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At least 19 recordsLinked to original sources
PubMed1977

The neurologist as a health resource. Facts, estimates, and aspirations for the supply of neurologists.

In recent years, three thorough analyses have documented the present status of the availability of neurologists and estimated future needs and availability. The productivity of ongoing training programs would appear to be able to meet the minimal needs for neurologic services by 1985. Pending federal legislation may regulate the total number of residencies available in the future. The American Academy of Neurology has a role in maintaining a data base and analyzing the issues of quality maintenance, utilization of resources, and distribution of personnel.

Health Services Needs and Demand↗
PubMed2026

Perspectives of participating neurologists and study nurses - Mixed-methods process evaluation of a web-based program for relapse management in multiple sclerosis (POWER@M2).

BACKGROUND: Relapsing-remitting multiple sclerosis is a chronic inflammatory disease of the central nervous system and the leading cause of disability in young adults. In Germany, 90% of relapses are treated with high-dose intravenous glucocorticoids, despite limited evidence for long-term benefit and international preference for oral administration. Time constraints often hinder informed decision-making. The multicentre Randomized Controlled Trial (RCT) POWER@MS2 (N = 160, 2020-2023), conducted at 18 German MS-centres, aimed to promote self-determined relapse management through a complex intervention (dialogue-based decision aid, nurse-led webinar, online-chat). OBJECTIVE: While RCTs demonstrate effectiveness, process evaluations are essential to understand implementation, mechanisms of impact and contextual factors. This study explored healthcare professionals' experiences and attitudes toward implementing relapse self-management and self-medication in clinical practice. METHODS: A mixed-methods process evaluation followed the UK Medical Research Council- framework. Quantitative data were collected via validated questionnaires at up to three time points and analysed descriptively. Interview guides were developed based on these results. Qualitative data from neurologist and study nurse interviews were thematically analysed. Results were triangulated using a joint display. RESULTS: Data were collected from 55 neurologists and 17 study nurses (quantitative) and from 7 neurologists and 4 nurses (qualitative) (2020-2024). Most neurologists opposed routine steroid use, reserving it for severe relapses. Some voiced concerns about self-management, but informed patients were generally viewed as capable of safe self-medication. Study nurses gave mixed feedback on the intervention, citing overload and improved guidance. CONCLUSION: Clinicians showed openness toward implementing the intervention. Enhancing accessibility and addressing specific concerns may support broader adoption.

Humans↗
PubMed1977

Attitudes of departments of medicine in the United States toward provision of internal medicine training for prospective neurologists.

A questionnaire was sent to directors of training programs in internal medicine to assess attitudes towards providing a year of internal medicine training for prospecitve neurologists. Such applicants are handled in a variety of ways. Among the 92 responding institutions with neurology training programs, three were not willing to accept prospective neurologists for 1 year of internal medicine. Seventy-three percent would either reserve places for prospective neurologists, arrange with neurology for a position through the intern matching program, or arrange medical rotations for candidates accepted by neurology. Twenty-four percent would accept neurologists for a single year without specifying any special arrangement.

Attitude of Health Personnel↗
PubMed1978

[The influence of German speaking psychiatrists and neurologists in Northamerica and England (author's transl)].

The influence of German speaking psychiatrists has been quite remarkable in many countries. The German-Swiss Adolf Meyer placed the emphasis of his "psychobiological" school on psychodynamics a fact which opened the way for psychoanalysis. Those who had been invited to the Cnited States prior to 1933 like Franz Alexander and Sandor Rado, were followed by a great number of immigrants mostly from Vienna and Berlin. Representatives of nonanalytical psychiatry were the genetic psychiatrist Franz Kallmann and pioneers of somatic treatments like Sakel and Meduna. Prominent among neurologists coming from Germany to the United States were Kurt Goldstein, Hauptmann, Hans Strauss and Wartenberg. In England Mayer-Gross and Erich Guttmann exerted great influence. It seems that especially in Psychiatry the effort of so many representatives of our specialty in other countries has helped to promote international exchanges which formerly were missing.

Austria↗
PubMed1977

[Facial and head pain from the neurologist's point of view (author's transl)].

Recognizing that pain is not a sensory sensation, but a subjective feeling, the neuroanatomical and neurophysiological aspects are shortly discussed which are the prerequisites of pain as an original phenomenon in higher life. The subcortical feeling of pain is compared with the pain sensation which extends to large parts of the cortex. The experience of pain may be suppressed or increased by the cortex. Since pain as a subjective phenomenon cannot be objectivated directly, the pain analysis has to consider the history of the patient and particularly the anatomical and physiological basis. The clinical diagnosis of facial and head pain differentiates the various pain syndrome which as localized pain are usually caused by externally visible changes from those projected pain phenomena in genuine or symptomatic neuralgias as well as referred pain sensations (e.g. in intracranial or occipitocervical lesions).

Ear Diseases↗
PubMed1979

Neurological complications of anticoagulation therapy: a neurologist's review.

Anticoagulant-induced bleeding may involve the brain, spinal cord, or peripheral nerves. It may occur with either coumarin or heparin anticoagulants, in the absence of trauma, and while prothrombin times, clotting times, or partial thromboplastin times are in accepted therapeutic ranges. Bleeding involving the brain occurs usually as a subdural hematoma, with intracerebral or subarachnoid hemorrhages occurring less frequently. There may be diagnostic problems in the recognition of these anticoagulant-related subdural hematomas. The spinal cord involvement usually appears in the form of an extradural hematoma. This condition can progress rapidly, and prompt recognition of its presence, localization with myelography, and laminectomy for surgical evacuation are necessary. The peripheral nerve most frequently compressed is the femoral nerve, due to bleeding into the iliacus muscle. Other nerves can be involved, and surgical evacuation may be necessary at times.

Anticoagulants↗
PubMed1979

[Dr. John Rittmeister - neurologist and resistance fighter].

He was born in Hamburg on 21st August 1898 and beheaded in the Plötzensee penitentiary on 13th May 1943. Our colleague was a personality combining professional striving and political commitment into a dialectic unity. The more important biographic data are given, the co-operation in the Schulze-Boysen-Harnack organisation is described as far as it has become known, and Rittmeister's scientific works are mentioned.

Bibliographies as Topic↗