[On the problem of disease duration and invalidity in multiple sclerosis].
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Biomedical subjects
Publications and source records attributed to H R Müller.
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A large gap is existing between the system of medical services and the "consumer". It is necessary to reinforce preventive attitudes and behavior should prepare the fundamental concepts. A research design is presented.
Preliminary data of inquiry on illness behavior are presented. 94% of the subjects (N =472 people working in administrative and industrial firms) reported at least one symptom within 1 month. Their consecutive activities are described.
The influence of a changing environment on the well being of children has been examined by applying the HOS of Leighton. There is no general connection between "Changing Environment" and "Stress Score". But children who are not underprivileged socioeconomically show a higher Stress Score in a region with faster change.
Programme and course of the Basle Kindergarten Study are presented. This study has to describe and analyse the somatic and psychosocial development of children of foreign workers, of people from other swiss cantons and of locals to get ideas referred to prevention.
Some results of a study done in 1975/76 in Basle are presented (N=422 people working in administrative and industrial firms). Generally medicine takers are to be found in a high percentage already in the group with little symptoms. On the other side many of those reporting a high number of symptoms do not consult a physician. The number of symptoms reported is higher with progressive age, women and lower socio-economic status. Nevertheless we do not find an increase of consultations with a physician in the same direction.
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Case histories are reported of seven patients in whom the diagnosis of cerebellar (four) or pontine hemorrhage (three) was made by computerized axial tomography (CT). In all of the patients except two the diagnosis, established on the basis of a space-occupying high absorption lesion, was proved by either operation or autopical for an intracerebral hematoma, i.e., the high absorption zone was transformed into an area of reduced density. It is concluded that CT is a highly reliable method for the diagnosis and location of posterior fossa hematomas. A CT syndrome, observed in four of the seven cases, is described consisting of a hydrocephalus with the tips of the posterior horns being filled with blood. This seems to be specific for a posterior fossa hematoma having penetrated into the fourth ventricle.
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