Decentralized Rather than Centralized Pediatric Surgery Care in Germany

2017 ◽  
Vol 27 (05) ◽  
pp. 399-406 ◽  
Author(s):  
Udo Rolle ◽  
Andrea Schmedding
Keyword(s):  
19Th Century ◽  
Pediatric Surgery ◽  
Political Action ◽  
High Volume ◽  
German Society ◽  
Specialist Care ◽  
Early 19Th Century ◽  
Number Of Children ◽  
German Medical Association ◽  
In The Beginning

Introduction Pediatric surgery has emerged from general surgery to take better care of the needs of surgically ill children. The development of pediatric surgery in Germany started in the early 19th century and is still ongoing. This study was performed to investigate how pediatric surgery is organized in Germany. Materials and Methods Data were obtained from the following sources: German Society, Information System of the Federal Health Monitoring, German Medical Association, Joined Federal Committee, Federal Bureau of Statistics, and Perinatal Centers. Results Pediatric surgery in Germany was started in the beginning of the 19th century. In 1962, there were approximately 20 units. The number increased to 98 in 2005 and to 129 in 2017. Presently, there are 769 pediatric surgeons registered in Germany. The current growth of pediatric surgery is attributed to a political decision of implementing centers for the care of preterm babies who need pediatric surgeons. Most work performed by pediatric surgeons in Germany can be categorized as low-risk, high-volume surgery. Currently, there is a trend of spontaneous centralization for some high-risk, low-volume pediatric surgical procedures. Conclusion Pediatric surgery in Germany shows a development toward a nearly complete coverage of the country, thus providing increasing number of children with specialist care. Rare diseases, such as in oncology or newborn surgery, are generally not centralized and rarely performed by small units. New approaches for better quality measurements may lead to centralization even without political action in the future.

scholarly journals BANDAR SUKABUMI IN THE BEGINNING OF THE 19TH CENTURY: THE ROLE OF POLITICAL AUTHORITY IN THE DEVELOPMENT OF RIVER-CITY IN KOTAWARINGIN REGION, SOUTHWESTERN KALIMANTAN

2020 ◽  
Vol 14 (2) ◽  
pp. 121-136
Author(s):  
Moh Ali Fadillah
Keyword(s):  
Urban Communities ◽  
19Th Century ◽  
Capital City ◽  
Historical Sources ◽  
Early 19Th Century ◽  
River City ◽  
The Government ◽  
In The Beginning ◽  
The 19Th Century ◽  
Pragmatic Aspects

Kotawaringin is the name of a small kingdom founded in the first half of the 17th century, centered in Kotawaringin Lama on the upper reaches of Sungai Lamandau, in southwestern Kalimantan. In the early 19th century the royal capital was moved to Pangkalan Bun. The shift of the capital city is an important factor in the history of human geography as a cause of changes in demography and urbanization. This research aimed to find clarity about the agglomeration of river cities in terms of symbolic and pragmatic aspects. Such aspects include the origin, existence, reasons for shifting capital and the type of culture that underlies the function of Kotawaringin as a center of government and trade that grew during the early colonial period. The research used methods which were carried out by observing sites indicated as capitals and ports, combining it with studies of historical sources, as well as collecting physical evidence, including a number of symbolic objects associated with royal legitimacy. Results of contextual analysis provide a set of knowledge about the growth of river city as the implementation of the spatial planning policy of the government and the support of urban communities rooted in Malay culture. The Kingdom of Kotawaringin reached a peak of progress during the reign of Prince Ratu Imanuddin, after the capital was moved to Pangkalan Bun from Kotawaringin Lama. The location of the new capital is on the lower reaches of the Sungai Lamandau, precisely on the banks of the Sungai Arut, which was formerly called Bandar Sukabumi. Kotawaringin adalah nama sebuah kerajaan kecil yang didirikan pada paruh pertama abad ke-17 Masehi, berpusat di Kotawaringin Lama di kawasan hulu Sungai Lamandau, di barat daya Kalimantan. Pada awal abad ke-19 Masehi, ibukota kerajaan dipindahkan ke Pangkalan Bun. Pergeseran ibukota merupakan faktor penting dalam sejarah geografi manusia sebagai penyebab perubahan demografi dan urbanisasi. Penelitian ini bertujuan untuk mengetahui kejelasan tentang aglomerasi kota sungai ditinjau dari aspek simbolik dan pragmatis. Aspek-aspek tersebut mencakup asal usul, keberadaan, alasan perpindahan ibukota dan jenis budaya yang mendasari fungsi Kotawaringin sebagai pusat pemerintahan dan perdagangan yang tumbuh pada masa kolonial awal. Penelitian ini menggunakan metode yang dilakukan dengan mengamati situs-situs yang diindikasikan sebagai ibukota dan pelabuhan, memadukannya dengan studi sumber-sumber sejarah, serta mengumpulkan bukti-bukti fisik, termasuk sejumlah benda simbolis yang terkait dengan legitimasi kerajaan. Hasil analisis kontekstual memberikan seperangkat pengetahuan tentang pertumbuhan kota sungai sebagai implementasi kebijakan perencanaan tata ruang pemerintah, dan dukungan masyarakat kota yang berakar pada budaya Melayu. Kerajaan Kotawaringin mencapai puncak kemajuan pada masa pemerintahan Pangeran Ratu Imanuddin, setelah ibu kota dipindahkan ke Pangkalan Bun dari Kotawaringin Lama. Lokasi ibu kota baru berada di bagian hilir Sungai Lamandau, tepatnya di tepi Sungai Arut yang dahulu dinamai Bandar Sukabumi.

