Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis
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Schweiz. Rundsch. Med. Prax. · Feb 1991
Review[Interactive tumor diagnosis: pathology and oncology].
Biopsies will supply the best answers when the clinician submits a well-defined diagnostic problem to his pathologist before the biopsy is done, when he is aware of the limitations of the biopsy technique, when the pathologist makes optimal use of the available techniques as well as expertise and knows the limitations of a diagnosis based on morphology alone, and when treating physicians and pathologists keep up close communication before, during and after diagnostic procedures.
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Schweiz. Rundsch. Med. Prax. · Dec 1990
Historical Article[From hospice to high-rise hospital--the development of western hospitals].
Departing from the first infirmaries in the Roman army installed as valetudinaria exclusively for sick and wounded soldiers the development of western hospital care began based on the idea of love for fellowman. The importance of the order of Monte Cassino founded by Benedict of Nursia in the 6th century is emphasized. The role of these hospices important as asylums and hospitals with spiritual assistance is exposed as well as the endeavours of lords, kings and citizens to found hospitals in the modern sense from the 17th century onwards. ⋯ During the 19th century the large hospitals were built, modeled either after the compact system of barracks or conceived to prevent hospitalism as pavilions. Specialized institutions developed at the same time from older asylums for plague, mentally ill or leprous patients. The most recent development of high rise hospitals as well as the ideas of disposable hospitals serve to discuss functional structures of a modern health care institution.
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In cardiovascular emergency medicine echocardiography allows in many patients a quick and gentle bedside examination. In particular in patients with acute arterial hypotension, suspected or known acute coronary heart disease and its complications and in patients with acute heart failure due to valvular heart disease a valuable narrowing down of the differential diagnosis can be achieved by the use of echocardiography. However, the use of echocardiography in acutely ill patients demands highly skilled investigators to avoid potentially dangerous errors. The echocardiographic examination in intensive or emergency care patients represents an invaluable diagnostic tool today and becomes a toy only in inexperienced hands.