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  1. Book ; Online: Platons Patient

    Walker, Andreas

    ein Beitrag zur Archäologie des Arzt-Patienten-Verhältnisses

    (Schriftenreihe Medizin - Ethik - Recht ; 18)

    2010  

    Author's details Andreas Walker. Martin-Luther-Universität Halle-Wittenberg, Interdisziplinäres Zentrum Medizin-Ethik-Recht. Hrsg. von Hans Lilie
    Series title Schriftenreihe Medizin - Ethik - Recht ; 18
    Collection
    Subject code 610
    Language German
    Size 43 S.
    Publisher Martin-Luther-Universität Halle-Wittenberg, Interdisziplinäres Zentrum Medizin-Ethik-Recht
    Publishing place Halle (Saale)
    Publishing country Germany
    Document type Book ; Online
    HBZ-ID HT017125688
    ISBN 978-3-86829-235-0 ; 3-86829-235-7
    DOI 10.4126/38m-004406622
    Database Repository for Life Sciences

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  2. Article ; Online: Medical decision-making in hospices from the viewpoint of physicians: results from two qualitative studies.

    Walker, Andreas / Breitsameter, Christof

    BMC palliative care

    2022  Volume 21, Issue 1, Page(s) 158

    Abstract: Background: Physicians who practice in a hospice are responsible for working with patients and nursing staff to develop a medication plan, monitor symptoms and pain, and adjust medication if necessary. In inpatient hospices in Germany, physicians are ... ...

    Abstract Background: Physicians who practice in a hospice are responsible for working with patients and nursing staff to develop a medication plan, monitor symptoms and pain, and adjust medication if necessary. In inpatient hospices in Germany, physicians are part of a multi-professional approach, but not part of the hospice team itself. However, there is no, or hardly any, literature on medical practice in a hospice setting. Therefore, we wanted to know how physicians reflect upon their role in hospice within a multi-professional setting, how they communicate with patients, relatives, nursing staff and other physicians, and what the limitations of these communication processes are.
    Methods: By means of two qualitative studies we explored how physicians classify their activities as part of the hospice organization. The study design followed Grounded Theory procedures.
    Results: The physicians named an appropriate interpretation of the patient's wishes as the challenge of everyday practice which can lead to differences of perspective with those involved: with nursing staff, who would prefer an alternative form of medication, with relatives, who do not accept that the patient refuses nutrition, with other physicians, who have a different opinion about appropriate treatment. For physicians, this is all the more challenging as communication with the patient becomes increasingly uncertain due to the patient's illness. Again and again, medical measures have to be negotiated on several levels.
    Conclusion: Multi-professional organizations that have to deal with differences in perspective handle them by clearly distinguishing areas of responsibility, an aspect that physicians also claim for themselves. For physicians the question arises repeatedly whether they have correctly interpreted the wishes of the patient. They must continuously reassure themselves of the patient's wishes and this presents them with communication challenges not only with the patient, but also with the nursing staff and relatives and, more recently, with their colleagues.
    MeSH term(s) Clinical Decision-Making ; Hospice Care ; Hospices ; Humans ; Physicians ; Qualitative Research
    Language English
    Publishing date 2022-09-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091556-1
    ISSN 1472-684X ; 1472-684X
    ISSN (online) 1472-684X
    ISSN 1472-684X
    DOI 10.1186/s12904-022-00999-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Zur Narrativierung des "guten" Sterbens

    Walker, Andreas

    Zeitschrift fuer Medizin-Ethik-Recht

    2017  Volume 8, Issue 1, Page(s) 89–100

    Title translation On narrativization of "good" dying
    Keywords attitudes to death ; death ; philosophy ; principle-based ethics ; morality ; terminal care ; palliative care ; hospices ; communication ; jesus christus ; socrates <philosophus> (v469 - v399)
    Subject code AN
    Language German
    Document type Article
    ZDB-ID 2671101-1
    ISSN 2194-377X ; 2194-3761
    ISSN (online) 2194-377X
    ISSN 2194-3761
    Database Ethics in Medicine (ETHMED)

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  4. Book: Differentielle Proteomanalyse in einem Modell der Epileptogenese

    Walker, Andreas Gerhard

    Regulation inflammations-assoziierter Proteine

    2016  

    Author's details von Andreas Gerhard Walker
    Language German
    Size 139 Seiten, Diagramme, Illustrationen
    Publisher Ludwig-Maximilians-Universität München
    Publishing place München
    Document type Book
    Database Special collection on veterinary medicine and general parasitology

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  5. Article ; Online: The Provision of Spiritual Care in Hospices: A Study in Four Hospices in North Rhine-Westphalia.

