Background: Traumatic events like critical illness and intensive care are threats to life and bodily integrity and pose a risk factor for posttraumatic stress disorder (PTSD). PTSD affects the quality of life and morbidity and may increase health-care costs. Limited access to specialist care results in PTSD patients being treated in primary care settings.
View Article and Find Full Text PDFObjectives: The aim of the study was to identify interface problems between inpatient, GP and outpatient specialist care from the perspective of general practitioners in Dresden, especially in older multimorbid patients.
Methods: The data were collected in the context of the pilot study "Multimedication and its Consequences for the Primary Care of Patients in Saxony" and included guided interviews with 7 general practitioners. The interviews were transcribed and analyzed according to the inductive content analysis of Mayring.
Background: The German national competence-based catalogue of learning objectives for undergraduate medical education (NKLM) newly introduced in 2015, provides a variety of learning objectives, competences, as well as practical skills for the cross-sectorial area 7 "Medication of Aging and the Aged" (QB7). Against this background an interdisciplinary teaching concept to mediate all required teaching contents should be developed.
Objective: Can an interdisciplinary multistation practical course in the auditorium, in which different tasks and skills are trained at each station meet the requirements of the NKLM?
Material And Methods: Evaluation by questionnaire and rating of answers on a 6-stage Likert scale.
Background: Ultrasonography is a reliable, non-invasive and painless tool for quantitative assessment of the static and dynamic changes of the facial muscles in adult patients with facial palsy. Therefore it would also be worthwhile to establish the method for quantitative analysis of facial muscles in children with facial palsy to improve and expand the diagnostics for paediatric facial palsy.
Methods: Eight children, aged 1-18 years, with facial palsy of different aetiology were scanned and their ultrasound-images analysed.
Introduction: Ultrasonography can detect structural muscle changes caused by neuromuscular disease, but it has not yet been applied to facial nerve diseases. Quantitative analysis would be the preferred method to determine whether ultrasound findings are within normal limits, but there are no normative data for mimic muscles. The purpose of this study was to provide gender-specific normative ultrasonography data for muscle area, diameter, and contractility for mimic and masticatory muscles in adults.
View Article and Find Full Text PDFIntroduction: In this study we introduce quantitative facial muscle ultrasound as a diagnostic tool for patients with chronic unilateral facial palsy.
Methods: Muscle area, thickness, and echo intensity of 6 facial muscles (frontalis, orbicularis oculi, orbicularis oris, depressor anguli oris, depressor labii inferioris, and mentalis) and of 2 chewing muscles (temporalis and masseter, as controls) were measured in 20 patients with chronic facial palsy.
Results: Aside from 1, all facial muscles were significantly smaller on the paralyzed side.