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Strahlentherapie+Onkologie.01760466.eng.abstr
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Strahlentherapie+Onkologie.01760466.eng.abstr
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"The treatment of malignant tumors consists in the optimal combination of the 4 modalities surgery , radiotherapy , chemotherapy , and immunotherapy . An important goal of clinical research is the development of the optimal application of each of these modalities . This review of the literature focuses on the importance of the total treatment duration and dose intensity in the development of chemotherapy regimens . Three important malignant diseases will be examined as to the optimal application of systemic chemotherapy . Tumor models with the resulting hypotheses and well-designed clinical trials will lead to progress in the treatment of malignant tumors ."
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}
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] |
[] |
[] |
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{
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Strahlentherapie+Onkologie.01760472.eng.abstr
|
Strahlentherapie+Onkologie.01760472.eng.abstr
|
[
{
"id": "Strahlentherapie+Onkologie.01760472.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Several experimental studies and randomized clinical trials demonstrate a decrease of local tumor control with increasing overall treatment time of fractionated radiotherapy . Proliferation or clonogenic tumor cells most likely is the major mechanism underlying this phenomenon . Important progress in radiation oncology might therefore be expected from inhibition of proliferation of clonogenic cells during radiation treatment . Possibilities to minimize the time factor are briefly discussed . Inhibition of proliferation of clonogenic tumor cells during irradiation by simultaneous chemotherapy , by inhibition of signal transduction pathways that stimulate proliferation , or by pharmacological inhibition of angiogenesis are scientifically interesting but currently not proven to be effective to counteract the loss of local tumor control with increasing overall treatment of fractionated irradiation . At present , the only established approach is to complete radiotherapy within a short overall treatment time , e . g . by accelerated fractionation and by prevention or compensation of unscheduled treatment gaps ."
],
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Strahlentherapie+Onkologie.01760475.eng.abstr
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Strahlentherapie+Onkologie.01760475.eng.abstr
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[
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"Clinical investigation of a potential relationship between the polarographically measured tumor oxygenation and the p53 status in patients with squamous cell carcinoma of the head and neck . In 99 patients with mostly advanced , histologically proven squamous cell carcinoma of the head and neck were estimated the classical tumor parameters ( TNM stage , histological grading ) the immunohistochemical p53-overexpression ( DO-7) and the tumor oxygenation status ( Eppendorf pO2 Histograph ) . The tumor volume and the hemoglobin concentration were evaluated simultaneously . No statistically significant difference could be detected between immunohistological p53-positive ( p53 > = 10% stained cells ) and p53-negative tumors ( p53 10% stained cells ) regarding both the median pO2 and the relative frequency of values = 5 mm Hg. Moreover , no statistically relevant differences could be seen between both p53-groups considering the hemoglobin concentration , the TNM stag , the histological grading and the tumor volume . Our data imply that there is no association between p53-overexpression and tumor hypoxia in head and neck carcinomas . However , this is not necessarily in contradiction to experimental or clinical data that confirmed a relationship between hypoxia and p53-mediated increased malignancy of tumor cells in other tumor entities . The comparable oxygenation status of p53-positive and p53-negative tumors in our study is associated with an analogous clinical tumor aggressiveness of both groups . That could be caused by hypoxia related but p53-independent selection of tumor cells with a more malignant phenotype in head and neck carcinomas . However , further research is needed to prove this possible relationship ."
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Trauma+Berufskrankheit.0002s186.eng.abstr
|
Trauma+Berufskrankheit.0002s186.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s186.eng.abstr-passage-0",
"type": "abstract",
"text": [
"It is difficult to assess blunt injuries in the region of the shoulder girdle because of the overlying acute and chronic processes . In assessments of rotator cuff ruptures in particular , in over 50% of cases the rupture could be explained by a degenerative process . This makes the assessment difficult , and also the decision as to whether or not the injury is due to an occupational accident . The diagnostic procedures applied should exclude a degenerative aetiology immediately after an accident in all cases . Rupture of the rotator cuff is often associated with an impingement syndrome and leads to corresponding symptoms in the subacromial space . Treatment of a rotator cuff rupture always involves a diagnostic arthroscopy as the first step , after which a reconstruction can be undertaken , either by way of the anterolateral approach after Neer or , in many cases , arthroscopically . Reconstruction of the rotator cuff must include outward mobilization of the muscles and a secure , mostly transosseous suture . Transference of a pedunculated tendon is indicated for large defects in the rotator cuff . In the case of dislocation of the shoulder with subsequent shoulder instability degenerative change and any possible multidirectional instability should be defined . Unidirectional instability with a demonstrable Bankart lesion has a good prognosis when surgery is performed without delay . In view of the high recurrence rate early treatment is indicated especially in young persons and in patients with a high activity level . Following detection of the Bankart lesion an arthroscopic procedure with refixation of the capsule-labrum complex is the method of choice ."
],
"offsets": [
[
0,
1685
]
]
}
] |
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[] |
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] |
Trauma+Berufskrankheit.0002s189.eng.abstr
|
Trauma+Berufskrankheit.0002s189.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s189.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The present article reviews supracondylar and diacondylar fractures of the upper arm with reference to diagnostic procedures , concomitant lesions , classification , treatment strategy and possible complications . In the adult patient operative treatment is needed in the vast majority of cases ; this is demanding and requires adequate experience . A dorsal approach by way of an olecranal osteotomy is best . Fractures are more common in children , and by far the most frequent are supracondylar extension fractures , followed by intra-articular fractures of the radial condyle . Even the recognition of a fracture of this kind can be difficult in a child's skeleton , and diagnostic aids are listed . In the case of dislocated supracondylar fractures it is helpful to perform fixation with Kirschner wires applied percutaneously ; an open operation is needed as the primary procedure when a completely closed intervention is not possible . Fractures of the radial condyle must be accurately reset and fixed in a \" watertight \" manner as they are prone to disturbed fracture healing and defective growth . Our results of operative treatment over 10 years are detailed ."
],
"offsets": [
[
0,
1171
]
]
}
] |
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] |
[] |
[] |
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] |
Trauma+Berufskrankheit.0002s194.eng.abstr
|
Trauma+Berufskrankheit.0002s194.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s194.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Because of its central location , the elbow joint is considered the most important joint within the upper extremity from the viewpoint of function . Trauma to osseous and ligamentous structures of the proximal forearm confronts trauma surgeons and orthopedic specialists with numerous diagnostic and therapeutic challenges . Conditions following elbow trauma are often accompanied by chronic pain and diminished range of motion , leading to functional deficits of the entire arm . There is now practically no doubt that primary osteosynthesis , anatomical joint reconstruction and early onset of functional treatment are essential for a good final outcome . With our expanding knowledge of the anatomical and biomechanical condtions in the proximal lower arm in the last few decades the basic principles of therapy have also changed , and current standards of treatment for proximal forearm trauma are presented in this paper with reference to the relevant literature ."
],
"offsets": [
[
0,
969
]
]
}
] |
[
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],
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38,
43
]
],
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},
{
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"joint"
],
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]
],
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{
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"joint"
],
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]
],
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}
]
},
{
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"extremity"
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{
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"function"
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{
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{
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{
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]
},
{
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"forearm"
],
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]
},
{
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{
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Trauma+Berufskrankheit.0002s205.eng.abstr
|
Trauma+Berufskrankheit.0002s205.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s205.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The treatment of distal fractures of the lower arm can be conservative or operative . The immediate aims of any treatment are anatomical realignment and the avoidance of trophic impairments , with the ultimate objective of unrestricted function of the hand and wrist . A graduated treatment scheme based on the ASIF classification is necessary to do justice to the different forms of fracture that can occur . The majority of injuries can still be successfully treated by conservative means ; operative treatment becomes more important when there are signs of unusually high levels of instability or joint involvement . The authors ' own patient population is presented in this paper : in these patients fixation with Kirschner wires has proved to be the most successful of the operative procedures used , followed by palmar plate fixation with or without cancellous bone plasty , and for C-type fractures according to the ASIF classification or when there is severe soft-tissue damage , application of a fixateur externe spanning the joint has proved best . Treatment strategy , risks , complications and results are presented ."
],
"offsets": [
[
0,
1129
]
]
}
] |
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] |
Trauma+Berufskrankheit.0002s211.eng.abstr
|
Trauma+Berufskrankheit.0002s211.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s211.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Traumatic , perilunate dislocations are rare lesions , and one third of them are associated with perilunate dislocation fractures . Unfortunately , one quarter of all such fractures go unrecognized , although conventional X-rays can allow their diagnosis in as many as 48% of cases , which can be improved by performing CT or bone scan in addition to 62% and 95% , repectively . Forced extension seems to be the most frequent trauma mechanism . The treatment consists of open reduction , predominantly of the lunate bone , and internal fixation . Huge carpal fragments such as the scaphoid and capitatum are ideally fixed by means of compression screws , while smaller fragments can only be aligned with Kirschner wires . Osteochondral chips are best reinserted into the bone by means of anchoring systems . In cases of complex carpal instability supplementary stabilization may be achieved with an external fixator . The best results on the Martini evaluation score were achieved in simple perilunate dislocations that were reset early by open surgical procedures and were accompanied by minimal involvement of/damage to different tissues . Although we had a nonunion rate of approximately 20% in our series of 11 mixed traumatized patients in all , the Martini classification of hand function seems to be a reliable score system for practical clinical follow-ups ."
],
"offsets": [
[
0,
1366
]
]
}
] |
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},
{
"id": "Trauma+Berufskrankheit.0002s211.eng.abstr-s4-t3",
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"lunate"
],
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},
{
"id": "Trauma+Berufskrankheit.0002s211.eng.abstr-s4-t5",
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{
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{
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{
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}
] |
[] |
[] |
[
{
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"type": "disrupts",
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{
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] |
Trauma+Berufskrankheit.0002s224.eng.abstr
|
Trauma+Berufskrankheit.0002s224.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s224.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The principles and potential benefits of physiotherapy following injuries close to the joints can be summarized as four treatment principles : ( 1 ) Treatment of the joints at each side of the fracture ; ( 2 ) lowering of muscule tone ; ( 3 ) mobilization of the connective tissue ; and ( 4 ) improvement of the gliding processes in the joint affected . Ways of realizing each of these treatment principles are presented . The basic idea is to aim for early functional treatment . The physiotherapist needs knowledge of biomechanics , the ability to apply precisely tailored methods of treatment , and specific treatment guidelines . A good overall functional result as perceived by the patient is the ultimate goal ."
],
"offsets": [
[
0,
717
]
]
}
] |
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{
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],
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},
{
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"tissue"
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274,
280
]
],
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},
{
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342
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{
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Trauma+Berufskrankheit.0002s230.eng.abstr
|
Trauma+Berufskrankheit.0002s230.eng.abstr
|
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] |
Trauma+Berufskrankheit.0002s236.eng.abstr
|
Trauma+Berufskrankheit.0002s236.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s236.eng.abstr-passage-0",
"type": "abstract",
"text": [
"There are several steps in the diagnosis of fresh spinal injuries . At the site of the accident there is a rough ascertainment of neurological findings with a clinical examination . After the injured person has been admitted to hospital a basic imaging diagnosis is made by means of X-ray investigations of the injured segment of the spine in two plains and a further , more thorough , neurological diagnostic examination is carried out . The basic examination consists in X-ray examination in the a-p and lateral planes . If the clinical symptoms and the basic X-ray examinations suggest a spinal injury or if the extent of a spinal injury is not clear further diagnostic procedures are necessary : conventional tomography , oblique X-ray examinations , computed tomography ( CT ) and magnetic resonance tomography ( MRT ) . A further important step is the examination of concomitant injuries . Particularly in the case of injuries to the upper and mid-thoracic section of the spine and at the thoracolumbar junction , injuries of the rib cage , the shoulder girdle and the thoracic and upper abdominal organs are often also present . A spinal injury must be expected in up to 30% of polytraumatized patients . The use of spiral CT allows simultaneous and rapid diagnosis of spinal injuries and of concomitant injuries specifically in this group of patients , and such a diagnosis is valuable in assessment of the prognosis . The introduction of core spin tomography has made further improvements in the diagnosis of spinal trauma possible . MRT is better than CT for visualization and assessment of the surrounding soft tissues and the content of the spinal canal . At present , conventional myelography is still indicated for visualization of spinal canal stenoses , for intraoperative monitoring following spinal canal revision and for postoperative monitoring following the insertion of implants for internal fixation . SCIWORA syndrome ( spinal cord injury without radiological abnormalities ) in paediatric patients is a special case as far as diagnosis is concerned . This cannot be adequately investigated and diagnosed except by MRT . Myelography , ultrasonography and instrumental palpation can be used for intraoperative diagnosis following spinal canal revision ."
