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S Zepf

Publications and source records attributed to S Zepf.

31 records · Page 2Linked to original sources

[A contribution on diagnostic and therapy of myxoedema coma (author's transl)].

With special reference to diagnostic and therapeutic problems, a case of myxoedema coma with secondary hyperaldosteronism and raised LDH-concentration is described. The significance of different states of consciousness due to this endocrine disorder is pointed out with respect to the differential diagnosis and particularly to the clinical symptoms. In addition, experience with an intravenously administrable triiodothyronine compound is described and the different dosages previously mentioned in the leterature are discussed. The long interval of 5 weeks from the beginning of the therapy until the remission of the omatous state was surprising.

Aged↗

[The model of the non-trivial machine or the semiotic alternative. Remarks to Th. v. Uexkülls and W. Weisiacks regarding the theoretical basis of human medicine].

The authors discuss the attempt by v. Uexküll and Wesiack to formulate the basics of human medicine within the framework of a sign theory. They criticize this attempt mainly in three points: 1. Central concepts of their model--i.e. "meaning", "sign" or "signcoupling"--are only used as general concepts and not in the differentiated manner they are conventionally used in semiotics. 2. Human behavior is reduced to conditioned reflex systems which are merely described in a different, semiotic way. 3. Problems evolving from the epistemology of a radical constructivism on which their model of a "bio-psycho-social medicine" is based, remain not only unsolved but also undiscussed.

Humans↗

[Illness symptoms and narcissistic object relations in patients with ulcerative colitis].

We have taken the results from a comparison between 47 patients with ulcerative colitis and so-called "healthy" controls using a semantic differential and the "Freiburger Beschwerdeliste" to investigate the relationship between loss of the narcissistic object and physical complaints. The colitis-patients differ significantly from the controls in virtually all of their complaints, which prove to be independent of the duration of illness. The patients feel themselves more alienated from their "key figure", their narcistic objects. This alienation is correlated positively to the severity of their various complaints. Ailments of the alimentary chanal are an exception: here we only find such a correlation for patients whose illness lasted less than 3 years. We presume that ulcerative colitis may be initiated by a loss of the "key figure", but that physical processes may then determine the further course of the illness.

Adult↗