[Open doors, open mind : Plea for an open treatment psychiatry].
Abstract Patients who are committed against their natural will are regularly accommodated in closed wards in Germany. Only a few clinics treat patients who have been involuntarily committed on open wards. On the basis of own clinical experience and relevant study results, closed and open wards are compared with respect to the extent of aggression and coercive measures, the risks of absconding and suicide. Compared to open wards, closed wards are unlikely to reduce the risk of absconding, do not result in a decreased suicide rate and do not result in a reduction of aggressive behavior. In contrast, c...
Source: Der Nervenarzt - April 23, 2019 Category: Neurology Authors: Beine KH Tags: Nervenarzt Source Type: research

[Pituitary adenomas].
Abstract Despite characteristic symptoms the diagnosis of clinically relevant pituitary adenomas is often delayed until an advanced stage due to the rarity of the disease. The typical clinical manifestations are presented in this review article. The recent discovery of the USP8 mutation in Cushing's disease and of X‑linked acrogigantism (X-LAG) syndrome in early onset gigantism were milestones in the search for the molecular etiology of pituitary adenomas. The triad of endocrinological, radiological and ophthalmological diagnostics are the main pillars for the diagnostic work-up of pituitary adenomas. The standa...
Source: Der Nervenarzt - April 17, 2019 Category: Neurology Authors: Honegger J, Nasi-Kordhishti I, Giese S Tags: Nervenarzt Source Type: research

[ADHD screening in alcohol dependent subjects : Psychometric characteristics of ADHD self-report scale and Wender Utah Rating Scale short form].
CONCLUSION: The ADHD-SR is a suitable instrument for routine screening of ADHD in alcohol dependent patients. To improve sensitivity, a lower cut-off (≥15) should be applied. The WURS-k as a single screening instrument cannot be recommended in alcohol dependent patients. If a higher sensitivity is desired, a combination of ADHD-SR and WURS-k is feasible. PMID: 30976828 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - April 11, 2019 Category: Neurology Authors: Luderer M, Kaplan-Wickel N, Sick C, Richter A, Reinhard I, Kiefer F, Weber T Tags: Nervenarzt Source Type: research

[The CIMH track concept in the treatment of psychotic disorders].
g A Abstract The treatment of psychotic disorders and illnesses is a challenge for therapists and institutions due to the heterogeneity of the cause and course, refractory symptoms, lack of therapy adherence and high rates of relapse. These circumstances can be effectively counteracted by the flexibility of therapeutic approaches and settings. A useful but rarely used concept is the treatment of psychoses within the so-called track unit. A track unit is defined as a syndrome-oriented, decentralized, modular unit, adjusted to the patient's individual stage-specific needs across both inpatient an...
Source: Der Nervenarzt - April 11, 2019 Category: Neurology Authors: Hirjak D, Gass P, Deuschle M, Leweke FM, Böhringer A, Schenkel N, Borgwedel D, Heser M, Breisacher A, Meyer-Lindenberg A Tags: Nervenarzt Source Type: research

[Superficial siderosis of the central nervous system : A  consequence of spinal dural leaks persisting for decades].
[Superficial siderosis of the central nervous system : A consequence of spinal dural leaks persisting for decades]. Nervenarzt. 2019 Apr 10;: Authors: Friedauer L, Schaller MA, Steinmetz H, du Mesnil de Rochemont R, Seifert V, Hattingen E, Foerch C PMID: 30969349 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - April 10, 2019 Category: Neurology Authors: Friedauer L, Schaller MA, Steinmetz H, du Mesnil de Rochemont R, Seifert V, Hattingen E, Foerch C Tags: Nervenarzt Source Type: research

[The "popular saint" Therese of Konnersreuth and her stigmata : An historical example for the interaction of psyche and religiosity].
CONCLUSION: Detailed psychiatric historical and ethical research on the interaction of the psyche and religiosity can provide information about mechanisms that channel the psychic power of religiosity to promote remission. It is further important to take a religious and spiritual history of the patients. PMID: 30968195 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - April 9, 2019 Category: Neurology Authors: Braun B, Demling J, Loew TH Tags: Nervenarzt Source Type: research

