[Pain syndromes: the situation in general practice].
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Biomedical subjects
Publications and source records attributed to H H Wieck.
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1 The results so far published in the literature, together with our own results, show that in clobazam (Frisium) we have a daytime tranquilizer which is comparable to the newest benzodiazepine derivatives. 2 It is particularly indicated in disorders of the sleeping-waking rhythm, and sometimes also in psychovegetative disorders associated with epilepsy. 3. Its tranquillizing profile of action, the low incidence of side-effects and the absence of interactions with other drugs mean that its applications are varied, not only in neuropsychiatry but also in other medical disciplines. 4 The fact that therapeutic doses do not seem to impair driving ability to render patients incapable of carrying on their profession, means that it is suitable for the treatment of outpatients.
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Function psychosis is the most frequently observed response of the brain to disturbances in general practice and in hospital. A complete test system is presented for measuring grades of severity of function psychoses. It is possible to trace the course of the function psychosis in a curve similar to pulse and temperature curves.
The treatment of Parkinson's syndrome with newly developed drugs has to be planned within the entire therapeutic concept. Besides the anticholinergics, levodopa, amantadines and beta-blockers should be taken into consideration. When necessary, hypnotics, ataractics and antidepressant drugs should be applied.
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The study of the relationship between gastroenterologic diseases and/or symptoms and mental factors still presents serious problems both to internal medicine and to neuropsychiatry. According to recent findings, the influence of psychological factors is not essential in the etiology and pathogenesis. However, it seems to play an important role on the levels of syndrome formation and of the situational interaction system. Diagnostic and therapeutic consequences are discussed, with special emphasis on the diagnostic problem of patients with endogenous depression who complain mainly of gastroenterologic symptoms.
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