Zeitschrift für ärztliche Fortbildung und Qualitätssicherung
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When a physician by attempting to gain an illegal financial advantage for himself or another person damages the property of somebody in such a way that he produces or maintains an error under false pretense or distortion or suppression of facts, the physician is guilty of fraud. The attempt is a criminal offense. Following terms are discussed in this paper: illegal financial advantage, damage of property, intent, and status proceedings.
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Z Arztl Fortbild Qualitatssich · Aug 1998
[Out-patient hospice services--their importance for palliative care in Germany].
Hospice services can be divided into three groups. Few institutions deliver the full scope of palliative home care, most of the others can provide considerably less. The third group of services are those that do not support patients but aim to establish a home care service or a hospice. ⋯ The number of home care services available in Germany is not sufficient. Only 48 institutions can be ranked as palliative care services. The distribution of the hospice services in Germany is very irregular, and providers of home care services are even more scarce in the eastern part of Germany.
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Z Arztl Fortbild Qualitatssich · Jun 1998
Review[Urologic complications after kidney transplantation (II)].
Urological complications after renal transplantation are often responsible for postoperative morbidity and mortality in spite of a decrease in incidence and severity of such complications in the last decades. It is of particular interest to detect this complications early and to treat them in an adequate manner especially in regard to the increasing lack of human organs for transplantation. The number of transplanted patients in the population is still increasing and they are treated not only in transplant centers but also by general practitioners, nephrologists and urologists in private consultings. ⋯ Questions concerning impotence and incontinence are discussed in detail. Attention must be paid to the fact of immunosuppression and its peculiarities in transplanted patients. In this way the outcome of patients and transplants can be prolonged.
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Acute scrotal swelling is a potential urologic emergency. There are many conditions which may present with scrotal swelling including spermatic cord torsion, torsion of testicular appendages, epididymitis, orchitis, incarcerated scrotal hernia, hydrocele, varicocele, trauma, tumor and testicular pain in vasculitis syndromes such as Schoenlein-Hennoch purpura. Testicular torsion is the most important condition that must be proven or ruled out to avoid loss of testicular function. ⋯ Using these tools, three diagnostic categories will be defined: Torsion, non-torsion or equivocal diagnosis. In every doubtful case scrotal evaluation is done surgically. Non-torsion is treated according to the different diseases.
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Z Arztl Fortbild Qualitatssich · May 1998
Review[Medical guidelines in Germany--current status and future developments].
Medical guidelines are considered more and more as a meaningful and necessary tool ensuring a high quality of medical care. However, some doubts were recently mentioned concerning the quality of German guidelines. ⋯ Additionally, a "clearing-procedure for guidelines" and recommendations for the development of evidence-based guidelines were introduced. Background and content of these evaluation tools are reported in this article.