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Biomedical subjects

W Ende

Publications and source records attributed to W Ende.

12 recordsLinked to original sources
PubMed1989

[Problems of electroconvulsive treatment in advanced age--its possible applications and necessities, indications criteria, method and effectiveness].

After a critical discussion with antiquated and actual problems to the electroconvulsive therapy the problem-important peculiarities of progress and treatment of the psychosis in the higher age are exhibited. In search of satisfactoring solutions we used Dexamethazon as a supplemental premedication in the electroconvulsive therapy and by this way we found out a remarkable minimize of complications which allowed to put in more frequently the electroconvulsive therapy during the psychosis in the higher age. This leads to a general optimation of prognosis of the late psychical diseases. Beside the method itself the urgency of indications and exclusion of standards are described in the same way, also there are shown the few complications in comparison with the successes of therapy of 2010 electricalconvulsive therapies from 433 patients.

Aged↗
PubMed1987

[10 years of a doorkeeper system using patients in geriatric psychiatry in Hochweitzschen--a variation of the open-door system for problem areas in inpatient psychiatry].

The employment of patients as door-keepers represents a version of the open-door principle that can be used to ensure that the door is opened only as necessary in problem areas of psychiatric hospitals where traditional forms of control are not feasible. The experience gained during the use of this system for 10 years serves as a basis for a description of the practical problems involved, system risks, security measures and organizational aspects.

Aged↗
PubMed1986

[6 years of electroconvulsive therapy with dexamethasone].

The author reports on an improvement in ECT in which Dexamethasone is used to prevent cerebral edema. This improved technique has been used for 823 EC treatment since 1979. Since then, no post-paroxysmal passage syndromes have been observed in gerontopsychiatric patients even in cases where ECT is applied relatively frequently.

Aged↗
PubMed1977

[Some peculiarities of lithium intoxication in the elderly].

This is a report on two 73- and 68-year-old female patients with monophasic mania, who had been treated with lithium compounds for six years (without showing any complications) and who, because of a relapse of mania, were therapeutically treated with lithium compounds on an inpatient basis. The intoxications observed in the two female patients are described. Also discussed are the peculiarities of lithium intoxication in old age.

Aged↗
PubMed1976

[Psychiatric and neurological problems of the older age (author's transl)].

Pyschical crisis and pathological change do not differ at people in the older age. The two terms do not characterize the normal development of the old age, but extreme spheres are circumscribed. The cerebrovascular insufficience is a difficult diagnostic and therapeutic area, but it is accissible. The psychopathological symptoms to be caused by this disturbance are reversible in many cases. The problems of a comprehensive diagnostic and therapy of sleeping-disturbances at aged people are described.

Aging↗
PubMed1975

[Lithium therapy in manic depressive diseases in old age].

It is given a report about experiences with a maintenance lithium therapy in case of 57 patients with affective psychosis in the older age and about the peculiarities, that have to be taken a note of near by. In regarding the complications in therapy and course of these disorders and the good prophylactic effect of lithium the necessity of the prophylactic application of this psychopharmacological agent also to geropsychiatric patients is established. There are methods shown, reducing the risk of treatment in an acceptable minimum and the possibility of using lithium to a large group of affective psychosis in the older age, too.

Aged↗
PubMed1975

[Diagnostic value of the cerebrospinal fluid-blood lactate quotient in mental disorders in elderly persons].

The lactate levels of cerebrospinal fluid and blood were measured enzymatically and simultaneously in 40 gero-psychiatric patients. After calculating the fluid-blood-lactate-quotients, two distinct groups emerged, whose mean quotients showed significant difference. In the first group (15 patients) with a mean quotient of 1.06, the diagnosis of cerebral arteriosclerosis was clinically confirmed in only one case. In the second group (21 patients) with a mean quotient of 1.42, however, this occurred sixteen times, which represents a proportion of 2/3. Thus, it appears that a higher quotient suggests the diagnosis of cerebral arteriosclerosis. Further examinations are though necessary.

Aged↗
PubMed1975

[Methodological experiences in the treatment supervision of lithium prophylaxis of manic-depressive illnesses].

During lithium treatment it was observed that a larger evening dose, due to the definite increase of lithium in the blood, leads to a slight drop of the blood level during the night; and that to maintain a therapeutically defined serum lithium level during the day a smaller dose of lithium is sufficient, particularly in more elderly patients. By plotting a 24-hour the profile best individual dosage can be arranged and a reduction in side-effects thereby achieved. This profile provides numerous advantages for the further strictly organized out-patient care for patients under lithium therapy. By filling out a proforma comparing the amount of serum lithium administered at each set time of the day with the appropriate daily profile, the point where lithium prophylaxis is indicated can be extended even to patients with a slight renal insufficiency, and above all to more elderly patients, for whom a therapeutic serum lithium level can be achieved with a very low dose of 4--4--8 mval/die. After a set period of supervision other fellow specialists can at first be drawn into the system of treatment, and later the general practitioner as well.

Adult↗