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Biomedical subjects

W Rasch

Publications and source records attributed to W Rasch.

14 recordsLinked to original sources

Heat loss from the human head during exercise.

Evaporative and convective heat loss from head skin and expired air were measured in four male subjects at rest and during incremental exercise at 5, 15, and 25 degrees C ambient temperature (Ta) to verify whether the head can function as a heat sink for selective brain cooling. The heat losses were measured with an open-circuit method. At rest the heat loss from head skin and expired air decreased with increasing Ta from 69 +/- 5 and 37 +/- 18 (SE) W (5 degrees C) to 44 +/- 25 and 26 +/- 7 W (25 degrees C). At a work load of 150 W the heat loss tended to increase with increasing Ta: 119 +/- 21 (head skin) and 82 +/- 5 W (respiratory tract) at 5 degrees C Ta to 132 +/- 27 and 103 +/- 12 W at 25 degrees C Ta. Heat loss was always higher from the head surface than from the respiratory tract. The heat losses, separately and together (total), were highly correlated to the increasing esophageal temperature at 15 and 25 degrees C Ta. At 5 degrees C Ta on correlation occurred. The results showed that the heat loss from the head was larger than the heat brought to the brain by the arterial blood during hyperthermia, estimated to be 45 W per 1 degree C increase above normal temperature, plus the heat produced by the brain, estimated to be up to 20 W. The total heat to be lost is therefore approximately 65 W during a mild hyperthermia (+1 degrees C) if brain temperature is to remain constant.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

Reduced systolic blood pressure elevations during maximum exercise at simulated altitudes.

Ten healthy female subjects performed maximum exercise on a bicycle in an altitude chamber during normoxia and hypobaric hypoxia simulating altitudes of 2,450, 3,700 and 4,600 m. The increases in systolic blood pressure responses were reduced with the degree of hypobaric hypoxia, whereas heart rate and diastolic pressure responses were unchanged. The increases in blood levels of aldosterone, plasma renin activity, adrenaline, noradrenaline, neuropeptide-Y and vasoactive intestinal peptide were similar at the different simulated altitudes. Angiotensin-converting enzyme and vasoactive intestinal peptide levels were not affected by hypoxia or maximum exercise. The present results suggest that the decreases in systolic blood pressure responses during hypobaric hypoxia could not be explained by altered responses of the measured vasoactive substances from the renin-angiotensin, gastrointestinal, and autonomic nervous systems.

Adult

[Commitment prerequisites according to paragraph 64 of the German penal code].

Article 64 of the Penal Code of the Federal Republic of Germany provides for the commitment of alcohol and drug addicts to special institutions if further severe offences are to be expected due to their addiction. The measure of correction cannot be applied if treatment endeavours are given no chance. As the lack of compliance very often only appears in the course of the treatment, an amendment was made which added a new article. According to the new legal regulations, the measure of correction can be annulled after one year of detainment if the addict shows no aptitude for the therapy. The new regulation implicates an intensification of the therapeuticts role conflict, which is based on the fact that coerced therapy was little chance to be successful. Before establishing the deficient therapeutical capability of a patient, it should be conscientiously verified how far a team conflict or an insufficient therapeutical offer determines the decision. It should be considered that possibly one only wants to get rid of a troublesome patient.

Alcoholism

[Segregation of psychiatrically ill offenders in specialty clinics--the end of the deportation game?].

Forensic psychiatric institutions (mentally ill offenders) have not developed according to the recommendations of psychiatric experts as suggested in the 'Psychiatric Enquete'. Paragraph 65 StGB with its provisions was eliminated from the penal code on the 1. Jan. 1985, hence independent social-therapeutic institutions will not come into existence in the FRG. Taking the current institutional conditions into account the authors investigate the chances and possibilities of client-orientated treatment.

Alcoholism

[Inclusion of psychiatric-psychologic diagnoses among the 4 psychiatric symptoms of irresponsibility in articles 20 and 21 of the West Germany criminal code].

The reform efforts in the Federal Republic of Germany after the end of the war have led to a reformation of the regulations concerning legal responsibiltiy. The new law enumerates in articles 20 and 21 as prerequisites of irresponsibility or diminished responsibility for concepts: pathological psychic disturbance which comprises all psychic diseases like schizophrenia and manic-depressive states as well as psychic alterations resulting from brain damage. The second term is feeble-mindedness. The third one is profound disturbance of consciousness which refers to states of strong mental agitation not caused by an illness. Finally the new law used the concept of sever other mental abnormalities. Rather unfortunately the law has introduced the German expression "Abartigkeit" which has a derogatory tinge, insinuating the idea of degeneration. The adjudgment of irresponsibility or diminished responsibility does not depend on the type of psychiatric diagnosis. The new regulations offer the chance to psychiatry to take on more therapeutic responsibilities for mentally disturbed offenders.

Forensic Psychiatry

[Criminologic aspects in the treatment of sex offenders].

The conditions determining statutory offences as represented by indictable sex offences, have been amended and revised by the 4th Penal Reform Law of the Federal German Penal Code, in 1973, under the heading "Indictable Offences against Sexual Self-Determination". This heading, which is meant to convey a programme, however, does not agree with the actual contents or core of various paragraphs. These new statutes have been violently criticised by opponents coming from quite different camps. The development of sexual delinquency shows a rather decreasing crime rate since the end of World War II, compared to the increase in other categories of crime. The most frequently recorded sexual offences concern the performance of sexual acts with children, rape and exhibitionism. It is in these groups of criminal offences that we are most likely to find delinquents in whom psychotherapy seems indicated. Criteria for indicating such treatment are the desire of the person in question to receive treatment, and the presence of a personality disturbance; it is not the deed by itself. The article then cites the paragraphs under German penal legislation which are important when arriving at a decision to refer a delinquent to psychotherapeutic treatment; these are Sections 56 c, 63, 64 German Penal Code, Section 10 Penal Code for Adolescents, and Section 9 of the Federal Law Enforcement Act.

Commitment of Persons with Psychiatric Disorders