Psychological treatment for tinnitus

Patients with tinnitus will benefit from a psychological treatment and neurosimulitatie. This is clear from examination of Hilke Bartels of University Medical Center Groningen. They PhD tomorrow (November 26) to the University of Groningen in the investigation "Tinnitus, new insights into pathophysiology, diagnosis and treatment."

Lang was assumed that the cause of tinnitus was in the hearing. It is clear that over-active brain area in the hearing continuous signals that the "phantom sound" cause. Activity that usually occurs after hearing loss, or after noise (after concert tour, for example), operating in the hearing or inflammation or nbij jaw or nekproblemen. Through the imaging techniques PET and fMRI Bartels has the theory of over-active brain confirmed.

Psychological discomfort
Many patients with tinnitus (tinnitus) experienced psychological discomfort. They exhibit withdrawal behavior and have a negative outlook on life, as evidenced by Bartels research. By anxiety and depression experienced patients the disease as a major attack on their quality of life, but that they dare not share. As they experienced little social support, leading to withdrawal behavior. Bartels came this (type D personality ") to 94 of the 265 patients tested against.

Treat
Derpessie reinforce the fear and psychological discomfort in the ears. Therefore, especially in people with type D personality treatment therefore aims at reducing anxiety and depression, said Bartels.
An estimated 10 to 30 percent of Dutch people hear sounds from the body.

Neurostimulation
The treatment of tinnitus with a pulse generator (a type of pacemaker) works very beneficial in the long term, says a eveluatie from experimental treatment. The patients indicated that the "noise" was reduced to a pleasant level. Also neurostimulation with a magnet outside the skull seems an interesting treatment option. By 5 of the 24 patients in whom this experimental treatment was applied, tinnitus could be temporarily suppressed.

Recommendations
To date there is no treatment for the large group of tinnitus patients is effective. Current treatment options have a medical, audio logical or psychological basis. A multi-disciplinary approach is essential, says Bartels. It also calls for the use of validated questionnaires to the nature and impact of tinnitus mapping.

Vascular doctor rang alarm too late

What began as a standard surgery, degenerated for the 40-year-old Conny de Boer and her husband Marc in a total nightmare.
A guide wire enlarge image after an operation left in the bodies of two patients from the outpatient clinic Blaak. PHOTO AD Rotterdams Dagblad
Almost three years after an innocent-normally-varicose vein surgery in the Rotterdam Blaak The clinic, is the Hellevoet still sick at home.

She is disabled, suffered by surviving pieces of guide wire severe pain in her shoulder and walk the rest of her life an increased risk of impaired heart function.


See the result of the alleged medical blunder of the Flemish vascular surgeon Eric D., moving them yesterday for the Rotterdam court had to answer for.

D. gives now reluctantly admitted that he called "personal mistakes", but that it was right JI Büchner that the blunders are still mainly due to its operation assistants and a high workload. An excuse for medical officer M. of Eykelen quickly made short shrift. ,, Mr. D. The clinic is the owner of Blaak. It is him fewer patients to roast.''The staff also stated that D. materials checked the operation itself.


What the vascular surgeon especially by the PPS is accused, is that he initially did not want to believe that he was involved in medical errors. During the judicial investigation D. He explained that this surgery has done hundreds of times and that while "a certain apathy and carelessness on track."

Conny de Boer was already on the operating table in the Blaak heart arrhythmias. D. notified her that she had an allergic reaction to anesthesia. One of the expert witness, cardiologist W. Wisse Link, however, says that anyone who works with feed wires, should know that too far into the body's wire stimulation of the heart and can cause arrhythmias. By D. had therefore have to rely immediately alarms, said the officer.


Had D. alert response, it argues, it was in the Port Hospital where Conny landed, the same day a picture breast can be made and was the backward wire directly detected.

Only then also from the body of Vincent Rotterdammer Kubatz, operated on Friday, January 13, 2006, a guide wire was met Blake, realized Dr. Eric D. possible that he could have made mistakes. All patients in the clinic a laser surgery, was called a chest photo to make. In this screening were no other failures to light.

More deaths from AIDS in the Netherlands

Employees of the foundation Safe4now parts Wednesday condoms to prostitutes in the red light district in Amsterdam.

Employees of the foundation Safe4now parts Wednesday condoms to prostitutes in the red light district in Amsterdam. © ANP


For the first time in years, the number of people dying from AIDS in the Netherlands again. Last year 66 deceased people to the disease, eighteen more than in 2006, according to figures from the Central Bureau of Statistics (CBS).

According to a spokesperson, there is no reason to panic. The number of dead is now so low that a one-time increase or decrease in the number of deaths few conclusions can be drawn.

From 1983 to 2007 in the Netherlands in 4344 deceased people from AIDS, in overwhelming majority men. In 1982, the first cases of the incurable disease in the Netherlands found. One year later was the first death.

In the beginning and middle of the nineties was the year to more than four hundred dead. Thereafter, the number of deaths is much reduced, because AIDS drugs became available. An infection with HIV, the virus that causes AIDS ultimately, it means no longer an automatic death sentence. A twenty-year HIV-patient in 1996 aged just 56, he or she can now average 69 years.

