Wiener medizinische Wochenschrift
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The objective of this pilot study was to evaluate the annual direct costs of chronic non-specific low back pain in Austria in patients currently undergoing in-patient rehabilitation or out-patient treatment. 48 patients participated in the study. Average direct medical costs per patient year as paid by the sick funds were € 1443,-, in-patient rehabilitation was the single most expensive direct cost factor. Non-medical costs, that is, mainly household assistance and home adaptations, were € 394,-; deductibles and non-reimbursable medical costs were € 329. On average, patients had 2.7 co-morbidities (men: 2.2; women: 2.9).
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Wien Med Wochenschr · Feb 2012
[Prediction of the final degree in the 2002 reformed curriculum at the Medical University of Vienna].
In 2002 a reform curriculum was implemented at Medical University of Vienna. At the end of each study-year students have to pass a summative integrative examination consisting of single choice questions. We examined the study success of 674 students (50.8% of the cohort) who were surveyed at the beginning of their studies. ⋯ Success was most predicted by schoolmarks, study-motivation ("keen to acquire knowledge"), the importance of study success, self-confidence to reach this goal, not too specific ideas about future employment, high learning capacity, and low test anxiety. Some aspects having predictive power for the first-year exam (sex, German mother tongue) showed no more impact on study success. Other aspects described to be predictive in retrospective studies could not be verified in this prospective study.
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Wien Med Wochenschr · Jan 2012
Case ReportsEvaluation of diagnostic and treatment approaches towards acute dyspnea in a palliative care setting among medical students at the University of Vienna.
Dyspnea is common in advanced cancer patients with opioids as first line treatment. ⋯ Although students did not have practical skills in treating advanced cancer patients with acute dyspnea, 32.6% would suggest an opioid as treatment option.
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Delirium is still one of the most common and distressing symptoms in palliative care patients. Causes and pathophysiology of this neuropsychiatric dysfunction are multifactorial. ⋯ This case report presents a reversible delirium in an advanced cancer patient and offers a list of possible delirogen medications. This list might be useful to prevent delirium, particularly in older people.