Libraries of Educations Institutions in Russia in the First Half of 19th Century

2010 ◽  
pp. 96-101
Author(s):  
Elena A. Kalinina
Keyword(s):  
Cultural History ◽  
19Th Century ◽  
School Libraries ◽  
Educational Institutions ◽  
Russian History ◽  
Early 19Th Century ◽  
History Of ◽  
The Russian Empire ◽  
In The Beginning ◽  
The 19Th Century

Libraries are the integral part of cultural history of Russia. Widespread opening of school libraries in the Russian Empire began in the early 19th century. They began opening school libraries across Russia in the beginning of the 19th century. The paper aims to show the formation and development of libraries in educational institutions of Russia in the first half of the 19th century. The research is based on legislative documents regulating the functions of activity of school libraries and archival materials on the Russian history of the 19th century.

The Kitajskaja grammatika (1835) and Bičurin’s ideas on the “mechanism” of Chinese between European and Chinese grammatical traditions

2019 ◽  
Vol 41 (1) ◽  
pp. 57-77
Author(s):  
Anna Di Toro
Keyword(s):  
19Th Century ◽  
Chinese Language ◽  
Early 19Th Century

The main contribution of Bičurin in the field of Chinese language, the Kitajskaja grammatika (1835), is still quite understudied, even though it represents the first grammar of Chinese written in Russian. Through a rapid overview of some of the early grammars of Chinese written by European authors and the analysis of some sections of the book, in which the Russian sinologist expounds the mechanism of Chinese, the paper dwells on the original ideas on this language developed by the Russian sinologist, inspired both by European and Chinese grammatical traditions. A particular attention is devoted to Bičurin’s concept of “mental modification”, related to the linguistic ideas discussed in Europe in the early 19th century.

CAPRICCIOʼS GENRE IN MANDOLIN MUSIC AT THE END OF THE 19th – THE EARLY OF THE 20th CENTURIES (for example of the concert pieces by С. Munier)

2019 ◽  
pp. 60-71
Author(s):  
N. V. Bashmakova ◽  
K. V. Kravchenko
Keyword(s):  
19Th Century ◽  
Analytical Methods ◽  
17Th Century ◽  
Point Of View ◽  
Historical Approach ◽  
The Creation ◽  
Characteristic Features ◽  
Concert Works ◽  
In The Beginning ◽  
The 19Th Century

The purpose of this article is process of analyzing in reference to concert capriccio by C. Munier for mandolin with piano («Bizzarria», op. 201, Spanish сapriccio, op. 276) from the point of view of their genre specificity. Methodology. The research is based on the historical approach, which determines the specifics of the genre of Capriccio in the music of the late 19th and early 20th centuries and in the work of C. Munier; the computational and analytical methods used to identify the peculiarities of the formulation and the performing interpretation of the original concert pianos for mandolins with piano that, according to the genre orientation (according to the composerʼs remarks), are defined as capriccio. Scientific novelty. The creation of Florentine composer,61mandolinist-vertuoso and pedagog C. Munier, which made about 300 compositions, is exponential for represented scientific vector. Concert works by C. Munier for mandolin and piano, created in the capriccio genre, were not yet considered in the art of the outdoors, as the creativity and composer’s style of the famous mandolinist. Conclusions. Thus, appealing to capriccio by С. Munier, which created only two works, embodied in them virtually all the evolutionary stages of the development of genre. In his opus of this genre there are a vocal, inherent in capriccio of the 17th century solo presentation, virtuosity, originality, which were embodied in the works of 17th – 18th centuries and the national color of the 19th century is clearly expressed. Thus, the Spanish capriccio is a kind of «musical encyclopedia» of national dance, which features are characteristic features of bolero, tarantella, habanera, and so forth. The originality of opus number 201 – «Bizzarria», is embodied in the parameters of shaping (expanded cadence of the soloist in the beginning) and emphasized virtuosity, which is realized in a wide register range, a variety of technical elements.

Reasons for the Onset of the Uniat Clergy’s Movement Towards Orthodoxy in the Russian Empire in the Beginning of the 19th Century

2020 ◽  
Vol 58 ◽  
pp. 293-317
Author(s):  
Protopriest Alexander Romanchuk
Keyword(s):  
19Th Century ◽  
Government Policy ◽  
Catholic Church ◽  
Russian Empire ◽  
Latin Church ◽  
The Government ◽  
The Russian Empire ◽  
In The Beginning ◽  
Church Service ◽  
The 19Th Century

The article studies the system of pre-conditions that caused the onset of the uniat clergy’s movement towards Orthodoxy in the Russian Empire in the beginning of the 19th century. The author comes to the conclusion that the tendency of the uniat clergy going back to Orthodoxy was the result of certain historic conditions, such as: 1) constant changes in the government policy during the reign of Emperor Pavel I and Emperor Alexander I; 2) increasing latinization of the uniat church service after 1797 and Latin proselytism that were the result of the distrust of the uniats on the part of Roman curia and representatives of Polish Catholic Church of Latin church service; 3) ecclesiastical contradictions made at the Brest Church Union conclusion; 4) division of the uniat clergy into discordant groups and the increase of their opposition to each other on the issue of latinization in the first decades of the 19th century. The combination of those conditions was a unique phenomenon that never repeated itself anywhere.

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