[Folic acid and vitamin B12 determination in the assessment of cognitive disorders : Overview and data analysis from a university outpatient memory clinic].
This article summarizes the relevant diagnostic and therapeutic aspects of vitamin B12 and folic acid deficiencies and their effects on cognition. The literature review is supplemented by a data analysis of a naturalistic cohort of 250 patients from this outpatient memory clinic. PMID: 30968196 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - April 9, 2019 Category: Neurology Authors: Haußmann R, Sauer C, Neumann S, Zweiniger A, Lange J, Donix M Tags: Nervenarzt Source Type: research

[Autoantibody-associated schizophreniform psychoses: clinical symptomatology].
t L Abstract According to present concepts, primary psychotic disorders in the schizophrenia spectrum are probably caused by a complex interaction between multigenetic vulnerability and causally relevant environmental factors. In contrast, secondary psychotic disorders are the result of likely identifiable organic factors either in terms of a first causation (etiology) or a secondary cause (pathogenesis). In this context, autoantibody(ab)-associated autoimmune encephalitis (AE) plays an increasingly important role. Within the group of ab-associated AE with neuropsychiatric symptoms, anti-N-methyl-D-...
Source: Der Nervenarzt - April 9, 2019 Category: Neurology Authors: Endres D, Bechter K, Prüss H, Hasan A, Steiner J, Leypoldt F, Tebartz van Elst L Tags: Nervenarzt Source Type: research

[Mechanical ventilation in neurological organizational units in Germany].
CONCLUSION: Mechanical ventilation in neurological units offers vast and complex treatment and bed capacities for severely ill patients in Germany. The structures are inhomogeneous and a consensus on specific criteria should be established. This is especially true for the treatment of patients needing out-of-hospital mechanical ventilation, also with respect to a possible weaning in the long-term duration of the disease. PMID: 30963181 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - April 8, 2019 Category: Neurology Authors: Groß M, Pohl M, Summ O, Young P, Winterholler M, Weigel A, Röhrig R Tags: Nervenarzt Source Type: research

[Track treatment in psychiatry: the CIMH track model to overcome sector boundaries].
Abstract The overall conditions for the treatment of patients with psychiatric disorders have changed and place new demands on therapy concepts and procedures. This concerns both the legal conditions of the treatment as well as the content and economic conditions for a patient-oriented diagnostic work-up and therapy. The Central Institute for Mental Health (CIMH) in Mannheim is currently implementing a track concept that takes these changes into account and aims to overcome sectoral boundaries in favor of treatment continuity. PMID: 30941457 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - April 2, 2019 Category: Neurology Authors: Deuschle M, Scheydt S, Hirjak D, Borgwedel D, Erk K, Hennig O, Heser M, Pfister M, Leweke MF, Meyer-Lindenberg A Tags: Nervenarzt Source Type: research

[Analysis of risk factors, etiology and treatment standard of lithium poisoning].
This study illustrates the most important risk factors for lithium poisoning and their frequencies and contributes to raise awareness for this highly relevant topic. These data can help to prevent further cases of lithium poisoning. Furthermore, the results enable a comparison between the actual treatment reality and currently available evidence for the treatment of lithium poisoning. PMID: 30941458 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - April 2, 2019 Category: Neurology Authors: Haußmann R, Mudra T, Sauer C, von Bonin S, Donix M, Bauer M, Lewitzka U Tags: Nervenarzt Source Type: research

[Motivational interviewing : A  possibility for doctor-patient communication in schizophrenia?]
[Motivational interviewing : A possibility for doctor-patient communication in schizophrenia?] Nervenarzt. 2019 Apr 02;: Authors: Reimer J, Kuhn J, Wietfeld R, Janetzky W, Leopold K Abstract Motivational interviewing (MI) has become established nowadays as an approach for a cooperative style of conversation to promote intrinsic motivation for change by exploring and resolving ambivalences. The change of addictive behavior is no longer sought by exerting pressure or lecturing/converting attempts of convincing or persuasion but by activating existing but "buried" or newly acquired se...
Source: Der Nervenarzt - April 2, 2019 Category: Neurology Authors: Reimer J, Kuhn J, Wietfeld R, Janetzky W, Leopold K Tags: Nervenarzt Source Type: research

