Zeitschrift fur arztliche Fortbildung最新文献_第7页

[Organization of practice oriented knowledge structures by the "cognitive apprenticeship" method]. 用“认知学徒”方法组织面向实践的知识结构。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-08-01

R Vauth, F Hohagen, D von Calker, M Berger

引用次数: 0

[Pain therapy for patients with tumor diseases. Quality assurance]. 肿瘤疾病患者的疼痛治疗。质量保证)。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-08-01

G Lindena, W Fleischer

引用次数: 0

[Evaluation of HIV-related continuing education programs for established physicians]. [对现有医生艾滋病相关继续教育项目的评估]。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-08-01

A Goetzenich, H Knechten, G Flatten, B Wyns

{"title":"[Evaluation of HIV-related continuing education programs for established physicians].","authors":"A Goetzenich, H Knechten, G Flatten, B Wyns","doi":"","DOIUrl":"","url":null,"abstract":"Neither the HIV-specialists, the cooperating specialists, nor the family physicians are required to have special qualifications to treat HIV-infected patients. CME-courses don't consider the very different fields of interest of the participants or that the transfer of knowledge is quite important to ensure the quality of medical care. Questionnaires regarding HIV related topics were distributed in nine HIV-CME courses (9/93-5/94) of the DAGNA (German association of panel physicians treating HIV-infected patients) in cooperation with the society of physicians of Germany and the association of public health insurances. The satisfaction of the participants, the topics with regard to their relevance for the task group, the importance for the daily routine, and didactic manners were investigated. Feed-back: 41%. Although the general impression of most participants was \"quite satisfying\" (87%) there was some critic regarding special aspects. The rating of the courses depended on the level of qualification. Specialists in internal medicine rated the relevance for their medical practice, the topics and the possibility of contribution more positive than other specialists or general practitioners (GP). In general, there was a great difference regarding the rating of the courses among the participants because of their individual level of qualification and knowledge. In order to take the different levels of qualification and demands for topics into account there must be graduated courses: specialists, experts, elementary and beginner courses. The basic courses should contain not only the lectures but also the possibility of an active contribution of the participants. Adequate guidelines have to be developed.","PeriodicalId":23879,"journal":{"name":"Zeitschrift fur arztliche Fortbildung","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20105340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pharmacopsychiatric guidelines for treatment of alcohol withdrawal syndrome]. [治疗酒精戒断综合征的药物精神病学指南]。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-06-01

K Schröder-Rosenstock, H Busch

引用次数: 0

[Possibilities and limits of drug substitution treatment in ambulatory practice]. [药物替代治疗在门诊实践中的可能性和局限性]。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-06-01

I Siegel

{"title":"[Possibilities and limits of drug substitution treatment in ambulatory practice].","authors":"I Siegel","doi":"","DOIUrl":"","url":null,"abstract":"The controversial discussion about the use of methadone in the treatment of drug addicts has occupied specialists in West Germany for decades. Owing to the political pressure to find a solution to the drug problem, methadone has been an established place in the classical drug treatment system for a long time. Therefore, there has been a supplement (in 1991) to the guidelines of the N.U.B. that under special conditions, it is now possible, for a physician working in a practice or outpatient clinic to use methadone substitution as a routine procedure. The psychosocial care of the patient ist also very important in addition to the purely medical provision of a substitute drug which blocks the heroin hunger and helps prevent criminal activity. The profound dependence of a drug addict is not created primarily by the consumption of addictive substances but must be seen as the result of a severely disturbed personality development and treated accordingly. The individual context of the particular drug scene, scene behavior and jargon should also be taken into account. It is not sufficient to explain addiction and dependence by means of chemical formula or physiological processes. Thus, a substitution treatment always includes two crucial aspects: the soothing and protecting aspect of the medicine administered and the conflict and insight orientated aspect of the therapeutic commitment. The physician, the clinic employees and the social worker should be comprehensively and thoroughly qualified in order to deal with the equally wide-ranging demands of substitutions therapy.","PeriodicalId":23879,"journal":{"name":"Zeitschrift fur arztliche Fortbildung","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19892734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Psychotraumatology in medical practice--a survey]. 医学实践中的精神创伤学——一项调查。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-06-01

U Schnyder, L Valach

引用次数: 0

[Are there new methods in therapy of drug dependence?]. 药物依赖的治疗有新方法吗?

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-06-01

K L Täschner

{"title":"[Are there new methods in therapy of drug dependence?].","authors":"K L Täschner","doi":"","DOIUrl":"","url":null,"abstract":"The therapy of drug addicts must not be confused with measures to reduce drug problems. Therapy means medical care for the treatment of a disease. In the treatment of drug addiction, we apply pharmacological and psychological therapy but also psychosocial techniques to address the problems of an addict. Actions might contain causal, symptomatic, or palliative therapies according to the measures currently available. The choice of a treatment procedure in the frame of the available alternatives is oriented on the objective findings, the chance for success, and the patient's intentions. The therapy of the drug addiction is divided into the stages of contact, detoxification, weaning, and aftercare. We aim for a patient's living without consuming drugs and the ability to critically and socially deal with the reality. The break with the pleasure/reluctance principle and switching to the performance principle is crucial. We have success rates ranging between 20 and 40% over five years in the currently available treatment-facility. The substitution therapy is also available as an additional choice for a smaller group of addicts where we do without an abstinence. Naturally, this is a substitution with methadone and may only be a measure for prolonging life. The application of heroine has currently no foundation as it has no advantages to the administration of methadone. Therefore, we should focus mainly on abstinence orientated procedures and to keep the methadone substitution ready for a small group resistant to therapy.","PeriodicalId":23879,"journal":{"name":"Zeitschrift fur arztliche Fortbildung","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19892735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Assessing the risk of HIV infection in the clinic and daily environment by medical students]. [评估医学生在诊所和日常环境中感染艾滋病毒的风险]。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-06-01

J Klewer, J Kugler

{"title":"[Assessing the risk of HIV infection in the clinic and daily environment by medical students].","authors":"J Klewer, J Kugler","doi":"","DOIUrl":"","url":null,"abstract":"The potential risks of obtaining an HIV infection during the clinical routine becomes recently more and more a subject for discussion. The assessment of HIV transmission in the hospital by medical students seems to be important, because medical students are doing practical nursing training, medical clerkships and courses in the hospital, are in a developing process to their later social role as a physician and because of their age, they belong to the group with the highest statistical risk of getting HIV infected. The following study analysed the view of medical students to get HIV infected in typical clinical routine situations and non-clinical situations. 316 medical student in the first year (average age: 22 years, female = 171, male = 145) estimated the risk of getting HIV infected for 18 different clinical and non-clinical situations. The survey was done in 1991 and 1993. It becomes obvious, that medical students still have gaps in their knowledge about HIV transmission. Over 10% of them estimated non-clinical situations like mosquito- and animal-bites or clinical situations like changing dirty linen or physical examination as situations with a high risk of getting HIV infected. The study shows, that medical students need more informations and counselling about HIV related aspects for their later work as a physician.","PeriodicalId":23879,"journal":{"name":"Zeitschrift fur arztliche Fortbildung","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19892736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Medical guidelines. Definitions, goals, implementation]. (医学指南。定义，目标，实现]。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-06-01

G Ollenschläger, C Thomeczek

引用次数: 0

[Substance dependence. Information, diagnosis and therapy--encouragement for pragmatic treatment]. (药物依赖。信息、诊断和治疗——鼓励务实治疗。

Zeitschrift fur arztliche Fortbildung Pub Date : 1996-06-01

R R Salloch-Vogel, I Frege

引用次数: 0