German Respiratory Society

The S2K guideline, organized by the German Respiratory Society, is aimed at physicians in Germany, Switzerland, and Austria who perform outpatient or inpatient diagnostic flexible bronchoscopy in adult patients. Its goal is to standardize the procedure, minimize complications, and improve diagnostic safety. The guideline specifically addresses specialists in pulmonology, thoracic surgery, and hospital hygiene, as well as nursing and technical staff. It provides evidence- and consensus-based recommendations on indications, preparation, execution, hygiene measures, and aftercare. Additionally, it serves as an information resource for physicians from other specialties, payers, professional societies, and can support quality management. It applies to medical care in Germany, Austria, and Switzerland and incorporates the latest scientific findings up to the date of publication.

The growing shortage of pathologists and the increasing workload present significant challenges for the field of pathology. To address these challenges, it is crucial to understand what motivates young doctors to enter pathology training and to evaluate the current training environment at German university hospitals. A nationwide online survey was conducted among pathology residents at German university hospitals. The survey collected data on demographics, career motivations, job satisfaction, academic ambitions, and work-life coherence. Statistical analysis was performed using SPSS (IBM SPSS Statistics, Version 29, IBM Corp., Armonk, NY, USA) with χ2-testing, Spearman's correlation analysis, multiple regression analysis, and exploratory factor and cluster analysis. The most important factors influencing the choice of a pathology residency were an interest in pathology, work-life coherence, and the absence of night shifts. Regression analysis revealed that a high frequency of overtime, teaching and other activities had a negative impact on job satisfaction, whereas having time for scientific work had a positive effect. Four distinct resident types were identified based on their motivation to become a pathologist: "the grounded pathologists", "the committed all-rounders", "the specialists", and "the driven researchers". The choice of pathology residency at German university hospitals is influenced by diverse motivations. In order to attract and retain residents and support their long-term success, institutions must reduce overtime hours, provide stronger support for academic career development and create more family-friendly working conditions.

Einleitung Patienten mit AATM zeigen unterschiedliche Phänotypen, darunter Emphysem, Asthma bronchiale und primäre Bronchiektasie. Ein bisher wenig untersuchter Faktor bei seltenen Mutationen ist der Einfluss der qualitativen und quantitativen Eigenschaften von Polymeren auf den Verlauf von Lungen- und Lebererkrankungen.

Hintergrund Zwischen Männern und Frauen mit COPD bestehen erhebliche Unterschiede nicht nur in Bezug auf Komorbiditäten sondern hinsichtlich Art und Intensität der Symptome. Die zu Grunde liegenden Ursachen sind überwiegend unerforscht und insbesondere zur Frühphase der Erkrankung liegen bisher noch keine Daten vor. Wir evaluierten daher Patienten mit leichter COPD sowie symptomatische (ex)-Raucher mittels eines multimodalen lungenfunktionellen Ansatzes.

Einleitung Bei Patienten mit interstitieller Lungenerkrankung und fehlendem eindeutigen UIP-Muster in der CT sollte eine invasive Diagnostik zur Abklärung erwogen werden. In der vorliegenden Analyse wurden klinische Prädiktoren für das Vorliegen einer idiopathischen Lungenfibrose untersucht.

Background Randomized controlled trials found beneficial effects of inhaled triple therapy in patients with chronic obstructive pulmonary disease (COPD) and high risk of exacerbations. We studied whether such effects could also be detected in patients under continuous treatment in an observational, real-life setting.

Hintergrund Die steigende Anzahl außerklinisch invasiv beatmeter Patienten verursacht, neben der individuellen Belastung für die Betroffenen und ihre Angehörigen, erhebliche Kosten für das Gesundheitssystem. Ziel dieses Reviews war es, Risikofaktoren für eine invasive LZ-Beatmung, das prolongierte Weaning oder ein Weaningversagen zu identifizieren.