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669 records – page 1 of 67.

3M diffractive multifocal intraocular lens: eight year follow-up.

https://arctichealth.org/en/permalink/ahliterature50890
Source
J Cataract Refract Surg. 2000 Mar;26(3):402-7
Publication Type
Article
Date
Mar-2000
Author
J E Slagsvold
Author Affiliation
Eye Department, ASA, Arendal, Norway.
Source
J Cataract Refract Surg. 2000 Mar;26(3):402-7
Date
Mar-2000
Language
English
Publication Type
Article
Keywords
Aged
Aphakia, Postcataract - surgery
Capsulorhexis
Comparative Study
Follow-Up Studies
Humans
Lens Implantation, Intraocular
Lenses, Intraocular
Phacoemulsification
Polymethyl Methacrylate
Postoperative Complications
Prosthesis Design
Refraction, Ocular
Reoperation
Retrospective Studies
Treatment Outcome
Visual acuity
Abstract
PURPOSE: To study the long-term results of implantation of the 3M diffractive multifocal intraocular lens (IOL). SETTING: Eye Department, ASA, Arendal, Norway. METHODS: The study comprised 97 eyes in 72 patients. Follow-up was 8 years. Distance and near visual acuities, refractive results, contrast sensitivity, IOL centration, and neodymium:YAG (Nd:YAG) capsulotomies to treat posterior capsule opacification were evaluated. RESULTS: All patients without ocular pathology achieved a best corrected visual acuity (BCVA) of 0.5 or better (i.e., 98.7% had a BCVA of 1.0 or better). Without correction, 73.8% of eyes had a Jaeger acuity of J3 or better and with distance correction, 92.1%. Emmetropia or within +/-0.25 diopter (D) of it was achieved in 58.8% of eyes. An astigmatic shift of 0.827 D cylinder correction was induced. This shift was mainly against the rule (0.717 D). Contrast sensitivity was reduced with spatial frequencies of 6 to 18 cycles per degree. No need for spectacles was reported by 54.2% of patients and by 68.0% of those with bilateral implantation. For near tasks, 63.9% of patients never used spectacles. The IOLs were well centered or minimally decentered in 99.0% of eyes. Posterior capsule opacification was treated by Nd:YAG laser capsulotomy in 55.7% of eyes, with a mean time between surgery and treatment of 34.0 months +/- 23.2 (SD). CONCLUSION: This long-term study proved the 3M diffractive IOL to be safe and effective despite some reduction in contrast sensitivity at higher spatial frequencies. More than half the patients never wore spectacles; 2 of 3 patients with IOLs in both eyes never wore spectacles. Proper patient selection is crucial.
PubMed ID
10713237 View in PubMed
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A 10 year follow up of parenteral gold therapy in patients with rheumatoid arthritis.

https://arctichealth.org/en/permalink/ahliterature14307
Source
Ann Rheum Dis. 1996 Mar;55(3):169-76
Publication Type
Article
Date
Mar-1996
Author
G. Bendix
A. Bjelle
Author Affiliation
Department of Rheumatology, Gothenburg University, Sweden.
Source
Ann Rheum Dis. 1996 Mar;55(3):169-76
Date
Mar-1996
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Antirheumatic Agents - administration & dosage - adverse effects - therapeutic use
Arthritis, Rheumatoid - drug therapy
Comparative Study
Drug Tolerance
Female
Follow-Up Studies
Gold Sodium Thiomalate - administration & dosage - adverse effects - therapeutic use
Humans
Injections, Intravenous
Male
Middle Aged
Probability
Research Support, Non-U.S. Gov't
Retrospective Studies
Sweden
Abstract
OBJECTIVES: To study the long term tolerance of parenteral gold and subsequent drug treatment in patients with rheumatoid arthritis, including prediction of outcome and 'survival' of sequential treatments. METHODS: A retrospective cohort study of 376 patients was made, including a detailed screening of 237 patients treated in 1989. Reasons for discontinuing treatment were analysed in life table analyses, which were used to compare patients receiving parenteral gold treatment in 1985 and 1989, and two groups of patients receiving disease modifying antirheumatic drugs after parenteral gold treatment. The causes of discontinuation were followed in sequential treatments. RESULTS: The estimated probability of discontinuation of parenteral gold treatment was 29% after six months and 42%, 55%, 74%, and 92% after 1, 2, 5, and 10 years, respectively. Mucocutaneous side effects were the main cause of discontinuation of parenteral gold treatment during the first three years, while the probability of discontinuation because of inefficacy dominated after four years. Side effects also constituted the main cause of discontinuation of treatments given after parenteral gold treatment during the first three years of follow up. No significant differences were found when comparing the termination rates between the first and the second and subsequent treatments after parenteral gold treatment. The main reasons for discontinuing one treatment could not predict the cause of discontinuation of the next treatment. CONCLUSION: Mucocutaneous side effects dominated initially, while inefficacy was the dominating cause of discontinuation of long term parenteral gold treatment. No serious side effects were registered. The cause of discontinuation of one treatment did not predict the cause of discontinuation of the following drug. Drug 'survival' was the same in both treatments after parenteral gold treatment.
PubMed ID
8712879 View in PubMed
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A 10-year survey of clinically significant blood culture isolates and antibiotic susceptibilities from adult patients with hematological diseases at a major Swedish hospital.

