Fortschritte der Medizin. Originalien最新文献

[Nephropathy: an overview for daily practice]. [肾病:日常实践概述]。

Fortschritte der Medizin. Originalien Pub Date : 2003-02-27

D Pittrow, H U Wittchen, P Bramlage, R Dikow, W Kirch, H Lehnert, E Ritz

引用次数: 0

[Aim, design and methods of the "Hypertension and diabetes screening and awareness" -- (HYDRA) study]. 【“高血压和糖尿病筛查与认知”(HYDRA)研究的目的、设计和方法】。

Fortschritte der Medizin. Originalien Pub Date : 2003-02-27

H U Wittchen, P Krause, M Höfler, H Pfister, B Küpper, D Pittrow, P Bramlage, T Unger, A M Sharma, E Ritz, B Göke, H Lehnert, D Tschöpe, W Kirch

{"title":"[Aim, design and methods of the \"Hypertension and diabetes screening and awareness\" -- (HYDRA) study].","authors":"H U Wittchen, P Krause, M Höfler, H Pfister, B Küpper, D Pittrow, P Bramlage, T Unger, A M Sharma, E Ritz, B Göke, H Lehnert, D Tschöpe, W Kirch","doi":"","DOIUrl":"","url":null,"abstract":"Aim of the study is a comprehensive clinical-epidemiological description of the prevalence of arterial hypertension and diabetes among primary care patients along with an assessment of doctor's recognition rates and prescription behaviour. The paper describes methods and design of the study and provides background information on the sampling process, instruments used as well as characteristics of doctors and patients. The study is based on a nationally representative sample of 1,912 primary care doctors and 45,000 patients that attended the doctors' office on the target days. The patients were also characterized by laboratory tests. The first stage of study consisted of a comprehensive description of the doctors' characteristics in terms of psychosocial, qualification- and provider aspects as well as attitudes towards hypertension and diabetes and their management. In the second stage all patients completed a questionnaire to describe their health behaviour and attitudes as well as the treatment history and therapy. In the third stage all patients were characterized by their doctors in terms of their diagnostic status and their past and current interventions.","PeriodicalId":12358,"journal":{"name":"Fortschritte der Medizin. Originalien","volume":"121 Suppl 1 ","pages":"2-11"},"PeriodicalIF":0.0,"publicationDate":"2003-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24172912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Diabetes, hypertension and microalbuminuria in primary care]. [初级保健中的糖尿病、高血压和微量白蛋白尿]。

Fortschritte der Medizin. Originalien Pub Date : 2003-02-27

P Bramlage, H U Wittchen, D Pittrow, R Dikow, W Kirch, H Lehnert, E Ritz

{"title":"[Diabetes, hypertension and microalbuminuria in primary care].","authors":"P Bramlage, H U Wittchen, D Pittrow, R Dikow, W Kirch, H Lehnert, E Ritz","doi":"","DOIUrl":"","url":null,"abstract":"Microalbuminuria has been widely appreciated in recent years to be a valuable risk marker for an increased cardiovascular disease morbidity and mortality. Thus guidelines for the treatment of type-2-diabetes in Germany and the US recommend an annual screening as soon as the diagnosis of diabetes is established and a quarterly control when microalbuminuria is present. While nationally representative epidemiologic data from the US have been available, data from Germany, especially from the primary care sector are missing. This is especially important in light of the gatekeeper function of the primary care physician. The \"Hypertension and Diabetes Risk Screening Study\" (HYDRA) has been identifying 37.8% of patients with hypertension and diabetes to have a positive dipstick test for microalbuminuria on the study day while only 12.5% of these are diagnosed by the doctor as having nephropathy. These patients additionally show a high burden of associated comorbidities and thus call for early detection and intervention especially because effective therapy is available. Although screening for microalbuminuria is recommended in the guidelines the value of a routine screening for microalbuminuria in primary care is under recognized.","PeriodicalId":12358,"journal":{"name":"Fortschritte der Medizin. Originalien","volume":"121 Suppl 1 ","pages":"33-8"},"PeriodicalIF":0.0,"publicationDate":"2003-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24171072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Microalbuminuria is an early marker for increased morbidity and mortality]. [微量白蛋白尿是发病率和死亡率增加的早期标志]。

Fortschritte der Medizin. Originalien Pub Date : 2003-02-27

P Bramlage, H U Wittchen, D Pittrow, R Dikow, W Kirch, H Lehnert, E Ritz

引用次数: 0

[Management of diabetes and hypertension: how do primary care physicians judge their performance?]. 糖尿病和高血压的管理:初级保健医生如何判断他们的表现?