],
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] |
[] |
[] |
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] |
Trauma+Berufskrankheit.0002s251.eng.abstr
|
Trauma+Berufskrankheit.0002s251.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between May 1996 and 1999 , a total of 186 endoscopic spinal operations were performed to treat unstable injuries and pathologic fractures . The operative spinal interventions followed the classic sequence of excision of part of a vertebral body , partial replacement of the vertebral body with bone harvested from the iliac crest , and implantation of a titanium plate to stabilize the part to be fused . In 62% of these cases we performed primary dorsal straightening with a fixateur interne . The serious complications were aortic leakage and deep infection in the area of the graft and the implant , each of which occurred in 1 case . Comparisons with the literature showed approximately the same rate of spinal complications as with open surgery , while the rate of morbidity connected with the surgical approach was reduced to a third in the patient population treated endoscopically , with correspondingly positive implications for the postoperative analgesic requirement and for convalescence ."
],
"offsets": [
[
0,
1002
]
]
}
] |
[
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],
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},
{
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"operations"
],
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61,
71
]
],
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}
]
},
{
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"injuries"
],
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},
{
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{
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},
{
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{
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},
{
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},
{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s2-t3",
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"implantation"
],
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337,
349
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],
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},
{
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{
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"plate"
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369
]
],
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},
{
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"complications"
],
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]
],
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]
},
{
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"text": [
"infection"
],
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]
],
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"graft"
],
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[
580,
585
]
],
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{
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]
},
{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s5-t1",
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771,
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"analgesic"
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"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s5-t11",
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"convalescence"
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987,
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{
"db_name": "UMLS",
"db_id": "C0009940"
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]
}
] |
[] |
[] |
[
{
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{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s2-r1-t4.1-t3.1",
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{
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{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s2-r3-t4.1-t1.1",
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{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s2-r4-t1.1-t3.1",
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{
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},
{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s2-r6-t3.1-t1.1",
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"normalized": []
},
{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s4-r1-t1.1-t3.1",
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{
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},
{
"id": "Trauma+Berufskrankheit.0002s251.eng.abstr-s5-r1-t10.1-t2.1",
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{
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{
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},
{
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{
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{
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},
{
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"normalized": []
}
] |
Trauma+Berufskrankheit.0002s264.eng.abstr
|
Trauma+Berufskrankheit.0002s264.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Expert forensic assessment of spinal fractures is based on the classification of the injury , since this allows conclusions on the prognosis and on the extent of instability . Operative treatment strategies are aimed at a properly aligned spinal segment that can sustain normal strains . The resulting fused section and its localization in the axis organ vary in their relative functional value , which has to be considered when dimished fitness for work is evaluated . In addition , lesions caused by surgical access must be taken into account , as must earlier injuries and any predispositions to disablement ."
],
"offsets": [
[
0,
612
]
]
}
] |
[
{
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"assessment"
],
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[
16,
26
]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"fractures"
],
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[
37,
46
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s1-t3",
"type": "umlsterm",
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"classification"
],
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[
63,
77
]
],
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{
"db_name": "UMLS",
"db_id": "C0008902"
},
{
"db_name": "UMLS",
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"injury"
],
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[
85,
91
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"prognosis"
],
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[
131,
140
]
],
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{
"db_name": "UMLS",
"db_id": "C0033325"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"spinal fractures"
],
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[
30,
46
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0080179"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"treatment"
],
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[
186,
195
]
],
"normalized": [
{
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},
{
"db_name": "UMLS",
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"strains"
],
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[
278,
285
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0080194"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"axis"
],
"offsets": [
[
344,
348
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0004457"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"relative"
],
"offsets": [
[
369,
377
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0080103"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s264.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"value"
],
"offsets": [
[
389,
394
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0042295"
}
]
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{
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] |
[] |
[] |
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}
] |
Trauma+Berufskrankheit.0002s269.eng.abstr
|
Trauma+Berufskrankheit.0002s269.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s269.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The increasing complexity of performance processes in medicine requires a quicker and more consistent flow of information , especially between health care sites that are far distant from each other . The Regensburg model , a realisation of lean telemedicine from the low-cost domain using PC-based standard videoconferencing systems , shows the use of modern telecommunications specifically in trauma surgery . In 203 prospectively evaluated teleconsultations with 15 persons taking part , a total of 6597 images were transmitted via videoconferencing . In 95% of the trauma cases concerned the material transmitted was judged to be at least sufficient . In an evaluation parallel to the project the efficacy of these systems and their benefit were clearly demonstrated . Savings of up to 4400 DM per case were achieved on transportation costs . The faster flow of information resulted in qualitative improvements for all parties concerned , and some considerable costs of health care were avoided or lowered . Based on these thoughts , a new communication platform will be established in Regensburg as a closed medical intranet for the administrative region of eastern Bavaria ."
],
"offsets": [
[
0,
1179
]
]
}
] |
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] |
[] |
[] |
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{
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},
{
"id": "Trauma+Berufskrankheit.0002s269.eng.abstr-s7-r1-t2.1-t1.1",
"type": "conceptually_related_to",
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"id": "Trauma+Berufskrankheit.0002s269.eng.abstr-s7-r2-t2.1-t4.1",
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}
] |
Trauma+Berufskrankheit.0002s275.eng.abstr
|
Trauma+Berufskrankheit.0002s275.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s275.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The employers ' liability insurance association for victuallers and licensed victuallers has been controlling healing procedures with the aid of a computer program for several years . The personal data of the injured patient and the precise diagnosis of the injury are used to prepare a forecast of the duration of the treatment and of the patient's inability to work . The basis of this forecast is provided by tables integrated in the program , which have been elaborated by experts on trauma medicine and also constantly refined by them . Meanwhile numerous insurance companies concerned with accidents and trauma have acquired the program and are intending to use it . The objective is a national database on trauma medicine covering the whole of Germany . It is intended that its evaluation will help to guarantee the quality of concomitant treatment of trauma victims and also yield some indications on how best to realize the networking of institutions concerned with acute treatment and rehabilitation ."
],
"offsets": [
[
0,
1011
]
]
}
] |
[
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{
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"procedures"
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]
},
{
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"aid"
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]
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{
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{
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},
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{
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{
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]
}
] |
[] |
[] |
[
{
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"type": "uses",
"arg1_id": "Trauma+Berufskrankheit.0002s275.eng.abstr-s6-t3",
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{
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{
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{
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},
{
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"type": "associated_with",
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},
{
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{
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{
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},
{
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{
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},
{
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{
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},
{
"id": "Trauma+Berufskrankheit.0002s275.eng.abstr-s1-r14-t8.1-t4.2",
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] |
Trauma+Berufskrankheit.0002s278.eng.abstr
|
Trauma+Berufskrankheit.0002s278.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s278.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The law provides for early networking of the whole range of institutions concerned with rehabilitation . The regulations involved are not observed in practice , with consequent poor results for the insured persons , leading to unnecessary costs of 50,000 DM and more , which could be saved . The first deficiency in the rehabilitation process is the lack of any early rehabilitation in the acute hospital , and the second , the absence , lateness or inadequacy of rehabilitation after active treatment . The third is the failure to link the medical rehabilitation prescribed with the patient's regular work , which means that inability to work persists for months . These gaps in rehabilitation could be avoided in individual cases if the person in charge at the insurance company were to take advice from a doctor specialized in physical and rehabilitation medicine and to proceed in the light of this advice . In future A and E doctors on call should take initial and continuing training in rehabilitation medicine , so that medical rehabilitation can be monitored and influenced from a single base ."
],
"offsets": [
[
0,
1102
]
]
}
] |
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[] |
[] |
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] |
Trauma+Berufskrankheit.0002s285.eng.abstr
|
Trauma+Berufskrankheit.0002s285.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s285.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Large-scale disasters can strike any of us directly and without any warning . It is therefore important that plans for dealing with and management of such disasters be available at all times ."
],
"offsets": [
[
0,
192
]
]
}
] |
[
{
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"disasters"
],
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12,
21
]
],
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},
{
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"disasters"
],
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},
{
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185,
190
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],
"normalized": [
{
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"db_id": "C0040223"
}
]
}
] |
[] |
[] |
[] |
Trauma+Berufskrankheit.0002s286.eng.abstr
|
Trauma+Berufskrankheit.0002s286.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s286.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The high-speed train disaster on 3.6.1998 was the biggest railway accident so far in the history of the German Federal Railway and confronted the emergency services in the region of Celle with ravages of hitherto unknown dimensions . The rescue operation was successfully achieved , in optimal outdoor conditions , through cooperation of the neighbouring rescue services of various organizations , the first aid workers belonging to the voluntary organizations , and the volunteer and full-time firefighters , with further support from the army , the technical relief organization , the police and the border police . Within 3 h , 87 patients , some of them very badly injured , had been brought out and received on-site medical care and were on the way to the hospital for further treatment . The exceptionally rapid gathering of so many rescue and salvage workers ( 1800 in all ! ) , and in particular the availability of a large number of rescue aircraft ( 39 craft ) , meant that de facto no deficiency in care arose at the scene of the accident . It was possible for the accident victims to receive almost individual medical care ; there was no need for triage in the usual way , and overloading of the hospitals close by was avoided . Ninety-six bodies were salvaged from the wreckage at the scene of the accident - later 5 severely injured patients died in hospital of their injuries . Communication at the point of action and the preparation of documentation again emerged as the familiar problems they always are at large-scale disaster sites . Technically , salvage from the high-speed railway cars provided to be particularly difficult because there are so few access and penetration points . Particular features of the rescue work were in the coordination between civil and military air rescue facilities - involvement of the sea-air rescue head office and the on-scene coordinator - and the necessary closure of the airspace over the scene of the accident and the nearby military drill squares ."
],
"offsets": [
[
0,
2008
]
]
}
] |
[
{
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"disaster"
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21,
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},
{
"id": "Trauma+Berufskrankheit.0002s286.eng.abstr-s1-t2",
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"text": [
"accident"
],
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66,
74
]
],
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{
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}
]
},
{
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"text": [
"history"
],
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[
89,
96
]
],
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},
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]
},
{
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{
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"operation"
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245,
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{
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[] |
[] |
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] |
Trauma+Berufskrankheit.0002s291.eng.abstr
|
Trauma+Berufskrankheit.0002s291.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In this paper the problems that arose with the accident at Eschede and the consequent massive number of injured persons present at one time and the decisions made at the scene are presented in chronological order . The aim of these decision was to be operating one-to-one medical care at the earliest possible point after the accident . A total of 87 injured persons were taken away by the rescue services and shared out among 22 hospitals within a circumference of 150 km. This scattered distribution of the injured persons was made possible by the massive mobilization of the air rescue service . By 2 h after the accident most of the injured were on the way to the hospitals or had already reached them . The problems encountered as a result of the massive number of deaths and the procedure followed in Eschede are also presented . A total of 96 bodies were taken from the wreckage at the scene of the accident ."
],
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[
0,
916
]
]
}
] |
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"persons"
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"time"
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"hospitals"
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"distribution"
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"mobilization"
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"type": "umlsterm",
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"air"
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},
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"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"deaths"
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}
]
}
] |
[] |
[] |
[
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"type": "associated_with",
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"type": "uses",
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},
{
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"type": "causes",
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"arg2_id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s5-t2",
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{
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"type": "associated_with",
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},
{
"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s2-r1-t1.1-t2.1",
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"type": "associated_with",
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},
{
"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s2-r3-t1.1-t2.1",
"type": "result_of",
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},
{
"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s2-r5-t2.1-t1.1",
"type": "affects",
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"arg2_id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s6-t1",
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},
{
"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s3-r1-t3.1-t2.1",
"type": "uses",
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},
{
"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s3-r2-t1.1-t2.1",
"type": "uses",
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},
{
"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s4-r1-t2.1-t1.1",
"type": "causes",
"arg1_id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s5-t2",
"arg2_id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s5-r1-t2.1-t1.1",
"type": "measurement_of",
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"arg2_id": "Trauma+Berufskrankheit.0002s291.eng.abstr-s6-t1",
"normalized": []
}
] |
Trauma+Berufskrankheit.0002s308.eng.abstr
|
Trauma+Berufskrankheit.0002s308.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s308.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In general , fracture treatment of the upper extremities should be definitive . Planned changes of procedure are acceptable in grade 2 and 3 open fractures , especially those of the forearm . The aim is to change to a definitive procedure , such as ORIF with plates or intramedullary nailing , after the soft tissues have healed . For open humeral fractures the indications for definitive treatment became wider with the availability of titanium nails , and the significance of external fixation devices has declined . Infections after ORIF , but also nonunions , mostly also make a change of procedure when the upper extremity is concerned . The selection of a second or even a third procedure has to be decided individually , depending on the fracture and the soft tissue conditions , but also on the patient's situation . Hardly any high-quality studies with sufficiently high numbers of patients are available on this subject ."
