Class- and subject teachers' self-efficacy and emotional stability and students' perceptions of the teacher-student relationship, classroom management, and classroom disruptions.

Background: Teacher self-efficacy and emotional stability are considered crucial resources for coping with classroom demands. We examined how class and subject teachers' self-efficacy beliefs and emotional stability are related to teachers' and students' perceptions of the teacher-student relationship, classroom management, and classroom disruptions.

Methods: In a sample of eighty-two swiss german 5th and 6th grade classes, 1290 students, their class teacher (N = 82), and a selected subject teacher (N = 82) filled out a questionnaire assessing classroom disruptions, teacher-student relationships, and classroom management.

Methylation of the glucocorticoid receptor promoter in children: Links with parents as teachers, early life stress, and behavior problems.

The present study examined the effect of early life stress (ELS) on the glucocorticoid receptor gene () methylation, the associations between methylation and behavior problems, and the effect of the program Parents as Teachers (PAT) on methylation. Participants included 132 children, 72 assigned to the PAT intervention group and 60 to the PAT control group. Children were aged 3 years, and were living in psychosocially at-risk families.

MEDIATING ROLE OF MATERNAL SENSITIVITY: ENHANCING LANGUAGE DEVELOPMENT IN AT-RISK FAMILIES.

Home-visiting programs have gained increasing importance in family-centered prevention and intervention. However, few studies have examined the mechanisms underlying early intervention treatment effects. The goal of this study is to analyze the mediating role of maternal sensitivity in enhancing language development with the home-visiting program Parents as Teachers (PAT).

Patients' self-reported adherence to cardiovascular medication using electronic monitors as comparators.

The aim of this study was to evaluate self-reporting of adherence to cardiovascular medication using electronic pillboxes (medical event monitoring system [MEMS]) as the gold standard comparator. In total, 78 individuals (52% hypertensives, 21% diabetics, 27% with dyslipidemia) were recruited prospectively from an outpatient clinic setting in Switzerland. Participants completed two self-report measures (visual analogue scale [VAS] and a validated self-reporting questionnaire) at baseline and were asked to use MEMS as their pillbox for the subsequent 10 weeks.

[Unilateral neck inflammation in psoriasis].

Local inflammation and systemic symptoms such as fever, fatigue and loss of appetite suggest the diagnosis of an abscess even if the patient is in a good general physical condition. The site of bacterial penetration should be identified along the corresponding lymphatic vessels. In this case, periauricular scratching induced by severe psoriasis led to a cervical abscess, the causing bacteria were identified as Streptococcus pyogenes.

[Bilateral axillary nodes. 30-year-old patient, housewife].

A 20-year old patient who had been adequately treated for lymph node tuberculosis 14 years ago presented 1 week after giving birth to a healthy daughter. She complained about painful lumps in both axillae. During pregnancy the patient suffered from hyperemesis gravidarum, lost 6 kg of weight, and had night sweats.

[Bronchitis, pregnancy test and hematuria--an atypical algorithm for diagnosis].

A 42-year old housewife presented herself with flu symptoms and dry cough. Because of pregnancy test (chest x-ray) we accidentally detected a hematuria. Exact medical history revealed the presence of a known IgA-Nephropathy.

[Inguinal swelling and ankle edema after inguinal hernia operation].

We diagnosed an aggressive Non-Hodgkin-Lymphoma (diffuse large B-cell lymphoma, DLBCL) in a patient with a fast growing inguinal mass. Only one third of all suspicious inguinal lymph nodes that are investigated histologically are found to be malignant lymphoma. If so, an accurate histopathological evaluation of sufficient neoplastic tissue is critical.

[Cutaneous coagulase-negative staphylococci--always harmless?].

Staphylococcus lugdunensis belongs to the group of coagulase-negative staphylococci, but share many clinical and microbiological characteristics with Staphylococcus aureus. We report two cases of chronic recurrent purulent skin infections in two females (one immunocompetent, the other HIV-infected with CD4 cell counts of 438/microl) who were treated repeatedly with antibiotic and surgical interventions, but only became free of recurrences after this was combined with a decontamination strategy.

