Biomedical subjects
Publications and source records attributed to R Biermann.
We report on a clinical case of appendicitis duplex with atypical and previously not described localisation of the second appendix at the right colic flexure in a 11 years old patient. Type of localisation and synchronicity of the inflammation have not been reported in literature so far. Pathological classification of the double appendix and problems of synchronous inflammation are discussed.
Living in an industrial society places considerable stress on children and on adolescents, to which they react with behavioural disturbances and psychosomatic disorders. So far, physicians have been trained only insufficiently at universities with regard to psychotherapy, which means they cannot cope sufficiently with such problems if they are confronted with them in their clinical and practical work. Hence, a continuing education programme called the "Brühl Model" has been worked out which imparts knowledge on child psychology and child psychotherapy by means of three-year courses based on depth psychology. This corresponds to the "small-scale psychotherapy in medical practice" as conceived by J. H. Schultz and M. Balint. This educational programme has been largely adapted to the demands made at the Manheim Physicians' Congress in 1977 with regard to acquiring adequate proficiency in the subject of psychotherapy, and has been accepted by the German professional boards of physicians. 600 colleagues have since been undergoing this training during the past 15 years with success. The present seventh training course is now also open to the colleagues from the new German Laender of the former GDR.
The authors describe a case of relapsing severe haemorrhage from angiodysplasias localized in the small intestine in an eighty-year-old female patient diagnosed only after probatory laparotomy. They discuss the diagnostic possibilities in angiodysplasia of the gastrointestinal tract and how it can be influenced by therapy. Even after resection of the affected portion of the intestine the formation of new angiodysplasias must be foreseen in previously intact areas and those can be the source of further severe haemorrhage.
Angiomatous developmental changes are the therapeutic object of attention as regards elective interventions in particular in plastic surgery. Their complications in some body cavities, in particular haemorrhage or compression of organs, are usually dealt with by general surgeons and occasionally by vascular surgeons. Diseases of the central nervous system are the domain of neurosurgeons. After a general analysis of the problem of angiodysplasia, the author discusses three successfully operated patients with angiodysplasia of the stomach, spleen and small intestine which were manifested in two instances by severe haemorrhage and in one instance by compression of the surrounding tissues.
The authors discuss the aetiology, diagnosis and therapy of false aneurysms and mention their possible occurrence at different sites, whereby they emphasize the rare occurrence of pseudoaneurysms in conjunction with fractures of the bones of the extremities. The rare nature of the mentioned complication stimulated the authors to present a case-history of a pseudoaneurysm of the anterior tibial artery.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The development of highly technical and highly computerized labour-rooms is contrasted by the mother's need for close personal contact with her baby and for close personal caring. If suitable conditions are to be created, the mother must be psychologically prepared for pregnancy and birth, the father must be admitted into the labour-room and rooming-in of mother and new born baby should be allowed. Breast-feeding is the beginning of the basic trust relationship (Urvertrauen) between mother and child. However, only 40% of the mothers continue breast-feeding after discharge from hospital and only 5,7% breast feed their babies for more than 3 months. The babies miss the intensive skin contact between mother and child that is so important for the child's development. This is confirmed by the experiences of the Offenbacher Modell" where mothers nurture their prematurely born babies. Psychohygienic methods with new born babies are related to diminuished infant mortality. In the Federal Republic of Germany, 105 maternity hospitals and wards allow mothers and new born babies to be together without restriction.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.