[Unemployment and admission to a psychiatric department].
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Biomedical subjects
Publications and source records attributed to K Fruensgaard.
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A study was carried out of 30 consecutive patients with withdrawal psychosis who in the period 1972 to 1975 were admitted to a psychiatric department or were attended by the department while hospitalized in a somatic department. There was a clear majority of women among cases of psychosis following drug withdrawal (15 as against four) and a clear majority of men among cases of psychosis following alcohol withdrawal (nine as against two). Competing pathogenetic factors could be considered present in most cases in the last mentioned group. In most cases the abrupt cessation took place in conjunction with admission to hospital, most frequently surgical cases or cases of acute drug toxication. In other cases abrupt cessation was decided upon by the patient himself. Frequently predelirium treatment was either omitted or was given in the form of neuroleptics. Approximately a quarter of the patients initially denied their abuse. The study indicates that withdrawal psychosis can make its debut or become manifest at so late a stage as about the 14th day of the withdrawal phase following use of benzodiazepines and d-propoxiphene. It is further indicated that abrupt cessation of benzodiazepines taken in "therapeutic" doses for several years in some instances can give rise to a withdrawal psychosis.
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Reported is the continuation of follow-up investigations of certain physiologic functions in former physical education students. The first follow-up study was conducted about 30 years after the initial measurements. The present follow-up study concerned a re-investigation of the same group (23 men and 11 women), 10 years later, i.e., about 40 years after the first examination. Resting values for heart rate, blood pressure and metabolism were determined, as well as values for lung volume, hand-grip strength, and reaction time. During moderately hard exercise, measurements were made of oxygen uptake, ventilatory equivalents, and heart rate. By extrapolation of these heart-rate determinations to "maximal heart rate," the maximal oxygen uptake was estimated and expressed as L times min-1 and as ml x min-1 and as ml times kg-1 x min-1. The data show a general deterioration in practically all the physiologic functions studied, most pronounced during the last 10 years of the 40-year period.
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