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Search Results: 1 - 10 of 3342 matches for " Fracture-Liaison-Dienst "
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Die Radiusfraktur als unerkannte Erstmanifestation der Osteoporose
Seibert FJ,Giessau C,Sagmeister-Skrabal E,Sampl E
Journal für Mineralstoffwechsel , 2012,
Abstract: Die Radiusfraktur loco typico ist die h ufigste Fraktur, welche einer unfallchirurgischen Betreuung bedarf. Die Osteoporose des lteren Patienten mit der Zunahme der lteren Bev lkerungsgruppe wird in Zukunft die osteoporoseinduzierten Frakturen (Wirbels ule, Becken, Oberarm usw.) an Zahl deutlich ansteigen lassen und die medizinischen und pflegerischen Kosten erheblich steigern. Da der zweite Altersgipfel der Speichenfrakturen bei etwa 50 Jahren und somit deutlich vor Frakturen anderer Regionen zu finden ist, liegt es auf der Hand, Patienten mit Radiusfraktur nach Low-Energy-Trauma verd chtig auf Fragility Fracture frühzeitig einer Abkl rung und wenn n tig Therapie eines gest rten Mineralstoffwechsels zuzuführen. Die Bedeutung eines Fracture- Liaison-Dienstes wird ebenso diskutiert. Das Bewusstsein gegenüber m glicher Osteoporose und die Einleitung zu einem Sturzpr ventionstraining k nnten der Schlüssel zu einer m glichen Senkung der unfallchirurgischen Kosten in der Zukunft sein.
Depression, Dementia and Delirium in Older Adults Presenting with Hip Fractures to Orthopaedic Services at a General Hospital
Deborah Shepherd,Tracy Mawson,Claire Stoker,Jean Jalali
Macedonian Journal of Medical Sciences , 2012,
Abstract: Aim: A survey to address psychiatric morbidity in older adults admitted with hip fracture, involvement of liaison psychiatric services for older adults and evaluate change of level of care. Methods: Information about mental and physical health prior to and during admission, referrals to Geriatrician or Liaison Old Age Psychiatry (LOAP) team, duration of hospital stay and level of care was collected for 43 consecutive admissions of older adults for hip fracture over 6 months period. Results: Depression, dementia and delirium were present in 28%, 42% and 23% patients respectively. A pre admission diagnosis of depression was associated with lower Barthel scores on admission, whereas dementia and delirium with lower Barthel scores on both admission and at 48 hours post surgery. Pre admission diagnosis of depression or dementia and the occurrence of delirium did not affect the duration of stay in the orthopaedic ward or alter the level of care after discharge. Conclusions: There are high rates of psychiatric morbidity in older adults presenting with hip fracture to orthopaedic services. Active involvement of the LOAP team would facilitate their prompt identification and treatment post fracture and improve outcomes for these patients.
In-House Implications of a 1-Year Retrospective Analysis of the Psychiatric Consultation-Service in a German University Hospital  [PDF]
Maximilian Gahr, Markus Schmid, Roland W. Freudenmann, Carlos Sch?nfeldt-Lecuona
Journal of Behavioral and Brain Science (JBBS) , 2011, DOI: 10.4236/jbbs.2011.12004
Abstract: Objective: Due to major differences in patient populations, consultants and hospital settings of single-centres structured analyses of the psychiatric consultation-service (PCS) might be considered as an internal statistical appraisal for quality and efficacy improvements of the focused PCS. Method: The patient population given by the original documentation schedules of psychiatric consultations performed in the University hospital of Ulm in the year 2008 were analysed for the following variables: sex, age, requesting department, based problem or consultation query, allocated psychiatric diagnosis, therapeutic suggestion, occurrence and number of psychiatric consultations within the same case, acuteness level, diagnosis according to ICD-10 F and therapeutic recommendation. Results: In a total of n = 656 consultations most frequent questions were for: “medication”, “diagnostic suggestions” and “no specific question”, whereupon “no question” was given in 19%. A statement concerning the urgency-level of the consultation was present in 10.5%. Organic mental disorders, mood disorders, neurotic, stress-related and somatoform disorders formed 72% of all diagnoses. Pharmacotherapy was most frequently recommended. The detected shortcomings were mostly the result of heterogenous documentation. Conclusions: Frequent absence of relevant information throughout the consultation process gives reason for interdisciplinary arrangements to create a rational algorithm for PCS. Based on our findings standardization of our consultation reports was established by means of a standard form and a pocket-booklet which provides diagnostic guidelines and therapeutic recommendations.
Library Liaison with non-academic units: a new application for a traditional model
Candice Dahl
Partnership : the Canadian Journal of Library and Information Practice and Research , 2007,
Abstract: This paper suggests that traditional models of liaison librarianship, which focuson liaison with academic units such as teaching departments and specificcolleges within institutions, should be adapted and then expanded to include nonacademicunits as well. Although the literature demonstrates that understandingsof liaison work have evolved, it still contains almost no examples of how toextend library liaison beyond traditional academic units in a systematic way. As aresult, existing liaison programs are too narrowly conceived, and the strengths ofthe liaison model are not being fully exploited. By adapting the structures in placeto support traditional liaison, such programs can be expanded to include nonacademicunits as well. As a result, libraries gain opportunities for broadercollaboration on campus. Suggestions for identifying targets for formal nonacademicliaison are provided, as are guidelines for determining suitable liaisonactivities and ensuring administrative support within the library.