https://arctichealth.org/en/permalink/ahliterature25350
Source
Scand J Infect Dis. 1990;22(4):381-91
Publication Type
Article
Date
1990
Author
H. Fredlund
M. Björeman
J. Kjellander
L. Sjöberg
L. Bjorne
A L Ohlin
Author Affiliation
Department of Clinical Microbiology, Orebro Medical Center Hospital, Sweden.
Source
Scand J Infect Dis. 1990;22(4):381-91
Date
1990
Language
English
Publication Type
Article
Keywords
4-Quinolones
Anti-Bacterial Agents - therapeutic use
Anti-Infective Agents - therapeutic use
Bacteria, Aerobic - isolation & purification
Comparative Study
Drug Therapy, Combination - therapeutic use
Female
Hematologic Diseases - complications - drug therapy - microbiology
Humans
Leukemia - complications
Leukemia, Nonlymphocytic, Acute - complications
Lymphoma - complications
Male
Microbial Sensitivity Tests
Retrospective Studies
Septicemia - drug therapy - microbiology
Sweden
Time Factors
Abstract
In patients treated with cytotoxic drugs granulocytopenia and septicemia are commonly seen. In this 10-year survey 324 blood culture isolates from 184 patients with hematological diseases and septicemia were studied. The distribution of microbiological diagnoses in patients with hematological diseases as well as acute leukemia 1980-1986 was significantly different (p less than 0.01) from an unselected blood culture material from the same period. The differences are mainly seen between Enterobacteriaceae other than Escherichia coli, Pseudomonas aeruginosa and staphylococci. The microbiological spectrum for patients with hematological disease 1987-1989 was also significantly different (p less than 0.05) from the spectrum of the same group of patients 1980-1986 due to higher frequencies of coagulase-negative staphylococci and alpha-streptococci and lower frequency of E. coli in the latter period. 40% of the isolates were gram-positive cocci during the first period and increased to 50% during the second period. The susceptibility testing indicates that trimethoprim/sulfonamide is not as good a choice as ciprofloxacin or norfloxacin for oral antibiotic prophylaxis. For intravenous therapy imipenem/cilastatin or the combinations of an aminoglycoside/piperacillin or aminoglycoside/third generation cephalosporin have advantages over aminoglycoside/trimethoprim/sulfa in combination. However, addition of isoxazolylpenicillin or vancomycin now seems necessary to cover the increasing part of gram-positive bacteria causing septicemia in patients with hematological disease.
Notes
Comment In: Scand J Infect Dis. 1991;23(4):5151957139
PubMed ID
2218401 View in PubMed
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[20-year monitoring of acute cardiovascular diseases in population of large industrial city in West Siberia (epidemiological study)]

https://arctichealth.org/en/permalink/ahliterature54128
Source
Ter Arkh. 2000;72(1):15-21
Publication Type
Article
Date
2000
Author
V V Gafarov
Source
Ter Arkh. 2000;72(1):15-21
Date
2000
Language
Russian
Publication Type
Article
Keywords
Adult
Cardiovascular Diseases - epidemiology
Comparative Study
English Abstract
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Occupational Health
Population Surveillance
Retrospective Studies
Risk factors
Siberia - epidemiology
Socioeconomic Factors
Survival Rate
Urban Population
Abstract
AIM: To reveal trends in incidence rates of acute cardiovascular diseases (ACD) in a large industrial city of the West Siberia. MATERIALS AND METHODS: Studies on WHO programs "Acute Myocardial Infarction Register" and "MONICA" have been performed in three districts of Novosibirsk. The diagnostic categories were detected without difference. The observation covered stable population of 500,000 residents aged 25-64 years. Trends in the myocardial infarction (MI) mortality, morbidity and lethality were analysed for 1977-1996. RESULTS: The above trends were stable except for 1986 when MI mortality, morbidity and lethality decreased and 1988 and 1994 when they went up. The reduction was due to 7-year prevention program while the rise was consequent to discontinuation of the preventive measures. Major risk factors of ischemic heart disease, according to screenings conducted in 1984, 1988 and 1994 remained at about the same level. Social stress closely correlates with a rise in MI morbidity and mortality. The latter in 1994 grew owing to higher rates of MI mortality and morbidity among the oldest men and females of different age groups. CONCLUSION: Urgent intensification of prophylactic measures is needed both at the populational level and the level of high risk strategy.
PubMed ID
10687199 View in PubMed
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200 Hz flying-spot technology of the LaserSight LSX excimer laser in the treatment of myopic astigmatism: six and 12 month outcomes of laser in situ keratomileusis and photorefractive keratectomy.

