This was decided by the Federal Labor Court in Erfurt. Accordingly, the employer is also in voluntary benefits such as the Christmas money to the principle of equal treatment bound. In that case, a worker in a foundry a Christmas allowance of around half a monthly earnings, while the employees of the farm a full 13th Monthly salary had been paid. Discrimination against those accused of workers and got right. Workers and employees are expected at Christmas money only be treated differently when there are objective reasons.
Saturday, November 29, 2008
Walks help against winter depression
Even on dreary days helping walks against autumn-winter depression. This distortion, in which about one in four Germans more or less severely affected, mainly to the lack of light during the cold months due. "In the dark season should be to ensure sufficient light ensured. For example, an hour stay or walk in the daylight sky covered even if a seasonal depression significantly countered, "Mathias Berger recommended by the board of the German Society for Psychiatry, Psychotherapy and Psychosomatics.
Could complement specific areas in daylight lamps used in its spectral composition of natural sunlight at least partly correct. "It is important that the fluorescent light of these devices the retina of the eye reached, therefore, for example, the use of tanning devices no effect," said the professor, the Department of Psychiatry and Psychotherapy of the University Hospital in Freiburg forward.
For ease depression, according to Berger often antidepressiv effective St. John's wort preparations used. For effective action is the right dosage of the drug is essential. "Therefore, this herbal medicine under doctor's instructions always take," the expert advises. If the depression and joylessness persists in the spring, when psychiatrists must necessarily be clarified whether it is a non-seasonal depression involved. Because a persistent need for a depression and often psychotherapeutic medication treatment.
Could complement specific areas in daylight lamps used in its spectral composition of natural sunlight at least partly correct. "It is important that the fluorescent light of these devices the retina of the eye reached, therefore, for example, the use of tanning devices no effect," said the professor, the Department of Psychiatry and Psychotherapy of the University Hospital in Freiburg forward.
For ease depression, according to Berger often antidepressiv effective St. John's wort preparations used. For effective action is the right dosage of the drug is essential. "Therefore, this herbal medicine under doctor's instructions always take," the expert advises. If the depression and joylessness persists in the spring, when psychiatrists must necessarily be clarified whether it is a non-seasonal depression involved. Because a persistent need for a depression and often psychotherapeutic medication treatment.
DISCOUNT CONTRACTS
The AOK today announced the preliminary information on the new rebate contracts with pharmaceutical companies shipped. Photo: Elke Hinkel leg] Berlin - The AOK today announced the first preliminary information for its new discount contracts sent. As the negotiation leading AOK Baden-Wuerttemberg announced, were sent to 58 firms preliminary decisions on 44 of a total of 64 advertised drugs brought to the post. For five Losgebieten were thus 220 increments possible - to issue within the next two weeks. First, however, nor the review of producers. The AOK has his own sentiment temporary surcharge ban, "due to review individual bidders."
Over the next week, the AOK decisions to send all the ingredients: "We could not yet decide for all substances. As announced in our tender, we had to offer some assessment documents of the bidders nachfordern what the decision-making process in these cases, something in the length moves, "said negotiator Dr. Christopher Hermann.
According to his information had to AOK tender deadline on 3 November 70 bids received: "We have carefully examined all the bids and procurement are also implemented. Objectivity and respect of operational and business secrets were highest bids for us. "The name of the manufacturer wants the fund therefore competitive reasons, does not mention.
Despite an expected confrontation in court, the AOK discount their new contracts on 1 March 2009 to implement. The company is more than two months preparation time, so the ability to supply medicines to ensure the rebate.
The AOK had early August discount contracts for the years 2009 and 2010 tendered. The 64 agents had been issued, according to the Treasury in 2007 a sales volume of 2.3 billion euros. Compared to the previous procedure, the first Europe-wide tender.
Over the next week, the AOK decisions to send all the ingredients: "We could not yet decide for all substances. As announced in our tender, we had to offer some assessment documents of the bidders nachfordern what the decision-making process in these cases, something in the length moves, "said negotiator Dr. Christopher Hermann.
According to his information had to AOK tender deadline on 3 November 70 bids received: "We have carefully examined all the bids and procurement are also implemented. Objectivity and respect of operational and business secrets were highest bids for us. "The name of the manufacturer wants the fund therefore competitive reasons, does not mention.
Despite an expected confrontation in court, the AOK discount their new contracts on 1 March 2009 to implement. The company is more than two months preparation time, so the ability to supply medicines to ensure the rebate.
The AOK had early August discount contracts for the years 2009 and 2010 tendered. The 64 agents had been issued, according to the Treasury in 2007 a sales volume of 2.3 billion euros. Compared to the previous procedure, the first Europe-wide tender.
New Biomarker detects heart attack and stroke risk
In the biomarkers is the protein molecule Fetuin-A, in the liver and blood to be delivered. High blood levels of the biomarker with a three-to fourfold increased risk of heart attack and stroke combined.
"Already some time ago we observed that increased Fetuin-A levels in the blood with a reduced insulin sensitivity of body cells, and may be given to increasing the storage of fat in the liver indicates," Haering said Ullrich, director of the Medical Clinic IV of the University Hospital in Tuebingen.
But now we know that Fetuin-A not only as a risk marker for type 2 diabetes in question. There is also a strong correlation between Fetuin-A-mirrors and cardiovascular diseases and regardless of risk factors such as hypertension, smoking and diabetes. Persons with a very high Fetuin-A blood value in comparison to those with a low value is a 3.3-fold increased risk of heart attack or a 3.8 fold increased risk of stroke.
During the average follow-up period of 8.2 years, 227 study participants suffered the more than 27,000 adults observed a heart attack. At 168 participants Doctors diagnosed ischemic stroke (An ischemic stroke is a sudden emptiness induced blood brain infarction). "The connection we observed between increased Fetuin-A-mirrors in the blood and an increased risk for cardiovascular disease is exceptionally strong," said Cornelia Weikert, epidemiologist at the German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE).
Therefore, we hope, Fetuin-A not only as biomarkers to be able to deploy. Man wanted Fetuin-A as a new starting point, to the heart attack and stroke underlying pathogenic mechanisms to investigate and better understand. "Our results suggest that the liver metabolism and especially the fatty liver for the emergence of cardiovascular disease plays an important role," said Andreas Fritsche of the Medical Clinic IV of the University Hospital in Tuebingen.
"Already some time ago we observed that increased Fetuin-A levels in the blood with a reduced insulin sensitivity of body cells, and may be given to increasing the storage of fat in the liver indicates," Haering said Ullrich, director of the Medical Clinic IV of the University Hospital in Tuebingen.
But now we know that Fetuin-A not only as a risk marker for type 2 diabetes in question. There is also a strong correlation between Fetuin-A-mirrors and cardiovascular diseases and regardless of risk factors such as hypertension, smoking and diabetes. Persons with a very high Fetuin-A blood value in comparison to those with a low value is a 3.3-fold increased risk of heart attack or a 3.8 fold increased risk of stroke.
During the average follow-up period of 8.2 years, 227 study participants suffered the more than 27,000 adults observed a heart attack. At 168 participants Doctors diagnosed ischemic stroke (An ischemic stroke is a sudden emptiness induced blood brain infarction). "The connection we observed between increased Fetuin-A-mirrors in the blood and an increased risk for cardiovascular disease is exceptionally strong," said Cornelia Weikert, epidemiologist at the German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE).
Therefore, we hope, Fetuin-A not only as biomarkers to be able to deploy. Man wanted Fetuin-A as a new starting point, to the heart attack and stroke underlying pathogenic mechanisms to investigate and better understand. "Our results suggest that the liver metabolism and especially the fatty liver for the emergence of cardiovascular disease plays an important role," said Andreas Fritsche of the Medical Clinic IV of the University Hospital in Tuebingen.
Five people in apartment fire in Eimsbüttler injured
Five people are in the night on Friday in a fire in an apartment building in the High Pasture Road (Eimsbüttel) have been violated. There was on the third floor in an apartment fire erupted. The fire was quickly under control. "The fire was limited to one room. The two occupants were able to save," says a fireman. "Both fire but suffered injuries to the poor and a smoke poisoning." Three women from neighboring homes with smoke poisoning were hospitalized. On the street there was a sixth injured. A woman was on a fire hose stumbled and fallen. Why it came to the fire, is unclear. The CID has taken over the investigation.
Penis - Study - French have the thickest!
On average, a French penis a circumference of 13.63 centimeters. That is a record and probably even more than German men. These come on average only a circumference of 11.80 centimeters in errigierten condition.
German men do not hide. The Greeks come weg worse. Their average penis is actually only a volume of 10,19 centimeters.
However, the French are also in the length of the other nations clearly ahead. They bring it to an average of 15.48 centimeters, the Germans only 14.27 inches, and the Greeks to 12.18 inches.
For the study were 10,477 men in 25 EU states for the Institute for Condom Consultancy in Singen measured.
German men do not hide. The Greeks come weg worse. Their average penis is actually only a volume of 10,19 centimeters.
However, the French are also in the length of the other nations clearly ahead. They bring it to an average of 15.48 centimeters, the Germans only 14.27 inches, and the Greeks to 12.18 inches.
For the study were 10,477 men in 25 EU states for the Institute for Condom Consultancy in Singen measured.
HIV-infected people in Germany always have higher life expectancy
Thanks to the latest drugs and the use of combination therapy increased their life expectancy continues, as the Federal Statistical Office announced on Friday. However, people having sex again unwary: The number of new infections is rising.
The average age of death from AIDS of 2007 was 50.0 years, while women on average 49.4 years and men 50.1 years old were. In 1997, patients with an average age of 42 died. Communication is the occasion of World AIDS Day on 1 December.
In 2007, yet 461 people died as a result of the immune deficiency disease, 43 fewer than the year before. Were particularly affected people 25 to 65 years: From AIDS to deceased people were 85.7 percent in this age, where the Group of 40 - to less than 45-year-olds the largest proportion (21 percent). 81 percent of the dead were male.
Nationwide, 1,822 were AIDS patients fell ill in the hospital treated and released. Compared with the year 2000, the figure dropped to 4,090 persons - a decrease of almost 70 percent.
However in 2007 increased the number of new cases in comparison with the previous year to 100 cases to approximately 2,800, as the Federal relying on data from the Robert Koch Institute (RKI) wrote. In the current year there were an estimated 3,000 have been even, representing a further increase would mean. According to experts, around 90 percent of HIV infections, sexually transmitted.
So far about 27,000 AIDS deaths in Germany
Total currently live in Germany more than 60,000 people infected with HIV. Since the beginning of the first documented case in Germany in 1982, the number of AIDS sufferers is estimated at about 86,000, about 27,000 of them died.
Worldwide estimated UNAIDS - the Joint United Nations Program on HIV / AIDS - the number of deceased AIDS, 2007 with approximately two million adults and children. With the virus were infected an estimated 33 million to 2.7 million new infections in 2007.
Worst affected by the epidemic is still Africa: 1.5 million, or 75 percent of the world's estimated 2,007 deaths attributable solely to the African countries south of the Sahara. 22 million or 67 percent of the world's HIV-infected adults and children living there.
"Without treatment generic drugs from India simply too expensive"
The children emergency warned that new patents could be from next year the production of affordable AIDS medicines for sick children at risk. With cheap manufactured products from imitators India would still large parts of Africa supplies. This could dramatically change when three large pharmaceutical companies in 2009 their patent rights provision.
"The right to life for children but in each case over the patent of the companies are facing," said Frank Mischo, HIV / AIDS expert at the Children relief.
The average age of death from AIDS of 2007 was 50.0 years, while women on average 49.4 years and men 50.1 years old were. In 1997, patients with an average age of 42 died. Communication is the occasion of World AIDS Day on 1 December.
In 2007, yet 461 people died as a result of the immune deficiency disease, 43 fewer than the year before. Were particularly affected people 25 to 65 years: From AIDS to deceased people were 85.7 percent in this age, where the Group of 40 - to less than 45-year-olds the largest proportion (21 percent). 81 percent of the dead were male.
Nationwide, 1,822 were AIDS patients fell ill in the hospital treated and released. Compared with the year 2000, the figure dropped to 4,090 persons - a decrease of almost 70 percent.
However in 2007 increased the number of new cases in comparison with the previous year to 100 cases to approximately 2,800, as the Federal relying on data from the Robert Koch Institute (RKI) wrote. In the current year there were an estimated 3,000 have been even, representing a further increase would mean. According to experts, around 90 percent of HIV infections, sexually transmitted.
So far about 27,000 AIDS deaths in Germany
Total currently live in Germany more than 60,000 people infected with HIV. Since the beginning of the first documented case in Germany in 1982, the number of AIDS sufferers is estimated at about 86,000, about 27,000 of them died.
