Skip to main content

2018 | OriginalPaper | Buchkapitel

10. Immunsystem

verfasst von : Erich Roth, Barbara Schober-Halper, Barbara Wessner

Erschienen in: Molekulare Sport- und Leistungsphysiologie

Verlag: Springer Vienna

Zusammenfassung

In der Immunologie wird die Abwehr einer Infektion durch den Körper untersucht. Der Mensch ist ständig umgeben von Mikroorganismen, die Krankheiten verursachen können. Das Immunsystem vollführt ein geniales Abwehrprogramm, damit der Mensch trotz ständiger Gefahren nur selten krank wird. Darüber hinaus verfügt unser Körper über die Fähigkeit, sich Infektionskrankheiten, von denen wir einmal betroffen waren, zu merken und eine lang andauernde Immunität dagegen zu entwickeln. Dieses Kapitel beschäftigt sich im ersten Teil mit den Grundlagen des Immunsystems sowie dem akut ablaufenden und erworbenen Immunsystem. Im zweiten Abschnitt werden der Einfluss von akuten und länger andauernden sportlichen Belastungen auf das Immunsystem und einige Studien zu diesem Thema beschrieben. Im letzten Teil dieses Kapitels beschäftigen wir uns mit Inaktivität und dessen Einfluss auf Erkrankungen wie Diabetes, Karzinome, Alter usw. Hier spielt das Immunsystem eine tragende Rolle, weil sowohl durch die Inaktivität selbst sowie auch durch diverse Krankheiten die Immunfunktion verändert bzw. beeinträchtigt ist.
Literatur
[1]
Zurück zum Zitat Walsh NP et al. (2011) Position statement. Part one: Immune function and exercise. Exerc Immunol Rev. 17: p. 6–63PubMed Walsh NP et al. (2011) Position statement. Part one: Immune function and exercise. Exerc Immunol Rev. 17: p. 6–63PubMed
[2]
[3]
Zurück zum Zitat Nieman DC (2000) Exercise immunology: future directions for research related to athletes, nutrition, and the elderly. Int J Sports Med. 21 Suppl 1: p. S61–8 Nieman DC (2000) Exercise immunology: future directions for research related to athletes, nutrition, and the elderly. Int J Sports Med. 21 Suppl 1: p. S61–8
[4]
Zurück zum Zitat Weineck J (ed.) (2009) Optimales Training: Leistungsphysiologische Trainingslehre unter besonderer Berücksichtigung des Kinder- und Jugendtrainings. Vol. 16. Auflage. 1098 Weineck J (ed.) (2009) Optimales Training: Leistungsphysiologische Trainingslehre unter besonderer Berücksichtigung des Kinder- und Jugendtrainings. Vol. 16. Auflage. 1098
[5]
Zurück zum Zitat Bruunsgaard H et al. (2003) Elevated levels of tumor necrosis factor alpha and mortality in centenarians. Am J Med. 115(4): p. 278–83CrossRefPubMed Bruunsgaard H et al. (2003) Elevated levels of tumor necrosis factor alpha and mortality in centenarians. Am J Med. 115(4): p. 278–83CrossRefPubMed
[6]
Zurück zum Zitat Garcia Lizana F (2012) European innovation partnership on active and healthy aging: moving from policy to action. Gac Sanit Garcia Lizana F (2012) European innovation partnership on active and healthy aging: moving from policy to action. Gac Sanit
[7]
Zurück zum Zitat Moreira A et al. (2009) Does exercise increase the risk of upper respiratory tract infections? Br Med Bull. 90: p. 111–31CrossRefPubMed Moreira A et al. (2009) Does exercise increase the risk of upper respiratory tract infections? Br Med Bull. 90: p. 111–31CrossRefPubMed
[8]
Zurück zum Zitat Iwata M, Ota KT, Duman RS (2012) The inflammasome: Pathways linking psychological stress, depression, and systemic illnesses. Brain Behav Immun Iwata M, Ota KT, Duman RS (2012) The inflammasome: Pathways linking psychological stress, depression, and systemic illnesses. Brain Behav Immun
[9]
Zurück zum Zitat Murphy KM, Travers P, Walport M (2009) Janeway Immunologie. Heidelberg. 1063 Murphy KM, Travers P, Walport M (2009) Janeway Immunologie. Heidelberg. 1063
[10]
Zurück zum Zitat Schütt CB, Bröker B (2009) Grundwissen Immunologie. 279 Schütt CB, Bröker B (2009) Grundwissen Immunologie. 279
[11]
Zurück zum Zitat Gleeson M et al. (2011) Daily probiotic's (Lactobacillus casei Shirota) reduction of infection incidence in athletes. Int J Sport Nutr Exerc Metab. 21(1): p. 55–64CrossRefPubMed Gleeson M et al. (2011) Daily probiotic's (Lactobacillus casei Shirota) reduction of infection incidence in athletes. Int J Sport Nutr Exerc Metab. 21(1): p. 55–64CrossRefPubMed
[12]
13.
