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Biomedical subjects

C Eggers

Publications and source records attributed to C Eggers.

At least 91 records · Page 5Linked to original sources

[Psychopharmacotherapy in child psychiatry (author's transl)].

The highest aim of every treatment in child and adolescent psychiatry is the encouragement of maturity. This also applies to pharmacotherapy with substances which reduce fear, suppress impulses, inhibit aggression, brighten the moods and promote efficiency. The indication for these should be made strictly in consideration of both the psychological development and biological maturity aspects as well as the family dynamic relation and interaction structure in which the child grew up. Psychopharmacotherapy must be limited to closely defined diseases, especially to psychotic disturbances, malignant tics, the hyperkinetic syndrome, pediatric emergencies and to supporting the treatment of enuresis or as concomitant medication in some disordered behaviors of abnormal mental and neurotic development. The administration of psychodrugs is moreover only to be considered if psychological measures alone are insufficient to help the child.

Adolescent↗

[Long-term observation after implantation of a carbon fiber-reinforced carbon hip joint endoprosthesis in foxhounds (author's transl)].

A hip-joint endoprosthesis, comprising a carbon fiber-reinforced stem, aluminum oxide head, and polyethylene acetabular cup, was studied in vivo trials in ten foxhounds after implantation with bone cement. Observations over 6 months and 1 year demonstrated that carbon fiber-reinforced carbon exhibits adequate strength for use as a stem material under the observed conditions.

Animals↗

Course and prognosis of childhood schizophrenia.

Follow-up data on 57 schizophrenic patients, including 25 boys and 32 girls between the ages of 7 and 13, is reported. Average length of follow-up was 15 years. Symptoms found in children under 10 and in prepubertal cases are described. Cases with acute, relapsing episodes occurred more often than chronic cases, but before age 11 acute cases were less frequent. Twenty percent of the patients recovered completely, 30% reached a relatively good social adjustment, and 50% had moderate or poor remission. Family incidence of psychiatric disorders had no influence on prognosis, nor did unfavorable family environment. Premorbid personality development was, however, found to be of prognostic value. Prodromal episodes occurred in 55% of the cases, and 65% of the patients were preoccupied by death. Additional follow-up findings are presented, and problems of diagnosis are discussed.

Adolescent↗

[Keratotorus. Aetiology with regard to heredity (author's transl)].

We describe the biggest group of toric deformation of the cornea reported up to now. We point out in particular two ribs whose parents are blood-related. Hence we obtained the first evidence for an inheritance (autosomal recessive) of this corneal anomaly. The term Keratotorus is recommended as the best definition for this toric corneal deformation. Although there are similarities with other anomalies of curvature of the cornea, the clinical picture of keratotorus can be seen also in the future as a nosological entity.

Adolescent↗

[Juvenile depressive syndromes].

Depressive states can appear in different phases of life. They differ in their phenomenology according to type, dynamics and power of the etiologic factors, as well as to the moment of their appearance in a child's life. Therefore, depressive syndromes during infancy and childhood are very diverse. Depression in childhood is psychopathologically more complex than it is in adulthood, because it occurs in a developing organism. A differential typologic order according to nosologic aspects is difficult to establish. A division into psychogen-reactive, neurotic, organic, structural and endogenous-psychotic depression is only an attempt toward a rough orientation. Contrary to depressive illnesses in adulthood, anaclitic, reactive and neurotic depressions are most frequent in childhood. They are always due to inconvenient relations to and identification with the significant other of the child. There are dynamic interrelations between the different depressive states in childhood. Already in the early phases of development, the foundations are laid for the possible later development in melancholia.

Adjustment Disorders↗

[Therapy of childhood schizophrenia].

Due to the multifacet genesis and variability of clinical phenomenology, the therapy of childhood schizophrenia must be multidimensional. Formerly applied techniques like electroshock- and insulin-therapy are now replaced by pharmaco-therapy, primarily with phenothiazines, butyrophenones and chlorprothixens. The dosage depends on age, body weight or body surface. Because of extrapyramidal motor side effects, combinations with anticholinergic drugs may be necessary. Psychopharmaco-therapy alone, however, is insufficient. High emphasis must be placed on psychotherapy and educational guidance and counselling of the psychotic child. Participation in play groups, sports, muscial activities, arts and crafts, and acting helps make it possible to improve communication behaviour and to transform aggressive anxiety defense into stabilized control of emotions and impulses. In addition to successive integration of the psychotic child into small groups, play therapy with the single child is meaningful. In this case, a constant and confidential relation between therapist and child is extremely important and only possible if the therapist attempts to place himself into the magic-animistic phantasies of the psychotic child. He has first to learn the psychotic language of his patient in order to support more reality-oriented behaviour processes of the child's thinking, preceiving and performing later on. In this manner, the magic-omnipotent phantasies can be dissolved and an increasing orientation of the child toward reality can be encouraged. This involves strengthening and support of non-pathological ego-functions and initiation of a new level of ego-functioning. Such an integrated developmental concept can best be realized through play therapy.

Antipsychotic Agents↗

[Acute hemisyndrome in childhood (author's transl)].

Neurologic hemisyndromes in childhood may be due to congenital or acquired changes in cerebral vessels. Among the congenital vascular malformations, which very rarely become manifest already in children, the arteriovenous angiomata and saccular aneurysms are relatively the most common (in childhood about 4-8% manifest, 1-2% of all diseases). Venous angiomata, micro-angiomata and congenital dissecting aneurysms are very rare. But acquired thrombotic blocks of cerebral arteries are of greater importance as causes of acute neurologic hemisyndromes in childhood. Most often they have an inflammatory or traumatic cause, often the cause is unknown. Rare diseases only very recently described as arterial blocks of cerebral vessels are fibromuscular dysplasia and Moya-Moya-disease, the etiology of which is not yet fully understood. The prognosis of these diseases is generally unfavorable, but the focal signs in migraine as visual, sensory, aphasic and motoric defector irritative signs are as a rule reversible. In order to establish, where possible, the cause of acute neurologic hemisyndromes in childhood, early angiography may-classic migraine accompagnee types excepted-help. But also modern biochemical, immunologic, virologic, serologic, bacteriologic, clotting analytic and, possibly, histologic and histochemical techniques should be employed with particular attention to fat metabolism and to auto-immune disease.

Acute Disease↗