    Walker, Andreas / Breitsameter, Christof

    Journal of religion and health

    2017  Volume 56, Issue 6, Page(s) 2237–2250

    Abstract: This article considers the role and the practices of spiritual care in hospices. While spiritual care was firmly established as one of the four pillars of practical hospice care alongside medical, psychological and social care by Cicely Saunders, the ... ...

    Abstract This article considers the role and the practices of spiritual care in hospices. While spiritual care was firmly established as one of the four pillars of practical hospice care alongside medical, psychological and social care by Cicely Saunders, the importance and functions of spiritual care in daily practice remain arguable. When speaking about spirituality, what are we actually speaking about? What form do the spiritual relations take between full-time staff and volunteers on the one hand, and the patients and their family members on the other? These were central questions of a qualitative study that we carried out in four hospices in North Rhine-Westphalia, Germany, to explore how spiritual care is provided in hospices and what significance spirituality has in hospices. The study shows that the advantages of a broader definition of spirituality lie in "spiritual care" no longer being bound to one single profession, namely that of the chaplain. It also opens the way for nurses and volunteers-irrespective of their own religious beliefs-to provide spiritual end-of-life care to patients in hospices. If the hospice nurses and volunteers were able to mitigate the patients' fear not only by using medications but also in a psychosocial or spiritual respect, then they saw this as a successful psychological and spiritual guidance. The spiritual guidance is to some degree independent of religious belief because it refers to a "spirit" or "inner core" of human beings. But this guidance needs assistance from professional knowledge considering religious rituals if the patients are deeply rooted in a (non-Christian) religion. Here, the lack of knowledge could be eliminated by further education as an essential but not sufficient condition.
    MeSH term(s) Family/psychology ; Female ; Germany ; Health Personnel/psychology ; Hospice Care/methods ; Hospice Care/psychology ; Hospices ; Humans ; Male ; Nurses/psychology ; Spirituality ; Volunteers/psychology
    Language English
    Publishing date 2017-12
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2017250-3
    ISSN 1573-6571 ; 0022-4197
    ISSN (online) 1573-6571
    ISSN 0022-4197
    DOI 10.1007/s10943-017-0396-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Disease Course and Pulmonary Involvement of COVID-19 during the Delta Variant Period in Germany: A Comparative Study of Vaccinated and Unvaccinated Patients at a Tertiary Hospital.

    Steuwe, Andrea / Ljimani, Alexandra / Andree, Marcel / Wienemann, Tobias / Lübke, Nadine / Walker, Andreas / Ole Jensen, Björn-Erik / The Racoon Study Group / Radke, Karl Ludger / Antoch, Gerald / Valentin, Birte

    Current medical imaging

    2024  

    Abstract: ... Background: Despite the availability of vaccines, there is an increasing number of SARS-CoV-2-breakthrough-infections.: Objective: The aim of this study was to determine whether there is a radiological difference in lung parenchymal involvement ... ...

    Abstract

    Background: Despite the availability of vaccines, there is an increasing number of SARS-CoV-2-breakthrough-infections.
    Objective: The aim of this study was to determine whether there is a radiological difference in lung parenchymal involvement between infected vaccinated and unvaccinated patients. Additionally, we aimed to investigate whether vaccination has an impact on the course of illness and the need for intensive care.
    Methods: This study includes all patients undergoing chest computed tomography (CT) or x-ray imaging in case of a proven SARS-CoV-2 infection between September and November 2021. Anonymized CT and x-ray images were reviewed retrospectively and in consensus by two radiologists, applying an internal severity score scheme for CT and x-ray as well as CARE and BRIXIA scores for x-ray. Radiological findings were compared to vaccination status, comorbidities, inpatient course of the patient's illness and the subjective onset of symptoms.
    Results: In total, 38 patients with acute SARS-CoV-2 infection underwent a CT scan, and 168 patients underwent an x-ray examination during the study period. Of these, 32% were vaccinated in the CT group, and 45% in the x-ray group. For the latter, vaccinated patients exhibited significantly more comorbidities (cardiovascular (p=0.002), haemato-oncological diseases (p=0.016), immunosuppression (p=0.004)), and a higher age (p<0.001). Vaccinated groups showed significantly lower extent of lung involvement (severity scores in CT cohort and x-ray cohort both p≤0.020; ARDS 42% in unvaccinated CT cohort vs. 8% in vaccinated CT cohort). Furthermore, vaccinated patients in the CT cohort had significantly less need for intensive care treatment (p=0.040).
    Conclusion: Our data suggest that vaccination, in the case of breakthrough infection, favours a milder course of illness concerning lung parenchymal involvement and the need for intensive care, despite negative predictors, such as immunosuppression or other pre-existing conditions.

