Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Jan 1994
Empirical data for the purpose of multidimensional analysis of alcohol delinquency-related behaviour.
With the aim of determining the differences, if any, between voluntarily admitted alcohol-dependent patients and those treated in a forensic hospital with regard to criminal behaviour caused by alcohol, a study was conducted within a clinical section to analyse 41 patients confined under the provisions of the German Penal Code (StGB, section 64) and 55 patients who were admitted voluntarily. There is virtually no difference in the patterns of delinquency of the two groups; plain theft, fraud, defalcation and damage of property are predominant. ⋯ In accordance with the result of operationalised diagnostics, only 51.2 per cent of the patients of confinement showed a primary alcohol dependence. As far as the other patients of the group (who had been wrongly confined within the meaning of the law) were concerned, the predominant diagnosis was a disturbed personality with accompanying alcohol abuse, whereas in the group of voluntarily admitted patients the proportion of primary alcohol dependence was 81.8 per cent.
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Wien. Klin. Wochenschr. · Jan 1994
[Prevalence of cardiac autonomic neuropathies in uremia and diabetes mellitus].
In the absence of relevant data, the prevalence of cardiac autonomic neuropathy was investigated in patients with diabetes mellitus or uremia due to other causes and diabetic patients with endstage renal failure. 117 patients (40 on a dialysis program without diabetes, 32 with diabetes mellitus type 1 but no nephropathy, 16 type 1 and 13 type 2 diabetic uremic patients, 16 diabetic patients with a kidney graft) and 25 healthy control subjects underwent assessment of the cardiorespiratory reflexes. The evaluation of parasympathetic damage was of particular interest. Definite parasympathetic dysfunction was detected in 32% of the non-diabetic uremic and in 19% of the non-uremic type 1 diabetic patients. Furthermore, 88% of type 1 and 77% of type 2 diabetic patients on dialysis and 75% of diabetic patients after kidney transplantation had evidence of autonomic neuropathy.
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Wien. Klin. Wochenschr. · Jan 1994
Review[Bronchial cancer--development, diagnosis, therapy, prognosis].
Lung cancer is the most frequent cause of death from cancer in men. In addition its prevalence among women is currently rapidly increasing. Main risk factors are smoking, exposure to asbestos and genetic factors. ⋯ In small cell lung cancer the probability of 5-year survival is about 10% for patients with limited disease and less than 1% for patients with extended disease. Although surgery plays a role in stage I to stage IIIA, chemotherapy remains the most important mode of therapy in small cell lung cancer. In stages I to IIIA, however, combined treatment modalities might improve outcome of the patients with small cell lung cancer.
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Wien. Klin. Wochenschr. · Jan 1994
Case Reports[Miliary tuberculosis of the liver as a cause of septic shock with multi-organ failure].
A woman aged 63 presented with septic fever, followed by hepatocellular jaundice. Viral hepatitis was ruled out by serologic tests, but no definite diagnosis could be made. ⋯ In spite of intensive care measures, the patient died of disseminated intravascular coagulation and multiorgan failure caused by septic shock. The correct diagnosis of miliary tuberculosis was made only post mortem by histopathological examination of liver specimens and confirmed by detection of Mycobacterium tuberculosis DNA in the patient's liver by polymerase chain reaction.
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Wien. Klin. Wochenschr. · Jan 1994
Case Reports[Myoglobinuria and carnitine palmitoyltransferase deficiency. Diagnostic procedure and differential diagnosis].
Carnitine palmitoyltransferase (CPT) deficiency is the most common metabolic cause of recurrent myoglobinuria. We describe five patients with CPT deficiency who were recruited during a 24-months period. ⋯ The diagnostic procedure includes a neurological and electromyographical examination as well as an exercise test and extensive biochemical investigations of muscle biopsy specimens. Accurate diagnosis allows an early introduction of preventive measures and clearly improves the outcome.