Zurück zum Zitat Luttmann W, Bratke K, Kupper M, Myrtek D (2009) Der Experimentator Immunologie. Spektrum Akademischer Verlag; 3. Aufl. p. 324 Luttmann W, Bratke K, Kupper M, Myrtek D (2009) Der Experimentator Immunologie. Spektrum Akademischer Verlag; 3. Aufl. p. 324
[14]
Zurück zum Zitat Gimenez M et al. (1986) Leukocyte, lymphocyte and platelet response to dynamic exercise. Duration or intensity effect? Eur J Appl Physiol Occup Physiol. 55(5): p. 465–70 Gimenez M et al. (1986) Leukocyte, lymphocyte and platelet response to dynamic exercise. Duration or intensity effect? Eur J Appl Physiol Occup Physiol. 55(5): p. 465–70
[15]
Zurück zum Zitat Nieman DC et al. (1998) Effects of mode and carbohydrate on the granulocyte and monocyte response to intensive, prolonged exercise. J Appl Physiol. 84(4): p. 1252–9PubMed Nieman DC et al. (1998) Effects of mode and carbohydrate on the granulocyte and monocyte response to intensive, prolonged exercise. J Appl Physiol. 84(4): p. 1252–9PubMed
[16]
Zurück zum Zitat Weineck J (ed.) (2010) Sportbiologie. Vol. 10. überarbeitete Auflage. Balingen: Spitta. 1141 Weineck J (ed.) (2010) Sportbiologie. Vol. 10. überarbeitete Auflage. Balingen: Spitta. 1141
[17]
Zurück zum Zitat Gabriel HH, Kindermann W (1998) Adhesion molecules during immune response to exercise. Can J Physiol Pharmacol. 76(5): p. 512–23CrossRefPubMed Gabriel HH, Kindermann W (1998) Adhesion molecules during immune response to exercise. Can J Physiol Pharmacol. 76(5): p. 512–23CrossRefPubMed
[18]
Zurück zum Zitat Gabriel HH, Urhausen A, Kindermann W (1991) Circulating leucocyte and lymphocyte subpopulations before and after intensive endurance exercise to exhaustion. Eur J Appl Physiol Occup Physiol. 63(6): p. 449–57CrossRefPubMed Gabriel HH, Urhausen A, Kindermann W (1991) Circulating leucocyte and lymphocyte subpopulations before and after intensive endurance exercise to exhaustion. Eur J Appl Physiol Occup Physiol. 63(6): p. 449–57CrossRefPubMed
[19]
Zurück zum Zitat Blannin AK et al. (1996) Effects of submaximal cycling and long-term endurance training on neutrophil phagocytic activity in middle aged men. Br J Sports Med. 30(2): p. 125–9CrossRefPubMedPubMedCentral Blannin AK et al. (1996) Effects of submaximal cycling and long-term endurance training on neutrophil phagocytic activity in middle aged men. Br J Sports Med. 30(2): p. 125–9CrossRefPubMedPubMedCentral
[20]
Zurück zum Zitat Li TL, Cheng PY (2007) Alterations of immunoendocrine responses during the recovery period after acute prolonged cycling. Eur J Appl Physiol. 101(5): p. 539–46CrossRefPubMed Li TL, Cheng PY (2007) Alterations of immunoendocrine responses during the recovery period after acute prolonged cycling. Eur J Appl Physiol. 101(5): p. 539–46CrossRefPubMed
[21]
Zurück zum Zitat Chinda D et al. (2003) A competitive marathon race decreases neutrophil functions in athletes. Luminescence. 18(6): p. 324–9CrossRefPubMed Chinda D et al. (2003) A competitive marathon race decreases neutrophil functions in athletes. Luminescence. 18(6): p. 324–9CrossRefPubMed
[22]
Zurück zum Zitat Lancaster GI et al. (2005) The physiological regulation of toll-like receptor expression and function in humans. J Physiol. 563 (Pt 3): p. 945–55CrossRefPubMedPubMedCentral Lancaster GI et al. (2005) The physiological regulation of toll-like receptor expression and function in humans. J Physiol. 563 (Pt 3): p. 945–55CrossRefPubMedPubMedCentral