    .
    Language English
    Publishing date 2024-02-26
    Publishing country United Arab Emirates
    Document type Journal Article
    ISSN 1573-4056
    ISSN (online) 1573-4056
    DOI 10.2174/0115734056282920231212104602
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Real-world performance of the NeuMoDx™ HCV Quant Test for quantification of hepatitis C virus (HCV)-RNA.

    Lübke, Nadine / Walker, Andreas / Obermeier, Martin / Camdereli, Jennifer / Paluschinski, Martha / Walotka, Lara / Schupp, Anna-Kathrin / Tometten, Inga / Hauka, Sandra / Heger, Eva / Timm, Jörg

    Journal of virological methods

    2024  Volume 327, Page(s) 114937

    Abstract: Quantification of hepatitis C virus (HCV)-RNA in serum or plasma samples is an essential parameter in HCV diagnostics. Here, the NeuMoDx™Molecular System (Qiagen) was tested for the most common HCV genotypes and compared to the cobas c6800 system (Roche). ...

    Abstract Quantification of hepatitis C virus (HCV)-RNA in serum or plasma samples is an essential parameter in HCV diagnostics. Here, the NeuMoDx™Molecular System (Qiagen) was tested for the most common HCV genotypes and compared to the cobas c6800 system (Roche). HCV-RNA from 131 plasma/serum samples from chronically infected patients was determined in parallel on the NeuMoDx and c6800 systems. Linearity was analysed using the four most common HCV genotypes (1-4) in our cohort. The coefficient of variation (CV) within (intra-assay) and between (inter-assay) runs was calculated based on HCV-RNA concentration. Quantitative HCV-RNA results were highly correlated on both test systems (R
    Language English
    Publishing date 2024-04-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 8013-5
    ISSN 1879-0984 ; 0166-0934
    ISSN (online) 1879-0984
    ISSN 0166-0934
    DOI 10.1016/j.jviromet.2024.114937
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: TI: Zur Narrativierung des "guten" Sterbens

    AU: Walker, Andreas / EDR:

    JT: Zeitschrift fuer Medizin-Ethik-Recht

    (SE:)

    PY: 2017  Volume VOLUME / ISSUE: 8, Issue 1, Page(s) PAGINATION: 89–100

    Abstract: AB: ...

    Title translation TITLE TRANSLATION: (On narrativization of "good" dying)
    Institution CS:
    Series title SE:
    Abstract AB:
    Keywords it: attitudes to death ; death ; philosophy ; principle-based ethics ; morality ; terminal care ; palliative care ; hospices ; communication ; keyword identifiers: jesus christus ; socrates <philosophus> (v469 - v399)
    Subject code SC: AN
    Language Latin ; German
    Publisher PU:
    Document type Article
    Note NOTE:
    ISSN ISSN: 2194-377X
    Database Ethics in Medicine (ETHMED)

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  9. Article: Denkraeume der Autonomie

    Walker, Andreas

    Zeitschrift fuer Medizin-Ethik-Recht

    2013  Volume 4, Issue 1, Page(s) 76–82

    Title translation Conceptual spaces of autonomy
    Keywords autonomy ; terminology ; philosophy ; politics ; plato (v427-v347) ; kant, immanuel (1724-1804)
    Subject code AN
    Language German
    Document type Article
    ZDB-ID 2671101-1
    ISSN 2194-377X ; 2194-3761
    ISSN (online) 2194-377X
    ISSN 2194-3761
    Database Ethics in Medicine (ETHMED)

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  10. Article ; Conference proceedings: ‘Accidental functional cure’: HBsAg loss in a HBV/HDV/HIV-coinfected patient upon non-adherence to treatment with nucleos(t)ide-analogues

    Killer, Alexander / Park, Paul / Goeke, Daniel / Luebke, Nadine / Walker, Andreas / Timm, Jörg / Jensen, Bjoern-Erik Ole / Lüdde, Tom / Bock, Hans Heinrich

    Zeitschrift für Gastroenterologie

    2024  Volume 62, Issue 01

    Event/congress 40. Jahrestagung der Deutschen Arbeitsgemeinschaft zum Studium der Leber, Haus der Technik e.V., Essen, 2024-01-26
    Language German
    Publishing date 2024-01-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 201387-3
    ISSN 1439-7803 ; 0044-2771 ; 0172-8504
    ISSN (online) 1439-7803
    ISSN 0044-2771 ; 0172-8504
    DOI 10.1055/s-0043-1777660
    Database Thieme publisher's database

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