Epidemiology of femoral neck fractures.
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Biomedical subjects
Publications and source records attributed to A Hommel.
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At the beginning of the 19th century the childless couple Trier gave a plot of land to Leipzig University with the impost of founding a maternity hospital (Accoucheur Institute) and demand to take their family name as clinic name. The institute was erected in 1810 and later (1892) extended as a department of obstetrics and gynecology. The Women's Clinic of the University ("Triersches Institut") developed very favorably through the 19. and 20. century, including the difficult time of national socialism and the years after World War II. This is documented by it's expansion with several enlargements and new buildings. The institution acquired a remarkable national and international reputation due to prominent scientific and clinical results of the famous professors working at the place such as Jörg, Credé, Zweifel, Stoeckel, Sellheim and Robert Schroeder.
In 1928 Hugo Sellheim, Professor and Chairman of gynaecology and obstetrics at the University of Leipzig (1926-1936), inaugurated the new Clinic of Gynaecology and Obstetrics. The opening ceremony found a critical public response. Although the new building had been drawn up by his predecessor Walter Stoeckel, Sellheim developed own ideas concerning the equipment of the institution. In Leipzig Sellheim is continued his scientific efforts with a story focus on female reproduction and its sociocultural impact during the period of the Weimar Republic.
The gynaecologist Ludwig Fraenkel is known because of his works concerning the endocrine function of the corpus luteum. Moreover he was an important representative of the social gynaecology and sexology during the first decades of this century. His studies in these fields identify Fraenkel as an independent scientist considering for example social living conditions as a cause of gynaecological illnesses. On the other hand he took over problematic positions in eugenics hoping to improve public health. During the Hitler era the Jew Ludwig Fraenkel was dismissed from the directorate of the Women's clinic of the University of Breslau. He left Germany forever.
In this article the policy aimed at cutting down expenses for professional care and at optimizing the contribution of informal, unpaid care (e.g. family caregivers and volunteers) is questioned. After a brief outline of the non-professional care system for the elderly, some problematic aspects of informal care are discussed, especially the influence of such care in terms of (over)burden, the quality of care and the consequences for the relationship between caregiver and person being cared for. Voluntary services are also questioned, particularly the lack of control, the power of volunteers and their knowledge, attitude and skills. It is concluded that expectations towards nonprofessional caregivers should not be too great. The importance of a finely tuned coordination and clear division of tasks in the care network is underlined. Finally a number of recommendations is made to settle the observed bottlenecks.