[23]
Zurück zum Zitat Nieman DC et al. (1994) Effect of high- versus moderate-intensity exercise on lymphocyte subpopulations and proliferative response. Int J Sports Med. 15(4): p. 199–206CrossRefPubMed Nieman DC et al. (1994) Effect of high- versus moderate-intensity exercise on lymphocyte subpopulations and proliferative response. Int J Sports Med. 15(4): p. 199–206CrossRefPubMed
[24]
Zurück zum Zitat Haahr PM et al. (1991) Effect of physical exercise on in vitro production of interleukin 1, interleukin 6, tumour necrosis factor-alpha, interleukin 2 and interferon-gamma. Int J Sports Med. 12(2): p. 223–7CrossRefPubMed Haahr PM et al. (1991) Effect of physical exercise on in vitro production of interleukin 1, interleukin 6, tumour necrosis factor-alpha, interleukin 2 and interferon-gamma. Int J Sports Med. 12(2): p. 223–7CrossRefPubMed
[25]
Zurück zum Zitat Nehlsen-Cannarella SL et al. (1991) The effects of acute moderate exercise on lymphocyte function and serum immunoglobulin levels. Int J Sports Med. 12(4): p. 391–8CrossRefPubMed Nehlsen-Cannarella SL et al. (1991) The effects of acute moderate exercise on lymphocyte function and serum immunoglobulin levels. Int J Sports Med. 12(4): p. 391–8CrossRefPubMed
[26]
Zurück zum Zitat Pyne D.B et al. (2001) Mucosal immunity, respiratory illness, and competitive performance in elite swimmers. Med Sci Sports Exerc. 33(3): p. 348–53CrossRefPubMed Pyne D.B et al. (2001) Mucosal immunity, respiratory illness, and competitive performance in elite swimmers. Med Sci Sports Exerc. 33(3): p. 348–53CrossRefPubMed
[27]
Zurück zum Zitat West NP et al. (2010) The effect of exercise on innate mucosal immunity. Br J Sports Med. 44(4): p. 227–31CrossRefPubMed West NP et al. (2010) The effect of exercise on innate mucosal immunity. Br J Sports Med. 44(4): p. 227–31CrossRefPubMed
[28]
[29]
Zurück zum Zitat Pillon NJ et al. (2013) Cross-talk between skeletal muscle and immune cells: muscle-derived mediators and metabolic implications. Am J Physiol Endocrinol Metab. 304(5): p. E453–65CrossRef Pillon NJ et al. (2013) Cross-talk between skeletal muscle and immune cells: muscle-derived mediators and metabolic implications. Am J Physiol Endocrinol Metab. 304(5): p. E453–65CrossRef
[30]
Zurück zum Zitat Northoff H, Berg A (1991) Immunologic mediators as parameters of the reaction to strenuous exercise. Int J Sports Med. 12 Suppl 1: p. S9–15CrossRef Northoff H, Berg A (1991) Immunologic mediators as parameters of the reaction to strenuous exercise. Int J Sports Med. 12 Suppl 1: p. S9–15CrossRef
[31]
Zurück zum Zitat Ostrowski K et al. (2001) Chemokines are elevated in plasma after strenuous exercise in humans. Eur J Appl Physiol. 84(3): p. 244–5CrossRefPubMed Ostrowski K et al. (2001) Chemokines are elevated in plasma after strenuous exercise in humans. Eur J Appl Physiol. 84(3): p. 244–5CrossRefPubMed
[32]
Zurück zum Zitat Ostapiuk-Karolczuk J et al. (2012) Cytokines and cellular inflammatory sequence in non-athletes after prolonged exercise. J Sports Med Phys Fitness. 52(5): p. 563–8PubMed Ostapiuk-Karolczuk J et al. (2012) Cytokines and cellular inflammatory sequence in non-athletes after prolonged exercise. J Sports Med Phys Fitness. 52(5): p. 563–8PubMed
[33]
