Das Offentliche Gesundheitswesen最新文献_第10页

[Surgical possibilities in orthopedic rheumatology]. [矫形风湿病外科手术的可能性]。

Das Offentliche Gesundheitswesen Pub Date : 1991-08-01

W Tressel, G Köhler, F Buchner

{"title":"[Surgical possibilities in orthopedic rheumatology].","authors":"W Tressel, G Köhler, F Buchner","doi":"","DOIUrl":"","url":null,"abstract":"Surgery has been a mainstay in the treatment of rheumatic conditions. Basically, its effect is limited to the site involved. Reconstruction of a damaged component of the locomotor system, however, may also relieve other components, and thus improve their function. Usually the prescribed drug treatment and physiotherapy must be continued, although the rehabilitation of individual, particularly severely affected joints may result in reduced drug intake. Surgery is indicated in the early stages, when isolated joint inflammations remain unchanged for more than half a year in spite of intensive physical and drug treatment. Best results have been achieved with preventive procedures (synovectomy, tenosynovectomy) carried out before joint alterations become evident in the x-ray. These procedures can also be performed in advanced stages, usually together with reconstructive measures. These patients, however, must expect some discomfort to remain, because of the irreversible joint damage already incurred. The operations selected for advanced cases include corrective osteotomies, resection arthroplasties and arthrodeses. To date, satisfactory long-term results of allo-arthroplastic joint replacements are only assured in terms of hip and, with reservations, knee prostheses.","PeriodicalId":75776,"journal":{"name":"Das Offentliche Gesundheitswesen","volume":"53 8-9","pages":"421-3"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12998649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Suggestion catalog for basic equipment of a public health office in the area of environmental laboratories]. [环境实验室领域公共卫生办公室基本设备建议目录]。

Das Offentliche Gesundheitswesen Pub Date : 1991-08-01

O F Witte

引用次数: 0

[Development of the public health services in the Brandenburg district--a contribution to the panel discussion in Augsburg 1991]. [勃兰登堡地区公共卫生服务的发展————对1991年奥格斯堡小组讨论的贡献]。

Das Offentliche Gesundheitswesen Pub Date : 1991-08-01

H W Knackmuss

引用次数: 0

[Current problems of echinococcosis (Echinococcus multilocularis)]. 棘球绦虫病(多房棘球绦虫)的现状问题

Das Offentliche Gesundheitswesen Pub Date : 1991-08-01

P Kimmig, U Schelling

{"title":"[Current problems of echinococcosis (Echinococcus multilocularis)].","authors":"P Kimmig, U Schelling","doi":"","DOIUrl":"","url":null,"abstract":"Alveolar echinococcosis is by far the most dangerous human parasitosis in Central Europe. For the one part this is due to the fact that the parasite is localised in the liver, and for the second part it is due to the infiltrative growth of the larval cestode tissue. The life cycle of echinococcus multilocularis takes place primarily between the fox as final host and mice as intermediate hosts. In this cycle, man is an accidental host and is infected orally via the intake of cestode eggs. The individual channels of infection and their frequency have so far only been subject to speculation. The infection rate of foxes is highest in the range of the Swabian mountain pastures (known as Schwäbische Alb) (up to 55 per cent), but recently values of more than 30% have been registered in the adjacent areas as well. No accurate data are available on the infection rate in humans; seroepidemiological data indicate a prevalence between 0.1 and 0.5 per thousand. IHA, IIFT and ELISA are the most frequently used methods in serodiagnostics of echinococcosis. The specific E. multilocularis antigen should be used instead of the commercially available E. granulosus antigen when examining patients for alveolar echinococcosis. In clinical diagnostics, sonography and especially CT are well tried. If the parasitic infestation is discovered early, radical surgery is the method of choice. Chemotherapy with mebendazole (e.g. Vermox) is still unsatisfactory despite improvements. Possibly an echinococcus therapy of foxes via baits containing praziquantel may be a possibility to minimize the transfer to the human organism.","PeriodicalId":75776,"journal":{"name":"Das Offentliche Gesundheitswesen","volume":"53 8-9","pages":"596-9"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12999656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Health education in industry--summary and perspectives]. [工业健康教育——总结与展望]。

Das Offentliche Gesundheitswesen Pub Date : 1991-08-01

G Ott-Gerlach, I Winter

引用次数: 0

[Has exercise entered the work environment? A contribution of sports and exercise concepts to prevention in the work environment]. 运动已经进入工作环境了吗?运动和锻炼概念对工作环境预防的贡献]。

Das Offentliche Gesundheitswesen Pub Date : 1991-08-01

R Lensing-Conrady

引用次数: 0

[Stress and stress prevention in occupational practice from the viewpoint of occupational experts]. [从职业专家的角度看职业实践中的应激与应激预防]。

Das Offentliche Gesundheitswesen Pub Date : 1991-08-01

I Winter