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Biomedical subjects

P Schütte

Publications and source records attributed to P Schütte.

5 recordsLinked to original sources
PubMed2001

[Advanced ectopic pregnancy--clinical management].

Advanced ectopic pregnancy - clinical management. In case of vaginal bleeding and diffuse abdominal pain you have to include the diagnose of (rare) advanced ectopic pregnancy. Even with ultrasound technique in some of the cases you need further examinations to be sure with your diagnose. Because of the high incidence of maternal morbidity the treatment ist immediate primary laparotomy. In some pregnancies after the 23/24 week there is possibility of a more conservative approach. We describe a case with immediate operative intervention.

Abortion, Induced↗
PubMed1998

Medical confidentiality and detainees.

A doctor who is asked to see a detainee may be one (or both) of the following; (i) a treating clinician and (ii) a gatherer of forensic evidence. This dual, and sometimes overlapping role can give rise to conflicting ethical and legal duties of great complexity. In the UK, the prosecution is obliged under common law to disclose to a defendant all "unused" material obtained as potential evidence during an investigation. In keeping with this, police surgeons are asked to disclose, as a matter of routine, a full set of their clinical records, whether or not the detained patient has given consent. This legal requirement conflicts with the ethical constraints placed on all doctors registered with the UK's General Medical Council. The UK Parliament has debated a new law which helps resolve the conflict in favour of maintaining medical confidentiality for detainees.

Confidentiality↗
PubMed1992

[The "Emmerich Arthritis Record", function and acceptance within the scope of an integrated treatment concept].

For a comprehensive model of rheumatoid arthritis treatment, we designed an arthritis manual for continuous treatment of chronic illness. One goal of introducing the manual to the patients was the improvement of communication between patient and different doctors and therapists. The first part includes of a doctor's documentation sheet and a patient calendar (6 months each) for daily self-documentation of drug compliance. The second part is a daily pain-rating scale. The 3-year evaluation of 655 patient manuals for 286 patients was analyzed to estimate the compliance in using the manual. Overall, 87% of diagnoses, 83% of disease-modifying anti-rheumatic drugs (DMARDs), 87% of non-steroidal anti-rheumatic drugs (NSAIDs) had been documented in the manual. Data indicates that the general practitioner and the rheumatologist accepted the manual form. In addition, 85% of the documented patients used the DMARDs, 74% used the daily pain score, and 43% the daily physiotherapy. Subgroup data (n = 130 RA patients) suggest additional results: 1) there was no difference in sociodemographic data between the patient manual user group and the non-user group; 2) the user group consisted of patients with higher disease activity (ARA-criteria), higher pain score, and negative mood pattern. Furthermore, the user group was more active in daily physiotherapy, ergotherapy, and balneotherapy.

Anti-Inflammatory Agents, Non-Steroidal↗