Reform of psychiatric medicine

Prophylaxis and Health Promotion

A simple guiding for the assessment and treatment of hazardous alcohol consumption in the domestic practice.

In the medical and psychotherapeutic practice, often appear clients, which seems to have a problem with alcohol, but because of that they did not come to the practice. Doctors or psychotherapists must then ask the question in what form and how intensely the person should be addressed on the alcohol problem. They must be equipped with dismissive responses, even with discontinuation of the therapeutic relationship.

Salutogenesis - the creation/maintenance of health - is a lifelong process, which the handler can support.

The atherosclerosis and its subsequent diseases are still the most common cause of long-term care and death in Western industrialized countries. Particular importance is the identification and treatment of risk factors influenced and attached, especially hypercholesterolemia, hypertension, diabetes, obesity, smoking, psychosocial risk factors and physical inactivity.

Everyone who wants to improve the drug and health advice to migrants, they have to begin to be in the trans-cultural skills of employees.

Environmental factors, whether natural or man-made, affect all organ systems of humans. Environmental Medicine, therefore, affects all medical specialties.

By cellular stresses, the particles and passive smoking should be specifically addressed.

Empowerment is a buzzword in health promotion. This is the "authorization" of those parts of the population, which does its own not even certain life and could exert no influence on their life circumstances. In addition to minorities, migrants, people with special challenges or are underprivileged life especially children and young people raised.

To make Empowerment a theoretical and practical approach for schools to make better use of the position of students in the pedagogical and didactic interactions, their influence on health and the importance of leadership performance inside the school investigated. Empowerment is in contrast to trivialization and discouragement as a basal performance of the school understood.

The key behavioral changes among overweight and obesity - just as important as the change of diet - is more movement.

KARDiVAR aimed at all those involved in the treatment of overweight and obese have to do: physicians, sports teachers, physiotherapists, psychologists, specialists in the fields of health, prevention and rehabilitation.

From the politics of illegal drugs to the policy of psychoactive substances

Health professionals are often the first ones to which people turn to violence in the family or in the partnership have seen. You can therefore crucial to early and professional treatment and support to help victims of violence. Health and the environment in environmental sciences and environmental management, environmental medicine, epidemiology, hygiene, health and environmental engineering, planning and consumer protection.

Child poverty and child health. An increasing number of children in Germany are growing up in poverty. This is the beginning of a vicious circle of poor health, poor educational opportunities and prospects for a future training or employment. The discrimination of socially disadvantaged children reinforces this tendency even in the self-ascription:

• A happy and healthy life often seems to them no longer conceivable.

The consolidation, is the real challenge:

How can children and their parents possibly start hopeful in life? This requires first a differentiated understanding of the various disadvantaged situations in which children grow up. In these settings, the living conditions improved, with concrete assistance, if the (rather against) families are used. The needs of parents and children recognize them for their own solutions to help - these are the guiding principles of health promotion.

Social and Preventive Medicine - Public Health

Medical Prevention and Health Promotion

Prevention and health promotion are key words and are much needed, but very differently interpreted. While health policies, a cost reduction is expected, hope to patients and physicians to improve medical care in the best medical purposes. Nevertheless, there are just in the medical therapy-oriented disciplines many reservations about preventive health measures and their effectiveness is questioned or in everyday life as a doctor to be expensive.

Strength training in prevention and therapy

"The man grows on the resistance - so long as we ignore the possibilities of the strength, quality of life escapes us." from Willi Ehrlich. A medically justified muscle strengthening can significantly contribute to the individually based of the locomotor skills to develop, maintain or restore if necessary.

Obese Children

According to recent statistical surveys, the population is getting fatter - especially the children. But what does this epidemiological development of the individual affect children and families? The obesity epidemic threatens all industrial countries, and now is the impact of obesity on mortality, morbidity and restriction of life with to compare those who smoke. It is time that obesity independently of its effects as a separate identity to understand disease and to treat.

Heart Screening: KARDiVAR

Implementation and benefits of screening

Heart screening, screening is apparently healthy, is undoubtedly one of the most important prevention measures. Therefore, screening procedures, not only in the early detection of tumors (breast, bowel and prostate cancer) and infections (HIV), but also to estimate the risk of civilization diseases (Circulatory illnesses, diabetes) and genetic disposition to disease. With advances in laboratory medicine and imaging techniques, the number of possible tests unstoppable. But many of these screening programs are in their effectiveness and their side effects controversial. Not with KARDiVAR!

KARDiVAR: To implement it for our health systems even better.

Parents needn't panic about today's announcement that children need cardiac screening before they can safely take stimulants like Ritalin and Adderall, cardiologists say. The announcement, made by the American Heart Association in the journal Circulation, affects the 2.5 million or more children who take stimulants to treat attention deficit hyperactivity disorder, as well as children who are newly diagnosed with ADHD. The recommended screening involves a physical exam and an electrocardiogram, or ECG. The idea of getting an ECG for a 10-year-old may sound freaky, but it's a painless and inexpensive test that poses no risk to the child. For most families, the biggest issue will probably be corralling the kid and getting to the doctor's office. Cardiologists say it's worth the hassle; they're worried about rare but potentially deadly heart problems that can be made worse by the use of stimulants.

"You want to avoid giving this drug to children who have heart disease," says Steven Nissen, chairman of the cardiology department at the Cleveland Clinic, who calls the new screening recommendations "very solid advice." Nissen helped push the Food and Drug Administration to require warning labels about cardiovascular risk with ADHD drugs in February 2007. For a pediatrician's advice to parents, you can read this related story.

Doctors don't know how many children have undiagnosed heart problems, but preliminary research presented in 2007 found that about 2 percent of seemingly healthy school-age children had potentially serious undiagnosed heart problems that were detected only by an ECG. That could mean that 50,000 kids now taking stimulants are unknowingly at risk of cardiovascular problems.

Stimulant drugs increase heart rate and blood pressure, which can cause problems for children and adults with underlying heart disease. Two disorders prompt the most concern: valvular heart disease, in which one of the heart's four valves fails to open or close properly; and hypertrophic obstructive cardiomyopathy, in which the wall between the heart's chambers is abnormally thick. Between 1999 and 2004, the FDA received reports of 19 children who died suddenly from unrecognized heart problems while taking ADHD medications. Twenty-six other children suffered strokes, cardiac arrests, or heart palpitations.

An electrocardiogram, which takes about five minutes, looks for abnormalities in heart function by reading electrical impulses from the heart's muscles. Small adhesive pads are attached to the chest, and the results are recorded on a strip of paper, which is then read by a physician. Combined with a thorough physical exam, it can detect abnormal heart rhythms and muscle weakness. The AHA recommends that children who have abnormalities get further screening with a pediatric cardiologist but adds that children shouldn't be barred from treatment for ADHD just because they haven't had an ECG. Insurance should cover the test, but it is inexpensive—less than € 25,- in most cases. Mr. Willi Ehrlich - appointment@Prophylaxis.gr