‘Case of the Month’ from the University Medicine Mannheim: managing a complex stone patient with recurrent stone formation

2021 ◽  
Vol 127 (4) ◽  
pp. 402-408
Author(s):  
Thomas Knoll ◽  
Jan Halbritter
2020 ◽  
Vol 13 (4) ◽  
pp. 35-40
Author(s):  
S.V. Kotov ◽  
◽  
A.A. Nemenov ◽  
I.D. Boeva ◽  
◽  
...  

Introduction. The article analyzes the results of the clinical application of the herbal complex Renotinex®, which helps to normalize the function of the urinary tract, reduce pain, remove small stones from the kidneys and reduce the risk of recurrent stone formation. Materials and methods. At the University Clinic of Urology, Russian National Research Medical University named after N.I. Pirogov, a prospective, single-center, randomized study was carried out from November 2019 to March 2020. All patients underwent contact ureterolithotripsy. The patients were divided evenly into 2 groups: group A (n = 30) – patients receiving Renotinex® from the first day after surgery (within 1 month), and group B (n = 30) – a control group of patients not receiving specific therapy. Results. After 1 month of continuous use of the drug, there was an increase in the percentage of calculi discharge after contact ureterolithotripsy, a decrease in the severity of pain, normalization of the temperature curve and the absence of subfebrile condition in all patients. Conclusion. Renotinex® has a lithokinetic effect, its active ingredients contribute to the prevention of infectious and inflammatory complications of urolithiasis.


2019 ◽  
Vol 144 (07) ◽  
pp. 489-493 ◽  
Author(s):  
Robert Thimme ◽  
Heike Pahl ◽  
Karin Werner ◽  
Irene Nagel ◽  
Leena Bruckner-Tuderman

AbstractScientifically active medical doctors are required for successful translation of novel basic findings into the clinic. However, there is an increasing tendency of young medical doctors to primarily follow a more clinically and not scientifically orientated career pathway. Therefore, the establishment of novel career education structures and career perspectives in university medicine are important to stop this development. Here, we will discuss the current situation and ongoing attempts to design novel structural programs that allow a better combination of clinical and scientific work by highlighting also current developments at the Faculty of Medicine at the University of Freiburg.


Urology ◽  
2011 ◽  
Vol 77 (5) ◽  
pp. 1059-1063 ◽  
Author(s):  
Yong-June Kim ◽  
Moon Seon Park ◽  
Won-Tae Kim ◽  
Seok-Joong Yun ◽  
Wun-Jae Kim ◽  
...  

1995 ◽  
Vol 153 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Joshua K. Fine ◽  
Charles Y.C. Pak ◽  
Glenn M. Preminger ◽  
Joseph W. Segura ◽  
Michael Marberger

2021 ◽  
Vol 291 ◽  
pp. 03003
Author(s):  
Natalia Kubina ◽  
Dmitry Kashparov ◽  
Lyudmila Puryzhova ◽  
Irina Kravchenko

The issues related to the development of university medicine in connection with the emerging epidemiological situation and trends for the future are becoming more and more relevant in both research and practical aspects all over the world. The experience of university clinics abroad has been sufficiently studied, however, in Russia, the process of formation and development of medical clinics at leading Federal Universities has begun recently, and is not active enough. Currently, there are no more than 10 university clinics in the country, their experience, functioning mechanisms and contribution to the general results of a healthcare development has not yet been summarized and described in the scientific literature. At the same time, the scientific description and study of the issues of University clinics as medical institutions of a special type capable of providing high-tech medical services to the population and solving the issues of human resources for developing medicine are very relevant and significant in implementing the sustainable economic development concept in the conditions of changing challenges. Based on the analysis of the experience of foreign University clinics, an attempt is made to study the model and generalize the experience of University clinics formation in Russia in order to identify the main problems and prospects for their development. Without pretending to cover the whole range of problems associated with the development of university medicine, the main objective of the study is the issues of an innovative approach to the formation concept of medical centers positioning on the platform of a “University Clinic” brand. Using the example of the University Clinic - Clinical and Diagnostic Center of Immanuel Kant Baltic Federal University (CDC IKBFU) the process of forming the concept of University clinic positioning was described; a situational analysis of the medical services market was carried out in order to identify the problems in sustainable growth goal-setting; possible approaches to the choice of the positioning concept of the University Clinic were analyzed; the concept of the CDC positioning on the platform of the “University Clinic” brand was proposed; a model of a “pyramid of values” was built for a medical organization of this type; an innovative approach to the formation of the clinic’s media policy was proposed; the recommendations were developed to implement the concept of the platform of the “University Clinic” brand positioning in the online environment in the information openness context. The findings obtained make it possible to continue the study of a whole range of issues, both scientific, methodological and practical, concerning the substantiation of an effective model for University clinics functioning; solving organizational, managerial and legislative aspects related to their departmental subordination, coordination of the ministries of education and healthcare, the sources of their funding, the forms of state support and others.


2016 ◽  
Vol 311 (3) ◽  
pp. F520-F530 ◽  
Author(s):  
Mohammad Kassemi ◽  
David Thompson

An analytical Population Balance Equation model is developed and used to assess the risk of critical renal stone formation for astronauts during future space missions. The model uses the renal biochemical profile of the subject as input and predicts the steady-state size distribution of the nucleating, growing, and agglomerating calcium oxalate crystals during their transit through the kidney. The model is verified through comparison with published results of several crystallization experiments. Numerical results indicate that the model is successful in clearly distinguishing between 1-G normal and 1-G recurrent stone-former subjects based solely on their published 24-h urine biochemical profiles. Numerical case studies further show that the predicted renal calculi size distribution for a microgravity astronaut is closer to that of a recurrent stone former on Earth rather than to a normal subject in 1 G. This interestingly implies that the increase in renal stone risk level in microgravity is relatively more significant for a normal person than a stone former. However, numerical predictions still underscore that the stone-former subject carries by far the highest absolute risk of critical stone formation during space travel.


1977 ◽  
Vol 118 (5) ◽  
pp. 704-706 ◽  
Author(s):  
Elsie Cintron-Nadal ◽  
Laura E. Lespier ◽  
Amaury Roman-Miranda ◽  
Manuel Martinez-Maldonado

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