Consultation liaison psychiatry in Sri Lanka: a case for sub-specialisation
Raveen Hanwella
Sri Lanka Journal of Psychiatry , 2010,
Abstract: Liaison psychiatry has not been established in Sri Lanka as a sub-speciality. However many psychiatrists who work in general hospital settings are required to do liaison work. Patterns of referrals to a university psychiatry liaison unit were studied in order to identify the requirements in training for liaison psychiatry in Sri Lanka. A retrospective analysis of records of all new patients registered during a six month period from 1st January 2010 in the liaison unit of the University Psychiatry Unit, Colombo was carried out. A total of 1079 patients were referred to the liaison unit during this period. The commonest reason for referral was assessment of patients who were admitted to medical or surgical wards after deliberate self harm. The variety of clinical conditions referred to liaison units highlight that psychiatry trainees need a broad knowledge of general medicine and a wide repertoire of clinical and other skills to effectively manage their patients. Specialised liaison units should be started in the general hospitals and should form the nucleus for training and establishing the field of consultationliaison psychiatry as a subspecialty in Sri Lanka.
Pathological fractures of the mandible: A report of ten cases and a review of the literature  [PDF]
Badreddine Abir, Alae Guerrouani, Abdeljalil Abouchadi
Open Journal of Stomatology (OJST) , 2013, DOI: 10.4236/ojst.2013.38070
Abstract:

Introduction: Pathological fractures of the mandible are rare. They account for approximately 2% of all mandibular fractures. The main purpose of the study is to report our experience concerning this condition and to analyse data and review the literature available. Material and methods: This study reviewed retrospectively the records of patients who presented to the department of Plastic and Maxillofacial surgery between 2000 and 2008 with a pathological fracture of the mandible. The collected data included age, sex, mechanism of injury, aetiology, anatomic site of fracture, treatment and complications. Results: There were 10 patients with an average age of 48 years and 10 months. There were three cases of fracture due to a local malignancy, two cases of osteoradionecrosis, two cases of mandibular cysts, one patient presenting a mandibular histiocytosis, one patient with a metastatic carcinoma (Thyroid), and one case related to mandibular atrophy. Most common mechanisms of injury were chewing and falls. Pathological fractures were often located in the body of the mandible. A surgical approach was performed in most cases. Conclusion: Surgical management of pathological fractures of the mandible depends largely on the aetiology. Complications occur more often because of local condition and bad oral hygiene.

Liaison conference for adolescent psychosomatic disease in pediatric ward  [PDF]
Takuji Inagaki, Rei Wake, Kazuko Kishi
Open Journal of Psychiatry (OJPsych) , 2012, DOI: 10.4236/ojpsych.2012.21006
Abstract: We held the liaison case conferences for two adolescent cases with psychosomatic disease in the pediatric ward to understand the patient's emotional problems and family situations, and to discuss how approach their psychological problems. We considered that the liaison conference played a useful role in both the clinical diagnosis and treatment. Furthermore, the liaison conference was useful for reducing the staff’s anxieties and for contributing to have a proper understanding for the disease. We suggest that a liaison conference should be implemented in pediatric units, for pediatric patients with emotional and behavioral problems.
Psychosomatic medicine: A new psychiatric subspecialty in the U.S. focused on the interface between psychiatry and medicine
Lyketsos,Constantine G.; Huyse,Frits J.; Gitlin,David F.; Levenson,James L.;
The European Journal of Psychiatry , 2006, DOI: 10.4321/S0213-61632006000300004
Abstract: background and objectives: in the past, psychosomatic medicine (pm) has had ambiguous connotations, and there have been many other names for this specialized fields, including consultation-liaison psychiatry. the objective of this report is to briefly review the background, the history and current status of pm, which recently was recognized in the u.s. a psychiatric subspecialty. methods: historical review and review of the literature. results: pm has a rich history. psychoanalysts and psychophysiologists pioneered the study of mind-body interactions, and crucial events in the development include the funding of pm units in several u.s. teaching hospitals by the rockefeller foundation, and the training grants and a research development program funded by the national institute of mental health. by the 1980s, all psychiatry residency programs were requiered to provide substancial clinical experience in the field, and as of 2005 there were 32 fellowship programs in the academy of psychosomatic medicine's (apm) directory. in 2001, the academy of psychosomatic medicine (apm) applied for the recognition of pm as a subspecialty of psychiatry, and formal approval was granted by the american board of medical specialties (abms) in march 2003. the foundation of pm is a specialized body of scientific knowledge regarding psychiatric aspects of medical illness. this has been articulated in contemporary textbooks, journals and regular scientificic meetings of national and international societies a cadre of scholars and researchers has emerged, and important contributions have occurred. a major goal of the pm field is to improve the psychiatric care of patients with complex medical conditions. there are a number of obstacles and challenges ahead in pursuing optimal integration of pm services into existing service delivery systems of care, but anticipated expansion of accredited fellowship programs in pm will hopefully help address this shortfall. in the past 20 years an internationa
Negative behaviours as the reason for referral to a liaison old age psychiatrist
Euba,R.;
The European Journal of Psychiatry , 2005, DOI: 10.4321/S0213-61632005000300003
Abstract: the analysis of 130 consecutive referrals to a liaison old age psychiatrist in two different london hospitals revealed that nearly half of these requests mentioned negative behaviours as the reason for referral. the common factor between these behaviours was that they made the delivery of the treatment or discharge plan very difficult. this type of referral was more common for patients who had stayed in hospital for longer at the time of the request.
Negative behaviours as the reason for referral to a liaison old age psychiatrist
R. Euba
The European Journal of Psychiatry , 2005,
Abstract: The analysis of 130 consecutive referrals to a liaison old age psychiatrist in two different London hospitals revealed that nearly half of these requests mentioned negative behaviours as the reason for referral. The common factor between these behaviours was that they made the delivery of the treatment or discharge plan very difficult. This type of referral was more common for patients who had stayed in hospital for longer at the time of the request.
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