<?xml version="1.0" encoding="ISO-8859-1"?><cms:container xmlns:cms="http://edoc.hu-berlin.de/diml/module/cms"><cms:document><cms:meta><cms:entry id="front" part="front" ref="front" type="front"/><cms:entry type="title">Die Aussagekraft der Umfelddiagnostik bezüglich der  sekundären Prävention beim Hörsturz Eine retrospektive Studie</cms:entry><cms:entry type="author">Halil Ibrahim </cms:entry><cms:entry id="N10035" part="front" ref="N10035" type="pagenumber">2</cms:entry><cms:entry id="N1004E" part="front" ref="N1004E" type="pagenumber">3</cms:entry><cms:entry ref="chapter1" type="chapter">1</cms:entry><cms:entry ref="N10084" type="pagenumber">6</cms:entry><cms:entry id="chapter2" part="chapter2" ref="chapter2" type="chapter">2</cms:entry><cms:entry id="N100A6" part="chapter2" ref="N100A6" type="pagenumber">7</cms:entry><cms:entry id="N100AB" part="chapter2" ref="N100AB" type="section">2.1</cms:entry><cms:entry id="N100EB" part="chapter2" ref="N100EB" type="section">2.2</cms:entry><cms:entry id="N100EF" part="chapter2" ref="N100EF" type="pagenumber">8</cms:entry><cms:entry id="N10113" part="chapter2" ref="N10113" type="section">2.3</cms:entry><cms:entry id="N10147" part="chapter2" ref="N10147" type="pagenumber">9</cms:entry><cms:entry id="N10184" part="chapter2" ref="N10184" type="pagenumber">10</cms:entry><cms:entry id="N101CB" part="chapter2" ref="N101CB" type="pagenumber">11</cms:entry><cms:entry id="N1020D" part="chapter2" ref="N1020D" type="section">2.4</cms:entry><cms:entry id="N10211" part="chapter2" ref="N10211" type="pagenumber">12</cms:entry><cms:entry id="N1022A" part="chapter2" ref="N1022A" type="table"/><cms:entry id="_987760390" part="chapter2" ref="_987760390" type="link"/><cms:entry id="_987760532" part="chapter2" ref="_987760532" type="link"/><cms:entry id="_988104630" part="chapter2" ref="_988104630" type="link"/><cms:entry id="N1025A" part="chapter2" ref="N1025A" type="mm">338#246</cms:entry><cms:entry id="N1026F" part="chapter2" ref="N1026F" type="section">2.5</cms:entry><cms:entry id="N10273" part="chapter2" ref="N10273" type="pagenumber">13</cms:entry><cms:entry id="N1029D" part="chapter2" ref="N1029D" type="section">2.6</cms:entry><cms:entry id="N102C7" part="chapter2" ref="N102C7" type="pagenumber">14</cms:entry><cms:entry id="N102F7" part="chapter2" ref="N102F7" type="pagenumber">15</cms:entry><cms:entry id="N10315" part="chapter2" ref="N10315" type="pagenumber">16</cms:entry><cms:entry id="N10319" part="chapter2" ref="N10319" type="mm">610#681</cms:entry><cms:entry id="N1032C" part="chapter2" ref="N1032C" type="section">2.7</cms:entry><cms:entry id="N10330" part="chapter2" ref="N10330" type="pagenumber">17</cms:entry><cms:entry id="N1036C" part="chapter2" ref="N1036C" type="section">2.8</cms:entry><cms:entry id="N10370" part="chapter2" ref="N10370" type="pagenumber">18</cms:entry><cms:entry id="N10383" part="chapter2" ref="N10383" type="table"/><cms:entry id="N103AA" part="chapter2" ref="N103AA" type="mm">627#323</cms:entry><cms:entry id="N103B9" part="chapter2" ref="N103B9" type="section">2.9</cms:entry><cms:entry id="N103BD" part="chapter2" ref="N103BD" type="pagenumber">19</cms:entry><cms:entry