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Biomedical subjects

H Elgeti

Publications and source records attributed to H Elgeti.

15 recordsLinked to original sources
PubMed2006

[Quality management in sociopsychiatric service: the use of routine data in efficiency control and care planning].

Caring for psychiatric patients, Social Psychiatric Services (SpDi) carry out advising and therapeutic tasks and give medical opinions. They also participate in the management of the community psychiatric care system. The services differ widely in giving priorities to these tasks. In Germany there are no standards concerning quality and quantity of individual help being offered by SpDis. Evaluation of this individual client related help is essential for quality management. Besides rates, which partly describe the utilisation of the service, such parameters are of interest that hint at the psycho-social risk. Furthermore, figures indicating continuity or discontinuity of help are of importance. The statistics of the documentation in 1999 and 2000 of the SpDi Wolfsburg serve as an example for such an evaluation.

Adolescent↗
PubMed2004

[Assessing the planning of support programmes].

This paper describes the procedures in planning support programmes for persons with long term psychiatric disabilities in the Region of Hannover (1.15 mill. inhabitants) and presents some results of a research project concerning process quality of all 570 planning procedures, which took place in the year 2001. The study covers the evaluation of the type and extent of recommended support programmes in the different catchment areas of this region in relation to the psycho-social risk of the patients. Following the presentation of the results deductions for the implementation of a systematic quality development process in community psychiatry are discussed.

Case Management↗
PubMed1990

[Coordination and planning in community psychiatry. 14-year-experience in Hannover between the recommendations of the Psychiatric Inquiry and the Expert Commission (1976-1989)].

Against the background of the model pattern conceived in West Germany in 1975 on the basis of the so-called "Psychiatrie-Enquête" and in 1988 on recommendations made by a committee of experts, the article describes and discusses the history, composition, manner of working, thematic scope and the results of the coordination round table concerning psychiatric care under community council auspices. This model has been realised in Hanover since 1976 as part of the segmentation of psychiatric care according to community districts. The study aims at stimulating suggestions for a general solution regarding coordination- and planning of communal psychiatric care and how to translate these suggestions into reality, both on a scientific basis and with due reference to the realities of the prevailing circumstances. This can help to avoid developments in a wrong direction and also to avoid delays that may arise in solving this core problem of sociopsychiatric reform.

Community Mental Health Services↗
PubMed1983

[Percutaneous transluminal angioplasty of the lower extremities in the elderly].

Results of percutaneous transluminal angioplasty (PTA) for peripheral arterial occlusion were compared between a group of 41 patients aged over 60 years and one of 39 patients under 60 years. In the older patients the proportion of those in a decompensated state was 61%, more than double that in the younger ones. 54% of the older patients were diabetics with a poor peripheral vascular outflow bed; conservative treatment failed in them and surgical intervention was not possible. A primary success rate of PTA was 87% in the older patients, no worse than in the younger ones. Long-term follow up of both groups indicated that PTA in the compensated stage achieved prolongation of pain-free walking distance or absence of symptoms in 74%. Threatened leg amputation could be avoided in 80% of the younger and 60% of the older patients. Limited amputation was performed in 20% of the older patients with decompensated vascular disorders. The most frequent complication of PTA was embolization into the small vessels of the lower leg, in nearly 30% of patients. But only once did this worsen the clinical state, and this was transitory.

Adult↗
PubMed1983

[Suprapapillary instead of transpapillary bile duct drainage in proximal bile duct obstructions].

The transpapillary passage of a catheter for internal biliary drainage may produce complications due to reflux or acute pancreatitis. A review of 573 biliary obstructions due to malignant tumours showed that in half the obstruction lay in the proximal two-thirds of the biliary passages. Fibrous strictures are nearly always in this region. In these patients, suprapapillary instead of transpapillary internal biliary drainage can be used, thereby maintaining the physiological relationship in the papilla. For this purpose we use a specially designed catheter which meets the requirements of suprapapillary internal drainage.

Bile Reflux↗
PubMed1982

[X-ray manifestation of early gastric carcinoma (author's transl)].

