Schmerz (Berlin, Germany)最新文献_第10页

[Transdermal and oral opioids for outpatient pain therapy. Comparing patients' characteristics by a claims data analysis]. 经皮和口服阿片类药物用于门诊疼痛治疗。通过索赔数据分析比较患者特征]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-04-01 DOI: 10.1007/s00482-007-0575-y

A Höer, M Kurepkat, A Gottberg, B Häussler

引用次数: 2

[Provision of information to patients - legal and humanitarian requirements]. [向病人提供信息——法律和人道主义要求]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-007-0600-1

J Schara, L Brandt

{"title":"[Provision of information to patients - legal and humanitarian requirements].","authors":"J Schara, L Brandt","doi":"10.1007/s00482-007-0600-1","DOIUrl":"https://doi.org/10.1007/s00482-007-0600-1","url":null,"abstract":"Any treatment to which the patient has not expressly consented constitutes an assault according to our legal system. The patient's agreement is therefore necessary for every elective treatment. Patients cannot give meaningful consent until they have received detailed information on their illness, its presumed course, the treatment options and the risks they are exposed to both with and without treatment. This requires provision of information to allow self-determination. The requirement for the patient alone to make decisions arises from the personal rights in our [German] Constitution. If the information provided has been inadequate the doctor is liable for all negative-including life-changing-consequences, regardless of whether or not the risk that has been realised is one that is expressly required to be explained. The Federal Court of Justice requires the doctor to address each patient's personality and their fate when providing information (BGH, NHW 1983, 328, 329). It is not permissible for the duty to provide information to be delegated to a third party unless strict obligations are fulfilled (BGH 7.11.2006 VI ZR 206/05).","PeriodicalId":336923,"journal":{"name":"Schmerz (Berlin, Germany)","volume":" ","pages":"91-98; quiz 99-100"},"PeriodicalIF":1.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00482-007-0600-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41076096","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: 3

[Rehabilitation following chronic nonspecific low back pain]. [慢性非特异性腰痛后的康复]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-007-0618-4

B Arnold, M Pfingsten

引用次数: 1

[Neuromodulation in cluster headache. Clinical follow-up after deep brain stimulation in the posterior hypothalamus for chronic cluster headache, case report--Part II]. 丛集性头痛的神经调节。下丘脑后部深部脑刺激治疗慢性丛集性头痛的临床随访，病例报告——第2部分]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-007-0611-y

D Rasche, D Klase, V M Tronnier

{"title":"[Neuromodulation in cluster headache. Clinical follow-up after deep brain stimulation in the posterior hypothalamus for chronic cluster headache, case report--Part II].","authors":"D Rasche, D Klase, V M Tronnier","doi":"10.1007/s00482-007-0611-y","DOIUrl":"https://doi.org/10.1007/s00482-007-0611-y","url":null,"abstract":"Deep brain stimulation (DBS) of the posterior hypothalamic area is a new treatment option for patients with refractory chronic cluster headache (CCH). A review of the literature reveals that studies based on large numbers of patients, long-term observations and controlled randomised trials are still lacking. In 2006 a case report of the first patient in Germany to be operated on to allow DBS was published, and we now present a report of this patient's course in the first 6 months after the operation; in addition, a current literature review is discussed. In July 2005 a DBS lead was placed in the left posterior hypothalamic area of this 39-year-old woman with CCH. Stimulation on demand achieved complete suppression of the cluster attacks, and the patient no longer needed medication. After about 8 months a decreasing effect of the stimulation, with only about 50% reduction of cluster attacks, and stimulation-induced side effects were observed. Neither reprogramming of the stimulation parameters nor pharmacological therapy with on-demand and long-term medication reduced the frequency or severity of CCH attacks to the level experienced in the early postoperative stage. Because of intolerable subjective side effects and tension-related pain at the site of the connection cable, in September 2006 the whole system was explanted at the patient's request.DBS in the posterior hypothalamic area is an invasive treatment option for use in cases with CCH that is refractory to any pharmacological therapy. As demonstrated by this case report, it is not possible to give a prognosis concerning its long-term efficacy: despite the initial excellent benefit there can be a reduction and even a loss of the effect of stimulation. The clinical results and long-term follow-up observations of the few cases published so far need to be evaluated in a larger multicentre trial with a double-blind study design.","PeriodicalId":336923,"journal":{"name":"Schmerz (Berlin, Germany)","volume":" ","pages":"37-40"},"PeriodicalIF":1.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00482-007-0611-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41078279","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: 8

