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  1. Book ; Online ; E-Book: Manson's tropical diseases

    Manson, Patrick / Farrar, Jeremy / Hotez, Peter J. / Junghanss, Thomas / Kang, Gagandeep / Lalloo, David / White, Nicholas J. / Garcia, Patricia J.

    2024  

    Title variant Tropical diseases
    Author's details Jeremy Farrar, Peter J. Hotez, Thomas Junghanss, Gagandeep Kang, David Lalloo, Nicholas J. White, Patricia J. Garcia
    Keywords Tropical medicine ; Tropenkrankheit ; Tropenmedizin
    Language English
    Size 1 Online-Ressource (5477 Seiten), Illustrationen, Diagramme
    Edition Twenty-third edition
    Publisher Elsevier
    Publishing place London
    Publishing country Great Britain
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT030592106
    ISBN 978-0-7020-7961-0 ; 9780702079597 ; 0-7020-7961-8 ; 0702079596
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book: Manson's Tropical Diseases

    Lalloo, David / Kang, Gagandeep / Farrar, Jeremy / White, Nicholas J. / Garcia, Patricia J. / Hotez, Peter J / Junghanss, Thomas Section Clinical Tropical Medicine University Hospital Heidelberg Heidelberg

    2023  

    Author's details Jeremy Farrar, FRCP, FMedAcSci, DPhil, OBE§Wellcome Trust §(From 5 May 2023 Chief Scientist World Health Organization)
    Size 1384 p.
    Publisher Elsevier Science
    Document type Book
    Note PDA Manuell_22
    Format 225 x 283 x 53
    ISBN 9780702079597 ; 0702079596
    Database PDA

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  3. Article ; Online: Pulmonary cystic echinococcosis.

    Weber, Tim Frederik / Junghanss, Thomas / Stojković, Marija

    Current opinion in infectious diseases

    2023  Volume 36, Issue 5, Page(s) 318–325

    Abstract: Purpose of review: The aim of our review is to summarize specific clinical, diagnostic and treatment aspects of pulmonary cystic echinococcosis. The lung is the organ second most affected by cystic echinococcosis with approximately a quarter of cystic ... ...

    Abstract Purpose of review: The aim of our review is to summarize specific clinical, diagnostic and treatment aspects of pulmonary cystic echinococcosis. The lung is the organ second most affected by cystic echinococcosis with approximately a quarter of cystic echinococcosis cysts. Most cysts are in the liver. Apart from the watch and wait approach for selected inactive cysts [cystic echinococcosis CE4, CE5], the well established WHO cystic echinococcosis cyst classification-based treatment of hepatic cystic echinococcosis cannot be applied to pulmonary cystic echinococcosis cysts. Some standard interventions can even be harmful when applied to pulmonary cystic echinococcosis cysts.
    Recent findings: Cystic echinococcosis is one of the neglected tropical diseases (NTDs). Development of new diagnostics and treatment modalities is hampered by low investment into research and is accordingly slow.
    Summary: Surgery is the mainstay of treatment for pulmonary cystic echinococcosis cysts. Parenchyma-sparing surgical techniques should be used whenever possible. Albendazole induces decay of the parasitic cyst membrane, opening of cystobronchial fistulas and cyst complications, which can be life threatening. It is strongly recommended to seek advice from expert centres, including differential diagnoses, treatment and a long-term management plan.
    MeSH term(s) Humans ; Echinococcosis/diagnosis ; Echinococcosis, Hepatic/diagnosis ; Echinococcosis, Hepatic/epidemiology ; Echinococcosis, Hepatic/surgery ; Albendazole/therapeutic use ; Cysts/drug therapy ; Lung
    Chemical Substances Albendazole (F4216019LN)
    Language English
    Publishing date 2023-08-14
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 645085-4
    ISSN 1473-6527 ; 1535-3877 ; 0951-7375 ; 1355-834X
    ISSN (online) 1473-6527 ; 1535-3877
    ISSN 0951-7375 ; 1355-834X
    DOI 10.1097/QCO.0000000000000962
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Conference proceedings: Migration und Gesundheit / 1

    Junghanss, Thomas

    [Beiträge der gleichnamigen Tagung, welche vom 29. Februar bis 2. März 1996 an der Universität Bern stattfand]

    (... ; Jg. 86,19 : Sondernummer)

    1997  

    Author's details Red.: T. Junghanss
    Series title ... ; Jg. 86,19 : Sondernummer
    Migration und Gesundheit
    Praxis
    Collection Migration und Gesundheit
    Praxis
    Language German
    Size S. 783 - 816 : graph. Darst.
    Publisher Huber
    Publishing place Bern u.a.
    Publishing country Switzerland
    Document type Book ; Conference proceedings
    HBZ-ID HT007522725
    Database Catalogue ZB MED Medicine, Health

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  5. Book: Gesund in den Tropen

    Junghanss, Thomas

    1992  

    Author's details Thomas Junghanss ... (Hrsg.)
    Keywords Tropical Medicine / popular works ; Tropen ; Reise ; Touristikmedizin
    Subject Reisemedizin ; Reisen
    Size 341 S. : Ill., graph Darst., Kt.
    Publisher Huber
    Publishing place Bern u.a.
    Publishing country Switzerland
    Document type Book
    HBZ-ID HT004257526
    ISBN 3-456-82088-7 ; 978-3-456-82088-0
    Database Catalogue ZB MED Medicine, Health

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  6. Article: Vascular pathology in patients with alveolar echinococcosis: framework for assessment and clinical management - a retrospective case series.