[Reconstruction or amputation in complex fractures of the tibia. A comparative study with special reference to insurance medicine aspects].

As an introduction to the subject, a historical retrospective review of the pension-related outcome of fractures of the tibia and fibula is presented. Analysis of the past 50 years shows a continuous reduction in the frequency of the award of pensions in such cases, from 36% to 2.2%.

[Skiing accidents in the Swiss Accident Insurance Service, social sequelae and prevention].

The epidemiology of skiing accidents is described and discussed on the basis of SUVA statistics. This is followed by an analysis of the frequency of the various types of injuries and a summary of the social consequences (cost of treatment, daily sickness allowance, compensation for pension and integrity compensation). To conclude, there is a discussion on the prevention of skiing accidents and, in particular, the presentation of "warm-up!", SUVA's prevention campaign.

["Warm-up!" Prevention of skiing accidents. A preventive campaign by the Swiss Accident Insurance Organization].

In 1991, 762,800 leisure time accidents were recorded in Switzerland. 33% of the accidents occurred in the course of a sporting activity with the majority happening while playing football. Skiing accidents came second.

[Shoulder dislocation and periarthrosis humeroscapularis].

1232 injuries involving shoulder luxations in 1984 were investigated on the basis of the insurance dossier. 1/3 of the injured persons have sequelae: 10.5% habitual tendency to luxation, 9% peritendinitis, 2% omarthritis and 2% a shoulder instability.

[Posterior shoulder dislocation in a patient sample of the Swiss Accident Insurance Service].

We report on 17 posterior shoulder dislocations which were investigated by SUVA's medical service during the past three years. We can confirm the information in the literature, that the diagnosis is initially often missed (4 out of 17) and that the injury is often sustained in epileptic fits (4 out of 17). Among our patients, however, the time at which the diagnosis was made did not obviously influence the results of the treatment.

[Insurance medicine and accident surgery].

A definition of insurance medicine is presented with due consideration for national peculiarities (social insurances) in Switzerland. The historical development from original trauma-directed accident medicine to the present-day insurance medicine with its more comprehensive nature is shown with particular consideration being given to the close connection with traumatology (trauma surgery/orthopaedic surgery). The guarantee of smooth-running and constructive cooperation between traumatologists and welfare organizations is one of the major tasks of doctors employed in insurance companies, whose sphere of influence and qualifications are under discussion.

[Prevention of serious injuries due to bicycle riding].

In 1984 there were 32,860 persons who suffered from bicycle-related injuries in Switzerland. They accounted for 27% of the persons injured on the road. Cranio-cerebral trauma had to be treated in 26% of the injured bicyclists.

[Street traffic accident--whiplash injury of the cervical spine from the viewpoint of insurance medicine].

The Swiss Accident Insurance Institute (SUVA), as the largest mandatory insurer against accidents in Switzerland, handles approximately 3000 cases of injury to the cervical spine every year, half of which are the result of traffic accidents. A considerable proportion of these involve whiplash injuries to the cervical spine. Epidemiological and statistical results according to this medical definition and based on material collected over a period of several years are presented.

[Statutory accident insurance--obligatory social accident insurance in Switzerland].

According to the new Accident Insurance Law, in Switzerland it is mandatory for all employees to be insured against accidents and occupational diseases. The legal bases, organization and implementation of this mandatory social accident insurance are described. Discussed in particular are the specific Swiss features, such as the inclusion of non-occupational accidents (leisure-time accidents), and special medical aspects in the assessment of incapacity, injury and occupational diseases.

[Hazardous sports and insurance].

In spite of increased efforts in the prevention of recreational accidents the SUVA has to state that, as before, there is a steady increase in non-occupational accidents. 33% of all non-occupational accidents are caused through sport. Preventive measures and optimum patient treatment are effective moves to limit the costs.

[Back injuries and the work site].

Payments through obligatory accident insurance for back injuries as a result of an accident in the legal sense are common. In contrast, the acceptance of back injuries as an occupational illness is associated with such strict legal prerequisites that, considering the early appearance and frequency of degenerative back diseases in the general population, the condition whereby a back injury must have been caused exclusively or predominantly, i.e.