[Psychiatric long-term hospitalization--and how does life go on?]. / Psychiatrische Langzeithospitalisation--und wie geht es weiter?

Problems of longterm psychiatric hospitalisation are represented at the example of the topical supply situation in the mental hospital Bezirksnervenklinik Haldensleben. By means of a shown catalogue of symptoms from longterm psychiatric hospitalised patients tasks of care and inferences are discussed under the aspect, that the living and therapy conditions respectively their structures of the psychical sick persons authenticately show reactions on the course of illness and attendance. A lot of graduated care-offers in form of a therapeutical network first of all open a social reintegration in regard of individual and reality. At the same time hence it follows the chance for modifications in the psychiatric hospital.

[Studies of the side effect profile of clozapine]. / Aussagen zum Nebenwirkungsprofil von Klozapin.

All patients treated at the County Hospital for Neurology and Psychiatry in Ueckermuende from 1981 to 1984 with Klopazin were included in a critical analysis of the side effects of the drug, paying special attention to those reported in the literature. Besides the symptoms already identified, delirium and hypotonic circulation dysregulation are receiving increased clinical attention, which indicates that special care methods are called for.

[Reflections on suicide in a psychiatric hospital]. / Uberlegungen zum Suizid im psychiatrischen Krankenhaus.

Taking into consideration topical bibliography suicidal events of the psychiatric clinic of the special county hospital for neurology and psychiatry Ueckermünde are introduced and discussed from the point of view of therapeutical and organizational-structural conditions. Hereby practical procedures in the handling of suicidal patients are described.

[The elderly and aging depressed patient]. / Der alte und der alt gewordene Depressive.

Using an one-year-analysis depressive people beyond the age of 60 are analysed during a catamnesis-project considering clinical dates (under psychopathological, psychosocial and therapeutical emphasis) in which have directions for a change of the proportion of sick people to healthy people and the change of the shape of age-depressive syndromes deduced.

[Use of metoclopramide hydrochloride in patients with residual schizophrenia with tardive dyskinesias]. / Zur Anwendung von Metoclopramidhydrochlorid bei residualschizophrenen Patienten mit Spätdyskinesien.

The indication of metoclopramide is discussed in connection with the treatment of extra-pyramidal defect syndromes according to latest clinical observations.

[Social roles in symbiotic psychoses]. / Soziale Rollen in symbiontischen Psychosen.

On the basic of the observation of two sisters and two brothers who are suffering from a symbiontic psychosis and showed considerable social peculiarities, the significance of the extreme isolation in the development of this disease is pointed out. The isolation from the environment, which is considered to be hostile, led in each case to a grotesque living and delusion community, which was stabilised by the partners by, among other things, a rigid adoption of preshaped social roles.

[Poisoning with 80% acetic acid]. / Vergiftung mit 80% iger Essigsäure.

It is reported on the progress of an intoxication by a manifold lethal dose of acetic acid (200 ml 80% acetic acid respectively 160 g). The patient survived the intoxication by the complex application of hemodialysis and intensive care therapy. Repeated shock states due to myocardial infarction and massive intestinal bleeding led to a brain organic psychosyndrome which reducing cannot be reckoned with.

[Comments on so-called "chronic" and "therapy refractory" depression]. / Uberlegungen zur sogenannten "chronischen" bzw. "therapieresistenten" Depression.

The problems of so-called "therapy resistant or chronic" depression has been investigated on own patients of the year 1986, but simply one chronic example could be noticed. Configurations-frequence-analytic research didn't essentially result in significant statements. It is referred to that the frequent occurrence of the so-called "therapy resistant" depressions described by some authors, could be in connection with limited diagnosis inventories and insufficient to the personality orientated therapy regime.

[Reflections on the need for geropsychiatric management in a rural district]. / Uberlegungen zum geropsychiatrischen Betreuungsbedarf eines Landkreises.

It is reported about results of a pilot study to the investigation of the geropsychiatric care demand for the district Haldensleben and conclusions to the geronto-psychiatric care structure of organization are added.

[The histologically evaluated accuracy of lymphography in operative therapy of invasive cervix cancer stages Ib-IIb]. / Die histologisch überprüfte Treffsicherheit der Lymphographie bei der operativen Therapie invasiver Zervixkarzinome der Stadien Ib-IIb.

118 of 129 pre-operative patients with invasive cervical carcinoma of stage Ib to IIb from 1974 to 1978 were examined lymphographically. Abdominal radical hysterectomy according to Wertheim with obligatory lymphonodectomy followed in all cases. Results of the histologic examination of lymphnodes have been compared with the findings from lymphography, whereby a coincidence could be proved in 84 per cent of all cases. The correlation for the lumbar and iliac lymphonodi was listed separately in 75 per cent of the cases. Lymphography gives significantly better results within the lumbar region with an accuracy rate of 92 per cent, a sensitivity of 100 per cent and a specificity of 98.5 per cent. It may be concluded that a lumbar lymphonodectomy is not necessary in the event of a negative lymphography.