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1.
Unfallchirurg ; 117(2): 162-6, 2014 Feb.
Article in German | MEDLINE | ID: mdl-24474417

ABSTRACT

A 52-year-old man sustained a laceration to his left eyebrow after a fall in his bathroom. His plastic glasses shattered upon impact. The patient was referred to a local emergency department. After a quick exploration by the physician on call, the wound was closed by a nurse using the Steri-Strip Wound Closure system. No further exploration or imaging was performed. Four weeks after the incident the patient presented to a dermatologist with a "foreign body sensation" at the site of the laceration. Assuming a foreign body granuloma, he was referred to a maxillofacial surgeon who removed plastic debris (parts of the glasses worn by the patient). The wound subsequently healed without further complications.The patient filed a complaint for inadequate treatment in the emergency department. No detailed patient and accident history had been obtained, the wound exploration performed by the physician was superficial, and the wound closure was performed by a nurse. The expert opinion of the arbitration board ascertained a medical malpractice in terms of insufficient history, examination, and a lack of documentation. Specific questioning of the accident history would have led to the suspicion of possible foreign bodies, thus, leading to a more thorough exploration and likely further imaging. The arbitration board concluded that obtaining a detailed accident history and an accurate examination would have revealed the foreign bodies and/or led to further imaging. Complying with this, the patient could have been spared further harm and secondary surgery would have been unnecessary.


Subject(s)
Diagnostic Errors/legislation & jurisprudence , Documentation/standards , Eye Foreign Bodies/diagnosis , Eye Foreign Bodies/surgery , Malpractice/legislation & jurisprudence , Soft Tissue Injuries/diagnosis , Soft Tissue Injuries/surgery , Germany , Humans , Male , Middle Aged
2.
Transl Psychiatry ; 1: e3, 2011 Apr 04.
Article in English | MEDLINE | ID: mdl-22832391

ABSTRACT

The neuropeptide vasopressin is a key molecular mediator of social behavior in animals and humans, implicated in anxiety and autism. Social recognition, the ability to assess the familiarity of others, is essential for appropriate social interactions and enhanced by vasopressin; however, the neural mechanisms mediating this effect in humans are unknown. Using functional magnetic resonance imaging (fMRI) and an implicit social recognition matching task, we employed a double-blinded procedure in which 20 healthy male volunteers self-administered 40 UI of vasopressin or placebo intranasally, 45 min before performing the matching task in the scanner. In a random-effects fMRI analysis, we show that vasopressin induces a regionally specific alteration in a key node of the theory of mind network, the left temporoparietal junction, identifying a neurobiological mechanism for prosocial neuropeptide effects in humans that suggests novel treatment strategies.


Subject(s)
Magnetic Resonance Imaging/methods , Parietal Lobe/physiology , Recognition, Psychology/physiology , Social Perception , Temporal Lobe/physiology , Vasopressins/physiology , Adolescent , Adult , Double-Blind Method , Humans , Magnetic Resonance Imaging/instrumentation , Male , Vasopressins/administration & dosage , Vasopressins/pharmacology , Young Adult
3.
Int Rev Psychiatry ; 17(1): 9-19, 2005 Feb.
Article in English | MEDLINE | ID: mdl-16194767

ABSTRACT

Psychiatry has long struggled with the problem of how to understand the relationship between psychotic symptoms and mood symptoms. In the past, these debates were over conceptualizations of categories based on syndromal definitions of mental illnesses. Ample data now exists that provide insight into the biologic basis for syndromal distinctions. We examine the syndromes of mood disorder with psychotic features, schizoaffective disorder, and schizophrenia with mood features, reviewing their classification, clinical features, course, and treatment. We provide evidence that, clinically, mood disorders and schizophrenia do not separate neatly. We will also review data arising from studies in brain imaging, molecular neurobiology, and genetics. Evidence is accumulating that overlap across diagnostic boundaries for both pathologic and etiologic factors exist, along with disorder-specific factors. The nosology that will carve the reality of psychotic illness at the joints awaits further advances in genetics and neurobiology. Or, alternatively, carving out categories may turn out to be less useful for some purposes than considering dimensions.


