ABSTRACT
We report about two patients with denial of pregnancy. While the first patient was free of psychopathological symptoms besides denial of pregnancy until rupture of the membranes, and was able to accomodate the new born, the second patient with psychotic denial of pregnancy could not accomodate the child because of the schizophrenia, so that an adoption was necessary. On the basis of the two cases aetiological, epidemiological, clinical und prognostic implications of psychotic and non-psychotic denial of pregnancy are discussed.
Subject(s)
Denial, Psychological , Pregnancy/psychology , Adoption , Adult , Antipsychotic Agents/therapeutic use , Female , Humans , Infant, Newborn , Labor, Obstetric/psychology , Mental Disorders/complications , Prognosis , Psychotic Disorders/psychology , Risk Factors , Schizophrenia, Paranoid/psychology , Schizophrenic Psychology , Social Support , Young AdultABSTRACT
DIABETEX is a knowledge-based, computer-supported consultation system for the therapy of type I diabetic out-patients. Three knowledge bases contain the medical and technical knowledge for treating either adults, adolescents or children by means of injections or by pumps. For the evaluation of the quality of the decision proposals three groups of patients were studied. The results obtained in test phase 1, i.e. the retrospective evaluation of DIABETEX decision proposals by the experts, and in test phase 2, i.e. the parallel work of DIABETEX and of an expert and the subsequent evaluation by experts, provide the basis for the further development and application of the system by non-expert diabetologists.
Subject(s)
Diabetes Mellitus, Type 1/therapy , Expert Systems , Software , Therapy, Computer-Assisted , Adolescent , Child , Decision Support Techniques , Diabetes Mellitus, Type 1/metabolism , Drug Administration Schedule , Female , Glycated Hemoglobin/metabolism , Humans , Insulin/administration & dosage , Male , Middle Aged , Retrospective Studies , Software DesignABSTRACT
Issuing from the medical importance of the determination of a measuring size relevant to the total inflow of blood the diagnostic evidence of the evaluation sign defined as phlebemphraxis impedance quotient (VIQ) shall be proved. A standardization of technical and measurement-methodical parameters, such as electrode technique, temperature of the environment. Temporary formation of the measuring cycle, occlusion technique and position of the extremities was necessary in order to avoid influences on the results of the measurement and their reproducibility. Experimental investigations for the reproducibility are described and as a result standard examination conditions for the establishment of the change of impedance which is proportional to the total inflow of blood are proposed. The areas of norm values for VIQ in rest, VIQmax (after load) and VIQmax- retardation established using these standardized conditions are also give.
Subject(s)
Arterial Occlusive Diseases/diagnosis , Plethysmography, Impedance/methods , Humans , Leg/blood supply , Reference Values , Regional Blood FlowABSTRACT
In view of the importance of impedance plethysmography requirements are formulated for a modern impedance measuring device basing on a long experience with this method of measurement. The principle mode of action of the measuring equipment and the pneumatics with the timing element are described. A number of recordings is shown to illustrate the universality of the measuring equipment.
