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Biomedical subjects

E Ringel

Publications and source records attributed to E Ringel.

At least 19 recordsLinked to original sources
PubMed1991

Psychological health, self-reported physical health and health service use. Risk differential observed after one year of unemployment.

One year after the closure of a furniture factory the health consequences of long-term unemployment were studied among the 215 former employees and an interviewer-administered questionnaire was used to measure psychological health, self-perceived physical health and health service use. Those remaining unemployed 12 months after the closure were found to be 8 times more likely to report poor psychological health than were the re-employed (Odds ratio (OR): 8.5; 95% CI: 4.2-17.0). Self-reported physical ill-health was generally thought be respondents to be due to former work (56 percent of all disorders were related by subjects to former work history) and was also found to be associated with current employment status (OR 5.6; 95% CI: 2.7-11.5). Health services were over-utilized by the unemployed (OR 2.2; 95% CI: 1.2-4.1) and this differential was demonstrated to be even greater for the older and those reporting more diseases. Given the increasing proportion of long term unemployed in many Western countries this health service over-utilization will impose a substantial burden on public health expenditures unless other means of psychological and social support are provided.

Adaptation, Psychological↗
PubMed1990

[Euthanasia--limits of therapy in oncology. From the viewpoint of the medical psychologist].

Progress in organic-technical medicine has been considerable in the field of oncology. Since cancer patients are confronted with enormous psychological problems both by their disease and its treatment, improvement in the psychological care of these patients is an absolute necessity. At present, help in coping with cancer is seldom provided. Psychological care of cancer patients would be of great importance for improving the quality of life, which always has to be assessed according to the patient's subjective point of view. The aim should be to keep patients not only alive but also all terms with life. In the terminal stages pain relief and consolidation of the sick are prerequisites for dying in dignity.

Adaptation, Psychological↗
PubMed1987

[Some treatment effects of inpatient psychosomatic therapy].

In an earlier study the authors found that patients of the psychosomatic ward of the Vienna Allgemeine Krankenhaus showed a high frequency of consultation with physicians for the time period prior to their admission to the ward. The present study asked--in comparison with untreated cases--whether a) this consultation frequency would be different in quantity and quality according to the experience of in-patient treatment and b) what the effect of in-patient treatment would have on medication consumption and a set of subjective parameters. This study comparing 37 psychosomatic patients with the control group of 18 individuals showed that psychosomatic in-patient treatment had a decisive influence on consultation frequencies and behaviour, on medication habits and on some subjective parameters. Individuals with in-patient treatment had a consultation frequency over 50% lower than diagnostically comparable cases without psychosomatic treatment. In their own estimation, patients were able to cope with their symptoms (insofar as these remained) significantly better than those without such treatment, and the majority expressed satisfaction with their stay in the psychosomatic ward even 5 years later. Their medication consumption rate showed a declining pattern und their positive responses to a number of personal and medical parameters had the same wide scope as the persons of the control group, while those patients who did not receive this specific treatment clearly manifested a more restricted pattern.

Combined Modality Therapy↗
PubMed1985

[Depression and suicide].

Although the phrase "no suicide without depression" may not be quite correct in this extreme wording, it must be stressed that the connection between depression and suicide is close and that the contribution of depression towards suicide is very large. The task of the examining physician is twofold. In the first place he has to judge from the phenomenological-psychopathological point of view to which extent the patient shows signs of the so-called "pre-suicidal syndrome", consisting of multi-dimensional narrowing in, inhibited and self-directed aggression, and increasing suicidal fantasies. Secondly, he has to investigate the pattern of the existing depression. Endogenous depression, senile depression and neurotic depression have to be taken into consideration and the extent of the risk of suicide depends, not least, on the type of depression. As to therapy, neurotic depression requires psychotherapy, senile depression calls for socio-therapeutic measures and endogenous depression necessitates the administration of antidepressives. In all cases, however, the foundation for successful therapy rests on the achievement of a harmonious and genuine doctor-patient relationship.

Dementia↗
PubMed1985

Primary histiocytic dermatoses.

The physiology of the histiocyte (macrophage) in health and disease is reviewed briefly. An overview of the so-called primary malignant, pseudomalignant, and benign histiocytic disorders, excluding histiocytosis X, is presented. The malignant histiocytosis with erythrophagocytosis, the pseudomalignant histiocytic diseases (such as sinus histiocytosis with massive lymphadenopathy and regressing atypical histiocytosis), and the solitary lesions with histologic malignant and atypical storiform histiocytosis are described. Two groups of adult histiocytic diseases are reviewed; one is characterized by nonfamilial and familial histiocytic dermatoarthritis and the other by multiple widespread benign lesions, such as xanthoma disseminatum, generalized eruptive histiocytoma, nodular non-X histiocytosis, and various xanthomatous eruptions associated with paraproteinemia. Finally, multiple benign cutaneous histiocytic lesions of childhood, such as juvenile xanthogranuloma and congenital self-healing histiocytosis, are included.

Adult↗
PubMed1985

[Depressive diseases of the involutional age].

Depressions in old age tend to become chronic. This depends on the difficulty to adapt to the biological changes in old age. Depression in aged people should be valued equally to other depression. It has to be differentiated from mental deficiency in age. Some points characterize depression in involutional age: deminuation of functions of the body, cancellation of old people, isolation and social distress in age, lack of relation to the future. The onset of therapy has to regard these different factors.

Adaptation, Psychological↗
PubMed1983

Localized mycosis fungoides not manifesting as Woringer-Kolopp disease.

A 68-year-old man had a solitary, eczematiform lesion of two years' duration on the digital dorsal surface of his right foot. Despite its innocuous appearance, the lesion showed histologic characteristics of advanced, plaque-type mycosis fungoides. The patient's clinically benign yet histologically malignant disease manifestation is discussed. The distinction between localized mycosis fungoides and Woringer-Kolopp disease is also reviewed.

Aged↗
PubMed1977

[Crisis intervention technic].

Based on the various principles of crisis intervention, a model of it is designed which divides it into four phases: (1) beginning of intervention (established of a relationship, assessment of the client's condition, estimate of the gravity of the problem, and design of the plan of action along the lines of minimal difference); (2) actual intervention; (3) conclusion of the crisis intervention, and (4) follow-up. This system conveys a good insight into the activities of a crisis centre, and it can contribute to the diffcult and up to now unsolved problem of how such institutions can be evaluated.

Crisis Intervention↗
PubMed1976

The presuicidal syndrome.

The Presuicidal Syndrome, first described in 1958, relates to that specific psychic state of mind that leads to suicidal acts. It is an alarm signal indicating a tendency to suicide. The Presuicidal Syndrome has three principal components: constriction; inhibited aggression turned toward the self; and suicidal fantasies. The clinical details of these components are explicated. It is proposed that the Presuicidal Syndrome provides a basis for better judgment of the danger of suicide, makes more focused suicide prevention possible, and is an aid in the disclosure of those factors in society that often lead to suicide.

Adult↗