[Physicians and Society: On the Change in the Occupational Profile of Physicians in the Mid-19th Century, a Socio-Medical Concept by Salomon Neumann]. / Arzt und Gesellschaft: Zum Wandel des Berufsbildes Arzt in der Mitte des 19. Jahrhunderts, ein sozialmedizinisches Konzept von Salomon Neumann.

The medical profession is not a trade, it is by its nature a free profession (Federal Doctors' Ordinance). The medical practice as an institution and the medical profession are, however, subject to current social conditions, currently particularly shaped by the rules of health economics and digitization. Salomon Neumann, who, along with Rudolf Virchow, is considered the founder of social medicine in Germany, published the vision of liberating academically trained doctors from the trade regulations applicable to craftsmen and other professions in 1847. On the basis of law and reason that applies to public action, he conceived the establishment of an association, a new professional representation of the previously isolated doctors in freedom, solidarity and self-administration. The failure of the bourgeois revolution in 1849 with subsequent social restoration delayed innovative developments. The professionalization of the medical profession begins with the formation of a unified medical status in 1852, the formation of medical associations in the 1860s, the establishment of the German Association of Physicians in 1872 as an umbrella organization and the establishment of state medical associations in 1948 as public corporations.

[Identity and Integration - Salomon Neumann on the issue of Syphilis in Berlin]. / Identität und Integration ­ Salomon Neumann zur Syphilisfrage in Berlin.

The essay "The issue of syphilis in Berlin. A contribution to public health in Berlin" highlights the importance of Salomon Neumann as an initiator of social medicine and a promoter of the communal medical statistics in the middle of the 19th century. Being a physician-member of the Berlin Health Care association and a doctor for the poor, he provides a sociomedical report on the interaction between syphilis as a disease and society with its regulatory measures (vice squad, public administration) and the deficient hospital and ambulatory care structures for the poor in Berlin in the middle of the 19th century, both with a prospective orientation.

[DNVF-Memorandum III - Methods for Health Services Research, Part 4 - Concept and Methods for Organizational Health Services Research: Short Version]. / DNVF-Memorandum III ­ Methoden für die Versorgungsforschung, Teil 4 ­ Konzept und Methoden der organisationsbezogenen Versorgungsforschung: Kurzfassung.

Organizational health services research in Germany is of increasing relevance. Based on the guide on methods for organizational health services research of the Memorandum III, part 1 from the year 2009, the fundamentals and standards have now been refined. The memorandum captures the theoretical framework, basic methodological approaches and methods in health services research for the design, evaluation and implementation of complex interventions in healthcare organizations.

[DNVF-Memorandum III - Methods For Health Services Research, Part 4 - Concept and Methods For Organizational Health Services Research. Chapter 1 - Definition and Concept of Organizational Health Services Research]. / DNVF-Memorandum III ­ Methoden für die Versorgungsforschung, Teil 4 ­ Konzept und Methoden der organisationsbezogenen Versorgungsforschung. Kapitel 1 ­ Definition und Konzept der organisationsbezogenen Versorgungsforschung.

Organizational health services research is still a relatively young field of research in Germany which is of increasing interest. The German Network Health Services Research e.V. (DNVF e.V.) published in 2009 - supported by expert associations and individual members of the DNVF - a guide on "Methods for organizational health services research" of the Memorandum III, part 1[1]. Originating from this publication and facilitated by the increasing relevance of the field, a necessity to refine the conceptual and methodological basis became evident. The update and extension of the publication from 2009 consists of three chapters: (1) Definition and concept of organizational health services research, (2) Methodological approaches in organizational health services research: indicators, data sources, data collection and data analysis, (3) Methodological approaches for the design, evaluation and implementation of complex interventions in health care organizations. The aim of the first chapter is to present the theoretical framing and the definition of terms and tasks within organizational health services research.

Psychosocial Stress, Course of Pregnancy and Pregnancy Outcomes in the Context of the Provision of Sexual Services.

Introduction There has been very little medical research into pregnancies which occur in the context of prostitution, even though the associated health risks for mother and child, e.g. violence or maternal drug abuse, are well known. The aim of this study was to compile and summarize what is known (inter-)nationally about this topic and identify key points of support as part of a uniform standard of healthcare in pregnancy. Material and Methods A selective search of the literature was done in Pubmed and Livivo/Medpilot and in the databases NIH, Cochrane, DARE, NHSEED and HTA on the factors influencing preterm delivery. Results There are no systematic studies on pregnancy risks in the context of sexual services. But there is data available on specific risk factors, for example the increased risk of prematurity associated with sexual/physical violence (OR = 1.28-4.7). The Prostitute Protection Act provides only limited protection for affected women, and statutory maternity protection regulations also have little impact as they require a formal contract of employment which rarely exists even in the context of legal prostitution. Conclusion Approximately 400 000 women are currently working as prostitutes in the Federal Republic of Germany. The number of unreported cases is high. Nevertheless, there is little concrete data available on the probable health risks if these women become pregnant. The existing laws that should offer protection fall short of the mark. There is a need for more research into the future implementation of the Prostitute Protection Act which should focus on health counselling, health promotion and additional protective legislation. Low-threshold healthcare services offered in the context of prenatal care could be an opportunity to improve care.

Determinants of children's exposure to environmental tobacco smoke (ETS): a study in Southern Germany.

Maternal smoking has been repeatedly found to be the most important determinant of children's exposure to environmental tobacco smoke (ETS). Here, we further investigated predictors for the urinary cotinine/creatinine ratio (CCR, ng/mg) in 1220 preschool children for the year 1996. Children from smoking homes (35.1%) had significantly higher CCR than children from nonsmoking homes (mean: 55.5 vs. 14.9 ng/mg). The level of education of the parents was a strong predictor for CCRs even after adjusting for number of cigarettes smoked, maternal smoking and dwelling space. Additionally, dwelling space was inversely related to children's urinary cotinine level. The CCR- levels in children investigated in 1996 and 1998 were significantly correlated (Pearson's r=0.67). The parents of 806 children agreed for a visit to their homes. In 79 of the 536 (14.7%) of the self-reported, nonsmoking households, smoking was admitted during the visit. The mean urinary CCR of these children was 25.2 ng/mg. We conclude that in addition to parental smoking behaviour, other variables such as dwelling space and social and educational status predict the children's exposure to ETS. Our data also revealed that a considerable percentage of parents denied the ETS exposure of their children at home.