Versicherungsmedizin / herausgegeben von Verband der Lebensversicherungs-Unternehmen e.V. und Verband der Privaten Krankenversicherung e.V
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The aim of this study was to examine the type and outcome of bicyclist's accidents+ in a 6 year period from 1986--1991. Data were collected by analyzing accident-re of the police. The study group consisted of 1,176 bicyclists. ⋯ Most of the injuries were localized the head, followed by injuries of legs and arms. As a preventive measure information should be given to bicyclists about the risks on the road. Bicyclists can reduce risk of head injuries by wearing an helmet.
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Versicherungsmedizin · Feb 1996
Case Reports[Unrecognized carbon monoxide poisoning--the importance of subsequent studies in death with undetermined cause].
The author reports a case of an old man and his wife, who were found dead in the bedroom of their apartment with signs of putrifaction. The physician certified an internal cause of death respectively death by an overdosage of drugs. But toxicological investigations induced by a forensic scientist proved, that death was due to poisoning with carbon monoxide. ⋯ The origin of the intoxication was a malfunctioning gas geyser in the kitchen. The heater had been installed many years previously and had not been checked by competent authorities in the last 6 years. If the poisoning had not been detected, other people might come into the risk of a fatal accident too.
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The use of implanted defibrillators is increasing recently. In view of the costs of a gadget, which amount to DM 40,000 to 45,000, arises the questions which juridical requirement have to exist, that after the death of a patient it is possible to reuse a still functional defibrillator. The solution should be that the health insurance keeps the property, whereas the patient receives merely the defibrillator as loan.
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Versicherungsmedizin · Dec 1995
[Sarcoidosis. Dependence of life expectancy on lung function, respiratory symptoms, roentgenologic stage and age at diagnosis and significance of extrapulmonary manifestations].
Patients with intrathoracic sarcoidosis have - during prolonged observation (27 years) - the same survival as the general population. A higher mortality from sarcoidosis as well as from diseases not related to sarcoidosis is found among persons who at the time of diagnosis of sarcoidosis had respiratory symptoms and a low FEV1, TLC and Tiffeneau. Our knowledge of the prognosis for extrapulmonary manifestations and their influence on survival is sporadic. Symptoms from heart and CNS have in studies of selected patients been connected with an elevated mortality.
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Sarcoidosis is a frequent, systemic, granulomatous disorder with predominant involvement of the hilar lymph nodes and the pulmonary parenchyma. By bronchoalveolar lavage an activation of alveolar immune cells has been observed yielding a detailed concept of the immunopathogenesis of the disease from which new, clinically applicable staging parameters are delineated. There is some evidence that immunopathogenetic mechanisms determine the course and the prognosis of the disease.