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W Milch

Publications and source records attributed to W Milch.

11 recordsLinked to original sources
PubMed1999

Self-concept, body image, and use of unconventional therapies in patients with gynaecological malignancies in the state of complete remission and recurrence.

OBJECTIVE: Are there differences in self-concept and body image in patients with cancer recurrence in comparison to patients with complete remission? What impact has cancer recurrence on use, users and non-users of unconventional cancer therapies? PATIENTS AND METHODS: One hundred and nine patients with no evidence of disease after gynaecological cancer and sixty-one patients with recurrent disease were analysed for self-concept with the Frankfurter Selbstkonzeptskalen and body image with the Frankfurter Körperkonzeptskalen. Use and motivation for unconventional therapies was assessed with a questionnaire. RESULTS: With respect to frequency of use and expected benefits of unconventional therapies no differences were observed between the groups. However, cancer recurrence was found to induce considerable changes of self-concept and body image, some indicating even positive changes due to cancer recurrence. CONCLUSION: It may be beneficial to consider body therapy and psychotherapy as a mean to improve body image and self-esteem in cases with cancer recurrence.

Adult↗
PubMed1999

[Dimensions of work stress and job satisfaction in psychiatric-psychotherapeutic practice].

Empirical studies of nursing in psychiatry and psychosomatics rarely consider the dialectics between work load and positive aspects of social support. Resulting from theoretical considerations and practical experiences seven dimensions were defined that might influence overall job satisfactions and stress. To measure this, a questionnaire containing 53 items was developed. This instrument was answered by 134 nurses of a psychiatric hospital. The results show that factor analysis and item analysis only partly confirm the presumptions. The five empirical scales include "stress due to work conditions and patients", "collaboration in teamwork", "collaboration with physicians and therapists", "collaboration with superiors in nursing" and "responsibility, competence and decision-making". Theoretical dimensions and empirical scales are discussed. The high work stress caused by work conditions and difficult patients is compensated by a positive evaluation of the collaboration in the nursing-team with physicians and therapists as well as with superiors.

Adult↗
PubMed1999

[Cooperation and job satisfaction in a nursing-physician team. An analysis of nursing evaluation in psychiatry].

PURPOSE: Empirical studies of nursing in psychiatry rarely consider the collaboration between nurses and doctors. Which variables determine the quality of the cooperation between nurses and doctors? METHODS: In 1992 and 1997, all nurses of a psychiatric hospital were interrogated by means of questionnaire (FAPP) in order to measure the quality of collaboration. RESULTS: In spite of major changes in the hospital management and higher work-load assessment by the nurses concerning the collaboration with doctors and with other nurses, the quality of team-work and participating in treatment decisions, was more positive in 1997. Nurses with a "negative" collaboration with doctors, also have difficulties to collaborate with other nurses. This finding did not depend on gender, age or length of professional career. CONCLUSION: All institutional provisions that improve the cooperation, the competence, the responsibility, and the ward-atmosphere, also ameliorate the cooperation with other occupational groups in the hospital.

Adult↗
PubMed1998

Epicutaneous breast forms. A new system promises to improve body image after mastectomy.

Mastectomies will remain a treatment alternative for breast cancer in spite of efforts to perform more breast-conserving treatment. Restoration of body symmetry may then be an important issue, which can be achieved by surgical breast reconstruction or with an epicutaneous breast prosthesis. A new improved system has recently been developed, which is self-adhesive to the thorax wall. In this study we investigated the advantages and disadvantages of the new system. The body image of 55 patients after unilateral mastectomy was assessed before they entered the study and after approximately 6 months of experience with the system. The "Frankfurter Körperkonzeptskalen" plus additional questions concerning problems after mastectomy and the handling of the new breast form were used for the assessment. About 50% of the patients had problems with the adhesiveness of the breast form, which remains a problem to be solved. Patients who suffered badly from mastectomy, have a smooth and plane mastectomy scar, and who were not suffering from hot flushes, which can impair the adhesiveness of the prosthesis, were more likely to profit from the new self-supporting breast forms. Significant differences were observed in the scales "self-acceptance of the body", acceptance of the body by others" for the subsets of patients mentioned above. The differences were less pronounced in patients who were already familiar with another type of epicutaneous breast form, which is attached to an adhesive plate on the thorax wall by nylon touch and close fasteners. Most (90.7%) of the patients would recommend this new type of breast prosthesis for other patients with mastectomy. The concept of self-supporting breast forms is an improvement with respect to social and psychological rehabilitation. According to the manufacturer, the problem with adhesion has meanwhile been solved.

Adult↗
PubMed1996

Unconventional cancer therapy--survey of patients with gynaecological malignancy.

