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Biomedical subjects

J Egger

Publications and source records attributed to J Egger.

85 records · Page 5Linked to original sources

[Efficiency of myocardial infarction (author's transl)].

During inpatient cardiological rehabilitation following myocardial infarction, 120 patients were examined by means of a written enquiry on the subjective appreciation of changes in the quality of their lives. The following picture emerged: cardiac patients experience a distinct deterioration in the quality of their lives as a result of the disease. The reactions from the social environment are judged by the patients vaguely and without uniformity. Satisfaction with the overall medical care on the other hand is relatively high. Altogether, 42% of the patients assess their present quality of life as very good to good, 30% as moderate to poor and 15% as bad to very bad. 13% could not give any assessment. A positive psychic basic attitude was given by about 75%.

Consumer Behavior↗

Effects of sodium valproate in 100 children with special reference to weight.

Excessive weight gain occurred in a patient who was taking sodium valproate and phenytoin. The sodium valproate was therefore withdrawn but the rapid weight loss that ensued led to phenytoin intoxication. Hence a retrospective analysis was conducted of 100 children with epilepsy treated with sodium valproate. Fit control improved in 77 and was best in children with generalised epilepsy. None of the reported severe side effects, such as acute liver disease and pancreatitis, were encountered. Milder but troublesome side effects, however, occurred in 65 patients. The commonest was increased weight gain, which occurred in 44 cases. Others were transient gastrointestinal disturbances (20), lassitude (nine), transient hair loss (six), transient enuresis (seven), and aggressive behaviour (four).

Adolescent↗

[Subjective and objective effects of music use during mental effort].

The subjective and objective effects of music consumption during intellectual work were assessed by a special questionnaire and the concentration paper-pencil-test (Brickencamp). Three different styles of music (pop-music, classical music and folk-music) were presented in a standardized way. It appeared that pop-music was experienced to be less conscious, less irritable and more pleasant than classical music. Although there was a subjective preference for pop- and folk-music an adequate increase of the concentration-test-scores could not be ascertained. On the contrary a significant discrepancy was found between subjective recorded music-effect and objective measured task-performance. Under the condition of classical music which was least preferred there was a significant greater variance of false responses than under the condition of no music. Nevertheless the total output of the discrimination-task was relatively the highest during classical music. The results are interpreted primarily as an enhanced psycho-physiological activation and a different selective concentration on music-presentation and task-demands. In accordance with empirical findings on psychological and physiological effects of music the results of this study reinforce the statement that also i mental activities music per se does not principally increase or lower the task output.

Achievement↗

Computed tomography in mitochondrial cytopathy.

The clinical and computed tomographic (CT) findings in 11 proven cases of mitochondrial cytopathy (mitochondrial myopathy, Kearns Sayre syndrome, ophthalmoplegia plus) were studied. The CT changes included focal low density lesions in the basal ganglia and white matter and atrophy which could be slight or diffuse and severe. Calcification has been described in the basal ganglia, but did not occur in our series. Serial CT showed progression of the abnormalities. The differential diagnosis is discussed.

Adolescent↗

Mitochondrial cytopathy. A multisystem disorder with ragged red fibres on muscle biopsy.

Thirteen children with abnormal mitochondria in muscle tissue, and a progressive neurological disorder that affected the cerebrum, cerebellum, extrapyramidal system, vestibular system, retina, upper motor neuron, lower motor neuron, and musculature, are reported. Other signs and symptoms were short stature, diabetes mellitus, cardiopathy, hypoplastic anaemia, glomerulopathy, and renal tubular dysfunction. These symptoms may occur singly or in various combinations and the manifestation may differ even within the same family. The most common clinical picture was that of "ophthalmoplegia plus'. Occurrence in relatives varied from isolated symptoms to the complete syndrome with "ragged red fibres' and is not inconsistent with an autosomal dominant mode of inheritance with variable expressivity. Theories for the pathophysiological basis of this syndrome are discussed and the literature reviewed.

Child↗

[Influence of acupuncture and electroacupuncture on heart rate and extrasystoles (author's transl)].

In 33 patients with constant ventricular extrasystoles the influence of acupuncture and electroacupuncture on the extrasystoles and the heart rate was examined. There was no difference in heart rate between the treatment-conditions and the non-treatment-conditions. Differences were seen however in the frequencies of the ventricular extrasystoles: During acupuncture (normal as well as electric) the total sum of ventricular extrasystoles and the number of subjects with ventricular extrasystoles was lowered significantly in relation to the non-treatment-condition. The findings are discussed as to neurovegetative and neuroendocrine influence of acupuncture.

Acupuncture Therapy↗

[Group psychotherapy in the treatment of cardiovascular diseases--health and disease education in inpatient rehabilitation (author's transl)].

Psychotherapy, beside kinesitherapy, pharmacotherapy and the use of appropriate devices in cardiology, are an important and integral part of therapeutic efforts in inpatient rehabilitation of cardiovascular diseases. A working pattern is suggested for the major part of psychological treatment, namely, group therapy, devised and translated into reality by a clinical psychologist for a specialised rehabilitation center. The therapeutical aims of group psychotherapy include adequate control of disease of anxiety after myocardial infarction and subsequent health training based on behaviour therapy. The different types of group therapies are described and assessed.

Adaptation, Psychological↗

[Long term ECG monitoring post myocardial infarction during a representative programme of TV-broadcasts (author's transl)].

Five patients with myocardial infarction were presented a completely representative television programme of 60 hours in order to examine the cardiac strain caused by consumption of television. During a period of 31 days they saw 108 selected TV-broadcasts. Heart activities were registered by long-time-ECG tapes and subjective data on wellbeing were recorded. The results show a total of 197 ES in 300 hours (149 VES and 48 SVES), six times VES by pairs and three times VES in bursts was seen. In one case an ST-decrease was found. There was no systematic correlation between ECG-changes, subjective disorders, and subjective preference of items on one hand and type, day-time and duration of the features on the other hand. The results of the study are regarded within the framework of a psycho-physiological stress paradigm. They may be generalized in such a way that watching television to a normal extent does not differ in its cardiac disturbances or cardiac strain from many other psychological activities in everyday postmyocardial-infarction life.

Arrhythmias, Cardiac↗

[Clinical psychology in rehabilitative cardiology - a working model (author's transl)].

The article presents a model for the psychological treatment within the framework of an in-patient rehabilitation programme for patients suffering from heart and circulatory diseases. On the basis of research work investigating the psychological factors of heart diseases, this model describes details of a clinical-psychological intervention and psychotherapeutic/psychosomatic supervision tested over a two-year period at a specialised rehabilitation centre for heart and circulatory diseases.

Cardiac Rehabilitation↗