RESUMO
BACKGROUND: Phlebologic diseases have become extremely common and have major socio-economic impact. However, the percentage of dermatologists working in phlebology appears to be decreasing according to the data of the German Society of Phlebology (DGP). METHODS: To investigate the reasons for this development, we--on behalf of the DGP--sent a questionnaire to 120 German Departments of Dermatology in autumn 2012. RESULTS: In 76 returned questionnaires, the number of physicians with additional fellowship training in phlebology averaged 1.5; the average number of those who fulfill the criteria for training fellows in phlebology was 0.9. In 71.1 % of the departments there was a phlebologist. A special phlebologic outpatient clinic existed in 73.7 % of the departments. Sonography with Doppler (89.5 %) and duplex (86.8 %) was used as the most frequent diagnostic tool. For therapy, compression (94.7 %), sclerotherapy (liquid 78.9 %, foam 63.2 %, catheter 18.4 %), endoluminal thermic procedures (radio wave 28.9 %, laser 17.1 %) and surgery (especially crossectomy and stripping 67.1 %, phlebectomy of tributaries 75 %) were used. The average number of treatments was very heterogenous in the different departments. CONCLUSIONS: Phlebology definitely plays an important role in dermatology. Most departments fulfill the formal criteria for the license to conduct advanced training in phlebology. A wide spectrum of phlebological diagnostic and therapeutic procedures is available.
Assuntos
Dermatologia/estatística & dados numéricos , Departamentos Hospitalares/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Dermatopatias Vasculares/diagnóstico , Dermatopatias Vasculares/terapia , Insuficiência Venosa/diagnóstico , Insuficiência Venosa/terapia , Alemanha/epidemiologia , Humanos , Competência Profissional/estatística & dados numéricos , Dermatopatias Vasculares/epidemiologia , Inquéritos e Questionários , Insuficiência Venosa/epidemiologiaRESUMO
We have observed a quadratic x-ray magneto-optical effect in near-normal-incidence reflection at the M edges of iron. The effect appears as the magnetically induced rotation of approximately 0.1 degrees of the polarization plane of linearly polarized x-ray radiation upon reflection. A comparison of the measured rotation spectrum with results from x-ray magnetic linear dichroism data demonstrates that this is the first observation of the Schäfer-Hubert effect in the x-ray regime. Ab initio density-functional theory calculations reveal that hybridization effects of the 3p core states necessarily need to be considered when interpreting experimental data. The discovered magneto-x-ray effect holds promise for future ultrafast and element-selective studies of ferromagnetic as well as antiferromagnetic materials.
RESUMO
Chronic diseases usually limit patients severely in their working, social and family life. With many chronic or chronically recurring skin diseases, particularly atopic disorders, it is often impossible to define specific causes that will respond to treatment. Since a full cure cannot be achieved in constitutional dermatoses, a holistic therapeutic approach is required. This must go beyond the identification, treatment and cure of the disease, and take into account the reciprocal interactions between the patient's organic, emotional and social symptoms. Based on the bio-psycho-social model of disease and health, modern dermatological rehabilitation therefore applies a holistic concept which goes well beyond dermatological treatment, also including the dimensions of function, activity, participation and context. The holistic approach is based on findings in rehabilitation science and takes into account the principles of complexity, interdisciplinary care and individuality.
Assuntos
Doença Crônica/psicologia , Doença Crônica/reabilitação , Dermatologia/tendências , Saúde Holística , Reabilitação/tendências , Dermatopatias/psicologia , Dermatopatias/reabilitação , Alemanha , HumanosRESUMO
High resolution x-ray lithographic studies of cells from chick embryo hearts dried by the CO2 critical point method have been made with soft x-ray radiation of different wavelengths. A marked difference in the relief replica in polymethyl methacrylate (PMMA) resulting from the differential absorption by the dried cells of carbon K alpha radiation at 4.48 nm and broad band synchrotron radiation (SR) with lambda is greater than 1.5 nm demonstrates the potential usefulness of the technique in making high resolution (approximately or equal to 10 nm) chemical identification of the constitutents which make up the various parts of the cell.
Assuntos
Microanálise por Sonda Eletrônica/métodos , Técnicas Histológicas , Miocárdio/ultraestrutura , Animais , Embrião de Galinha , Microscopia Eletrônica de Varredura , Organoides/ultraestrutura , Fotomicrografia/métodosRESUMO
X-ray micrographs of biological objects have been obtained with a resolution better than 1000 angstroms by using poly(methyl methacrylate) x-ray resist and carbon Kalpha or synchrotron radiation. Synchrotron radiation allows short exposure times; storage rings especially designed as radiation sources and improved x-ray resists would make exposure times under 1 second possible.
Assuntos
Microscopia/métodos , Raios X , Eucariotos/ultraestrutura , Microscopia/instrumentação , Microscopia Eletrônica de Varredura/métodosRESUMO
X-ray micrographs of biological materials have been obtained with a resolution better than 100 angstroms by using x-ray resist as the recording medium. A high-resolution scanning electron microscope with a short-focal-length final lens, operating in the "low-loss" mode, is used to make the smallest features in the x-ray replica visible.
Assuntos
Microscopia/instrumentação , Animais , Anuros , Cromossomos/ultraestrutura , Drosophila melanogaster/ultraestrutura , Metacrilatos , Microscopia Eletrônica de Varredura , Epitélio Pigmentado Ocular/ultraestrutura , Rana catesbeiana , Raios XRESUMO
Au chain structures have been prepared on Ni(110). Au6 s,p-derived features in photoemission spectra are identified as quantum-wire states due to their strong dispersion along the chains and absence of dispersion perpendicular to the chains in agreement with our ab initio calculation of the electronic structure. Spin analysis reveals that the states have minority-spin character showing that the confinement of electrons in the chain structure depends on the electron spin.
RESUMO
We discuss the electron-optical properties of the 90 degrees spherical analyzer. A nearly parallel electron beam which can be extracted from a magnetic photocathode in an external magnetic field under suitable conditions is focused to the exit plane of the analyzer. Electron spin polarization detection using Mott scattering can be advantageously combined with such a 90 degrees electron spectrometer so as to achieve energy analysis in spin-polarized photoemission. In this case the diaphragms of the Mott scattering detector play the role of virtual exit slits of the electron spectrometer. Thereby, the limits for variations of the apparatus asymmetry of the Mott scattering setup become reduced, eliminating the need of measuring this quantity in separate measurements.