Article: Juliane Biermann, Steffen Höchel, Holger Heidenreich
Department of Urology (Chief Physician: Colonel (MC) H. Heidenreich, MD) of the Berlin Bundeswehr Hospital (Hospital Commander: Commodore (MC) K. Reuter, MD)
Over the past ten years, the introduction of targeted therapy has led to dramatic changes in the treatment of metastatic clear-cell renal cell carcinoma (mRCC). For the first time, new substances have been able to demonstrate an advantage in overall survival, while others show promising results in combination therapy.
This article ... more
Report: Gregor B. Freude, Uwe M. Mauer
When we start to look for a military committee under the protection of the WFNS the World Federation of Neurosurgical Societies in 2005 in Marrakech we never could imagine that we will succeed in such a manner. ... more
Article: Dr med Hagen Frickmann
In the acute phase of the disease, during which the patient usually presents to the doctor, the main focus is on the direct detection of the pathogen. Rapid tests are particularly suitable here, especially during deployments ... more
Article: Heidi Danker-Hopfe, Cornelia Sauter, Jens T. Kowalski (a), Stefan Kropp (b,c), Andreas Ströhle (d), Ulrich Wesemann, Peter L. Zimmermann
From Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Competence Center Sleep Medicine1(Head: Prof. Dr. Heidi Danker-Hopfe), an the Bundeswehr Psychotrauma Center (Head: Colonel (MC) Assoc. Prof. P. Zimmermann) at the Bundeswehr Hospital Berlin (Commander and Medical Director: Admiral (MC) Dr. K. Reuter)
In this prospective study subjective sleep quality and excessive daytime sleepiness prior, during and after deployment of German soldiers in Afghanistan were examined. Sleep quality (Pittsburgh Sleep Quality Index; PSQI) and daytime sleepiness (Epworth Sleepiness Scale; ESS) were assessed prior to deployment in 118 soldiers of the ... more
Work-related Capacity Impairments in Self- and Observerrating in Military Personnel with Mental Disorders
Clinical Psychological Intervention Division of Freie Universität Berlin¹ (Head of Division: Prof. C. Knaevelsrud) and the Bundeswehr Psychotrauma Centre² (Clinical Director: Dr P. Zimmermann) of the Bundeswehr Hospital Berlin (Hospital Commander: Commodore (MC) Dr K. Reuter)
Beate Muschalla¹’ ²’ *, Heinrich Rau²’ *, Annika Küster¹’ ², Gerd Dieter Willmund², Christine Knaevelsrud¹
* The two lead authors, Beate Muschalla and Heinrich Rau, have contributed in equal part to this study.
Background: About 14 to 23 percent of all military personnel throughout the world suffer from mental disorders. These lead to impairments to their day-to-day life and to the psychological capacities needed to do their job. In particular, physical and mental endurance, ability to adapt to rules and regulations as well as interactional ... more
Directorate General of Medical Services is the highest authority to oversee the medical services within the Nepalese Army. Medical services in Nepalese Army started in 1925 with the establishment of Tri Chandra Military Hospital in Kathmandu. Later in 1990, the establishment of 490 bedded multispeciality Shree Birendra Hospital in Chhauni, Kathmandu commemorates the expanding medical services in the organization.
Non Operative Management of Gunshot Wounds to the Cervical -Trachea with Significant Tissue Loss and 3D Tracheography as a -Diagnostic Tool: 2 Case Reports
From the Department of Surgery1 and the Department of Radiology2 of the Chris Hani Bragwanath Academic Hospital – Universtity of Witwatersrand Medical School, Johannesburg, Republic of South Africa, and the Department of Surgery/Procto Surgery3 (Director: Priv.-Doz. Dr. D. Doll) of the St.-Marien-Hospital Vechta, Germany (Medical Director: Dr. O. Hagemann)
Background: Selective conservative treatment of penetrating open tracheal injury with substantial tissue loss has not been described up to now.
