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Biomedical subjects

H Friedemann

Publications and source records attributed to H Friedemann.

At least 19 recordsLinked to original sources
PubMed1992

[The hygienic status in community health nursing stations].

199 bases of so-called "Gemeindeschwestern" (nurses delegated by communal authorities as medical auxiliary personnel to practising physicians) in the territory of the former district of Neubrandenburg (now part of the new Land called Mecklenburg-Vorpommern) were examined to determine the sanitary and hygienic conditions obtaining in these bases. Many of these were found to be unsatisfactory: not only the desolate state of the building materials, but also the available space and the water supply. In 14.6% of the consulting rooms hands could not be washed in running water. 39 nurses were found to be violating the rules governing the handling of drugs in respect of storage practices. Sterilisation equipment was often obsolete, and some of the nurses were not complying with their obligation to keep records of the performance of the equipment and to conduct obligatory checks on its proper functioning. Other violations concerned improper storage and unsatisfactory packing of the sterilised items. In 20.1% of the cases disinfectants were incorrectly employed. 45.2% of the ready solutions did not conform with the nurses' statements. A multitude of rules governing the safety of working were ignored due to neglect, quite apart from the low overall standard of hygiene; due to all these unpleasant circumstances, the safety upon which a patient must be able to rely, was no longer assured.

Community Health Centers↗
PubMed1990

[Health counseling--an element of preventive care responsibility of the general practitioner].

An analysis and assessment is made of international experience in health counselling by the family physician. In line with the health policy mission, recommendations are given for a list of prophylactic performances to be offered by the family physician. Health counselling harmoniously fits into the overall concept of health information, health surveillance and long-term care. Methodological variants of individual and group counselling as well as recommendations for the work of patients' clubs to encourage and qualify the individual citizen to practise a health-promoting life-style, are presented.

Cross-Cultural Comparison↗
PubMed1990

[Collaboration between the specialist in general medicine and pediatrics in the rural area with special emphasis on informational relations].

An analysis is made of the scope of health care performances provided by family practitioners and paediatricians to children in a mountainous community (of the Erzgebirge), with special regard to the informational relations existing in the community. The survey is, in the main, a two-stage interval investigation. At the first stage, a description is given of the high share the family practitioner has in the health care performances provided to children (preventive care: 100%; curative care: 95.4%, about 60% of which require the occasional collaboration with the paediatrician). At the second stage, an informational sheet is used, which not only permits complete feed-back information from the paediatrician but also increases the referral rate, multiplies the back referral rate and improves the quality of health care in general. This model is recommended for use by analogous territories.

Child↗
PubMed1987

Medium and long latency EMG responses in leg muscles: Parkinson's disease.

Short, medium, and long latency EMG responses to muscle stretch from triceps surae and anterior tibialis muscles were recorded in normals and in 33 patients with Parkinson's disease. The latencies of all EMG responses except short latency were normal in patients with Parkinson's disease. The integrals of the medium latency responses in the stretched triceps surae muscle were significantly increased in patients. This result indicates a modulatory influence of the basal ganglia on medium latency EMG responses.

Adult↗
PubMed1975

[Methods and specificity of internal medicine specialties in multiphasic screening].

Issuing from the classical definitions for the diagnostic sensitivity and specifity of examination methods in multiphasic screenings is deduced that out of the whole methodical spectre of internal specialities only limited parts are to be applied in multiphasic screenings. At the instance of a multiple multiphasic screenings (model study Sternberg '70) ways to the establishment of reduced optimal parameter combinations are demonstrated. With multivariate statistical methods (facotor analysis, discriminative methods) we succeeded in finding parameter combinations for special groups of diagnosis (liver diseases, hypertension and obesity), by means which these groups in multiphasic screenings are clearly to be differentiated from the healthy symptom-free residual population.

Cardiovascular Diseases↗