31 research outputs found
Dissertatio Iuridica De Investitura Praelati Feudali Circa Bona Ecclesiastica
DISSERTATIO IURIDICA DE INVESTITURA PRAELATI FEUDALI CIRCA BONA ECCLESIASTICA
Dissertatio Iuridica De Investitura Praelati Feudali Circa Bona Ecclesiastica ([1])
Titelseite ([1])
Widmung ([2])
Caput I. ([3])
Caput II. ([5]
Dissertatio Juridica [iuridica] De Investitura Praelati Feudali Circa Bona Ecclesiastica : Quam ... Sub Praesidio Dn. Christoph. Wertheri MĂŒhlpforts/ J.U.D. ... publicae ventilationi subjicet Ad. d. [...] Maji ... Autor Ludwig Reinhard Röder/ Eq. Thuring.
Vorlageform des Erscheinungsvermerks: Ex ChalcographĂ©o Georgii Heinrici MĂŒlleriJena, Univ., Diss., 169
Traumatic physeal separations of the distal tibia. Occurrence, forms, treatment strategies
Traumatische Epiphysenfugenlösungen [Einteilung von Salter u. Harris (SH) I/II] der unteren ExtremitĂ€t sind selten. Mit Komplikationen behaftete VerlĂ€ufe werden in 2,2â39,6% der FĂ€lle berichtet. Die vorliegende Arbeit soll aktuelle Daten zur Epidemiologie und zu den Behandlungsgrundlagen von Wachstumsfugenlösungen der distalen Tibia liefern. In einem Zeitraum von 36 Monaten wurden in einer multizentrischen Studie alle Patienten aufgenommen, die eine Wachstumsfugenlösung der distalen Tibia erlitten hatten. Daten zu Alter, Geschlecht, Unfall, Klassifikation, Therapieentscheidung und FrĂŒhkomplikationen wurden erhoben und online archiviert. 150 FĂ€lle (64,6% Jungen, 35,4% MĂ€dchen, Altersdurchschnitt 11,8 Jahre) wurden eingeschlossen. HĂ€ufigste Unfallursache war der Sport (42%). 76% der FĂ€lle wurden einer Reposition zugefĂŒhrt. Die Toleranzgrenze fĂŒr eine Antekurvationsfehlstellung lag bei 10° (p=0,0021), fĂŒr den Valgus bei 7° (p=0,0155). Toleranzen von maximal 5° fĂŒr Retrokurvation und Varus waren statistisch nicht signifikant. Die Untersuchung bestĂ€tigt die Verletzungsepidemiologie anderer Studien. Erstmals wurden Daten zur Behandlungswirklichkeit bei Wachstumsfugenlösungen der distalen Tibia erhoben. Diese orientiert sich konsequent an den Empfehlungen der einschlĂ€gigen Literatur.Traumatic physeal separations (SH I/II) of the lower extremities are rare. Complications are reported in 2.2â39.6%. The current study is intended to provide recent data concerning epidemiology and treatment decisions in physeal separation of the distal tibia. All patients who suffered a physeal separation of the distal tibia in a 36-month period were included in a multicenter study. Age, gender, mechanism of injury, classification, therapeutic decision, and early complications were recorded online. There were 150 cases (64.6% male, 35.4% female, average age 11.8 years). The most frequent mechanism of injury was sportive activity (42%); 76% of cases needed reduction. Antecurvation was tolerated up to 10° (p=0.0021) and valgus up to 7° (p=0.0155). Tolerance ranges up to 5° of retrocurvation and varus were not statistically significant. The investigation confirmed epidemiological data of former studies. For the first time data concerning the treatment reality of physeal separations of the distal tibia were recorded. They consistently follow the recommendations of the appropriate literature
3. Waldökonomisches Seminar: Koreferate | 3rd Seminar on Forest Economics: commentaries
The prevalence of headache in German pupils of different ages and school types
Background/objective: Headache in pupils is underestimated and has a negative impact on learning and life. The aim of this study was to investigate headache prevalence and its collateral effects, in pupils of different ages and school types in a German city.
Methods: Anonymized questionnaires were distributed to 5419 pupils attending primary and secondary schools. Demographics, headache frequency, analgesic use, school absence and, for secondary school children, data on lifestyle were collected.
Results: The questionnaire was returned by 2706 children (49%), 1362 (50.3%) girls, 1344 (49.7%) boys. Of these, 36.6% indicated a frequency of 1, and 31.5% a frequency of â„ 2 headache days per month within the last 3 months. Headache prevalence increased with school grade, age and secondary school type: 63.6%, 67.2% and 79.5% for primary school children, pupils attending 8-year and pupils attending 6-year secondary schools, respectively. With secondary school level I certificates, pupils are prepared for general professional training in 6 years. Secondary school level II results, after 8 years of training, in university entrance level II certificates, which are the precondition for university studies. Girls reported significantly more headache than boys (73% vs. 63.1%). A significant relationship has been observed between headache frequency and school absence and between headache intensity and headache frequency. Of pupils with headache at least twice a month, 48.1% reported analgesic intake. Ibuprofen (49.1%) and paracetamol (32.8%) were the most frequently used analgesics. Of those pupils with headache â„ 2 days/month, 68.3% did not have a specific headache diagnosis. Concomitant diseases and regular drug intake, analgesic intake for another reason than headache, caffeine consumption and lack of participation in sports were positively correlated with headache.
Conclusions: The majority of pupils suffer from headache at least once a month. Since frequent headache results in educational and social limitations, pupils at risk should be identified and referred to headache education programs. Efforts are needed to improve the management of juvenile headache patients
Functional improvement in children and adolescents with primary headache after an interdisciplinary multimodal therapy program: the DreKiP study
Background
More than 2/3 of children and adolescents in Germany regularly suffer from headaches. Headache-related limitations in everyday life, school drop-out and educational impairment are common. Structured therapy programs for young headache patients are widely missing.
Methods
One hundred eleven patients with frequent migraine and/or tension type headache were treated in a 15âhour group program in afternoons, parallel with school, parents received 7âhours of therapy. At the beginning of the program (T0), 6 (T1) and 12âmonths (T2) after completion, data on headache related disability (PedMidas), headache frequency, intensity, and pediatric pain disability score (PPDI) were prospectively collected to investigate the effects of the therapy.
Results
Seventy-five patients (9-19âyears, medianâ=â14; 66.7% female) and their parents provided patient reported outcome measures showing at T1 (65 patients) and T2 (47 patients) reduced headache frequency (last 3 months headache days median T0: 30âdays; T1: 18âdays, reduction of median 12âdays since T0; T2: 13âdays, reduction of median 17âdays since T0). Linear mixed models revealed significant reduction (T0/T1 pâ=â0,002; T0/T2 pâ=â0,001). Reduced headache disability has been reported at T1 and T2 (PedMidas median T0â=â30, T1â=â15, T2â=â7; pâ<â0,001, pâ<â0,001 respectively). Follow up data of a subgroup of patients 24âmonths after the treatment point to sustainable effects.
Conclusions
The interdisciplinary multimodal headache therapy program DreKiP reduces headache frequency and headache related disability significantly 6-12âmonths following its completion