    Gieser, Paula / Merle, Uta / Junghanss, Thomas / Weber, Tim F / Stojković, Marija

    BMJ open gastroenterology

    2023  Volume 10, Issue 1

    Abstract: Objective: Alveolar echinococcosis (AE) is a parasitic liver disease with infiltrative growth similar to solid organ malignancies. Major vascular damage is frequent and often remains untreated until catastrophic events precipitate. Detailed clinical and ...

    Abstract Objective: Alveolar echinococcosis (AE) is a parasitic liver disease with infiltrative growth similar to solid organ malignancies. Major vascular damage is frequent and often remains untreated until catastrophic events precipitate. Detailed clinical and radiological assessment is required to guide individualised treatment decisions. Standardised radiological reporting templates of malignancies with profiles resembling AE are candidates for adaptation. Our objectives are to describe vascular pathology in AE and establish a framework for structured evaluation as the basis for treatment decisions and monitoring.
    Design: Retrospective case series.
    Results: 69 patients (37.1%) had vascular involvement: portal vein (PV) 24.7%, hepatic vein (HV) 22.6% inferior vena cava (IVC) 13.4%. Significant stenosis/occlusion of vessels was present in 15.1% of PV, in 13.4% of HV and in 7.5% of IVC involvement. Vascular pathology needing specific treatment or monitoring was present in 8.6% of patients. The most frequent clinical presentation was high grade IVC stenosis or occlusion which was seen in 11 patients of the cohort.
    Conclusion: Advanced AE requires early multidisciplinary assessment to prevent progressive impairment of liver function due to vascular damage. The focus at first presentation is on complete evaluation of vascular (and biliary) involvement. The focus in non-resectable AE is on prevention of vascular (and biliary) complications while suppressing growth of AE lesions by benzimidazole treatment to improve the quality of life of patients. We developed a framework for standardised vascular assessment and follow-up of patients with AE to recognise and treat complications early.
    MeSH term(s) Humans ; Echinococcosis, Hepatic/complications ; Echinococcosis, Hepatic/diagnosis ; Retrospective Studies ; Constriction, Pathologic/complications ; Quality of Life
    Language English
    Publishing date 2023-08-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2054-4774
    ISSN 2054-4774
    DOI 10.1136/bmjgast-2023-001181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Book: Notfall-Handbuch Gifttiere

    Junghanss, Thomas / Bodio, Mauro

    Diagnose - Therapie - Biologie ; 99 Tabellen

    1996  

    Author's details Thomas Junghanss und Mauro Bodio
    Keywords Animals, Poisonous / classification ; Poisoning / diagnosis ; Poisoning / therapy ; First Aid ; Gifttiere ; Tiergift ; Notfalltherapie
    Subject Tierisches Gift ; Giftige Tiere
    Language German
    Size IX, 646 S. : Ill., Kt.
    Publisher Thieme
    Publishing place Stuttgart u.a.
    Document type Book
    HBZ-ID HT007105463
    ISBN 3-13-100441-X ; 978-3-13-100441-3
    Database Catalogue ZB MED Medicine, Health

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  8. Article ; Online: Tropenmedizin im Zeitalter hoher globaler Mobilität.

    Mickan, Christina / Junghanss, Thomas / Stojkovic, Marija

    Deutsche medizinische Wochenschrift (1946)

    2019  Volume 144, Issue 17, Page(s) e109–e113

    Abstract: Introduction: Schistosomiasis is one of the most common parasitic diseases worldwide. If left untreated, intestinal (Schistosoma mansoni, S. japonicum, S. mekongi) and urogenital (S. haematobium) chronic disease manifestations occur depending on the ... ...

