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Biomedical subjects

A Kurz

Publications and source records attributed to A Kurz.

At least 181 records · Page 10Linked to original sources

[Chamber angle findings following implantation of "chamber angle" supported lenses of the Dubroff and Kelman-Multiflex type].

The authors examined 92 eyes after planned ICCE combined with implantation of anterior chamber lenses on average 16.5 months after surgery (range: 6 to 37 months). Two types of lenses were used, namely Kelman-Multiflex and Dubroff. The tissue reactions at the points of contact of the lens haptics in the chamber angle were classified gonioscopically. Even though it was found that reactive tissue reached the filtering trabecular meshwork in some cases (2% of haptic points of Kelman-Multiflex lenses and 15% of those of Dubroff lenses), no significant increase in intraocular pressure was observed. Comparing advantages and disadvantages as regards facility of implantation as well as the probability of hazardous tissue reactions, neither type can be said to be clearly preferable.

Aged↗

[Dementia].

This report briefly reviews the clinical diagnosis of dementia, including the most important problems of differential diagnosis. General guidelines of therapy are presented with special reference to the modification of secondary factor which may contribute to the severity of dementia and to psychosocial approaches in the management of patients.

Aged↗

Classification of parasuicide by cluster analysis. Types of suicidal behaviour, therapeutic and prognostic implications.

A classification of suicidal behaviour was derived by cluster analysis from descriptive data on parasuicide patients. The grouping was meaningful in terms of clinical interpretation and had both therapeutic and prognostic implications. The sample was broken down into three groups, identified as repeated, serious and non-serious attempts. The repeated attempters had the worst prognosis at 1-year follow-up. When the sample was classified into five groups according to seriousness of the attempts, the repeater and non-serious groups were retained, while the serious attempts were split into three subtypes, which differed on nosological characteristics, treatment disposal and outcome. An excessively high successful suicide rate was found in a small group of elderly attempters.

Behavior↗

[Family groups in Alzheimer's disease: initial experiences and results].

A regular family support group was established within an outpatient clinic for demented elderly patients. At the outset of the group, the relatives knew little about the disease and about the available resources of help, but some were highly experienced in the management of dementia. The group provided information, exchange of experience, practical problem-solving, support in emotional difficulties, and clarification of interpersonal conflicts in the family. The effect of the group showed in decreased feelings of burden and tension in most participants. The present observations suggest that family support groups should be long-termed and that the experts' primary task is to activate and amplify the self-help potential of the caregivers.

Aged↗

Suicide risk scales: do they help to predict suicidal behaviour?

Fifteen rating scales for the estimation of suicide risks are reviewed. The report focuses on methods of scale development and validation. Problems of predictive accuracy, and ways of improving the prediction of suicidal behaviour are discussed.

Depressive Disorder↗

[Help-seeking behavior and compliance of suicidal patients].

The literature reporting on the readiness of persons at suicide risk to make use of helping agencies and to comply with therapeutic advice is reviewed including first results of an experimental investigation carried out by the authors and associates. Selection phenomena in the field of suicide prevention which have received little attention yet are demonstrated by means of data on the patients of different helping agencies. According to the results, medical practitioners are a primary resource of outstanding importance. There is also evidence for services like the Telefonseelsorge to be important factors in suicide prevention. Generally, the patients are more willing to follow therapeutic recommendations than so seek help spontaneously. In suicide attempters the utilization of recommended care can be considerably improved by increasing the motivation of patients, by intensifying the primary psychiatric intervention, and by avoiding a change of the therapist. The therapist's professional skill may also have an important influence on compliance and on drop-out rates.

Adult↗

[Results of a clinico-experimental evaluation of suicide prevention programs].

With regard to methodological shortcomings and heterogeneity of the outcome of experimental studies in the field of suicide prevention only tentative conclusions can be drawn from the results. Suicide prevention programs where contact to patients is actively established and maintained seem to be more effective in reducing the rate of further suicide attempts than passive strategies which leave it to the patients to initiate and continue a therapeutic relationship. This advantage emerges more clearly when patients are repeatedly or even continually motivated to utilize advice and treatment facilities. The intensity of outpatient aftercare services may also have a considerable influence on the effectiveness of suicide prevention.

Aftercare↗

[Comparative study of 295 patients with first and repeated suicide attempts].

After their first suicide attempts 169 patients were compared to 109 repeated suicide attempters regarding sociodemographical, biographical, and psychopathological variables. The differences between the groups characterize the repeaters as persons with more broken-home situations in childhood and youth and with more tension and instability in private and occupational relationships. These patients received more psychiatric or psychotherapeutic treatment, were more often classified as suffering from a personality disorder or addiction and their prognosis was estimated less favourable. These findings are consistent with the results of other investigations. Questions of typological interpretation and practical consequences are discussed.

Adjustment Disorders↗

[Fatty-acid pattern of human fat and liver tissues in alcoholics and non-alcoholics: fatty-acid pattern as a measure of alcoholism (author's transl)].

Samples from the right lobe of the liver and from fat tissue of the abdominal wall were removed shortly after death from 116 persons. Fatty-acid pattern of both tissues (lauric, myristic, palmitic, palmitoleic, stearic, oleic, linoleic acids) was measured and compared with the degree of fatty infiltration of the liver. The data were also correlated with chronic excess alcohol consumption in the pre-terminal phase. It was found that with increasing fatty inflitration there was a rise in the relative proportion of palmitoleic acid in liver and subcutaneous fat tissues, with a fall in the relative proportion of stearic acid in the latter. Comparison of results in alcoholics (19 subjects) and non-alcoholics (91) showed the expected higher fatty infiltration of the liver in the former (x equal 13.4% and 5.6%, respectively). Both in liver and subcutaneous fat tissues the relative proportion of palmitoleic acid was significantly higher in alcoholics. But while in these the proportion of palmitoleic acid in the liver was higher than in subcutaneous tissue, the relationship was the converse among the non-alcoholics.

Abdominal Muscles↗