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Biomedical subjects

N Konrad

Publications and source records attributed to N Konrad.

9 recordsLinked to original sources
PubMed2001

A clinical trial of tailored office systems for preventive service delivery. The Study to Enhance Prevention by Understanding Practice (STEP-UP).

BACKGROUND: The potential of primary care practice settings to prevent disease and morbidity through health habit counseling, screening for asymptomatic disease, and immunizations has been incompletely met. This study was designed to test a practice-tailored approach to increasing preventive service delivery with particular emphasis on health habit counseling. DESIGN: Group randomized clinical trial and multimethod process assessment. SETTING/PARTICIPANTS: Seventy-seven community family practices in northeast Ohio. INTERVENTION: After a 1-day practice assessment, a nurse facilitator met with practice clinicians and staff and assisted them with choosing and implementing individualized tools and approaches aimed at increasing preventive service delivery. MAIN OUTCOME MEASURE: Summary scores of the health habit counseling, screening and immunization services recommended by the U.S. Preventive Services Task Force up to date for consecutive patients during randomly selected chart review days. RESULTS: A significant increase (p=0.015) in global preventive service delivery rates at the 1-year follow-up was found in the intervention group (31% to 42%) compared to the control group (35% to 37%). Rates specifically for health habit counseling (p=0.007) and screening services (p=0.048) were increased, but not for immunizations. CONCLUSIONS: An approach to increasing preventive service delivery that is individualized to meet particular practice needs can increase global preventive service delivery rates.

Adult↗
PubMed2001

[Psychiatric treatment of prisoners in general psychiatric wards exemplified by North Rhine-Westphalia and Rhineland-Pfalz].

OBJECTIVE: The study was intended to provide information on the frequency and general condition of inpatient and outpatient treatment of mentally disturbed prisoners in general psychiatry in Germany. METHODS: Directors of psychiatric institutions and chief physicians of prisons in Nordrhein-Westfalen and Rheinland-Pfalz were interviewed via a standardized questionnaire. RESULTS: The use of inpatient psychiatric treatment was approximately 0.1 to 2.3% in 1997 with reference to the total admissions in 1997. CONCLUSION: The rare use of psychiatric beds in general psychiatry may reflect obstacles concerning the status of prisoners and reservations regarding difficult patients.

Ambulatory Care↗
PubMed2000

[Mental illness in prisons--view of forensic psychiatrists].

To the extent to which comparisons have been undertaken with the general population, a greatly raised prevalence of psychiatric illness amongst prisoners has been found across countries and across diagnostic groups. Thus, one would expect a greater level of need for treatment in the penal system. In accordance with the conditions of modern psychiatric care, cooperation between impatient, part-impatient and outpatient services in the sense of integration should be guaranteed.

Ethics, Medical↗
PubMed1999

[Transsexual development after committing an offense].

Connections between transsexualism and delinquency have been considered in only a few publications to date. The authors report on a forensic psychiatric case with a transsexual development after committing an offence based on sexual deviations. Transsexualism in this context seems to represent an attempt for the symbolic solution of a conflict of identity. This should be interpreted in the context of psychotherapy and not be misunderstood as a symptom proving the diagnosis of manifest transsexualism by orientation on pure phenomenological criteria.

Aged↗
PubMed1997

Vascular access for hemodialysis in children.

In the light of many years' experience in hemodialysis access surgery, the different methods of creating vascular access for dialysis treatment in the pediatric population are described. After presenting the various access types using autologous blood vessels and also heterologous grafts, their specific spectrum of complications is discussed in detail. Summarizing our experience it has to be emphasized that there is no specific angioaccess for children and adolescents, and that most vascular access procedures used in adults are also suitable for use in the young.

Adolescent↗
PubMed1992

[Psychiatric-psychologic evaluation of neurotic disorders in the pension process based on a structural-social illness concept].

The psychiatric-psychological judging neurotic disorders is presented under following aspects: the diagnostical guidelines considering international classification systems and the definition of disease given by the jurisdiction. In order to judge the degree of severity of a neurotic disorder with regard to professional fitness this paper proposes Raschs structural social conception of disease.

Disability Evaluation↗
PubMed1988

[Family therapy in forensic psychiatry].

Patients in forensic psychiatry and their relatives are both doubly stigmatized by the labels psychiatric disturbance and delinquency. In an expert-guided group for relatives of forensic patients at Karl-Bonhoeffer-Psychiatric Hospital Berlin choice of topic and frequency of attendance indicated enormous guilty feelings. Defense against these guilty feelings could only be kept up by great effort. Support of relatives in forensic psychiatry seems advisable also for the rehabilitation of the patients themselves and prevention of relapse.

Commitment of Persons with Psychiatric Disorders↗