Fortschritte der Medizin. Originalien Pub Date : 2003-02-27

P Krause, H U Wittchen, B Küpper, D Pittrow, T Unger, A M Sharma, E Ritz, B Göke, H Lehnert, D Tschöpe, W Kirch, H Pfister, P Bramlage, M Höfler

引用次数: 0

["Hypertension and diabetes screening and awareness" -- (HYDRA) study]. [“高血压和糖尿病筛查和意识”——(HYDRA)研究]。

Fortschritte der Medizin. Originalien Pub Date : 2003-02-27

H U Wittchen

引用次数: 0

[Hypertension, diabetes mellitus and comorbidity in primary care]. [高血压、糖尿病及其在初级保健中的合并症]。

Fortschritte der Medizin. Originalien Pub Date : 2003-02-27

H U Wittchen, P Krause, M Höfler, H Pfister, E Ritz, B Göke, H Lehnert, D Tschöpe, W Kirch, D Pittrow, A M Sharma, P Bramlage, B Küpper, T Unger

引用次数: 0

[The effect of ginkgo biloba on healthy elderly subjects]. [银杏叶对健康老年人的影响]。

Fortschritte der Medizin. Originalien Pub Date : 2003-01-01

A Cieza, P Maier, E Pöppel

{"title":"[The effect of ginkgo biloba on healthy elderly subjects].","authors":"A Cieza, P Maier, E Pöppel","doi":"","DOIUrl":"","url":null,"abstract":"Background and aim: Over the past 25 years, numerous studies have confirmed the positive effect of the special ginkgo extract EGb 761 on the mental ability and emotional well-being of patients with cognitive disorders of vascular genesis, and Alzheimer-type dementia. The following study investigated the short-term effect of the special ginkgo extract EGb 761 on the subjective emotional well-being of healthy elderly subjects. STUDY POPULATION AND METHOD: The study was designed as a randomized double-blind, monocenter study with parallel groups. It included 66 healthy subjects of both sexes aged between 50 and 65 with no age-related cognitive impairments. For a period of 4 weeks, 34 subjects received a daily dose of 240 mg EGb 761, and 32 a placebo. Prior to starting medication and after 28 days of treatment, subjects completed the following scales and questionnaires to establish subjective emotional well-being: the Profile of Mood States (POMS), the Self Rating Depression Scale (SDS), three Visual Analog Scales to assess the quality of life (VAS-QoL), general health (VAS-GH) and mental health (VAS-MH), and a new instrument for assessing changes in general subjective well-being, the Subjective Intensity Score Mood (SIS Mood). Depending on the underlying distribution of the variables analyzed, parametric (t-tests) or nonparametric tests (U-tests) were performed to compare mean values and distributions both within and between the treatment groups.Results: The final examination revealed a statistically significant difference between the two groups for the VAS mental health and quality of life, as also for SIS Mood at the telephone interview in week 2. A comparison of baseline with the final examination within the groups showed a statistically significant improvement in the EGb 761 group for the variables: depression, fatigue, anger and SDS. For none of the variables investigated was a worsening observed in the EGb 761 group.Conclusions: The results suggest a positive effect of EGb 761 on the subjective emotional well-being of healthy elderly persons.","PeriodicalId":12358,"journal":{"name":"Fortschritte der Medizin. Originalien","volume":"121 1","pages":"5-10"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24495430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Audimont--a scientific research expedition to Mount Cho Oyu in the Himalayas]. 【Audimont——对喜马拉雅山卓奥友山的科学考察】。

Fortschritte der Medizin. Originalien Pub Date : 2003-01-01

K Mees, A Behnisch, M Suckfüll

引用次数: 0

[Treatment of chronic wounds with an alginate dressing containing calcium zinc and manganese]. 用含钙、锌、锰的海藻酸盐敷料治疗慢性伤口。

Fortschritte der Medizin. Originalien Pub Date : 2003-01-01

U E Ziegler, K Schmidt, H P Keller, A Thiede

引用次数: 0