[Tuberculous destruction of the iliosacral joint]. / Tuberkulöse Destruktion des Iliosakralgelenkes.

In this case report, a 56 year old patient with tuberculous destruction of the right sacroiliac joint is presented. Diagnosis was delayed because of unspecific signs of lumbalgia, which were interpreted as the consequence of nerve root compression. There was a specific infiltration into the surrounding intra- and extrapelvic muscles. Therapy is surgical, followed by a combination drug therapy for at least one year.

Computer assisted insulin dosage adjustment--perspectives for diabetes control.

Pocket computers provide the physician's (expert's) advice at home and by that may increase the number of self-adapting diabetics and alleviate documentation and evaluation of therapy data. By a more complex quantitative approach metabolic control may be improved beyond the range which is attained by optimal intensified education, as clinical trials showed. By their reproducible measures a learning process seems to be induced in the patients. Risks like hyperinsulinisation may be overcome by watch dog functions and suitable algorithms. In addition to these patient-oriented functions the automatic data acquisition may be used for secondary PC-assisted data interpretation and more complex advice at the physicians office. For compliance reasons the system concept has to be user-friendly considering size, easy handling and compensating for the loss of a written log book by adequate display.