Das Gesundheitswesen
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The European members of the World Health Assembly (WHO) adopted the goal of eliminating poliomyelitis by the year 2000 (certification 2003), tetanus of the newborn by 2005 and measles by 2007 (certification 2010). Regarding the reduction by 2010 diphtheria, hepatitis B, pertussis and rubella syndrome are in the foreground of discussions. As WHO-member Germany looks after these aims with growing acceptance, too. ⋯ The estimated illness rates in the western federal states are at 80-100/100,000 inhabitants. In the eastern federal states a continuous increase of incidence rates of more than 5 per 100,000 inhabitants has been noticed since 1991. For a permanent reduction of incidence rates of infectious diseases which are preventable by vaccination, provable high vaccination coverage and an effective epidemiological control are necessary.
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Das Gesundheitswesen · Feb 2001
[Risk evaluation and construction planning in a high pollution region].
More than thousand years of mining and metallurgical engineering in the Harz mountains is the reason why heavy metal contamination in soil and air by arsenic, cadmium and lead is a problem in parts of the Harz region. Risk assessment is the duty of the district community physician. Checkup of sanitary conditions in habitat planning is very important and the basis for the development of healthy cities.
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Das Gesundheitswesen · Dec 2000
Comparative Study[Does public access to defibrillators have a chance in Germany?--On the US model, legal considerations and justification].
The introduction of public access to defibrillation via automated external defibrillators makes it possible to reduce the incidence of sudden cardiac arrest cases. Since they may expect civil and criminal liability after negligence causing damage, many German potential First Responders might hesitate to use an AED. ⋯ German law will not decrease any possible hesitation by First Responders. For a successful system of public access defibrillation, revision of the legal situation is mandatory.
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Das Gesundheitswesen · Oct 2000
[Quality assurance in treatment of stroke: basic module of the German Stroke Registry Study Group].
Comparable, standardised data on the quality and efficiency of stroke care in Germany are lacking. The Arbeitsgemeinschaft Deutscher Schlaganfall-Register (ADSR--German Stroke Registries Study Group) has defined a "Minimum DataSet" for the evaluation of quality indicators of stroke treatment in Germany. ⋯ The ADSR "Minimum DataSet" allows a standardised assessment of stroke care in Germany. It is the first questionnaire that provides valid and reliable comparisons between different clinical settings as well as regional stroke databases. The ADSR "Minimum DataSet" defines core items for a future National German Health Report on stroke care.
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Das Gesundheitswesen · Jun 2000
[Implementation of a quality management system for the curriculum in emergency medicine education].
Medical teaching, training and education in basic and advanced life support were improved by basic quality management procedures. 3rd year medical students (n = 276) of two consequent semesters were questionnaired about their acute emergency medicine curriculum. While Group A (n = 134) received a standard course, the new course for group B (n = 142) was reorganised on the basis of the results of group A. ⋯ Participation of students in course design improved the overall performance in respect of knowledge, skills and decision-making (p < 0.05). Curriculum acceptance and intrinsic motivation of students however were not positively influenced by practical training compared to traditional knowledge transfer.