],
"offsets": [
[
0,
931
]
]
}
] |
[
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"fracture"
],
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]
},
{
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"type": "umlsterm",
"text": [
"extremities"
],
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],
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]
},
{
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"type": "umlsterm",
"text": [
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]
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{
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{
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{
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],
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{
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]
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{
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"plates"
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{
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"text": [
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Trauma+Berufskrankheit.0002s315.eng.abstr
|
Trauma+Berufskrankheit.0002s315.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s315.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A change of treatment modality in osteosynthesis is based on one of two principles . On the one hand , fixation can be performed as part of a two-step procedure to reduce the side effects of fracture stabilization . On the other hand , a revision osteosynthesis may be required for the treatment of complications . Indications for a two-step procedure are fractures in polytraumatized patients and fractures with a tendency to swelling and infection ( pilon-tibial fractures ) . External fixator devices applied in a two-step procedure were used for stabilization of fractures involving severe soft tissue damage in past decades ; unreamed nailing is now commonly preferred . Revision osteosynthesis may be appropriate in the treatment of complications . Such complications can be caused by failure of the osteosynthesis ; they can also be due to delayed union or nonunion of fractures , osseous defects or infection . In the case of failed osteosynthesis the reasons for failure must be thoroughly studied and a variety of subsequent procedures considered for successful treatment ."
],
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[
0,
1083
]
]
}
] |
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[] |
[] |
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"normalized": []
},
{
"id": "Trauma+Berufskrankheit.0002s315.eng.abstr-s7-r3-t3.1-t1.1",
"type": "degree_of",
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},
{
"id": "Trauma+Berufskrankheit.0002s315.eng.abstr-s7-r4-t5.1-t3.1",
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},
{
"id": "Trauma+Berufskrankheit.0002s315.eng.abstr-s7-r5-t5.1-t1.1",
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},
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},
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},
{
"id": "Trauma+Berufskrankheit.0002s315.eng.abstr-s7-r8-t3.1-t1.1",
"type": "result_of",
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},
{
"id": "Trauma+Berufskrankheit.0002s315.eng.abstr-s8-r1-t1.1-t2.1",
"type": "conceptual_part_of",
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}
] |
Trauma+Berufskrankheit.0002s333.eng.abstr
|
Trauma+Berufskrankheit.0002s333.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Since 1995 , a total of 115 patients with pseudarthrosis or delayed bone fracture healing have each undergone a single session of shock wave treatment . After the treatment the fractures were correctly set according to the rules of conservative bone fracture treatment . The mean follow-up period for all patients was 31 months ( range 3-50 months . In 87 cases ( 75.7% ) bony consolidation was achieved with simultaneous reduction in the symptoms . Apart from low-grade local reactions ( swelling , haematoma , petechiae ) no complications were observed . The treatment is noninvasive and requires little investment in terms of personnel or technology . Extracorporeal shock wave therapy should therefore be considered before an elaborate operative procedure is initiated in the treatment of pseudarthrosis and of delayed fracture healing ."
],
"offsets": [
[
0,
841
]
]
}
] |
[
{
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"patients"
],
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[
28,
36
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"pseudarthrosis"
],
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[
42,
56
]
],
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{
"db_name": "UMLS",
"db_id": "C0033785"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"bone"
],
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[
68,
72
]
],
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{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"fracture"
],
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[
73,
81
]
],
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{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"single"
],
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[
112,
118
]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"shock"
],
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[
130,
135
]
],
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{
"db_name": "UMLS",
"db_id": "C0036974"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s1-t7",
"type": "umlsterm",
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"treatment"
],
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[
141,
150
]
],
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},
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"bone fracture"
],
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[
68,
81
]
],
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{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"fracture healing"
],
"offsets": [
[
73,
89
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0162542"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"treatment"
],
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[
163,
172
]
],
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{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"fractures"
],
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[
177,
186
]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"bone"
],
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[
245,
249
]
],
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{
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"db_id": "C0262950"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"fracture"
],
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[
250,
258
]
],
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"treatment"
],
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[
259,
268
]
],
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{
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"db_id": "C0087111"
},
{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"bone fracture"
],
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[
245,
258
]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"period"
],
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[
290,
296
]
],
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"db_name": "UMLS",
"db_id": "C0025344"
}
]
},
{
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"type": "umlsterm",
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"patients"
],
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[
305,
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]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"symptoms"
],
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[
439,
447
]
],
"normalized": [
{
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"db_id": "C0683368"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"haematoma"
],
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[
500,
509
]
],
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{
"db_name": "UMLS",
"db_id": "C0018944"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"petechiae"
],
"offsets": [
[
512,
521
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031256"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"complications"
],
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[
527,
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]
],
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{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
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"type": "umlsterm",
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"treatment"
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]
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"investment"
],
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606,
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]
],
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}
]
},
{
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"type": "umlsterm",
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"personnel"
],
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]
],
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},
{
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}
]
},
{
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"technology"
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]
},
{
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"type": "umlsterm",
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"therapy"
],
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s7-t2",
"type": "umlsterm",
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"procedure"
],
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750,
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}
]
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s7-t4",
"type": "umlsterm",
"text": [
"pseudarthrosis"
],
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793,
807
]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s7-t5",
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"fracture"
],
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],
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]
},
{
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"operative procedure"
],
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]
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s7-t7",
"type": "umlsterm",
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"fracture healing"
],
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[
823,
839
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0162542"
}
]
}
] |
[] |
[] |
[
{
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"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.0002s333.eng.abstr-s7-t2",
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{
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{
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{
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{
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{
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{
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{
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{
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},
{
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},
{
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{
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{
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Trauma+Berufskrankheit.0002s340.eng.abstr
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Trauma+Berufskrankheit.0002s340.eng.abstr
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[
{
"id": "Trauma+Berufskrankheit.0002s340.eng.abstr-passage-0",
"type": "abstract",
"text": [
"With part VII of the Social Code ( SGB VII ) , the data protection in accident insurance has been become subject to specific and systematic regulation for the first time . This new regulation follows the principles laid down for data protection in general in terms of clarity of standards , transparency and necessity . It resolves some of the previous problematic questions , but also raises some new ones . Specimen case instructions and a number of forms developed by the HVBG ( statutory accident prevention and insurance institution in industry ) are used to clarify how it can be applied in practice . The following questions , which have been to the fore from the viewpoint of the accident insurance institutions since the SGB VII came into force , are discussed : initial data collection from insured persons , appointment of experts and involvement of the insured persons , distinction between medical consultants appointed by the accident insurance institutions and medical experts , agreement of the insured persons to the data collection , feedback from accident insurance institutions to medical experts ."
],
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] |
[] |
[] |
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] |
Trauma+Berufskrankheit.0002s345.eng.abstr
|
Trauma+Berufskrankheit.0002s345.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s345.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The physician's duty of professional discretion is one of the basic tenets at the heart of the doctor's profession . It is laid down in the physicians ' professional code and determined ultimately by the patient's right to self-determination , which is regulated in §203 of the German Criminal Code . It is established in the ordinance governing physicians ' work and has its origin in the patient's right of self-determination . It is also regulated in §203 of the German Criminal Code . An exception can be made to the duty of professional secrecy if a patient gives express permission for this or if it is allowed or required by law . Some such exceptions are also specified in the German Social Code , although the physician's duty of disclosure is then always precisely stated , particularly when medical data in the strictest sense of the phrase are concerned . Borderline cases are described to illustrate how the rules of professional medical discretion are breached in the course of day-to-day business transacted between the statutory accident insurance firms and the physicians under contract to them , and some hints are given on how this can be avoided ."
],
"offsets": [
[
0,
1167
]
]
}
] |
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[] |
[] |
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Trauma+Berufskrankheit.0002s349.eng.abstr
|
Trauma+Berufskrankheit.0002s349.eng.abstr
|
[
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] |
[] |
[] |
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},
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"normalized": []
},
{
"id": "Trauma+Berufskrankheit.0002s349.eng.abstr-s4-r4-t3.1-t1.1",
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},
{
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},
{
"id": "Trauma+Berufskrankheit.0002s349.eng.abstr-s4-r7-t5.1-t1.1",
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"arg2_id": "Trauma+Berufskrankheit.0002s349.eng.abstr-s4-t1",
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{
"id": "Trauma+Berufskrankheit.0002s349.eng.abstr-s4-r8-t1.1-t3.1",
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"arg2_id": "Trauma+Berufskrankheit.0002s349.eng.abstr-s4-t3",
"normalized": []
}
] |
Trauma+Berufskrankheit.0002s353.eng.abstr
|
Trauma+Berufskrankheit.0002s353.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s353.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This paper first describes how the project study on the regulation and monitoring of medical treatment arose . We then introduce its objectives , the members of the study group , the composition of the collective and selection of cases , and the methods used for ascertainment and recording of data . Results are then presented with reference to the various hypotheses put forward ."
],
"offsets": [
[
0,
382
]
]
}
] |
[
{
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[
5,
10
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},
{
"id": "Trauma+Berufskrankheit.0002s353.eng.abstr-s1-t2",
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"regulation"
],
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"db_id": "C0034982"
},
{
"db_name": "UMLS",
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s353.eng.abstr-s1-t3",
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"treatment"
],
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]
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"db_id": "C0087111"
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}
]
},
{
"id": "Trauma+Berufskrankheit.0002s353.eng.abstr-s2-t1",
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"objectives"
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133,
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"selection"
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"methods"
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"db_id": "C0025663"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
}
] |
[] |
[] |
[
{
"id": "Trauma+Berufskrankheit.0002s353.eng.abstr-s1-r1-t3.1-t1.1",
"type": "uses",
"arg1_id": "Trauma+Berufskrankheit.0002s353.eng.abstr-s2-t3",
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},
{
"id": "Trauma+Berufskrankheit.0002s353.eng.abstr-s1-r2-t2.1-t2.2",
"type": "isa",
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},
{
"id": "Trauma+Berufskrankheit.0002s353.eng.abstr-s2-r1-t3.1-t2.1",
"type": "result_of",
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"arg2_id": "Trauma+Berufskrankheit.0002s353.eng.abstr-s2-t2",
"normalized": []
}
] |
Trauma+Berufskrankheit.0002s360.eng.abstr
|
Trauma+Berufskrankheit.0002s360.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We present the results of a study conducted in collaboration with the German workers ' board to monitor the effectiveness of treatment in 477 cases . The examiners reviewed the charts of patients who had suffered distorsion or luxation of the knee , fractures of the spine with or without neural deficits , calcaneus fractures , rotator cuff lesions and shoulder luxation , and fractures of the acetabulum and pelvis as the result of accidents . A new documentation sheet was desiged to note administrative and medical data . All 477 patients ' charts and X-rays were reviewed by three trauma surgeons , and procedures were monitored in a prospective manner . The study revealed considerable discrepancies between the assumed injuries and those ultimately found to have been sustained , especially in the case of knee injuries . The article reveals the results concerning the validity of the diagnosis and the need for more precisely tailored diagnostic methods for different patient groups . Our final conclusion is that it is necessary to implement new paths of patient management and better steering features to improve both the quality of medical care and the administrative procedures in place ."
