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Biomedical subjects

N U Neumann

Publications and source records attributed to N U Neumann.

25 records · Page 2Linked to original sources

[Occupational handicaps as risk factors for the readmission of psychiatric patients hospitalized for the first time--results of a prospective longitudinal study].

In dealing with the issue of readmission of psychiatric patients into in-patient care, the focus had in the past primarily been on clinical variables such as diagnosis, or severity of the clinical picture. The present study, however, had centered on occupational variables, such as vocational training, occupational status, periods of gainful employment, and unemployment. This complex was studied in a sample of psychiatric patients, with analyses directed at: percentage of the initial sample readmitted after a catamnestic period of 1 and 2 1/2 yrs. resp., diagnostic groups with increased readmission incidence, and occupational variables associated with the need for readmission. Summing up, it may be stated that occupational handicaps arose in particular in the diagnostic groups of endogenous psychoses, whereas in other groups (such as neuroses, alcoholism) the issue of "social handicaps", in particular, had been in the foreground.

Germany, West↗

[Acute non-traumatic intracerebral hematoma. Results of neurologic intensive care].

In a retrospective study prognosis and therapy of spontaneous intracerebral hematoma (SIH) is discussed. Using the cranial computerized tomography it is easy to come to the diagnosis. Intensive care is the most important factor. Lethality was 28% in a group of 85 patients. Intensive care is also possible in non-neurological hospitals. - None of the patients were treated surgically.

Acute Disease↗

[A special case: unusual remission of a diagnostically unexplained intracerebral process].

Diagnosis of space-occupying lesions of the brain has much improved since computed tomography is available. Nevertheless the differentiation between neoplastic and nonneoplastic lesions is still difficult. Some kinds of encephalitis may simulate brain tumors in the computed tomography scan. A case of unidentified intracerebral lesion with remission is reported.

Adult↗

[Hemorrhagic herpes encephalitis. A difficult differential diagnosis with computerized tomography].

Herpes simplex encephalitis (HSE) is the most common sporadically appearing encephalitis in Central Europe. Differential diagnosis to brain tumors or spontaneous intercerebral hemorrhage is difficult. There are CT scan findings which are characteristic of HSE but there are no pathognomonic patterns. These characteristic findings are helpful in differential diagnosis to neoplastic or vascular processes. Thus, other diagnostic procedures (i.e. brain biopsy) to confirm diagnosis of HSE and effective therapy may be carried out in time. The difficulties in differential diagnosis are shown by the presented case.

Adult↗

[The treatment of schizophrenic psychoses with hemodialysis].

A very controversial debate, concerning the treatment of schizophrenic psychoses by means of hemodialysis, started approximately in 1977, when American scientists reported outstanding successes with this method. Until now there is no clear evidence of the underlying principle of effectiveness of this method. According to present experiences there are three theories. Already in 1960 there were reports of successful application of hemodialysis in acute schizophrenic psychoses. The authors, among other things, assumed the filtration of a toxic blood substance to be the therapeutic principle. Later, however, changes in the blood circulation during dialysis, especially the improvement of cerebral perfusion, were seen as the real therapeutic factor. The recently reported findings of abnormal endorphin in the dialysate fluid of schizophrenics, brought back the theory of detoxification. At the same time there were claims by different authors, that the positive results were only due to a "changed psychological situation" of the treated patients. Which of these three theories is correct can not be decided yet. Whether blood purification methods have anything to offer for the treatment of some types of schizophrenic diseases requires further research.

Evaluation Studies as Topic↗