[Standardized telephone interviews to monitor pain. Pilot study to determine feasibility]. 标准化的电话访谈来监测疼痛。确定可行性的初步研究]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-007-0580-1

R Theiler, C Widler

{"title":"[Standardized telephone interviews to monitor pain. Pilot study to determine feasibility].","authors":"R Theiler, C Widler","doi":"10.1007/s00482-007-0580-1","DOIUrl":"https://doi.org/10.1007/s00482-007-0580-1","url":null,"abstract":"Background: Electronic pain diaries are of increasing interest to patients and physicians. The goal of the present pilot study was to evaluate the feasibility of standardized telephone interviews in patients with refractory pain who had been switched to oxycodone in the setting of daily practice.Patients and methods: Once a week for 3 consecutive weeks, 33 female and male patients answered a standardized telephone interview derived from the ICF (International Classification of Functioning) about the impact of pain on their daily activities.Results: After 3 weeks, complete datasets were available for 70% of all participants. With flawless technicalities, the following aspects appeared to be worth improving: non-uniform response categories, limited language choice, and handling instructions to physicians and patients. The efficacy (pain relief and improved limitations in the activities of daily living) and good tolerability of oxycodone were comparable with findings reported in clinical trials. More than 95% of patients accepted the anonymous storage of their data for quality control purposes.Conclusion: Standardized telephone interviews aimed at documenting the evolution of pain are feasible in a daily practice setting. They should however be simplified for user-friendliness.","PeriodicalId":336923,"journal":{"name":"Schmerz (Berlin, Germany)","volume":" ","pages":"75-81"},"PeriodicalIF":1.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00482-007-0580-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40988687","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

[Migraine in headache specialists and neurologists]. [头痛专家和神经学家的偏头痛]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-007-0610-z

N Brockmann, S Evers

引用次数: 11

[Improvement of diagnosis and treatment of glossopharyngeal neuralgia]. [舌咽神经痛的诊断和治疗的改进]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-007-0615-7

C Gaul, P Hastreiter, A Duncker, R Naraghi

引用次数: 3

[What is special in specialised palliative care?]. [专科姑息治疗有什么特别之处?]

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-008-0628-x

L Radbruch, R Voltz

引用次数: 14

[Current diagnosis and treatment of migraine]. [目前偏头痛的诊断和治疗]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-007-0619-3

H-C Diener, Z Katsarava, V Limmroth

引用次数: 6

[Pain clinics within Austrian hospitals, for patients with pathologies of the locomotor system. Analysis of care and comparison with Germany]. [奥地利医院的疼痛诊所，用于运动系统病变的患者。护理分析及与德国比较]。

IF 1

Schmerz (Berlin, Germany) Pub Date : 2008-02-01 DOI: 10.1007/s00482-007-0596-6

H J Latta, F Wepner, J Hahne, M Friedrich

{"title":"[Pain clinics within Austrian hospitals, for patients with pathologies of the locomotor system. Analysis of care and comparison with Germany].","authors":"H J Latta, F Wepner, J Hahne, M Friedrich","doi":"10.1007/s00482-007-0596-6","DOIUrl":"https://doi.org/10.1007/s00482-007-0596-6","url":null,"abstract":"This paper gives a comparative overview of the current clinical care of patients experiencing pain in the musculoskeletal system in Austria and in Germany. The questionnaire used in this study was modified from one used in a survey carried out in Germany in 2002. In our version we asked specifically about pain in the musculoskeletal system. In all 228 health care facilities were reviewed, 56.6% of which offer at least one option for pain therapy. In Austria, the majority of patients with pain in the musculoskeletal system are treated by specialists in the departments of anaesthesiology, internal medicine, and orthopaedics. In 17.4% of the clinics in Austria there are plans to extend the pain therapy they offer, but in over half of the hospitals that responded facilities for pain therapy are considered to be vulnerable. The study highlights a significant higher percentage of in-patient pain therapy services in Austria, while in Germany, in contrast, there are more outpatient options for pain therapy. The quality of pain therapy could by further improved by more intense cooperation between the inpatient and outpatient sectors and by the establishment of interdisciplinary and multimodal solutions.","PeriodicalId":336923,"journal":{"name":"Schmerz (Berlin, Germany)","volume":" ","pages":"43-50"},"PeriodicalIF":1.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00482-007-0596-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41031786","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