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Augsburg, Germany

Steinbeck G.,Zentrum fur Kardiologie | Brachmann J.,II. Medizinische Klinik | Reuter W.,DKV Deutsche Krankenversicherung AG
Kardiologe | Year: 2013

Due to the out-dated medical scale of charges (GOÄ) on the one hand and the increasing importance and rapid technological development of invasive electrophysiological investigations and catheter ablation of cardiac arrhythmia on the other, an appropriate remuneration for private billing has been a matter of heavy dispute between cardiologists and health insurance companies for years. The aim of a meeting in 2011 between the project group GOÄ of the German Society of Cardiology with representatives of the private health insurance company DKV and the billing company Unimed was to achieve an acceptable compromise for disputed questions on billing for all parties involved. Accordingly, a consensus suggestion from all parties will be presented in this article concerning the billing of inter alia, the placement of electrode catheters, intracardiac leads and stimulation, transseptal puncture, contrast medium visualization procedures, mapping procedures and finally catheter ablation. In the expectation that the existing scale of charges will remain unchanged for some time, all billing suggestions are based on the currently valid GOÄ. © 2013 Springer-Verlag Berlin Heidelberg.

Dietrich C.F.,Zhengzhou University | Cui X.W.,Zhengzhou University | Chiorean L.,Zhengzhou University | Appelbaum L.,Hebrew University of Jerusalem | And 2 more authors.
Zeitschrift fur Gastroenterologie | Year: 2015

Local ablative therapies have become an important part in the portfolio of treatment for patients with malignant tumors especially in the liver. Although percutaneous ethanol injection still plays a role, current guidelines favor radiofrequency ablation with a higher efficacy for complete tumor destruction. Nevertheless transplantation and surgical resection remain the gold standard due to their superiority in local control and improved survival. In this manuscript we discuss the technique in detail. © Georg Thieme Verlag KG Stuttgart · New York.

Every fourth stroke is attributed to atrial fibrillation. These strokes are particularly severe and have an more unfavorable prognosis than other forms of strokes. The administration of vitamin K antagonists is strictly limited on account of their pharmacological features. The ESC Guidelines dated August 2012 therefore favor use of the new oral anticoagulants (NOACs) because they appear to have better efficacy and safety and are more practical in use than the vitamin K antagonists. In therapeutic decision making, however, the patient's characteristics, compliance, and tolerance as well as cost aspects should be taken into consideration. Patients who are well adjusted to vitamin K antagonists may also continue with this treatment.

Deetjen P.,Klinik fur Anasthesiologie und Operative Intensivmedizin | Maurer C.,Klinik fur Diagnostische Radiologie und Neuroradiologie | Rank A.,II. Medizinische Klinik | Berlis A.,Klinik fur Diagnostische Radiologie und Neuroradiologie | And 2 more authors.
Journal of Clinical Microbiology | Year: 2014

Ureaplasma urealyticum is a fastidious bacterium usually residing in the female genitourinary tract. We present an exceedingly complicated case of a brain abscess secondary to mastoiditis by U. urealyticum in an adult hypogammaglobulinemic patient after rituximab treatment 3 years earlier. Copyright © 2014, American Society for Microbiology. All Rights Reserved.

Nurnberg D.,Medizinische Klinik | Jenssen C.,Krankenhaus Markisch Oderland GmbH | Cui X.,II. Medizinische Klinik | Ignee A.,II. Medizinische Klinik | Dietrich C.F.,Innere Medizin 2
Zeitschrift fur Gastroenterologie | Year: 2015

This review summarizes ultrasound guided interventions in palliative care medicine.

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