Swiss Archives of Neurology and Psychiatry最新文献_第4页

Unchanged incidence and prevalence of amyotrophic lateral sclerosis in the canton of Zürich. zrich州肌萎缩性侧索硬化症的发病率和患病率不变。

Swiss Archives of Neurology and Psychiatry Pub Date : 1995-01-01

S Huber, V Henn

引用次数: 0

[Status of the discussion regarding cost-effectiveness of community psychiatry and inpatient psychiatry]. [关于社区精神病学和住院精神病学成本效益的讨论现状]。

Swiss Archives of Neurology and Psychiatry Pub Date : 1995-01-01

H D Brenner

{"title":"[Status of the discussion regarding cost-effectiveness of community psychiatry and inpatient psychiatry].","authors":"H D Brenner","doi":"","DOIUrl":"","url":null,"abstract":"In the current climate of escalating health care costs and shrinking resources, higher priority is also being given to the relation between costs and benefits of reform efforts and further developments of existing service delivery systems in the field of mental health. Some proponents of community psychiatry have predicted in a pointed manner that a change in the allocation of resources in favor of community-based care would dramatically decrease the need for hospital beds, cost half as much and be clinically at least as efficacious as inpatient treatment. The author gives careful consideration to these postulates based on today's available literature and on his own experiences in Mannheim and in Bern. He presents an array of newer findings which places them in perspective and to some extent contradicts them as well. Recent studies on the effects of an expansion of outpatient treatment programs on the overall mental health delivery system suggest that in areas with already reasonably developed community services its further enhancement rarely has an effect on the number of admissions to and length of hospital stays. In addition, the postulate that community care is considerably less costly only holds if in- and outpatient facilities are not considered to be integral parts of a comprehensive system of mental health care which both serve different purposes. Accordingly, the question of the effectiveness of treatment must also be discussed very distinctively. Although a network of well-functioning community-based services is (not yet) a veritable alternative, it can by all means, however, serve as a useful counterpart to the intensive treatment offered in modern mental institutions.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":30134,"journal":{"name":"Swiss Archives of Neurology and Psychiatry","volume":"146 1","pages":"24-32"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18795530","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

[Neuritis of multiple cranial nerves in idiopathic focal pachymeningitis]. 特发性局灶性厚脑膜炎的多颅神经炎。

Swiss Archives of Neurology and Psychiatry Pub Date : 1995-01-01

P Pedrazzi, J P Deruaz, F Regli

{"title":"[Neuritis of multiple cranial nerves in idiopathic focal pachymeningitis].","authors":"P Pedrazzi, J P Deruaz, F Regli","doi":"","DOIUrl":"","url":null,"abstract":"A 76 years old patient suffering from insulin dependent diabetes presents a multiple, bilateral and asymmetric cranial neuropathy involving on the left side the cranial nerves VIII, IX with a participation of the efferent autonomic fibers of the nerves VII and IX (xerostomia) and the nerve XII, and involving on both sides the nerves VII and X. Like it is known from literature the nerve XI was spared, probably because of the more caudal emergence from the brainstem. The disease was preceded by a violent otalgia on the left side which was initially interpretated as a malignant external otitis. This affection was associated with an inflammatory syndrome that was easily monitored by the blood sedimentation rate. The course was favorable but marked by fluctuations of the neurological deficits. The MRI shows a pachymeningitis localised at the beginning in the medial fossa and on the cerebellar tentorium, later on the left parieto-occipital convexity. The diagnosis of a focal idiopathic pachymeningitis was confirmed by excluding different other affections like inflammatory, tumoral and infectious diseases, by using MRI examinations, CSF analysis and especially meningeal biopsy. It is a rare inflammatory disease of unknown origin with potentially persistent neurological deficits. We discuss the differential diagnosis and the therapeutical possibilities, which consist in a long term immunosuppression with corticosteroids and azathioprine.","PeriodicalId":30134,"journal":{"name":"Swiss Archives of Neurology and Psychiatry","volume":"146 6","pages":"270-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19833404","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

[Schizophrenia and substance dependence]. [精神分裂症和物质依赖]。

Swiss Archives of Neurology and Psychiatry Pub Date : 1995-01-01

A Uchtenhagen

引用次数: 0

[The Bleuler tradition of the schizophrenia concept and Burghölzli as the site for psychotherapy of schizophrenic patients]. [精神分裂症概念的布鲁勒传统和Burghölzli作为精神分裂症患者心理治疗的网站]。

Swiss Archives of Neurology and Psychiatry Pub Date : 1995-01-01

G Benedetti

引用次数: 0

[Recent developments in antipsychotic medication]. 抗精神病药物的最新进展。

Swiss Archives of Neurology and Psychiatry Pub Date : 1995-01-01

H J Möller

引用次数: 0

[Psychotherapy with dyssocial patients]. [社会障碍患者的心理治疗]。

Swiss Archives of Neurology and Psychiatry Pub Date : 1995-01-01

U Rauchfleisch

引用次数: 0

Paroxetine in the treatment of inpatients with non-delusional endogenous or neurotic depression. 帕罗西汀治疗住院患者非妄想性内源性或神经性抑郁症。

Swiss Archives of Neurology and Psychiatry Pub Date : 1994-01-01

M Wolfersdorf, T Barg, F König, M Leibfarth, I Grünewald, S Wetzel

引用次数: 0

[Social control, social support and therapy. The tension field of (social-)psychiatric treatment]. 社会控制，社会支持和治疗。(社会)精神病学治疗的张力场。

Swiss Archives of Neurology and Psychiatry Pub Date : 1994-01-01

H Hoffmann

{"title":"[Social control, social support and therapy. The tension field of (social-)psychiatric treatment].","authors":"H Hoffmann","doi":"","DOIUrl":"","url":null,"abstract":"As generally in psychiatry the treatment concepts in social psychiatry base to a great extend on disease- and deficit models. These models, however, have their limits and run the risk to promote exactly that, what social psychiatry is fighting against: chronification. The question shall be discussed, if the systemic approach could be helpful to reduce (social) psychiatry's contribution on the process of chronification. Since ever psychiatric institutions have the mandate of social control and exclusion of social disturbing people from society. On the other hand, social support has become a cornerstone of rehabilitation in psychiatry. There the therapist becomes the manager of the disability. The (case-)manager subsequently takes over the responsibility for the future course. So he also gets power over the system to be treated. He decides, how much of social support and control is necessary. But then he gives up the aim of profoundly changing something in the sense that the patient can give up his symptoms and take more self-responsibility for his acting. The consequence is that the patient and psychiatry keep up each other: a coevolution develops. This leads to rigidity and makes changes difficult. By taking over responsibility the therapist becomes part of the system to be treated. So he looses his neutrality and also the possibility of therapeutical influence and change. The whole system quickly moves into a vicious circle of helplessness. Finally it will be reflected how someone, working in an institution, still can do therapy in this field of tension of (social) psychiatry.","PeriodicalId":30134,"journal":{"name":"Swiss Archives of Neurology and Psychiatry","volume":"145 6","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18539538","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

Expression patterns of human PNS myelin proteins in neuropathies associated with anti-myelin antibodies. 人PNS髓磷脂蛋白在与抗髓磷脂抗体相关的神经病中的表达模式。

Swiss Archives of Neurology and Psychiatry Pub Date : 1994-01-01

J M Gabriel, B Erne, G C Miescher, J Ulrich, C Vital, A J Steck

引用次数: 0