Biomedical subjects
Publications and source records attributed to H Hess.
In the present report a score system is introduced with the aim of analysing routine angiographic images. The system consists of a vectorial score, which codes the pattern of occlusions, stenoses and plaques, and of an additive score describing the severity of the lesions visualised. The technique is suitable for computerised data analysis.
Since 1975, a total of 1015 knee ligament grafts have been carried out in the orthopedic department of the St. Elisabeth-Klinik in Saarlouis. Proceeding from the method of extra-articular stabilization that was taken over and modified by Mittelmeier, the authors initially favored Ellison's method of lateral ligament displacement, supplementing the operation by diverting the nerve tract. Although the results of surgery were not bad, the importance of rotational instability led the authors increasingly to turn to intra-articular stabilization. Today, the most commonly used methods for frontal instability are those modified by Brückner or Glency, both with good results. With regard to ligament prostheses, the authors tend to be more cautious. Certainly, the alloplastic artificial ligament replacement is an important advance in the case of certain indications, but is probably only a further element of future developments. Many of the problems encountered by Fritz Lange with his first, silk plastic ligament replacement, described by Max Lange in the 1960s, are still applicable today. Here one could mention in particular the surgeon's misgivings concerning indication and the cautious estimates of the changes of success of plastic surgery of the ligaments.
In three patients, coronary artery fistulas originating from a conal branch of the mid-segment of the left anterior descending coronary artery (n = 2) and right coronary artery (n = 1) with drainage into the right atrium (n = 2) and right ventricle (n = 1) were successfully closed without the use of cardiopulmonary bypass. The use of a coronary artery stabilizer greatly facilitated the operation by immobilization of the fistula, its supplying coronary artery, and the regional myocardium. In selected patients, this technique allows secure closure of the fistula and meticulous reconstruction of the coronary artery without the use of cardiopulmonary bypass.
In this investigation is reported about measurement of affective behavior and feelings during the process of group psychotherapy. Therefore a cluster analysis of 4 parameters about 5 group sessions and 9 members and the group as a whole was made. The hypothesia were that effective feelings concern the group as a whole, that they were changing during the process and that they concern the individual process. It could be shown that in common there was a connection between individual process of affective behavior and outcome. Questions which came from differences of these results concerned the problem of characterizing exactly what going on related changing of attitudes and in which manner we can understand outcome.
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To describe and estimate the importance of interpersonal problems and orientations for inpatient group psychotherapy, a total of 78 inpatients from two different hospitals (university hospital Kiel, psychotherapeutic hospital Berlin-Hirschgarten) were investigated using the Inventory of Interpersonal Problems and the SCL90R prior to and (partly) following longterm psychotherapy. Both groups reported more interpersonal problems than a group of 55 outpatients. The subgroups differed from each other in terms of their symptoms reported in the SCL90R and their interpersonal orientation (sensu Horowitz) which was smaller in the patient group from the Berlin Hospital (an institution of the former German Democratic Republic). Within this subgroup, treatment success (obtained with a variety of different measures) appeared to be less in those patients whose interpersonal problems were mainly related to the dimension of dominance. The ratio of interpersonal to impersonal problems was not significantly related to therapy outcome in either of the subgroups. The results of this study are mainly discussed with respect to the different psychotherapeutic concepts practiced in both hospitals. Generally, the investigation supported the significance of the interpersonal dimension for empirical research within the field of inpatient psychotherapy.