Worldwide estimated UNAIDS - the Joint United Nations Program on HIV / AIDS - the number of deceased AIDS, 2007 with approximately two million adults and children. With the virus were infected an estimated 33 million to 2.7 million new infections in 2007.
Worst affected by the epidemic is still Africa: 1.5 million, or 75 percent of the world's estimated 2,007 deaths attributable solely to the African countries south of the Sahara. 22 million or 67 percent of the world's HIV-infected adults and children living there.
"Without treatment generic drugs from India simply too expensive"
The children emergency warned that new patents could be from next year the production of affordable AIDS medicines for sick children at risk. With cheap manufactured products from imitators India would still large parts of Africa supplies. This could dramatically change when three large pharmaceutical companies in 2009 their patent rights provision.
"The right to life for children but in each case over the patent of the companies are facing," said Frank Mischo, HIV / AIDS expert at the Children relief.
Changes 2009 health insurance fund
For the year to come some changes to health insurance, both in the statutory as well as in the private health insurance.
In the statutory health insurance have with the uniform rate of some 15.5 percent higher insurance premiums in the health insurance. Self-employed voluntarily in the insurance are insured only pay 14.9 percent. Therefore, the self-protection with no more sickness benefit. Those who continue to have insured Sickness has 3 options.
1) You can insure private sickness, but to fill in health matters and may be rejected.
2) You can change in the GKV for a collective choice to decide, then the sickness insurance. The amount of the contributions come about 14.9 percent on the income and age of the insured.
3) The voluntary basis in the GKV insured may by law in the private health insurance change, but must also answered questions on health and a rejection is possible.
Also for all the existing private health insurance changed for the new year about what we still do not really can see. There is a time-frame of 6 months in which insurance may be his age and some provisions can be taken.
But now comes a big BUT, you must be for 18 months in the newly created base fare will remain before you in a better rate may change. The base rate is similar to the services of legal, therefore worse than usual in the insurance and the basic fare is too expensive, because they could not agree with the doctors and so would be the contribution for a 30 year old man is currently 590, - Euro in Month.
The contribution is mistaken for the age and performance as a comparison is a 50 year old man with a SB 750 euros for 325, - Euro privately with good benefits.
In the statutory health insurance have with the uniform rate of some 15.5 percent higher insurance premiums in the health insurance. Self-employed voluntarily in the insurance are insured only pay 14.9 percent. Therefore, the self-protection with no more sickness benefit. Those who continue to have insured Sickness has 3 options.
1) You can insure private sickness, but to fill in health matters and may be rejected.
2) You can change in the GKV for a collective choice to decide, then the sickness insurance. The amount of the contributions come about 14.9 percent on the income and age of the insured.
3) The voluntary basis in the GKV insured may by law in the private health insurance change, but must also answered questions on health and a rejection is possible.
Also for all the existing private health insurance changed for the new year about what we still do not really can see. There is a time-frame of 6 months in which insurance may be his age and some provisions can be taken.
But now comes a big BUT, you must be for 18 months in the newly created base fare will remain before you in a better rate may change. The base rate is similar to the services of legal, therefore worse than usual in the insurance and the basic fare is too expensive, because they could not agree with the doctors and so would be the contribution for a 30 year old man is currently 590, - Euro in Month.
The contribution is mistaken for the age and performance as a comparison is a 50 year old man with a SB 750 euros for 325, - Euro privately with good benefits.
German family must remain in Australia
The German doctor may Bernhard Moeller with his family and his disabled son, but now remain in Australia. Immigration Minister Chris Evans had on Wednesday the determination to repeal its authority and the Möllers promised a permanent abode. After the 2005 North Rhine-Westphalia Ausgewanderte family a request for an indefinite residence permit had, in late October, she got a surprising rebuff. Reason: Möllers youngest son Luke suffers from the Down syndrome. Possible costs for the maintenance of the 13-year-olds, the taxpayer could not reasonably be expected, said the officials. An appeal was rejected in Australia as a wave of solidarity triggered. Minister Evans said he was glad that the family had decided to Australia to make their home. Bernhard Moeller was overjoyed about the promise: "We are gehupft joy."
Friday, November 28, 2008
First division succeeds breast cancer patient
In a unique surgical procedure Munich doctors have a cancer patient after a mastectomy back to a full bosom negotiations. As the Hospital of the University of Munich announced on Friday, doctors succeeded the first time in a 67-year old patient, a so-called breast sharing. The woman was previously in an operation in the right breast completely removed. Doctors had then by the division of the existing left breast and the transfer of tissue on the other side of the chest successfully restored. The patient was with the results very happy. The new breast felt normal.
Normally be for a reconstruction of tissue from the spine or the abdomen removed, said the responsible senior Darius Dian. It would be great but wounds and disabilities to movement restrictions. When breast-sharing, however, use the fabric from the other breast, which normally must be reduced anyway, if it is - as in the current case - a woman with large breasts involved. Now we have this hergenommen tissue, which is already there was. So far this method had prevailed as problematic, because breast tissue a very special circulatory did. The doctors had in the operation so careful not to destroy vessels. This was the biggest difficulty with the new method. Any method used was not, however, said Dian. A division is only useful if the patient had large breasts.
Every year in Germany infected some 50 000 women in breast cancer, at around 30 percent will need an amputation.
Normally be for a reconstruction of tissue from the spine or the abdomen removed, said the responsible senior Darius Dian. It would be great but wounds and disabilities to movement restrictions. When breast-sharing, however, use the fabric from the other breast, which normally must be reduced anyway, if it is - as in the current case - a woman with large breasts involved. Now we have this hergenommen tissue, which is already there was. So far this method had prevailed as problematic, because breast tissue a very special circulatory did. The doctors had in the operation so careful not to destroy vessels. This was the biggest difficulty with the new method. Any method used was not, however, said Dian. A division is only useful if the patient had large breasts.
Every year in Germany infected some 50 000 women in breast cancer, at around 30 percent will need an amputation.
Wednesday, November 26, 2008
British tourists on the Rhine under quarantine
A mass infection with the highly gastro-intestinal pathogens is Norovirus during a trip Rhine under British Schiffspassagieren erupted. Yesterday 37 people were infected. 16 were placed in hospitals, as the Rhein-Hunsrück district announced. The remaining 21 are on the ship's medical care. The excursion ship an English company, the "Lady Anne", has been quarantined and is firmly against Devizes.
On board were 110 people including the crew. The cabin had a boat tour of several Andernach after Rüdesheim behind him and was on the way back. Those affected are, according to the district partly over 70 years old and thus particularly vulnerable. The ship had to invest in Boppard to the medical care of infected persons.
The quarantine was necessary because the risk of infection is so high, said the health department of the Rhein-Hunsrück circle, Christian Keimer, the WORLD. In addition, passengers could be better cared for than when they are "scattered in all winds." The quarantine will be strictly controlled. If a passenger wants to leave the ship, then "we can not," assured Keimer. Deprive the people concerned but all the "right left" on. When the quarantine is lifted, is, according to the circle could not be foreseen.
Norovirus is one of the most common infectious agents gastro-intestinal diseases with severe nausea, vomiting and diarrhea.
The quarantine was necessary because the risk of infection is so high, said the health department of the Rhein-Hunsrück circle, Christian Keimer, the WORLD. In addition, passengers could be better cared for than when they are "scattered in all winds." The quarantine will be strictly controlled. If a passenger wants to leave the ship, then "we can not," assured Keimer. Deprive the people concerned but all the "right left" on. When the quarantine is lifted, is, according to the circle could not be foreseen.
Norovirus is one of the most common infectious agents gastro-intestinal diseases with severe nausea, vomiting and diarrhea.
Your Kinderlein come
Scientists still puzzle, which at the end of pregnancy to the beginning of birth pangs triggers. Even midwives and doctors believe that is also the influence of the moon plays a role. At full moon will be very many children come to the World, is an old folk wisdom. And Italian Biomathematics also want to have evidence of this connection is found.
All humbug, now asserts Oliver kiss of statisticians from the University of Halle and demystified the beautiful old myth. Kiss has the data of more than four million births in Baden-Wuerttemberg from 1966 to 2003 and analyzed a total of 470 lunar cycles investigated. It is according to him the world's largest study on this topic, and the result is sobering. "A relationship between lunar phases and births are not," says kiss and thus confirms previous, albeit not as extensive studies. In Maputo in Mozambique were approximately the end of the nineties more than 5000 births analyzed in Florence almost 8000 births in relation to the lunar cycle has been investigated. In the U.S. state of North Carolina scientists had mondzyklischen the circumstances of 500 000 births reviewed. The result was always negative: There was no accumulation of births at full moon, a birth in new or crescent moon is just as likely. Kiss, in 1969 in Swabia was born and studied so that part of his record, has other interesting regularities were discovered. Statistically come at the weekend the least, Mondays and Tuesdays, most children to the world - what could happen if that artificially introduced births often on the week start to be relocated. The month with most births of September. Kiss: "This speaks for a generation in the Christmas holidays, or at least in the dark season."
German hospitals urgently need better
German patients in hospitals are good, but not well enough treated. This is the result of a report by the federal office Quality Assurance (BQS), a panel of doctors, hospitals and health insurance. There were partly large differences in quality between hospitals. For 20 of a total of 194 reviewed quality indicators, the experts see even a "special needs".
There is need for improvement, according to the report, inter alia, in obstetrics. In many cases, was between the decision to emergency caesarean section and the birth of a child too much time has passed. In patients with pneumonia were received, was later recommended as the oxygen saturation in the blood were measured. This measurement is essential but because it allows an early diagnosis. In many hospitals also have people with Hüftbruch too long to wait for an operation. There are problems, according to Quality Report 2007 also in breast cancer surgery, with hip and knee surgery and gynecological procedures.
The managing director of the federal office, Christof Veit, said the clinics had their quality in many areas significantly increased. There were "things that urgently need to be improved." The causes were varied. "This can be stress, which can be organizational problems," said Veit. Federal Health Minister Ulla Schmidt (SPD) was in the "Bayerischer Rundfunk" pointed out that the patients with treatment in hospitals were mostly satisfied.
Which hospitals provide poor quality, is not in the Bereicht notices. This has to do with the fact that the survey initially covered only quality ratios. Why these figures in some cases bad, is initially not known. This is supported by the BQS always in a second step covered. Here, the hospital asked for an opinion. Only if the benefits criticized remain permanently poor, the name of the clinic published. This is in the present report is not the case.
The health insurance companies have criticized this practice. "We do not know whether the good will follow," said Axel Meeßen, an expert at the tip of the Health Insurance Association. He called for more transparency. The provinces would continue the dialogue with the lead very different hospitals. Even the representatives of the patients in the Joint Federal Committee of physicians, clinics and health insurance, Wolf-Dietrich isolator, demanded a more transparent supervision with the participation of the patient.
The quality report were almost 3.6 million records from more than 1,600 hospitals based. The data documenting well-fifth of the 17.1 million hospital care, it in 2007 in Germany.
German hospitals urgently need better
German patients in hospitals are good, but not well enough treated. This is the result of a report by the federal office Quality Assurance (BQS), a panel of doctors, hospitals and health insurance. There were partly large differences in quality between hospitals. For 20 of a total of 194 reviewed quality indicators, the experts see even a "special needs".
There is need for improvement, according to the report, inter alia, in obstetrics. In many cases, was between the decision to emergency caesarean section and the birth of a child too much time has passed. In patients with pneumonia were received, was later recommended as the oxygen saturation in the blood were measured. This measurement is essential but because it allows an early diagnosis. In many hospitals also have people with Hüftbruch too long to wait for an operation. There are problems, according to Quality Report 2007 also in breast cancer surgery, with hip and knee surgery and gynecological procedures.
The managing director of the federal office, Christof Veit, said the clinics had their quality in many areas significantly increased. There were "things that urgently need to be improved." The causes were varied. "This can be stress, which can be organizational problems," said Veit. Federal Health Minister Ulla Schmidt (SPD) was in the "Bayerischer Rundfunk" pointed out that the patients with treatment in hospitals were mostly satisfied.
Which hospitals provide poor quality, is not in the Bereicht notices. This has to do with the fact that the survey initially covered only quality ratios. Why these figures in some cases bad, is initially not known. This is supported by the BQS always in a second step covered. Here, the hospital asked for an opinion. Only if the benefits criticized remain permanently poor, the name of the clinic published. This is in the present report is not the case.