Zurück zum Zitat Pedersen BK, Febbraio MA (2008) Muscle as an endocrine organ: focus on muscle-derived interleukin-6. Physiol Rev. 88(4): p. 1379–406CrossRefPubMed Pedersen BK, Febbraio MA (2008) Muscle as an endocrine organ: focus on muscle-derived interleukin-6. Physiol Rev. 88(4): p. 1379–406CrossRefPubMed
[34]
Zurück zum Zitat Noble EG, Shen GX (2012) Impact of exercise and metabolic disorders on heat shock proteins and vascular inflammation. Autoimmune Dis. 2012: p. 836519PubMedPubMedCentral Noble EG, Shen GX (2012) Impact of exercise and metabolic disorders on heat shock proteins and vascular inflammation. Autoimmune Dis. 2012: p. 836519PubMedPubMedCentral
[35]
Zurück zum Zitat Carins J, Booth C (2002) Salivary immunoglobulin-A as a marker of stress during strenuous physical training. Aviat Space Environ Med. 73(12): p. 1203–7PubMed Carins J, Booth C (2002) Salivary immunoglobulin-A as a marker of stress during strenuous physical training. Aviat Space Environ Med. 73(12): p. 1203–7PubMed
[36]
Zurück zum Zitat Lancaster GI et al. (2004) Effects of acute exhaustive exercise and chronic exercise training on type 1 and type 2 T lymphocytes. Exerc Immunol Rev. 10: p. 91–106PubMed Lancaster GI et al. (2004) Effects of acute exhaustive exercise and chronic exercise training on type 1 and type 2 T lymphocytes. Exerc Immunol Rev. 10: p. 91–106PubMed
[37]
[38]
[39]
Zurück zum Zitat Cox AJ et al. (2008) Clinical and laboratory evaluation of upper respiratory symptoms in elite athletes. Clin J Sport Med. 18(5): p. 438–45CrossRefPubMed Cox AJ et al. (2008) Clinical and laboratory evaluation of upper respiratory symptoms in elite athletes. Clin J Sport Med. 18(5): p. 438–45CrossRefPubMed
[40]
Zurück zum Zitat Matthews CE et al. (2002) Moderate to vigorous physical activity and risk of upper-respiratory tract infection. Med Sci Sports Exerc. 34(8): p. 1242–8CrossRefPubMed Matthews CE et al. (2002) Moderate to vigorous physical activity and risk of upper-respiratory tract infection. Med Sci Sports Exerc. 34(8): p. 1242–8CrossRefPubMed
[41]
Zurück zum Zitat Nieman DC et al. (2006) Relationship between salivary IgA secretion and upper respiratory tract infection following a 160-km race. J Sports Med Phys Fitness. 46(1): p. 158–62PubMed Nieman DC et al. (2006) Relationship between salivary IgA secretion and upper respiratory tract infection following a 160-km race. J Sports Med Phys Fitness. 46(1): p. 158–62PubMed
[42]
Zurück zum Zitat Newsholme EA (1994) Biochemical mechanisms to explain immunosuppression in well-trained and overtrained athletes. Int J Sports Med. 15 Suppl 3: p. S142–7CrossRef Newsholme EA (1994) Biochemical mechanisms to explain immunosuppression in well-trained and overtrained athletes. Int J Sports Med. 15 Suppl 3: p. S142–7CrossRef
[43]
Zurück zum Zitat Lakier Smith L (2003) Overtraining, excessive exercise, and altered immunity: is this a T helper-1 versus T helper-2 lymphocyte response? Sports Med. 33(5): p. 347–64CrossRefPubMed Lakier Smith L (2003) Overtraining, excessive exercise, and altered immunity: is this a T helper-1 versus T helper-2 lymphocyte response? Sports Med. 33(5): p. 347–64CrossRefPubMed
[44]
Zurück zum Zitat Steinacker JM et al. (2005) Thyroid hormones, cytokines, physical training and metabolic control. Horm Metab Res. 37(9): p. 538–4CrossRefPubMed Steinacker JM et al. (2005) Thyroid hormones, cytokines, physical training and metabolic control. Horm Metab Res. 37(9): p. 538–4CrossRefPubMed