],
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[
0,
1200
]
]
}
] |
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]
},
{
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"treatment"
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125,
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{
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]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t2",
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213,
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},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t3",
"type": "umlsterm",
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"knee"
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]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t4",
"type": "umlsterm",
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"fractures"
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250,
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{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t5",
"type": "umlsterm",
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"spine"
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"db_id": "C0037949"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"calcaneus"
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307,
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"db_name": "UMLS",
"db_id": "C0006856"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"fractures"
],
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317,
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},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t8",
"type": "umlsterm",
"text": [
"shoulder"
],
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354,
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]
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"db_name": "UMLS",
"db_id": "C0037004"
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]
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{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t9",
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"fractures"
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},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t10",
"type": "umlsterm",
"text": [
"acetabulum"
],
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395,
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],
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"db_name": "UMLS",
"db_id": "C0000962"
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]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t11",
"type": "umlsterm",
"text": [
"pelvis"
],
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410,
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"db_id": "C0030797"
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]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t12",
"type": "umlsterm",
"text": [
"accidents"
],
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434,
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"db_name": "UMLS",
"db_id": "C0000924"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t13",
"type": "umlsterm",
"text": [
"rotator cuff"
],
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[
329,
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"db_id": "C0085515"
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{
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{
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]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"X-rays"
],
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556,
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]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"trauma"
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"db_id": "C0021501"
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"db_name": "UMLS",
"db_id": "C0043251"
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]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"procedures"
],
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]
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"db_name": "UMLS",
"db_id": "C0184661"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"injuries"
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},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s5-t2",
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{
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{
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]
},
{
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]
},
{
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{
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]
},
{
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],
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"db_id": "C0150499"
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]
},
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s7-t3",
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"procedures"
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"db_id": "C0184661"
},
{
"db_name": "UMLS",
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}
]
}
] |
[] |
[] |
[
{
"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s1-r1-t3.1-t1.1",
"type": "isa",
"arg1_id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s7-t3",
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{
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"arg2_id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s2-t13",
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},
{
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{
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{
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"id": "Trauma+Berufskrankheit.0002s360.eng.abstr-s6-r3-t1.1-t4.2",
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] |
Trauma+Berufskrankheit.0002s370.eng.abstr
|
Trauma+Berufskrankheit.0002s370.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s370.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Torsion fractures of the knee are frequently followed by injuries of the internal structures of the knee joint . The attendant physician is required to follow a course of investigation that combines a secure diagnosis with what is economically viable . The most important elements of this are the case history and the clinical examination , which , together with plain radiographs ( knee a-p and lateral views , patella tangential view ) , often allows a clear clinical diagnosis and planning of further therapy . If the clinical diagnosis is not clear , in MRI investigation we now have a method available that allows highly accurate recognition of menisceal ruptures and lesions of the cruciate ligament lesions and of cartilage . It can make a decisive contribution to reducing the number of purely diagnostic arthroscopies performed and thus to cost reduction . The procedure followed for spiral injury to the knee joint is a classic illustration of how diagnostic algorithms can make a contribution to the quality of treatment outcome while economic aspects are taken account of at the same time ."
],
"offsets": [
[
0,
1102
]
]
}
] |
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0,
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{
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"knee"
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}
] |
[] |
[] |
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Trauma+Berufskrankheit.0002s376.eng.abstr
|
Trauma+Berufskrankheit.0002s376.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s376.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Indirect trauma to the shoulder and knee joint often results in injuries to the ligaments and the capsule , and more rarely in fractures . Anterior shoulder dislocation is common . Over the last few years arthroscopic repair of the torn labrum has become established as the therapy of choice . Isolated ruptures of the collateral ligaments of the knee can be treated functionally . A torn anterior cruciate ligament of the knee joint can be compensated by the quadriceps muscle if this is adequately prepared by special exercises . Chronic or combined instabilities should be treated surgically by ACI grafting techniques . Menisceal injuries are treated arthroscopically ."
],
"offsets": [
[
0,
673
]
]
}
] |
[
{
"id": "Trauma+Berufskrankheit.0002s376.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"trauma"
],
"offsets": [
[
9,
15
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021501"
},
{
"db_name": "UMLS",
"db_id": "C0043251"
}
]
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] |
[] |
[] |
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Trauma+Berufskrankheit.0002s379.eng.abstr
|
Trauma+Berufskrankheit.0002s379.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s379.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intraarticular fractures of the base of the first metacarpal that have healed in displaced position quickly lead to posttraumatic arthritis . After satisfactory closed reduction a percutaneous pin fixation is sufficient , if necessary combined with fixation of the first metacarpal . If closed reduction cannot be obtained , open reduction with pin fixation , or rigid fixation with screws or plates , is advisable . Displaced fractures of the metacarpal base of the fingers also lead to posttraumatic arthritis with a weak grip . Displaced fractures and dislocated fractures require reduction and percutaneous or internal fixation with K-wires and possibly additional pin fixation of the carpometacarpal joints ."
],
"offsets": [
[
0,
713
]
]
}
] |
[
{
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"fractures"
],
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[
15,
24
]
],
"normalized": [
{
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"db_id": "C0016658"
}
]
},
{
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],
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[
50,
60
]
],
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{
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}
]
},
{
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"text": [
"arthritis"
],
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[
130,
139
]
],
"normalized": [
{
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}
]
},
{
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"type": "umlsterm",
"text": [
"pin"
],
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[
193,
196
]
],
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{
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},
{
"id": "Trauma+Berufskrankheit.0002s379.eng.abstr-s2-t2",
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"metacarpal"
],
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[
271,
281
]
],
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]
},
{
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],
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[
325,
329
]
],
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{
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345,
348
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}
] |
[] |
[] |
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}
] |
Trauma+Berufskrankheit.0002s392.eng.abstr
|
Trauma+Berufskrankheit.0002s392.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.0002s392.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Fractures of the metacarpal bones are rarely reported in growing children . Compression fractures affecting the metaphyses and epiphysial separations are the most frequent types in the central area of the hand , usually with a metaphyseal outbreak wedge . Genuine Bennet and Rolando fractures do not occur in children whose joints are still open . As with every other fracture treatment , therapy should be efficient and give an optimal result with minimum expenditure . A definitive primary therapy is the best method of treatment , but redislocations can make therapy changes necessary . This was the case in 4 of our 64 patients . There are not many treatment procedures that can be considered for metacarpal fractures in children : different types of plaster cast and Kirschner wires are the only methods used . Fractures with no dislocation are treated only by means of plaster casts . With dislocations the spontaneous correction that can be expected must of course be considered . These mainly affect younger children and axial malalignments in the sagittal plane . In the case of dislocation fractures every effort should be made to provide emergency care within the first 6 h after the accident ."
],
"offsets": [
[
0,
1205
]
]
}
] |
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{
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"bones"
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}
] |
Trauma+Berufskrankheit.80010006.eng.abstr
|
Trauma+Berufskrankheit.80010006.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A differentiated therapeutic regimen for distal radial fractures of the radius requires an exact and reproducible classification system and the same principles for achievement of quality as in other articular fractures . A variety of therapeutic approaches - from simple reduction to arthroscopically assisted operations with autogenous cancellous bone transplantation - exists , which allows for good functional results in most cases . Whereas stable extra-articular fractures can be treated by simple reduction and a cast in most cases , Kirschner wire osteosynthesis should be performed in unstable situations with dorsal comminution . Also , in intra-articular fractures ( C1 according to AO ) K-wire fixation can be the treatment of choice . Volar comminution and volar shearing fractures require open reduction and internal fixation , sometimes with primary autogenous bone grafting . In all intra-articular fractures with incongruity > 1 mm an open reduction via the dorsal or volar approach has to be considered . C2- and C3-type fractures often require external fixation in addition to K-wire osteosynthesis . External fixation can also be used with good results in cases of secondary displacement . In the future , treatment of distal radial fractures will be influenced by the development of small-dimension titanium implants , as well as by the already existing resorbable and injectable calcium-phosphate ceramic implants ."
],
"offsets": [
[
0,
1436
]
]
}
] |
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{
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]
}
] |
[] |
[] |
[
{
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"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t5",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t9",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r23-t6.1-t1.1",
"type": "complicates",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t6",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r24-t8.1-t6.1",
"type": "interacts_with",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t8",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t6",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r25-t4.1-t6.1",
"type": "produces",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t4",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t6",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r26-t6.1-t9.1",
"type": "interacts_with",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t6",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t9",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r27-t9.1-t8.1",
"type": "interacts_with",
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"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t8",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r28-t1.1-t9.1",
"type": "uses",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t1",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t9",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r29-t9.1-t6.1",
"type": "interacts_with",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t9",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t6",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r30-t6.1-t5.1",
"type": "interacts_with",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t6",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t5",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r31-t1.1-t4.1",
"type": "affects",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t1",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t4",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-r32-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t1",
"arg2_id": "Trauma+Berufskrankheit.80010006.eng.abstr-s9-t2",
"normalized": []
}
] |
Trauma+Berufskrankheit.80010015.eng.abstr
|
Trauma+Berufskrankheit.80010015.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Because the overall results of conservative treatment for distal radial fractures have been unsatisfactory , it is rarely used . However , minimally invasive methods such as stabilization by external fixation and percutaneous K-wire pinning are being increasingly used . A justified indication for the use of K-wire pinning is that it provides an opportunity to achieve good and very good short- and long-term anatomic and functional results . Short-term supplementary immobilization with a minimized plaster cast or protective external fixation is generally considered to be useful . Reports on plaster-free functional treatment after K-wire pinning have been published . The indications therefore need to be further specified . Follow-up studies and an analysis of our patients show a strong increase in K-wire stabilization and good-to-very good results in 75% of the cases ."
],
"offsets": [
[
0,
878
]
]
}
] |
[
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"overall"
],
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[
12,
19
]
],
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{
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"db_id": "C0282416"
}
]
},
{
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"type": "umlsterm",
"text": [
"treatment"
],
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[
44,
53
]
],
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"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
72,
81
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"methods"
],
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[
158,
165
]
],
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{
"db_name": "UMLS",
"db_id": "C0025663"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"K-wire"
],
"offsets": [
[
226,
232
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086510"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"use"
],
"offsets": [
[
302,
305
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0042153"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"K-wire"
],
"offsets": [
[
309,
315
]
],
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{
"db_name": "UMLS",
"db_id": "C0086510"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"anatomic"
],
"offsets": [
[
410,
418
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220784"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"immobilization"
],
"offsets": [
[
469,
483
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020944"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"plaster cast"
],
"offsets": [
[
501,
513
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032159"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
620,
629
]
],
"normalized": [
{
"db_name": "UMLS",
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},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"K-wire"
],
"offsets": [
[
636,
642
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086510"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"analysis"
],
"offsets": [
[
755,
763
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002778"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
771,
779
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t3",
"type": "umlsterm",
"text": [
"K-wire"
],
"offsets": [
[
806,
812
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086510"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t4",
"type": "umlsterm",
"text": [
"Follow-up studies"
],
"offsets": [
[
730,
747
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016441"
}
]
}
] |
[] |
[] |
[
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s1-r1-t2.1-t1.1",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t2",
"arg2_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s1-r2-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t1",
"arg2_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t2",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s4-r1-t1.1-t2.1",
"type": "uses",
"arg1_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t1",
"arg2_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t2",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s5-r1-t1.1-t2.1",
"type": "uses",
"arg1_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t1",
"arg2_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t2",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-r1-t1.1-t3.1",
"type": "uses",
"arg1_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t1",
"arg2_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-r2-t1.1-t3.1",
"type": "performs",
"arg1_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t1",
"arg2_id": "Trauma+Berufskrankheit.80010015.eng.abstr-s7-t3",
"normalized": []
}
] |
Trauma+Berufskrankheit.80010033.eng.abstr
|
Trauma+Berufskrankheit.80010033.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-passage-0",
"type": "abstract",
"text": [
"During a prospective clinical trial with 17 German clinics participating , we examined the indications and treatment methods of 646 distal radial fractures . Criteria for assessment of primary treatment results were collected and integrated in a clinical score ."
],
"offsets": [
[
0,
262
]
]
}
] |
[
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
107,
116
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"methods"
],
"offsets": [
[
117,
124
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025663"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
146,
155
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"clinical trial"
],
"offsets": [
[
21,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008976"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"Criteria"
],
"offsets": [
[
158,
166
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0243161"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"assessment"
],
"offsets": [
[
171,
181
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0028708"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
193,
202
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
}
] |
[] |
[] |
[
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-r1-t4.1-t1.1",
"type": "measures",
"arg1_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t4",
"arg2_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-r2-t1.1-t2.2",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t1",
"arg2_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-r3-t4.1-t2.2",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t4",
"arg2_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-r4-t2.2-t1.1",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t2",
"arg2_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-r5-t2.2-t4.1",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t2",
"arg2_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-r1-t1.1-t3.1",
"type": "evaluation_of",
"arg1_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t1",
"arg2_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-r2-t1.1-t3.1",
"type": "precedes",
"arg1_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t1",
"arg2_id": "Trauma+Berufskrankheit.80010033.eng.abstr-s2-t3",
"normalized": []
}
] |
Trauma+Berufskrankheit.80010040.eng.abstr
|
Trauma+Berufskrankheit.80010040.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The significance of the styloid process of the ulna in the treatment of distal radius fractures ."
