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Biomedical subjects

K Michel

Publications and source records attributed to K Michel.

88 records · Page 5Linked to original sources
PubMed1986

[Suicide and suicide prevention. Could the physician do more? Results of a questionnaire of relatives of suicide attempters and suicide victims].

Relatives of 50 attempted and 50 successful suicides were interviewed with a semi-structured set of questions. This report presents the results of the questions which related to the role of the physician and his reaction to the event, and to the reaction of the relatives. 80% of all cases were seeing a doctor, and the physicians concerned reported that they were very surprised by the suicide attempts and suicides in 36% and 48% of cases respectively. Many patients had a history of suicide attempts and/or threats; earlier suicide attempts were not known to the physicians in 67% (attempted suicide) and 38% (successful suicide), and threats in 73% and 50% respectively. The author had the impression that the diagnosis of depressive illness and the indication for treatment with antidepressive medication was often missed. The practical implications of these results are discussed.

Adult↗
PubMed1986

[Psychiatric crises situations within the scope of the acute hospital].

In the last decades more and more community psychiatric services have been established. When such services work in close cooperation with a general hospital new and interesting possibilities of interventions are possible. Closeness with hospital physicians can improve the image of psychiatry among physicians as well as the general population. This paper reports about experiences made in a newly established psychiatric service based in a general hospital of 300 beds, focussing on the possible interventions in acute psychiatric crises.

Adult↗
PubMed1981

A survey of prescribing psychotropic drugs in two psychiatric hospitals.

Of 511 patients in two psychiatric hospitals, one-fifth had no psychotropic drugs, but over one-third (nearly half of those receiving medication) had a combination of two or more psychotropic drugs. Hypnotics and minor tranquillizers were commonly prescribed together with neuroleptics and anti-depressants. One-fifth of day-patients treated with depot neuroleptics also has oral neuroleptics. Anti-parkinsonian drugs were prescribed for half of those receiving neuroleptics. Both minor tranquillizers and neuroleptics were commonly administered three or more times a day. Forty per cent of patients treated with neuroleptics had diagnoses other than schizophrenia, and one-third of those receiving antidepressants had diagnoses other than affective disorder. An analysis of prescribing could contribute to a more rational use of psychotropic drugs.

Drug Therapy, Combination↗
PubMed1978

[Acute mental disturbances following gynaecological operations (author's transl)].

In the first part acute mental disturbances of more or less psychotic character following upon major gynaecological operations are described. In general there were only minor somatic findings to be made. The mental disturbances were predominantly psychoreactive. They usually disappear under psychopharmacological therapy supporting psychotherapy quickly and do not recur. In the second part the literature relevant to this theme is compared and discussed. The attempt is made to interpret such disturbances as model cases for psychic disorders arising from an interaction between physical and mental components.

Adult↗
PubMedDate not supplied

Sporadic tuberculous meningoencephalitis.

Tuberculous meningoencephalitis in a 24-month-old boy is reported. He contracted the infection from his apparently healthy grandfather with unnoticed pulmonary tuberculosis, as suggested by restriction fragment length polymorphism analysis of the isolated pathogen.

Cerebrospinal Fluid↗
PubMedDate not supplied

Attempted suicide. Do we understand the patients' reasons?

This explorative study compared the patients', doctors', and nurses' views regarding their attribution of reasons for attempting suicide and the patients' emotional state immediately preceding their suicide attempts. A sample of 30 out of 94 consecutive patients seen in the emergency room of University Hospital were examined shortly after they had attempted suicide. Immediately after the routine clinical interview, conducted by a psychiatric resident and a nurse, patients filled in a questionnaire giving 14 possible reasons for attempting suicide as well as 8 feelings characterizing the emotional state preceding the suicide attempt. In the meantime, and without prior discussion of the case, the resident and the nurse independently completed the same questionnaire. In addition, sociodemographic and clinical data were obtained. Intrapersonal reasons such as to get relief from a terrible state of mind or from an unbearable situation were most frequently chosen by patients, nurses, and doctors alike. The most striking difference was found for "loss of control": this item was chosen significantly more often by patients than by nurses and doctors. Accordingly, patients reported significantly more often feelings of anxiety/panic and emptiness (mental vacuum), whereas feelings of despair and powerlessness/hopelessness were mentioned most frequently by nurses and doctors. Mental health professionals should bear in mind that many suicide attempters experience feelings of anxiety/panic prior to their suicidal act, and that a majority report having lost control over themselves, thus indicating a state of emotional crisis.

Adult↗
PubMedDate not supplied

Esophageal obstruction caused by a left aortic arch and an anomalous right patent ductus arteriosus in two German Shepherd littermates.

OBJECTIVE: To present details of surgical management of an unusual vascular ring anomaly in two German Shepherd littermates. STUDY DESIGN: Clinical case report. STUDY POPULATION: Three-month-old intact male and female German Shepherd littermates. RESULTS: In each dog, the esophagus was obstructed by a vascular ring comprised of the left aortic arch, an anomalous patent right ductus arteriosus, and the pulmonary artery ventrally. Surgical treatment consisted of dividing and oversewing the patent right ductus arteriosus. Neither dog has clinical signs of esophageal disease one year after treatment. CONCLUSION AND CLINICAL RELEVANCE: This vascular ring anomaly should be considered a possibility in any young dog with esophageal obstruction and a machinery murmur.

Animals↗