[Atypical intracerebral hemorrhage-etiology and acute management].
Abstract Acute management as well as establishing the etiology of an intracerebral hemorrhage is still a challenge for clinicians. The location of the intracerebral hemorrhage alone should not be used to determine the cause because atypically located hemorrhages can be caused by long-standing arterial hypertension and typically located hemorrhages can occur due to non-hypertensive causes. Besides discussing the classification of intracerebral hemorrhages, this article focuses on a diagnostic algorithm as well as the presentation of potential (rarer) causes of non-traumatic intracerebral hemorrhages. Furt...
Source: Der Nervenarzt - March 26, 2019 Category: Neurology Authors: Purrucker JC, Steiner T Tags: Nervenarzt Source Type: research

[Posterior cortical atrophy-a  heterogeneous syndrome : A case series].
[Posterior cortical atrophy-a heterogeneous syndrome : A case series]. Nervenarzt. 2019 Mar 21;: Authors: Conrad J, Kremmyda O, Högen T, Brendel M, Rominger A, Levin J, Danek A PMID: 30903200 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - March 21, 2019 Category: Neurology Authors: Conrad J, Kremmyda O, Högen T, Brendel M, Rominger A, Levin J, Danek A Tags: Nervenarzt Source Type: research

[Ability to drive with cerebrovascular diseases : Position paper of the German societies DGNB, DGN, DGNC, DGNR, DSG and GNP].
Abstract The regulations for ability to drive with cerebrovascular diseases in the German Driving License Regulations (Fahrerlaubnisverordnung, FeV) and German Guidelines for the Evaluation of Driving Ability of the Federal Highway Research Institute (BASt) are not up to date with the current medical knowledge and are not consistent with comparable regulations regarding cardiovascular diseases. This is particularly true for the assessment of future risks for a sudden loss of control during driving. The present position paper of six medical and neuropsychological societies in Germany presents the current conditions...
Source: Der Nervenarzt - March 7, 2019 Category: Neurology Authors: Marx P, Hamann GF, Busse O, Mokrusch T, Niemann H, Vatter H, Widder B Tags: Nervenarzt Source Type: research

[Sporadic Creutzfeldt-Jakob disease imitates posterior reversible encephalopathy syndrome].
g J Abstract PMID: 30840102 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - March 6, 2019 Category: Neurology Authors: Krüger S, Larsen J, Schaumberg J Tags: Nervenarzt Source Type: research

[Blurred boundary between evidence-based medicine and treatment methods].
Abstract PMID: 30806718 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 26, 2019 Category: Neurology Authors: Noth J Tags: Nervenarzt Source Type: research

[Comments on the letters to the editor of the leading topic volume "Complementary and alternative treatments in psychiatry"].
[Comments on the letters to the editor of the leading topic volume "Complementary and alternative treatments in psychiatry"]. Nervenarzt. 2019 Feb 26;: Authors: Arolt V, Bauer M, Kapfhammer HP, Maier W, Schneider F Abstract PMID: 30806719 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 26, 2019 Category: Neurology Authors: Arolt V, Bauer M, Kapfhammer HP, Maier W, Schneider F Tags: Nervenarzt Source Type: research

[Queen Zeitgeist: hurrah, we buckle to her!]
g; B Abstract PMID: 30806720 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 26, 2019 Category: Neurology Authors: Voß B Tags: Nervenarzt Source Type: research

[A critical consideration of alternative methods is useful].
Abstract PMID: 30806721 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 26, 2019 Category: Neurology Authors: Helmchen H Tags: Nervenarzt Source Type: research

[Being open and remain it-in favour of an ongoing and critical discussion].
Abstract PMID: 30806722 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 26, 2019 Category: Neurology Authors: Juckel G Tags: Nervenarzt Source Type: research

