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Folke Damminger / Uwe Gross / Roland Prien / Christian Witschel, Große Welten – Kleine Welten. Ladenburg und der Lobdengau zwischen Antike und Mittelalter (LARES. Ladenburger Reihe zur Stadtgeschichte, Bd. 2), Edingen-Neckarhausen: Edition Ralf Fetzer 2017. XIV, 345 S., zahlr. Karten und zumeist farb. Abb. ISBN 978-3-940968-32-6. € 24,80

Introduction: Patients infected with SARS-Cov-2, the causative virus behind the coronavirus disease-19 (COVID-19) pandemic, have been increasing rapidly in New York City. New York City has the highest incidence in the United States and fully 45% of all deaths from COVID-19. Our medical center is located within a high-density region of cases in south Brooklyn and, in fact, three of our neighborhood zip codes are in the top seven in New York in incidence. As a result, our center has experienced a dramatic increase in hospitalizations, particularly respiratory distress secondary to COVID-19, which rapidly exceeded the capacity of our internal medicine service. This necessitated the formation of new COVID-19 units throughout the hospital, replacing all former service lines. These units employed management teams composed of residents from many medical and surgical disciplines, including general surgery residents. Methods: Our general surgery residency program established a surgical COVID-19 (SCOVID) management team. Initially, 4 surgical residents (2 senior and 2 junior), 1 attending surgeon, and 1 attending internal medicine physician were allocated to the initial SCOVID team. On day 3 of implementation, to achieve more rapid competence in the complex management of these patients, a senior medicine resident with direct experience in the care of COVID-19 patients was added in an advisory capacity. Results: The addition of an experienced senior medical resident and attending allowed for the quick adoption of uniform management protocols by surgical residents and attendings. Discussion: We describe a protocol for the establishment of COVID-19 management teams staffed with general surgical residents, as well as a strategy for the achievement of rapid increases in competency. The addition of a senior internal medicine resident and attending to our SCOVID team allowed for rapid achievement of competency in the care of COVID-19 patients in our large institution at the epicenter of the COVID-19 pandemic.

Background More than 80% of patients with Crohn's disease (CD) require surgical intervention during their lifetime. High rates of disease recurrence often necessitate repeat surgery. Recurrence is typically observed at or immediately proximal to the anastomosis, raising the question of whether surgical techniques have the potential to decrease recurrence rates. In addition, the mesentery has recently been implicated in the pathophysiology of CD, and several techniques have been developed to reduce its influence on recurrence. We aimed to describe the short-term safety and feasibility of these approaches. Methods This is a comparative retrospective single-center cohort study of consecutive CD patients undergoing primary or redo ileocolic resection with mesenteric excision and exclusion (MEE), extended mesenteric excision (EME) only, or Kono-S anastomosis (KSA) only from 2015-2022. Patients undergoing both EME plus KSA were considered to have MEE. Patients' characteristics, perioperative data, and short-to-midterm outcomes were collected. Univariate analysis was performed. Results A total of 186 patients underwent MEE (n=46), EME (n=66), or KSA (n=74). All three groups had comparable (p>0.05) risk factors in terms of mean age at diagnosis and surgery (25.4 and 37.5 years old, respectively), preoperative biologics (63.4%) and corticosteroids (22.6%), smoking, and associated perianal disease. However, the MEE group had more penetrating disease compared to the other groups (MEE 50.0% vs. EME 34.8% vs. KSA 20.4%; p0.05) in rates of emergency surgery (4.8%), ileostomy creation (14%), and laparoscopy (64.5%) Table 1. Estimated blood loss and length of stay were also comparable between groups (p>0.05). Operative time in the MEE group was longer (median: 187, range: 67-360 minutes) compared to the other two groups (KSA: 170 (56-487); EME: 152 (63-436, p0.05) Table 2. Conclusion Targeting the mesentery with novel surgical approaches to ileocolic Crohn's disease was observed to be safe and feasible on short-term follow-up. Long-term follow-up is needed to assess the impact of these techniques on post-operative anastomotic disease recurrence.

Hintergrund und Stand (inter)nationaler Forschung: Der Einsatz von Anwendungen, die auf Künstlicher Intelligenz (KI) basieren, bringt weitreichende Veränderungen in der Gesundheitsversorgung mit sich. Dementsprechend erscheint ein Erwerb grundlegender Kompetenzen im Bereich von KI in der Gesundheitsversorgung [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Hintergrund/Fragestellung: Gute Informationen sind Basis für die Arzt-Patient:innen verständlich aufbereitet. Dazu gehören Patientenleitlinien (PL), zweiseitige Kurzinformationen und Patientenblätter als integraler Leitlinienbestandteil für Beratungsgespräche. Allerdings [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Beschreibung: Hochwertige systematische Reviews (SR) gelten als Goldstandard, um klinische Fragen zu beantworten. Wer aber in der täglichen EbM-Praxis SR nutzen möchte, sieht sich vor einige Herausforderungen gestellt. Eine Recherche nach SR bringt in der Regel hohe Trefferzahlen hervor, von [zum vollständigen Text gelangen Sie über die oben angegebene URL]

AI applications play an increasingly important role in all areas of healthcare. Therefore, a basic understanding of AI technology for health professionals seems necessary. However, to date there is no learning programme in Germany that includes technological basics, applications, and perspectives of AI in healthcare for interdisciplinary health professions. The ai4health project investigates which basic knowledge and competences health professionals need to acquire for an informed handling of AI applications in healthcare, and what the appropriate didactic approach is. Through the qualitative research by interviews and a workshop, six relevant areas of competences were identified. The two most important areas are ELSA and relevant AI applications. Explainability was also highlighted as an important point. The implementation of the topics in a blended learning course for interdisciplinary health professionals and educators in the healthcare sector is now planned.