Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Nov 2020
Review[Immunotherapy of allergies: current status].
Allergen immunotherapy (AIT) is the only causally effective, disease-modifying form of therapy that, in addition to alleviating allergic symptoms, counteracts disease progression. This article provides an up-to-date overview of immunological, regulatory and practical aspects of AIT. Current literature was included and recent conceptual regulatory developments from the Division of Allergology at the higher federal authority (Paul-Ehrlich-Institut) are presented. ⋯ A first food preparation for oral AIT of peanut allergy in children is currently undergoing a central European marketing authorization (MA) procedure. MA can only be granted if the benefit-risk balance is positive. Science and regulation are in continuous exchange on the development of AIT products that correspond to the current state of clinical research and regulation in the EU and enable early causal treatment of widespread allergies.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Sep 2020
Review[Prevention reporting-a new impetus for health reporting?]
In 2015 the "Act to Strengthen Health Promotion and Prevention" (German Prevention Act) was passed. This act stipulates reporting on its implementation and impact by means of a regular prevention report by the National Prevention Conference. It also furthers prevention reporting at the regional level in the federal states. ⋯ Further tasks are the development of feasible approaches to survey and report prevention interventions as well as the attempt to report outcomes and effects within causal models instead of merely reporting inputs and outputs. In conclusion, the dynamic induced by the German Prevention Act serves as a stimulus to health reporting-with a view to its contents, methods and policy relevance. Research to accompany and support the development of prevention reporting would be highly desirable.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · May 2020
Review[Osteopathy under scrutiny].
Osteopathic medicine is a medical specialty that enjoys a high level of recognition and increasing popularity among patients. High-quality education and training are essential to ensure good and safe patient treatment. At a superficial glance, osteopathy could be misunderstood as a myth; accurately considered, osteopathic medicine is grounded in medical and scientific knowledge and solid theoretical and practical training. ⋯ Further work on external evidence of osteopathy is being conducted, but there is enough knowledge from the other pillars of evidence-based medicine (EBM) to support the application of osteopathic treatment. Implementing careful, manual osteopathic examination and treatment has the potential to cut healthcare costs. To ensure quality, osteopathic societies should be intimately involved and integrated in the regulation of the education, training, and practice of osteopathic medicine.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Nov 2019
Review[Carbon monoxide-an underestimated risk? Awareness, perception, knowledge, and prevention activities].
Every year, hospitals in Germany treat roughly 450,000 people in the aftermath of poisoning incidents. To reduce the number of poisoning accidents, it is essential to inform the public about poisoning risks and the possibilities for prevention. ⋯ The results offer first insights into the target groups and possible dissemination paths for future risk communication activities.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Nov 2019
Review[Health damages after ingestion of button batteries in childhood].
Exposure of children under 5 years to button batteries may result in severe corrosive injury, especially when they get stuck in the oesophagus. The injury is caused by the discharge current of the batteries. An increasing number of button battery ingestions have been described worldwide. ⋯ Serious complications and even death after button battery ingestion are described in Germany. Button batteries impacted in the oesophagus should be removed emergently to minimize corrosive injury. Because no symptoms or only slight discomfort are developed initially, awareness of button batteries as a unique corrosive hazard among the public and clinicians is an important requirement for prompt diagnosis and treatment resulting in a satisfactory outcome.