The health insurance companies have criticized this practice. "We do not know whether the good will follow," said Axel Meeßen, an expert at the tip of the Health Insurance Association. He called for more transparency. The provinces would continue the dialogue with the lead very different hospitals. Even the representatives of the patients in the Joint Federal Committee of physicians, clinics and health insurance, Wolf-Dietrich isolator, demanded a more transparent supervision with the participation of the patient.
The quality report were almost 3.6 million records from more than 1,600 hospitals based. The data documenting well-fifth of the 17.1 million hospital care, it in 2007 in Germany.
Every tenth medical treatment in the EU flawed
According to EU Health Commissioner Androulla Vassiliou to "World Online" Patients come in around ten percent of medical treatments in the European Union to injury. The Member States should therefore a series of recommendations to the safety of patients improve. This includes, inter alia, that claims after a medical Error facilitate and ensure compensation. Concrete plans should be presented shortly. In Germany, the Netherlands per year, approximately 10 000 cases in court or at the medical services of health insurers.
No additional contribution of the health insurance initially
Also, the AOK Federal Association plans to launch the health fund on 1 January 2009 initially no additional contribution to its policyholders to collect. "We will do everything possible to try in 2009 without an additional contribution to our policyholders copy," made the Chairman of the AOK Bundesverband, Hans Juergen Ahrens clear. There is, however, the condition that the federal government a single contribution to the statutory health insurance is established, the "not too low" is.
Further Ahrens made clear that courage to belong to, if the doctors and the hospitals of the policy promises to make a greater contribution politically enforce. Ahrens expects an average contribution rate from 15.5 to 15.8 percent. This contribution is necessary to 2.5 billion euros more spending on physician fees and the high around 4.5 billion aid to the clinics as well as the general rise in pharmaceutical costs.
A decision on how high the unit contribution from January will be at 1 November 2008 fall, then the federal government adopted a set rate. Then will also decide which health insurance with this contribution, and which require an additional contribution must collect. From this date will also insured with the subject of intense deal. Experts fear that the height of the standard rate is too low and many health insurance companies by financial problems could get.
Chairman of the funds showed regarding the launch of the Health Fund at 1 January optimistic. From the AOK is the start of his words that nothing in the way. "We are perfectly able to react to the news," made the AOK boss clear. The treasury will in any case have to prepare accordingly, the "dream that the health fund is not, or will be postponed again," must be buried so slow and the reality in the eyes.
Spaniard to test AIDS vaccine on human volunteers
Doctors first test in Spain an AIDS vaccine on human volunteers. As the scientists announced on Tuesday, the vaccine should not infected with the AIDS-HIV agents prevent, protect against this but that after infection, the immune deficiency disease outbreaks.
At 0.5 percent of HIV-infected patients never break off from AIDS, said one of the doctors. The scientists of the State Research Institute CSIC developed vaccine should this situation with other patients "reproduce". In January at the beginning of the test series 30 volunteers taking part which do not have HIV infection. 24 of them received the vaccine injected proteins from the HIV protein molecules are modeled after.
The doctors will examine whether the body of the test subjects antibodies. The remaining 6 volunteers given a placebo administered substance-free and serve as a comparison group. The researchers previously had the vaccine in mice and monkeys tested. The head of the medical teams, Mariano Esteban, stressed that it was excluded that the volunteers at the test with the AIDS pathogen HIV infected would.
The American Health Authority had recently announced a pill to test healthy people against infection with the AIDS pathogen HIV protect. According to the relevant U.S. Federal Institute (NIAID), the clinical trial is currently in the United States and other countries such as Brazil, Thailand, India and South Africa prepared. Volunteers will be tested by whether the so-called Präexpositionsprophylaxe already popular with the resources AIDS infection in high-risk groups such as homosexuals with careless Sexpraktiken, drug addicts and prostitutes can reduced.
More and more patients seek health information on the Internet
Many people are searching the net for information on specific diseases, exchange views online with other stakeholders or order drugs via the computer. Overall, Internet usage in health matters from 2005 to 2007 from 44 percent to 57 percent of the German population increases. This proves the EU-sponsored study "Health trends 2005-2007", in which, inter alia, the University of Erlangen-Nuremberg is involved.Approximately 32 percent of Germans have the network in the year 2007 at least once a month to inquire used in the medical field, but also to communicate with peers or with health providers. In 2005, the percentage still at 23 percent. The online purchase of medicines in this period fell by six percent to 18 percent of the population increased.
"The medical profession must be prepared that the number of informed and citizenship, committed to their health problems in the Internet for information before they visit a doctor exercise becomes bigger," explained Professor Hans-Ulrich Prokosch. But the online purchase of medicines and communication with the doctor via e-mail will gain importance.
GOZ-novella: Doctors and dentists are afraid to revenue from private patients
Together, doctors and dentists in Berlin before the impending loss of revenue in the treatment of private patients warned. The legitimacy of an official Gebührentaxe for private medical or private dental care is to conditions for a fair balance between the legitimate interests of patients and the doctors and dentists to create.
Instead, the government custody for an erosion of revenue from private doctors and private dental work, criticized the German Medical Association (BÄK) and the Federal Chamber of Dentists (BZÄK) at a joint press conference on Tuesday in Berlin. The reason for the criticism is the draft of the government for a revision of the official fees for dentists (GOZ). While this provides a slight increase in the value point, but partly because of the tight time budgets, the GOZ is based, the dentists have even a drop of 2.5 percent in volume honorary accept criticized the BZÄK.
"The choices in the GOZ constitute a precedent for the upcoming revision of the official fees for doctors (GOÄ) dar. Insofar supports the German Medical Association strongly rejecting the GOZ-novella by the Federal Chamber of Dentists," said Franz Gadomski, Chairman of the Committee on Charges of BÄK. The draft for a new GOZ is the transparent attempt to private medical fees to the evaluation standards of statutory health insurance a view to pave the way for a unity insurance line.
Peter Engel, president of the Federal Chamber of Dentists, said the German Society of Oral and Maxillofacial Surgery would have the draft as a professional scientifically flawed criticized. After the verdict of the experts, he violated "fundamental principles and rules of modern dentistry." Doctors and dentists also warned before the planned opening in the draft clause. It would insurance companies and allow aid makers, with dentists, regardless of the GOZ individual contracts.
Such a clause is also a revision of fees for doctors imaginable. Similar to Selektivverträgen in contracting medical field, there is the danger of dumping contracts, because the providers of well-organized cost carriers could be played off against each other. Gadomski warned: "The providers will assume the role of a vicarious agent for the private health insurance pushed."
The Federation of Private Health Insurance (insurance) dismissed it back. Expressly welcomed Association Director Volker Leienbach the opening clause. So we wanted but not primarily the spending limit, but together with the service providers optimize the supply. "Who does not want solutions unit, which should focus on the opening clause in a rigid, governmental regulation and resulting margins look plumb and fill," said Leienbach.
Now wiggle the salaries
In comparison with the industrialized countries the gap was only in Poland even clearer auseinandergegangen, calculated by the International Labor Organization (ILO) in its on Tuesday evening presented wage Global Report 2008/2009. In Germany, wages overall in recent years particularly slow.According to the ILO was also about wage inequality in the United States, Canada or Australia from 2004 to 2006 still higher than the mid-90s. In comparison with all countries have the gap between peak and low wages, however, by far the strongest in Argentina increased. A similarly significant development was in China or Thailand to observe the ILO said.
Progress in numerous countries
Other countries such as Austria and France made it opposed the study found that wage inequality should be reduced. Even Mexico, Brazil or Indonesia did so - but the gap around in Indonesia therefore still four times as large as in Germany. While the wages of the best-paid ten percent on average in 13.4 times as high as ten percent of those at the lower end of the wage scale, that ratio is 3.26 in this country with even lower.
In Germany, wages also rose in recent years is very low. There was for the workers here from 2001 to 2007 average wage increase of 0.51 percent. In France the increase was similarly low. By contrast, some emerging markets accrues rapidly increases. In China, wages rose by an average of nearly 13 percent, even in Russia by about 14 percent.
Broken fireplace caused house fire on Ruegen
Fireplace in the plant. When the fire in Haidhof on Saturday was a loss of several hundred thousand euros. An arson could be excluded, said a police spokesman said Monday. Fire investigators went from a technical cause in connection with the construction and heating fireplace in the middle of the house. The residential units in three divided house burned down completely. The three families were previously in safety.
Saturday, November 22, 2008
Ten teenage drunk up
The persistent problems with drunken children and adolescents have a new, extremely threatening dimension. Within only seven hours on Friday evening and at night volltrunkene equal to ten teenagers have been - as many as never before within such a short period of time. Alerted police and firefighters are not even so much about the high numbers, but rather because of the cold slump on Friday. "What children and adolescents have since employed, was not only dangerous, it was acutely life, said a police spokesman yesterday, given the fact that many of the stakeholders in minus degrees on the streets and on park benches were found." Fortunately, all the time have been discovered. At these temperatures, it takes not too long until an outdoor sleeping Betrunkener erfriert, "said a Rettungssanitäter the fire. Unconscious on the park bench Among the ten are due to children and adolescents were also a twelve-year-old girl and a 13-year-old boy. The Twelve-year-old policeman discovered late on Friday evening at Mirbachplatz in Weissensee. The girl was severely angetrunkene by the officials only with difficulty in the patrol car and chartered home market. The 13-year-olds against 20 clock was no longer responsive to a department store on the street Alt-Tegel encountered. In a particularly bad condition were several youths adopted by the firefighters in hospitals had to be submitted. Falk Berger at the bridge discovered 22 passers-clock against a 16-year-olds, on a park bench was. Bayern at the Alley in Charlottenburg, police officials met at night at 3 clock on a sidewalk collapsed at the 17-year-olds. And at the temple Hofer Gottfried-dark street broke a 17-year-old in a BVG bus together. When he found the officials ausgeleerte bottle of vodka. Two other incidents of the night caused when the forces of police and firefighters for stunned. In Kaulsdorf drove police a 17-year-old home that was previously on the sidewalk of the road lying Riga had been found. As the mother of the boys are categorically refused to her son in his state into the apartment to let the young people in a hospital. Shake of the head harvested also the father of a 14-year-olds from Marzahn, shortly after midnight in his alcohol intoxication apprehended daughter in the hospital wanted to pick up. For the hospital staff was, according to the police have not identified who was intoxicated - the daughter or the father. |
Hospital costs in the country increased
The hospitals in the country, with rising expenditure face. According to the National Statistical Office in Bad Ems emerged in the past year a total cost of around 3.15 billion euros, or 3.1 percent more than in 2006.
The largest share of expenditure with 2.01 billion euros (plus 1.6 percent) was attributable to personnel costs. Especially strong were the expenses for medical personnel to the top. It was 2007 at around 541 million euros (plus 5.0 percent). According to the statisticians suggested especially the recent wage settlements to Beech. The cost for the nurses, the largest single item in the balance sheet, grew only slightly by 0.1 percent to around 690 million euros.
Apparently existence of many institutions threatened.
But rising costs for food, energy and medical supplies to the hospitals to create. The clinics in the country had only a few weeks ago warned that the constantly rising cost only marginally improved financing of health care the existence of many institutions was threatened.
There are currently in the country a total of 100 hospitals, in which 54,000 people are employed. Annually there are approximately 850,000 people stationary supplies.
The largest share of expenditure with 2.01 billion euros (plus 1.6 percent) was attributable to personnel costs. Especially strong were the expenses for medical personnel to the top. It was 2007 at around 541 million euros (plus 5.0 percent). According to the statisticians suggested especially the recent wage settlements to Beech. The cost for the nurses, the largest single item in the balance sheet, grew only slightly by 0.1 percent to around 690 million euros.
Apparently existence of many institutions threatened.
But rising costs for food, energy and medical supplies to the hospitals to create. The clinics in the country had only a few weeks ago warned that the constantly rising cost only marginally improved financing of health care the existence of many institutions was threatened.
There are currently in the country a total of 100 hospitals, in which 54,000 people are employed. Annually there are approximately 850,000 people stationary supplies.
Patrick Swayze - death in a few weeks?
To the popular U.S. actor Patrick Swayze is apparently very bad. From among its doctors now penetrated by rumors, after which the 56jährige only a few weeks to live had.
Apparently, the cancer returned with all the force after the actor has only just back to life had fought back.
The star of "Dirty Dancing" is linked to pancreatic cancer. Now the cancer has spread and is apparently in the liver gewuchert. The reports of the "National Enquirer" Swayze, relying on doctors.
According to the physicians remain the popular actor only a few weeks until death.
DCRS ONLINE says: What an incredible tragedy!
Apparently, the cancer returned with all the force after the actor has only just back to life had fought back.