],
"offsets": [
[
0,
97
]
]
}
] |
[
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"ulna"
],
"offsets": [
[
47,
51
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0041600"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
59,
68
]
],
"normalized": [
{
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"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"radius"
],
"offsets": [
[
79,
85
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034627"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
86,
95
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"radius fractures"
],
"offsets": [
[
79,
95
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034628"
}
]
}
] |
[] |
[] |
[
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-r1-t4.1-t2.1",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t4",
"arg2_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-r2-t5.1-t2.1",
"type": "disrupts",
"arg1_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t5",
"arg2_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t2",
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},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-r3-t2.1-t4.1",
"type": "location_of",
"arg1_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t2",
"arg2_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-r4-t2.1-t5.1",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t2",
"arg2_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-r5-t2.1-t4.1",
"type": "associated_with",
"arg1_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t2",
"arg2_id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-r6-t1.1-t5.1",
"type": "location_of",
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"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010040.eng.abstr-s1-r7-t4.1-t1.1",
"type": "disrupts",
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{
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},
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},
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},
{
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{
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},
{
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}
] |
Trauma+Berufskrankheit.80010061.eng.abstr
|
Trauma+Berufskrankheit.80010061.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-passage-0",
"type": "abstract",
"text": [
"To make a decision on the cause of rotator cuff tears , the official in charge of the accident insurance depends on the medical expert . This paper deals with the etiology and pathogenesis of rotator cuff tears , with the possible influence of trauma and the varied causes of degenerative origin . All cases using expert opinion of the cause must take degenerative changes into consideration even if the patient was asymptomatic prior to the accident . The essential signs indicating previous damage to rotator cuff tendons can be seen in the first plain X-rays of the shoulder after the injury ."
],
"offsets": [
[
0,
596
]
]
}
] |
[
{
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"cause"
],
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[
26,
31
]
],
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{
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"db_id": "C0015127"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"tears"
],
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[
48,
53
]
],
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{
"db_name": "UMLS",
"db_id": "C0043246"
},
{
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},
{
"db_name": "UMLS",
"db_id": "C0039409"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"charge"
],
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[
72,
78
]
],
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{
"db_name": "UMLS",
"db_id": "C0007961"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"accident"
],
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[
86,
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]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"insurance"
],
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[
95,
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]
],
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{
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"db_id": "C0021672"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"rotator cuff"
],
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[
35,
47
]
],
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{
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]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"accident insurance"
],
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],
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]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-t1",
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"text": [
"paper"
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]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"etiology"
],
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[
163,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015127"
},
{
"db_name": "UMLS",
"db_id": "C0007463"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"pathogenesis"
],
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[
176,
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]
],
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-t4",
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"tears"
],
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{
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},
{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-t5",
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"trauma"
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},
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-t6",
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"causes"
],
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],
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"origin"
],
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289,
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],
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{
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]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-t8",
"type": "umlsterm",
"text": [
"rotator cuff"
],
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192,
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]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s3-t1",
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"All"
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]
},
{
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],
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]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s3-t3",
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"patient"
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]
},
{
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]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s3-t5",
"type": "umlsterm",
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"expert opinion"
],
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]
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{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"signs"
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],
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"tendons"
],
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],
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]
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{
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{
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{
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],
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{
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}
]
}
] |
[] |
[] |
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{
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},
{
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{
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},
{
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},
{
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{
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{
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{
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{
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{
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{
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},
{
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-r9-t6.1-t3.1",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-r11-t7.1-t2.1",
"type": "isa",
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"arg2_id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-t2",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-r12-t4.3-t6.1",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-r13-t6.1-t2.1",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-r14-t6.1-t4.3",
"type": "connected_to",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s2-r15-t4.3-t5.1",
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},
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"arg2_id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-t2",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s3-r3-t2.1-t5.1",
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},
{
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s3-r5-t1.1-t4.1",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-r2-t5.1-t4.1",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-r3-t5.1-t1.1",
"type": "surrounds",
"arg1_id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-t5",
"arg2_id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-t1",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-r4-t4.1-t1.1",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-r5-t3.1-t5.2",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-r6-t4.1-t5.2",
"type": "location_of",
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"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-r7-t1.1-t5.2",
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},
{
"id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-r8-t1.1-t5.1",
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},
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},
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},
{
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},
{
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},
{
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"arg2_id": "Trauma+Berufskrankheit.80010061.eng.abstr-s4-t5",
"normalized": []
}
] |
Trauma+Berufskrankheit.80010068.eng.abstr
|
Trauma+Berufskrankheit.80010068.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.80010068.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A specially made instrument for the extraction of broken fragments of intramedullary nails is introduced and the procedure described ."
],
"offsets": [
[
0,
134
]
]
}
] |
[
{
"id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"instrument"
],
"offsets": [
[
17,
27
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0243113"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"nails"
],
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[
85,
90
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027342"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"procedure"
],
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[
113,
122
]
],
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{
"db_name": "UMLS",
"db_id": "C0184661"
},
{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"intramedullary nails"
],
"offsets": [
[
70,
90
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021885"
}
]
}
] |
[] |
[] |
[
{
"id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-r1-t3.1-t4.1",
"type": "conceptual_part_of",
"arg1_id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-t3",
"arg2_id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-r2-t4.1-t1.1",
"type": "uses",
"arg1_id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-t4",
"arg2_id": "Trauma+Berufskrankheit.80010068.eng.abstr-s1-t1",
"normalized": []
}
] |
Trauma+Berufskrankheit.80010071.eng.abstr
|
Trauma+Berufskrankheit.80010071.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Complete dislocated fractures of the thoracic spine may have no neurological deficits if separation is present in the middle of the dorsal column . In this case there is no injury to the spinal cord , because the \" saving fracture \" of the vertebral arc prevents it . One case of a severe dislocated fracture at T11-12 is reported . In practice , a complete set of X-rays should be done after high-speed trauma , even if no neurological deficit is present . The treatment is operative by open reduction and fusion from the ventral or dorsal column ."
],
"offsets": [
[
0,
549
]
]
}
] |
[
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s1-t1",
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"text": [
"fractures"
],
"offsets": [
[
20,
29
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"spine"
],
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[
46,
51
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0037949"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"separation"
],
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[
89,
99
]
],
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{
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}
]
},
{
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"text": [
"injury"
],
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[
173,
179
]
],
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{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"fracture"
],
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[
222,
230
]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"arc"
],
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[
250,
253
]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"spinal cord"
],
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[
187,
198
]
],
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{
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},
{
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},
{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"fracture"
],
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[
300,
308
]
],
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{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"set"
],
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[
358,
361
]
],
"normalized": [
{
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}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"X-rays"
],
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[
365,
371
]
],
"normalized": [
{
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"db_id": "C0043309"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"trauma"
],
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[
404,
410
]
],
"normalized": [
{
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"db_id": "C0021501"
},
{
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"db_id": "C0043251"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"treatment"
],
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[
462,
471
]
],
"normalized": [
{
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"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"open"
],
"offsets": [
[
488,
492
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0266061"
}
]
}
] |
[] |
[] |
[
{
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"type": "occurs_in",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t1",
"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s1-r2-t1.1-t2.1",
"type": "disrupts",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t1",
"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s1-r3-t1.1-t3.1",
"type": "result_of",
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},
{
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},
{
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"type": "result_of",
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"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r1-t4.3-t3.1",
"type": "degree_of",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t4",
"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r3-t4.1-t1.1",
"type": "result_of",
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},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r4-t4.1-t1.1",
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"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r5-t3.1-t1.2",
"type": "result_of",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s4-t3",
"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r6-t4.1-t3.1",
"type": "location_of",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t4",
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"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r7-t4.1-t1.2",
"type": "result_of",
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"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r8-t4.3-t1.1",
"type": "result_of",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t4",
"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r9-t3.1-t4.3",
"type": "degree_of",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s4-t3",
"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r10-t4.1-t1.2",
"type": "location_of",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t4",
"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-r11-t4.1-t3.1",
"type": "degree_of",
"arg1_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s2-t4",
"arg2_id": "Trauma+Berufskrankheit.80010071.eng.abstr-s4-t3",
"normalized": []
},
{
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] |
Trauma+Berufskrankheit.80010074.eng.abstr
|
Trauma+Berufskrankheit.80010074.eng.abstr
|
[
{
"id": "Trauma+Berufskrankheit.80010074.eng.abstr-passage-0",
"type": "abstract",
"text": [
"So far , necrosis of the lunate bone has been interpreted in the literature as a phenomenon with a traumatic , primarily vascular-arterial or mechanical causation . These models seem problematic , since neither the patients ' histories nor the macroscopic-radiographical or histological appearances can be reconciled with them . In contrast , the model of a primarily venous aetiopathogenesis accepted for idiopathic necrosis of the femoral head is now examined . Evaluation of 125 cases of lunate bone necrosis treated in the Department of Orthopaedics at the University Hospital in Heidelberg between 1958 and 1993 made it possible to reconstruct the spontaneous course of the condition . X-Ray material , core spin tomographic images and material from a prospective study carried out in 49 patients with unexplained painful conditions of the wrist were available . A stage-by-stage progression emerged , which initially caused alterations only in the MR image , while the X-ray picture remained unremarkable . It was recognized from the spontaneous course that subsequent changes in the shape of the diseased lunate bones were always the result of the necrotic transformation process and never the cause of it . This meant that fractures were excluded as a possible cause of necrosis of the lunate bone . The spontaneous course was used as the basis of a stage-related classification for lunate bone necrosis . In a pressure measurement test , the behaviour of the intraosseous pressure in 16 necrotic lunate bones , 16 healthy lunate bones and 16 healthy capitate bones was tested under various functional conditions . The pressure fluctuations in the capitate bones were very slight , while in the healthy lunate bones pressure increased significantly during extension of the wrist . The position-dependent pressure increases in the lunate bones indicated that the venous drainage was constantly in jeopardy . The pressure increases in necrotic lunate bones were significantly in excess of those in healthy ones ; in some cases they were far in excess of the systolic blood pressure . It was also concluded that necrotic lunate bones were mechanically deformed on movement . The anatomical causes of the pronounced pressure increases were examined experimentally . After staining of both the arteries and the veins , epoxy sheet plastination was used to fix six fresh cadaver arms in the neutral position and six in extension . Visualization of the vessels showed that capsular-ligamentous structures that were stretched on the palmar side and slackly turned back on themselves on the dorsal side still allowed the blood supply from the arteries , but substantially hindered venous drainage . The anatomical preparations made it possible to see that venous drainage from the lunate bone was being prevented ; this explained the pronounced pressure increases . The unphysiological position of the base of the radius inclined in the palmar direction relative to the hand axis when it was extended dorsally was the crucial factor in the development of necrosis . Evaluation of the histories of the patients with necrosis of the lunate bone made it clear that trauma was not significantly involved in the causation , while manual work had an important role . Most manual activites are performed with the wrist in extension . Any extension favours triggering of bone necrosis through congestion in the venous trunk . Thus , our investigations have shown that the beginning of this illness starts with congestion such as occurs with every extension of the wrist , which is initially physiological , before further factors favouring the process cause it to take a pathologic course ."
],
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0,
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ZfuerGerontologie+Geriatrie.00330009.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330009.eng.abstr
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[] |
[] |
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ZfuerGerontologie+Geriatrie.00330017.eng.abstr
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ZfuerGerontologie+Geriatrie.00330017.eng.abstr
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[
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"The aim of this study is to analyze the dimensions of psychosocial nursing requirements in a psychogeriatric nursing home . In addition to biographical and anamnestical data of nursing home residents , the psychosocial nursing requirements are measured with the Nurses ' Observations Scale for Geriatric Patients ( NOSGER ) . Data are compared with patients of a psychogeriatric department of a state psychiatric hospital . Results show that psychogeriatric nursing home residents have at least as much psychosocial restrictions as acutely mentally ill patients in the psychiatric hospital . In some dimensions of the NOSGER ( memory , social behavior ) residents show even higher scores than the control group . By analyzing the rate of residents and psychogeriatric patients who score above the cut-off points given by the NOSGER developers , it is shown that the rate of residents with psychosocial nursing requirements is at least as high as in the control group . Concerning the NOSGER dimensions Instrumental Activities of Daily Living and Social Behavior , the rate of nursing home residents above the cut-off points is significantly greater than the rate of the acute psychogeriatric patients . It is concluded that budgets of psychogeriatric nursing homes must be able to finance qualified psychiatric personnel to meet the residents ' special psychosocial requirements adequately ."
