Abstracts by keywords: Disease Analyzer
For the treatment of developmental disorders, the focus is on medically oriented and psychological-educational support measures. One of the medically oriented support measures is occupational therapy (Jašcenoka & Petermann, 2013; Pietz, Moog, & Blank, 2014; Tal-Saban et al., 2014). Ergotherapeutic measures are complex, activating and action-oriented methods. The aim is to improve impaired motor, sensory, psychological and cognitive abilities through activity in the areas of self-care, productivity and leisure (Arbesman, Bazyk, & Nochajski, 2013; Sauer et al., 2010). Children with developmental disabilities represent a very large group of clients in preschool and school age in outpatient occupational therapy (Becker & Jagusch-Espei, 2011). Studies have shown that occupational therapy interventions can contribute to an increase in visual perception, motor and coordination performance and promote a generally positive developmental course (Frank, 2008; Hüttemann & Brauchle, 2011; Poulsen et al., 2007; Whitney & Hilton, 2013 ). Furthermore, occupational therapy intervention in group therapy can have a positive effect on clients' self-esteem (McWilliams, 2005). In Germany, occupational therapy is prescribed by practicing doctors, according to which occupational therapy takes place in occupational therapy practice (DGN, 2011; Gauggel, 2014; Küther, 2014). Child psychiatrists are primarily responsible for the treatment and outpatient care of children with developmental disabilities (DGN, 2011; Hintzpeter et al., 2014; Lehmkuhl, Köster & Schubert, 2009). However, like other doctors, they are under financial pressure from health insurance companies, so a prescription must always be justified (Ärzte Zeitung, 2014; Szucs, 2014). So far, little is known about the specific prescribing behavior of child psychiatrists in Germany for occupational therapy.
31.03.2015
The complexity of the metabolic disease diabetes mellitus type 2 affects many organs in the body. Accordingly, a positive correlation is often found between the severity of diabetes and the occurrence of other diseases such as neuropathy, peripheral arterial disease (PAOD) and coronary artery disease (CHD) (Bauer T, 2011). CHD means that the coronary arteries that supply the heart muscle with oxygen are narrowed. This constriction is caused by arteriosclerosis, which in turn can arise from hypertension, hyperlipidemia and increased blood sugar levels in diabetes mellitus. In particular, the increased blood sugar damages the vessels and leads to micro- and macroangiopathies. As a result, diabetics are much more likely to develop CHD than non-diabetics (Kannel W, 1979). The risk of coronary heart disease is already increased before the diabetes diagnosis, as the pre-diabetes phase with elevated blood sugar levels exists for a long time before the confirmed diabetes diagnosis (Hu FB, 2002)