https://arctichealth.org/en/permalink/ahliterature50810
Source
J Cataract Refract Surg. 2001 Aug;27(8):1263-77
Publication Type
Article
Date
Aug-2001
Author
A. Stojanovic
T A Nitter
Author Affiliation
SynsLaser Clinic, Tromsø, Norway. aleks@online.no
Source
J Cataract Refract Surg. 2001 Aug;27(8):1263-77
Date
Aug-2001
Language
English
Publication Type
Article
Keywords
Adult
Astigmatism - surgery
Comparative Study
Cornea - surgery
Female
Humans
Keratectomy, Photorefractive, Excimer Laser - methods
Keratomileusis, Laser In Situ - methods
Male
Middle Aged
Myopia - surgery
Refraction, Ocular
Retrospective Studies
Safety
Treatment Outcome
Visual acuity
Abstract
PURPOSE: To evaluate safety, efficacy, predictability, and stability in the treatment of myopic astigmatism with laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) using the 200 Hz flying-spot technology of the LaserSight LSX excimer laser. SETTING: SynsLaser Clinic, Tromsø, Norway. METHODS: This retrospective study included 110 eyes treated with LASIK and 87 eyes treated with PRK that were available for evaluation at 6 and 12 months, respectively. The mean preoperative spherical equivalent (SE) was -5.35 diopters (D) +/- 2.50 (SD) (range -1.13 to -11.88 D) in the LASIK eyes and -4.72 +/- 2.82 D (range -1.00 to -15.50 D) in the PRK eyes. The treated cylinder was 4.00 D in both groups. Eleven (8.5%) LASIK eyes and 8 (7.4%) PRK eyes had secondary surgical procedures before 6 and 12 months, respectively, and were excluded when the 6 and 12 month outcomes were analyzed. RESULTS: None of the eyes lost 2 or more lines of best spectacle-corrected visual acuity. Seventy-seven percent of the LASIK eyes and 78% of the PRK eyes achieved an uncorrected visual acuity of 20/20 or better; 98% in both groups achieved 20/40 or better. The SE was within +/-0.5 D of the desired refraction in 83% of the LASIK eyes and 77% of the PRK eyes; it was within +/-1.0 D in 97% and 98%, respectively. The cylinder correction had a mean magnitude of error of 0.04 +/- 0.31 D (range -0.96 to +0.85 D) in the LASIK eyes and 0.02 +/- 0.37 D (range -1.44 to +0.72 D) in the PRK eyes. Refractive stability was achieved at 1 month and beyond in the LASIK eyes and at 3 months and beyond in the PRK eyes. CONCLUSION: The outcomes of this study are comparable to those achieved with lasers that use small-beam technology with a lower frequency, as well as with other types of delivery systems. They suggest that the 200 Hz technology used in the LaserSight LSX excimer laser is safe, effective, and predictable and that with LASIK and PRK the results are stable when treating low to moderate myopia and astigmatism up to 4.0 D.
PubMed ID
11524200 View in PubMed
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[A 40-year study of aortic and coronary artery atherosclerosis in male population of Yakutsk]

https://arctichealth.org/en/permalink/ahliterature76239
Source
Arkh Patol. 2006 Jan-Feb;68(1):6-10
Publication Type
Article
Author
O V Voronova
V S Zhdanov
V A Argunov
V P Alekseev
I E Galakhov
D V Iudakov
Source
Arkh Patol. 2006 Jan-Feb;68(1):6-10
Language
Russian
Publication Type
Article
Keywords
Adult
Aorta - pathology
Comparative Study
Coronary Arteriosclerosis - epidemiology - pathology
English Abstract
Health Transition
Humans
Male
Middle Aged
Retrospective Studies
Siberia
Urban Health - trends
Abstract
The trends in development of aortic and coronary atherosclerosis in healthy male population were studied by WHO methods in three trials: in 1963-1965, 1985-1987, 2001-2003. It was found that atherosclerosis and coronary arteries stenosis were less frequent in the native population of Yakutia than in migrants.
PubMed ID
16544527 View in PubMed
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[Absence because of infectious diseases among children attending day care institutions in a county]

