Swiss Archives of Neurology, Psychiatry and Psychotherapy

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Open AccessEditorial

«Ehre das Alter»

by Lydia Maderthaner

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1; https://doi.org/10.4414/sanp.2019.03045 - 1 Jan 2019

Abstract

«Ehre das Alter» sagte schon Adolf Freiherr von Knigge in seinem berühmtesten Werk «Über den Umgang mit Menschen » [...] Full article

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Open AccessCommentary

La maladie d’Alzheimer dans le film La tête en l’air

by Martin Sonnet, Mario Georges, Louise Penzenstadler and Gerard Calzada

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1; https://doi.org/10.4414/sanp.2019.03043 - 1 Jan 2019

Abstract

Un message d’alerte quant à la prise en charge des personnes vieillissantes [...] Full article

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Open AccessArticle

Enquête de satisfaction des soins dans un centre de santé mentale ambulatoire à Genève

by Braulio Mora, Clotilde Moeglin, Olivier Voutaz, Nektaria Varfi, Delphine S. Courvoisier, Jean-Michel Aubry, Pierre Chopard and Othman Sentissi

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1-10; https://doi.org/10.4414/sanp.2019.03042 - 1 Jan 2019

Abstract

In order to improve the quality of care, we carried out a satisfaction survey of all the patients followed up in an outpatient mental health centre in Geneva, using the Quality Scale of Care in Consultation (EQS-C ©) to assess overall patient satisfaction [...] Read more.

In order to improve the quality of care, we carried out a satisfaction survey of all the patients followed up in an outpatient mental health centre in Geneva, using the Quality Scale of Care in Consultation (EQS-C ©) to assess overall patient satisfaction with their care and for items such as welcomeness, waiting time, contact with healthcare providers, and care giving. From a total cohort of 498 patients attending the centre, 266 (54.40%) responded to the questionnaire. On average, participants were satisfied with their care at the centre at a rate of 4.48/5. Patients were more satisfied with the group of appointment and contact items, item group A (M = 4.43, ET = 0.61): availability, friendliness, delay until next appointment, and reaction in the case of emergency. The items that received the lowest satisfaction rates concern pre-consultation items (B). Some items in this group have a significantly lower average score than the general average of group B (M = 3.98, ET = 0.69): waiting room (p <0.001), waiting time (p = 0.001), and information on waiting time (p <0.001). A linear regression analysis showed that age (p = 0.005) and overall satisfaction with management (p <0.001) were associated with waiting time satisfaction, unlike gender and satisfaction with life in general. Indeed, those who were the least satisfied with the waiting time and with their care overall were the younger patients. In conclusion, patient satisfaction is a necessary parameter of quality that allows an optimisation of care, in particular concerning the reception of the patients and communication between the various interveners. A more general and regular survey with corrective measures will also help to identify variability in satisfaction over time. Full article

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Open AccessReview

Abhängigkeitserkrankungen des alternden und alten Menschen

by Bernd Ibach

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1-12; https://doi.org/10.4414/sanp.2019.03041 - 1 Jan 2019

Cited by 1

Abstract

In the last 120 years, the proportion of elderly persons in industrial countries has tripled, and life expectancy has doubled. There is reason to believe that the prevalence of elderly persons suffering from addiction will increase significantly in the next few years. This [...] Read more.

In the last 120 years, the proportion of elderly persons in industrial countries has tripled, and life expectancy has doubled. There is reason to believe that the prevalence of elderly persons suffering from addiction will increase significantly in the next few years. This paper describes current epidemiological knowledge on this topic. Current knowledge of specific aspects of the aging process, of risk factors, and of diagnosis and therapy are presented. Scientific evidence on the treatment of elderly persons who suffer from addiction is limited and mostly based on findings in younger adults. The treatment of elderly persons who suffer from alcohol or prescription drug addiction (benzodiazepines) additionally takes into account the special needs of older people. Recognising and identifying addiction problems in primary care are key factors for providing access to therapy. Much further research is required to answer the open questions about addiction in the elderly. Full article

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Open AccessArticle

Pronostic évolutif de la cryptococcose neuroméningée au Centre Hospitalier Universitaire Sylvanus Olympio (Togo)

by Léhleng Agba, Kokou M. Guinhouya, Vincent Kumako, Komla N. Anayo, Mofou Belo and Agnon A.K. Balogou

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1-4; https://doi.org/10.4414/sanp.2019.03035 - 1 Jan 2019

Abstract

Introduction: Neuromeningeal cryptococcosis (NMC) is the most common form of mycotic infectious meningitis occurring during human immunodeficiency virus (HIV) infection / acquired immunodeficiency syndrome. It is the second most common opportunistic central nervous system disease and the leading cause of clear-fluid meningitis in [...] Read more.

