Tarpkejser1725

The comparison of the individual studies is made difficult due to the low case numbers and nonuniform classification systems. A valid treatment algorithm can only be derived with difficulty based on the currently available data.

The comparison of the individual studies is made difficult due to the low case numbers and nonuniform classification systems. A valid treatment algorithm can only be derived with difficulty based on the currently available data.

Measures such as restrictions on personal contact and going out were taken to reduce SARS-CoV‑2 infection numbers, ultimately resulting in the first lockdown. This was intended to create capacity in the healthcare system to manage the pandemic.

To analyze whether the number of work and commuting injuries decreased during the lockdown compared to the years 2015-2019.

All work and commuting accidents treated at the Klinikum rechts der Isar and the Berufsgenossenschaftliche Unfallklinik Murnau during the observational period 16 March-4 May 2020 were retrospectively compared with the figures from the same observation period in the years 2015-2019. Bcl-2 inhibition The data on case numbers according to the transit physician procedure (DAV) were further broken down into cases of the injury type procedure (VAV) and severe injury type procedure (SAV) according to the injury type index of the German Social Accident Insurance (DGUV). In addition, the collected data were compared with data from the Federal Statistical Office on threly injured patients and accidental deaths occurred, which shows the relevance of trauma surgery structures especially in times of crisis and makes it indispensable to include them in the calculation of intensive care resources.

This retrospective multicenter study aimed to compare rates of early mobilization and survival and functional outcome of surgical treatment (S) with that of conservative treatment (C) according to each unstable fragility fracture of the pelvis (FFP) classification type with displacement of the posterior component ≥ 5mm.

We analyzed 64 patients with unstable type III and IV FFP who could move and transfer themselves before injury and had ≥ 5mm displacement of the posterior component. We compared survival rate, early mobilization, walking ability at final follow-up, and complications at admission for each type of surgical and conservative treatment.

Most of the unstable FFP were type IIIa and IVb in the study population. Type III comprised 40 cases (group S13/group C27) and type IV comprised 24 cases (group S7/group C17). There were no significant differences in 3month and 1year survival rates, although group C (III) had the tendency of higher mortality rate (p = 0.08). Mobilization (transferring to a wheelchair) was enabled significantly earlier in group S (III) than in group C (III) (p = 0.02), but in type IV, most patients enabled early mobilization even without surgical intervention. There were no significant differences in hospital complications and walking ability at final follow-up.

In this study, the superiority of surgical treatment for unstable FFP was not proven. However, the results suggest that type IVb may be a relatively stable type compared to type III and that type IVb should be considered separately from bilaterally complete unstable sacral fractures due to high-energy trauma.

In this study, the superiority of surgical treatment for unstable FFP was not proven. However, the results suggest that type IVb may be a relatively stable type compared to type III and that type IVb should be considered separately from bilaterally complete unstable sacral fractures due to high-energy trauma.The oral health of the population in Germany has improved in recent years; however, older people, especially those with frailty and in need of care, have not benefited adequately from this development. Yet, good oral health can make a relevant contribution to better coping with the challenges of frailty and the need for long-term care. Limited access to dental care, and in some cases reduced cooperation and poorer oral hygiene, increases the risk of caries, periodontal diseases, and loss of teeth as well as leads to a higher prevalence of edentulism in comparison to the general population.This paper provides an overview of the dental situation of older people based on previously published data from the population representative Fifth German Oral Health Study (DMS V), which was collected in 2014. The mean number of missing teeth was 11.1 among 65- to 74-year-olds. Older seniors (75-100 years) with care needs (äSmP) had worse oral health than those without care needs (äSoP). Thus, on average, äSoP had 11.8 teeth, whereas äSmP had only 5.7 teeth. The proportion of edentulous 65-74-year-olds had halved since 1997 to 12.4%. Among the äS, 32.8% were edentulous (äSmP 53.7%, äSoP 26.7%). More than 75% of the äSmP had removable prosthetic restorations (äSoP 51.7%). Against this background, this paper identifies interfaces where an equal opportunity connection of these population groups to a dental care structure could be established. These include acute geriatric hospital wards and the development of more far-reaching concepts in outreach care to improve care for those affected and to facilitate care.

Children have the right to the best possible medical care. The lack of treatment capacity is rising steadily and increasingly leads to forced centralized allocation of patients by the emergency medical services (EMS) to pediatric emergency departments that are, officially, temporarily "closed".

The aim of this study is to present trends in allocation of pediatric emergency patients in greater Munich.

Retrospective analysis of hospital admissions of children < 18years of age collected from 01January2015 to 31December2019 by means of the web-based IT system IVENA eHealth (manis IT, Frankfurt) used by the emergency medical services. The focus of the evaluation is on patients in categoryII, who are likely to require inpatient admission.

During the 5‑year observation period, atotal of 44,549 pediatric patients < 18years of age (90.6% of total admissions) were admitted to achildren's hospital by the ambulance service as categoryII (SKII) in the Munich metropolitan area. These patients showed an increase in the relative frequency of forced allocations from 1.