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ZfuerGerontologie+Geriatrie.00330024.eng.abstr
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ZfuerGerontologie+Geriatrie.00330024.eng.abstr
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"This study considers findings of psychological gerontology as particularly important for geriatric rehabilitation research . Its concrete aim was to describe the course and outcome of geriatric rehabilitation based on a wide range of success criteria , to explore the influencing role of age , sex , and diagnosis as well as to describe the variability pattern of success . The data were gathered from a sample of 100 older adults who underwent treatment in a German inpatient rehabilitation unit . Participants were assessed across five measurement occasions by use of a state-of-the-art geriatric assessment and psychological data collection part. The results underline , for one , that significant improvements of functional as well as psychological capacity were obtained . Second , age and sex played practically no role concerning the course of the success criteria , whereas diagnosis revealed some statistically meaningful effects . Third , it was found that the variability of success was characterized by a relatively homogenous pattern of gain with regard to functional criteria ; with respect to psychological variables , heterogeneity was more pronounced and some participants show loss as well , a chance for further improvement of the geriatric rehabilitation ."
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ZfuerGerontologie+Geriatrie.00330036.eng.abstr
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ZfuerGerontologie+Geriatrie.00330036.eng.abstr
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[
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"id": "ZfuerGerontologie+Geriatrie.00330036.eng.abstr-passage-0",
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"Psychic disorders were studied with a naturalistic design in 125 consecutive patients of a medical-geriatric department in a general hospital . Based on the clinical examination and the values of the Mini-Mental-State-Examination ( 2 ) , 51 patients were classified as unable for diagnostic procedures concerning psychic state . The other 74 patients underwent these diagnostic procedures including clinical investigation and three screening-scales ( Geriatric Depression Scale ( 11 ) ; Hospital Anxiety and Depression-Scale ( 4 ) ) . If these examinations led to the suspicion that a patient suffered from a psychic disorder , an interview was performed by a psychotherapist with experience in gerontopsychosomatic treatment and information was collected from the medical and nursing staff . Dementia was detected or excluded by neuropsychological tests . Psychic disorders were found in 41 patients , mostly adaptation disorders and depressions , the disorder was estimated to be relevant for the whole hospital therapy . The screening instruments turned out to be reliable , so they can be recommended for further use . Difficult to answer remains the question , how the treatment of the psychic disorders - in our sample necessary for each 5th to 6th patient - can be implemented in a medical-geriatric department ."
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[
{
"id": "ZfuerGerontologie+Geriatrie.00330078.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In Germany , the term \" evidence-based medicine \" still leads to confusion . To our continental understanding \" evidence \" refers to the self-evident , what is obvious and unequivocally clear without any methodological mediation . In English speaking countries , \" evidence \" is defined as available and disputable facts indicating whether or not a proposition is valid . In clinical medicine both types of evidence are indispensable . However at present \" external ( i.e. anglosaxon ) evidence \" from sound-evaluative clinical research is actually needed to define and justify clinical indication rules . The rationale of the concept is obviously consequentialistic , it primarily considers the clinical and community effectiveness of any medical intervention . The paper finally discusses some of the ethical problems involved in evidence-based medicine ."
],
"offsets": [
[
0,
857
]
]
}
] |
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"Germany"
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ZfuerGerontologie+Geriatrie.00330124.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330124.eng.abstr
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[
{
"id": "ZfuerGerontologie+Geriatrie.00330124.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Results of a longitudinal study about the transition to retirement are presented . 329 persons were interviewed three times ( quantitative study ) and 20 persons conducted a semi-structured diary ( qualitative study ) , covering in both groups a two-year period ( from half a year before retirement to one and a half years after retirement ) . They were asked about their subjective well-being ( happiness , joy , satisfaction , stresses ) , their life situation and their personal , social and material resources . The results show that the transition to retirement brings with it gains ( leisure time ) and losses ( financial , social status ) , but overall maintains a high level of well-being . Specific analyses point out inter-individual differences , risk factors and resources , like a high level of trait well-being , health , social networks and an optimistic outlook . The diary analyses lead to specifications , more detailed process analyses and hypotheses about cohort effects . Consequences for an adequate preparation for retirement are discussed ."
],
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}
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"sentha is an interdisciplinary research team involving the Technical University Berlin , the Berlin Institute for Social Research GmbH ( BIS ) , the German Centre for Research on Ageing at the University of Heidelberg ( DZFA ) , the School of Fine Arts Berlin ( HdK ) , and the Brandenburg Technical University Cottbus ( BTU ) . Building on empirical investigations of the role of everyday household products in the everyday life of older people , product-independent design and assessment guidelines and new products are being developed in an intensive interdisciplinary process in order to better meet the needs of older people and to enhance their autonomous living . The following paper describes the contributions from the participating disciplines and presents initial results of the social sciences subproject , describing the problems arising in living independently in old age and detecting the demands on new technological solutions . Data are based on a representative survey conducted in 1999 and including a stratified sample of 1417 men and women aged 55 and older ."
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"This article examines the use and acceptance of ticket machines , automatic teller machines ( ATMs ) and telephone cards by the elderly in four European regions . The analyses are based on data from an international project entitled \" Keeping the Elderly Mobile \" , collected in Mannheim ( former West Germany ; N=404 home-dwelling respondents ) , Chemnitz ( former East Germany ; N=400), Ancona ( Italy ; N=600), and Jyvaeskylae ( Finland ; N=618). The random sample was stratified by age and gender in each country . Two generations of men and women ( aged 55-74 and 75+ years , respectively ) participated in the study . Results show that respondents generally made little use of the three technologies under investigation : in fact , the majority of respondents does not use them at all . The most frequently used devices were ATMs in Chemnitz and ticket machines and telephone cards in Mannheim . On the basis of logistic regression analysis , age was the most important explanatory factor for the three technologies and for all four regions , i.e. , the users were mostly the \" young-old . \" Education was a more important variable than gender . In all four regions , the majority of the respondents who used the technologies assessed felt that each of them made life easier ; nevertheless , ticket machines make life more difficult to almost every third user in Mannheim . Interesting differences and similarities among the towns were also found . The present study exhibits preliminary results regarding elderly and technology which future research should investigate in greater depth ."
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ZfuerGerontologie+Geriatrie.00330178.eng.abstr
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ZfuerGerontologie+Geriatrie.00330178.eng.abstr
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"Starting point for this analysis are the mobility needs and requirements of elderly , as well as problems concerning access and use of public transport . Elderly people as car drivers suffer from several performance deficits which are currently compensated by mobility restrictions and changed driving behaviour . Driver assistance systems , just available or soon on the market , are demonstrated and analysed with respect to their impact on elderly drivers . An expert evaluation comes to the conclusion that the most important systems for elderly are : emergency systems , enhanced vision systems and parking aids . Emergency systems can call rescue teams automatically or at driver's request , and direct them to the emergency location . Self imposed restrictions of elderly concerning night driving can partly be compensated by means of curve lightning and automatic dipping . Parking aids , using cameras or infrared technique are especially helpful for persons with movability problems . The group of helpful , but not highly important driver assistance systems covers several means for longitudinal and lateral control of the car , comprising autonomous cruise control , antilock systems and electronic stability programmes . The value and impact of these systems are analysed in the light of risk homeostasis theory . Reduced work load and ease of mobility will at last result from user centered navigation systems , helping the elder driver also to move to new areas without orientational problems . The article demonstrates the particular importance of specific layouts of the man-machine-interface for elderly , to guarantee high acceptance and minimal distraction from traffic ."
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[] |
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ZfuerGerontologie+Geriatrie.00330195.eng.abstr
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"Modern telecommunication technology ( telematics ) has the potential to improve the quality of life for elders with physical and mental impairments as well as for their care giving relatives . Videophones , internet resources , and multimedia computers can be used for networking them together with social workers , nurse practitioners , physicians and therapeutic staff in service-centers . This can be viewed as a unique opportunity to establish and maintain instant and personalized access to various medical services in a situation where increasing needs are opposed to decreasing resources . However , it is not yet clear whether telematics is adequate , efficient , and effective in supporting care for geriatric patients . Some studies already showed its applicability and feasibility , but there are still no larger trials showing that maintenance or enhancement of autonomy can be achieved effectively by using new technologies . This article reviews the literature on telematics in geriatrics and presents data of a tele-rehabilitation project ( \" TeleReha \" , conducted at the Berlin Geriatric Center ) which comprised mobility-impaired patients ( N=13, mean age 72 yrs ) , care giving relatives ( N=8), and geriatric professionals . Networking was established using ISDN technology with videophones or PC-based videoconferencing systems . Results showed that participants regard telecommunication devices as a valuable resource for their informational and communicational needs . Use of telecommunication systems was inversely related to physical mobility . Having access to professional service and counselling was rated highly important but also the opportunity to establish reliable contacts with non-professionals ( relatives , other participants ) . Despite experienced technical problems , use of telecommunication systems was evaluated more positively in the post-test as compared to the pre-test . In summary , current experience suggests that telematics can be used efficiently by geriatric patients and by relatives and professionals caring for them . However , evidence for a medically and economically effective use is still scarce . A lack of structural and organizational concepts for geriatric telematics initiatives can be identified which in part may be due to the fact that the considerable potentials of telematics applications are still largely unrecognized by geriatricians ."
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ZfuerGerontologie+Geriatrie.00330205.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330205.eng.abstr
|
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"id": "ZfuerGerontologie+Geriatrie.00330205.eng.abstr-passage-0",
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"Time and again a lack of staff in the field of people's nursing is discussed ( chronic lack of nursing staff ) ; this means that there are not enough people to do the available work ) ( 1 ) . However , the time factor is also an important sociological dimension in old people's stationary care . First of all , this article points out the time dimension throughout life . This is followed by people's varying perceptions of the present and the related upsets and misunderstandings . Hereby the contradictory abundance and limitation in time as felt by the elderly also becomes apparent . The old people's awareness of the dwindling remainder of their own lifespans conflicts with the seemingly endless time of each day that passes ."
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[] |
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ZfuerGerontologie+Geriatrie.00330217.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330217.eng.abstr
|
[
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}
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[] |
[] |
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ZfuerGerontologie+Geriatrie.00330251.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330251.eng.abstr
|
[
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[] |
[] |
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ZfuerGerontologie+Geriatrie.00330262.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330262.eng.abstr
|
[
{
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"text": [
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],
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}
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[] |
[] |
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ZfuerGerontologie+Geriatrie.00330265.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330265.eng.abstr
|
[
{
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"text": [
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],
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}
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},
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},
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}
] |
ZfuerGerontologie+Geriatrie.00330271.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330271.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A postal survey targeted at 1000 firms in the metal- and electronic working industry of Northrhine Westfalia was carried out by Sozialforschungsstelle Dortmund und Institute of geronotology to analyze the implementation of the collective agreement concerning partial retirement . As the results show , firms in Northrhine Westfalia are willing to accept the collective agreement and use partial retirement though there are still problems left to solve . Firms are further using partial retirement as an instrument of early retirement . Therefore partial retirement is created as a so-called \" blocked model \" ."
],
"offsets": [
[
0,
610
]
]
}
] |
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{
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],
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9,
15
]
],
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}
]
},
{
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"text": [
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],
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46,
52
]
],
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"db_id": "C0025552"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
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],
"offsets": [
[
57,
67
]
],
"normalized": [
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"db_id": "C0013850"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s1-t4",
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"text": [
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],
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76,
84
]
],
"normalized": [
{
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
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],
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164,
173
]
],
"normalized": [
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
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],
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267,
277
]
],
"normalized": [
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"db_id": "C0035345"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
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],
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395,
405
]
],
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
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],
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]
],
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
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],
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[
503,
513
]
],
"normalized": [
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"db_name": "UMLS",
"db_id": "C0243113"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"retirement"
],
"offsets": [
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523,
533
]
],
"normalized": [
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
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],
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554,
564
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035345"
}
]
}
] |
[] |
[] |
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"type": "isa",
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},
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},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s1-r4-t1.1-t5.1",
"type": "isa",
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"arg2_id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s1-t5",
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},
{
"id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s1-r5-t5.1-t1.1",
"type": "carries_out",
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"arg2_id": "ZfuerGerontologie+Geriatrie.00330271.eng.abstr-s4-t1",
"normalized": []
}
] |
ZfuerGerontologie+Geriatrie.00330276.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330276.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The present study analyses gender-specific risks for women in the second half of their career , especially their labour force participation rate , the degree and quality of their vocational qualification , the risk of becoming unemployed , and their transition to retirement . The analysed data show that women obviously are at higher risks to participate in the labourforce throughout their biography . Therefore , strategies to improve the working conditions of female elderly workers should not only consist of age-specific policies , but of general practices in human resource development ."
