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Biomedical subjects

G S Barolin

Publications and source records attributed to G S Barolin.

At least 127 records · Page 7Linked to original sources
PubMed1977

[Drug therapy for headache: (author's transl)].

The absence of essentially new principles among the substances which have recently made their appearance on the market for the treatment of headache is conspicuous. We have learned, however, to take a holistic view of the complex problem of headache and to combine medication with all other therapeutic measures in a logical way and also to use medicines for their relevant indications and to use them together. We have been able to handle even "problem cases" with a history of many different therapeutic attempts. The rate of satisfactory therapeutic success over a longer time amounted to two thirds of these cases.

Analgesics↗
PubMed1976

[Cortisone in non-hemorrhagic stroke. An anterospective comparative study (author's transl)].

In an open, randomized anterospective, comparative study on encephalomalacias it was shown that with regard to the parameter of rehabilitation progress in the degree of paralysis, the patients treated with cortisone had a significantly better performance at the 5% level. The main point of attack of cortisone appears to be in the early phase of the insult (first 5 days). It seems unlikely that edema control is the only active principle. More probably this is an additional effect on cell metabolism. From these results it seems logical to continue to follow up the acute treatment of cerebral insult with cortisone and search for an optimal dosage and better confirmation.

Aged↗
PubMed1976

[Concomitant depressions in non-psychiatric diseases. Identification and therapy of depressive components].

We introduce the new term "concomitant depression" and define it purely phenomenologically as the simultaneous appearance of a depressive mood and physical disease. Its place within the framework of previously current nomenclatures and classification according to causal principles are discussed. Neurology and internal medicine in particular are greatly confronted with the problem of concomitant depression. The main fields are the cerebral insult, radicular pain syndromes and internal medical conditions which tend to chroncity. The proportion of depressive component amounts to 1/5 to 1/3 of the total number of patients. By means of an anterospectively programmed medical record, we were able to evaluate the concomitant depression quantitatively. Suggestions for rational pharmacotherapy are given.

Adult↗
PubMed1976

[Interaction of phsychologic and somatic factors in headache (author's transl)].

It appears that a uniform "psychosomatic headache" does not exist. This is due to 1. the variety of phenomenology, 2. the variety of causes and 3. the variety of results in the psychodiagnostic and psychotherapeutic field. Analysis of the factors active in headache was attempted in a field study and on the basis of a systematic survey of many years of clinical experience. Within the framework of the concept of multifactorial causation of headaches we found 3 particularly important factors: vasolability, depression and the cervical spine. From the psychodynamic situation disturbing factors appear to be able to produce or maintain headache in this way. Physical examination by itself without taking psychodynamics into account will have to be called just as incomplete as an approach based exclusively on depth psychology alone. The questions on endogeneicity versus exogenicity have to be thought about both from points of phenomenology and individual analysis of the psychodynamic background of every patient, as part of a complex concept of treatment. Headache as an early sign of schizophrenia is rare but should not be forgotten. Among the many factors causing headache it is by no means always clear what is cause and what effect. Often there appears to be interaction which continues in the end autonomously or increases. It has been described on the example of the painspiral in the region of the cervical spine. For diagnosis we try to determine the various pathogenic factors via an anterospective program of examination. This will serve as the basis for our "targetted polypragmasia" i.e. we attempt to influence at one and the same time many of the factors which have been recognized as pathogenic. Drugtherapy apart we favor somatic vegetative stimulation. The results of our field study (strong preponderance of headaches among the non-manual professions together with clinical experience) support our view that in this way we enter an etiologically highly effective circuit. The effectiveness of phsychotherapy lies for the greater number of headache-patients within the zone of initial clearance, less in the direct action on the syndrome of pain. As main therapy psychotherapy has proved effective only in individual cases of predominantly psychogenic headache. We could also discuss the role of neuroleptic sleep cures which soothe psychologically and act also biochemically. No short-cuts and no sound simple prescriptions for the treatment of headache could be given. But the author hopes to have contributed to understanding of a complex field which may result in multi-layered but also clearly defined factors and their more effective therapy.

Headache↗
PubMed1975

[Review of the Austrian field study on headache (author's transl)].

In our field study on headache we made use of individual medical interviews and of an anterospectively programmed inventory designed for computer analysis. With regard to this aspect our investigation is the first of its kind in literature. We could find some new aspects concerning etiology and therapy of headache, among others the importance of the factor "unstable hypotension" in a general state of vascular lability, and of the factor of manual labour as a prophylactic aid against headache. Furthermore, evidence concerning the general incidence and the varying morbidity in different professional and social groups could be collected.

Adult↗
PubMed1975

[Our programmed headache medical record. Contribution to the systematic registration and processing of a larger amount of headache patients using the computer].

We present a detailed anterospective inventory on headache which has been developed systematically with several alterations in the course of the experience of several years. It offers the possibility of an almost complete collection of data which can be fed directly into a computer and it appears to be a valuable aid in the training of new co-workers. Some clinical results are discussed on the basis of the inventory.

Austria↗