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Biomedical subjects

A Olsen

Publications and source records attributed to A Olsen.

At least 73 records · Page 4Linked to original sources
PubMed1994

Quality of care for infertility patients. An evaluation of a plan for a hospital investigation.

AIM OF STUDY: In this study we assessed the quality of health care for infertile patients as expressed by the patients themselves. The implementation of the existing structured plan for infertility investigation and treatment was also reviewed. DESIGN AND DATA: The sample consisted of all 361 women registered with an infertility diagnosis during 1982 at Rikshospitalet. Their medical records were reviewed in 1988. The process and outcome of the investigation as it appeared was analyzed for each individual patient. A structured questionnaire was distributed to the patients in 1988 and 72.6% responded. The questions included several items on outcome and personal experience of the treatment in the hospital. RESULTS: Data from the medical records show that the medical investigation lasted three years on average. The records often showed evidence of discontinuity of the process. The mean number of consultations was eight (range 1-28). An average of one new doctor for each consultation was involved in the investigation. One third of the patients left the investigation without a noted definite termination of the treatment process. According to the questionnaire around 40% had delivered at least one child, while 30% had adopted. Of those who got a biological child, two thirds were satisfied with the clinical treatment efforts of the medical staff. Less than half of those who did not become pregnant were satisfied. Independent of outcome, 70% were dissatisfied with the emotional support during the investigations, and nearly 90% felt that waiting lists were too long. More than half expressed a need for professional psychological counselling. CONCLUSIONS: The study shows that medical records and service organizations do not meet the need for continuity in treatment nor research and evaluation requirements. We suggest that more emphasis should be devoted to planning of the services. They should be improved with regard to quality in medical handling as well as emotional counselling.

Adoption↗
PubMed1994

Urinary and intestinal schistosomiasis in the Tono Irrigation Scheme, Kassena/Nankana District, upper east region, Ghana.

Human- and snail-related aspects of transmission of urinary and intestinal schistosomiasis were studied in the Tono Irrigation Scheme in northern Ghana. The scheme became operational in 1977. In some schools, prevalences and intensities of both Schistosoma mansoni and S. haematobium infection were alarmingly high, pointing to human schistosomiasis being at least focally a health problem of major public health concern. Positive correlations between intensity of schistosome infection, as measured by egg output, with frequency of visible haematuria and history of haematuria point to opportunities for community-based assessment of morbidity and identification of high risk population subgroups. Bulinus globosus is the most important snail host for S. haematobium while Biomphalaria pfeifferi serves as host for S. mansoni. While transmission of S. mansoni is taking place only in the main canal, transmission of S. haematobium takes place in all parts of the irrigation system (lateral canal, night storage dam, main reservoir). Transmission of both S. mansoni and S. haematobium is rather focal and a seasonal pattern of transmission is indicated with peak transmission taking place during the beginning of the dry season. The high endemicity and the transmission patterns described in this study call for an integrated approach to schistosomiasis morbidity control in the area.

Adolescent↗
PubMed1993

Cutaneous malignant melanoma: association with height, weight and body-surface area. a prospective study in Norway.

To investigate whether anthropometric indices as body height, body-mass index (BMI) and body-surface area (BSA) have any influence on the risk of cutaneous malignant melanoma (CMM), we analyzed height and weight data from a Norwegian screening survey running between 1963 and 1975 and comprising 1.3 million individuals followed for 14 to 26 years. Among females, CMM was diagnosed in 2814 incident cases, while the number among males was 2144 during 22,988,345 person-years of follow-up. With adjustment for age, birth cohort, geographic region and BMI, the risk for CMM increased significantly with increasing quintiles of height in both sexes. The tallest persons were at greater relative risk than the shortest ones: 1.60 and 1.59 in males and females respectively. This positive association was also found for CMM localized on face and trunk in both sexes, and in the lower limbs only in females. Males in the highest quintile of BMI had a relative risk for CMM of 1.26 compared with the lowest quintile, while a non-significant negative association were found in obese females. This negative association increased and was significant for CMM located on the trunk and lower limbs in females. