A piece of my mind. No better or wiser, just braver and sicker.
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Brain Neoplasms↗
Biomedical subjects
N Herrmann
Publications and source records attributed to N Herrmann.
Intensive early exposure to geriatric psychiatry in residency training: impact on career choice and practice.
The authors examined the impact of intensive early exposure to geriatric psychiatry on the career choice of trainees. All psychiatrists who had completed a six month inpatient rotation on a general hospital psychogeriatric unit as part of their first year of residency were interviewed three to 12 years later with a questionnaire designed to elicit practice patterns, prior interest in geriatrics, and the major influences of the rotation. Nine of 16 trainees had spent more than 50% of their time since graduation treating elderly patients. Those surveyed who were not practicing geriatrics spontaneously reported positive influences of the rotation on psychiatry training in general. The nature of geriatric psychiatry and the clinical issues, as well as the supervisors and educational activities were rated as the most important influences of the rotation. Early experience in psychogeriatrics seems valuable for subspecialty recruitment as well as general psychiatry training.
Attitude of Health Personnel↗
Behavioural disturbances in the demented elderly: phenomenology, pharmacotherapy and behavioural management.
Behavioural disturbances in the demented elderly cause a significant amount of distress both to the patients and their caregivers. This article first summarizes the phenomenology associated with these disturbances. It then deals with the pharmacological methods of reducing these disturbances. Finally, it deals with some of the more recent advances in combining the insights of behavioural modification with those of neuropsychology in finding non pharmacological methods of reducing problematic behaviours. It is stressed that a combination of the two approaches is most likely to be required, and most likely to be successful, in the individual case.
Aged↗
Precision of estimating the time since death by vitreous potassium--comparison of two different equations.
The precision of death time estimation by vitreous potassium using two different formulas [1-3] is compared on an independent random sample of 100 cases. The very flat slope in Sturner's equation is the reason for a systematic overestimation of the time since death with much wider 95%-limits of confidence compared to the results using an own equation with a steeper slope of vitreous potassium.
Forensic Medicine↗
Electroconvulsive therapy for a depressed patient with global aphasia.
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Aphasia↗
Assessing the validity of EMS data.
Variation in the assessment of basic clinical data gathered by emergency medical technicians and emergency department nurses was studied. Prior to testing, precise definitions, categories and procedures were developed and tolerance limits for the quantitative variables were created. Each participant evaluated four consecutive patients simultaneously with another evaluator setting the standard. The results indicate that the error rate is low to moderate for the different variables. For the quantitative variables, the error rate is over 20% and, when an error does occur, it is often very large. This indicates a need for ongoing emphasis on accurate measurement and, in cases where highly accurate data is essential, the use of multiple observers.
Data Collection↗
The effect of age of onset on depression in the elderly.
In an attempt to examine the effects of age and age of onset on depressive illness, the records of 55 psychiatric inpatients with an average age of 77 years were reviewed. There was no correlation between age and presence of psychosis, severe cognitive impairment, positive family history, length of hospitalization, treatment, or treatment response. When the cases were grouped on the basis of age of first admission, only the rates of family history were significantly different. Although age per se may have little influence on the nature of depressive illness, age of onset may be important in distinguishing different types of depressive illness in the elderly, which suggests implications for treatment and prognosis.
Age Factors↗