Case reports: We report two cases of tracheal defects following gunshot wounds in zone II of the neck. Patients and their wound healing were supervised clinically and followed by 3 ... more
Military Necessity before Medical Need?
Medical ethics prohibits preferential care for patients. All must be treated on the basis of medical need alone. In military medicine, however, particularly during war and when resources may be scarce, ethical principles may dictate preferential care for compatriot soldiers. In these cases, military necessity and the ethics of friendship and comradery ... more
Implantation of endo-exo prostheses in cases of lower limb amputation – an alternative treatment option for injured soldiers? – update and case report
From the Department of Plastic, Hand and Reconstructive Surgery1 (headed by H. H. Aschoff, MD) at Sana Hospital, Lübeck (medical director: M. T. Bahr, MD), the Department of Trauma Surgery and Orthopaedics2 (headed by Colonel (MC) Prof. C. Willy, MD), and the Research and Treatment Centre for Septic Defects at the Bundeswehr Hospital Berlin (headed by Commodore (MC) K. Reuter, MD)
Introduction: Of the ore than 50,000 soldiers injured in Iraq and Afghanistan, about 2,000 required single or multiple amputations. Conventional medical care involving socket suspension prostheses may be difficult or unfeasible for some patients, depending on the length of the residual stump and the condition of the soft tissue. This case ... more
Department I - Internal Medicine - (Head of Department: Colonel (MC) Dr U. Baumgarten) of Bundeswehr Hospital Berlin1 (Hospital Commander: Commodore (MC) Dr K. Reuter), Department of Cardiology, Cardiac Centre of Leipzig University2 (Hospital Director: Professor Dr G. Schuler) and the Medical Department, Division of Cardiology and Angiology, Campus Mitte, Charité Hospital - University of Berlin3 (Temporary Head of Department: Professor Dr K. Stangl)
Background: Owing to its significant impact on cardiovascular mortality, arterial hypertension is highly relevant both for the public and the military health systems. Effective treatment of arterial hypertension, both in terms of prevention and therapy, thus takes on an important role. Despite the availability of a variety of ... more
Bacillus cereus contamination in coffee makers at several Bundeswehr dining and recreational facilities
Laboratory Department II, Veterinary Medicine, Mainz (headed by Colonel (VC) Dr. Th. Reiche), Central Institute of the Bundeswehr Medical Service, Koblenz (headed by Colonel (MC) Prof. Dr. D. Leyk)
Introduction: Milk added to mixed beverages from fully automatic coffee makers carries a risk of bacterial contamination, in particular with toxigenic Bacillus (B.) cereus. To assess the risk to consumers, information about the occurrence of this pathogen in coffee makers is vital.
CT-based evaluation of aortic valve dimensions before transcatheter aortic valve implantation: Semi-automatic measurements compared with manual measurements
From the Departments of Radiology1 (Director: Coloneld (MC) Dr S. Waldeck) and Internal Medicine2 (Director: Colonel (MC) Prof Dr C. Bickel), Bundeswehr Central Hospital Koblenz (Commander: Brigadier (MC) Dr J. Brandenstein) in Cooperation with the Bundeswehr Institute for Radiobiology affiliated to Ulm University3, Munich (Director: Colonel (MC) Assistant Professor Dr M. Port), the Institute for Radiology of the Hannover Medical School4 (Director: Prof Dr F. Wacker) and the Central Institute of the Bundeswehr Medical Service Koblenz5 (Director: Colonel (MC) Prof Dr Dr D. Leyk).