id="N103FB" part="chapter2" ref="N103FB" type="pagenumber">20</cms:entry><cms:entry id="N10402" part="chapter2" ref="N10402" type="table"/><cms:entry id="N104DF" part="chapter2" ref="N104DF" type="pagenumber">21</cms:entry><cms:entry id="N104E6" part="chapter2" ref="N104E6" type="table"/><cms:entry id="N109CD" part="chapter2" ref="N109CD" type="pagenumber">22</cms:entry><cms:entry id="chapter3" part="chapter3" ref="chapter3" type="chapter">3</cms:entry><cms:entry id="N10A14" part="chapter3" ref="N10A14" type="pagenumber">23</cms:entry><cms:entry id="N10A19" part="chapter3" ref="N10A19" type="section">3.1</cms:entry><cms:entry id="N10A2F" part="chapter3" ref="N10A2F" type="mm">545#327</cms:entry><cms:entry id="N10A43" part="chapter3" ref="N10A43" type="pagenumber">24</cms:entry><cms:entry id="N10A4D" part="chapter3" ref="N10A4D" type="table"/><cms:entry id="N10B52" part="chapter3" ref="N10B52" type="mm">547#358</cms:entry><cms:entry id="N10B65" part="chapter3" ref="N10B65" type="section">3.2</cms:entry><cms:entry id="N10B69" part="chapter3" ref="N10B69" type="pagenumber">25</cms:entry><cms:entry id="N10B70" part="chapter3" ref="N10B70" type="mm">614#556</cms:entry><cms:entry id="N10B7F" part="chapter3" ref="N10B7F" type="subsection">3.2.1</cms:entry><cms:entry id="N10B83" part="chapter3" ref="N10B83" type="pagenumber">26</cms:entry><cms:entry id="N10B8D" part="chapter3" ref="N10B8D" type="table"/><cms:entry id="N10BD0" part="chapter3" ref="N10BD0" type="table"/><cms:entry id="N10C0A" part="chapter3" ref="N10C0A" type="table"/><cms:entry id="N10C44" part="chapter3" ref="N10C44" type="table"/><cms:entry id="N10C7E" part="chapter3" ref="N10C7E" type="table"/><cms:entry id="N10CB8" part="chapter3" ref="N10CB8" type="table"/><cms:entry id="N10CF5" part="chapter3" ref="N10CF5" type="pagenumber">27</cms:entry><cms:entry id="N10D05" part="chapter3" ref="N10D05" type="table"/><cms:entry id="N10D3F" part="chapter3" ref="N10D3F" type="section">3.3</cms:entry><cms:entry id="N10D60" part="chapter3" ref="N10D60" type="pagenumber">28</cms:entry><cms:entry id="N10D6C" part="chapter3" ref="N10D6C" type="table"/><cms:entry id="N10DA4" part="chapter3" ref="N10DA4" type="subsection">3.3.1</cms:entry><cms:entry id="N10DD8" part="chapter3" ref="N10DD8" type="pagenumber">29</cms:entry><cms:entry id="chapter4" part="chapter4" ref="chapter4" type="chapter">4</cms:entry><cms:entry id="N10E31" part="chapter4" ref="N10E31" type="pagenumber">30</cms:entry><cms:entry id="N10E36" part="chapter4" ref="N10E36" type="section">4.1</cms:entry><cms:entry id="N10E3B" part="chapter4" ref="N10E3B" type="subsection">4.1.1</cms:entry><cms:entry id="N10E50" part="chapter4" ref="N10E50" type="mm">604#285</cms:entry><cms:entry id="N10E63" part="chapter4" ref="N10E63" type="subsection">4.1.2</cms:entry><cms:entry id="N10E67" part="chapter4" ref="N10E67" type="pagenumber">31</cms:entry><cms:entry id="N10EA7" part="chapter4" ref="N10EA7" type="pagenumber">32</cms:entry><cms:entry id="N10EB4" part="chapter4" ref="N10EB4" type="table"/><cms:entry id="N10FE4" part="chapter4" ref="N10FE4" type="pagenumber">33</cms:entry><cms:entry id="N10FEE" part="chapter4" ref="N10FEE" type="mm">605#387</cms:entry><cms:entry