https://arctichealth.org/en/permalink/ahliterature37275
Source
Ugeskr Laeger. 1991 Jan 7;153(2):104-6
Publication Type
Article
Date
Jan-7-1991
Author
S A Søe
E M Hammershøy
Author Affiliation
Embedslaegeinstitutionen for Storstrøms Amt, Nykøbing.
Source
Ugeskr Laeger. 1991 Jan 7;153(2):104-6
Date
Jan-7-1991
Language
Danish
Publication Type
Article
Keywords
Absenteeism
Bacterial Infections - epidemiology - transmission
Child
Child Day Care Centers
Child, Preschool
Comparative Study
Denmark - epidemiology
English Abstract
Humans
Hygiene
Infant
Retrospective Studies
Virus Diseases - epidemiology - transmission
Abstract
A retrospective investigation was undertaken of the connection between absence on account of illness and the hygienic routines in 28 day institutions in the County of Storstrøm. A total of 953 children aged 0-6 years were involved. Absence on account of illness was described on the basis of registration for three months carried out by the staffs of the day institutions. On the basis of information about sick-leave, interview investigations were carried out the hygienic routines in the six day institutions which showed the highest and lowest absenteeism on account of illness, respectively. Only slight differences were found in the hygienic routines in the institutions investigated and no connections were found between sickness and hygiene. On the other hand, there appears to have been a connection between absence on account of illness and time spent out-of-doors; the greatest illness being observed in the institutions where the children spent least time out-of-doors. With the object preventions of illness among children in day institutions, further investigations concerning the significance of time spent out-of-doors and the indoor environment for these children would be of interest.
PubMed ID
1989361 View in PubMed
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[Accelerated recovery program after hip fracture surgery]

https://arctichealth.org/en/permalink/ahliterature61643
Source
Ugeskr Laeger. 2002 Dec 30;165(1):29-33
Publication Type
Article
Date
Dec-30-2002
Author
Sten Rasmussen
Billy B Kristensen
Susanne Foldager
Lis Myhrmann
Henrik Kehlet
Author Affiliation
Ortopaedkirurgisk afdeling, Vejle Sygehus, DK-7300 Vejle. sten.rasmussen@dadlnet.dk
Source
Ugeskr Laeger. 2002 Dec 30;165(1):29-33
Date
Dec-30-2002
Language
Danish
Publication Type
Article
Keywords
Aged
Arthroplasty, Replacement, Hip - methods - rehabilitation
Comparative Study
Denmark
Early Ambulation - methods
English Abstract
Female
Hip Fractures - rehabilitation - surgery
Humans
Length of Stay - statistics & numerical data
Male
Middle Aged
Postoperative Care - methods
Preoperative Care - methods
Prospective Studies
Recovery of Function
Research Support, Non-U.S. Gov't
Retrospective Studies
Abstract
INTRODUCTION: A multimodal approach to minimise the effect of the surgical stress response can reduce complications and hospital stay after abdominal surgery and hip arthroplasty. The aim of the study was to assess the results of a well-defined rehabilitation programme after hip fracture. MATERIAL AND METHODS: In an open intervention study, we entered 200 consecutive patients with hip fracture allowing full weight-bearing after operative treatment. The effect of a revised, optimised perioperative care programme with continuous epidural analgesia, early oral nutrition, oxygen supplementation, restricted volume and transfusion therapy, and intensive physiotherapy and mobilisation was assessed (n = 100) and compared with the conventional perioperative treatment programme before the intervention (n = 100). The median age was 82 (56-96) years in the control group and 82 (63-101) years in the accelerated multimodal perioperative treatment group. RESULTS: The median hospital stay was reduced from 21 (range 1-162, mean 32) to 11 (range 1-100, mean 17) days. The total use of days in hospital was reduced from 3211 to 1667. There were fewer complications, whereas the need for home care after discharge was unchanged. CONCLUSION: An accelerated clinical pathway with focus on pain relief, oral nutrition, and rehabilitation may reduce hospital stay and improve recovery after hip fracture.
PubMed ID
12529945 View in PubMed
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Accidental injury is a serious risk in children with typical absence epilepsy.

