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Biomedical subjects

M Kleinhauz

Publications and source records attributed to M Kleinhauz.

29 records · Page 2Linked to original sources

The Yaffo Community Mental Health Center.

The Yaffo Mental Health Center was intended as a model for the implementation of the Israel national program for community psychiatry. The principles governing the function of the community mental health center are set out and the various component (if integrated) service structures are described.

Adolescent↗

Incidence of mental illness in the aged: unmasking the effects of a diagnosis of chronic brain syndrome.

A combination of three psychiatric screening tests was used to uncover the extent of affective-psychotic symptoms, the indications of "chronic brain syndrome," and the perceptual limitations among two selected populations of elderly persons. It was found that 25% of 48 residents in a home for the aged, and 9% of 45 members in a social club, had four or more affective-psychotic complaints. In the former group, 75% had symptoms of moderate to severe "chronic brain syndrome," versus 7% in the latter group. Among the residents of the home, 10% had serious disturbances as measured by all three tests. The significant number of affective-psychotic symptoms found in this population with extensive manifestations classifiable as "chronic brain syndrome" indicates that this diagnosis should not be allowed to preclude regular psychiatric evaluation of these elderly patients. When a specific diagnosis is established, available treatment modalities should be provided as needed.

Age Factors↗

Treatment of the aged mentally ill: further unmasking of the effects of a diagnosis of chronic brain syndrome.

Six elderly persons with a diagnosis of "chronic brain syndrome," who resided in a home for the aged, received bi-weekly sensory stimulation and group therapy for three months. This pilot project demonstrated that the symptoms used to classify "chronic brain syndrome" are flexible and can improve with such treatment. Not only does this cast doubt on the accuracy of this diagnosis are used, but it provides further evidence of the utility of such treatment for this type of patient. Since group therapy and sensory stimulation over a relatively short period can result in clinical and testable improvement, the diagnosis of "chronic brain syndrome" in the elderly should not be allowed to preclude the provision of appropriate psychiatric therapy.

Aged↗

Detection of psychopathologic trends in glossodynia patients.

Glossodynia affects primarily middle-aged women. Although many possible etiologies have been proposed for the syndrome, most have not been substantiated. In the present study 56 glossodynia patients were evaluated for their psychopathologic profile as reflected by the SCL-90 questionnaire. The data show that glossodynia patients present a relatively high psychopathologic profile, especially on the scales of somatization and depression. Significant correlations were found between the intensity of pain experienced by the patients and some of the SCL-90 scales (somatization, depression, anxiety, GSI and PSDI). No correlations were found between SCL-90 scores and duration of symptoms, prevalence of symptoms per day and patient's condition during the past year. Patients living alone were found to differ significantly from those living with a significant other (overall group effect significant at the 0.01 level). The data suggest that psychopathologic trends may be associated with glossodynia.

Aged↗

When pharmacologic anesthesia is precluded: the value of hypnosis as a sole anesthetic agent in dentistry.

Occasionally, a dental patient presents his/her dentist with a history of hypersensitivity to local anesthetic agents. The symptoms may include immediate reactions to the injection procedure (dizziness, shortness of breath, tachycardia, etc), or delayed reactions to the anesthetic (swelling, urticaria, etc). Although the true incidence of local anesthetic allergy is low, such a history often involves the patient's anxiety regarding the use of the drug in question, and the dentist's apprehension to treat the "problematic" patient. In such cases, hypnosis can play a major role in controlling pain and the associated distress. In the present article, the method concerning the implementation of hypnosis to induce local anesthesia is described and illustrated through case demonstrations.

Adolescent↗