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Results for “Paranoid Disorders”

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[Hormonal profile of depressed patients].

A series of hormones were radioimmunoassayed in patients with various forms of depressive states. In more than 60% of the patients with endogenic depressions the levels of hormones, particularly of the thyrotropic hormone and T3, as well as their ratios were altered. The same category of patients showed low concentrations of the somatotropic hormone whereas prolactin levels were sharply increased predominantly in patients with depressive-paranoid disorders. A comparative multiparameter study of hormone levels in depressive patients makes it also possible to establish the interrelationship between various endocrine systems.

Adult↗

[Patterns in the recurrence and transformation of alcoholic psychoses developing against a pathologic background (clinico-statistical study)].

A clinical and statistical study has covered 689 patients with alcoholic psychoses developing against the pathologic background. The study of the correlation between the form of attacks and the type of the disease course has demonstrated some highly probable variants of relapse development and transformation of the clinical forms of alcoholic psychoses in subsequent bouts. Two variants of the course of alcoholic psychoses have been identified. In the first variant psychoses show no tendency to recur and transform while the second one is associated with their relapses and transformation. These findings make it possible to infer that the presence of pathologic background is a factor of risk and to outline on this basis the measures to prevent the development and relapse of alcoholic psychoses.

Alcohol Withdrawal Delirium↗

[Evaluation of the 11-year existence of an ambulatory residential group].

The authors evaluated in a retrospective study the sociodemographic and sickness course specific data of 48 patients who had been discharged from inpatient psychiatric treatment to an outpatient residential community. Whereas in 50% of the patients after an average time in the community of 1 1/2 years it is usually possible for them to move into a home of their own, provided their mental condition has continued to stabilise, the other half of the patients have to be readmitted to the psychiatric hospital as inpatients, thus breaking off their ties to the residential community. Relevant criteria of prognosis are, in consideration of the medium-term rehabilitation success in the residential community, the duration and number of times of previous psychiatric hospitalisations and the age of the patient when the disease became manifest for the first time. No prognosis of rehabilitation success is possible on the basis of duration of stay in the residential community, previous professional activity, age and psychiatric diagnosis (endogenous psychoses versus personality disturbances and other syndromes).

Adult↗

Paranoia.

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Diagnosis, Differential↗

[Intuition and imagination in Psychiatric diagnosis (author's transl)].

Intuition in the medical diagnostic sphere is a subconscious cognitive act, the result of which appears consciously as a flash of imagination. Scientific intuition presumes expert knowledge and works consciously with the mnemic reservoir and the associative forces from the subconscious. Low degrees of a hysterical and paranoic nature facilitate access to the subconscious and projection. Intuitive knowledge is corrected by rational thinking.

Cognition↗

Acute brain syndromes.

Four hundred and nine cases of acute brain syndrome, encountered in psychiatric consultations among 54,942 general hospital patients over a 5 year period, fell into 4 groups according to symptom picture: lethargic, bewildered, agitated and psychotic. Treatment included reality orientation, protection and pharamacologic measures.

Acute Disease↗