Pub Date : 2022-05-25DOI: 10.1007/s00115-022-01302-5
M. Schultheiss, D. Wenzel, M. Spitzer, S. Poli, H. Wilhelm, F. Tonagel, C. Kelbsch
{"title":"Die optische Kohärenztomographie in der Differenzialdiagnostik wichtiger neuroophthalmologischer Krankheitsbilder","authors":"M. Schultheiss, D. Wenzel, M. Spitzer, S. Poli, H. Wilhelm, F. Tonagel, C. Kelbsch","doi":"10.1007/s00115-022-01302-5","DOIUrl":"https://doi.org/10.1007/s00115-022-01302-5","url":null,"abstract":"","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116930051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-24DOI: 10.1007/s00115-022-01317-y
D. Schmoll
{"title":"[Long COVID: what can the psychiatric expert use for support?]","authors":"D. Schmoll","doi":"10.1007/s00115-022-01317-y","DOIUrl":"https://doi.org/10.1007/s00115-022-01317-y","url":null,"abstract":"","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115301847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-24DOI: 10.1007/s00115-022-01318-x
H. Dressing, A. Meyer-Lindenberg
{"title":"Kausalitätsbegutachtungen bei Post-COVID","authors":"H. Dressing, A. Meyer-Lindenberg","doi":"10.1007/s00115-022-01318-x","DOIUrl":"https://doi.org/10.1007/s00115-022-01318-x","url":null,"abstract":"","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121262376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-24DOI: 10.1007/s00115-022-01319-w
U. Meyding-Lamadé, Kathrin Keeren
{"title":"Krieg in der Ukraine – mögliche Gefährdung der Geflüchteten durch Poliomyelitis","authors":"U. Meyding-Lamadé, Kathrin Keeren","doi":"10.1007/s00115-022-01319-w","DOIUrl":"https://doi.org/10.1007/s00115-022-01319-w","url":null,"abstract":"","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127503432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-23DOI: 10.1007/s00115-022-01316-z
W. Golder
{"title":"Der griechisch-römische Arzt Galen von Pergamon und seine neurologischen Fallberichte","authors":"W. Golder","doi":"10.1007/s00115-022-01316-z","DOIUrl":"https://doi.org/10.1007/s00115-022-01316-z","url":null,"abstract":"","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":"28 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117268154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-16DOI: 10.1007/s00115-022-01297-z
C. Schilling, A. Meyer-Lindenberg, J. Schweiger
{"title":"Kognitive Störungen und Schlafstörungen bei Long-COVID","authors":"C. Schilling, A. Meyer-Lindenberg, J. Schweiger","doi":"10.1007/s00115-022-01297-z","DOIUrl":"https://doi.org/10.1007/s00115-022-01297-z","url":null,"abstract":"","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114802830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-06DOI: 10.1007/s00115-022-01295-1
T. Hagenacker, U. Schara-Schmidt, C. Kleinschnitz
{"title":"Genetisch basierte Therapien bei spinaler Muskelatrophie","authors":"T. Hagenacker, U. Schara-Schmidt, C. Kleinschnitz","doi":"10.1007/s00115-022-01295-1","DOIUrl":"https://doi.org/10.1007/s00115-022-01295-1","url":null,"abstract":"","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115680116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01Epub Date: 2021-11-04DOI: 10.1007/s00115-021-01226-6
Peter Praus, Urs Braun, Melanie Bleich, Andreas Meyer-Lindenberg, Oliver Hennig
DiGeorge's syndrome is one of the most frequent microdeletion syndromes and is associated with a high risk for neuropsychiatric disorders of intelligence, social communication and executive functioning as well as psychotic disorders. The male patient described here represents one of the rare descriptions of Tourette's syndrome on the basis of a 22q11.2 microdeletion syndrome. The following two case studies demonstrate the variety of related clinical presentations. A characterization of these patients in a clinical and scientific context by the means of Research Domain Criteria (RDoC) enables a transdiagnostic description of overlapping as well as specific neuropsychiatric functional impairments. Possibly, this dimensional characterization might also facilitate a more exact differentiation of pleiotropic associations between genotype and phenotype.
{"title":"[Heterogeneous neuropsychiatric phenotypes in two adult patients with 22q11.2 deletion syndrome (DiGeorge's syndrome): a case for RDoC?]","authors":"Peter Praus, Urs Braun, Melanie Bleich, Andreas Meyer-Lindenberg, Oliver Hennig","doi":"10.1007/s00115-021-01226-6","DOIUrl":"https://doi.org/10.1007/s00115-021-01226-6","url":null,"abstract":"<p><p>DiGeorge's syndrome is one of the most frequent microdeletion syndromes and is associated with a high risk for neuropsychiatric disorders of intelligence, social communication and executive functioning as well as psychotic disorders. The male patient described here represents one of the rare descriptions of Tourette's syndrome on the basis of a 22q11.2 microdeletion syndrome. The following two case studies demonstrate the variety of related clinical presentations. A characterization of these patients in a clinical and scientific context by the means of Research Domain Criteria (RDoC) enables a transdiagnostic description of overlapping as well as specific neuropsychiatric functional impairments. Possibly, this dimensional characterization might also facilitate a more exact differentiation of pleiotropic associations between genotype and phenotype.</p>","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":" ","pages":"483-487"},"PeriodicalIF":1.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9061649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39856911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01Epub Date: 2021-12-14DOI: 10.1007/s00115-021-01242-6
Andreas Bechdolf, Felix Bühling-Schindowski, Stefan Weinmann, Johanna Baumgardt, Marie Kampmann, Dorothea Sauter, Susanne Jaeger, Gernot Walter, Michael Mayer, Michael Löhr, Michael Schulz, Jakov Gather, Regina Ketelsen, Ralf Aßfalg, Celline Cole, Angelika Vandamme, Lieselotte Mahler, Sophie Hirsch, Tilman Steinert
Objective: To investigate whether implementation recommendations derived from the German guidelines "Prevention of coercion" can be implemented on acute psychiatric wards by means of implementation consultants into ward work and if this contributes to an increased level of adherence to guideline intervention recommendations approved by the DGPPN (Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde)?