Subject(s)
Mood Disorders/classification , Mood Disorders/epidemiology , Psychiatric Status Rating Scales , Psychotic Disorders/classification , Psychotic Disorders/epidemiology , Schizophrenia/classification , Schizophrenia/epidemiology , Diagnosis, Differential , Factor Analysis, Statistical , Gene Expression , Genetic Linkage , Humans , Mood Disorders/genetics , Psychotic Disorders/genetics , Schizophrenia/genetics
4.
Prostate Cancer Prostatic Dis ; 7(4): 343-9, 2004.
Article in English | MEDLINE | ID: mdl-15356680

ABSTRACT

INTRODUCTION: Treatment options for lymph node positive prostate cancer are limited. We retrospectively compared patients who underwent external radiotherapy (ERT) to patients treated by radical prostatectomy (RPX). MATERIALS AND METHODS: A total of 102 lymph node positive patients from the RPX series at Ulm University were evaluated. In all, 76 patients received adjuvant androgen withdrawal as part of their primary treatment. In the ERT group, 44 patients were treated at the University of Michigan using a fractionated regimen. Of these, 21 patients received early adjuvant hormonal therapy. Patients with neoadjuvant therapy before RPX or ERT were excluded. RESULTS: In the RPX group, PSA nadir (nadir < or = 0.2 vs > 0.2 ng/ml) showed a strong association with outcome. In the ERT group, pretreatment PSA was an independent predictor of outcome (P = 0.04) and patients with adjuvant hormonal therapy had a significant longer recurrence-free interval compared to patients without adjuvant therapy (P = 0.004). Comparing only patients with adjuvant hormonal treatment after cancer-specific therapy, the ERT-treated patients had a borderline longer PSA recurrence-free survival time compared to the RPX-treated patients (P = 0.05). CONCLUSIONS: In case of positive lymph nodes, RPX and ERT might be considered and need to be explained to the patient. For future treatment decisions, the presented findings and a potential survival benefit need to be evaluated in a larger prospective setting.


Subject(s)
Lymph Nodes/pathology , Prostatectomy , Prostatic Neoplasms/radiotherapy , Prostatic Neoplasms/surgery , Aged , Chemotherapy, Adjuvant , Humans , Male , Middle Aged , Neoadjuvant Therapy , Neoplasm Recurrence, Local/radiotherapy , Neoplasm Recurrence, Local/surgery , Neoplasm Staging , Prostate-Specific Antigen/metabolism , Prostatic Neoplasms/pathology , Radiotherapy Dosage , Retrospective Studies
5.
Ugeskr Laeger ; 161(45): 6204-5, 1999 Nov 08.
Article in Danish | MEDLINE | ID: mdl-10603758

ABSTRACT

We describe three cases of women who have been treated with radiotherapy for cervical cancer and then many years later develop cancer of the uterine endometrium. Apparently there may be active endometrium left in the uterus after radiotherapy, for which reason we recommend combined hormone therapy with oestrogen and progesterone.


Subject(s)
Adenocarcinoma/etiology , Endometrial Neoplasms/etiology , Uterine Cervical Neoplasms/radiotherapy , Adenocarcinoma/diagnosis , Adult , Combined Modality Therapy , Endometrial Neoplasms/diagnosis , Female , Humans , Middle Aged , Risk Factors , Uterine Cervical Neoplasms/drug therapy , Uterine Cervical Neoplasms/surgery
8.
Zentralbl Chir ; 110(10): 592-8, 1985.
Article in German | MEDLINE | ID: mdl-4024758

ABSTRACT

Early functional treatment was administered to 213 patients with stable compression fractures of thoracic and lumbar vertebrae between 1975 and 1982. Physiotherapy was carried out according to a uniform schedule. The patients were mobilized after an average of 6 days; hospitalization lasted 2 weeks on an average. Control examinations of 82 of these patients revealed only a slight union of compressed vertebral bodies (on an average, 7% of the initial height), which correlated with the primary compression and the patient's age. Remaining functional restriction of the spine and subjective complaints did not correlate significantly with the extent of vertebral compression.


Subject(s)
Early Ambulation , Fractures, Bone/surgery , Lumbar Vertebrae/injuries , Thoracic Vertebrae/injuries , Adult , Aged , Combined Modality Therapy , Follow-Up Studies , Humans , Lumbar Vertebrae/surgery , Middle Aged , Physical Therapy Modalities , Thoracic Vertebrae/surgery
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