The star of "Dirty Dancing" is linked to pancreatic cancer. Now the cancer has spread and is apparently in the liver gewuchert. The reports of the "National Enquirer" Swayze, relying on doctors.
According to the physicians remain the popular actor only a few weeks until death.
DCRS ONLINE says: What an incredible tragedy!
People from the close environment of precaution treated with antibiotics
A week after the death of a schoolgirl in the Palatinate as a result of a severe meningitis is now battling a 17-year-old from the district of Trier-Saarburg with the same disease. "The condition of the boys, although stabilized, but he is not yet over the mountain," said a spokeswoman for the district on Friday on Reuters inquiry. An investigation at the hospital have shown that the youths in a meningococcal meningitis is ill. People from his close surroundings were a precaution have been treated with antibiotics.
The 18-year-old schoolgirl was on Wednesday last week due to a meningococcal infection died. The case was until now known. The classmates were of secondary-school pupil, according to the Pirmasens health workers to a possible contagion investigated.
Meningitis is an inflammation of the meninges, inter alia through the Meningococcal bacteria can be caused. Cancer per year in Germany 5000 to 10 000 people in meningitis. The disease can leave permanent damage or even fatal. In most cases, but it sounds after a few days off. October was already beginning a five-year-old girl from the area of Trier in a meningitis died.
Polish mothers in the sights of the judiciary
Schwedt / Szczecin - "Have the pangs when actually walk through the Brandenburg town of Or unexpectedly deployed or searched the targeted pregnant women throughout the maternity ward at?" By answering this question depends as much money. Because the Polish unit of health insurer wants the Schwedter Hospital and the German health insurance costs of the birth per woman from 1800 to 3000 euros, actually justified only in emergencies refund. It has the Polish health insurance arge doubt and refers to a flyer with the Schwedter Hospital in Polish language specifically for himself had advertised. According to a report of the newspaper or Märkische "quantified the Polish General Prosecutor's Office the damage caused by the alleged Notgeburten at 850 000 euros. Because in Poland cost of a hospital stay less than in Germany. Moreover, there must be some benefits to pregnant women giving birth themselves. The unity fund wants clarity on the circumstances in Schwedt receive.
It also hopes the AOK Brandenburg, with other funds to the Hospital of Schwedt birth costs than had reimbursed emergencies. "In emergencies abroad is initially a local health insurer in advance that then the money from the cashier of the country back," said Joerg Trinogga, spokesman for the AOK Brandenburg.
The tricky situation now has on a number of complaints brought before the court: The AOK requires Hospital Schwedt around half a million euros, because the Polish unit fund their payments had in the previous year. The Hospital of Schwedt complains against the AOK and other funds, because he still several hundred thousand euros for the "Notgeburten" would deserve. And the Frankfurt public prosecutor's investigation for suspicion of fraud against the hospital.
It also hopes the AOK Brandenburg, with other funds to the Hospital of Schwedt birth costs than had reimbursed emergencies. "In emergencies abroad is initially a local health insurer in advance that then the money from the cashier of the country back," said Joerg Trinogga, spokesman for the AOK Brandenburg.
The tricky situation now has on a number of complaints brought before the court: The AOK requires Hospital Schwedt around half a million euros, because the Polish unit fund their payments had in the previous year. The Hospital of Schwedt complains against the AOK and other funds, because he still several hundred thousand euros for the "Notgeburten" would deserve. And the Frankfurt public prosecutor's investigation for suspicion of fraud against the hospital.
Dr. censure against government Stefan From 23rd Borstel
A new survey shows that patients and physicians have less and less confidence in the health sector - despite or perhaps because of the reforms
It has become more expensive for the Germans yet. From 1 January to pay most of a higher contribution for their health insurance. But even if the country did not directly impact the health reform tracks: they are dissatisfied with the industry, to help them, even now. 60 percent of Germans think that the quality of care in recent years has become worse. While still give 59 percent of German citizens the health care system the note "good" or "very good". Five years ago there were still 77 percent of respondents. These are the main findings of a representative survey of Allenbacher pollster 1800 on behalf of the German financial services provider MLP, the "World on Sunday" in excerpts available.
This confirms a trend. All efforts of the policy despite - or perhaps because of them - lose the confidence of the insured. The German monster named health care does seem to fear even more by January. From 2009 to pay the most for the supply it. The unit contribution for legally insured was down to 15.5 percent - significantly more than the majority now pays. An authority will manage the 167 billion euro cash contribution of the new health fund. Trust has the struggle to not put health care reform. On the contrary.
This is reflected in the survey. Thus the decreased confidence in their own health insurance. 29 percent say they felt sufficiently secure. Three years ago, said that 25 per cent. Between legally insured and privately insured show significant differences: While 89 percent of privately insured say they felt well-hedged, so my only 56 percent of the legally insured.
First surveyed the Institute for demo copy Allensbach for the health report also 517 doctors. They share the skeptical view of the patients. 57 percent of physicians believe that the quality of care had in the last two or three years. According to the medical profession must be the Germans even to a shortage of doctors and emergency care settings. Two-thirds of all doctors said they expect the future with a shortage of doctors in their region.
East Germany is particularly affected. Here 94 percent expect a shortage of doctors in the West there are only 59 percent. It looks bleak in the province. In cities and regions under 100 000 inhabitants say 80 percent of doctors a lack of medical advance, in large cities about 500 000 are 43 percent. It likely will not only physicians but also skilled nurses are missing. 76 percent of the doctors expect a shortage.
With 4.3 million employees in 2006 was the ninth of each employee in Germany in the health sector operates. In the last five years, the number of employed continuously by a total of 169 000, or four percent. 10.7 percent of gross domestic product will be spent on health. And given an aging population is expected this figure to increase further.
Critical to see the doctors of the survey was also found in the health policies of the federal government: 85 percent have benefited from her "no good" impression. Just eight percent certify their good work. Worries the doctors and the introduction of the health fund. 61 percent of physicians expect that the cost pressure on doctors and hospitals will thereby increase. Only 28 percent believe that not much will change.
"The results show a clear loss of confidence of citizens and doctors in the health care system," says MLP CEO Uwe Schroeder-Wildberg. "That's why the policy reforms should tackle the structural problems instead of solving - as with the Health Fund - crowd," urges Schroeder-Wildberg.
At least, the policy provides for even more mystery in the already complex health care. Future contributions to flow legally insured in the health fund, the money after a complicated key to the health funds distributed. With the single rate for all funds of 15.5 percent of all expenditure of the statutory health insurance cover. Funds, with allocations from the fund does not require, need an additional contribution directly to their insured recover.
The survey results are in line with international investigations. To lose the German healthcare system in Europe. Collected annually in health consumer index for Germany slipped from 31 countries from the third to the sixth place from.
It has become more expensive for the Germans yet. From 1 January to pay most of a higher contribution for their health insurance. But even if the country did not directly impact the health reform tracks: they are dissatisfied with the industry, to help them, even now. 60 percent of Germans think that the quality of care in recent years has become worse. While still give 59 percent of German citizens the health care system the note "good" or "very good". Five years ago there were still 77 percent of respondents. These are the main findings of a representative survey of Allenbacher pollster 1800 on behalf of the German financial services provider MLP, the "World on Sunday" in excerpts available.
This confirms a trend. All efforts of the policy despite - or perhaps because of them - lose the confidence of the insured. The German monster named health care does seem to fear even more by January. From 2009 to pay the most for the supply it. The unit contribution for legally insured was down to 15.5 percent - significantly more than the majority now pays. An authority will manage the 167 billion euro cash contribution of the new health fund. Trust has the struggle to not put health care reform. On the contrary.
This is reflected in the survey. Thus the decreased confidence in their own health insurance. 29 percent say they felt sufficiently secure. Three years ago, said that 25 per cent. Between legally insured and privately insured show significant differences: While 89 percent of privately insured say they felt well-hedged, so my only 56 percent of the legally insured.
First surveyed the Institute for demo copy Allensbach for the health report also 517 doctors. They share the skeptical view of the patients. 57 percent of physicians believe that the quality of care had in the last two or three years. According to the medical profession must be the Germans even to a shortage of doctors and emergency care settings. Two-thirds of all doctors said they expect the future with a shortage of doctors in their region.
East Germany is particularly affected. Here 94 percent expect a shortage of doctors in the West there are only 59 percent. It looks bleak in the province. In cities and regions under 100 000 inhabitants say 80 percent of doctors a lack of medical advance, in large cities about 500 000 are 43 percent. It likely will not only physicians but also skilled nurses are missing. 76 percent of the doctors expect a shortage.
With 4.3 million employees in 2006 was the ninth of each employee in Germany in the health sector operates. In the last five years, the number of employed continuously by a total of 169 000, or four percent. 10.7 percent of gross domestic product will be spent on health. And given an aging population is expected this figure to increase further.
Critical to see the doctors of the survey was also found in the health policies of the federal government: 85 percent have benefited from her "no good" impression. Just eight percent certify their good work. Worries the doctors and the introduction of the health fund. 61 percent of physicians expect that the cost pressure on doctors and hospitals will thereby increase. Only 28 percent believe that not much will change.
"The results show a clear loss of confidence of citizens and doctors in the health care system," says MLP CEO Uwe Schroeder-Wildberg. "That's why the policy reforms should tackle the structural problems instead of solving - as with the Health Fund - crowd," urges Schroeder-Wildberg.
At least, the policy provides for even more mystery in the already complex health care. Future contributions to flow legally insured in the health fund, the money after a complicated key to the health funds distributed. With the single rate for all funds of 15.5 percent of all expenditure of the statutory health insurance cover. Funds, with allocations from the fund does not require, need an additional contribution directly to their insured recover.
The survey results are in line with international investigations. To lose the German healthcare system in Europe. Collected annually in health consumer index for Germany slipped from 31 countries from the third to the sixth place from.
Portable replacement for the heart By Natasha Plankermann
New developments in the medical trade fair Medica in Dusseldorf
Doctors and medical technology companies have the ambition to race with death to win. One reason why two portable heart-lung machine to the world's largest medical trade fair Medica were presented, yesterday in Dusseldorf came to an end. Around 135 000 visitors, of whom 40 percent from abroad, informed in 4300 exhibitors on the latest medical developments.
If the heart and circulatory failure, it must proceed quickly - every minute, in the vital organs of a man with blood and oxygen supply, is one too many. All the more frightening it appears that the time lag between a heart attack and the beginning of treatment, according to the nationwide register of heart attack Mitraplus steadily increasing. The resulting fact that nearly 400 000 people in Germany a year after a cardio-circulatory failure die, has two companies moved to action. Their goal: a portable heart-lung machine to develop to the patient via needle can be connected.
The smaller, less than ten kilos of heavy equipment "Cardiohelp" the group Maquet was with great effort next to a rescue helicopter at the Medica presented, although it only in April 2009 on the market. Fixed-hand experience with a similar, already approved by TÜV machine, however, about nine kilos more weight than "Cardiohelp", the middle class medical technology company LifeBridge before.
Both systems want an easy-to-use addition to the usual heart-lung machines, with their approximately 100 kilos not from the halls of cardiac surgery centers can be moved out. "But not every hospital has such a focus," said Manfred salad, CEO of Life Medical Bridge, "only 79 of 470 cardiac locations are well prepared. We want the other with a better technique in the world." Six hours may be "Life Bridge" to supply the body with blood and oxygen take over - "Cardiohelp" even two weeks.
As the race against time in emergency clinics, intensive care units or on rescue missions will also always won - mobile devices, the patient from the outset when health support, were a great Medica trend: How can some heart rate or oxygen saturation of blood is now using a so-called telemetry monitor the company Draeger monitored, which is about as big as a paperback is. This monitor, the patients themselves, is wirelessly with a monitoring station in the room connected sister. For example, in Cologne St. Vincent Hospital, where the system has been tested for several months.
And so that athletes not only in the horizontal position will be new and special, breathable compression stockings prevent water in the legs einlagert. The company now offers Bauerfeind ambulance for a software retailer, which a three-dimensional picture of the legs, so the special stockings (the couple for 69 euros) also fit can be customized.
Doctors and medical technology companies have the ambition to race with death to win. One reason why two portable heart-lung machine to the world's largest medical trade fair Medica were presented, yesterday in Dusseldorf came to an end. Around 135 000 visitors, of whom 40 percent from abroad, informed in 4300 exhibitors on the latest medical developments.
If the heart and circulatory failure, it must proceed quickly - every minute, in the vital organs of a man with blood and oxygen supply, is one too many. All the more frightening it appears that the time lag between a heart attack and the beginning of treatment, according to the nationwide register of heart attack Mitraplus steadily increasing. The resulting fact that nearly 400 000 people in Germany a year after a cardio-circulatory failure die, has two companies moved to action. Their goal: a portable heart-lung machine to develop to the patient via needle can be connected.