],
"offsets": [
[
0,
594
]
]
}
] |
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{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
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],
"offsets": [
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18,
26
]
],
"normalized": [
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
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],
"offsets": [
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43,
48
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"women"
],
"offsets": [
[
53,
58
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043210"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"labour"
],
"offsets": [
[
113,
119
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022864"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
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],
"offsets": [
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210,
214
]
],
"normalized": [
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"db_id": "C0035647"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"retirement"
],
"offsets": [
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264,
274
]
],
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"db_name": "UMLS",
"db_id": "C0035345"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"risk of"
],
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210,
217
]
],
"normalized": [
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"db_id": "C0035647"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"women"
],
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305,
310
]
],
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"db_name": "UMLS",
"db_id": "C0043210"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"risks"
],
"offsets": [
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335,
340
]
],
"normalized": [
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"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"labourforce"
],
"offsets": [
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363,
374
]
],
"normalized": [
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"db_id": "C0022864"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
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],
"offsets": [
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392,
401
]
],
"normalized": [
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
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],
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464,
470
]
],
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"db_id": "C0086287"
},
{
"db_name": "UMLS",
"db_id": "C0015780"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"elderly"
],
"offsets": [
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471,
478
]
],
"normalized": [
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"db_id": "C0001792"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
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],
"offsets": [
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479,
486
]
],
"normalized": [
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"db_id": "C0024752"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"policies"
],
"offsets": [
[
527,
535
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0242456"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
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],
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566,
571
]
],
"normalized": [
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"db_id": "C0020114"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
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],
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572,
580
]
],
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t7",
"type": "umlsterm",
"text": [
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],
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581,
592
]
],
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"db_id": "C0243107"
},
{
"db_name": "UMLS",
"db_id": "C0020119"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t8",
"type": "umlsterm",
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545,
562
]
],
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t9",
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566,
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],
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"db_id": "C0024752"
},
{
"db_name": "UMLS",
"db_id": "C0700103"
},
{
"db_name": "UMLS",
"db_id": "C0220852"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t10",
"type": "umlsterm",
"text": [
"human resource development"
],
"offsets": [
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566,
592
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086426"
}
]
}
] |
[] |
[] |
[
{
"id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s1-r1-t7.1-t1.1",
"type": "evaluation_of",
"arg1_id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t7",
"arg2_id": "ZfuerGerontologie+Geriatrie.00330276.eng.abstr-s3-t1",
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},
{
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"type": "assesses_effect_of",
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},
{
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ZfuerGerontologie+Geriatrie.00330284.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330284.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.00330284.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the following contribution the under-proportional participation rate of older workers in vocational training is analysized . Regarding the changes concerning the organiszation of vocational training to more job-integrated , self-directed and computerbased learning the consequences for training opportunities , motivation to learn and performance possibilities as well as institutional basic conditions to optimize the participation of elderly workers in further training are discussed ."
],
"offsets": [
[
0,
490
]
]
}
] |
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],
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},
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]
},
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},
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439,
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]
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}
]
},
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"text": [
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],
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447,
454
]
],
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}
]
},
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}
]
},
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138,
149
]
],
"normalized": [
{
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"db_id": "C0025320"
}
]
}
] |
[] |
[] |
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{
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ZfuerGerontologie+Geriatrie.00330289.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330289.eng.abstr
|
[
{
"id": "ZfuerGerontologie+Geriatrie.00330289.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a community sample of 394 eldery aged 61 years and older from East and West Germany , diseases , contacts with general practitioners and specialists , the use of medicine , attitudes regarding health and illness , the subjective health , psychic problems , social support , social integration , social burden , and socio-demographic variables were assessed . Based on these data the determinants for the contact of physicians and the use of medicine were analyzed . The results confirmed the frequency of multimorbidity in the elderly ; on average we found three different diseases at the same time for each person . In nearly 10% of the sample we found seven diagnoses existing at the same time . 88% had contact with a general practitioner at least once a year , 97% had contact either with a general practitioner or with a specialist once a year . 55.8% took at least one medicine each day . The number of diseases existing at the same time was the most determining variable for the contact of physicians and the use of medicine . Furthermore , the elderly had more contact with physicians and took more medicine if they thought they were susceptible to diseases in a high degree , and if they rated their own health as poor . Fewer contacts with physicians and a lower use of medicine were found in those elderly that rated health behavior as little useful , that had low control beliefs regarding their own health , and that experienced only a low degree of health-related limitations in their everyday life . Furthermore , we found a higher use of medicine if there was little social support . There were no significant age-related or sex-related differences regarding the contact of practitioners or the use of medicine ."
],
"offsets": [
[
0,
1731
]
]
}
] |
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},
{
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},
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]
},
{
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]
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},
{
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]
},
{
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"type": "umlsterm",
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],
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],
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]
},
{
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],
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],
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"db_id": "C0220880"
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{
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}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330289.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"elderly"
],
"offsets": [
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530,
537
]
],
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"db_id": "C0001792"
}
]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330289.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
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],
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576,
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],
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"type": "umlsterm",
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],
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},
{
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],
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],
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},
{
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"type": "umlsterm",
"text": [
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],
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},
{
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"type": "umlsterm",
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],
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]
],
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]
},
{
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"type": "umlsterm",
"text": [
"general practitioner"
],
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]
],
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]
},
{
"id": "ZfuerGerontologie+Geriatrie.00330289.eng.abstr-s5-t3",
"type": "umlsterm",
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],
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},
{
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"type": "umlsterm",
"text": [
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}
]
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ZfuerGerontologie+Geriatrie.00330300.eng.abstr
|
ZfuerGerontologie+Geriatrie.00330300.eng.abstr
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[
{
"id": "ZfuerGerontologie+Geriatrie.00330300.eng.abstr-passage-0",
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"text": [
"In line with the current demographic trends , the number of elderly suffering from dementia is increasing . GPs have a key position in dealing with these patients at the primary care level . Different aspects of care for patients suffering from dementia provided in general practice in Germany were assessed by means of a questionnaire ( n=563). The results highlight the role of GPs in the delivery of medical and psychosocial care . However , diagnosing dementia seems challenging and co-operation could be improved . Three fourths of the GPs diagnose vascular dementia more often than Alzheimer's disease , which is contrary to what is known from epidemiological findings . One third refers patients to a specialist on a regular basis for establishing the diagnosis . Only 4% of the German GPs entertain co-operative relationships with the \" Alzheimer society \" and the \" Brain league \" . Consequences for improving these for patients with dementia and their families are discussed ."
],
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]
}
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[] |
[] |
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ZfuerGerontologie+Geriatrie.00330341.eng.abstr
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ZfuerGerontologie+Geriatrie.00330341.eng.abstr
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[
{
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"type": "abstract",
"text": [
"The elderly have clearly been found to have both increased risk and severity of infections . Immunosenescence , the state of dysregulated immune function with aging , is felt to be a significant contributor to this increased risk . Extensive studies on inbred laboratory animals and in very healthy elderly humans have identified changes in immunity and have identified primarily phenotypic and functional changes in the T cell component of adaptive immunity . However , no compelling scientific evidence has shown that these changes have direct relevance to the common infections seen in the aged population . This perspective will attempt to shed light on this dilemma . First , it will review clinically relevant infections in the elderly , focusing on influenza and influenza vaccination and how chronic illness contributes to increased risk and severity of infection/failed vaccine response . Next , key changes in immunity will be reviewed , keeping perspective of the impact of confounding variables such as nutrition . If the goal is to prevent serious infections in the elderly , it appears that the field of geriatric immunology/infectious disease is faced with the tremendous challenge of studying a very diverse population of chronically ill individuals in addition to the study of the very healthy elderly . Grouping individuals by disease severity or by level of impairment of specific components of immunity may assist in advancing our ability to improve host defense in an at risk population ."
],
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]
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}
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ZfuerGerontologie+Geriatrie.00330357.eng.abstr
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ZfuerGerontologie+Geriatrie.00330357.eng.abstr
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[
{
"id": "ZfuerGerontologie+Geriatrie.00330357.eng.abstr-passage-0",
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"text": [
"As the elderly segment of our population expands , there is an increase of therapeutic problems considering this age group . The elderly patient is generally susceptible to infections because of the decline in host defense mechanisms that occurs with aging , and the underlying chronic diseases of these patients . Increasing numbers of elderly people are being treated in hospitals and are additionally at particular risk of acquiring nosocomial infections with antibiotic-resistant organisms . This article focuses on the epidemiological considerations , risk factors , types of infections that occur in elderly patients , and the guidelines for empiric therapy . The most common infections of the elderly are respiratory tract infection , urinary tract infection , and skin and soft tissue infection . Empirical therapy should be broader in spectrum for elderly patients since the variety of infecting bacteria tends to be greater and the choice of antimicrobial therapy must be based on risk stratification ( age , medical illnesses , and severity of presentation ) . Many additional aspects , e.g. , route of administration , drug pharmacokinetics and pharmacodynamics , drug toxicity and drug-drug interactions , compliance , and multiple underlying diseases ( e.g. , renal failure ) must be considered in the rational selection of antibiotic regimen ."
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ZfuerGerontologie+Geriatrie.00330367.eng.abstr
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ZfuerGerontologie+Geriatrie.00330374.eng.abstr
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ZfuerGerontologie+Geriatrie.00330374.eng.abstr
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"Tuberculosis ( TB ) today remains one of the world's most lethal infectious diseases . An estimated one-third of the world's population is infected with the tubercle bacillus-Mycobacterium tuberculosis ( Mtb ) , and 7 to 8 million people develop TB disease each year ( 27 ) . For purpose of clarity , TB infection ( latent TB ) is defined as harboring Mtb without evidence of active infection , and TB disease is active infection without Mtb based on clinical and laboratory findings . Recognizing that TB has been one of the most neglected international health problems and that the TB epidemic is rampant in many parts of the world , the World Health Organization ( WHO ) declared TB to be a global health emergency in 1993 ( 23 ) . Despite the steady decline in TB cases since this time resulting from the overall implementation of more effective infection control practices , directly observed therapy ( DOT ) , and efforts to control the human immunodeficiency virus/acquired immune deficiency syndrome ( HIV/AIDS ) epidemic , preventive and control strategies among other high-risk populations such as the elderly evidently remain a clinical and epidemiological challenge . The geriatric population among all ethnic groups and both genders , represent the largest reservoir of TB infection , particularly in developed nations ( 9 ) . Clinical features of TB in older adults may be atypical , non-specific , and confused with concomitant age-related diseases ( 28 ) . Underlying acute or chronic diseases , malnutrition , and the biological changes with aging , can disrupt integumental barriers , impair microbial clearance mechanisms , and contribute to the expected age-associated decline in cellular immune responses to infecting agents such as Mtb . Diagnosis of TB can be difficult and consequently overlooked ; this treatable infection may unfortunately be recognized only at autopsy . Furthermore , therapy of TB in the elderly is challenging because of the increased incidence of adverse drug reactions . Optimal treatment of associated chronic diseases , minimization of invasive procedures , limitation of polypharmacy , and adequate nutritional support are essential for this vulnerable population . The institutionalized elderly in addition are especially at high risk for reactivation of latent TB as well as susceptible to new TB infection . This article will discuss the global epidemiology , pathogenesis and immunologic aspects , unique clinical consideration , treatment and prevention of TB , briefly inclusive of the recent published guidelines for targeted tuberculin testing and treatment of latent TB infection as it pertains to the elderly ."
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ZfuerGerontologie+Geriatrie.00330381.eng.abstr
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ZfuerGerontologie+Geriatrie.00330381.eng.abstr
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[] |
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[
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"Introduction : We report our experience with laparoscopic nephrectomy in comparison to open nephrectomy in geriatric patients . The laparoscopic technique is presented and the results are discussed with respect to the data from the current literature . Material and Methods : Since 1993 , a total of 249 patient have undergone a nephrectomy for benign renal disease . In 131 patients a laparoscopic nephrectomy ( in most cases via a transperitoneal approach ) was performed and in 118 patients an open nephrectomy via a flank incision . Clinical parameters were compared between both groups as well as with respect to different age groups . Results : There were no differences in terms of operative results ( operative time , pre- and postoperative hemoglobin ) between the laparoscopy group and open nephrectomy group as well as among the different age groups . Patients in the laparoscopy group demonstrated significant advantages with respect to blood loss , transfusion rate , analgesic consumption , hospital stay , and convalescence . These advantages were not related to patient age . The complication rate was comparable for both groups ; however , both groups showed an elevation of the complication rate in the age groups 75 to 84 years . The mortality rate within the first 30 days after nephrectomy was 1.7% in the open nephrectomy group . Conclusions : The laparoscopic nephrectomy offers comparable operative results ( with less blood loss and a lower transfusion rate ) when compared to open nephrectomy . In terms of postoperative parameters , patients in the laparoscopy group have significant advantages . Especially geriatric patients benefit from these advantages and , therefore , the laparoscopic approach should be the preferred technique for a nephrectomy in these patients ."