    Title translation Tropical Medicine in an Age of High Global Mobility - Schistosomiasis in a School Class after Travel to Rwanda.
    Abstract Introduction: Schistosomiasis is one of the most common parasitic diseases worldwide. If left untreated, intestinal (Schistosoma mansoni, S. japonicum, S. mekongi) and urogenital (S. haematobium) chronic disease manifestations occur depending on the parasite load. The early phase however is characterized by fever and an immune-complex-mediated illness. Long-distance travel to tropical regions is on the rise, academic partnerships and humanitarian missions take even young people to developing countries.
    Methods: 12 students from a German secondary school had fresh water exposure during a 14-day school trip to Rwanda in Lake Kivu in the west of the country. After returning to Germany, one of the students fell ill with acute schistosomiasis (Katayama syndrome), which led to examination of the other students. WBC, differential blood count, serology for schistosomal antibodies and ova detection in urine and stool were performed on first presentation and 6 and 12 months after therapy.
    Results: Positive antibody results indicated infection in all students, eosinophilia was found in 9 patients, ova of S. mansoni were detected in 3 cases. At presentation in our outpatient department 11 of the 12 students were asymptomatic. All patients received therapy with praziquantel.
    Discussion: Tropical diseases will further increase due to high global mobility. For their prevention and diagnosis physicians need to be sensitized beyond subject specific units. We describe an outbreak of schistosomiasis in a school class to sensitize physicians outside endemic areas. Since the disease is often asymptomatic a high number of unrecognized infections and illnesses can be assumed. When suspecting or treating schistosomiasis, a specialized center should always be consulted.
    MeSH term(s) Adolescent ; Animals ; Eosinophilia ; Female ; Germany ; Humans ; Male ; Praziquantel/therapeutic use ; Rwanda ; Schistosoma mansoni ; Schistosomiasis/diagnosis ; Schistosomiasis/drug therapy ; Schistosomiasis/parasitology ; Schistosomiasis/physiopathology ; Students ; Travel ; Tropical Medicine
    Chemical Substances Praziquantel (6490C9U457)
    Language German
    Publishing date 2019-05-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-0852-4783
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book ; Online ; Thesis: Behandlungsergebnisse von Keimzelltumoren des Hodens

    Koppe, Simon Thomas [Verfasser] / Hakenberg, Oliver [Gutachter] / Kliesch, Sabine [Gutachter] / Junghanß, Christian [Gutachter]

    eine retrospektive Studie im Zeitraum von 2000 - 2015 an der Klinik für Urologie der Universitätsmedizin Rostock.

    2020  

    Author's details Simon Thomas Koppe ; Gutachter: Oliver Hakenberg, Sabine Kliesch, Christian Junghanß
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language German
    Publisher Universität Rostock
    Publishing place Rostock
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  10. Article ; Online: Clinical management of cystic echinococcosis: state of the art and perspectives.

    Stojković, Marija / Weber, Tim F / Junghanss, Thomas

    Current opinion in infectious diseases

    2018  Volume 31, Issue 5, Page(s) 383–392

    Abstract: Purpose of review: This review draws attention to patients with cystic echinococcosis migrating from highly endemic to non-endemic countries with limited experience in cystic echinococcosis management, to ultrasound-based cyst staging, and to the WHO ... ...

    Abstract Purpose of review: This review draws attention to patients with cystic echinococcosis migrating from highly endemic to non-endemic countries with limited experience in cystic echinococcosis management, to ultrasound-based cyst staging, and to the WHO cyst classification as a powerful, to date underused tool to triage patients into the four currently available treatment modalities.
    Recent findings: In non- and low-prevalence countries, cystic echinococcosis is often misclassified. Differential diagnoses, such as simple cysts and other benign and malignant space-occupying lesions, have similar appearances on imaging. Serology is confirmatory but often disappointing due to sensitivity and specificity problems. There is increasing confidence in assigning uncomplicated cystic echinococcosis cysts to the four treatment modalities [drug treatment (benzimidazoles), percutaneous methods, surgery, watch and wait] on the basis of cyst stage (WHO cyst classification), size and location. However, current best practice is still not widely implemented outside cystic echinococcosis treatment centres, and further consolidation is needed by well-designed clinical trials. Recently published long-term follow-up studies have shown that patients with inactive cyst stages CE4 and CE5 benefit, especially since they do not need any treatment at all if they have not received prior benzimidazole or percutaneous therapy. Instead, cysts that have reached cyst stages CE4 and CE5 through drug treatment do need careful follow-up as they often relapse. Surgical procedures in which the cysts are opened and percutaneous approaches require very careful control of cyst content spillage to the peritoneum, pleura and intravascularly to prevent dissemination - a still too often neglected issue with severe consequences for patients.
    Summary: Though a neglected disease with predominantly expert-opinion-based treatment strategies, cystic echinococcosis patients can greatly benefit from interdisciplinary management in cystic echinococcosis treatment centres and cyst-stage-based assignment of treatment modalities. Increased suspicion for cystic echinococcosis in migrants from endemic to non-endemic countries is urgently needed at the current level of global mobility.
    MeSH term(s) Anthelmintics/therapeutic use ; Diagnostic Tests, Routine/methods ; Disease Management ; Echinococcosis/diagnosis ; Echinococcosis/therapy ; Humans ; Surgical Procedures, Operative/methods
    Chemical Substances Anthelmintics
    Language English
    Publishing date 2018-07-29
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645085-4
    ISSN 1473-6527 ; 1535-3877 ; 0951-7375 ; 1355-834X
    ISSN (online) 1473-6527 ; 1535-3877
    ISSN 0951-7375 ; 1355-834X
    DOI 10.1097/QCO.0000000000000485
    Database MEDical Literature Analysis and Retrieval System OnLINE

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