[Vanishing white matter disease in adulthood].
AJ Abstract PMID: 30778629 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 18, 2019 Category: Neurology Authors: Buggle F, Ciric E, Boujan T, Ohlenbusch A, Gärtner J, Grau AJ Tags: Nervenarzt Source Type: research

[Paradoxical cerebral air embolism through port catheter].
Abstract PMID: 30778630 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 18, 2019 Category: Neurology Authors: Batarfi A, Klinsing S, Wenger KJ, You SJ, Steinmetz H, Voss M Tags: Nervenarzt Source Type: research

[Cerebral venous and sinus thrombosis : S2k guidelines].
h T Abstract PMID: 30758512 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 13, 2019 Category: Neurology Authors: Weimar C, Holzhauer S, Knoflach M, Koennecke HC, Masuhr F, Mono ML, Niederstadt T, Nowak-Göttl U, Schellong SM, Kurth T Tags: Nervenarzt Source Type: research

[Milestone or missed opportunity? : Commentary on the revision of the McDonald criteria 2017].
Abstract PMID: 30729270 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 7, 2019 Category: Neurology Authors: Pape K, Zipp F Tags: Nervenarzt Source Type: research

[Neuronal effects and biomarkers of antidepressant treatments : Current review from the perspective of neuroimaging].
Abstract Depression is one of the most frequent and disabling mental disorders worldwide and is accompanied by a severe impairment in the quality of life. There are numerous imaging studies showing differences in the volume of gray and white brain matter and function between patients suffering from depression and healthy controls. Neuroimaging studies show that pharmacotherapy and electroconvulsive therapy are accompanied by an increase of hippocampal gray matter volume while as a result of psychotherapy activity changes in the anterior cingulate cortex (ACC) have repeatedly been reported. By the identif...
Source: Der Nervenarzt - February 7, 2019 Category: Neurology Authors: Enneking V, Dzvonyar F, Dannlowski U, Redlich R Tags: Nervenarzt Source Type: research

[Oxytocin and maltreatment potential : Influence of maternal depression, borderline personality disorder and experience of early childhood maltreatment].
CONCLUSION: In the present study alterations in plasma OXT concentrations were not associated with psychiatric disorders, such as a history of depression or borderline personality disorder but more with a potential etiological factor of these disorders, i.e. experience of maltreatment in their own childhood. PMID: 30725114 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 6, 2019 Category: Neurology Authors: Kluczniok D, Dittrich K, Hindi Attar C, Bödeker K, Roth M, Jaite C, Winter S, Herpertz SC, Röpke S, Heim C, Bermpohl F Tags: Nervenarzt Source Type: research

[Development of virtual reality as an exposure technique].
CONCLUSION: There is still a need for more research into VR exposure therapy, especially in complex anxiety disorders (e. g. panic disorder, agoraphobia and social anxiety disorder) and trauma-related disorders. Furthermore, VR has become established as a research tool. The rapid technological development gives reason to expect a continuing increase in VR research, in clinical as well as basic research. PMID: 30715554 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 4, 2019 Category: Neurology Authors: Diemer J, Zwanzger P Tags: Nervenarzt Source Type: research

[Epidemic of depression? : Development of prevalence and help-seeking behaviour].
CONCLUSION: Overall, increasing frequencies of depression in the German healthcare system cannot be solely attributed to changes in help-seeking behavior of people with depression. Self-reported barriers of service utilization and divergences between primary and secondary data indicate the need of further evaluation and optimization of mental healthcare provision in Germany. PMID: 30719537 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 4, 2019 Category: Neurology Authors: Nübel J, Müllender S, Hapke U, Jacobi F Tags: Nervenarzt Source Type: research

[Prevention for children with parents with depression or anxiety : National and international approaches and their age specificity].
CONCLUSION: Many interventions were found but most of them were not sufficiently evaluated or psychometrically defined; however, the few well-evaluated evidence-based projects for children mostly addressed the age-specific needs. Projects for preschool age children mostly worked with the parents and referred to elements of parental training. For schoolchildren there were various preventive projects that especially worked with increasing the self-esteem and the development of coping strategies. Projects for adolescents worked with psychoeducation and increasing social connectedness. Across all age groups there was no compre...
Source: Der Nervenarzt - February 4, 2019 Category: Neurology Authors: Kölch M, Nolkemper D, Ziegenhain U, Fegert JM Tags: Nervenarzt Source Type: research

