Fortschritte der Medizin
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Fortschritte der Medizin · Jul 1992
[Severe disability. Part 2: The difficult comparison with same age probands].
With their texts on Schwerpflegebedürftigkeit, the legislators have set the interpreters of legal texts a difficult task. In practice, attempts by the "users" of such texts to find solutions inexorably lead to aporias. ⋯ The advised comparisons with persons of identical age with the intention of establishing Schwerpflegebedürftigkeit is not required by the legislator, and it is not easy to see what sense it is supposed to make. The corresponding guidelines drawn up by the leading associations are not unequivocal and are therefore open to misunderstanding.
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Fortschritte der Medizin · Jul 1992
Case Reports[Spontaneous dissection of the internal carotid artery].
A typical case history of spontaneous dissection of the internal carotid artery is presented. In young patients with cerebral ischemia, initial pain in the affected side of the head and neck, a possible provocative mechanism and a transient or even persistent Horner's syndrome are highly suggestive. ⋯ Spontaneous resolution is common, and recurrence rare. Surgical treatment can therefore be reserved for individual cases with recurrent ischemia and caused by emboli originating in the dissected segment of the artery.
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Fortschritte der Medizin · Jul 1992
Guideline[Eligibility for intensive nursing care. Part 1: Guidelines and current experience].
Against the background of the planned statutory Pflegeversicherung (insurance for nursing care) in Germany, a report is presented on experience gained to date with the new Leistungsbestand "Schwerpflegebedürftigkeit" (situation requiring social benefit "urgent need of nursing care") (Para. 53 ff. SGB V). The experience gained so far is of particular interest since, for the first time on a large scale, monetäre Erstattungsleistung (the provision of a monetary entitlement) replaces the Sachleistungsprinzip (benefit in the form of services) that is otherwise applied in the area of health insurance. It is intended that this form of entitlement will form the core of the planned nursing care insurance scheme.