[Satisfaction with work in the home care sector].

Background: Due to the demographic change and the growing number of care-dependent people, the number of professional caregivers is increasing. To slow down the cost explosion in the health care sector, the German government brings forward the home care principle. However, the recruitment of new nursing staff is challenging already, and will become harder in the future.

Prevalence of enterohemorrhagic Escherichia coli in raw and treated municipal sewage.

Municipal sewage was screened for DNA encoding Shiga-like Toxin (SLT) II, a key protein involved in the virulence of enterohemorrhagic Escherichia coli. PCR analysis of sewage concentrates showed that DNA encoding SLT II was present in a single sample of untreated sewage and absent in all other samples tested (n = 6). Thermotolerant E.

[A case of lithiasis caused by 2,8 dihydroxyadenine. Evolutive characteristics. Therapeutic problems].

We report a case of bilateral 2,8 dihydroxyadenine urolithiasis in a 25-year-old woman, born from an incestuous union between a brother and sister, who developed the first manifestations at the age of 9 years. This condition results from APRTase deficiency and an autosomal recessive inherited disorder. Diagnosis requires physical analysis of the stones and measurement of APRT activity in red cells.

Acute polyarthritis after BCG-therapy for bladder carcinoma in a patient with ankylosing spondylitis.

A case of polyarthritis following intravesical administration of bacillus Calmette-Guérin (BCG) for bladder carcinoma is reported in a patient with long-standing ankylosing spondylitis. Possible links between BCG-therapy and joint manifestations are discussed in the light of data from the literature. Patients who develop joint manifestations after BCG-therapy are often HLA B27-positive.

[Ovarian vein syndrome. Apropos of a case].

The ovarian vein syndrome is due to ureteral compression caused by a dilated ovarian vein. The authors describe the clinical case of a young ten-week pregnant woman in whom the ovarian vein syndrome was revealed by a pain in the lower right quadrant of the abdomen associated with fever. Excretory urography, retrograde uretero pyelography and computed tomographic examination were performed.

[Tumor of the urinary tract discovered after renal trauma. Medico-legal implications of a case].

A case of a tumor of the urinary tract discovered after renal trauma is reported. The clinical and radiolocal observations are presented as well as the interest of this case in forensic medicine. A review of the legal aspects recalls the principles of imputability in cases of cancer and trauma.

[Vascular and nervous lesion and opening of the capsule in the last stage of dislocation of the elbow. A case report].

The authors describes a case of posterior dislocation of the elbow in the extreme stage, associating total destruction of the capsule and ligaments, a total arterial lesion, elongation of the median nerve and the opening of the focus at Tscherne's stage III. This case allows considering the biomechanical aspects of dislocation of the elbow and updating the principles of its management.

[Acute anemia induced by rupture of a luteal cyst, aggravated by the ingestion of antivitamin K].

A case of hemoperitoneum secondary to the rupture of an ovarian cyst is reported in a 14 1/2 year-old girl. The severity of the bleeding was explained by anticoagulant therapy given during the previous 3 weeks for laceration of ankle ligaments which necessitated surgery. In this age group, the differential diagnosis with a ruptured ectopic pregnancy had to be considered.

Health hazard assessment for chlorinated dioxins and dibenzofurans other than 2, 3, 7, 8-TCDD.

EPA is faced with the need to perform health risk assessments of environmental materials containing mixtures of chlorinated dioxins and -dibenzofurans. Preferably, such an assessment must be based on the direct evaluation of chronic health effects of the mixture or on a knowledge of the toxic effects of each of the components. In the absence of such data, the authors have developed two pragmatic approaches that can reasonably be applied to mixtures such as flyash or contaminated soil.

Membrane transport properties of bovine articular cartilage.

The thermodynamic parameters which define transport of nonelectrolytes through bovine articular cartilage membranes were evaluated. H3HO, glucose and sucrose were used as permeants. These solutes permeate more readily through the upper layers (near the articular surface) than through the denser deeper layers approaching bone.