[The hygienic status in community health nursing stations].

199 bases of so-called "Gemeindeschwestern" (nurses delegated by communal authorities as medical auxiliary personnel to practising physicians) in the territory of the former district of Neubrandenburg (now part of the new Land called Mecklenburg-Vorpommern) were examined to determine the sanitary and hygienic conditions obtaining in these bases. Many of these were found to be unsatisfactory: not only the desolate state of the building materials, but also the available space and the water supply. In 14.

[Collaboration between the specialist in general medicine and pediatrics in the rural area with special emphasis on informational relations].

An analysis is made of the scope of health care performances provided by family practitioners and paediatricians to children in a mountainous community (of the Erzgebirge), with special regard to the informational relations existing in the community. The survey is, in the main, a two-stage interval investigation. At the first stage, a description is given of the high share the family practitioner has in the health care performances provided to children (preventive care: 100%; curative care: 95.

[Health counseling--an element of preventive care responsibility of the general practitioner].

An analysis and assessment is made of international experience in health counselling by the family physician. In line with the health policy mission, recommendations are given for a list of prophylactic performances to be offered by the family physician. Health counselling harmoniously fits into the overall concept of health information, health surveillance and long-term care.

[Analysis of the qualitative care indices as a prerequisite to further improvement in fundamental outpatient medical care].

The paper is aimed at finding the possibilities of increasing the quality of outpatient care, especially of home care and of the specific forms of specialized dispensary care. Authors emphasize the importance of organizing a unitary and long-term medical and social care for chronic, disabled and old patients. Likewise, they consider medical home-care as a basic principle of outpatient care--and important factor for the harmonious physical and mental development of men, for maintenance of working capacity.

Long latency EMG responses in hand and leg muscles: cerebellar disorders.

Electromyographic responses to stretches of hand muscles (first dorsal interosseus) and leg muscles (triceps surae, tibialis anterior) were investigated in patients with cerebellar disorders of different locations. Stimuli consisted of short dorsiflexions of the index finger during background force and in tilting (toe up) of a movable platform on which the subject stood. The most important findings were increased long latency responses in upper and lower extremities.

Medium and long latency EMG responses in leg muscles: Parkinson's disease.

Short, medium, and long latency EMG responses to muscle stretch from triceps surae and anterior tibialis muscles were recorded in normals and in 33 patients with Parkinson's disease. The latencies of all EMG responses except short latency were normal in patients with Parkinson's disease. The integrals of the medium latency responses in the stretched triceps surae muscle were significantly increased in patients.

Long-loop reflexes in small hand muscles studied in normal subjects and in patients with Huntington's disease.

Long-latency electromyographic (EMG) responses of the first dorsal interosseus muscle were evoked by short displacements of the index finger in healthy subjects and in patients with Huntington's disease (HD). In all 20 healthy subjects the early spinal response (mean latency 31.5 ms) was followed by a reproducible later reflex response with a mean latency of 56.

Evoked potentials in patients with Huntington's disease and their offspring. I. Somatosensory evoked potentials.

Spinal and cortical somatosensory evoked potentials (SEPs) were recorded in a large sample of patients with Huntington's disease (n = 37) and subjects at risk (first order offspring, n = 43). The SEPs were elicited by stimulation of the median and tibial nerves and recorded at Erb's point, the cervical level (C2) and at the corresponding scalp areas. The most striking finding in patients with Huntington's disease was a drastic diminution of the amplitude of the early cortical components, especially N20/P25 for the median nerve and N33/P40 for the tibial nerve.

Long latency reflex force of human finger muscles in response to imposed sinusoidal movements.

Reflex stiffness of the flexing human index finger was studied using sinusoidal movements at 3-16 Hz. The Nyquist stiffness diagram indicates the presence of a 'presonance' at around 4 Hz, its 'C' shape after correction for the mechanical properties of the relaxed finger is consistent with the involvement of a stretch reflex in its generation. This contention was supported by the presence of negative friction around 4 Hz and the disappearance of the modulation of the stiffness curve after afferent ischaemic block.

Absence of long latency reflexes to imposed finger displacements in patients with Huntington's disease.

Long latency reflexes in the electromyogram (EMG) of the first dorsal interosseus muscle were elicited by short finger displacements under isometric conditions. In all healthy subjects tested the spinal response was followed by a second involuntary component. Patients with Huntington's disease lacked the late EMG response almost completely, but exhibited a spinal component indistinguishable from that of the control group.

[Methods and specificity of internal medicine specialties in multiphasic screening].

Issuing from the classical definitions for the diagnostic sensitivity and specifity of examination methods in multiphasic screenings is deduced that out of the whole methodical spectre of internal specialities only limited parts are to be applied in multiphasic screenings. At the instance of a multiple multiphasic screenings (model study Sternberg '70) ways to the establishment of reduced optimal parameter combinations are demonstrated. With multivariate statistical methods (facotor analysis, discriminative methods) we succeeded in finding parameter combinations for special groups of diagnosis (liver diseases, hypertension and obesity), by means which these groups in multiphasic screenings are clearly to be differentiated from the healthy symptom-free residual population.