https://arctichealth.org/en/permalink/ahliterature14288
Source
Arch Neurol. 1996 Sep;53(9):929-32
Publication Type
Article
Date
Sep-1996
Author
E C Wirrell
P R Camfield
C S Camfield
J M Dooley
K E Gordon
Author Affiliation
IWK-Grace Health Centre, Halifax, Nova Scotia, Canada.
Source
Arch Neurol. 1996 Sep;53(9):929-32
Date
Sep-1996
Language
English
Publication Type
Article
Keywords
Accidental Falls - statistics & numerical data
Accidents - statistics & numerical data
Accidents, Traffic - statistics & numerical data
Adolescent
Adult
Arthritis, Rheumatoid - complications - physiopathology
Burns - epidemiology
Child
Comparative Study
Craniocerebral Trauma - epidemiology
Electroencephalography
Epilepsy, Absence - complications - physiopathology
Fractures, Bone - epidemiology
Humans
Medical Records
Near Drowning - epidemiology
Retrospective Studies
Risk factors
Sweden - epidemiology
Abstract
OBJECTIVES: To determine if young adults with a history of typical absence epilepsy (AE) in childhood have a greater risk of accidental injury than controls with juvenile rheumatoid arthritis (JRA). To assess the nature and severity of these injuries. METHODS: All patients with AE or JRA diagnosed between 1977 and 1985, who were 18 years or older at the onset of the study, were identified from review of pediatric electroencephalographic records for the province of Nova Scotia (AE) or review of the medical records database at the only tertiary care pediatric center for the province (JRA). Fifty-nine (86%) of 69 patients with AE and 61 (80%) of 76 patients with JRA participated in an interview in 1994 or 1995, assessing nature, severity, and treatment of prior accidental injuries. Patients with AE were further questioned about injuries sustained during an absence seizure. RESULTS: Sixteen (27%) of 59 patients with AE reported accidental injury during an absence seizure, with risk of injury being 9% per person-year of AE. Most injuries (81%) occurred during anti-epileptic drug therapy. Although the majority of injuries did not require treatment, 2 (13%) of 16 patients required minor treatment and 2 (13%) of 16 were admitted to hospital. The risk of accidental injury resulting from an absence seizure in person-years at risk was highest in juvenile myoclonic epilepsy (45%), moderate in juvenile AE (14%), and lowest in childhood AE (3%). Patients with AE had a greater number of overall accidental injuries than those with JRA (P
Notes
Comment In: Arch Neurol. 1997 Sep;54(9):10639311348
PubMed ID
8815859 View in PubMed
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Acute appendicitis in children in a community hospital: a five year review.

https://arctichealth.org/en/permalink/ahliterature6823
Source
Alaska Med. 1997 Apr-Jun;39(2):34-42
Publication Type
Article
Author
I. Young
K W Moss
Author Affiliation
University of Colorado Health Science Center, Denver 80262, USA.
Source
Alaska Med. 1997 Apr-Jun;39(2):34-42
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Age Distribution
Alaska - epidemiology
Appendectomy - adverse effects
Appendicitis - diagnosis - epidemiology - surgery
Child
Child, Preschool
Comparative Study
Female
Hospitals, Community - economics
Humans
Incidence
Infant
Male
Postoperative Complications
Retrospective Studies
Sex Distribution
Abstract
OBJECTIVE: To review appendectomy cases in children at a small community hospital and to compare with experience at larger centers. DESIGN: A five-year retrospective study. SETTING: Bartlett Regional Hospital, Juneau, Alaska. PATIENTS AND METHODS: Records of children age 14 and younger who underwent appendectomy from 1991 through 1996 were reviewed; 79 charts were found. Cases were grouped as simple appendicitis, advanced appendicitis, and appendectomy without appendicitis. Variables considered included: length of symptoms at first contact, time from onset until surgery, presence or absence of classical symptoms, post-operative complications, length of hospital stay. RESULTS AND CONCLUSION: 51 cases (64.6%) of simple appendicitis, 22 cases (27.9%) of advanced disease, and 6 cases (7.6%) of normal appendix occurred. Advanced disease was high (66.7%) in children less than 5, and low (22.7%) in ages 10-14. Parental delay > 48 hours in seeking care was a significant factor in advanced disease, professional delay (time from first exam until surgery) was not. Post-surgical complications occurred in 7 (31.8%) cases of advanced disease and in none of the cases with simple appendicitis. Advanced disease cases had an average hospital stay of 8.59 days (+/-2.92) vs. 3.86 days (+/-1.46) for simple appendicitis. Review of appendicitis in children at this hospital compared favorably with the experience at larger medical centers.
PubMed ID
9254937 View in PubMed
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669 records – page 1 of 67.