Nervenarzt最新文献_第7页

OMW: Psychische Gesundheit in Krisenzeiten. OMW：危机时期的心理健康。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-01 DOI: 10.1007/s00115-024-01771-w

Andreas Meyer-Lindenberg

引用次数: 0

[The Basel model of principle-oriented clinical ethics consultation 2.0 : An introduction for psychiatry]. [以原则为导向的临床伦理咨询巴塞尔模式 2.0 ：精神病学入门]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-11-01 Epub Date: 2024-07-20 DOI: 10.1007/s00115-024-01710-9

Jan Schürmann, Charlotte Wetterauer, Anna Lisa Westermair, Manuel Trachsel

{"title":"[The Basel model of principle-oriented clinical ethics consultation 2.0 : An introduction for psychiatry].","authors":"Jan Schürmann, Charlotte Wetterauer, Anna Lisa Westermair, Manuel Trachsel","doi":"10.1007/s00115-024-01710-9","DOIUrl":"10.1007/s00115-024-01710-9","url":null,"abstract":"Background: The effectiveness of clinical ethics counselling in medicine in terms of satisfaction of the participants, support of ethical decision-making, perceived impact on clinical care, moral competence and quality of communication is now empirically well validated. In psychiatry, more and more institutions have structures for clinical ethics consultation as well; however, there is still a lack of evaluative accompanying research on the benefits and differential indications of the various forms and models of clinical ethics counselling in psychiatry.Aim of the work: The article presents the principles and the step by step application of the principle-oriented clinical ethics consultation according to the Basel model 2.0.Material and methods: The article is based on material and procedures developed at the Clinical Ethics Unit of the University Hospital Basel and the University Psychiatric Clinics Basel for the principle-oriented clinical ethics consultation according to the Basel model 2.0.Results and discussion: Principle-oriented clinical ethics consultation according to the Basel model 2.0 is suitable for dealing with moral issues and conflicts in psychiatric practice and for their ethical reflection; however, further evaluative accompanying research is needed on the benefits and differential indications of this and other models of clinical ethics support in psychiatry.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"1033-1042"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Mental healthcare in South Tyrol]. [南蒂罗尔的心理保健]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-10-04 DOI: 10.1007/s00115-024-01755-w

Gerd Schaller, Roger Pycha, Andreas Conca, Tilman Steinert

{"title":"[Mental healthcare in South Tyrol].","authors":"Gerd Schaller, Roger Pycha, Andreas Conca, Tilman Steinert","doi":"10.1007/s00115-024-01755-w","DOIUrl":"https://doi.org/10.1007/s00115-024-01755-w","url":null,"abstract":"Mental healthcare in South Tyrol, as everywhere in Italy, is still characterized by Law 180, which came into force in 1978 under the leadership of Franco Basaglia and Bruno Orsini. The Ministry of Health subsequently set a target number of beds of 10/100,000 inhabitants. Unlike in other parts of Italy, private clinics play a minimal role in South Tyrol. The \"Psychiatric Services\" are part of the state healthcare system responsible for all citizens and are also responsible for compulsory outpatient care. According to the concept of community care, also due to the small number of inpatient beds, a great deal of care is provided on an outpatient basis. Coercive measures can only be used in the case of an illness requiring urgent treatment that the patient refuses, without recourse to endangering circumstances (self-endangerment or danger to a third party). Inpatient hospitalization is only possible if treatment also takes place and the principle of \"outpatient before inpatient\" also applies in this context, i.e., coercive treatment can only take place as an inpatient if it cannot be carried out as an outpatient. Forensic psychiatry has very few places and mentally ill offenders are often in prison or occupy beds in general psychiatric wards. Compared to Germany there are fewer beds available but staffing levels are better, particularly for nursing. In relation to the number of inhabitants, compulsory treatment is more frequent than in Germany, whereas involuntary hospitalization and physical restraint are much rarer (only possible in Italy by court order).","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mitteilungen der DGPPN 10/2024. DGPPN 通信 10/2024。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-10-01 DOI: 10.1007/s00115-024-01751-0

引用次数: 0

[Inflammatory causes of stroke-Diagnostics and treatment]. [中风的炎症原因--诊断与治疗]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-10-01 Epub Date: 2024-07-30 DOI: 10.1007/s00115-024-01711-8

Antje Schmidt-Pogoda, Frederike A Straeten, Carolin Beuker, Nils Werring, Jens Minnerup

引用次数: 0

[Neuroimmunology without limits]. [神经免疫学无极限]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-10-01 Epub Date: 2024-09-26 DOI: 10.1007/s00115-024-01700-x

