[Diathesis and disposition--an interpretation with reference to Adalbert Czerny and Meinhard v. Pfaundler].
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Biomedical subjects
Publications and source records attributed to J Oehme.
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The data of 22 women with a phyllode tumor of breast operated in our department from 1980 to 1997 were analysed. 11 benign, 7 borderline and 7 malign phyllode tumors were found in accordance to WHO-classification. In conclusion diameter of tumor is a relevant prognostic factor beside histologic classification. Therefore local excision is recommended for benign and borderline phyllode tumors smaller than 5 cm. A safety distance of 1 cm is claimed. Benign or borderline lesions greater than 5 cm and all malign require a simple mastectomy. Only recurrence smaller than 5 cm after excision of benign and borderline phyllode tumor should excised once more. Metastasis have to be cured by surgical therapy.
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The first issue of the Monatsschrift für Kinderheilkunde (Monthly Journal of Pediatrics) appeared in October 1903 with contributions by leading European pediatricians. The editor was Arthur Keller, who remained responsible until 1934. As a novelty, the journal contained detailed reviews of world-wide pediatric literature. After Keller's death in 1934, Georg Bessau became editor-in-chief for the next 10 years. The first issue after the second world war appeared in 1948/49 and was edited by Hans Kleinschmidt, Göttingen. In 1962 the editorial responsibility was transferred to Karl Heinz Schäfer, whom joined Hans Ewerbeck in 1970. The monthly journal written in German deals with informations for pediatricians in children's hospitals and in practices and with scientific contributions in all fields of pediatrics and related areas. The present editors are Flix Bläker and Werner Schröter. In 1949 it became the official organ of the Deutsche Gesellschaft für Kinderheilkunde (German Society of Pediatrics), endorsed by the impressum since 1956. In 1993 the subscription of the journal became part of the membership fee of the Deutsche Gesellschaft für Kinderheilkunde.
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Otto Heubner can be counted among the fathers of pediatry. Beginning as an autodidact, he became pediatrist by chance, holding the first university chair in Germany (1884) exclusively devoted to pediatry; he needed no Dr. med. habil. thesis. Observing the little patients was his primary interest; for the infants treated in the hospital he introduced "aseptic environments". Heubners main scientific achievements were the treatment of infectious and stomach-intestinal diseases. He described "Endarteritis syphilitica" and found Meningococci in the cerebrospinal fluid. "Serious deficiency of digestion" (Coeliac disease) became known through his work. Together with his friend M. Rubner he created the notion of EQ (Nutrition Quotient). Also, he realized the functional effects of orthotic albuminuria. Heubners centers of activity were Leipzig and Berlin, where he had a large community of followers; his successor, recommended by him, was A. Czerny.
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