40 research outputs found

    The Role of Personality Disorders in Forensic Psychiatry

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    Möglichkeiten und Grenzen der strafrechtlichen Begutachtung nach Aktenlage

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    Zusammenfassung Lehnt ein Proband die Mitwirkung an der Begutachtung ab, stellt sich die Frage, ob ein Aktengutachten erstellt werden soll. Die vorliegende Arbeit skizziert Grenzen der Begutachtung nach Aktenlage, aber auch mögliche Arbeitsgrundlagen und das praktische Vorgehen bei der Schuldfähigkeits- und Prognosebegutachtung. Da sich in Deutschland die Möglichkeit ergibt, Erkenntnisse aus der Hauptverhandlung in das abschließende Gutachten einfließen zu lassen, wird dafür plädiert, schriftliche Aussagen zur Schuldfähigkeit als vorläufig zu bezeichnen und bis zum Abschluss der Beweisaufnahme im Rahmen der Hauptverhandlung mit diagnostischen- und Sachverhaltshypothesen zu arbeiten. Abstract If a respondent refuses to cooperate in the psychiatric assessment, the question arises whether an expert opinion on the basis of files should be made. This paper outlines the limits of an expert assessment on the basis of files as well as possible principles for work and the practical procedure for an expertise on culpability and prognosis. Given the possibility in Germany of incorporating findings from the trial into the final expertise, it is advocated that written statements on culpability be designated as preliminary and that until the evidence has been produced in the trial diagnostic and factual hypotheses are used

    Bothrops jararaca Peptide with Anti-Hypertensive Action Normalizes Endothelium Dysfunction Involved in Physiopathology of Preeclampsia

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    Preeclampsia, a pregnancy-specific syndrome characterized by hypertension, proteinuria and edema, is a major cause of fetal and maternal morbidity and mortality especially in developing countries. Bj-PRO-10c, a proline-rich peptide isolated from Bothrops jararaca venom, has been attributed with potent anti-hypertensive effects. Recently, we have shown that Bj-PRO-10c-induced anti-hypertensive actions involved NO production in spontaneous hypertensive rats. Using in vitro studies we now show that Bj-PRO-10c was able to increase NO production in human umbilical vein endothelial cells from hypertensive pregnant women (HUVEC-PE) to levels observed in HUVEC of normotensive women. Moreover, in the presence of the peptide, eNOS expression as well as argininosuccinate synthase activity, the key rate-limiting enzyme of the citrulline-NO cycle, were enhanced. In addition, excessive superoxide production due to NO deficiency, one of the major deleterious effects of the disease, was inhibited by Bj-PRO-10c. Bj-PRO-10c induced intracellular calcium fluxes in both, HUVEC-PE and HUVEC, which, however, led to activation of eNOS expression only in HUVEC-PE. Since Bj-PRO-10c promoted biological effects in HUVEC from patients suffering from the disorder and not in normotensive pregnant women, we hypothesize that Bj-PRO-10c induces its anti-hypertensive effect in mothers with preeclampsia. Such properties may initiate the development of novel therapeutics for treating preeclampsia

    Bothrops jararaca Peptide with Anti-Hypertensive Action Normalizes Endothelium Dysfunction Involved in Physiopathology of Preeclampsia

    Get PDF
    Preeclampsia, a pregnancy-specific syndrome characterized by hypertension, proteinuria and edema, is a major cause of fetal and maternal morbidity and mortality especially in developing countries. Bj-PRO-10c, a proline-rich peptide isolated from Bothrops jararaca venom, has been attributed with potent anti-hypertensive effects. Recently, we have shown that Bj-PRO-10c-induced anti-hypertensive actions involved NO production in spontaneous hypertensive rats. Using in vitro studies we now show that Bj-PRO-10c was able to increase NO production in human umbilical vein endothelial cells from hypertensive pregnant women (HUVEC-PE) to levels observed in HUVEC of normotensive women. Moreover, in the presence of the peptide, eNOS expression as well as argininosuccinate synthase activity, the key rate-limiting enzyme of the citrulline-NO cycle, were enhanced. In addition, excessive superoxide production due to NO deficiency, one of the major deleterious effects of the disease, was inhibited by Bj-PRO-10c. Bj-PRO-10c induced intracellular calcium fluxes in both, HUVEC-PE and HUVEC, which, however, led to activation of eNOS expression only in HUVEC-PE. Since Bj-PRO-10c promoted biological effects in HUVEC from patients suffering from the disorder and not in normotensive pregnant women, we hypothesize that Bj-PRO-10c induces its anti-hypertensive effect in mothers with preeclampsia. Such properties may initiate the development of novel therapeutics for treating preeclampsia

