Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis
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Schweiz. Rundsch. Med. Prax. · Dec 1993
Biography Historical Article[In honor of Paracelsus--Einsiedeln 1993. Anniversary address and honoring of Paracelsus on Saturday, 6 November 1993, in Cloister Einsiedeln].
The introductory address to the final ceremony of the anniversary of Einsiedeln attempts to show how a peregrine physician of the beginning New Age assesses the relation between the native place and the foreign country. A view on the life and work of Theophrastus von Hohenheim shows this relation to be full of tension and to be included in the relation of earthly pilgrimage to the heavenly home land. Paracelsus' spiritual greatness and the wideness of his points of view are thus evident from a vital factuality.
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Schweiz. Rundsch. Med. Prax. · Sep 1993
[Psychopharmacological models of drug dependence. Key role of the dopaminergic mesolimbic system].
The potential of a compound to induce drug dependency may be described as an interaction of its positive reinforcing and its discriminative as well as its aversive properties. Environmental factors and conditioning play thereby important, modulating roles. ⋯ Addictive drugs from several pharmacological classes have in common to stimulate the dopaminergic mesolimbic system, albeit by different mechanisms. However, other non dopaminergic neurotransmitter systems, e.g. the GABAergic, the opioid or the serotonergic system, are also involved in drug-seeking behaviour.
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Tremor can present a diagnostic problem in family practise. Systematic analysis of this symptom allows rapid classification of the problem without use of rigid definitions. ⋯ Also one may assume, that a symmetric tremor that aggravates during standing or movement in most cases is essential and not of cerebellar origin. Different forms of tremor and their therapies and main tremor types are presented graphically.
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Scientific medicine criticises alternative, natural medical trends as being non-scientific, using untested means and being noncontributive to medical progress. As much to the point these arguments might be, as much they are defensive, since this criticism might extend to some questionable developments in scientific medicine. The term of natural medicine then stands also for the search for confidence and security, for the credence in natural self-healing and the wish of the ill for autonomy. ⋯ The actual movement of natural medicine is no longer the personification of an unconsidered, fundamentalistic rebellion from earlier times against the establishment of rational and technical science. It has integrated a constructive spiritual wisdom from modern ecology and expresses the concern that inner values, the moral and spiritual growth, do not keep pace with the apparent progress of feasible modern medicine. In this context a non-prejudiced and open discussion of these critical positions in our society could give an important role to the Academy of Lucerne 1991.
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Schweiz. Rundsch. Med. Prax. · Jun 1993
[Emergency medical system in Bellinzona (South Switzerland): a sensible, affordable model with use of ambulance and helicopter].
Use of a mobile coronary care unit is a well recognized institution, but it often fails because of excessive costs. By means of an emergency physician working in the intensive care unit we have organized an economical rescue system by both helicopter and ambulance meeting the requirements of pre- and hospital treatment of the patients.