[Obituary for Prof. Dr. Harald  J. Freyberger].
[Obituary for Prof. Dr. Harald J. Freyberger]. Nervenarzt. 2019 Feb 01;: Authors: Grabe HJ, Maier W Abstract PMID: 30707241 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - February 1, 2019 Category: Neurology Authors: Grabe HJ, Maier W Tags: Nervenarzt Source Type: research

[Acceptance, demand, reasons for consultation and outcome of counseling on epilepsy in Hesse and Lower Franconia].
The objective of this prospective, multicenter cohort study at six ECS was to determine and analyze the acceptance, demand and frequent reasons for consultation in Hesse and Lower Franconia. RESULTS: A total of 435 clients were enrolled during the 12-month observation period (June 2014-May 2015) of which 74.3% were adults (n = 323, mean age 40.3 ± 14.7 years, range 18-76 years, 51.7% female) and 25.7% children and adolescents (n = 112, mean age 9.4 ± 4.8 years, range 1-17 years, 52.7% female). The mean number of outpatient consultations per year was...
Source: Der Nervenarzt - January 29, 2019 Category: Neurology Authors: Kondziela JM, Schulz J, Brunst B, Fuchs S, Gerlinger S, Neif B, Staab-Kupke H, Vasileiadis S, Brodisch P, Knake S, Kniess T, Schade B, Neubauer BA, Rosenow F, Schubert-Bast S, Strzelczyk A, Willems LM Tags: Nervenarzt Source Type: research

[Implementation and evaluation of a  revised curriculum for psychiatry and psychotherapy].
CONCLUSION: The results show that a competency-based modification of the curriculum in the discipline of psychiatry and psychotherapy leads to more practical abilities and thus helps future physicians to be more self-determined. PMID: 30694367 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 29, 2019 Category: Neurology Authors: Koelkebeck K, Brouwer B, Ahrens H, Becker JC, Weih M, Marschall B, Arolt V, Ohrmann P Tags: Nervenarzt Source Type: research

[Mental diseases and genetic disposition: ethical aspects].
Abstract The handling of predictive genetic tests especially in the field of mental diseases requires a sensitive approach. In particular internet-based direct-to-consumer offers cannot provide an appropriate interpretation of the onset probabilistic data. Instead, a doctor-patient relationship should cater for clarity through hermeneutic and non-technicistic assistance with respect to the necessity of a test as well as with a view to the interpretation of the test results. PMID: 30659310 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 18, 2019 Category: Neurology Authors: Lanzerath D Tags: Nervenarzt Source Type: research

[Genetics of movement disorders-rare but important].
This article provides the reader with an overview of the most important groups of genetic movement disorders. Genetic Parkinson syndromes, dystonia, essential tremor, genetic chorea, cerebellar ataxia and hereditary spastic paraplegia are dealt with in detail. For a better understanding individual genetic terms are explained and differences in molecular genetic diagnostics are presented. PMID: 30645659 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 15, 2019 Category: Neurology Authors: Klebe S, Timmann D Tags: Nervenarzt Source Type: research

[Exome diagnostics in neurology].
Abstract After an impressively successful application as a research instrument, whole-exome sequencing (WES) now enters the clinical practice due to its high diagnostic, time, and economic efficiency. WES is the diagnostic method of choice for symptoms that may be due to many different monogenic causes. Neurological indications include movement disorders, especially in cases of early symptom onset, familial clustering and complex manifestation. Starting from a blood sample, enrichment and sequencing of the exome enable the examination of all coding DNA regions for point mutations and small insertions/deletion...
Source: Der Nervenarzt - January 15, 2019 Category: Neurology Authors: Zech M, Wagner M, Schormair B, Oexle K, Winkelmann J Tags: Nervenarzt Source Type: research