[45]
Zurück zum Zitat Bronnum-Hansen H et al. (2007) Impact of selected risk factors on expected lifetime without long-standing, limiting illness in Denmark. Prev Med. 45(1): p. 49–53CrossRefPubMed Bronnum-Hansen H et al. (2007) Impact of selected risk factors on expected lifetime without long-standing, limiting illness in Denmark. Prev Med. 45(1): p. 49–53CrossRefPubMed
[46]
Zurück zum Zitat Pedersen BK (2009) The diseasome of physical inactivity – and the role of myokines in muscle-fat cross talk. J Physiol. 587(Pt 23): p. 5559–68CrossRefPubMedPubMedCentral Pedersen BK (2009) The diseasome of physical inactivity – and the role of myokines in muscle-fat cross talk. J Physiol. 587(Pt 23): p. 5559–68CrossRefPubMedPubMedCentral
[47]
Zurück zum Zitat Olsen RH et al. (2008) Metabolic responses to reduced daily steps in healthy nonexercising men. JAMA. 299(11): p. 1261–3CrossRefPubMed Olsen RH et al. (2008) Metabolic responses to reduced daily steps in healthy nonexercising men. JAMA. 299(11): p. 1261–3CrossRefPubMed
[48]
Zurück zum Zitat Krogh-Madsen R et al. (2010) A 2-wk reduction of ambulatory activity attenuates peripheral insulin sensitivity. J Appl Physiol. 108(5): p. 1034–40CrossRefPubMed Krogh-Madsen R et al. (2010) A 2-wk reduction of ambulatory activity attenuates peripheral insulin sensitivity. J Appl Physiol. 108(5): p. 1034–40CrossRefPubMed
[49]
Zurück zum Zitat Starkie R et al. (2003) Exercise and IL-6 infusion inhibit endotoxin-induced TNF-alpha production in humans. FASEB J. 17(8): p. 884–6PubMed Starkie R et al. (2003) Exercise and IL-6 infusion inhibit endotoxin-induced TNF-alpha production in humans. FASEB J. 17(8): p. 884–6PubMed
[50]
Zurück zum Zitat Ertek S, Cicero A (2012) Impact of physical activity on inflammation: effects on cardiovascular disease risk and other inflammatory conditions. Arch Med Sci. 8(5): p. 794–804CrossRefPubMedPubMedCentral Ertek S, Cicero A (2012) Impact of physical activity on inflammation: effects on cardiovascular disease risk and other inflammatory conditions. Arch Med Sci. 8(5): p. 794–804CrossRefPubMedPubMedCentral
[51]
Zurück zum Zitat Quinn LS et al. (2009) Oversecretion of interleukin-15 from skeletal muscle reduces adiposity. Am J Physiol Endocrinol Metab. 296(1): p. E191–202CrossRef Quinn LS et al. (2009) Oversecretion of interleukin-15 from skeletal muscle reduces adiposity. Am J Physiol Endocrinol Metab. 296(1): p. E191–202CrossRef
[52]
Zurück zum Zitat Alibegovic AC et al. (2010) Insulin resistance induced by physical inactivity is associated with multiple transcriptional changes in skeletal muscle in young men. Am J Physiol Endocrinol Metab. 299(5): p. E752–63CrossRef Alibegovic AC et al. (2010) Insulin resistance induced by physical inactivity is associated with multiple transcriptional changes in skeletal muscle in young men. Am J Physiol Endocrinol Metab. 299(5): p. E752–63CrossRef
[53]
Zurück zum Zitat Alvarez-Guardia D et al. (2011) PPARbeta/delta activation blocks lipid-induced inflammatory pathways in mouse heart and human cardiac cells. Biochim Biophys Acta. 1811(2): p. 59–67CrossRefPubMed Alvarez-Guardia D et al. (2011) PPARbeta/delta activation blocks lipid-induced inflammatory pathways in mouse heart and human cardiac cells. Biochim Biophys Acta. 1811(2): p. 59–67CrossRefPubMed
[54]