id="N11008" part="chapter4" ref="N11008" type="pagenumber">34</cms:entry><cms:entry id="N1100C" part="chapter4" ref="N1100C" type="mm">604#362</cms:entry><cms:entry id="N11022" part="chapter4" ref="N11022" type="subsection">4.1.3</cms:entry><cms:entry id="N1102B" part="chapter4" ref="N1102B" type="subsection">4.1.4</cms:entry><cms:entry id="N11037" part="chapter4" ref="N11037" type="subsection">4.1.5</cms:entry><cms:entry id="N1103B" part="chapter4" ref="N1103B" type="pagenumber">35</cms:entry><cms:entry id="N1104E" part="chapter4" ref="N1104E" type="table"/><cms:entry id="N1111A" part="chapter4" ref="N1111A" type="subsection">4.1.6</cms:entry><cms:entry id="N1112C" part="chapter4" ref="N1112C" type="subsection">4.1.7</cms:entry><cms:entry id="N11130" part="chapter4" ref="N11130" type="pagenumber">36</cms:entry><cms:entry id="N1113C" part="chapter4" ref="N1113C" type="subsection">4.1.8</cms:entry><cms:entry id="N1117F" part="chapter4" ref="N1117F" type="pagenumber">37</cms:entry><cms:entry id="N111CB" part="chapter4" ref="N111CB" type="pagenumber">38</cms:entry><cms:entry id="N111D2" part="chapter4" ref="N111D2" type="table"/><cms:entry id="N1132B" part="chapter4" ref="N1132B" type="table"/><cms:entry id="N113EB" part="chapter4" ref="N113EB" type="pagenumber">39</cms:entry><cms:entry id="N113FC" part="chapter4" ref="N113FC" type="section">4.2</cms:entry><cms:entry id="N1141A" part="chapter4" ref="N1141A" type="pagenumber">40</cms:entry><cms:entry id="N11457" part="chapter4" ref="N11457" type="pagenumber">41</cms:entry><cms:entry id="N1145E" part="chapter4" ref="N1145E" type="mm">604#388</cms:entry><cms:entry id="N1147E" part="chapter4" ref="N1147E" type="pagenumber">42</cms:entry><cms:entry id="N11485" part="chapter4" ref="N11485" type="mm">604#249</cms:entry><cms:entry id="N1149D" part="chapter4" ref="N1149D" type="section">4.3</cms:entry><cms:entry id="N114A9" part="chapter4" ref="N114A9" type="section">4.4</cms:entry><cms:entry id="N114B9" part="chapter4" ref="N114B9" type="pagenumber">43</cms:entry><cms:entry id="N114EA" part="chapter4" ref="N114EA" type="table"/><cms:entry id="N11599" part="chapter4" ref="N11599" type="section">4.5</cms:entry><cms:entry id="N115BF" part="chapter4" ref="N115BF" type="pagenumber">44</cms:entry><cms:entry id="N115D8" part="chapter4" ref="N115D8" type="mm">509#250</cms:entry><cms:entry id="N115EC" part="chapter4" ref="N115EC" type="pagenumber">45</cms:entry><cms:entry id="chapter5" part="chapter5" ref="chapter5" type="chapter">5</cms:entry><cms:entry id="N11605" part="chapter5" ref="N11605" type="pagenumber">46</cms:entry><cms:entry id="N1161B" part="chapter5" ref="N1161B" type="pagenumber">47</cms:entry><cms:entry id="N1163C" part="chapter5" ref="N1163C" type="pagenumber">48</cms:entry><cms:entry id="N1165C" part="chapter5" ref="N1165C" type="pagenumber">49</cms:entry><cms:entry id="N11666" part="chapter5" ref="N11666" type="mm">604#350</cms:entry><cms:entry id="N11686" part="chapter5" ref="N11686" type="pagenumber">50</cms:entry><cms:entry id="N116B1" part="chapter5" ref="N116B1" type="pagenumber">51</cms:entry><cms:entry id="N116E1" part="chapter5" ref="N116E1" type="pagenumber">52</cms:entry><cms:entry