[Avoid operative interventions without interdisciplinary clarification].
Abstract PMID: 30645661 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 15, 2019 Category: Neurology Authors: Rommel O Tags: Nervenarzt Source Type: research

[Impact of early life maltreatment of women on the mother-child relationship : Data from mother-child dyads from Heidelberg and Berlin].
SC Abstract Early life maltreatment can have severe and long-lasting consequences for the directly affected individual as well as for the next generation. Data from our research including mother-child dyads from Heidelberg and Berlin show that early life maltreatment is associated with behavioral and neural changes including personality traits and attachment style of the affected mothers that negatively affect their relationship with their child. The children of these mothers affected by early life maltreatment have an elevated risk to be maltreated and to develop mental disorders. They also show a heightene...
Source: Der Nervenarzt - January 14, 2019 Category: Neurology Authors: Neukel C, Hillmann K, Bertsch K, Bermpohl F, Kluczniok D, Möhler E, Reck C, Resch F, Kaess M, Brunner R, Herpertz SC Tags: Nervenarzt Source Type: research

[Environment and epigenetics].
This article first summarizes the different levels of epigenetic regulation and then focuses on mechanisms transducing environmental signals into lasting epigenetic changes. This is followed by examples of how environmentally induced epigenetic changes relate to risk and resilience to psychiatric disorders and their treatment. PMID: 30643952 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 14, 2019 Category: Neurology Authors: Binder EB Tags: Nervenarzt Source Type: research

[Perinatal and postnatal treatment of traumatized parents with mental disorders: impact on parents and their children].
CONCLUSION: Although only few studies focused on the special needs of traumatized, mentally disordered parents, the described interventions show promising effect sizes, especially in combination with several kinds of interventions. Nevertheless, an adequate integration of fathers into the therapies has so far been neglected. PMID: 30643953 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 14, 2019 Category: Neurology Authors: Klinger-König J, Grabe HJ Tags: Nervenarzt Source Type: research

[Mental health of teenage mothers: impact on the next generation].
CONCLUSION: In addition to primary prevention by avoiding teenage pregnancies, early identification of adolescent mothers and children at risk for early treatment and intervention is necessary. PMID: 30643954 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 14, 2019 Category: Neurology Authors: Dahmen B, Konrad K, Jahnen L, Herpertz-Dahlmann B, Firk C Tags: Nervenarzt Source Type: research

[Staffing of inpatient psychiatric facilities : A  patient-oriented and guideline-oriented staffing concept].
CONCLUSION: This model considers the medical progress within the meaning of the evidence-based guidelines and the modified healthcare practice including sociopolitical standards aimed at the patients' self-determination. PMID: 30643955 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 14, 2019 Category: Neurology Authors: Hauth I, Brückner-Bozetti P, Heuft G, Kölch M, Löhr M, Richert A, Deister A Tags: Nervenarzt Source Type: research

[Diagnostics of posttraumatic stress disorder according to DSM-5 and ICD-11].
chalk A Abstract BACKGROUND: The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Statistical Classification of Diseases and Related Health Problems (ICD-11, Version 2018) differ with respect to the diagnostic criteria of posttraumatic stress disorder (PTSD). The present study investigated the implications of these differences for the classification of PTSD within a sample of German survivors of various traumatic events. PATIENTS AND METHODS: A total of 341 trauma survivors who participated in a multicenter study were classified according to DSM-5 and ICD-11 and th...
Source: Der Nervenarzt - January 14, 2019 Category: Neurology Authors: Schellong J, Hanschmidt F, Ehring T, Knaevelsrud C, Schäfer I, Rau H, Dyer A, Krüger-Gottschalk A Tags: Nervenarzt Source Type: research

[Mitochondrial diseases].
This article provides an introduction to MD, a summary of the most important syndromes and an overview over established and innovative therapeutic approaches. PMID: 30643957 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 14, 2019 Category: Neurology Authors: Radelfahr F, Klopstock T Tags: Nervenarzt Source Type: research

