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Biomedical subjects

R Rohner

Publications and source records attributed to R Rohner.

At least 19 recordsLinked to original sources
PubMed1998

[Roommate in patients' rooms--a nuisance or useful resources?].

A random sample (n = 80) of depressive and CHD general hospital inpatients of both sexes assessed fellow patients via a questionnaire (Mink) based on a qualitative pilot study. The results document the central role of hospital roommates in determining inpatient experience. Except for depressive males, all patients, regardless of their sex and diagnosis, experienced the presence of roommates as desirable and helpful. The stress factor, on the other hand, received a much lower rating. The main expectation was emotional relief, although the individual accentuation differed considerably. Putting one's complaints in perspective proved to be particularly important. At the same time, it became evident that patients, mainly males, had a fear of their roommates causing additional stress by illness, problems and disturbing behaviour. Male patients placed more emphasis on informational support aspects and, if possible, depended on spouses for stabilisation of their emotional balance. Female patients, on the other hand, described their relationships to roommates as being characterised by trust and understanding. At the same time, the inability to be alone was mentioned as a stress factor, particularly by the depressive females. The response pattern of the CHD patients also differed according to sex.

Adaptation, Psychological↗
PubMed1995

Relationship between light scattering in flow cytometry and changes in shape, volume, and actin polymerization in human polymorphonuclear leukocytes.

Using two different cytometers, an Epics Profile II and a FACScan, we determined the extent to which changes in forward and right angle scatter are a reliable measure for changes in polymorphonuclear leukocyte (PMN) shape, volume, and actin polymerization and whether distinct types of shape changes in PMNs can be recognized. PMN stimulation can substantially change the positions of PMNs in the scatter diagram of the FACScan but not of the Epics Profile II. Within the limits of the experiments, it has been possible to determine whether or not a shape change has taken place using the FACScan but not using the Epics Profile II. However, using either cytometer, it has not been possible to determine which type of shape change (e.g., spherical vs. polarized vs. nonpolar cells) has taken place. Furthermore, forward or right angle scatter changes are not a reliable measure for changes in cell volume or actin polymerization of human PMNs.

Actin Cytoskeleton↗
PubMed1993

Borderline diagnosis and substance abuse in female patients with eating disorders.

To investigate whether alcohol and drug abuse are symptomatic of eating disorders or related to a concomitant borderline personality disorder, we reviewed all female inpatient medical records filed at the Department of Psychosomatic Medicine between 1978 and 1990. Over 300 records were assessable. The patients were reclassified according to DSM-III-R with regard to eating and borderline personality disorders. Alcohol and drug abuse were also taken into account. Nearly 5% of patients had a borderline personality disorder. Nearly 25% of patients suffered from eating disorders, and 11% of them had a concomitant borderline personality disorder. A detailed examination showed the frequency of abuse of alcohol and tranquilizers to be no higher, but that of laxatives and/or diuretics and/or anorexigenics to be significantly higher in borderline patients with concurrent eating disorder. However, the incidence of alcohol abuse was significant in borderline patients.

Body Weight↗
PubMed1993

[Psychodiagnostic follow-up of patients with Crohn disease during intensive internal medicine treatment].

The present study includes 40 patients with Crohn's disease who underwent an internal and psychodiagnostic examination over a period of 5 to 8 weeks. On the average, there were only minor psychic symptoms were recorded in the psychodiagnostic instruments. The fewest symptoms were seen in the recurrence-free interval, a moderate number at the beginning of intermittent inpatient treatment and the largest number of symptoms in patients transferred to a psychosomatic department. While decreasing significantly from high levels under internal intensive care and at the beginning of inpatient depth-analysis-based psychotherapy, symptoms of depression and anxiety dropped only slightly from initially low levels in outpatients. In addition, there were first changes in the patients personality profile during psychotherapy. The findings are discussed under diagnostic and therapeutic aspects.

Adaptation, Psychological↗
PubMed1993

[Foreign patients in psychosomatic ambulatory care].

To investigate differences between the complaints of foreign and of German patients who presented at our psychosomatic outpatient department, we documented relevant social data and the results of all diagnostic interviews conducted in 1990. Of the 608 patients (100%), 542 (89.1%) were German and 66 (10.9%) of other nationalities. Foreign patients more often lived in families and more often were unemployed. They reported a higher rate of functional disturbances with a marked difference between males and females. Mental symptoms were significant rarer in foreign males. Psychoanalytic or psychodynamic treatment was more frequently recommended to German patients. Especially females of other nationalities were frequently recommended outpatient psychiatric treatment (24%) or given no treatment recommendation at all (22%). In the last section, treatment recommendations and prognostic evaluations will be discussed, taking into account the possibility of cultural subjectivity on the part of the advisers.

Adult↗
PubMed1991

[Systemic lupus erythematosus associated with homozygous C2 deficiency. Apropos of a case report and literature review].

Inherited deficiencies of classical pathway complement components are rare and associated with autoimmune diseases and with increased susceptibility to bacterial infections. We report the clinical evolution and studies of the complement system in a 17-year-old female patient of Swiss origin presenting with systemic lupus erythematosus (malar rash, photosensitivity, leukopenia and antinuclear antibodies), in whom the hemolytically active second complement component (C2) was less than 10% of the normal value and antigenic C2 was not detectable. Linkage studies showed that the patient is HLA-A25, B18 positive and has the slow factor B allotype BfS. Further immunological assessment revealed low IgG4 concentrations in the patient, who had the G2M(23) allotype. The asymptomatic first degree family members had half-normal C2 levels compatible with a heterozygous state of C2 deficiency. Therapy with hydroxychloroquine for 17 months and topical sunscreen preparations produced marked clinical improvement. During the 4 years of follow-up, the patient has been well and shown only an abnormal titer of antinuclear antibodies. No infections were observed. To the best of our knowledge, 99 cases of homozygous C2 deficiency have been described so far and are discussed here.

Adolescent↗
PubMed1991

[Using the condom--on coping with a necessary evil].

Social aspects of condom use are mentioned by outlining some sections of the historical development of condom use (early and pre-history, family history in England during the 19th century, combat against syphilis, the "birth-strike-debate" in the German social democratic party). A few results of an own questionnaire research about students' sexuality (n = 666) are presented. They give some hints about a change in the use of different contraceptional techniques in comparison with former studies done in the sixties and at the beginning of the eighties. Condom users and non-users seem to be different in terms of concepts of partnership, sexual contentment and aids preventive behaviour. Finally we discuss some psychological aspects of condom use with regard to the--sparse--relevant literature and to an own qualitative study of the motivation of users and non-users.

Adaptation, Psychological↗
PubMed1979

Arteria magna revisited.

Arteria magna has been described pathologically in the literature as a peculiar and unique form of atherosclerosis. The authors offer an alternative hypothesis, based on results of angiographic studies with pathologic correlation in 18 patients with arteria magna. The findings indicate that this vascular entity might be more accurately described as a loss of the medial elastica with subsequent vessel enlargement both in length and diameter.

Adult↗