Biomedical subjects

B Höft

Publications and source records attributed to B Höft.

3 recordsLinked to original sources

PubMed1992

[Morphological brain changes in senile depressions. A morphometric computed tomographic study].

The inner and outer cerebrovascular spaces visualized by CT were measured planimetrically in 34 patients (6 men, 28 women; mean age 70.7 years) with senile depression. The purpose was to ascertain whether computed tomography (CT) can detect morphological changes in the brain of patients with senile depression. Compared with a control group without evidence of neurological and psychiatric abnormalities (10 men; 33 women; mean age 70.8 years), there was an enlargement in the group with senile depression of the lateral ventricles (P less than 0.05), occipital sulci (P less than 0.05) and lateral sulci (P less than 0.01). There was no correlation with the duration of illness or the stage of depression. These findings point to the cerebral structural changes having already been present previously and argue against a progressive process of atrophy. In the case of senile psychiatric changes, cerebral morphological changes should be paid more attention, in addition to any results from research into psychosocial causes.

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PubMed1991

Is progression in postencephalitic Parkinson's disease late and age-related?

Follow-up data are presented of ten patients with autopsy-proven postencephalitic Parkinson's syndrome (PEP) (mean age at death: 56.0 years) with regard to motor and psychic deterioration over a period of institutional observation between 3 and 30 years. Four patients showed deterioration of their Hoehn-Yahr score of at least one grade. These patients did not differ statistically with respect to age of occurrence of lethargic encephalitis, interval to PEP, age at start of PEP, duration of survival with PEP, and age at death. Motor deterioration in these patients seems to be attributed more to inherent disease progression, rather than to an age-related process. Clinical and pathological evidence for this conclusion is presented.

Adult↗

PubMedDate not supplied

[Guidelines for integrated management of demented patients in nursing homes for the elderly].

Currently, 30% and above of residents of geriatric care centers are suffering from dementia, most of them in an advanced stage of disease. In 1987, the "Landschaftsverband Rheinland" introduced the so-called "Zuschlagsverfahren" (i.e., additional nursing fees) to promote an integrative care concept for demented people in these institutions. This procedure includes expert rating of the residents, "screening" of the quality of care and teaching of the institutional staff in the field of gerontopsychiatry. The introduced guidelines for integrated care of demented residents of geriatric care centers emerged from practical work in and for such institutions. The guidelines emphasize the inmate-oriented care and housing concept, focusing on the individual biography and on qualified personnel management. An organizational structure is needed that supports the revised care and housing concept.

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