The smaller, less than ten kilos of heavy equipment "Cardiohelp" the group Maquet was with great effort next to a rescue helicopter at the Medica presented, although it only in April 2009 on the market. Fixed-hand experience with a similar, already approved by TÜV machine, however, about nine kilos more weight than "Cardiohelp", the middle class medical technology company LifeBridge before.
Both systems want an easy-to-use addition to the usual heart-lung machines, with their approximately 100 kilos not from the halls of cardiac surgery centers can be moved out. "But not every hospital has such a focus," said Manfred salad, CEO of Life Medical Bridge, "only 79 of 470 cardiac locations are well prepared. We want the other with a better technique in the world." Six hours may be "Life Bridge" to supply the body with blood and oxygen take over - "Cardiohelp" even two weeks.
As the race against time in emergency clinics, intensive care units or on rescue missions will also always won - mobile devices, the patient from the outset when health support, were a great Medica trend: How can some heart rate or oxygen saturation of blood is now using a so-called telemetry monitor the company Draeger monitored, which is about as big as a paperback is. This monitor, the patients themselves, is wirelessly with a monitoring station in the room connected sister. For example, in Cologne St. Vincent Hospital, where the system has been tested for several months.
And so that athletes not only in the horizontal position will be new and special, breathable compression stockings prevent water in the legs einlagert. The company now offers Bauerfeind ambulance for a software retailer, which a three-dimensional picture of the legs, so the special stockings (the couple for 69 euros) also fit can be customized.
Waive additional cash contribution - initially
However, no plans to fund, premiums from surpluses to be distributed. Only the federal Miners announced that they believe the objective of a premium mid-year notes. The Federal Ministry of Health has invited the CEOs of 30 major health insurance for 25 November after Berlin, to examine with them the implications of the health fund to the treasury to be clarified. The aim is not just about additional contributions, or premium, but also to mergers, as the invitation letter from the competent Secretary Klaus Theo Schroeder shows that the world exists. The health insurance companies now have clarity on how much money they 2009 for their policyholders from the fund can expect. The decisions of the Federal Insurance Office received them this week.
In the health fund contributions of all 70 million legally insured. The contribution is from January uniformly at 15.5 per cent of gross salary up to a limit of 3,675 euros per month. Revenue from these funds will be allocated money: You get a basic per insured lump sum of 186 euros and drain and surcharges, depending on age, gender and health status of their member. First, 80 chronic diseases in this' morbidity risk structure compensation "taken into account. For leukemia patients, there is a surcharge of Euro 1490, for hemophiliacs more than 5000 euros a month. The system should be advantages and disadvantages compared to the cash leveling. It will no longer play a role, whether a fund many young, healthy and solvent or more old and sick insured.
The winners of the new system are generally Local. You will receive 2.4 billion euros more than previously. AOK chief Hans-Juergen Ahrens announced that its 2009 cash would be no extra fee for the approximately 25 million members to start. All others lose: The operating health insurance receive approximately one billion euros less, the employees, spare parts and Guild health insurance must be at around half a billion refrain. Barmer, DAK, technicians, health insurance, KKH, GEK and Bundesknappschaft together with around 25 million are insured but also assumes that they are consistent with the allocations from the fund constraints.
Overall, the funds of 2009 the health fund 167 billion euros. By determining the unit contribution to 15.5 percent have 90 percent of the insured pay more. The funds received by eleven billion more. However, the rising spending: How the Federal Government hospitals and doctors pledged additional billions, including the medicines are likely to be expensive. The health insurance therefore insists on a stronger increase in the contribution rate to 15.8 percent.
The funds want to avoid at all costs, additional contributions to collect. Otherwise they must reckon with mass exits since then its members have a special right of termination. "Nobody wants the first with an additional contribution," he says in cash representatives. Moreover frightens the high bureaucracy. If the treasury more than eight euro rise, they must be a "hardship test" to make. The central association of statutory health insurance and therefore expects that the voluntary health insurance services restrict, in order to avoid additional premiums.
Will also be redistributed between rich and poor states. Baden-Wuerttemberg, Bavaria, Hessen, Schleswig-Holstein and Hamburg lose through the new system arithmetically 1.2 billion euros. The through Southron continued but that no more than 100 million euros per country allowed to drain. The rest of over 700 million euro must now from the emergency fund of the cover.
Meanwhile, the ministry announced that the electronic health card is nothing more stands in the way. The breakthrough is that the cash and cash Medical Dental Association and the North Hospital Association NRW the lump sums for the purchase of readers have announced.
In the health fund contributions of all 70 million legally insured. The contribution is from January uniformly at 15.5 per cent of gross salary up to a limit of 3,675 euros per month. Revenue from these funds will be allocated money: You get a basic per insured lump sum of 186 euros and drain and surcharges, depending on age, gender and health status of their member. First, 80 chronic diseases in this' morbidity risk structure compensation "taken into account. For leukemia patients, there is a surcharge of Euro 1490, for hemophiliacs more than 5000 euros a month. The system should be advantages and disadvantages compared to the cash leveling. It will no longer play a role, whether a fund many young, healthy and solvent or more old and sick insured.
The winners of the new system are generally Local. You will receive 2.4 billion euros more than previously. AOK chief Hans-Juergen Ahrens announced that its 2009 cash would be no extra fee for the approximately 25 million members to start. All others lose: The operating health insurance receive approximately one billion euros less, the employees, spare parts and Guild health insurance must be at around half a billion refrain. Barmer, DAK, technicians, health insurance, KKH, GEK and Bundesknappschaft together with around 25 million are insured but also assumes that they are consistent with the allocations from the fund constraints.
Overall, the funds of 2009 the health fund 167 billion euros. By determining the unit contribution to 15.5 percent have 90 percent of the insured pay more. The funds received by eleven billion more. However, the rising spending: How the Federal Government hospitals and doctors pledged additional billions, including the medicines are likely to be expensive. The health insurance therefore insists on a stronger increase in the contribution rate to 15.8 percent.
The funds want to avoid at all costs, additional contributions to collect. Otherwise they must reckon with mass exits since then its members have a special right of termination. "Nobody wants the first with an additional contribution," he says in cash representatives. Moreover frightens the high bureaucracy. If the treasury more than eight euro rise, they must be a "hardship test" to make. The central association of statutory health insurance and therefore expects that the voluntary health insurance services restrict, in order to avoid additional premiums.
Will also be redistributed between rich and poor states. Baden-Wuerttemberg, Bavaria, Hessen, Schleswig-Holstein and Hamburg lose through the new system arithmetically 1.2 billion euros. The through Southron continued but that no more than 100 million euros per country allowed to drain. The rest of over 700 million euro must now from the emergency fund of the cover.
Meanwhile, the ministry announced that the electronic health card is nothing more stands in the way. The breakthrough is that the cash and cash Medical Dental Association and the North Hospital Association NRW the lump sums for the purchase of readers have announced.
Surprising many doctors for euthanasia
Around one third of German doctors is, incurably ill patients in suicide may help. Roughly one in six physicians even advocated active euthanasia (16.4 percent), which is punishable in Germany. That showed a representative survey of the opinion research institute TNS Healthcare for the "mirror". Around three percent of doctors said they are already one or more suicide when a patient to have helped. Nearly 40 percent can imagine, even when suicide to assist. For the survey anonymously questioned 483 doctors.
Friday, November 21, 2008
Deutsche Ärzte haben wenig Zeit für Patienten Schnell, schnell, der Nächste bitte: Deutschlands Mediziner haben kaum Zeit für ihre Patienten. Ein Besu
Germany's doctors have little time for their patients. A visit to the doctor's room significantly faster than in other European countries.
The Surgeries are per patient by 30 percent shorter than the European average, in a comparison of the German Institute for Quality and Efficiency in Health Care to read. Nevertheless, the doctors would have longer hours. "We have to evaluate it later when doctors more time for their patients and in research questions based on objective sources to keep up," said institute chief Peter Sawicki.
Doctor and patient: "We have to evaluate it later when doctors more time for their patients take." Doctor and patient: "We have to evaluate it later when doctors more time for their patients take."
The bottom line was the assessment of the examiner what the medical care of the German citizens are still positive. Germany had one of the best health care systems in the world. In order to optimize it should, according to the institute more into the practical clinical research will be invested.
New treatments are applied gegenüberzustehen open but critical to the health care affordable and efficient to obtain. In daily practice was the exact benefits of many medical measures unclear. "While the Germans have easy access to new 'innovative' therapy - but whether these are always better than the long-proven measures, it is often unclear," said Sawicki.
Not every new technology was necessarily a progress Before its wide use of innovative treatments should therefore first practice under conditions sufficiently tested. In this context, the experts also indicated that in Germany, drugs are more expensive than in other European countries.
Price reductions have played an important role when it was in Germany in the future a high-quality health care for all to ensure Sawicki said. The study found the Germans used more freely than other medicines for sale Europeans.
A comparison of published on Monday showed that it is comparatively difficult in Germany, healthy and fit to be old. Who here is 50 years old, has on average only about 13 healthy years before that. In the EU, Germany is thus in the lower midfield - even behind some Eastern European countries.
The Surgeries are per patient by 30 percent shorter than the European average, in a comparison of the German Institute for Quality and Efficiency in Health Care to read. Nevertheless, the doctors would have longer hours. "We have to evaluate it later when doctors more time for their patients and in research questions based on objective sources to keep up," said institute chief Peter Sawicki.
Doctor and patient: "We have to evaluate it later when doctors more time for their patients take." Doctor and patient: "We have to evaluate it later when doctors more time for their patients take."
The bottom line was the assessment of the examiner what the medical care of the German citizens are still positive. Germany had one of the best health care systems in the world. In order to optimize it should, according to the institute more into the practical clinical research will be invested.
New treatments are applied gegenüberzustehen open but critical to the health care affordable and efficient to obtain. In daily practice was the exact benefits of many medical measures unclear. "While the Germans have easy access to new 'innovative' therapy - but whether these are always better than the long-proven measures, it is often unclear," said Sawicki.
Not every new technology was necessarily a progress Before its wide use of innovative treatments should therefore first practice under conditions sufficiently tested. In this context, the experts also indicated that in Germany, drugs are more expensive than in other European countries.
Price reductions have played an important role when it was in Germany in the future a high-quality health care for all to ensure Sawicki said. The study found the Germans used more freely than other medicines for sale Europeans.
A comparison of published on Monday showed that it is comparatively difficult in Germany, healthy and fit to be old. Who here is 50 years old, has on average only about 13 healthy years before that. In the EU, Germany is thus in the lower midfield - even behind some Eastern European countries.
Waive additional cash contribution - initially
However, no plans to fund, premiums from surpluses to be distributed. Only the federal Miners announced that they believe the objective of a premium mid-year notes. The Federal Ministry of Health has invited the CEOs of 30 major health insurance for 25 November after Berlin, to examine with them the implications of the health fund to the treasury to be clarified. The aim is not just about additional contributions, or premium, but also to mergers, as the invitation letter from the competent Secretary Klaus Theo Schroeder shows that the world exists. The health insurance companies now have clarity on how much money they 2009 for their policyholders from the fund can expect. The decisions of the Federal Insurance Office received them this week.
In the health fund contributions of all 70 million legally insured. The contribution is from January uniformly at 15.5 per cent of gross salary up to a limit of 3,675 euros per month. Revenue from these funds will be allocated money: You get a basic per insured lump sum of 186 euros and drain and surcharges, depending on age, gender and health status of their member. First, 80 chronic diseases in this' morbidity risk structure compensation "taken into account. For leukemia patients, there is a surcharge of Euro 1490, for hemophiliacs more than 5000 euros a month. The system should be advantages and disadvantages compared to the cash leveling. It will no longer play a role, whether a fund many young, healthy and solvent or more old and sick insured.
The winners of the new system are generally Local. You will receive 2.4 billion euros more than previously. AOK chief Hans-Juergen Ahrens announced that its 2009 cash would be no extra fee for the approximately 25 million members to start. All others lose: The operating health insurance receive approximately one billion euros less, the employees, spare parts and Guild health insurance must be at around half a billion refrain. Barmer, DAK, technicians, health insurance, KKH, GEK and Bundesknappschaft together with around 25 million are insured but also assumes that they are consistent with the allocations from the fund constraints.
Overall, the funds of 2009 the health fund 167 billion euros. By determining the unit contribution to 15.5 percent have 90 percent of the insured pay more. The funds received by eleven billion more. However, the rising spending: How the Federal Government hospitals and doctors pledged additional billions, including the medicines are likely to be expensive. The health insurance therefore insists on a stronger increase in the contribution rate to 15.8 percent.
