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Related Concept Videos

Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

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Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Genome-wide Association Studies-GWAS01:11

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Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
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[Rheumatology training positions in Germany].

Alexander Pfeil1,2, Martin Krusche3,4, Fabian Proft3,5

  • 1Kommission Fort- und Weiterbildung der Deutschen Gesellschaft für Rheumatologie, Berlin, Deutschland. alexander.pfeil@med.uni-jena.de.

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Summary

Germany faces a shortage of rheumatology training positions, particularly in outpatient settings. Addressing this requires integrating outpatient care into training programs to ensure sufficient rheumatological care for millions of patients.

Keywords:
Advanced trainingClinical sectorOutpatient sectorSpeciality of internal medicine and rheumatologyTraining location

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Area of Science:

  • Rheumatology
  • Medical Education
  • Healthcare Workforce Planning

Context:

  • Impending retirements of general practitioners and specialists necessitate a review of rheumatology training capacity in Germany.
  • The German Society of Rheumatology (DGRh) initiated a quantitative survey to assess available training positions.

Purpose:

  • To conduct a nationwide quantitative survey of training capacities for specialists in internal medicine and rheumatology in Germany.
  • To identify the number of available and occupied training positions in both clinical and outpatient sectors.

Summary:

  • A survey of 187 training sites revealed 229 centers for rheumatology training in Germany.
  • A total of 478.4 training positions exist, with 391.4 in the clinical sector and 87 in the outpatient sector.
  • 17.2% of all positions are unoccupied, with a significant 43.1% vacancy rate in outpatient training.

Impact:

  • Most training positions are in the clinical sector, while outpatient training faces substantial underfill.
  • Integrating outpatient colleagues into training programs is crucial for improving the training situation.
  • Ensuring sufficient rheumatological care for approximately 2 million patients with inflammatory rheumatic diseases requires addressing these training gaps and healthcare system support.