Zurück zum Zitat Balagopal PB et al. (2010) Changes in circulating satiety hormones in obese children: a randomized controlled physical activity-based intervention study. Obesity (Silver Spring). 18(9): p. 1747–53CrossRef Balagopal PB et al. (2010) Changes in circulating satiety hormones in obese children: a randomized controlled physical activity-based intervention study. Obesity (Silver Spring). 18(9): p. 1747–53CrossRef
[55]
Zurück zum Zitat Menshikova EV et al. (2005) Effects of weight loss and physical activity on skeletal muscle mitochondrial function in obesity. Am J Physiol Endocrinol Metab. 288(4): p. E818–25CrossRefPubMed Menshikova EV et al. (2005) Effects of weight loss and physical activity on skeletal muscle mitochondrial function in obesity. Am J Physiol Endocrinol Metab. 288(4): p. E818–25CrossRefPubMed
[56]
[57]
[59]
Zurück zum Zitat Golbidi S, Mesdaghinia A, Laher I (2012) Exercise in the metabolic syndrome. Oxid Med Cell Longev. p. 349710 Golbidi S, Mesdaghinia A, Laher I (2012) Exercise in the metabolic syndrome. Oxid Med Cell Longev. p. 349710
[60]
Zurück zum Zitat Pugliese G et al. (2009) Self glucose monitoring and physical exercise in diabetes. Diabetes Metab Res Rev. 25 Suppl 1: p. S11–7CrossRef Pugliese G et al. (2009) Self glucose monitoring and physical exercise in diabetes. Diabetes Metab Res Rev. 25 Suppl 1: p. S11–7CrossRef
[63]
Zurück zum Zitat Zopf EM, Baumann FT, Pfeifer K (2013) Physical Activity and Exercise Recommendations for Cancer Patients during Rehabilitation. Rehabilitation (Stuttg) Zopf EM, Baumann FT, Pfeifer K (2013) Physical Activity and Exercise Recommendations for Cancer Patients during Rehabilitation. Rehabilitation (Stuttg)
[64]
Zurück zum Zitat Halle M, Schoenberg MH (2009) Physical activity in the prevention and treatment of colorectal carcinoma. Dtsch Arztebl Int. 106(44): p. 722–7PubMedPubMedCentral Halle M, Schoenberg MH (2009) Physical activity in the prevention and treatment of colorectal carcinoma. Dtsch Arztebl Int. 106(44): p. 722–7PubMedPubMedCentral
[65]
Zurück zum Zitat Moy ML et al. (2013) Daily Step Count is Associated with Plasma CRP and IL-6 in a US Cohort with COPD. Chest Moy ML et al. (2013) Daily Step Count is Associated with Plasma CRP and IL-6 in a US Cohort with COPD. Chest
[66]
Zurück zum Zitat Poulsen JB (2012) Impaired physical function, loss of muscle mass and assessment of biomechanical properties in critical ill patients. Dan Med J. 59(11): p. B4544PubMed Poulsen JB (2012) Impaired physical function, loss of muscle mass and assessment of biomechanical properties in critical ill patients. Dan Med J. 59(11): p. B4544PubMed
[67]
Zurück zum Zitat Schultz G (1893) Experimentelle Untersuchungen über das Vorkommen und die diagnostische Bedeutung der Leukocytose (experimental research on the antecedents and diagnostic importance of leukocytosis). Dtsche Arch Klin Med. 51: p. 234–81 Schultz G (1893) Experimentelle Untersuchungen über das Vorkommen und die diagnostische Bedeutung der Leukocytose (experimental research on the antecedents and diagnostic importance of leukocytosis). Dtsche Arch Klin Med. 51: p. 234–81
Metadaten
Titel
Immunsystem
verfasst von
Erich Roth
Barbara Schober-Halper
Barbara Wessner
Copyright-Jahr
2018
Verlag
Springer Vienna
DOI
https://doi.org/10.1007/978-3-7091-1591-6_10

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.