"Il faut devenir contemporain de Corneille" : Réflexions sur le rapport Boileau-Stendhal

En 1831 paraissait l'Art poétique à l'usage du Petit Séminaire de Québec, manuel publié sans indication de nom d'auteur, de maison, de lieu et de date d'édition. Il s'agit en réalité d'une reproduction intégrale de l'Art poétique de Boileau. Comme tous les traités de composition, ce « manuel » enseigne les règles et non l'écriture de la poésie. Le dépouillement de milliers de travaux, rédigés entre 1864 et 1964 en classe de versification, révèle que les étudiants rédigent des narrations, des descriptions, des lettres, mais presque jamais des poèmes. La question se pose alors : où et comment les écrivains canadiens-français ont-ils appris à écrire la poésie qu'ils ont publiée ?The textbook, l'Art poétique à l'usage du Petit Séminaire de Québec, identifies neither its author nor its publisher, but this text is actually Boileau's famous work reprinted for use in the teaching of poetry. Oddly, in French-Canadian classical colleges, poetry was not taught as a practical course. Students were taught rules only, by which to criticize poetry, to recognize its component parts, but never to create their own examples of the différent types of verse described. After reading thousands of student exercises produced in versification classes at the Petit Séminaire de Québec between 1853 and 1964, we found no poems written by students. Where, then, did our French-Canadian poets learn to write the poetry they published

Development of a test system to analyze different hip fracture osteosyntheses under simulated walking

The mechanical complications of osteosyntheses after hip fractures are previously investigated by mostly static or dynamic uniaxial loading test systems. However, the physiologic loading of the hip joint during a normal gait is a multiplanar, dynamic movement. Therefore, we constructed a system to test osteosyntheses for hip fractures under physiologic multiplanar loading representative of normal gait. To evaluate the testing system, 12 femora pairs were tested under 25,000 cycles with two standard osteosyntheses (Proximal Femoral Nail Antirotation/Gamma3 Nail). For angular movement, the varus collapse to cut out (proportional to(CO)) (proportional to(CO) = 4.8 degrees +/- 2.1 degrees for blade and proportional to(CO) = 7.8 degrees +/- 3.8 degrees for screw) was the dominant failure mode, and only slight rotational angle shifts (proportional to(Rot)) (proportional to(Rot) = 1.7 degrees +/- 0.4 degrees for blade and proportional to(Rot) = 2.4 degrees +/- 0.3 degrees for screw) of the femoral head around the implant axis were observed. Angular displacements in varus direction and rotation were higher in specimens reinforced with screws. Hence, the cut out model and the migration directions showed a distinction between helical blade and hip screw. However, there were no significant differences between the different implants. The new setup is able to create clinical failures and allows to give evidence about the anchorage stability of different implant types under dynamic gait motion pattern

Verbesserung der Prozessqualität bei Traumapatienten durch digitale Bild- und Dokumentenübermittlung

Nach der Publikation des ersten „Weißbuch Schwerstverletzten-Versorgung“ der Deutschen Gesellschaft für Unfallchirurgie (DGU) im Jahr 2006 kam es zu einer umfassenden Umstrukturierung der medizinischen Versorgungslandschaft. Zertifizierte regionale Traumanetzwerke zu schaffen und darin eine funktionierende Kommunikationsstruktur zu implementieren war das erklärte Ziel der DGU. Ärzte und Kliniken erkannten, dass elektronische Datenübermittlung im Gesundheitswesen als Basis von Kommunikation, Bild- und Dokumententransfer unumgänglich geworden ist. Dies galt und gilt insbesondere für die zeitkritischen Notfallverlegungen, die zunehmenden Zweitmeinungen und für die stärkere Anbindung von Niedergelassenen im Fach Traumatologie. Die Ideallösung war ein System, das seit 2012 verfügbar ist und mittlerweile bundesweit, flächendeckend und sektorenübergreifend von allen medizinischen Dienstleistern genutzt werden kann. Durch eine gemeinsame und sichere digitale Netzwerkstruktur kann die Behandlungsqualität beim Unfallverletzten gesteigert und Prozesse in und zwischen den medizinischen Dienstleistern können optimiert werden

