Med Klin
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Comparative Study
[Dementia screening in psychiatric consultation for elderly patients in a general hospital].
Elderly patients on medical-surgical wards in general hospitals often suffer from cognitive dysfunction that hampers medical treatment of somatic diseases. Symptoms of cognitive dysfunction may not be recognized adequately by non-psychiatric physicians. ⋯ A standardized assessment of the 15 items of the SMMS represents a practical, reliable and valid screening for relevant cognitive deficits, which may also serve as documentation of the time course especially in acute organic-psychiatric syndromes.
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With the growing financial restrictions, economic evaluations in public health are becoming increasingly relevant. The pressure on justifying increasing costs is considerable, particularly in the field of oncology, where highly acclaimed treatment methods exist and are newly developed. In order to determine the efficiency of a medical measure, different study types of varying complexity were designed and employed according to the conditions of the structure. The advantages and disadvantages of the different study forms are discussed on the basis of the folinic acid example.