The funds want to avoid at all costs, additional contributions to collect. Otherwise they must reckon with mass exits since then its members have a special right of termination. "Nobody wants the first with an additional contribution," he says in cash representatives. Moreover frightens the high bureaucracy. If the treasury more than eight euro rise, they must be a "hardship test" to make. The central association of statutory health insurance and therefore expects that the voluntary health insurance services restrict, in order to avoid additional premiums.
Will also be redistributed between rich and poor states. Baden-Wuerttemberg, Bavaria, Hessen, Schleswig-Holstein and Hamburg lose through the new system arithmetically 1.2 billion euros. The through Southron continued but that no more than 100 million euros per country allowed to drain. The rest of over 700 million euro must now from the emergency fund of the cover.
Meanwhile, the ministry announced that the electronic health card is nothing more stands in the way. The breakthrough is that the cash and cash Medical Dental Association and the North Hospital Association NRW the lump sums for the purchase of readers have announced
In the health fund contributions of all 70 million legally insured. The contribution is from January uniformly at 15.5 per cent of gross salary up to a limit of 3,675 euros per month. Revenue from these funds will be allocated money: You get a basic per insured lump sum of 186 euros and drain and surcharges, depending on age, gender and health status of their member. First, 80 chronic diseases in this' morbidity risk structure compensation "taken into account. For leukemia patients, there is a surcharge of Euro 1490, for hemophiliacs more than 5000 euros a month. The system should be advantages and disadvantages compared to the cash leveling. It will no longer play a role, whether a fund many young, healthy and solvent or more old and sick insured.
The winners of the new system are generally Local. You will receive 2.4 billion euros more than previously. AOK chief Hans-Juergen Ahrens announced that its 2009 cash would be no extra fee for the approximately 25 million members to start. All others lose: The operating health insurance receive approximately one billion euros less, the employees, spare parts and Guild health insurance must be at around half a billion refrain. Barmer, DAK, technicians, health insurance, KKH, GEK and Bundesknappschaft together with around 25 million are insured but also assumes that they are consistent with the allocations from the fund constraints.
Overall, the funds of 2009 the health fund 167 billion euros. By determining the unit contribution to 15.5 percent have 90 percent of the insured pay more. The funds received by eleven billion more. However, the rising spending: How the Federal Government hospitals and doctors pledged additional billions, including the medicines are likely to be expensive. The health insurance therefore insists on a stronger increase in the contribution rate to 15.8 percent.
The funds want to avoid at all costs, additional contributions to collect. Otherwise they must reckon with mass exits since then its members have a special right of termination. "Nobody wants the first with an additional contribution," he says in cash representatives. Moreover frightens the high bureaucracy. If the treasury more than eight euro rise, they must be a "hardship test" to make. The central association of statutory health insurance and therefore expects that the voluntary health insurance services restrict, in order to avoid additional premiums.
Will also be redistributed between rich and poor states. Baden-Wuerttemberg, Bavaria, Hessen, Schleswig-Holstein and Hamburg lose through the new system arithmetically 1.2 billion euros. The through Southron continued but that no more than 100 million euros per country allowed to drain. The rest of over 700 million euro must now from the emergency fund of the cover.
Meanwhile, the ministry announced that the electronic health card is nothing more stands in the way. The breakthrough is that the cash and cash Medical Dental Association and the North Hospital Association NRW the lump sums for the purchase of readers have announced
Trachea transplant - Mother rescued
Claudia C. suffered for years from tuberculosis. Your left lung collapsed, so they had to go to hospital regularly. Originally, her left lung completely removed. Instead, the doctors suggested a transplant before. The implant was bred from their own stem cells.With an air tube-like stem cell transplant doctors from a young mother from Barcelona's life saved. The doctors removed all cells from a donor trachea and then created from the bone marrow of the 30-year-olds cartilage tissue. So they covered the transplant and the patient put it On. The woman shows up today, no rejection and takes no medication to suppress the immune system.Born Claudia C. Kolumbianerin suffered for years from tuberculosis, as in the online edition of the medical journal The Lancet said. Finally her collapsed left lung, so that they are regularly treated in hospital had to be. To her children, she could no longer care. Originally doctors wanted her left lung completely removed, the head of thoracic surgery, Paolo Macchiarini, but suggested instead a transplantation.
Italian scientists at the University of Padua away all the cells of the donor trachea, while doctors at the University of Bristol marrow from the hip of patient withdrawals. It created it and cartilage tissue cells, with whom they auskleideten the windpipe. "They have a functional, biological structure, which can not be disgusted," said Kirk Allen of the American Society for transplants. "This is an important step forward, but the construction of an entire institution is still far away."C. is happy about the transplant, which her taking drugs with severe side effects saved. "I was scared at the beginning," she said in a statement. "I enjoy my life now and I'm very glad that my illness was cured." They can, according to the doctors again care for their children and also a certain distance running, without getting shortness of breath. She said even she had only recently an entire night in a dance club in Barcelona.
Winona Ryder must be signed by the pilots to hospital
| The Passenger, Winona Ryder, either for treatment in a local hospital have been brought. 22 minutes before the actual landing time was the aircraft in London. Ryder allegedly got on Hilingdon Hospital in West London due to a suspected drug overdose ausgepumpt the stomach. Winona Ryder is to suffer massive fear of flying. For this reason could be the star too many Xanax pills taken. The pills to combat anxiety. A passenger said: "She was pale corpse. It was very frightening. "Another source said to the media:" There was a huge commotion. You could see that the crew was more than worried. Ryders spokeswoman Mara Buxbaum confirmed information provided by a hospital spokesman that it is the patient to the actress acting. The 37-year-old was shortly after her treatment from the hospital have been dismissed, said Buxbaum. "She was there for an hour. It is doing well. There is no drama. "Winona Ryder, among others, is known from the film "Edward scissor hands with," she with her former boyfriend Johnny Depp turned. Last stand for the next year start the new Star Trek movie before the camera. It plays Amanda Grayson, the mother of Mr. Spock. |
Winter slump on Friday Cars rather let stand
On Friday threatened the first violent intrusion of the winter season. In a short time, the roads from north to south and snow into eisglatte turn lanes. Accompanies the weather overthrow of lightning, thunder and storm.
In the north, does it start
The onset of winter starts on Friday morning in northern Germany, with Snow and Ice Pellets, locally, there are violent thunderstorms and severe winter storm gusts. Until midday the cold front reached the northern edge of the highlands. Particularly affected are initially alongside northern Germany the middle and higher elevations of Sauerland, resin, Hessische Bergland, Thuringian Forest and the Ore Mountains. During the day falling snow here the border gradually to the valleys and snow also reached the southern highlands.
Within an hour you can from rain and wet roads sudden snowstorm and mirror-smooth roads are. Motorists should particularly in the central mountainous region from their lunch wagon will be possible. Locally are 10 to 20 centimeters of snow possible.
Until Friday night, then it is also true in southern Germany on the matter, in the Alps and the Alps, up until Saturday morning to 30 centimeters of snow fall. Because the wind is still sometimes stormy, with heavy snow drifts must be expected. Some higher lying roads could be impassable on Saturday. Cars must always be equipped in winter, motorists also should bring a lot of patience, because traffic jams are inevitable.
Winter weekend
The remains wintry weekend: Again and again, there are strong winter snow showers or thunderstorms. At the northern edges of the Central Mountains and the Alps can be particularly vigorous and prolonged snow.
The daytime temperatures rise only in the west and north to a few degrees above freezing. At night there is frost everywhere and smooth roads.
In the north, does it start
The onset of winter starts on Friday morning in northern Germany, with Snow and Ice Pellets, locally, there are violent thunderstorms and severe winter storm gusts. Until midday the cold front reached the northern edge of the highlands. Particularly affected are initially alongside northern Germany the middle and higher elevations of Sauerland, resin, Hessische Bergland, Thuringian Forest and the Ore Mountains. During the day falling snow here the border gradually to the valleys and snow also reached the southern highlands.
Within an hour you can from rain and wet roads sudden snowstorm and mirror-smooth roads are. Motorists should particularly in the central mountainous region from their lunch wagon will be possible. Locally are 10 to 20 centimeters of snow possible.
Until Friday night, then it is also true in southern Germany on the matter, in the Alps and the Alps, up until Saturday morning to 30 centimeters of snow fall. Because the wind is still sometimes stormy, with heavy snow drifts must be expected. Some higher lying roads could be impassable on Saturday. Cars must always be equipped in winter, motorists also should bring a lot of patience, because traffic jams are inevitable.
Winter weekend
The remains wintry weekend: Again and again, there are strong winter snow showers or thunderstorms. At the northern edges of the Central Mountains and the Alps can be particularly vigorous and prolonged snow.
The daytime temperatures rise only in the west and north to a few degrees above freezing. At night there is frost everywhere and smooth roads.
Thursday, November 20, 2008
"Tough but fair" on euthanasia
The topic of euthanasia employed people in different countries over again. The controversy over the question of whether a people in great suffering must be killed or not, Flame ever again. On today's deal Wednesday evening the guests of the ARD broadcast "hard but fair" with this issue.
The case of Terri Schiavo in 2005 is likely for many still in his memory. Only last week moved the issue to the public again in Italy: On Thursday endorsed the Italian Court of Cassation euthanasia measures for more than 16 years in a coma lying woman. Consequently, the artificial diet of today's 35-year Eluana Englaro be set. She was the victim of a car accident and 1992 at the age of 19 fell into a coma.
In Switzerland take more and more old people without a dangerous condition, the services of euthanasia organizations claim that took place recently, a study by scientists at the University of Zurich and the Zurich University of Applied Sciences (ZHAW) out. From 1990 to 2000, the euthanasia organization Exit "22 percent mortality candidates who are not in a fatal disease.
EKD: "killing on demand" ethically unjustifiable
The Council of the Evangelical Church in Germany considered it "given the debate on the activities of 'euthanasia organizations and the increasing social insecurity" appropriate for a new guidance on this topic surrendered. The Scriptures, entitled "If people want to die. A guide to the problem of medical assisted suicide" to bear, the EKD on the Tuesday before. Neither a "killing on demand" nor the aid of a doctor in a suicide are ethically justifiable, theologians stress.
The EKD observed that meanwhile machines and mechanisms for suicide publicly presented and would be offered. Over the Internet are so-called "exit bag" acquire a dubious "humane death" from the bag of promises. Among these phenomena could not keep silent EKD, said on Tuesday, so did the Board of Public responsibility to the prepared text.
If people are todkrank - as the Council - it belongs to the essential tasks of the Christian Church, the dignity of dying to ensure the disposal of real life, consolation and hope to donate the suffering and the dying man affectionately to accompany. They knew the EKD the protection of human life and human dignity committed - in all its phases, especially at the edges and borders, writes the chairman of the Council of the EKD, Bishop Wolfgang Huber, in the preface.
Guests at "Tough but fair" debate on the topic
The ARD broadcasts on Wednesday, 19 November at 21:45 the clock "Tough but fair" broadcast on the theme: "The last freedom - how authentic it may regulate the dying?" The guests are: Michael Lesch (actor, who fell ill with cancer), Frank-Ulrich Montgomery (Vice President Bundesärztekammer), Luc Jochimsen (member of the Bundestag for "The Left"), Wolfgang pecking (Catholic priest and death companion) and Julia Kloeckner (Member the Board of the CDU / CSU Bundestag). As always, the audience via phone, fax and e-mail to the discussion.
Plasberg and the difficulty of dying (4) By Manuela Braun
Can the right to die by law define? The topic "The last freedom - How authentic can you regulate the dying?" Ultimately brought mainly a realization: For each example, there is a counter-example. And the patients are not available makes it easier. Frank PLASBERG, "Tough but fair", television, The TV presenter Frank Plasberg ( "Tough but fair") was established in 1957 in Remscheid near Wuppertal born.
After 75 minutes discussion and inserts the moderator announced that Frank Plasberg striking conclusion: "I know that it is confusing, what you saw tonight." Who "Tough but fair" attentively followed, the end was only one thing clear: Sure is nothing when it comes to self-determination at the end of one's life goes. But this was - or at least is the hope - certainly with the intention of the consignment.The cases that are discussed in public, are often spectacular. The former Hamburg justice senator Roger Kusch developed a suicide machine and wants already in several cases for assisted suicides have. A Frenchwoman, in an incurable facial tumor became ill, demanded medical euthanasia and ended her life with sleeping funds. Especially in England has the 13-year-old Hannah Jones from England the right to die fought. The inserts in "Tough but fair" shows an elegant girl, quietly and in his statements about much. "I could be worse than now," she says. "And even if there should be better, I will not risk it." The girl has been fighting for eight years against the blood cancer, now her heart is so damaged that only a transplant could prolong her life. "With 13 years, it has the right to decide," says her mother. Hannah has decided: it rejects the operation and wants the last few months until her death with her family.
