Automatic blood pressure measuring devices with digital display are now in common use, both among lay persons and physicians. The oscillometric method is, however, associated with a number of possible sources of error which, among other things, make comparison with the standard Riva-Rocci method difficult. Methodological errors arise from physiological/anatomical variations: circumference of the forearm and wrist, position of the arteries, structure of the surrounding tissue, arterial diameter and also vasomotor function. The latter represents an appreciable uncertainty factor, in particular with measurements obtained from the finger. Technological sources of error play a role in pronounced hypotension or severe hypertension, since the devices are calibrated only for a range extending from 120 to 180 mmHg. The processing by the device of arrhythmic pulses is also critical. Additional sources of error are in handling and interpretation. Overall, these sources of error are such that not all the various types of device available are equally suitable for use by the patient, and it is necessary to place limitations on the application of such devices and to establish rules for their use.
{"title":"[Errors in blood pressure measuring with modern automated machines. Effects of errors in non-invasive oscillometric blood pressure measuring].","authors":"K Forstner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Automatic blood pressure measuring devices with digital display are now in common use, both among lay persons and physicians. The oscillometric method is, however, associated with a number of possible sources of error which, among other things, make comparison with the standard Riva-Rocci method difficult. Methodological errors arise from physiological/anatomical variations: circumference of the forearm and wrist, position of the arteries, structure of the surrounding tissue, arterial diameter and also vasomotor function. The latter represents an appreciable uncertainty factor, in particular with measurements obtained from the finger. Technological sources of error play a role in pronounced hypotension or severe hypertension, since the devices are calibrated only for a range extending from 120 to 180 mmHg. The processing by the device of arrhythmic pulses is also critical. Additional sources of error are in handling and interpretation. Overall, these sources of error are such that not all the various types of device available are equally suitable for use by the patient, and it is necessary to place limitations on the application of such devices and to establish rules for their use.</p>","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 10","pages":"22-5"},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253072","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}
{"title":"[Data search made easy. MEDLINE-Research: paying attention to currency of data. Series: Physician & Computer Literature Research, 3].","authors":"M Reiss, G Reiss","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 10","pages":"43-5"},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253079","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}
{"title":"[Vague symptomatic--the crux of liver diseases.L.Weber, M.D. of Vilshofen explains a plan for liver diagnosis].","authors":"L Weber","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 10","pages":"16-8"},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253069","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}
{"title":"[Emergency aid in osteoporosis--results of the FOSIT study (Fosomax International Trial)].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 10","pages":"2p."},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253081","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}
{"title":"[Spondylarthritis. 2: characterization of various forms of spondylarthritis].","authors":"L Köhler, J Wollenhaupt, H Zeidler","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 10","pages":"40-1"},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253077","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}
{"title":"[Sexual satisfaction for thE handicapped. \"Society is the one to determine handicap\". Series: Sex Medicine, 6. Conversation with Inge Plangger, dipl. ped., dipl psych].","authors":"I Plangger","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 10","pages":"42-3"},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253078","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}
{"title":"[With scalpel and sawdust. Impressions of a historical operating room].","authors":"M Glauert","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 10","pages":"51-2"},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253080","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}
{"title":"[Family physician and pneumonologist have to cooperate closely. Dietrich Rohde, M.D., Mühlheim, on the new therapy suggestions].","authors":"D Rohde","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 10","pages":"35-6"},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253075","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}
Many patients with terminal cancer would prefer to receive care at home. Frequently, however, socio-economic or familial constraints make this impossible, although from the medical point of view there might be no objections, even when the late stage of the disease is associated with certain complications. However, the preconditions must first be defined and agreed when the patient and relatives are making the necessary preparations--as far as possible jointly with a team comprising family doctor, oncologist and nursing service. Binding agreements among all those involved are required to ensure that in difficult situations the patient and his family receive the support they need. A number of common medical problems met with during palliative treatment, such as diarrhea, constipation, pleural effusion, etc. are described.
{"title":"[Ambulatory palliative treatment in oncology. Medical and psychosocial care of tumor patients in the advanced stadium of the disease].","authors":"L Böning","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many patients with terminal cancer would prefer to receive care at home. Frequently, however, socio-economic or familial constraints make this impossible, although from the medical point of view there might be no objections, even when the late stage of the disease is associated with certain complications. However, the preconditions must first be defined and agreed when the patient and relatives are making the necessary preparations--as far as possible jointly with a team comprising family doctor, oncologist and nursing service. Binding agreements among all those involved are required to ensure that in difficult situations the patient and his family receive the support they need. A number of common medical problems met with during palliative treatment, such as diarrhea, constipation, pleural effusion, etc. are described.</p>","PeriodicalId":73051,"journal":{"name":"Fortschritte der Medizin","volume":"117 9","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"1999-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21101877","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}
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