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At least 19 recordsLinked to original sources

[Present state and evolution of the law of social defence (author's transl)].

The law of April 9, 1930 concluded to the non responsibility of the insane. It applyed a measure of social defence and treatment of some length. The evolution of ideas, the psychological and biological discoveries had bring a change in July 1964. The measure was finalized, not for the "insanes", but demented people, severe mental disturbed patients and severe mental retarded patients. The measure became non determined in time. The role of the lawyer is important, not only for the decision, but following the decision. The role of the physician is also important and the creation of a center of guidance becomes urgent. Therapy can be extended by ambulatory care with the necessary security measures.

Ambulatory Care

Hygienic safety measures in the light of observations in a haemodialysis unit.

A report on the sanitary situation of the Haemodialysis Unit, Department of Urology, University Medical School, Pécs, is given and the preventive measures securing the sanitary standards valid for the specialized units are set out in detail. The desiderata for the sanitary safety of haemodialysis units are summed up.

Bacterial Infections

[Territorial experiment: inter-relational evolution of a group of inmates in the course of an extra-institutional working experiment].

The Authors analize the interrelational evolution of a group of inmates during an outside working activity, with relation to the resocializing experiences which consider the insertion in the area of individuals subjected to detentive security measures. Such evolution, in relation with the influences of the social enviornment one was associated with, was associated with, was marked by an initial cohesion stage between members (of defensive significance), followed by a gradual research of a personal autonomy, in parallel with the acquisition of a reassuring and stabilized role. The utilization of a social space according to the conventional parameters used in the area (with particular concern towards syndical dynamics and rules), reached at the cost of self-exposure, has confirmed the reached maturity and the self balance in proposing themselves to the others as subjects active in their own resocialization, sharing the acquired social rights. Beside the situation concerning the side of the group in its insertion progress, the Authors take into examination the side of the free community in tis receptivity and availability towards the group members, analizing the interactions with the environment as therapeutical moment.

Humans

Evaluation of substance abuse problems in a psychiatric hospital.

Hospital-wide rumors and anecdotal reports had suggested that there was a potentially serious problem of alcohol and drug abuse among the psychiatric patients of this hospital. The authors describe a systematic, evaluative approach which gave direct and detailed information on the nature and extent of the problem thus permitting effective administrative solutions. Results of the study indicated that there were two qualitatively different populations of substance abusing patients. A considerable population of patients were routinely using alcohol and "soft" drugs on the hospital grounds, while another disturbing percentage of patients gave evidence of psychological or physical dependence on alcohol or hard drugs. Data from the evaluation was instrumental in implementing additional security measures to deal with casual substance abuse and additional, confidential treatment resources to deal with the more serious substance abuse problems in patients and staff.

Adult

[Important occupational diseases and their prevention].

In spite of the increasing industrialization no increase in tht total number of occupational diseases has been registered during the past 10 years. This fact must mainly be attributed to the improvement in the security measures taken in all occupational fields and the extension of the occupational medical care. Nevertheless, we are actually faced with a high number of occupational diseases. While the frequency of diseases diminished obviously for some occupational diseases, it increases for others partly considerably. The change in the structure of the statistics concerning occupational diseases is, amongst others and besides the continuous change of technic and the development of new products, also due to alterations of the law respective to the accident insurance right. In this connexion it is referred to the deafness due to noisy working conditions. Among the 10 most frequent occupational diseases, which are mainly manifested in internal organs, some--like pneumoconioses and lead-poisoning--are regarded as classic but still actual occupational diseases. Contrary to this, other occupational diseases--like asthma bronchiale or health injuries by halogen-hydrocarbon--became increasingly important only during the last few years. Corresponding details are given. The danger of health through working material or working methods will in most cases be recognized only after years of occupation. Very often the discovered diseases at that time are no longer reversibel. Consequently, the main task of the doctors for occupational diseases is the prevention of occupational diseases. In 1971 the professional associations put together, in cooperation with occupational medical experts, uniform principles for the necessary preventional examinations in the field of occupational medicien. The quality of the tests carried out with reference to suitability and supervision of working places as well as the extension of such tests to all fields of occupational danger will determine whether or not the number of occupational--therefore not fatal-diseases will decrease essentially.

Asthma

Use of Doppler ultrasound in intraoperative localization of intestinal arteriovenous malformation.

Precise localization of an intestinal arteriovenous malformation is essential for the complete resection of the lesion. Identification at operation can be difficult, and intraoperative angiography is not without complications. Blood flow within the small vessels of the bowel wall can be easily detected by Doppler ultrasonography, and arterial flow can be distinguished from venous flow. Intraoperative use of the Doppler ultrasound technique localized an AVM in the small intestine. Distinctive flow signals were present over the intestinal AVM which allowed it to be easily differentiated from adjacent normal intestine. Confirmation was secured by measuring the PO2 of blood aspirated from the vein draining the involved segment and comparing it to the PO2 from a vein draining an adjacent segment.

Arteriovenous Malformations

NHS security beds.

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Forensic Psychiatry

Managing the violent patient in a community mental health center.

Staff ofcommunity mental health centers are finding that they must deal with increasing numbers of imminently or potentially violent patients. Some of the author's suggestions for handling such patients include assigning two therapists, one man and one woman; holding the interviews in special offices that have two exits and are in view of staff but out of view of other patients; and notifying the center director and other staff that a potentially violent patient is in the center. The author also reviews some of the literature on correlates of violent behavior. The most obvious correlate is a previous history of repeated severely violent behavior.

Community Mental Health Services

From the hospital to the prison: a step forward in deinstitutionalization?

In Massachusetts there is a growing trend to transfer both direct and indirect mental health service delivery from civil mental hospitals to prison facilities. Three factors associated with deinstitutionalization and a community-based delivery system appear to have contributed to the trend. Those factors are the over-all compromising of programming caused by unitization of state hospitals and the requirement that a full range of psychiatric services be available in every community, the decrease in morale and training of state hospital employees not involved in community treatment, and the lack of outreach to patients in the community who are dangerous or difficult to deal with.

Adult