Opportunities of telemedicine for orthopedics and trauma surgery

Today telemedicine, or eHealth, is an important tool in everyday medical life. In all areas, from the preclinical to aftercare, significant improvements in communication structures have been seen in various eHealth options, which have had significant, positive effects on the quality of patient care in orthopedics and trauma surgery. Initially, there were several isolated solutions and many small individual projects; however, there was a lack of interdisciplinary and comprehensive systems in all healthcare fields. The German Trauma Society (DGU) together with the AUC GmbH took the lead and paved the way for a modulated, comprehensive, interface-compatible teleradiology system. Nevertheless, there are still deficits across all sectors which, in the future, will need to be optimized by eHealth methods and systems. Overall, there is an effort towards patient-centered solutions (patient empowerment). In Germany, telemedicine has gradually gained acceptance in various sectors and is being used nationwide. Telemedicine has proven itself, especially in trauma networks

Comprehensive medical care with telemedicine – Flächendeckende Versorgung durch Telemedizin

Kommunikationspartner tauschen idealerweise Wissen, Erfahrungen und Erkenntnisse aus. Die Telemedizin ist ein Weg, über große Distanzen hinweg zu kommunizieren, um relevante Informationen weiterzugeben. Sie ist seit vielen Jahren im präklinischen, klinischen und postklinischen Bereich in den unterschiedlichsten Anwendungsformen präsent

Chancen der Telemedizin für O&U

Telemedicine or eHealth today are important tools of everyday medical life. In all areas – from the preclinic, clinic to aftercare – significant improvements in communication structures have been noticed through various eHealth options, which have significant positive effects on the quality of patient care in orthopedics and trauma surgery. At the beginning, there were several isolated solutions and many small individual projects, but there was a lack of interdisciplinary and comprehensive systems in all health care fields. The German Trauma Society (DGU) took the lead together with AUC and paved the way for a modulated, comprehensive, interface-compatible teleradiology system. Nevertheless, there are still deficits across all sectors, which in the future will have to be optimized by eHealth methods and systems. Overall, there is an effort towards patient-centered solutions (mature patient)

Outcome after polytrauma in a certified trauma network: comparing standard vs. maximum care facilities Concept of the study andstudy protocol (POLYQUALY)

Background: The aim of this study is to evaluate the performance of the first certified regional trauma network in Germany, the Trauma Network Eastern Bavaria (TNO) addressing the following specific research questions: Do standard and maximum care facilities produce comparable (risk-adjusted) levels of patient outcome? Does TNO outperform reference data provided by the German Trauma Register 2008? Does TNO comply with selected benchmarks derived from the S3 practice guideline? Which barriers and facilitators can be identified in the health care delivery processes for polytrauma patients? Method/design: The design is based on a prospective multicenter cohort study comparing two cohorts of polytrauma patients: those treated in maximum care facilities and those treated in standard care facilities. Patient recruitment will take place in the 25 TNO clinics. It is estimated that n = 1.100 patients will be assessed for eligibility within a two-year period and n = 800 will be included into the study and analysed. Main outcome measures include the TraumaRegisterQM form, which has been implemented in the clinical routine since 2009 and is filled in via a web-based data management system in participating hospitals on a mandatory basis. Furthermore, patient-reported outcome is assessed using the EQ-5D at 6, 12 and 24 months after trauma. Comparisons will be drawn between the two cohorts. Further standards of comparisons are secondary data derived from German Trauma Registry as well as benchmarks from German S3 guideline on polytrauma. The qualitative part of the study will be based on semi-standardized interviews and focus group discussions with health care providers within TNO. The goal of the qualitative analysis is to elucidate which facilitating and inhibiting forces influence cooperation and performance within the network. Discussion: This is the first study to evaluate a certified trauma network within the German health care system using a unique combination of a quantitative (prospective cohort study) and a qualitative (in-depth facilitator/barrier analysis) approach. The information generated by this project will be used in two ways. Firstly, within the region the results of the study will help to optimize the pre-hospital and clinical management of polytrauma patients. Secondly, on a nationwide scale, influential decision-making bodies, such as the Ministries of Health, the Hospital Associations, sickness funds, insurance companies and professional societies, will be addressed. The results will not only be applicable to the region of Eastern Bavaria, but also in most other parts of Germany with a comparable infrastructure