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ZfuerGerontologie+Geriatrie.00330401.eng.abstr
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ZfuerGerontologie+Geriatrie.00330401.eng.abstr
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"In a population-based study of 110 women between 53 and 82 years of age ( mean age 64.5 +/- 7.9 years ) static posturography data were compared to functional items of gait and balance in common geriatric mobility scales . Posturographic data of double-stance with eyes open and eyes closed ( DSEO ; DSEC ) did not differ from those of a group of healthy women previously tested for intact nervous system function . The total neuromuscular score - roughly corresponding to the well-known Tinetti score - did not correlate to the posturographic measures . DSEC correlated with the items \" rapid walking \" and \" single-stance left leg \" . Age , vision , and neuropsychologic test results correlated with DSEO , \" rapid walking \" , \" single-stance right leg \" , \" single-stance left leg \" , and \" walking a figure eight \" . Multiple linear regression confirmed the impact of age , vision , DSEO , and DSEC on \" rapid walking \" with a 34% variance explanation . Posturographic parameters did predict other selected gait and balance items . When used in older women living independently in the community , parameters of static posturography reflect to some extent the functional disabilities of gait and balance ."
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"From its origin to its death the human organism is submitted to functional , material and morphological changes that are perceptible . These changes permit classifying an individual as young , adult , old , active or infirm . But this estimation is not always correct . Some appear younger , some older than expected from their chronological age . But what is ageing and how can it be measured ? For this , so-called markers or biological markers of ageing are used which are measurable indicators of ageing in live organisms . A description of the complexity , the asynchronous course and the biological variety and variability of biological age is less successful with a single indicator than with the inclusion of several markers in a multi-factorial measuring system , in a so-called test battery . Various test batteries have already been applied in numerous studies that consist of biochemical scans , mental and also social parameters in different combinations . A more precise description of such a test battery can be seen in the following discussion of the ILSE study ."
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ZfuerGerontologie+Geriatrie.0033s035.eng.abstr
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ZfuerGerontologie+Geriatrie.0033s045.eng.abstr
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ZfuerGerontologie+Geriatrie.0033s045.eng.abstr
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[
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"The percentage of aged and very old people in the total population is increasing rapidly in industrialized countries . This is an important change which , in particular , affects the areas of dentistry and oral medicine . The problems that this older population group face need to be given more attention and need to be brought more into the forefront of dental and oral medicine . The percentage of the dentate population has increased in Germany , due to the high standard of the dental care . The percentage of the edentulous population has therefore decreased . It has become necessary for those who care for the elderly to adjust to caring for the dentate patient , as opposed to edentulous patient . It is important for all professions involved in the treatment and care of geriatric patients to have an awareness of the basic fundamentals of geriatric dentistry within general rehabilitation . Doctors in particular need to be given training in the detection of caries , peridontal diseases , and denture problems . They should feel confident working with the dentist and his team as partners in the rehabilitation treatment . It is especially important that geriatric hospitals have experience in dentistry and oral hygiene , so that damage to life-long well cared for teeth can be prevented , and so that poor oral hygiene during a hospital stay does not result in dental problems . Dentists and their teams will have to adjust to the treatment of aged and multimorbidic patients . More discussion is also necessary between dentists involved in all areas of geriatric medicine , geriatric dentistry , and geriatric dental public health ."
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ZfuerGerontologie+Geriatrie.0033s050.eng.abstr
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ZfuerGerontologie+Geriatrie.0033s050.eng.abstr
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"During recent years in the German federal social welfare system has been subject to several changes due to structural forms . The hospital sector - as an element of this system - has also been affected . Based on various legislation the financial framework has been reduced which has led to tendencies of economic limitation and rationalization . From this background considerable risk selection and changes in emphasis might result . Cost intensive patients with a high need for treatment are referred as quickly as possible and dicharged to outpatient services despite unknown domestic follow-up care . Mostly the elderly are affected . Medical rehabilitation can be found in this system at the cut between SGB V and SGB XI . However , this division raises problems and discussions concerning benefit payment ( rehabilitation before nursing , priority of home , etc. ) . Right in rehabilitation the most important thing is an overlap of sectors . Various medical , nursing and other social supplies have to be put into a network to achieve an integral treatment of patients that focuses on the individual situation ."
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"In this article age limits are discussed . Two things first : Legal commitments about old age are mostly commitments based on agreements which got manifest in legislation . Second , age limits hold for typifying certain facts of life , certain concerns of protection or other purposes . Therefore these age limits by law will be shown by the right of state ( legal participation , citizenship and political participation , societal participation ) and then according to various phases of life . Age limits generally exist in two phases during the life course : In the phase of childhood and youth , around the age of six to twenty-one ( upbringing and education ) and the phase of the transition from employment to retirement , around the age of sixty until seventy , at which age limits of monetary provisions for one's old age represent an important part. Furthermore , the legally achieved functions of age limits , like for example the limits of ability and protection , will be discussed . Finally , it will be shown , taking into account the comparison of legal aspects , if and how far age limits are of discriminate character ."
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ZfuerGerontologie+Geriatrie.0033s071.eng.abstr
|
ZfuerGerontologie+Geriatrie.0033s071.eng.abstr
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[] |
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ZfuerGerontologie+Geriatrie.80310016.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310016.eng.abstr
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[
{
"id": "ZfuerGerontologie+Geriatrie.80310016.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the course of 1 year , Clostridium difficile-associated diarrhea , which may lead to pseudomembranous colitis and therefore may be very harmful in frail elderly people , was diagnosed in six patients of a geriatric clinic . The disease is associated with antibiotic therapy , due to an overgrowth of the intestinal flora with Clostridium difficile . Symptoms varied from a state of asymptomatic carriage or benign diarrhea to acute stages of the disease with severe diarrhea , abdominal pain , fever and acute phase response . Diagnosis of Clostridium difficile associated diarrhea was established when , in addition to typical clinical symptoms , a toxin-positive stool specimen was found . Oral vancomycin was effective in all cases , leading to a stop in the diarrhea and an amelioration of systemic inflammatory parameters . According to recent results , in order to prevent the induction of vancomycin-resistance and in view of higher treatment costs , metronidazole is considered as the drug of choice in mildly and moderately ill patients ."
],
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0,
1050
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]
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ZfuerGerontologie+Geriatrie.80310027.eng.abstr
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ZfuerGerontologie+Geriatrie.80310027.eng.abstr
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ZfuerGerontologie+Geriatrie.80310036.eng.abstr
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ZfuerGerontologie+Geriatrie.80310036.eng.abstr
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ZfuerGerontologie+Geriatrie.80310045.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310045.eng.abstr
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[
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"text": [
"Causes and courses of the diseases are subjected to a change of an increasing life expectancy on the one hand and technically highly developed medicine on the other hand . Since a growing number of elderly people is denying intensive medical interventions which serve the purpose of keeping them alive despite severe diseases , the problem of euthanasia imposes direct questions . A central role is played by the active-passive difference and its moralistic legitimacy . The difficulties of this difference are discussed below on the applicable level of ethical discussions . At the same time , knowledge of the danger is being made aware that in a maximal therapeutical orientated medical care system the desire for euthanasia may become identical with the reverse side of this care system ."
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ZfuerGerontologie+Geriatrie.80310052.eng.abstr
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ZfuerGerontologie+Geriatrie.80310052.eng.abstr
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ZfuerGerontologie+Geriatrie.80310057.eng.abstr
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ZfuerGerontologie+Geriatrie.80310057.eng.abstr
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"1911 informal caregivers from the Federal Republic of Germany who care for someone with a chronic , non-congenital condition rendering them in need of physical \" hands-on \" nursing completed a standardized questionnaire on their situation as caregivers . The questionnaire was pertinent in particular to their own somatic symptoms ( Giessen Symptom List ; GSL ) as well as to their subjective burden ( Burden Scale for Family Caregivers , BSFC ) . Eight out of ten caregivers in Germany are women . The home care of a dementia patient or of a distant or non-related person is taken on significantly more frequently by female caregivers . Somatic symptoms covering the spectrum of exhaustion , aching limbs , and heart and stomach complaints are in greater evidence amongst caregivers of dementia patients than amongst those caring for elderly people with relatively unimpaired cognitive performance . In all , the average extent of the somatic symptoms lies significantly above the age and gender specific values for the general population . The increased subjective burden of caregivers caring for a dementia patient expresses itself particularly in more interpersonal conflicts and clashes of interest between the care given and other areas of activity ."
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"According to the \" speed \" -hypothesis of cognitive development , the slowing of information processing in old age is at the core of negative age differences in psychometric intelligence . The present study investigates the \" speed \" -hypothesis for fluid intelligence at the individual level using Latent Growth Curve Methodology . Date on 4 measurement points come from the Bonn Longitudinal Study of aging ( N=128, mean age 67.2 , 53% women ) . Based on principal factor analysis , markers of mental speed were the WAIS Digit Symbol Test and simple psychomotor task . As indicators of fluid intelligence the WAIS Object Assembly and Block Design were used . After separately fitting Latent Growth Curve Models for the trajectory of mental speed and fluid intelligence , a combined model showed no statistically significant improvement of fit for freeing the covariance between the two slope-factors . Interpreting this result , contrary to the \" speed \" -hypothesis the intraindividual change of fluid intelligence does not relate to the according change of mental speed ."
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ZfuerGerontologie+Geriatrie.80310104.eng.abstr
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ZfuerGerontologie+Geriatrie.80310104.eng.abstr
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[
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"An ecological theory of remembering is formulated which is based on the patterns of meaningfulness in the social and spatial environment . The specific ecological relationship to the environment is affinitive , and also opens access to the ressources of the past . In the present study , conditions for this access ( in particular with older people ) were investigated . It is assumed that older people , especially , when they lose someone with whom they had a fixed relationship seek counselling and that abrupt changes in the spatial environment , such as moving to a home , are rejected by older people . These hypotheses were checked on the basis of material ( N=120) gathered in a counselling service for the aged and they were essentially confirmed . To make matters clear , \" typical \" and thus every-day experiences of maintenance and loss of competence are cited from the material . Finally , practical conclusions are drawn with regard to work with the aged ."
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[] |
[] |
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ZfuerGerontologie+Geriatrie.80310112.eng.abstr
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ZfuerGerontologie+Geriatrie.80310112.eng.abstr
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[
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"At the Psychiatric Department , Ludwig-Maximilians-Universitaet , Munich , a behavioral competency training ( Verhaltenstherapeutisches Kompetenztraining ) VKT is offered to patients with early stages of Alzheimer's disease ( AD ) . The primary objects of VKT are , ( a ) patient support in coping with the diagnosis of AD , ( b ) mobilization of the present personal activity ressources , and ( c ) minimization of depressive symptoms ."
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ZfuerGerontologie+Geriatrie.80310120.eng.abstr
|
ZfuerGerontologie+Geriatrie.80310120.eng.abstr
|
[
{
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ZfuerGerontologie+Geriatrie.80310138.eng.abstr
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ZfuerGerontologie+Geriatrie.80310138.eng.abstr
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"Semi-structured interviews with 248 ( former ) Jewish emigrants and extermination camp survivors in Germany and three destination countries of Jewish emigration ( Argentina , Israel , United States ) indicate that reminiscence of traumatic experiences suffered from National Socialist Germany occurs in numerous daily contexts . In later life , traumatic memories do not only occur spontaneously and unexpectedly ; moreover , they are an essential part of the people's frame of reference for questions about personal identity , perceptions of social relationships , society and societal development , and coping with specific themes . Following a pilot sutdy on subjective reconstruction of the life course in ( former ) Jewish emigrants and extermination camp survivors , different phases of post-holocaust development are distinguished . Self-ratings for intensity of traumatic reminiscence for these phases of personal development support the hypothesis that traumatic reminiscence increased in old age . People highly differ in coping with stressful reminiscence . Some study participants react with depression , anxiety , feelings of survivor guilt , and withdrawal from social relationships . Others , however , are highly engaged in social relationships , especially with the following generations . They want to give a contribution to the educational work of their society and to prevent discrimination , racism , and xenophobia ."
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