id="N1170C" part="chapter5" ref="N1170C" type="pagenumber">53</cms:entry><cms:entry id="N11733" part="chapter5" ref="N11733" type="pagenumber">54</cms:entry><cms:entry id="N11758" part="chapter5" ref="N11758" type="pagenumber">55</cms:entry><cms:entry id="N1179E" part="chapter5" ref="N1179E" type="pagenumber">56</cms:entry><cms:entry id="chapter6" part="chapter6" ref="chapter6" type="chapter">6</cms:entry><cms:entry id="N117B4" part="chapter6" ref="N117B4" type="pagenumber">57</cms:entry><cms:entry ref="N117CD" type="back"/><cms:entry id="N117CF" part="N117CF" ref="N117CF" type="bibliography">
				Literatur:</cms:entry><cms:entry id="N117D3" part="N117CF" ref="N117D3" type="pagenumber">58</cms:entry><cms:entry id="N118DA" part="N117CF" ref="N118DA" type="pagenumber">59</cms:entry><cms:entry id="N11A02" part="N117CF" ref="N11A02" type="pagenumber">60</cms:entry><cms:entry id="N11B24" part="N117CF" ref="N11B24" type="pagenumber">61</cms:entry><cms:entry id="N11C39" part="N117CF" ref="N11C39" type="pagenumber">62</cms:entry><cms:entry id="N11D3B" part="N117CF" ref="N11D3B" type="pagenumber">63</cms:entry><cms:entry id="N11E3D" part="N117CF" ref="N11E3D" type="pagenumber">64</cms:entry><cms:entry id="N11EE7" part="N11EE7" ref="N11EE7" type="vita">
				Lebenslauf:</cms:entry><cms:entry id="N11EEB" part="N11EE7" ref="N11EEB" type="pagenumber">65</cms:entry><cms:entry id="N11EF2" part="N11EE7" ref="N11EF2" type="table"/><cms:entry id="N12141" part="N12141" ref="N12141" type="declaration">
				Erklärung</cms:entry><cms:entry id="N12145" part="N12141" ref="N12145" type="pagenumber">66</cms:entry><cms:entry part="chapter1" type=":current"/><cms:entry type=":lang">de</cms:entry><cms:entry id=":contents" part="front" ref=":contents" type=":contents">Inhaltsverzeichnis</cms:entry><cms:entry type=":help"><url href="http://...">Hilfe</url></cms:entry></cms:meta><cms:content><chapter id="chapter1" label="1">
			<head>
				<pagenumber id="N10084" label="6" numbering="arabic" start="6"/>Problemstellung </head>
			<p>Bei der Verdachtsdiagnose " Hörsturz " werden verschiedene Untersuchungen durchgeführt, um eine plötzliche Ertaubung anderer Genese auszuschließen. Weiterhin werden orthopädische, internistische und neurologische Konsile zur Früherkennung von Krankheiten in diesen Fachgebieten angefordert. Man geht von der Annahme aus, dass Störungen im Innenohr durch Veränderungen der Halswirbelsäule oder des Kardiovaskulären- und Zentralnervensystems hervorgerufen werden können. </p>
			<p>Diese müssen einen anatomischen oder physiologischen Zusammenhang zum Ohr haben. Eine sekundäre Prävention wird betrieben.</p>
			<p>Die sekundäre Prävention, Krankheitsfrüherkennung, geht davon aus, dass Frühsymptome erkennbar sind und dass durch eine Intervention das Krankheitsgeschehen positiv beeinflußt werden kann. Sie geht von der Existenz von Risikofaktoren und der Erkennbarkeit von Frühformen von Erkrankungen aus.</p>
			<p>Fragestellung : </p>
			<p>Welche Aussagekraft hat die <strong>Umfelddiagnostik</strong> bezüglich der <strong>sekundären Prävention</strong> beim <strong>Hörsturz</strong>?</p>
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