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Biomedical subjects

H Piechowiak

Publications and source records attributed to H Piechowiak.

At least 37 records · Page 2Linked to original sources
PubMed1990

[Health resorts--dissatisfaction with health resorts].

An efficient medical rehabilitation is an important part of a modern health care system. There should be no doubts about its necessity. The medical rehabilitative system in Germany however, as it is organized by the sick-insurances and the annuity-insurances, does not fulfil all the claims urgently required. Much criticism seems really correct: the missing scientific basis of rehabilitation, the poor flexibility around the administrative procedures of application and performance, which is inadequate to medical needs, the nearly total absence of any negative selective criteria on the one hand and the huge problems in finding out those persons badly needing rehabilitative measures on the other, and last not least the uncertainty regarding the real economic benefits of the total enterprise of rehabilitation as it is actually practised.

Cost Control↗
PubMed1990

[Analysis of social medicine--quality of information and decisions in 360 expert assessments of work incapacity].

Before the medical expertise the patients are asked by the health insurance body to collect medical information from their family physician. Analysis of the information actually supplied showed that the quality of the information could be rated "good" in 45% of the cases only. In 38% it was mediocre to poor and in 17% there was no information at all. When the patients to be expertised were called for interview for the first time, "good" information was available in only 38.9%. The percentage of expertises written on the basis of "good" information increased very slowly from the first to the sixth interview (usually after one year), when it reached a maximum of 66.7%. In more than 75% of the cases the question of further inability to work that had been addressed to the family physician remained unanswered. Likewise, no reply was forthcoming in more than 60% of the cases in respect of the need for rehabilitation. In 25.5% the expertising physician arrived at the verdict of ability to work within one week, and in another 17.8% within two weeks. The highest percentage of "ability decisions" (64.3%) was arrived at among insurees who were 18 to 30 years of age and who had lost their job a short while ago. The lowest rate of "ability decisions" (8%) was seen among persons of 50 to 60 years of age who had not been discharged.

Disability Evaluation↗
PubMed1989

[Evaluation of social medicine expert assessment].

There are only few scientific publications in literature on medical expertising in social medicine. Although this deficit may be explained by several facts, it cannot be justified. Evaluation is a systematic set of data collection and analysis activities undertaken to place social practice on a more rational basis, i.e. greater efficiency and justice. These aims also hold good for social medicine. Evaluation, however, is only the first step within a broader research programme for quality control and quality improvement efforts, which can be successfully performed only in cooperation with the social insurance institutions. Within their medical services these institutions should provide the organisational prerequisites to enable qualified scientific research in practical social medicine.

Disability Evaluation↗
PubMed1989

[Social medicine analysis: forensic responsibility in primary care: patients, characteristics of the consultation and referring physicians].

The study presents data from 360 consecutive medical expertises performed on 268 patients. The characteristics of the insurees are described and quantified, the duration between the beginning of the incapability to work and the medical examination is analysed, and some data of the physicians, whose patients had been invited, are shown. About two-thirds of all patients were men. More than one-third of all insurees invited for the first time were singles. 13% of the patients were foreigners. Compared with their percentage within the insurees of the local statutory health insurance bureau, foreigners were invited to the medical expertise about four times more often than German insurees. 35.8% of the examined patients were out of work, and this group was also invited about four times as often as would be calculated from the percentage of persons out of work recorded by the local health insurance bureau (9.7%) on is Jan. 1987. Foreigners and recently dismissed persons had also been invited to the examination considerably earlier (2 1/2 resp. 3 weeks) than other insurees. Most patients had been treated by general practitioners (70%), the others were treated by specialists. About 28.9% (15% of all general practitioners of the region) of the practising GP's were 'responsible' for 60.6%, whereas 11% of the expertises were necessary because 3.6% of the doctors (3 practising physicians) had failed to submit sufficiently detailed data.

Adolescent↗
PubMed1985

Changing biclonal gammopathy due to different lymphocyte clones in acquired immunodeficiency syndrome with Kaposi's sarcoma.

We report the first case of acquired immunodeficiency-syndrome (AIDS) with Kaposi's sarcoma which at the same time has also a changing biclonal gammopathy (initial: double IgG-paraproteinaemia, later on IgA-IgG double-paraproteinaemia) due to different lymphocyte clones. The relationship of a B-cell neoplasia to a concurrent disease of T-cells is discussed.

Acquired Immunodeficiency Syndrome↗
PubMed1985

Haemoglobin D-beta-thalassaemia in a German family. A double heterozygous haemoglobinopathy.

This report concerns a young woman, whose stained blood films revealed a hypochromic and microcytic red cell morphology. It could be shown by haemoglobin analysis that this atypical blood film was due to a double heterozygote disorder of haemoglobin D (Hb D) and beta-thalassaemia. The thalassaemia trait was inherited from her father and the Hb D from her mother. This is the first observation of this rare disorder in a German family. Comparable cases reported in the literature are mentioned.

Adolescent↗