[Scientific impact of the TraumaRegister DGU®]. / Wissenschaftlicher Impact des TraumaRegister DGU®.

BACKGROUND: The trauma registry of the German Trauma Society (TraumaRegister DGU®) is not only a tool for quality management but also for research purposes. OBJECTIVE: Evaluation of the impact of the TraumaRegister DGU® on scientific output and patient treatment. MATERIAL AND METHODS: Analysis of publications from the TraumaRegister DGU® with respect to numbers, impact factors, journals, citations and presentations. RESULTS AND CONCLUSION: The number and impact factors of publications from the TraumaRegister DGU® rose steeply during the last 10 years and in the last 3 years consisted of 25 publications per year. More than two thirds of them were published in high quality international journals and reflect the great scientific importance. For the German speaking readership and the specific aspects of treatment of the severely injured relevant to Germany, the large number of German language articles are just as important. Independent of the impact factor publications in Deutsches Ärzteblatt, the journal with the highest circulation and Der Unfallchirurg play the most important role. A large amount of scientific information gained from the TraumaRegister DGU® has been included in treatment guidelines and structures. The register is a basic prerequisite for the TraumaNetzwerk DGU®. Since almost all severely injured patients in Germany are now included in the registry, it is possible to obtain epidemiologically reliable data of treatment and outcomes for these patient groups.

In humans Ib facilitation depends on locomotion while suppression of Ib inhibition requires loading.

The role of force feedback during gait is still a matter of debate. From work on cats, it is known that input from Golgi tendon organs from triceps surae does produce Ib facilitation during locomotion instead of autogenic inhibition. In humans, Stephens and Yang (Stephens, M.J., Yang, J.F., 1996. Short latency, non-reciprocal group I inhibition is reduced during the stance phase of walking in humans. Brain Res. 743, 24-31) found that voluntary contraction results in a reduction of Ib inhibition. During gait, they even observed Ib facilitation in a subset of subjects. This raises the question whether the crucial elements involved in these changes are either loading of the leg or locomotion. To examine this question, Ib reflexes were investigated during sitting, lying supine, lying supine with 300 N pressure applied to the foot sole, standing, and a rhythmic loading and unloading task called "reduced" gait. Ib inhibition was obtained during sitting and lying supine. This inhibition was significantly reduced or disappeared during standing and when lying supine but loaded. During the stance phase of "reduced" gait, the inhibition disappeared in eight subjects, and even a facilitation was observed in six subjects. It is concluded that the decrease in Ib inhibition from gastrocnemius to soleus occurs during a load-bearing condition and does not require locomotion. In contrast, Ib facilitation requires locomotion at least in a rudimentary form.

[Concentration camp confinement in the light of a phenomenology of alienation]. / Die Konzentrationslager-Haft im Lichte einer Phänomenologie der Entfremdung.

Alienation is an integrational existential process. The concepts of alienation as used by various specialized scientific approaches: anomy , reification , depersonalisation , alienation (in a limited sense) refer to individual aspects of the process, which can only be understood with regard to their totality and structure. " Endt - fremdung " means the coming to be as well as the passing away of alienation within the field of integrational -anthropological understanding of "possibility" ( vide D. Wyss ) and the structural-ontological basic concept of " Veranderung " ( vide H. Rombach ), so that the " Endt - fremdung " and " Veranderung " are based on one another. The human tragedy of detainment in a concentration-camp, humiliation as well as human greatness in the radical " Entborgenheit " can well be described within integrational anthropological concepts.