Psychiatrische Praxis
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Psychiatrische Praxis · Nov 2004
Clinical Trial Controlled Clinical Trial[Low frequency repetitive transcranial magnetic stimulation (rTMS) for the treatment of chronic tinnitus--are there long-term effects?].
Clinical, neurophysiological and neuroimaging data suggest that chronic tinnitus resembles neuropsychiatric syndromes characterised by focal brain activation. Low frequency repetitive transcranial magnetic stimulation (rTMS) has been proposed as an efficient method in treating brain hyperexcitability disorders. ⋯ Neuronavigated rTMS offers new possibilities in the understanding and treatment of chronic tinnitus.
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Psychiatrische Praxis · Nov 2004
[Diurnal variation of pain perception and heart rate in the human tourniquet pain model in healthy volunteers].
The diurnal variation of pain threshold was studied in 13 healthy volunteers (age: 21 - 27 ys) using the tourniquet pain model. A tourniquet was inflated above systolic blood pressure for 1 minute and pain scores and heart rate were recorded at 0.5, 1.0, 1.5 and 2.0 minutes. ⋯ Significant differences of pain scores between clocktimes were found 1 minutes after inflation and after 1.5 minutes with regard to heart rate. Generally, the highest pain scores were found at 24.00 h.
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Psychiatrische Praxis · Nov 2004
[Quantification of acute muscle pain after whiplash injury using computer-aided pressure algesimetry].
The present study utilised the PC-interactive pressure algesimetry to quantify cervical pain after whiplash injury. Pressure painfulness of the splenius and trapezius muscles was investigated in patients with an acute cervical syndrome after whiplash injury and compared to that of healthy subjects. ⋯ The computer-interactive pressure algesimetry enables a standardised, rater-independent quantification of cervical pain due to whiplash injury.
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Psychiatrische Praxis · Nov 2004
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial[Acute psychiatric day hospital treatment: is the effectiveness of this treatment approach still questionable?].
Currently, there is still a severe lack of methodologically sound empirical studies on acute psychiatric day hospital treatment in German-speaking countries that analyse the effectiveness of this increasingly important mode of service provision. ⋯ For the first time in German-speaking countries, this study provides evidence for the effectiveness of acute day hospital treatment as compared to conventional inpatient treatment. If detailed eligibility criteria for patients are used as defined here, approximately 30 % of the general psychiatric patients in need of acute hospital-based treatment may be cared for in this special mode of day hospital service provision.
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Psychiatrische Praxis · Nov 2004
Multicenter Study[The situation of caregiver counselling in patients with frontotemporal lobar dementia in old psychiatry].
Caregiver counselling is an indispensable feature of current concepts for dementia treatment. Self-support groups and psychoeducative programms for caregivers of patients with Alzheimer's disease may reduce the burden of nursing and psychological strain. Specific caregiver needs from patients with frontotemporal lobar dementia (FTLD [frontotemporal dementia, semantic dementia, progressive aphasia, corticobasal degeneration]) are only partially taken into account. ⋯ In most cases, they are referred to the local Alzheimer's disease Associations (89 %). Besides that, the existence of large hospital care units has significant negative repercussions on psychosocial supply for caregivers of patients with FTLD. To establish decentralized support units by these hospitals would lead to a significant improvement of medical and social care in this field.