Only - what does it mean now for the right to own a self-determined death? As an issue with pros and cons good for the case of cancer little girl, because Frank Plasbergs guests wanted the 13-year-old's decision to make an operation in dispute. So it went much more for the most part of the consignment to the patient, which in the case of prevention is to ensure that a patient's wishes can no longer communicate. Thus Hannah's case had so little to do with chocolate, such as radishes.
Death and state
At least for the Patients' but there were clear fronts: Luc Jochimsen, Bundestag deputies of the Left, called for a very open, even some form of patients available. Julia Kloeckner of the CDU called for a restriction on lethal diseases and conditions such as notarial deed and medical advice. Frank-Ulrich Montgomery, vice president of the Medical Association, was mainly a call: "The policy must not be in all areas of life meddle - leave it!"
And the next individual case would not in a discussion about the self-determined death suit. Tilman Jens, son of writer Walter Jens, reported by the father of dementia. "He is now accordingly, but not unhappy." Even a few years ago had declared Jens when he could no longer write, if he wanted to be dead. No, it was no consolation to him that the father was happy, but a pleasure, said Tilman Jens. Objectively, but very loving and touching at the same time, he told how the father is, how little of this still from the Walter Jens resembles earlier. "I had my father wanted another death." A case of Frank-Ulrich Montgomery nothing to do with the patients' disposal, but rather with active euthanasia had to be done.Ultimately, missing the discussion but the individual cases which showed the problems with the theme Patients can arise. And so the guests always constructed their own in order to clarify their views. Stomach probes, hoses, artificial respiration - were united they will never.
Winona Ryder in London hospital Winona_19596828_thumbnail
Hollywood actress Winona Ryder is temporarily on Wednesday in a London hospital have been brought.
Previously, the 37-year-old during a flight from Los Angeles to London's Heathrow Airport ill, as a spokesman for the Hillingdon Hospital in west of the city announced. For more information on the nature of the illness he does not. After several hours, the actress could leave the hospital. Winona Ryder, among others, is from films such as "time of innocence", "ghost house", "Mermaids kiss better" or "Edward Scissor hands with the" known.
A spokesman for British Airways confirmed that the pilot of the flight BA282 to an urgent landing permission asked, because a female passenger needed medical care. The crew did during the flight as much as possible about them and a staff of the passenger service had accompanied them to hospital.
Healing Hochstaplerin From Insa 20th Gall
Cornelia E. 5000 has treated patients and was regarded as excellent pediatrician. In doing so, they never completed their studies. Yesterday was the 34-year-old Hamburg to a suspended sentence for fraud sentenced
Physician to be seriously ill children and to help advance the research, that was her life dream. And Cornelia E. apparently brought most plants, which are necessary for a good doctor to be. Their colleagues at the Hospital for Children and Adolescent Medicine of the University Hospital Eppendorfer (UKE) in Hamburg knew them as motivated, skilled and dedicated physician. They provided their services in the immune ambulance, met their cancer patients with special heat, sat down with tennis star Michael Stich for AIDS-sick children and won for their research even a prize. It seemed like the beginning of a promising career.
But an important and crucial at the end lacked the prerequisite young Hamburg for their medical career: She had never completed their studies. After it three times in the medical degree, Physikum called, had failed, she stood before the rubble of their life planning. But Cornelia E. decided on their own weiterzustudieren, all forged diplomas and applied with the false documents at UKE. Only after more than four years of dizziness flew in August 2007.
Yesterday, the Hamburg court sentenced the young woman for fraud, forgery and unauthorized practice of medicine to a prison term of one year and six months on probation. An offense, which in her case involves a lot of human tragedy. For defenders Otmar Kury, this is the true dimension of the case. "She deserves compassion."
The tragedy is evident in the morning, when the 34-year-olds in his accompaniment to the many past waiting journalists in the courtroom goes. Images from the past show a confident young woman in a white gown. But the last one and a half years have left. Today is narrow Cornelia E. and pale, the dark brown hair to a thin ponytail tied together. In the neon light of the negotiating room affects them very vulnerable. The Hamburg has great fear of this trial had, which currently makes everything what it behind them tried. "I have been entangled in a world of self-deception, did not force me to solve it, and gave me out of the illusory world," she says at the outset in its full confession.
Living with the lie began eleven years. Cornelia E. was desperate when her in April 1997, it became clear that for the third time Physikum had fallen through. The multiple-choice was not her, she got the substance is not easy to handle. They stood before the school they found that they necessarily wanted to become a doctor. The brain tumor disease her brother encouraged them in the request. But the third failure automatically Unregistration meant. They dared not, recognize their failure - not a friend, not the family and probably not even himself, it was very performance-oriented and have been brought up to this pressure can not escape, she says in court. The father, personnel manager at a large company, and particularly the mother was the training is important. "I wanted to disappoint anyone," she says. Added to the existence of fear.
So Cornelia E. continued her studies continued, as if nothing had happened. The fraud was it easy. Her name was still on the course lists, they attended the seminars, made the necessary certificates, completed internships. The medicine grew more connected to her heart. Just to check, she could not sign. So secretly took the Hamburg final testimonies of their life companions, also physicians, and copied their names in the documents. With the deeds they attended in the UKE. In the hospital she was from the outset very demanded. The practical work was her, she gained experience they would be safer, got positive ratings, was happy. The fear of discovery never disappeared, but stepped into the background.
Cornelia E. any unscrupulous Hochstaplerin, from the desire to lie acted. "It was a good physician unreservedly," judged her boss, clinic director Professor Kurt Ullrich, then, and he remained in court in his assessment: "I can no harm to the clinic recognize, even in the financial sector." Finally, their salaries totaling nearly 150 000 euros have been included in the budget. The prosecutor, however, was initially due to personal injury cases identified in 5000. Actually would each syringe or needle, the Cornelia E. continued, as injury to evaluate, because the consent of the patients was not legally valid. But according to the medical records was not a case to prove that there Sarah E. was the top continued. A legal-medical Reviewer, which again makes all cases, certifying her, a prominent doctor had to be. "It is in no case a treatment errors. The files can be contrary to a particular commitment to good medical expertise close," says the report. A good doctor then, but not be allowed.
Their fear of discovery grew, as the Hamburg Chamber of Physicians in ever shorter intervals warned, finally, the original of the approval certificate submitted. Cornelia E. was perplexed, once again sent a copy of the forgery, made a fine purchase. As the board put a final deadline, she panicked. She gave as her sister and claimed by mail only, Cornelia E. could ill, and even later, she died. At that time it was not clear thinking may be, she says today. Even his own death vorzutäuschen not helped her. The board informed clinics Landesprüfungsamt and. As of Cornelia E. night came home, asked hospital chief Joerg Debatin them for an interview. The Hamburg knew that it was lying buildings collapsed.
The friend, the family gave to her. Also, the hospital caring leadership responded and sent her a psychological carers, so they are not something antut. "It was a very difficult time, which even now is still not easy," says the 34-year-olds. They focused on their hobbies, playing piano and saxophone, so as "positive life energy back to win." But the dream life, a successful doctor and to cure sick children, was broken.
Even the prosecutor sees the dimension of the story, which is a legal access is difficult to develop. The challenge lies not in the elucidation of operations, but the question of how the judiciary to respond has, what has happened, says the prosecution's representative. Since stick to any personal tragedy under the dash, the fact that Cornelia E. worked as a doctor without being qualified and entitled to be - even if the appropriateness of Physikum among physicians is challenged. "Ultimately, the parents of a child with a serious disease in the clinic comes to trust that the doctor is really a doctor." This way the court in its verdict: Although the work of Cornelia E. has been highly praised, ultimately, the defendants but the trust of colleagues and abusing patients. You must run as a probation 3600 euros to a charitable institution to pay.
Meanwhile, the Hamburg established a new existence. Since early November, she again a solid job at a medical company and writes articles for its pharmacological marketing. Her new employer is aware of its history, but it counts only the qualification. As a doctor, Cornelia E. will never work again.
Physician to be seriously ill children and to help advance the research, that was her life dream. And Cornelia E. apparently brought most plants, which are necessary for a good doctor to be. Their colleagues at the Hospital for Children and Adolescent Medicine of the University Hospital Eppendorfer (UKE) in Hamburg knew them as motivated, skilled and dedicated physician. They provided their services in the immune ambulance, met their cancer patients with special heat, sat down with tennis star Michael Stich for AIDS-sick children and won for their research even a prize. It seemed like the beginning of a promising career.
But an important and crucial at the end lacked the prerequisite young Hamburg for their medical career: She had never completed their studies. After it three times in the medical degree, Physikum called, had failed, she stood before the rubble of their life planning. But Cornelia E. decided on their own weiterzustudieren, all forged diplomas and applied with the false documents at UKE. Only after more than four years of dizziness flew in August 2007.
Yesterday, the Hamburg court sentenced the young woman for fraud, forgery and unauthorized practice of medicine to a prison term of one year and six months on probation. An offense, which in her case involves a lot of human tragedy. For defenders Otmar Kury, this is the true dimension of the case. "She deserves compassion."
The tragedy is evident in the morning, when the 34-year-olds in his accompaniment to the many past waiting journalists in the courtroom goes. Images from the past show a confident young woman in a white gown. But the last one and a half years have left. Today is narrow Cornelia E. and pale, the dark brown hair to a thin ponytail tied together. In the neon light of the negotiating room affects them very vulnerable. The Hamburg has great fear of this trial had, which currently makes everything what it behind them tried. "I have been entangled in a world of self-deception, did not force me to solve it, and gave me out of the illusory world," she says at the outset in its full confession.
Living with the lie began eleven years. Cornelia E. was desperate when her in April 1997, it became clear that for the third time Physikum had fallen through. The multiple-choice was not her, she got the substance is not easy to handle. They stood before the school they found that they necessarily wanted to become a doctor. The brain tumor disease her brother encouraged them in the request. But the third failure automatically Unregistration meant. They dared not, recognize their failure - not a friend, not the family and probably not even himself, it was very performance-oriented and have been brought up to this pressure can not escape, she says in court. The father, personnel manager at a large company, and particularly the mother was the training is important. "I wanted to disappoint anyone," she says. Added to the existence of fear.
So Cornelia E. continued her studies continued, as if nothing had happened. The fraud was it easy. Her name was still on the course lists, they attended the seminars, made the necessary certificates, completed internships. The medicine grew more connected to her heart. Just to check, she could not sign. So secretly took the Hamburg final testimonies of their life companions, also physicians, and copied their names in the documents. With the deeds they attended in the UKE. In the hospital she was from the outset very demanded. The practical work was her, she gained experience they would be safer, got positive ratings, was happy. The fear of discovery never disappeared, but stepped into the background.
Cornelia E. any unscrupulous Hochstaplerin, from the desire to lie acted. "It was a good physician unreservedly," judged her boss, clinic director Professor Kurt Ullrich, then, and he remained in court in his assessment: "I can no harm to the clinic recognize, even in the financial sector." Finally, their salaries totaling nearly 150 000 euros have been included in the budget. The prosecutor, however, was initially due to personal injury cases identified in 5000. Actually would each syringe or needle, the Cornelia E. continued, as injury to evaluate, because the consent of the patients was not legally valid. But according to the medical records was not a case to prove that there Sarah E. was the top continued. A legal-medical Reviewer, which again makes all cases, certifying her, a prominent doctor had to be. "It is in no case a treatment errors. The files can be contrary to a particular commitment to good medical expertise close," says the report. A good doctor then, but not be allowed.
Their fear of discovery grew, as the Hamburg Chamber of Physicians in ever shorter intervals warned, finally, the original of the approval certificate submitted. Cornelia E. was perplexed, once again sent a copy of the forgery, made a fine purchase. As the board put a final deadline, she panicked. She gave as her sister and claimed by mail only, Cornelia E. could ill, and even later, she died. At that time it was not clear thinking may be, she says today. Even his own death vorzutäuschen not helped her. The board informed clinics Landesprüfungsamt and. As of Cornelia E. night came home, asked hospital chief Joerg Debatin them for an interview. The Hamburg knew that it was lying buildings collapsed.
The friend, the family gave to her. Also, the hospital caring leadership responded and sent her a psychological carers, so they are not something antut. "It was a very difficult time, which even now is still not easy," says the 34-year-olds. They focused on their hobbies, playing piano and saxophone, so as "positive life energy back to win." But the dream life, a successful doctor and to cure sick children, was broken.
