RepoMed (Medizinische Hochschule Hannover)
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Untersuchungen zur Auswirkung eines repetitiven auditiven Inputangebots auf die basale phonologische Verarbeitung bei Vorschulkindern
No full textEinfluss des Operationsverfahrens (laparoskopisch vs. offen) auf den postoperativen Outcome bei Patientinnen mit tief infiltrierender Endometriose
No full textVergleich der subjektiven Einschätzung der Hörsituation bei Cochlea-Implantat-Patienten und der objektiven Sprachtestergebnisse: Übereinstimmungen oder Widersprüche
Get PDFSteuerelemente bei der Wanderung dendritischer Zellen: funktionelle Untersuchungen in der dreidimensionalen Kollagenmatrix zu CCR7-Liganden und Lymphknoten-Stromazellen
No full textCharakterisierung von Calnexin, Myomegalin und AKAP9 als potentielle Bindungspartner der zyklischen Nukleotide cCMP und cUMP
No full textMode of birth and postnatal health-related quality of life after one previous cesarean in three European countries.
No full textBACKGROUND:How a woman gives birth can affect her health-related quality of life (HRQoL). This study explored HRQoL at 3 months postpartum in women with a history of one previous cesarean in three European countries. METHODS:A prospective longitudinal survey, embedded within a cluster randomized trial in three countries, exploring women's postnatal HRQoL up to 3 months postpartum. The Short-Form Six-Dimensions (SF-6D) was used to measure HRQoL, and multivariate analyses were used to examine the relationship with mode of birth. RESULTS:Complete data were available from 880 women. Women with a spontaneous vaginal birth had the highest HRQoL scores, whereas women with an emergency repeat cesarean (P = .01) had the lowest. Postnatal readmission of the mother (P = .03), having public health insurance (P = .04), and a low antenatal HRQoL score (P < .01) contributes to poorer HRQoL scores. More specifically, women with a spontaneous vaginal birth had significantly higher HRQoL scores on the vitality dimension compared with women with an emergency repeat cesarean (P = .04). CONCLUSIONS:In women with low-risk factors, repeat cesareans result in a poorer HRQoL compared with vaginal birth. When there are no contraindications for vaginal birth, women with a history of one previous cesarean should be encouraged to give birth vaginally rather than have an elective repeat cesarean
Clinical ethics in Gabon: the spectrum of clinical ethical issues based on findings from in-depth interviews at three public hospitals
No full textRediscovery of Otto Frank's contribution to science.
Get PDFIn the late 19th century, German physiologist Otto Frank (1865-1944) embarked on a near life-long research program of laying down the mathematical, methodological, and theoretical foundations in order to understand and define the performance of the heart and circulatory system in all their complexity. The existence of the "Frank-Starling law" testifies to this. Two of his seminal publications have been translated into English previously, introducing Frank's research on the dynamics of the heart and the arterial pulse to a wider audience. It is likely that there are a host of other comparable achievements and publications of Frank that are still unknown to the international scientific (cardiological and physiological) community. However, their influence can still be felt and seen in modern cardiology and cardio-physiology, such as in the development of modern interactive simulating and teaching programs. We have translated and commented on ten of these papers, which can be read in parallel with the German originals. These publications show a wealth of theoretical assumptions and projections regarding the importance of the sarcomere, the development of models of contraction, thermo-dynamical considerations for muscular activity, differences between cardiac and skeletal muscles, problems related to methodology and measurement, and the first pressure-volume diagram (published 120 years ago). These topics were envisioned by Frank long before they became a focus of subsequent modern research. Nowadays, frequent measurements of pressure-volume relationships are made in research using the pressure-volume conductance catheter technique. In commenting Frank's scientific topics, we try to show how interconnected his thinking was, and thus how it enabled him to cover such a wide range of subjects