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At least 19 recordsLinked to original sources

[Interdisciplinary quality management in preventive medicine institutions].

Like all health care institutions, preventive medicine institutions, too, need a quality assurance structure. An integrated system consisting of "balanced score card", "finite-elements-model" and "interdisciplinary quality circles" is presented. This organisational structure allows the implementation of quality assurance in complex institutions as well, such as health care organisations. In addition, this concept guarantees broad acceptance by all team members, not least due to complexity reduction.

Austria↗

[Programming and structure of a relation-oriented data bank system for registration, blood alcohol values and documentation of findings at the forensic medicine institute of the Heidelberg University].

We report on a data base system for general registration including blood alcohol results which is in operation at the Institute of Forensic Medicine at Heidelberg University since january 1987. It is run on personal computers using dBase III plus as data base software. Working with the system has been adapted to the mode of operation hitherto. It's main purpose is to offer a general mean to standardize the documentation of results in the different fields of forensic medicine. At present it is run parallel with the registration by means of hand-written books. It's main advantage is the rapid search for all occurring names and files. Blood alcohol results are typed at the screen and printed out on the institute's standard form, with the expert's opinion being composed of text blocks. The essential data are extracted and transferred to the data base. A network of personal computers at different locations in the institute will be installed in the near future. A print-out of the data base will replace the hand-written registration, and the registration files will be completed by result files.

Accidents, Traffic↗

[Victim-related aspects of homicide of elderly persons in the catchment area of the Bonn Forensic Medicine Institute].

The present study examines the circumstances of 19 homicides involving 10 males and 9 females 60 years of age or older, which were submitted to the Bonn Institute of Forensic Medicine for autopsy. The incidence of these homicides sharply decreased by age. The causes of death were blunt force injuries alone or in combination in 8 cases and strangulation in 5 cases, thus reflecting the importance of the direct physical assault. Defense wounds were found in only 6 cases. The deceased unexceptionally suffered from diseases of the cardiovascular or respiratory system. Robbery or family/partner conflicts accounted for the vast majority of motives. Both, the most common location for homicide being in the victim's own residence and the high proportion of neighbours, acquaintances and relatives among the assailants underline that violence in the close social context endanger the elderly more than conventional violent street crimes. In the victims of homicide the elderly were represented in a smaller proportion than their percentage in the population at large. Over the 8 years of the present study there was no increasing tendency in the homicide rate in the elderly population.

Aged↗

[Installation of electronic data processing at the Vienna Forensic Medicine Institute--experiences and outlook].

1985 the systematic use of personal computers in the Viennese institute of forensic medicine began. Due to the big engineering progress there was no more need to connect to a computer center. A gradual installation and a strict determination of requirements are important for computer systems, whereas a personal computer might be useful for word processing only as well.

Austria↗

[Allergic reaction to merthiolate (a disinfectant) based on material from the Occupational Medicine Institute in Lodz].

Incidence and causes of allergy to merthiolate (thimerosal) was studied in 685 patients, examined in the Nofer Institute of Occupational Medicine, during the period from 1 September 1993 to 15 October 1995. Allergy to thimerosal was diagnosed in 39 persons (5.7%) including 25 (6.3%) females and 14 (4.9%) males. Health service workers predominated among those sensitized (13.8% of all medical personnel examined during that period). In 19 persons only allergy to mercury was observed. Among them 7 showed no skin changes, 6 manifested symptoms of hand dermatitis, in 4 patients atopic dermatitis and in 2 dermatitis diseminata were diagnosed. Two patients suffered from allergic rhinitis. It was found that the general vaccination of health service workers against viral hepatitis as well as immunotherapy with pollen preparations containing thimerosal (Catalet, Biomed, Poland) were the main causes of allergy to mertiolate. Allergy to thiosalicyclic acid was not observed and two persons reacted positively to mercuric chloride.

Adolescent↗

Repeat cycloplegic examinations at the Naval Operational Medicine Institute.

BACKGROUND: Cycloplegic examination is required for applicants who desire entry into Naval Aviation training. Before this study, all cycloplegic examinations performed at any site were repeated at the Naval Operational Medicine Institute (NOMI), Pensacola, FL, on all student naval aviator (SNA) candidates to assess for latent hyperopia which exceeded established limits for entry into training. HYPOTHESIS: Repeat cycloplegic examination does not vary sufficiently to change student status regarding physical qualification for training. METHODS: Data analysis of cycloplegic examinations repeated at the NOMI, for which the first and second examination were recorded in the Aviation Medical Data Retrieval System (AMDRS), over 10 yr. RESULTS: There were 3919 SNA applicants who had cycloplegic examinations repeated at NOMI. Of them, 3903 (99.59%) were within standards on the repeat examination. There were 16 candidates who were sent to NOMI with a previously disqualifying cycloplegic examination. On second cycloplegic examination, 15 were within standards for SNA. Only 15 of the SNAs with a first cycloplegic examination within standards were outside SNA standards on repeat examination. Of these 15, 12 were also outside SNA standards in distant visual acuity and/or in manifest refraction. The remaining 3 were found to have excessive myopia, not latent hyperopia, on the second cycloplegic examination. The standard deviation between the first and the second cycloplegic examination was computed to be less than 0.50 diopters in any meridian. CONCLUSION: The cycloplegic examination of SNA candidates need only be repeated if the first cycloplegic examination is outside the SNA limit or within two standard deviations of the SNA limit.

Adult↗