Casuistische Beiträge zur Kenntniss der Abdominal-Cysten

Ohne ZusammenfassungHierzu Taf. I.     

Ueber die punktförmigen Kalkkörperchen (sogen. verkalkte Glomoruli) der Nierenrinde

Ohne ZusammenfassungHierzu 2 Text-Abbildungen.     

Beiträge zur Anatomie und Physiologie der Milchdrüse

Brain Structure and Function - Wenn ich also noch einmal zusammenfassen darf, so gestalten sich die Veränderungen der Epithelzellen während der Laktation in der Regel folgendermassen: Es...     

Beiträge zur Biologie des Gonococcus und zur pathologischen Anatomie des gonorrhoischen Processes

Ohne Zusammenfassung(Hierzu Taf. I–IV.) (Schluss.)     

Zur Lehre von der ächten cerebralen Glosso-labio-pharyngealparalyse

Ohne ZusammenfassungHierzu Taf. VII. Fig. 1–2.     

Meaning in life and mastery mediate the relationship of negative reminiscence with psychological distress among older adults with mild to moderate depressive symptoms

To understand the adaptive value of reminiscence, a mediational model of reminiscence was tested in a sample of older adults with mild to moderate depressive symptoms. Using structural equation modeling, we investigated if psychological resources (mastery and meaning in life) mediate the relation between reminiscence (positive: identity construction and problem solving; and negative: bitterness revival and boredom reduction) and psychological distress (depressive symptoms and anxiety symptoms). A total of 202 older Dutch adults living in the community participated in this study. The present study consisted of baseline measurements of a randomized controlled trial that evaluated the effectiveness of a life-review therapy intervention on depression. Results showed that psychological resources fully mediated the relation between negative reminiscence and psychological distress. Specifically, negative reminiscing is related to decreased psychological distress through meaning in life and sense of mastery. The study contributes to current knowledge on the relation between reminiscence and mental health, both empirically and clinically. It helps to increase understanding of how reminiscence is related to psychological distress, especially in depressed older adults, and the relative importance of psychological resources, i.e., mastery and meaning in life. From a clinical perspective, these findings suggest the usefulness of focusing on strengthening psychological resources in therapeutic reminiscence-based strategies for older adults with depressive symptoms.     

The dilemma, causes and approaches to avoid recurrent hospital readmissions for patients with chronic heart failure

Heart failure is a progressive illness that carries significant morbidity and mortality. This highly prevalent illness leads to frequent, costly hospitalizations with approximately 50% of patients being readmitted within 6 months of initial hospitalization. While rehospitalization has been extensively studied in the past, little progress has been made in terms of reducing readmission rates of heart failure patients in the last decade despite increasing costs with impending resource limitations. We discuss disease-centered, physician-centered, and patient-centered factors that lead to rehospitalization as well as community/resource availability factors that contribute to rehospitalization of patients suffering from chronic heart failure. In addition, predictors of hospitalization and interventions that reduce hospitalization will be critically evaluated. With a complete understanding of heart failure rehospitalization, we hope the future holds more effective ways to prevent heart failure progression and thus rehospitalization, improved risk-stratification models to identify patients high-risk for rehospitalization, and sustained interventions that are customized according to the etiology of the clinical decline of heart failure patients that ultimately results in frequent rehospitalizations.     

Weight Reduction by Prolonged Starvation

Prolonged fasting as treatment for severe obesity poses some unique problems. The period of starvation should not exceed two months. Observations in 33 cases suggest that a minimum of one month of fasting may be necessary to break the habit of overeating. Besides vitamins and minerals, patients are given probenecid to prevent marked hyperuricemia. A high-protein diet providing 300 or 500 calories is given following termination of the fast. Results of treatment were good in 24 of the 33 cases.