[Comparison of Psychosomatic Rehabilitation for German and Foreign Patients]. / Psychosomatische Rehabilitation bei deutschen und ausländischen Versicherten der Rentenversicherung im Vergleich.

Aim: This study aims to comprehensively analyse the course of psychosomatic rehabilitation - from access to quantifiable rehabilitation outcomes. A comparison is made between 3 groups of patients: German citizens, patients of Turkish nationality or patients of foreign or unknown nationality. Methods: The data set used comprises routine data of the German Pension Insurance regarding psychosomatic rehabilitation from the so called Reha-Statistik-Database (RSD, database for rehabilitation statistics) over a period from 2007 to 2014. We included 128,165 compulsorily insured persons who underwent psychosomatic rehabilitation in 2012. Results: Among the patients in psychosomatic rehabilitation in 2012 5.8 % were of foreign nationality. Turkish patients were with 2.0 % the largest group, patients with another or unknown nationality or stateless patients constitute the additional group. The most common diagnoses for all groups were affective disorders and neurotic, somatoform and stress disorders. Differences between the groups can be demonstrated with regard to sociodemographics and employment status prior to rehabilitation: Patients of foreign nationality, and here especially Turkish patients, are on average younger, more often married and have less advanced vocational training than German patients. Accordingly, they work more often in less qualified jobs with lower wages. The health status prior rehabilitation, measured as days of sick leave, is also worse compared to German patients. In contrast to other indications there is no disadvantage regarding access to psychosomatic rehabilitation. On the contrary: the age-standardised uptake ratios of Turkish patients, especially of women, are markedly higher than in Germans. Treatment during psychosomatic rehabilitation is more or less identical. With regards to outcome of rehabilitation, reintegration into working life or transition into disability pension Turkish patients are less successful. As important influential variables for return to work (RTW) the following factors were identified: Employment duration in the last 12 months before the start of rehabilitation, the medically tested ability to work for the last employment, age and wage in the last year before the start of rehabilitation. Even after the inclusion of these variables in the logistic regression model, a direct influence of the Turkish citizenship has remained. Conclusion: In this study Turkish patients are a special group. This is especially true for Turkish women. They start from a lower baseline in comparison with their male compatriots, they have higher access to psychosomatic rehabilitation and the results of rehabilitation are less favourable. These findings may be attributable to the markedly worse health and employment status of the female Turkish patient group. Nevertheless, nationality itself remains to be a significant influencing factor.

[Preissler endoscopic carpal ligament release. Experiences from 1,000 operations]. / Die endoskopische Karpalbandspaltung nach Preissler. Erfahrungen aus 1,000 Operationen.

To reduce the postoperative morbidity different methods of endoscopic carpal tunnel release have been developed since 1989. We report our results and experiences with the method described by Preissler. Since its introduction in our clinic 1995, 1,000 patients have been operated until now. Out of 477 with an electrophysiological examination, 396 patients (83%) showed no symptoms. In three cases it was necessary to change to an open approach during operation, there were no other intraoperative complications. To evaluate our results we sent a questionnaire to 32 of our patients that were operated on one hand with an open technique and on the other hand with the endoscopic technique of Preissler. The results demonstrated that the endoscopic method was significantly better. From our experience endoscopic technique for carpal tunnel release Preissler's is a safe, well accepted, easy for learning and cheap alternative to the open procedure.

[Drug modification of post-traumatic edema of the extremities by the proteinase inhibitor aprotinin. An animal experiment study]. / Die medikamentöse Beeinflussung des posttraumatischen Extremitätenödems durch den Proteinaseninhibitor Aprotinin. Eine tierexperimentelle Studie.

Posttraumatic edema remains a serious problem in traumatology. Unrecognized or improperly treated, edema poses a threat to the survival of any extremity, particularly the hand, where a number of intricate functional structures are at stake. This study, as well as other recent clinical and experimental work, show that aprotinin, a proteinase inhibitor, is valuable in the treatment of posttraumatic edema, provided it is given as early as possible and in an adequate dosage.

[Clinical observations of cancer in the stomach after surgery]. / Klinische Beobachtungen zum Karzinom im operierten Magen.

Among 1,286 patients with gastric carcinoma we observed 75 carcinomas in operated stomach. There are differences in the pathogenesis of cancer in the stomach operated for ulcera duodeni and ventriculi. The average interval between operation for ulcus and tumor development is 24.4 years, the sex ratio 6.5:1 men:women. Curative therapy was possible in 47% with a mortality of 20%. The 5-year-survival rate was 40%. The adequate operative procedure in the therapy of carcinoma in the operated stomach is the total gastrectomy.