Material and methods: Two medical or nursing experts advised ward teams on the implementation of three individually selected recommendations from the guidelines in a structured consulting process over 6 months. The degree of implementation of the recommendations was assessed before and after the intervention by the ward teams together with the implementation consultants using a tool developed for this purpose (PreVCo rating tool).
Results: A total of five wards responsible for compulsorily admitted patients took part in the pilot study; three of them completed the intervention. On all three wards, implementation of the guideline recommendations improved for both selected and unselected recommendations. The strategy of using implementation consultants as well as the application of the PreVCo rating tool were well accepted and considered feasible by both the treatment teams and the implementation consultants.
Conclusion: This pilot study showed that an implementation of recommendations on psychiatric wards derived from the German guidelines "Prevention of coercion" supported by implementation consultants is feasible, well acceptable among treatment teams and can lead to positive changes. The sample of five wards with diverse patient profiles was convincing. The efficacy in terms of reduction of coercive measures is currently being investigated in a randomized controlled trial on 55 psychiatric wards in different parts of Germany, with an intervention based on this pilot study.
目的:调查来自德国指南“预防胁迫”的实施建议是否可以通过实施顾问在病房工作中实施,以及这是否有助于提高DGPPN (Deutsche Gesellschaft fr psychiatry and Psychotherapie, Psychosomatik und Nervenheilkunde)批准的指南干预建议的依从性?材料和方法:在为期6个月的结构化咨询过程中,两名医学或护理专家就从指南中单独选择的三项建议的实施向病房小组提供建议。在干预之前和之后,由病房小组和实施顾问使用为此目的开发的工具(PreVCo评级工具)评估建议的实施程度。结果:共有5个负责强制住院患者的病房参与了试点研究;其中三人完成了干预。在所有三个病房,指南建议的实施在选定和未选定的建议中都有所改善。使用实施顾问的策略以及PreVCo评级工具的应用得到了治疗小组和实施顾问的广泛接受和认为是可行的。结论:这项试点研究表明,在实施顾问的支持下,在精神科病房实施来自德国指导方针“预防胁迫”的建议是可行的,治疗团队很容易接受,并能带来积极的变化。五个病房不同病人的样本是令人信服的。目前正在德国不同地区的55个精神病病房进行一项随机对照试验,以调查减少强制措施方面的效果,并根据这项试点研究采取干预措施。
{"title":"[DGPPN pilot study on the implementation of the S3 guideline \"Prevention of coercion: prevention and therapy of aggressive behavior in adults\"].","authors":"Andreas Bechdolf, Felix Bühling-Schindowski, Stefan Weinmann, Johanna Baumgardt, Marie Kampmann, Dorothea Sauter, Susanne Jaeger, Gernot Walter, Michael Mayer, Michael Löhr, Michael Schulz, Jakov Gather, Regina Ketelsen, Ralf Aßfalg, Celline Cole, Angelika Vandamme, Lieselotte Mahler, Sophie Hirsch, Tilman Steinert","doi":"10.1007/s00115-021-01242-6","DOIUrl":"https://doi.org/10.1007/s00115-021-01242-6","url":null,"abstract":"<p><strong>Objective: </strong>To investigate whether implementation recommendations derived from the German guidelines \"Prevention of coercion\" can be implemented on acute psychiatric wards by means of implementation consultants into ward work and if this contributes to an increased level of adherence to guideline intervention recommendations approved by the DGPPN (Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde)?</p><p><strong>Material and methods: </strong>Two medical or nursing experts advised ward teams on the implementation of three individually selected recommendations from the guidelines in a structured consulting process over 6 months. The degree of implementation of the recommendations was assessed before and after the intervention by the ward teams together with the implementation consultants using a tool developed for this purpose (PreVCo rating tool).</p><p><strong>Results: </strong>A total of five wards responsible for compulsorily admitted patients took part in the pilot study; three of them completed the intervention. On all three wards, implementation of the guideline recommendations improved for both selected and unselected recommendations. The strategy of using implementation consultants as well as the application of the PreVCo rating tool were well accepted and considered feasible by both the treatment teams and the implementation consultants.</p><p><strong>Conclusion: </strong>This pilot study showed that an implementation of recommendations on psychiatric wards derived from the German guidelines \"Prevention of coercion\" supported by implementation consultants is feasible, well acceptable among treatment teams and can lead to positive changes. The sample of five wards with diverse patient profiles was convincing. The efficacy in terms of reduction of coercive measures is currently being investigated in a randomized controlled trial on 55 psychiatric wards in different parts of Germany, with an intervention based on this pilot study.</p>","PeriodicalId":385288,"journal":{"name":"Der Nervenarzt","volume":" ","pages":"450-458"},"PeriodicalIF":1.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8669629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39812873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}