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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Trauma und Berufskrankheit 2 (2000), S. S456 
    ISSN: 1436-6274
    Keywords: Schlüsselwörter Trauma ; Akute Belastungsstörung ; Posttraumatische Belastungsstörung ; Therapie ; Medizinische Begutachtung ; Keywords Trauma ; Acute stress disorder ; Posttraumatic stress disorder ; Therapy ; Medico-legal expertise
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract ‘Psychopathology after trauma’ mostly refers to cognitive or affective impairment after direct or indirect damage to brain tissue. Patients who have suffered a whiplash injury of the cervical spine, even without direct trauma to brain tissue, also often complain of cognitive or affective dysfunction for prolonged periods after the injury. Even more difficult to evaluate is psychopathology arising in the aftermath of severely distressing events, such as major disastrous accidents, natural catastrophes or assault. The medical expert must be aware of a variety of posttraumatic psychiatric disorders with different courses and symptoms and must be able to distinguish these from endogenous or merely coincident psychiatric disorders. In this paper, we outline the relevant diagnoses and diagnostic criteria, with special refrence to posttraumatic stress disorder (PTSD). It should be emphasized that while acute stress disorder is common after stressful experiences, PTSD is most likely to develop in the presence of personality traits or a concurrent psychiatric illness predisposing to the disorder. The nature of the trauma sustained is significant: for example, trauma inflicted by human aggression causes PTSD significantly more often than similar injuries suffered as the result of a motor vehicle accident. Finally, therapeutic strategies for posttraumatic disorders are briefly reviewed.
    Notes: Zusammenfassung Mit posttraumatischen psychischen Störungen sind in der Regel kognitive oder affektive Beeinträchtigungen in der Folge direkter oder indirekter Hirngewebeschäden gemeint. Aber auch Patienten mit Halswirbelsäulenschleudertrauma beklagen häufig und über lange Zeit kognitive oder affektive Störungen ohne Nachweis einer Hirnschädigung. Noch problematischer sind psychische Störungen in der Folge erheblich belastender Ereignisse, wie Unfälle katastrophalen Ausmaßes, Naturkatastrophen oder Überfällen, zu beurteilen. Dem ärztlichen Gutachter obliegt die Aufgabe, eine Reihe posttraumatischer Störungen, die sich hinsichtlich des Verlaufs und der Symptome unterscheiden, zu kennen und von anlagebedingten oder koinzidierenden psychischen Störungen zu differenzieren. In der vorliegenden Arbeit werden die relevanten Diagnosen ¶und diagnostischen Kriterien mit besonderer Behandlung der posttraumatischen Belastungsstörung (PTSD) besprochen. Hervorzuheben ist, dass es nach erheblich belastenden Erlebnissen recht häufig zu akuten Belastungsreaktionen kommt, während die PTSD in der Regel dann auftritt, wenn eine besondere persönliche Disposition oder psychiatrische Komorbidität vorliegen. Ferner kommt der Art des belastenden Erlebnisses Bedeutung zu. So wird eine PTSD häufiger nach Ausbrüchen menschlicher Aggression als nach z. B. Verkehrsunfällen gefunden. Abschließend wird ein kurzer Überblick über therapeutische Möglichkeiten bei posttraumatischen Störungen gegeben.
    Type of Medium: Electronic Resource
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  • 2
    Publication Date: 2019-03-29
    Description: The Solfatara area and its fumaroles are the main surface expression of the vigorous hydrothermal activity within the active Campi Flegrei caldera system. At depth, a range of volcanic and structural processes dictate the actual state of the hydrothermal system below the crater. The presence of a large variety of volcanic products at shallow depth (including pyroclastic fallout ash beds, pyroclastic density current deposits, breccias, and lavas), and the existence of a maar-related fault system appears to exert major controls on the degassing and alteration behavior. Adding further to the complexity of this environment, variations in permeability and porosity, due to subsoil lithology and alteration effects, may further influence fluid flow towards the surface. Here, we report results from a field campaign conducted in July 2015 that was designed to characterize the in situ physical (temperature, humidity) and mechanical (permeability, strength, stiffness) properties of the Solfatara crater subsoil. The survey also included a mapping of the surficial hydrothermal features and their distributions. Finally, laboratory measurements (porosity, granulometry) of selected samples were performed. Our results enable the discrimination of four main subsoils around the crater: (1) the Fangaia domain located in a topographic low in the southwestern sector, (2) the silica flat domain on the western altered side, (3) the new crust domain in the central area, and (4) the crusted hummocks domain that dominates the north, east, and south parts. These domains are surrounded by encrusted areas, reworked material, and vegetated soil. The distribution of these heterogeneous subsoils suggests that their formation is mostly related to (i) the presence of the Fangaia domain within the crater and (ii) a system of ring faults bordering it. The subsoils show an alternation between very high and very low permeabilities, a fact which seems to affect both the temperature distribution and surficial degassing. A large range of surface temperatures (from 25 up to 95 °C) has been measured across these surfaces, with the hottest spot corresponding to the mud pools, the area of new crust formation, and the crusted hummocks. In the subsoil, the distribution of temperature is more complex and controlled by the presence of coarser, and more permeable, sandy/pebbly levels. These act as preferential pathways for hot hydrothermal fluid circulation. In contrast, low permeability, fine-grained levels act as thermal insulators that remain relatively cold and hinder fluid escape to the surface. Hot gases reach the surface predominantly along (vertical) fractures. When this occurs, mound-like structures can be formed by a cracking and healing process associated with significant degassing. It is anticipated that the results presented here may contribute to an improved understanding of the hazard potential associated with the ongoing hydrothermal activity within the Solfatara crater. At this site the permeability of the near-surface environment and its changes in space and time can affect the spatial and temporal distribution of gas and heat emission. Particularly, in areas where reduction in permeability occurs, it can produce pore pressure augmentation that may result in explosive events.
    Description: Published
    Description: 83
    Description: 3V. Proprietà dei magmi e dei prodotti vulcanici
    Description: JCR Journal
    Keywords: Solfatara crater ; Subsoil ; Hydrothermal alteration ; Degassing
    Repository Name: Istituto Nazionale di Geofisica e Vulcanologia (INGV)
    Type: article
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