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  • 1
    Digitale Medien
    Digitale Medien
    Externe Qualitätssicherung der stationären Behandlung schizophrener Patienten Ergebnisse einer multizentrischen Studie (2000)
    Springer
    Der Nervenarzt 71 (2000), S. 364-372 
    Details
    ISSN: 1433-0407
    Schlagwort(e): Schlüsselwörter Psychiatrie ; Qualitätssicherung ; Qualitä,tsindikatoren ; Rückmeldesystem ; Key words Psychiatry ; Quality assurance ; Quality indicators ; Feedback system
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Summary Due to legal regulations, external quality assurance is mandatory in Germany. Supported by the German Health Ministry (BMG),we present the results of a multicenter study in four hospitals with different structures on 1042 inpatients with the trace diagnosis of schizophrenia (ICD 10). We defined disease-specific indicators of structure, process, and outcome quality, developed an assessment instrument, and implemented a feedback system for quality comparison. The resulting quality profiles are useful as a starting point for internal quality management.
    Notizen: Zusammenfassung In einem vom BMG geförderten 2-jährigen Projekt wurde anhand von insgesamt 1042 Behandlungsfällen an 4 psychiatrischen Kliniken unterschiedlicher Struktur in Nordrhein-Westfalen die Voraussetzung für eine externe Qualitätssicherung mit Hilfe der Tracer-Diagnose Schizophrenie geschaffen und durchgeführt. Ziele waren die Evaluation eines Erhebungsinstrumentariums, die Entwicklung von Qualitätsindikatoren und der Aufbau eines Rückmeldesystems zur Optimierung des internen Qualitätsmanagements. Anhand der erhobenen Daten ist es auf wissenschaftlich-statistischer Basis gelungen, Qualitätsindikatoren und eine vergleichende Art der Rückmeldung zu entwickeln, die neben Ergebnisvariablen auch Struktur-, Patienten- und Prozessvariablen beinhaltet. Diese Qualitätsprofile bilden einen wesentlichen Ausgangspunkt für krankheitsspezifische Problemanalysen im Rahmen eines internen Qualitätsmanagements.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s001150050570
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  • 2
    Digitale Medien
    Digitale Medien
    Initiativprogramm zur Sicherung der allgemeinmedizinischen Weiterbildung Deutsche Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde (DGPPN) unterstützt die Bereitstellung klinischer Weiterbildungsstellen (2000)
    Springer
    Der Nervenarzt 71 (2000), S. 507-509 
    Details
    ISSN: 1433-0407
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s001150050617
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  • 3
    Digitale Medien
    Digitale Medien
    Formation of thionates by freshwater and marine strains of sulfate-reducing bacteria (1992)
    Springer
    Archives of microbiology 158 (1992), S. 418-421 
    Details
    ISSN: 1432-072X
    Schlagwort(e): Dissimilatory sulfate reduction ; Sulfite ; Thiosulfate ; Trithionate ; Desulfovibrio desulfuricans ; Desulfobulbus propionicus
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Biologie
    Notizen: Abstract The formation of thionates (thiosulfate, trithionate and tetrahionate) during the reduction of sulfate or sulfite was studied with four marine and four freshwater strains of sulfate-reducing bacteria. Growing cultures of two strains of the freshwater species Desulfovibrio desulfuricans formed up to 400 μM thiosulfate and 100 μM trithionate under conditions of electron donor limitation. Tetrathionate was observed in lower concentrations of up to 30 μM. Uncoupler-treated washed cells of the four freshwater strains formed thiosulfate and trithionate at low electron donor concentrations with sulfite in excess. In contrast, only one of four marine strains formed thionates. The freshwater strain Desulfobulbus propionicus transformed sulfite almost completely to thiosulfate and trithionate. The amounts produced increased with time, concentration of added sulfite and cell density. Tetrathionate was detected only occasionally and in low concentrations, and was probably formed by chemical oxidation of thiosulfate. The results confirm the diversity of the sulfite reduction pathways in sulfate-reducing bacteria, and suggest that thiosulfate and trithionate are normal by-products of sulfate reduction.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00276302
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  • 4
    Digitale Medien
    Digitale Medien
    On the validity of the German Version of the Comprehensive Psychopathological Rating Scale (1990)
    Springer
    European archives of psychiatry and clinical neuroscience 240 (1990), S. 48-53 
    Details
    ISSN: 1433-8491
    Schlagwort(e): Comprehensive Psychopathological Rating Scale ; Validation
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The construct validity of the German Version of the Comprehensive Psychopathological Rating Scale (CPRS) was investigated in a longitudinal study on 60 hospitalised RDC-schizoaffective patients. The validation included tests of hypotheses about means in cross-section and, in therapy, the course of schizoaffective psychoses. Thus, it is assumed that differences in diagnosis (RDC-schizodepressives versus RDC-schizomanics) are reflected by significantly higher scores on the respective subscales of the CPRS. Furthermore, the subscales of the CPRS should be sensitive to therapeutic change. In addition, correlations were tested using instruments of similar or different validity claim (Hamilton Depression Scale, Mania Rating Scale, Brief Psychiatric Rating Scale). All hypotheses about means could be confirmed. The convergent and discriminant validity of the CPRS is discussed on the basis of multiple-indicator matrices computed for each of the three points of measurement.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF02190093
