Wiener medizinische Wochenschrift
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The objective of this pilot study was to evaluate the annual direct costs of chronic non-specific low back pain in Austria in patients currently undergoing in-patient rehabilitation or out-patient treatment. 48 patients participated in the study. Average direct medical costs per patient year as paid by the sick funds were € 1443,-, in-patient rehabilitation was the single most expensive direct cost factor. Non-medical costs, that is, mainly household assistance and home adaptations, were € 394,-; deductibles and non-reimbursable medical costs were € 329. On average, patients had 2.7 co-morbidities (men: 2.2; women: 2.9).
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Wien Med Wochenschr · Feb 2012
[Prediction of the final degree in the 2002 reformed curriculum at the Medical University of Vienna].
In 2002 a reform curriculum was implemented at Medical University of Vienna. At the end of each study-year students have to pass a summative integrative examination consisting of single choice questions. We examined the study success of 674 students (50.8% of the cohort) who were surveyed at the beginning of their studies. ⋯ Success was most predicted by schoolmarks, study-motivation ("keen to acquire knowledge"), the importance of study success, self-confidence to reach this goal, not too specific ideas about future employment, high learning capacity, and low test anxiety. Some aspects having predictive power for the first-year exam (sex, German mother tongue) showed no more impact on study success. Other aspects described to be predictive in retrospective studies could not be verified in this prospective study.
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Delirium is still one of the most common and distressing symptoms in palliative care patients. Causes and pathophysiology of this neuropsychiatric dysfunction are multifactorial. ⋯ This case report presents a reversible delirium in an advanced cancer patient and offers a list of possible delirogen medications. This list might be useful to prevent delirium, particularly in older people.
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Wien Med Wochenschr · Jan 2012
Case Reports[Children as relatives of seriously ill and dying patients].
For children, the diagnosis of a serious disease of near relatives is a dramatic experience, particularly when their parents are involved. Such a situation demands great efforts to cope with. Therefore these children have an increased risk of developing mental health problems. ⋯ All interventions aim at one goal, which is maintaining the stability of the family. In the following, results of studies will be discussed with respect to the case report. According to the European research project "COSIP" (Children of Somatically Ill Parents) a recommendation for medical doctors of all specialities, caring for adults with severe diseases, should be lined out.