Wiener medizinische Wochenschrift
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Wien Med Wochenschr · Jan 1998
Comparative Study Clinical Trial[Acupuncture and ganglionic local opioid analgesia in trigeminal neuralgia].
Trigeminal neuralgia (TN) is defined as a chronic, severe, electrifying and burning pain in one side of the face. The attacks are initiated by tactile irritations in a so-called trigger area of the trigeminal nerve and are perceived within the borders of this nerve's innervation. TN is a chronic condition which initially goes into spontaneous remission but these become fewer as the condition progresses. ⋯ These results show that the combined use of acupuncture and carbamazepine with/without GLOA achieves an additional therapeutic effect in the treatment of trigeminal neuralgia. The addition of acupuncture seems to have a superior effect to the addition of GLOA. These results support the use of acupuncture as an additional form of therapy for the treatment of trigeminal neuralgia.
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Wien Med Wochenschr · Jan 1998
[Intention to kill--the deciding criterion between allowed and prohibited assisted euthanasia].
The difference between the allowed and forbidden euthanasia is--on account of the dominant opinion--the criterion of acting and forbearance. It is not punishable to let a terminally ill patient die, but it is punishable to kill a patient on purpose. ⋯ Then the euthanasia is a punishable act if the actor or the person, who forbears, practices euthanasia with the intention to kill the patient. The euthanasia is not punishable, however, if the euthanasia overwhelms the blockade of dying or softens the pains.