Sven G Meuth

引用次数: 0

[(Auto)immunity in focal epilepsy: mechanisms of (auto‑)immune-inflammatory epileptogenic neurodegeneration]. [局灶性癫痫的（自身）免疫：（自身）免疫炎症致痫性神经变性的机制]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-10-01 Epub Date: 2024-07-02 DOI: 10.1007/s00115-024-01695-5

Nico Melzer, Katharina Weber, Saskia Räuber, Felix Rosenow

{"title":"[(Auto)immunity in focal epilepsy: mechanisms of (auto‑)immune-inflammatory epileptogenic neurodegeneration].","authors":"Nico Melzer, Katharina Weber, Saskia Räuber, Felix Rosenow","doi":"10.1007/s00115-024-01695-5","DOIUrl":"10.1007/s00115-024-01695-5","url":null,"abstract":"Objective: While the neuronal mechanisms of epileptic hyperexcitability (HE) have been studied in detail, recent findings suggest that extraneuronal, mainly immune-mediated inflammatory and vascular mechanisms play an important role in the development and progression of HE in epilepsy and the cognitive and behavioral comorbidities.Material and methods: Narrative review.Results: As in autoimmune (limbic) encephalitis (ALE/AIE) or Rasmussen's encephalitis (RE), the primary adaptive and innate immune responses and associated changes in the blood-brain barrier (BBB) and neurovascular unit (NVU) can cause acute cortical hyperexcitability (HE) and the development of hippocampal sclerosis (HS) and other structural cortical lesions with chronic HE. Cortical HE, which is associated with malformation of cortical development (MCD) and low-grade epilepsy-associated tumors (LEAT), for example, can be accompanied by secondary adaptive and innate immune responses and alterations in the BBB and NVU, potentially modulating the ictogenicity and epileptogenicity. These associations illustrate the influence of adaptive and innate immune mechanisms and associated changes in the BBB and NVU on cortical excitability and vice versa, suggesting a dynamic and complex interplay of these factors in the development and progression of epilepsy in general.Discussion: The described concept of a neuro-immune-vascular interaction in focal epilepsy opens up new possibilities for the pathogenetic understanding and thus also for the selective therapeutic intervention.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"932-937"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Medical practice in classical Greece : The neurological and psychiatric case reports of the Hippocratic Corpus]. [古典希腊的医疗实践：希波克拉底文库中的神经和精神病例报告]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-10-01 Epub Date: 2024-06-27 DOI: 10.1007/s00115-024-01698-2

Werner A Golder, Waltraud Golder

{"title":"[Medical practice in classical Greece : The neurological and psychiatric case reports of the Hippocratic Corpus].","authors":"Werner A Golder, Waltraud Golder","doi":"10.1007/s00115-024-01698-2","DOIUrl":"10.1007/s00115-024-01698-2","url":null,"abstract":"Objective: Which theoretical and practical competences do the neurological and psychiatric case histories of the Hippocratic Corpus convey?Material and methods: The 431 Hippocratic case histories have been studied for reports and communication on the diagnostics, treatment and prognosis of single persons and groups of patients suffering from neurological and psychiatric diseases.Results: In the 7 books of the Hippocratic Epidemics, a total of 128 patients with neurological and psychiatric symptoms are described. Epidemic fever and its variants were the leading predisposing conditions and the main symptoms were delirium, coma, insomnia, headache, speech disorders and convulsions. A number of patients with phrenitis and opisthotonos are also reported. The majority of the sick persons were male, were teenagers or adults and 47 of them are mentioned by name. The patient's information about the course is often just as informative as the doctor's observations. Treatment was limited to physical and dietary measures.Discussion: The Hippocratic physician diagnosed and attempted to treat a large number of neurological and psychiatric diseases. The often almost continuous observations of the patients led to astonishingly precise predictions of the course and the prospects of recovery. Numerous symptoms described in the case studies, including carphologia and opisthotonus, have entered the neurological vocabulary. The retrospective etiological analysis of the reports leads to the almost explicit identification of neurosyphilis and encephalitis lethargica. The therapeutic measures described by the author were, as the changeable course of the diseases shows, only of limited effectiveness despite a very differentiated application over time, both against the underlying diseases and the neurological and psychiatric complications.","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"942-947"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Migraine or pseudomigraine, that is the question! : The HaNDL syndrome]. [偏头痛还是假性偏头痛，这是个问题！：HaNDL 综合征]。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-10-01 Epub Date: 2024-06-03 DOI: 10.1007/s00115-024-01682-w

Jens Schaumberg

引用次数: 0

Mitteilungen der Deutschen Schlaganfall-Gesellschaft (DSG). 德国中风协会通讯》（DSG）。

IF 0.9 4区医学

Nervenarzt Pub Date : 2024-10-01 DOI: 10.1007/s00115-024-01748-9

引用次数: 0