Introduction: Neuromeningeal cryptococcosis (NMC) is the most common form of mycotic infectious meningitis occurring during human immunodeficiency virus (HIV) infection / acquired immunodeficiency syndrome. It is the second most common opportunistic central nervous system disease and the leading cause of clear-fluid meningitis in patients with HIV. Its prognosis remains unfavourable in the majority of cases for several reasons. Objective: To describe the epidemiological and clinical aspects of NMC and its evolutionary profile in adults in the medical departments of the Sylvanus Olympio Teaching Hospital of Lomé. In this retrospective study data were extracted from hospital records in the medical and medical specialty departments of the Sylvanus Olympio University Hospital in Lomé from January 1, 2007 to December 31, 2016. Results: The hospital prevalence of NMC was 1.2%, with a male predominance (M/F = 1.3). All our patients were HIV1 positive and 97.72% had a CD4 count of less than 100 cells/mm3. Direct examination of the cerebrospinal fluid after staining with Indian ink allowed the diagnosis to be made in 93.47% of patients, and culture (in the case of negative direct examination) in 6.53%. The treatment was essentially amphotericin B and flucytosine in 17.39% of cases and fluconazole in 82.60% of cases. All patients died, after an average of 17.34 days of hospitalisation. Conclusion: Because of its high mortality, neuromeningeal cryptococcosis is a diagnosis to be considered on principle in HIV-positive patients with headache, fever or confusional syndrome. Full article

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Open AccessCase Report

Herr T – Immer wieder etwas Neues

by Daniele Zullino and Monika Müller

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1-2; https://doi.org/10.4414/sanp.2019.03032 - 1 Jan 2019

Abstract

Herr T, 63-jährig, ist nach einem Sturz in einem Einkaufszentrum von einem der Angestellten zur Abklärung ins örtliche Spital begleitet worden. Der Triage-Pfleger fragt den Patienten unter anderem: «Wer hat Sie zu uns ins Spital begleitet?» [...] Full article

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Open AccessObituary

Juan Manzano

by Dora Knauer

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1; https://doi.org/10.4414/sanp.2019.03031 - 1 Jan 2019

Abstract

Professeur Juan Manzano (fig. 1), disparu le 15 mars 2019, a laissé ses nombreux amis et collègues dans une grande tristesse [...] Full article

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Open AccessCase Report

Takotsubo cardiomyopathy in the context of major neurocognitive disorder and multiple risk factors

by Jeremy C.S. Johnson and Gerard J.A. Byrne

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1-3; https://doi.org/10.4414/sanp.2019.03022 - 1 Jan 2019

Cited by 2

Abstract

Objective: To present a case of takotsubo cardiomyopathy (TTC) in the context of major neurocognitive disorder and identify important considerations for psychiatrists. Conclusions: Patients with neurocognitive disorders who are treated with antidepressants may be at increased risk of TTC. Treatment of anxiety and [...] Read more.

Objective: To present a case of takotsubo cardiomyopathy (TTC) in the context of major neurocognitive disorder and identify important considerations for psychiatrists. Conclusions: Patients with neurocognitive disorders who are treated with antidepressants may be at increased risk of TTC. Treatment of anxiety and depression in patients with previous TTC should be monitored closely, and antidepressants less likely to cause hyponatraemia are recommended. Full article

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Open AccessArticle

Schöne neue Leonardo-Welt und Psychiatrie

by Jürgen Mittelstraß and Karl Studer

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1-2; https://doi.org/10.4414/sanp.2019.03017 - 1 Jan 2019

Abstract

Karl Studer: Du hast ein Buch geschrieben, „Schöne neue Leonardo-Weltˮ [...] Full article

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Open AccessBook Review

Hans Kunz: Die anthropologische Betrachtungsweise in der Psychologie und Psychopathologie.

by Joachim Küchenhoff

Swiss Arch. Neurol. Psychiatry Psychother. 2019, 170(3), 1-2; https://doi.org/10.4414/sanp.2019.00619 - 1 Jan 2019

Abstract

Hans Kunz (1924–1982) gehört zur Geschichte der Universität Basel im 20. Jahrhundert; hier habilitierte er sich 1946, hier wurde er 1951 ausserordentlicher Professor für Psychologie und 1966 Ordinarius für philosophische Anthropologie und theoretische Psychologie [...] Full article

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Swiss Arch. Neurol. Psychiatry Psychother., Volume 170, Issue 3 (01 2019) – 10 articles

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