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  • 5
    Digitale Medien
    Digitale Medien
    Is the DSM-III-R category of mood disorders too broad? (1992)
    Springer
    European archives of psychiatry and clinical neuroscience 242 (1992), S. 34-38 
    Details
    ISSN: 1433-8491
    Schlagwort(e): DSM-III-R ; mood-incongruent features
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In the DSM-III and DSM-III-R the affective or mood category has been widened and moodincongruent psychotic affective illness (MICPAI) included. The present study was undertaken to determine whether this broad mood category is still homogeneous. Personality factors were used as parameters. Minnesota Multiphasic Personality Inventory findings of 54 patients with MICPAI were compared with those of 21 probands with a DSM-III typical affective disorder and with those of 15 DSM-III schizophrenics. It was shown that MICPAI differed significantly from typical affective disorder, but not from schizophrenia, in particular regarding the subscales “schizophrenia” and “psychopathic deviate”. When MICPAI was subdivided into the depressed and manic type, the depressed type was found to be more closely related to schizophrenia (with respect to the subscales “paranoia” and “schizophrenia”), whereas the manic type hardly differed from affective disorder. Whether this result is due to diagnostic inaccuracies is discussed. Our finding that MICPAI differs from typical affective disorder with respect to personality is in accordance with heredity and outcome studies demonstrating that MICPAI is associated with a higher risk for schizophrenia in firstdegree relatives and with worse outcomes when compared with typical affective disorder. It can thus be concluded that the decision to include MICPAI in the affective or mood category of the DSM-III or DSM-III-R has rendered this category more heterogeneous.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF02190340
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  • 6
    Digitale Medien
    Digitale Medien
    “Patterns of comorbidity” among DSM-III-R and ICD-10 personality disorders as observed with a new inventory for the assessment of personality disorders (1994)
    Springer
    European archives of psychiatry and clinical neuroscience 244 (1994), S. 161-169 
    Details
    ISSN: 1433-8491
    Schlagwort(e): Personality disorders ; Prevalence rates ; Overlap ; Patterns of comorbidity
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Although DSM-III-R and ICD-10 suggest the assignment of multiple personality diagnoses, a high degree of overlap may be an indicator of insufficiently distinct and too inclusive types of personality. We studied this problem with a new inventory in an unselected clinical sample. The Aachen List of Items for the Registration of Personality Disorders (AMPS) integrates the different types of disordered personality according to DSM-III-R, ICD-10, and four subaffective categories, which largely follow the typologies of Kracpelin, K. Schneider, and Kretschmer. The prevalence rate of each personality disorder was calculated in a consecutive group of 231 patients. Patterns of comorbidity were computed using odds ratios. More than one personality disorder was found in 41% according to DSM-III-R. ICD-10 showed a significantly higher degree of overlap. Interesting comorbidity patterns are discussed in comparison with several North American studies. Results indicate that clear-cut categorical personality diagnoses are not likely to be set up.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF02191892
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  • 7
    Digitale Medien
    Digitale Medien
    Internet als Wahnthema bei paranoider Schizophrenie (2000)
    Springer
    Der Nervenarzt 71 (2000), S. 912-914 
    Details
    ISSN: 1433-0407
    Schlagwort(e): Schlüsselwörter Schizophrenie ; Wahn ; Computer ; Internet ; Keywords Schizophrenia ; Delusions ; Computer ; Internet
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Abstract Two patients with paranoid schizophrenia had delusions involving the internet. Additionally, one of them experienced computer databases as being distributed to other people in a phenomenologically similar way to that encountered in thought broadcasting. The presented cases illustrate the historical association of the contents of delusions in schizophrenia.
    Notizen: Zusammenfassung Es wird über 2 Patienten mit einer paranoiden Schizophrenie berichtet, bei denen das Internet in einen Beziehungs-, Beeinflussungs- oder Verfolgungswahn einbezogen war. Von einem dieser Patienten wurden im Computer gespeicherte Dateien in phänomenologisch ähnlicher Weise als durch andere Personen lesbar bzw. abrufbar erlebt, wie es bezüglich der eigenen Gedanken bei der Gedankenausbreitung der Fall ist. Die vorgelegten Kasuistiken demonstrieren die Zeitgebundenheit der Wahninhalte schizophrener Psychosen.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s001150050683
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  • 8
    Digitale Medien
    Digitale Medien
    Psychotherapeutische Versorgung Der ökonomische Kummer der Therapeuten wird zur Katastrophe der Kranken (2000)
    Springer
    Der Nervenarzt 71 (2000), S. 923-923 
    Details
    ISSN: 1433-0407
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s001150050686
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  • 9
    Digitale Medien
    Digitale Medien
    SGB IX: DGPPN begrüßt positive Ansätze im Gesetzentwurf, aber werden sie sich durchsetzen? (2000)
    Springer
    Der Nervenarzt 71 (2000), S. 856-857 
    Details
    ISSN: 1433-0407
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s001150050676
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