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Biomedical subjects

E Frieling

Publications and source records attributed to E Frieling.

7 recordsLinked to original sources

[Art therapy: development and evaluation of an observation instrument to systematically analyze patients' paintings from oncology and rheumatology].

INTRODUCTION: Art therapies have been established methods in oncology for many years. To what extent patients' pictures can be systematically described, and what connections to various illnesses are possibly thereby revealed, has been discussed in various specialized medical fields for over a hundred years. The following paper first presents insight into the present stand of research and then presents the results of the study. QUESTION: Are systematic analyses of pictures possible with the use of the instrument we have developed? Are pictorial differences evident within the researched group? METHOD: A previously developed instrument was submitted for expert questioning for the purpose of the study. The instrument that had been modified on the basis of these results could then be used in the study to interpret 162 pictures. Four different raters, three of whom were acquainted with neither the patients nor the pictures, interpreted these pictures independently of one another. RESULTS: The evaluation of the expert interpretations shows that this newly developed instrument is suitable for the differentiated description of patients' pictures. First important indications were drawn in regard to the pictorial differences between the two examined groups of cancer patients and patients with chronic polyarthritis. CONCLUSION: Systematic picture analyses are possible. A further analysis of the expert interpretations is necessary to clarify questions raised by the pictorial differences found in the various diagnostic groups.

Adult↗

[Women in surgery].

Women surgeons are also capable of their job as men surgeons. The part time job imports the balance between surgical career and family goals of a women neverseless respecting economics and efficiency in health care policy. To arrive equal conditions it seems to need a growth of the group of women surgeons and to get more role modells and mentors.

Career Choice↗

[Morphometry of the ciliary body using ultrasound biomicroscopy].

High-frequency ultrasound biomicroscopy (UBM) is a new method which allows in vivo visualisation of anterior segment structures with high resolution but limited penetration. Using this modality we wanted to examine the ciliary body and measure its total length and depth and look for correlations with the axial eye length. A special technique with external markers was developed to measure the total length of the ciliary body using two UBM pictures. In 83 patients the mean ciliary body length was 5.2 mm nasally and 5.7 mm temporally. The depth of the ciliary body was 1.2 mm nasally and 1.4 mm temporally. A correlation could be demonstrated between the axial eye length and the ciliary body measurements. As our measurements are reproducible and consistent with recent histological studies, high-resolution UBM can be regarded as a reliable method for in vivo visualisation and quantitative analysis of the ciliary body.

Adult↗

Intrinsic stability of 'self-sealing' unsutured cataract wounds.

Many operative and postoperative factors can influence cataract wound stability and postoperative astigmatism. The final outcome is fundamentally dependent on the intrinsic biomechanical stability of the corneal dome in the presence of the wound. We determined the stability of the central and peripheral cornea with computer-assisted topographic analysis of six freshly enucleated human globes. Self-sealing, unsutured, scleral tunnel wounds 4.0 mm in length were dissected, with widths varying from 1.4 to 6.0 mm. Intraocular pressure was elevated in 5-mm increments from 15 to 40 mm Hg without measurable topographic change in the visual axis or superior cornea. We conclude that these long scleral tunnel wounds do not necessarily destabilize the cornea within the usual range of intraocular pressure. Postoperative-induced astigmatism is therefore due to other operative and postoperative factors. Some of these factors may be identifiable with this model and controlled or eliminated.

Astigmatism↗

[Vitreoretinal dirofilariasis].

The present paper reports on a 41-year-old patient who complained of moving shadows and impaired vision after vacations in southern Europe and central Africa. On ophthalmoscopic examination the cause was found to be an extremely agile worm, whitish, as thin as an end-artery, and approx. 6 mm long, in front of the macula and later in the vitreous. Following treatment with Hetrazan (diethylcarbamazine) and Mintizol (thiabendazole) the worm could no longer be detected. On the basis of morphologic and chemical studies normal helminth worms were ruled out, as were human filariae. It may be assumed with reasonable confidence that the worm observed was an animal parasite of the genus Dirofilaria.

Adult↗

[Effects of stress and strain on health status and traffic behavior in professional drivers].

The paper is based on the expectation, that the short and middle term sequences of strain in connection with the job demands on professional motorists have an influence on the traffic safety. Increasing rush, higher pretensions on the carriers for instance just-in-time-production, 24-hours-service and the competition between the countries of the EEC raise the level of demands. New arrangements between the countries of the EEC allow longer shifts. In extreme cases 84 hours per week are possible. The aim of our examination consists in showing the real working-conditions of professional drivers and their effects on the attitude to car-driving and to get information on the psychosomatic state of the drivers.

Arousal↗

[Vision aids for multiple sclerosis patients].

Optical or electronic vision aids enabled 35 of 39 visually handicapped multiple sclerosis patients to read. Six patients had an uncorrected ametropia. 15 could read again with the help of magnifying optical aids and 11 with the help of an electronic television system. An electronic television reader was useful when visual acuities were below 0.1 and in patients with oscillating nystagmus or tremor capitis. Contact lenses helped 3 patients who had a neurogenous visual defect and oscillating nystagmus. Although acquired oscillating nystagmus disappears on eyelid closure and only reappears again on fixation, its amplitude, when unable to read, is greater. On overcoming the neurogenous visual defect with vision aids it becomes smaller.

Adolescent↗