[Poststroke care in Germany : Results of an online survey of inpatient and outpatient experts in southern Germany].
DISCUSSION: Practitioner networks and standardized communication pathways can help to strengthen intradisciplinary and interdisciplinary cooperation and communication and thus achieve an improvement in the discharge process as well as in the aftercare system. PMID: 30617567 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 7, 2019 Category: Neurology Authors: Hempler I, Maun A, Kampling H, Thielhorn U, Farin E Tags: Nervenarzt Source Type: research

[Neurosarcoidosis remains a  diagnostic chameleon : First manifestation of neurosarcoidosis as longitudinal transverse myelitis].
[Neurosarcoidosis remains a diagnostic chameleon : First manifestation of neurosarcoidosis as longitudinal transverse myelitis]. Nervenarzt. 2019 Jan 07;: Authors: Heinen A, Schippling S, Czell D Abstract PMID: 30617568 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 7, 2019 Category: Neurology Authors: Heinen A, Schippling S, Czell D Tags: Nervenarzt Source Type: research

[Treatment evaluation in patients with 5q-associated spinal muscular atrophy : Real-world experience].
Kirschner J Abstract Spinal muscular atrophy (SMA) is a progressive autosomal recessive neurodegenerative disease with an incidence of 1:10,000 live births. With a deeper understanding of the molecular basis of SMA in the past two decades, a major focus of therapeutic development has been on increasing the proportion of functionally capable SMN protein by increasing the inclusion of exon 7 in SMN2 transcripts, enhancing SMN2 gene expression, stabilizing the SMN protein or replacing the SMN1 gene. Since June 2017, the antisense oligonucleotide nusinersen/Spinraza® (Biogen GmbH, Ismaning, Germany)...
Source: Der Nervenarzt - January 7, 2019 Category: Neurology Authors: Walter MC, Dräger B, Günther R, Hermann A, Hagenacker T, Kleinschnitz C, Löscher W, Meyer T, Schrank B, Schwersenz I, Wurster CD, Ludolph AC, Kirschner J Tags: Nervenarzt Source Type: research

[Internet and mobile-assisted interventions in mental disorders : Implementation in Germany from an ethical perspective].
CONCLUSION: The ethical analysis showed that IMIs for mental disorders principally have a positive effect on the well-being of patients and have a low risk of impairment. Additionally, IMIs can minimize risk, improve justice, and strengthen autonomy of mentally ill patients. Despite the broad evidence, there are still research desiderates with respect to ethical aspects, e. g. patient information for mentally ill patients. PMID: 30617570 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - January 7, 2019 Category: Neurology Authors: Rubeis G, Steger F Tags: Nervenarzt Source Type: research

[Poison in the filter: implementing detoxification procedures in schizophrenia].
Abstract In the history of psychiatry a variety of "blood detoxification" procedures have repeatedly been used to treat schizophrenic disorders under the assumption of autointoxication. In the 1970s this led to the use of dialysis. In addition to the historical classification of this therapeutic approach, particularly the protagonists active in the German Democratic Republic (GDR) as well as the dimension of research and science policy are highlighted. Despite the relatively low success rate of the treatment overall, the question of which patients actually had a positive response to the treatme...
Source: Der Nervenarzt - January 7, 2019 Category: Neurology Authors: Kumbier E Tags: Nervenarzt Source Type: research

[Letters from Paul Julius M öbius to Auguste-Henri Forel : "…that the harmony of perceptions on this novel point is also repeated on completely different issues"].
This article provides an analysis of the content of 15 letters and postcards written by the Leipzig neurologist Paul Julius Möbius to his Zurich-based colleague Auguste-Henri Forel between 1889 and 1902. Moreover, they are set in the context of the works of the two correspondence partners. The 15 documents preserved at the University of Zurich Medico-Historical Institute and Museum comprise one half of the correspondence, whereas the letters Forel sent in response do not seem to have been preserved. So far, biographic research has neglected the letters analyzed here. Hypnotism and medical suggestion as well ...
Source: Der Nervenarzt - December 17, 2018 Category: Neurology Authors: Steinberg H Tags: Nervenarzt Source Type: research