Evaluation of x-ray films of 44 early carcinomas of the stomach in a total of 163 patients from 1970--1978 confirms the high diagnostic value of x-ray examination with adequate technique. In 93% of the cases lesions caused by the carcinoma were seen. To assess the severity of the roentgenologically detected lesions it will be necessary to perform endoscopic-bioptical examination. Final diagnosis, however, must be left to histological examination of the resected stomach preparations.

Humans↗
PubMed1981

[Computer tomography (CT) in the choice of treatment and the planning of percutaneous transhepatic biliary drainage in obstructive jaundice due to tumour (author's transl)].

We have performed percutaneous transhepatic biliary drainage on 27 patients; of these, thirteen were examined by CT before and after the procedure. Our experience suggests that CT or sonography is indicated every case of obstruction due to tumour in order to: 1. Decide on treatment by a non-invasive method thereby saving the patient an unnecessary laparotomy and 2. Plan the biliary drainage accurately, leading to the lowest possible number of complications.

Aged↗
PubMed1980

[Visualization of aorto-coronary bypass grafts with the aid of non-dynamic computer tomography].

To evaluate computer tomography (CT) for assessment of aorto-coronary bypass graft patency, 45 patients with 85 grafts were studied by non-dynamic CT before and after intravenous bolus injection of 50 ml contrast material. 28 patients had undergone postoperative coronary angiography (37 grafts patent, 11 occluded), while 17 (37 grafts) were studied in the early postoperative period without angiographic confirmation. 60 of 74 grafts (81.1%) which were angiographically patent or not checked by postoperative angiography could be visualized by CT. In patients in whom graft patency was documented by angiography, 32 of 37 grafts (86.5%) were identified correctly, including all 18 grafts (100%) to the left anterior descending branch (LAD). With the exception of one LAD graft which was judged differently by the two evaluators, none of the 11 definitely occluded grafts could be visualized by CT. The results suggest that non-dynamic CT allows correct identification of patent aorto-coronary bypass grafts in a high percentage of cases. So far, however, the method does not allow any deduction as to the functional status of the grafts.

Coronary Angiography↗
PubMed1980

[Determination of the antetorsional angle at the femur with axial computer tomography].

The antetorsional angle was determined in several patients as well as in an isolated femoral bone by means of computer tomography. A comparison with Rippsteins method shows good correlation, taking different definitions of the antetorsional angle into consideration. Due to a mathematical correction method, the CT determination method is independent of the positioning of the patient.

Adult↗
PubMed1979

[The chest roentgenogram during artificial respiration (author's transl)].

Chest roentgenography of artificially ventilated persons not only reveals morphological changes in the lungs but may also provide information regarding their pathogenesis and prognosis. To safeguard against misinterpretation of the findings they should be supplemented by blood gas analyses and function tests (e.g. effective compliance of the respiratory system). The chest roentgenogram also apprises of the development, and consequently of the need for treatment, of such complications as interstital emphysema, pneumothorax, pneumomediastinum, pneumoperitoneum and subcutaneous emphysema.

Humans↗
PubMed1976

Postnatal growth of the dorsal lateral geniculate nucleus of the cat.

The postnatal growth of the dorsal part of the lateral geniculate nucleus (LGNd) is studied in paraffin sections through the brains of 32 cats of known age. The changes in shape and position of the LGNd are described and it is shown that its volume increases from about 3.4 mm3 at birth to about 26.4 mm3 in the adult cat. When this value is corrected for shrinkage, the volume of the LGNd in the adult cat turns out to be about 44 mm3. The detailed measurements reveal that during the second and third week of postnatal life there is a particularly steep increase in volume and that the final values are already reached at around the 40th day. Concomitant with the increase in volume there is a decrease of the number of cells per unit volume of grey matter. In the binocular segment of lamina A the number of cells decreases from about 470 per (0.1 mm)3 at birth to between 95 and 130 per (0.1 mm)3 in the adult cat. Separate measurements of nerve cells and neuroglial cells indicate that the absolute number of nerve cells remains fairly constant during postnatal life, whereas between the second and sixth week a great number of neuroglial cells are newly formed.

Age Factors↗