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At least 235 records · Page 13Linked to original sources
PubMed1999

[The drama of hyperextension trauma--chronic whiplash syndrome with its neuropsychological and psychiatric findings. An analysis of 80 cases from expert assessment].

The problem "whiplash associated disorder" was studied in a multidisciplinary analysis of 80 patients who all had a "simple whiplash-accident", this means a whiplash-accident without concomitant head trauma apart from contact with the car seat and without unconsciousness. The opinions of a rheumatologist and of a psychiatrist were considered in each case, and in 47 patients, a neuropsychological expertise was present. 43% of the patients who had been neuropsychologically tested revealed specific cognitive deficits as they are described after mild traumatic brain injuries and after whiplash accidents. Symptoms related to a pretraumatic cognitive disease were not found in any of the cases. Most patients had been professionally active at the time of the accident, some performing activities requiring a high level of cognitive skill. 66% percent of the study group showed psychological disturbances reducing the working capacity. There was no evidence for preexisting traumatic psychiatric symptoms. In many cases the psychiatric disturbances were accident-related, either reactive to the cognitive deficiencies or resulting from chronic pain. We assume that the "simple whiplash-accident" can cause chronic disturbances of brain function. In the etiology, a mild traumatic brain damage must be considered, this means an organic damage and not only a functional brain disorder. These brain function disturbances are often masked by the pure psychiatric symptoms, therefore they must be carefully searched for. Injured patients, who do not regain their working capacity after the accident, should be explored in a neuropsychological as well as in a psychiatric mode as early as possible after the accident.

Adult↗
PubMed2000

[The drama of blood contamination in France. An approach to public health].

The tragic HIV contamination of hemophilics and transfusion recipients between 1980 and 1985 in France led to low court proceeding the same events. In addition, last June a state minister was arraigned for not recalling transfused patients before 1985. This involves later events and announces other court actions. France is the only country where these dramatic events have take on the dimension of a major political scandal. Based on the scientific elements (reactions and articles in the international medical literature) and an analysis of the decisions made by France, a chronological examination of the disease and the risks for hemophiliacs and transfusion recipients offers helpful insight into possible options for reducing these risks. The interval between these the court proceeding allows time for further thought focusing on a serious deviation of public health in France.

Blood↗
PubMed1999

National health insurance in the United States: a drama in too many acts.

Responding to the question, "Universal Health Care: How Can We Get There from Here?," this paper describes the history of governmental health insurance in the United States, analyzes the factors that have proved to be crucial to its establishment in other countries, and concludes that without a strong Labor Party, there will be no national health insurance, no universal healthcare system in the United States.

Financing, Government↗
PubMed1994

[The death of foundlings, a drama in two acts].

Around 1750 society grows aware of the high mortality of abandoned infants: enlightened physicians and administrators attempt to remedy this disaster and put the blame on the country wet nurses who took in the foundlings. A large number of contemporary historians have incritically contented themselves with repeating these reproaches. This article constitutes an attempt to rehabilitate country wet nurses. According to the authors, the infants were victims of the circumstances of being abandoned. An analysis based on a list of names does show that the most obvious causes for the high mortality rate of the foundlings were the close incidents surrounding the fact of being abandoned whereas it can rarely be explained by the living conditions at a wet nurse's. In the background, an original rural society emerges in a poor country taking in infants constitutes a real business. This study represents but one stage at the core of a developing research.

Child↗