Background: Accurate fitting of the prosthesis is crucial for successful transcatheter aortic valve implantation (TAVI) and the prevention of post-interventional adverse events. Therefore, it is essential to obtain accurate aortic valve dimensions of the annulus size and parameters like the dimensions of the ascending aorta and height of the sinus of ... more
"How do I put it?" – Case reports on well-tolerated HIV post-exposure prophylaxis on deployment in the tropics
From the Department of Tropical Medicine at the Bernhard Nocht Institute (Director: Lieutenant Colonel (MC) Dr D. Wiemer), Bundeswehr Hospital Hamburg (Hospital Commander: Brigadier (MC) Dr J. Hoitz)
Background: Based on the considerable side effects of first-generation HIV (human immunodeficiency virus) drugs, many medical colleagues consider the need for HIV post-exposure prophylaxis (PEP) to be a reason for the repatriation of military personnel on deployment. However, the improved tolerability of new drugs makes this consideration ... more
Each area of deployment presents the medical forces deployed with multi-dimensional challenges. Often the following principle applies: a minimum of equipment should lead to very good treatment results at a maximum treatment level. In order to meet these specific challenges, specifically trained medical personnel and adapted materiel must be kept available. ... more
Directorate General of Medical Services is the highest authority to oversee the medical services within the Nepalese Army. Medical services in Nepalese Army started in 1925 with the establishment of Tri Chandra Military Hospital in Kathmandu. Later in 1990, the establishment of 490 bedded multispeciality Shree Birendra Hospital in Chhauni, Kathmandu ... more
The smallpox virus caused desastrous epidemics and killed hundreds of thousands each year even in the 20th century before the world was officially declared smallpox-free in 1980. Textbooks on infectious diseases categorize 4 different clinical manifestations of smallpox infections: the classical, the mild, the severe and the malign course. The smallpox ... more
An Operationally Relevant Disease?
Untreated infectious spondylitis is a life-threatening disease, which often originates from a pyoderma. Pyodermas, in particular those acquired in tropical regions, often have complicated clinical courses resulting from infections with Staphylococcus aureus with and without a resistance to methicillin, but also with particular pathogenicity factors. ... more
Department of Trauma Surgery and Orthopaedics, Septic-reconstructive Surgery, Sports Traumatology1 (Medical Director: Colonel (MC) Prof Dr B. Friemert) of the Bundeswehr Hospital Ulm (Hospital Commander: Dr A Kalinowski), Department of Anaesthesiology, Intensive Care and Emergency Medicine2 (Medical Director: Captain (MC) M. Benker) of the Bundeswehr Hospital Berlin (Hospital Commander: Commodore (MC) Dr K. Reuther), Department of Diagnostic and Interventional Radiology3 (Medical Director: Colonel (MC) Dr S. Waldeck) of the Bundeswehr Central Hospital Koblenz (Hospital Commander: Brigadier (MC) Dr J. Brandenstein), Medical Clinic Cochem4 (Director: Colonel (MC) Dr T. Emser), and Department of Internal Medicine5 (Medical Director: Colonel (MC) Dr C. Busch) of the Bundeswehr Hospital Hamburg (Hospital Commander: Brigadier (MC) Dr J. Hoitz)
Background: Coxiella burnetii is a zoonotic and obligatory intracellular pathogen commonly present in operational areas of the Bundeswehr. Transmitted from animals, the gram negative bacterium can cause a highly feverish infectious disease which often leads to pneumonia.
The DiMiMED, which in the meantime has developed into a traditional event, was held from November 15 to 16 during the MEDICA in Düsseldorf.The two scientific heads, Rear Admiral uh (ret) Dr. Büttner and BG (ret) van der Meer, welcomed approximately 250 participants from 38 nations. The multi-faceted programme, with a total of 57 scientific lectures and a ... more
Spotlight on an Eventful History
In the year 2016, the medical service of the German Bundeswehr celebrated its 60th birthday. Based on selected aspects and their historical classification, the following article acknowledges the remarkable development of the Military Medical Service of the Bundeswehr from its beginnings in 1956 until today. ... more
The Face of U.S. Military Medicine in the International Community
September 7 – September 10, 2016 in Poznan/Poland
Once a year, dentists from around the world meet at the annual congress of the FDI World Dental Federation. This global organization of the world dental profession has 150 national federations from 130 nations. This year's congress was held from September 7 – September 10, 2016 at the Convention and Exhibition Centre, Poznan/Poland. In the run-up to ... more