Even the prosecutor sees the dimension of the story, which is a legal access is difficult to develop. The challenge lies not in the elucidation of operations, but the question of how the judiciary to respond has, what has happened, says the prosecution's representative. Since stick to any personal tragedy under the dash, the fact that Cornelia E. worked as a doctor without being qualified and entitled to be - even if the appropriateness of Physikum among physicians is challenged. "Ultimately, the parents of a child with a serious disease in the clinic comes to trust that the doctor is really a doctor." This way the court in its verdict: Although the work of Cornelia E. has been highly praised, ultimately, the defendants but the trust of colleagues and abusing patients. You must run as a probation 3600 euros to a charitable institution to pay.
Meanwhile, the Hamburg established a new existence. Since early November, she again a solid job at a medical company and writes articles for its pharmacological marketing. Her new employer is aware of its history, but it counts only the qualification. As a doctor, Cornelia E. will never work again.
Wednesday, November 19, 2008
Trachea from stem saves lives
Barcelona - With an air tube-like stem cell transplant doctors from a young mother from Barcelona's life saved. The doctors removed all cells from a donor trachea and then created from the bone marrow of the 30-year-olds cartilage tissue. So they covered the transplant and the patient put it On. The woman shows up today, no rejection and takes no medication to suppress the immune system.
Born Claudia C. Kolumbianerin suffered for years from tuberculosis, as the journal The Lancet reported. Finally her collapsed left lung, so they regularly had to be hospitalized. To her children, she could no longer care. Originally doctors wanted her left lung completely removed, the head of thoracic surgery, Paolo Macchiarini, but suggested instead a transplantation.
Italian scientists at the University of Padua away all the cells of the donor trachea, while doctors at the University of Bristol marrow from the hip of patient withdrawals. It created it and cartilage tissue cells, with whom they auskleideten the windpipe. "They have a functional, biological structure, which can not be disgusted," said Kirk Allen of the American Society for transplants. "This is an important step forward, but the construction of an entire institution is still far away."
C. The patient is happy about the transplant, which her taking drugs with severe side effects saved. "I was scared at the beginning," she said in a statement. "I enjoy my life now and I'm very glad that my illness was cured." You can, according to the doctors again care for their children and also a certain distance run without shortness of breath. She said even she had only recently an entire night in a dance club in Barcelona.
Born Claudia C. Kolumbianerin suffered for years from tuberculosis, as the journal The Lancet reported. Finally her collapsed left lung, so they regularly had to be hospitalized. To her children, she could no longer care. Originally doctors wanted her left lung completely removed, the head of thoracic surgery, Paolo Macchiarini, but suggested instead a transplantation.
Italian scientists at the University of Padua away all the cells of the donor trachea, while doctors at the University of Bristol marrow from the hip of patient withdrawals. It created it and cartilage tissue cells, with whom they auskleideten the windpipe. "They have a functional, biological structure, which can not be disgusted," said Kirk Allen of the American Society for transplants. "This is an important step forward, but the construction of an entire institution is still far away."
C. The patient is happy about the transplant, which her taking drugs with severe side effects saved. "I was scared at the beginning," she said in a statement. "I enjoy my life now and I'm very glad that my illness was cured." You can, according to the doctors again care for their children and also a certain distance run without shortness of breath. She said even she had only recently an entire night in a dance club in Barcelona.
PKV: basic fare comes from 2009
The base fare must be signed by each private insurance company from January 2009 are offered. With the collective benefits are covered, where the statutory health insurance (GKV) correspond. The previously existing standard tariff will be transferred to the base fare.
For the basic tariff will be the usual industry rules in force: There is a compulsion for the adoption of insurance companies, ie Interested parties should not be rejected. The risk compensation, i.e. More charges, which arise through history, through all the basic fare of the entire private health insurance companies.
PKV for already-insured consists January to June 2009 the option in the base fare of any insurance company to change. After the change in the basic rate of private health insurance, the minimum retention period of 18 months.
After 18 months of this inventory can be a customer in a Full checkout switch.
In addition, an insured a base fare Treaty to conclude another undertaking. Other possibilities Exchange under the portability provisions are aging but then excluded. The insurance industry defends itself against the rules to the base fare. Currently there are complaints by almost all insurance companies are pending before the Federal Constitutional Court.
For the basic tariff will be the usual industry rules in force: There is a compulsion for the adoption of insurance companies, ie Interested parties should not be rejected. The risk compensation, i.e. More charges, which arise through history, through all the basic fare of the entire private health insurance companies.
PKV for already-insured consists January to June 2009 the option in the base fare of any insurance company to change. After the change in the basic rate of private health insurance, the minimum retention period of 18 months.
After 18 months of this inventory can be a customer in a Full checkout switch.
In addition, an insured a base fare Treaty to conclude another undertaking. Other possibilities Exchange under the portability provisions are aging but then excluded. The insurance industry defends itself against the rules to the base fare. Currently there are complaints by almost all insurance companies are pending before the Federal Constitutional Court.
Holey protect the teeth
In addition, many treaties and tariffs, opaque and complicated, such as the Foundation reported yesterday in Berlin. The note "very good" received only three of 140 tested tariffs. Even the prices vary apart - by up to three euros more than 20 euros a month. Since the statutory health insurance benefits for their dentures in 2005 once restricted, the number of supplementary risen. Eleven million policyholders at the end of 2007 there were more than twice as many as 2003.
However noticed many customers in the event that their insurance will pay less than thought it was. Castles so few treatment options, such as insurers inlays made from refunds. Some policies also cover roughly the share for a cash crown completely, while others only a small percentage zuschießen. For an expensive treatment on the basis of an implant for 2300 EURO with a 1937 euro share there are some additional dental tariffs absolutely no subsidy, others up to 1707 euros. The Foundation had 140 additional tariffs tooth tested. Rates for two with indelible contributions stable, there was the note "very good": "central.prodent" Central and "ZG" the Barmenia. 23 more charges in this category were "good". Basically recommend the testers out additional "needs dentures someday everybody."
However noticed many customers in the event that their insurance will pay less than thought it was. Castles so few treatment options, such as insurers inlays made from refunds. Some policies also cover roughly the share for a cash crown completely, while others only a small percentage zuschießen. For an expensive treatment on the basis of an implant for 2300 EURO with a 1937 euro share there are some additional dental tariffs absolutely no subsidy, others up to 1707 euros. The Foundation had 140 additional tariffs tooth tested. Rates for two with indelible contributions stable, there was the note "very good": "central.prodent" Central and "ZG" the Barmenia. 23 more charges in this category were "good". Basically recommend the testers out additional "needs dentures someday everybody."
Clinic doctors protesting against the assembly line medicine
Hospital doctors, nurses and caregivers have in a nationwide Protesttag more money for the clinics asked. The chairman of the Marburger Bund doctors union, Rudolf Henke, warned the face of empty boxes at "assembly line medicine". The president of the German Hospital Association, Rudolf Kösters, stressed in the clinics would be more jobs at stake than in the auto industry.
At high noon to clock gathered after a call of the Action Alliance "rescue the hospitals' clinics in many of the employees' active 'lunch break. According to estimates by the trade union Ver.di involved several tens of thousands of hospital staff in clinics around 1000 in the actions. They urged the Bundestag to by the federal government's relief package for the hospital significantly increased.
In Hamburg, protesting doctors and nurses, among other things before the Asklepios Clinic Barmbek. Fokko Haseborg ter, Chairman of the Hamburg Hospital Association and chief of Albertinen, said: "The money is available to hospitals under current law to them and is now the second time be withdrawn." The hospitals would be depressed by the health insurance "in the corner and concentrated bargaining power forced their performance in value to sell."
Doris Pfeiffer from the top of the statutory health insurance association said on the other hand: "Today, per night more than 50 000 people in hospital less than ten years ago. This must also be at the hospitals lead to change."
At high noon to clock gathered after a call of the Action Alliance "rescue the hospitals' clinics in many of the employees' active 'lunch break. According to estimates by the trade union Ver.di involved several tens of thousands of hospital staff in clinics around 1000 in the actions. They urged the Bundestag to by the federal government's relief package for the hospital significantly increased.
In Hamburg, protesting doctors and nurses, among other things before the Asklepios Clinic Barmbek. Fokko Haseborg ter, Chairman of the Hamburg Hospital Association and chief of Albertinen, said: "The money is available to hospitals under current law to them and is now the second time be withdrawn." The hospitals would be depressed by the health insurance "in the corner and concentrated bargaining power forced their performance in value to sell."
Doris Pfeiffer from the top of the statutory health insurance association said on the other hand: "Today, per night more than 50 000 people in hospital less than ten years ago. This must also be at the hospitals lead to change."
Drugs the most expensive in Germany
Those are the three most important results of the German Institute for Quality and Efficiency in Health Care (IQWiG) published an international comparison study.
It showed that Germans more OTC medicines than other Europeans to buy. They must also have the highest drug prices.
Price reductions should therefore play an important role in Germany when a high-quality health care for all would ensure, ruled the head of the institute, Peter Sawicki.
New techniques are not always better
Also needed is a more critical assessment of new treatments before they normally supply to the indictment. "While the Germans have easy access to innovative new therapies - but whether these are always better than the long-proven measures, it is often unclear," said the expert.
Not every new technology was necessarily a progress Before their widespread use, they should therefore first practice under conditions sufficiently tested.
More time for patients
In addition, doctors and patients need more independent information about differences between treatments. At the same time they have more time to discuss what therapy in individual cases was the best, Sawicki said.
Because the medical Surgeries are of the study in Germany per patient by 30 percent shorter than the European average. Nevertheless, the German doctors work longer hours.
That the German health care system still performing well, showing a further study on the IQWiG was involved. It showed that Dutch and Germans the best access to emergency medical care had. Furthermore, the Germans after British and the Dutch on third best protected against private co-payments.
The IQWiG works on behalf of the Federal Health Ministry and the Joint Federal Committee. It will include health insurance and the federal treasury Medical Association are represented.
It showed that Germans more OTC medicines than other Europeans to buy. They must also have the highest drug prices.
Price reductions should therefore play an important role in Germany when a high-quality health care for all would ensure, ruled the head of the institute, Peter Sawicki.
New techniques are not always better
Also needed is a more critical assessment of new treatments before they normally supply to the indictment. "While the Germans have easy access to innovative new therapies - but whether these are always better than the long-proven measures, it is often unclear," said the expert.
Not every new technology was necessarily a progress Before their widespread use, they should therefore first practice under conditions sufficiently tested.
More time for patients
In addition, doctors and patients need more independent information about differences between treatments. At the same time they have more time to discuss what therapy in individual cases was the best, Sawicki said.
Because the medical Surgeries are of the study in Germany per patient by 30 percent shorter than the European average. Nevertheless, the German doctors work longer hours.
That the German health care system still performing well, showing a further study on the IQWiG was involved. It showed that Dutch and Germans the best access to emergency medical care had. Furthermore, the Germans after British and the Dutch on third best protected against private co-payments.
The IQWiG works on behalf of the Federal Health Ministry and the Joint Federal Committee. It will include health insurance and the federal treasury Medical Association are represented.
Process: Doctor is due to hygiene deficiencies in court
Before the district has Ravensburg on Wednesday the trial of a doctor from the Baden-Wurttemberg Bad Saulgau for injury and breach of the Medicines Act started. The prosecutor accuses the 56-year-olds, in her practice at 1600 cases, medical products, such as syringes, several used to have, and in 682 cases without medical necessity and permit autologous treatments to have. In one case, the doctor accused of dangerous bodily harm, as a person because of contaminated syringes ill.
The lawyer of the accused made before negotiations start it clear that his client in detail about the indictment allegations will take place. It would also ensure "clear differences" to the allegations come to light.
In connection with the charges against the woman, as the ENT doctor is active and anthroposophic and homeopathic medicine specialist, had the district Sigmaringen 1800 patients recently invited to take precaution to HIV and hepatitis investigate it.
The allegations were about a nurse came to light, in practice, the doctor was working. For the process to 9 December a total of five days of negotiations.
The lawyer of the accused made before negotiations start it clear that his client in detail about the indictment allegations will take place. It would also ensure "clear differences" to the allegations come to light.
In connection with the charges against the woman, as the ENT doctor is active and anthroposophic and homeopathic medicine specialist, had the district Sigmaringen 1800 patients recently invited to take precaution to HIV and hepatitis investigate it.
The allegations were about a nurse came to light, in practice, the doctor was working. For the process to 9 December a total of five days of negotiations.
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