Biomedical subjects
Publications and source records attributed to G Börker.
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By the programme for detection of patients suffering from hypertension as appendage to the electronic data processing project "early detection of carcinoma of cervix uteri" in 54,020 examinations 10,469 women with hypertension were discovered and sent to competent specialists for continued observation and treatment. The portion of unknown hypertensions was 58.3%. In the examined female population of Karl-Marx-Stadt aged 20 to 65 years the prevalence of hypertension was 19.4% and corresponded to the results of national and international studies. - 16,714 women in the mainly fertile age were on hormonal contraceptives. The blood pressure of these women and of a comparable group without hormonal treatment was examined, the results were discussed. The histories did not allow to make conclusions for a certain disposition caused by the diagnosed hypertension. Moreover, our dates could not answer, if and which ranges the blood pressure (systolic and/or diastolic) increased in particular case.
Reported in this paper are results obtained from a scheme of computer-backed multiphase screening which has been conducted, with reference to a programme of WHO, for early detection of precursor and early phases of cervical carcinoma and for early detection of patients with hypertension. Evaluation included 54,088 prophylactic examinations through four and a half years. Notifiable diseases of the uterine cervix were recorded from 4.8% of all probands. Among them were 44 cases of severe dysplasia, 156 cases of in situ carcinoma, and 62 cases of invasive cervical carcinoma -- Complementary findings were obtained from 11.8 per cent of the cases. Clinical treatment of patients for such complementary findings were required by more than one in 100 women examined. Another 28 carcinomas were diagnosed and treated, in that context. -- Only 54,020 data were evaluated, in the context of the hypertension screening programme. Hypertension, originally unknown in more than 50 per cent of all cases, was recorded from 19.4 per cent of these women. At total of 16,714 women (42.2 per cent), aged between 20 and 49 years, was on hormonal contraceptives, and hypertension had grown manifest in 12.2 per cent of these.
From 1975 to 1979 in the district of the City of Karl-Marx-Stadt 91,130 females at the age between 20 and 65 years were summoned to a gynaecologico-cardiological mass examination which was supported by computer. 56,460 females underwent the examination. According to the WHO-criteria two measurements of blood pressure were carried out, when increased blood pressure was present a third one and a fourth one by an examination group. A diagnostic standard programme was used. In the second measurement of blood pressure we established 19.8% of patients with hypertension and 28.6% patients with borderline values. 52.8% of the hypertensions were known. Of 10,685 females with known or established hypertension 10.1% underwent an optimum therapy. On the basis of these results a programme for the fight against hypertension was developed for the county Karl-Marx-Stadt.
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