Rehaklinik Glotterbad

While it is agreed that yellow flags (prognostic psychosocial factors for poor recovery in low back pain) predict pain-related outcomes, uncertainty remains regarding which constructs are the central ones, particularly as there is considerable conceptual overlap between constructs. Therefore, the aim of our study was to analyze the distinctiveness of different psychological factors in predicting rehabilitation outcomes in a sample of patients with chronic low back pain (CLBP) in a rehabilitation setting. Research Method/Design: We conducted a longitudinal study using multivariable modeling taking into account a broad set of psychological variables as potential predictors. Rehabilitation outcome was assessed via health related quality of life (HRQL) and disease-specific functioning at the end of rehabilitation and six months later. The sample comprised N = 214 patients. When considered separately, a range of psychological factors were significant predictors of HRQL and functioning at the end of rehabilitation and at six months follow-up, even if baseline values of outcome variables, sociodemographic variables, and baseline pain intensity are controlled. When considered in combination, a better work prognosis, self-efficacy and intensity of depressive symptoms were verified as independently significant predictors of HRQL. None of the psychological constructs remained significant predictors for disease-specific functioning. The incremental variance explained by the psychological constructs varied between 3 and 24%. The contribution of psychological factors may be different depending on the sample (acute vs. chronic) and the outcome domain. Future research should validate these results with respect to other patient-centered outcomes and in other CLBP samples. (PsycINFO Database Record

Summary FIORI (Fl. Ital. Cryptog. Pterid.: 266–272. 1943) quotes five taxa for the fern genus Cheilanthes Swartz as growing in Italy, which he groups into two species: C. fragrans Webb et Berth, and C. persica (Bory) Mett. ex Kuhn. He divides C. fragrans into four varieties: var. α acrostica (Balbis) Fiori, var. β gennarii Fiori, var. γ commutata (Trevisan) Fiori and var. δ maderensis (Lowe) Fiori. As in other cases Fiori has applied here a very wide species concept. Experimental methods (VIDA et al. 1970, 1971) have shown that Fiori's four varieties should be treated as separate species. We could correlate them as follows: var. α acrostica = C. pteridioides (Reichard) C. Chr.; var. β gennarii = C. guanchica Bolle (= C. svenienti Beni), until recently known only from the Canary Islands; var. γ commutata in Fiori's concept was very close to C. corsica Reichst, et Vida, but it two cases he erroneously included C. maderensis in this taxon; var. δ maderensis = C. maderensis Lowe, which is an important ancestr...

Drei Merkmale scheinen heute fur die innere Medizin wesensbestimmend zu sein. Die Zahl der von ihr sich trennenden Sonderfacher wachst. Durch ihre Begrenzung auf die spezielle Pathologie und Therapie innerer Krankheiten wurde sie selbst Spezialfach. Um die innere Medizin gruppiert sich ein ausgedehntes Ausenseitertum, welches zur wissenschaftlichen Medizin der Hochschule kaum Zugang findet (die Mehrzahl) oder in bewuster Gegeneinstellung diese Verbindung ablehnt (die Minderzahl). Die einigende Kraft der inneren Medizin hat abgenommen, weil der geistige Gehalt ihrer Theorie nicht Schritt hielt mit der Zunahme der Einzelkenntnisse. Sie entbehrt ihres Mittelpunktes: Der allgemeinen klinischen Krankheitslehre. Diese Aufgabe wuchs der Morphologie zu und dem theoretischen Experiment. Die innere Medizin glaubte in der Handhabung des sich analytisch immer mehr komplizierenden Laboratoriums, in der durch die Entwicklung der pharmakologischen Chemie sich differenzierenden Arzneibehandlung, in dem Ausbau verfeinerter physikalischer Untersuchungsmethoden, der in ihrer Bedeutung wachsenden diatetischen Therapie genugend Inhalt zu besitzen. Indem sie aber die Erorterung der Grundlagen der Klinik Forschungsrichtungen anvertraute, deren Untersuchungsobjekt das tote Substrat oder das quantitativ orientierte Experiment Ist, verlor die klinische Arbeit an menschlich-universaler Bedeutung.