[Individual risk screening and visualization as a central element of health days through the interactive electronic GloRiA program]. / Individuelles Risikoscreening und Visualisierung als zentrales Element von Gesundheitstagen. Einsatz des interaktiven elektronischen GloRiA-programms.

BACKGROUND: Health days are an established forum for prevention and health promotion for different groups in the general population. Through the use of modular questionnaires "Global Risk Assessment" (GloRiA) on computers (handheld and desktop), the recording of patient data and presentation of the results can be optimized. Possible applications include identification of risk factors, early detection of patients at risk, epidemiology and health services research, promotion of patient adherence by visualizations (e.g. risk scores). Up to 12 different question modules are available (e.g. risk for the occurrence of cardiovascularevents by Framingham score, forfuture riskof diabetes mellitus using FindRisk score, smoking, COPD, pain, comorbidities). METHODS AND RESULTS: During 57 health days in 2010 and 2011, data were collected from 3451 persons (53% women, mean age 59.6 +/- 15.4 years) using GloRiA. The percentage of former smokers was 32.7%, while that of current smokers was 14.7%. The average 10-year risk based on the Framingham score (calculated with 1739 persons) in 53.7% of respondents was at <10%, in 37.0% at 10-20%, and in 9.3% at > 20%. In men risk was higher than in women. Smoking cessation would theoretically reduce the mean 10-year risk from 10.9 +/- 9.2% to 7.4 +/- 6.6%. In 50.5% of participants blood pressure measurement revealed elevated values, and in 10% or 2%, respectively, a moderately high or high 10-year riskof incident diabetes mellitus according to FindRisk. CONCLUSION: The use of GloRiA for the consolidation of health data under the framework of health days provides new and sustained possibilities in early detection of cardiovascular disease. The calculation and visualization of risks and the impact of treatment decisions, e.g. reduction of cardiovascular risk by smoking cessation, were communicated directly to the participants. The individual health report facilitates the diagnostic procedures bya physician.

[The department of general internal medicine--a model of synoptic internal medicine at a university with primary care responsibilities]. / Die Abteilung für Allgemeine Innere Medizin--Modell einer synoptischen Inneren Medizin an einer Universität mit Grundversorgungsaufgaben.

It is reported on the department of general internal medicine of the Friedrich Schiller University Jena and its position in the complex of the internal medical basic care. It is particularly dealt with the cooperation with the specialists for general medicine and the subspecialists. At this example the role of the "general" internal specialists and his tasks in care, research and education in a university clinic are discussed and the necessity of a profile determination is made clear.

[Psychological and physical performance standards of borderline hypertensive patients before and during treatment with propranolol]. / Psychische und physische Leistungsanforderungen an Borderline-Hypertoniker vor und unter Behandlung mit Propranolol.

On 47 borderline hypertensives discriminative reaction tests (17 test persons) and ergometries (30 test persons) were carried out. It could be proved that both in psychic and in physical demand by beta-blocker therapy heart rate and blood pressure significantly remained below the initial value. The calculation of the interior heart work resulted in an economization of the heart work. By means of the beta-blocker therapy of the borderline hypertensives a more favourable situation in an increased functional demand and a decreased reaction of the blood pressure on psychic stress was achieved.