On last-minute plea to not to ban magic mushrooms

Deadly incidents involving hallucinogenic mushrooms may not be the reason for a total ban on the drug. This, the lawyer of the National Association Smartshop (VLOS) Tuesday for the court in The Hague in an interim order against Klink Minister of Health.

The VLOS do with the lawsuit a last attempt to delay the introduction of the magic mushroom ban by December 1 to stop. The minister decided to ban in 2007 after a 17-year-old French tourist in Amsterdam on a bridge jump and was killed after eating mushrooms.

According to the VLOS has not proven that magic mushrooms were the culprit in this incident and others, sometimes fatal accidents that have occurred in recent years. "It was earlier used in combination with other drugs and alcohol and the mood of the user," said the lawyer.

The Assessment Coordination and Monitoring new drugs (CAM), that the minister had been commissioned to do a risk analysis on the magic mushrooms, has concluded that the risks to public health minor and that a total ban was disproportionate. The CAM recommended in his report to regulate the sale and to ensure good information.

The minister decided this opinion not to follow, because it is based on the use of magic mushrooms in a safe environment with a fasting known in the neighborhood. "The incidents", as advocated on behalf of the country lawyer Klink, 'often occur among tourists. For this group is such a safe environment by definition not be guaranteed. "

High blood pressure? Eat a beetle ...

A tasty insect on the menu 'That would perhaps not so crazy. Van den Ghent University research shows that eating insects helps against high blood pressure. Insects contain a protein that has the same effect as medication for high blood pressure. An additional advantage is that the insect protein caused no side effects.
So even those who like diverts its borders, may apply to the beetles, ants, caterpillars, grasshoppers or termites. In Asian, South American and African countries such creatures regularly on the menu. They are very nutritious and contain protein and energy vitaminen.In Western countries have relatively many people suffer from high blood pressure: almost one in three persons. Eating insects would not hurt. Moreover, it would a good alternative to meat may be, says researcher Lieslot Vercruysse. Insects are environmentally efficient than meat; to insects is less water to grow and perform necessary.

Few prevention programs in depression

The Dutch institutions for mental health care together offer 83 programs for people with depression. Most programs were launched after 2005. This was the treatment of these patients tend to place on uncoordinated manner: the Riagg's, the psychiatric outpatient clinics and psychiatric hospitals offered to treat without handlers had agreed. Within one program ordination happen. Julius Adri Researcher Hans Peters (formerly worked as director of Innovation Altrecht) and undersigned examined together with medical students the quality of care programs for people with depression. To this end they asked the texts of all these programs. I presented the results of this research on November 18 at the symposium Depression Treatment: Quo Vadis? that the Amsterdam JellinkeMentrum organized mental health care setting. The congress took place in the beautifully renovated Barbizon Palace opposite Amsterdam's Central Station. Julius from the survey revealed that there will be operated in accordance with the modern insights of the recently realized multi-disciplinary guidelines for the treatment of people with depression. There is little or no gebeunhaasd. The coordination within the mental health care institutions themselves is also well regulated. It is clear which department does what and what the referral criteria. But academic researchers are critical and I had that Barbizon Palace four downsides as: 1. a description of the target and causes of the emergence of the care missing in most programs 2. there are rarely mentioned partnerships with institutions such as GGD'en enhancing prevention and social bodies, with the first line with, for example, labor and services on depressive workers 3. there is usually no separate sections on migrants and depressive 4. there is rarely anything said about crisis interventions such as reports of suicide attempts by depressed patients. Of course, Adri Peters and I welcome what has been achieved in two years time. But a care management is not a disease as long as the four points here said no attention. After my reading at 18.11 was a fierce debate about the role of mental health care in depression. One million Dutch swallows hards daily events in this beautiful country antidepressants. The Groningen Trudie Dehue professor and author of the book The depression epidemic that took many psychiatrists to treat the depressive individuals and making little depressed conditions in the workplace and in society tackle. Dehue at 18.11, earlier the company was feasible and now only the individual. Her opponent, Prof. William Nolensville was this ever end. My suggestion that disease management programs for people with depression both preventive and curative interventions social hear include, was not addressed in this polarizing debate. Want to see my Power Point presentation with a lot more than facts and figures in this message? Go to www.integratedcare.nl / lectures So far this message. On December 10 starts at the Julius Center Masterclass Disease management. It is the design of the guidance and care programs in mental health extensively addressed. There are two places available.

Risk of leverbotinfecties smaller than last year

The risk for leverbotinfecties in sheep and cattle this year than last year.

Leverbotprognose notes that the Working Group of the Animal Health and the Central Veterinary Institute (CVI) of the Wageningen UR. Nevertheless, there is risk of spread of fluke. The wet weather in late September and early October, the snail fluke that spreads the infection at the grass off. The GD recommends that in areas where last year fluke is determined to treat the sheep.

On farms where the animals are treated in September or October, after six weeks should a repeat treatment. Dairy cattle can only be treated preventively against fluke during the droogstand. The leverbotziekte, which mainly occurs in cattle, sheep and goats, is caused by a flat worm that is located in the liver. In the life cycle of the fluke functions as an intermediate host snail that lives mainly in the ditch environment.

Fluke in sheep and goats can be lethal, while in cattle and reduced milk poorer growth occurs.