[Damage to doping victims of the GDR].

Background: Many former top GDR athletes are still suffering from the consequences of the GDR doping system, which has so far been dealt with by the sports historian Giselher Spitzer in particular with questionnaire surveys. The present study analyzes medical reports of n = 107 recognized GDR doping victims, categorizes the symptoms in analogy to Spitzer's survey and compares both surveys.

Method: All specialist reports, hospital and rehabilitation stay reports of the recognized doping victims (56 ♀ , 51 ♂ ) provided were reviewed, analyzed, adapted to Spitzer's previously known rubrication, presented descriptively, tabularly and graphically and statistically tested (e.

[Empirical investigation to assess the quality of psychiatric treatment].

Background: Quality of treatment is of increasing importance in psychiatry. Since the 1950s psychiatry has developed plenty of psychological and occupational approaches in addition to an arsenal of biological procedures. These treatment options have contributed to markedly lower the residence times in psychiatric medical centers to about 3 or 4 weeks.

[Impact of medical TV series on surgical hospital patient's perception of reality].

Background: Medical TV series are very popular. Media research emphasizes that watching TV has an influence on patient's expectations and estimations concerning upcoming surgery. We analyzed these associations in our own patients.

Impact of Medical TV Shows on Preprocedural Fear of Surgical In-House Patients.

Unlabelled: Background and Hypotheses: The growing number of medical television series and the increasing amount of time people spend watching TV will have an influence on what they expect from their treatment in a hospital. We suspect that reality as presented in the media and the actual reality of hospitals are not always conceived of as two different worlds. Many medical TV shows present dramatic, life-threatening operations much more often than they occur in reality.

Severe Quetiapine Withdrawal Syndrome with Nausea and Vomiting in a 65-year-old Patient with Psychotic Depression.

A 65-year old patient suffering from severe psychotic depression obtained quetiapine for roughly one year. Several attempts to discontinue quetiapine by tapering the dose provoked severe withdrawal symptoms with nausea and vomitus. Pretreatment with domperidone largely prevented withdrawal so that he finally could successfully discontinue quetiapine administration.

[Concept of an additional physical education lesson in English ("moving words") per week in a secondary school: Results of controlled investigation].

Background: Physical exercise improves physical fitness of children and pupils may also benefit from sports with regard to cognitive competence. However, timetable and syllabus often give little scope so that alternatives such as combined lessons in English and sports may be suited to integrate the desire for exercise and leaning.

Method: Parallel classes of a secondary school (form V; 39 pupils) were determined by random as control group (CG: age 10.

[Quality management in psychiatry: evaluation of an ergotherapeutical questionnaire before and after treatment].

In analogy to somatic medicine, modern psychiatry strives to measure the outcome of treatment and care. In order to warrant an effective therapy, this request is reasonable from the standpoint of both the therapist and the patient as well as hospitals or insurance companies. However, how can I measure friendliness, empathy or humanity, the "being available for somebody"? For sure, psychiatric DRGs, which connote efficacy based on periods of time, are by no means suitable.

Marked mydriasis and neuritis nervi optici associated with galactorrhea following citalopram treatment: a case report and discussion.

We report the case of a 25-year-old women suffering from major depression who was treated with citalopram for several weeks with doses between 20 mg and 60 mg. She gradually developed marked mydriasis within 2 months after treatment and subsequently neuritis nervi optici. Moreover, abrupt galactorrhea occurred after 2 months of treatment.

Ten years of chronic cluster--attacks still cluster.

The chronic variant can be found in 10-20% of all cluster headache patients. While circadian and circannual rhythmicity are characteristic of the episodic variant, little is known on chronobiology in chronic cluster headache. We report a patient with chronic cluster evolved from episodic who recorded a total of 5447 attacks over 10 years.

[Off-label use of acetazolamide in a patient with familial hemiplegic migraine and concomitant psychotic episodes].

A 42-year-old patient with cognitive deficits due to childhood meningitis suffered from recurrent episodes of familial hemiplegic migraine. Additionally, he developed concomitant psychotic episodes requiring subsequent in-patient psychiatric treatment. Following combined neurological and psychiatric treatment he always recovered from the episodes within a few weeks time.

Stress during simulated emergency transportation in a rescue helicopter: cross-correlation between stress hormones, vital functions and subjective well-being.

Vital functions and stress hormone levels during simulated emergency helicopter transport in healthy volunteers. Twenty-three volunteers were subjected to a simulated 15 minute rescue helicopter transport. We determined vital functions, ACTH, cortisol and prolactin during the flight and filled in a standardized questionnaire before and after the flight.

[Acute behaviour disorder in a patient with X-linked hydrocephalus with normal pressure].

A 39-year-old patient with severe cognitive impairment and cerebral atrophy due to a hydrocephalus was referred to the psychiatric ward because of an acute behaviour disorder and aggression. The cognitive impairment and gait disorder started after age of 20 in both the patient and in 2 years older than the patient, brother who his meanwhile died. Medical history, the course and current CCT scan favour the diagnosis of an X-linked hydrocephalus with normal cerebrospinal fluid pressure.

Antidepressants in long-term migraine prevention.

Migraine and depression coincide in some 20-30% of patients. Although antidepressants (namely tricyclics) are not considered as first-line prophylactic compounds in patients with migraine alone, several clinical trials support a remarkable benefit in the treatment of migraine and related headache disorders. However, treatment with one antidepressant alone often does not suffice to treat both disorders effectively.

Typical and atypical antipsychotics--the misleading dichotomy. Results from the Working Group 'Drugs in Psychiatry' (AGATE).

Objectives: (1) To investigate the risk of extrapyramidal motor side effects (EPS) associated with the prescription of different antipsychotics under naturalistic treatment conditions; (2) to test the rationale of the terms 'typical' and 'atypical' based on EPS rates.

Design: Cross-sectional study in the federal state of Bavaria.

Setting: 20 psychiatric hospitals in Bavaria.

The relationship between plasma D-dimer concentrations and acute ischemic stroke subtypes.

Elevated concentrations of D-dimers (DDs) in patients with acute ischemic stroke may cause differential diagnostic problems with regard to pulmonary or deep venous thrombosis. The true relationship between plasma DDs and acute ischemic stroke remains uncertain. We studied acute stroke patients admitted to a single acute neurology department with a specialized stroke unit.

Memantine: a therapeutic approach in treating Alzheimer's and vascular dementia.

Memantine has been clinically used in the treatment of organic disorders in Germany for over ten years and has now been approved in Europe and also in the US for moderate to severe Alzheimer's disease. The rationale for this indication is strongly related to the physiological and pathological role of glutamate in neurotransmission. Glutamate is an agonist of NMDA, kainate and AMPA (ionotropic) receptors, where its influence on NMDA receptors plays an important role with regard to neuronal plasticity effecting memory and learning.