    現代語の終助詞「さ」の機能に関する考察

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    本稿では,長崎(1998)の追調査として,昭和初期から現代に至る終助詞「さ」の機能的変遷を観察した。長崎(1998)では,江戸語における終助詞「さ」の機能を調査し,その主たる機能は断定の働きであったこと,またこの働きが,明治から大正にかけて,現在のように情意表現を主体とした終助詞の機能に移行していく経過を報告した。本調査では,終助詞「さ」を,昭和前期(第二次大戦前),昭和後期(第二次大戦後),平成期に分けて,その機能的変遷を観察した。昭和前期には,終助詞「さ」の用法として,江戸語に見られた丁寧な会話にも使用される用例が見られた。特に江戸語の名残のある女性の言葉遣いの中心その用法が見られた。戦後は,終助詞「さ」の女性の用例は減少し,用言に接続する用例加増加し,「さ」は主に男性が使用する終助詞として定着した。平成に入ると,「さ」は終助詞としての使用より,間投助詞としての使用が目立つようになる。特に若い世代では終助詞「さ」は,男性にもあまり使用されなくなっている。この結果から,今後「さ」の終助詞としての機能は,衰退していくことが予想される

    Genetic association study of childhood aggression across raters, instruments, and age

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    Childhood aggressive behavior (AGG) has a substantial heritability of around 50%. Here we present a genome-wide association metaanalysis (GWAMA) of childhood AGG, in which all phenotype measures across childhood ages from multiple assessors were included. We analyzed phenotype assessments for a total of 328 935 observations from 87 485 children aged between 1.5 and 18 years, while accounting for sample overlap. We also meta-analyzed within subsets of the data, i.e., within rater, instrument and age. SNP-heritability for the overall meta-analysis AGGoverall was 3.31% (SE= 0.0038). We found no genome-wide significant SNPs for AGGoverall. The gene-based analysis returned three significant genes: ST3GAL3 (P= 1.6E-06), PCDH7 (P= 2.0E-06), and IPO13 (P= 2.5E-06). All three genes have previously been associated with educational traits. Polygenic scores based on our GWAMA significantly predicted aggression in a holdout sample of children (variance explained = 0.44%) and in retrospectively assessed childhood aggression (variance explained = 0.20%). Genetic correlations rg among rater-specific assessment of AGG ranged from rg= 0.46 between self- and teacher-assessment to rg= 0.81 between mother- and teacher-assessment. We obtained moderate-to-strong rgs with selected phenotypes from multiple domains, but hardly with any of the classical biomarkers thought to be associated with AGG. Significant genetic correlations were observed with most psychiatric and psychological traits (range |rg|: 0.19-1.00), except for obsessive-compulsive disorder. Aggression had a negative genetic correlation (rg=∼-0.5) with cognitive traits and age at first birth. Aggression was strongly genetically correlated with smoking phenotypes (range |rg| : 0.46-0.60). The genetic correlations between aggression and psychiatric disorders were weaker for teacher-reported AGG than for mother- and self-reported AGG. The current GWAMA of childhood aggression provides a powerful tool to interrogate the rater-specific genetic etiology of AGG.</p

    Deskriptiv-psychopathologische Befunderhebung in der Psychiatrie

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    Deskriptiv-psychopathologische Befunderhebung

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    Deskriptive psychopathologische Befunderhebung — dieser Begriff meint zum einen ein methodenkritisches Vorgehen bei weitgehender Vermeidung impliziter theoretischer Vorannahmen und stellt insoweit eine wesentliche Grundlage für jede sorgfältige psychiatrische Diagnostik dar. Zum anderen aber stößt er seinerseits an methodische und konzeptionelle Grenzen, an die es zu denken gilt, um bei der Untersuchung und Beschreibung der abnormen seelischen Phänomene keine Vorurteile und unzulässigen Verkürzungen wirksam werden zu lassen. Der Begriff der deskriptiven Psychopathologie ist viel älter als die heute gebräuchlichen Diagnosesysteme, doch heben diese ganz wesentlich auf den von ihnen praktizierten deskriptiven Zugangsweg ab. Freilich sind operationale Diagnostik und deskriptive Psychopathologie keineswegs deckungsgleich
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