Although the benefits remain unproven, a considerable number of cancer patients use unconventional therapy, in many cases without the knowledge of the oncologist. At the oncological out-patient department of the women's clinic of the Justus-Liebig-University Giessen we conducted a survey of the various unconventional methods used. 38.8% (80/206) of the patients used unconventional therapies, mainly mistletoe extracts (50%), trace minerals (46%), megavitamins (39%), and enzymes (22%). The perceived etiology of cancer determined the choice for the various methods (p = 0.00074). Users of unconventional methods suffered significantly more from conventional therapy, had less faith in their doctors, and felt more nervous and emotionally unstable after the diagnosis of "cancer".

Adaptation, Psychological↗
PubMed1996

[Epicutaneous breast prosthesis after breast ablation].

INTRODUCTION: Restoration of body symmetry is a very important aspect after mastectomy to help patients coping with daily life. There are basically two possibilities for patients who do not wish breast reconstruction: either using breast forms that are suspended in a brassière or a new system in which the breast form is attached on an adhesive strip to the thorax wall. With burr crushers the breast form is attached to the strip. Brassières are not necessarily needed. The influence of improved prosthetics on the patients' self-concept and well-being was investigated. MATERIALS AND METHOD: 67 patients in postoperative care at the Universitätsfrauenklinik Giessen were randomized in control group using customary breast forms and the study group changing to self adhesive breast forms. Using the "Frankfurter Selbstkonzeptionsskalen" (Frankfurt Self-Concept Scales), plus additional questions concerning problems after mastectomy, self-concept was assessed before study and after 3 months. RESULTS: Significant differences with regard to the scale "Social Contact and Relations" (FSKU) were seen. Most patients were better satisfied with epicutaneous self-adhesive breast forms. Weight and movement behaviour of the self-adhesive breast form was considered natural and almost like a part of the body by 92%. 80% considered adhesive strips to be well tolerable. Thoughts about operative breast reconstruction became less important for 62%. 78% were happy to be able to wear more fashionable clothing. CONCLUSION: The new concept of self-adhesive breast forms is an improvement with respect to social and psychological rehabilitation.

Adult↗
PubMed1995

Breast forms after mastectomy--patient's issues.

After mastectomy restoration of body symmetry, a very important aspect of coping with daily life, may be achieved either using breast forms that are suspended in a brassière or by a new system in which breast forms are attached by adhesive strips to the thorax walls. The system promises free and easy movement, favourable effects on lymphoedema, and improvements with respect to dressing. Brassières are not necessarily needed. The influence of improved prosthetics on patients' self concept and well-being was investigated. A group of 67 patients after unilateral mastectomy tested custom breast forms and self-adhesive breast forms. Using the Frankfurter Selbstkonzeptionsskalen (Frankfurt Self-Concept Scales), plus additional questions concerning problems after mastectomy, self-concept was assessed before study and after 3 months. Analysis of variance with repeated measures revealed significant differences with respect to the scale Social Contact and Relations (FSKU). Most patients were better satisfied with epicutaneous self-adhesive breast forms. The weight and type of movement of the self-adhesive breast forms were considered natural, and adhesive strips were well tolerated. A total of 78% were able to wear more fashionable clothing. Breast reconstruction became less important for 62%. The new concept of self-adhesive breast forms is an improvement with respect to social and pyschological rehabilitation.

Adult↗
PubMed1994

Quantitative EEG and BPRS data following Haldol-Decanoate administration in schizophrenics.

Approximately one-third of schizophrenic patients receiving antipsychotic drugs obtain little or no benefit from them. In some reports, response has been linked with "prognostic" factors, including abnormal EEG and drug response (pharmaco-EEG). Measurements of topological EEG spectral power and Brief Psychiatric Rating Scale (BPRS) values were obtained in 15 schizophrenics over a period of 20 min immediately after the first application, and at weekly intervals after single intramuscular injection of 2 ml depot haloperidol (Haldol-Decanoate). A highly significant increase in the alpha-1 power density at almost all positions and an increase in theta power at parietotemporal regions can be described as electrophysiological parameters of the acute pharmaco-EEG. BPRS values decreased continuously within the first 2 weeks followed by an increase to the predrug level after the fourth week. Over the whole observation period there was a correlation between neurophysiological data (alpha-1 power) and clinical symptomatology (BPRS total score; r = -0.7). Therefore, it can be concluded that quantitative EEG recordings are able to serve as a tool for the optimization of the depot neuroleptic treatment in schizophrenics.

Adult↗
PubMed1994

[Theories of suicide].

Explore the source record for details and available documents.

Cognitive Behavioral Therapy↗
PubMed1994

[Suicide prevention in inpatient psychiatric treatment. I: Review of the literature].

Reviewing the literature factors of suicide-prevention on Psychiatric wards are specified. Suicide crisis is interpreted as narcissistic crisis. On the background of new findings of the American baby-watchers considerations were made on the development of the self and pathologic states of self with respect to suicidal patients.

Depressive Disorder↗