the German Stroke Society (DSG) founded a commission for long-term stroke care. The aim is to evaluate the current situation of long-term aftercare and suggest improvements for its structure. In this paper the status quo of aftercare is presented and possible deficits are identified. Contributions of various stakeholders from the German healthcare system are analyzed and different projects for post-acute care are presented. Germany has no acknowledged structured aftercare concepts for patients after stroke. The general practitioner-based care is currently the focus of patient management but without a greater, more coordinated integration of neurologists, guideline-led and quality-controlled aftercare will be harder to implement in the future. The assignment of duties and the necessary training standards for the specialist groups in order to comply with the guidelines do not exist. Besides medical health, the needs of physical, social and emotional domains are too seldom considered by a multiprofessional care team. Further developments of a regional care management concept are discussed. The results and costs of any aftercare concepts must be evaluated before widespread implementation. [ABSTRACT FROM AUTHOR]

The Journal for Individual Psychology plans to announce the topics for the upcoming issues and invites interested authors to submit articles. The topics for the upcoming issues are: research methods, conference booklet for the annual conference of DGIP 2024, "Cancel Culture" - the search for identity through power-seeking?, literature and individual psychology, "In Touch" - between abstinence and touch, and conference booklet for the annual conference of DGIP 2025. The submissions will be reviewed anonymously. The contact person for submissions and questions is Livia Eschke. [Extracted from the article]

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Copyright of Die Kardiologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Background: Spinal muscular atrophy (SMA) is a severe, life-limiting neurodegenerative disease. A disease-modifying and approved therapy with nusinersen has been available in Germany since July 2017. Gene therapies offer another promising treatment option through a once in a lifetime administration. In May 2019 a gene replacement therapy for the treatment of SMA was approved for the first time by the U.S. Food and Drug Administration (FDA). An application for approval in Europe has been submitted and is currently pending. Objective: This consensus paper was compiled at the invitation of the German Society for Muscular Diseases (DGM) with the participation of all potential German neuromuscular treatment centers, the German section of the Society for Pediatric Neurology (GNP) and with the involvement of the medical scientific advisory board of the DGM. The aim was to define and establish the necessary prerequisites for a safe and successful application of the new gene replacement therapy in clinical practice. Conclusion: Gene replacement therapy with onasemnogene abeparvovec has the potential to significantly influence the course of SMA. Long-term data on sustainability of effects and possible adverse effects of gene replacement therapy are not yet available. The application of this innovative therapy must be carried out in specialized and appropriately qualified treatment centers under strict safety conditions. This article makes suggestions for the necessary framework conditions and gives recommendations for a systematic pretreatment and posttreatment assessment schedule under gene therapy. The effectiveness and safety of the therapy should be systematically documented in an industry-independent and disease-specific register. [ABSTRACT FROM AUTHOR]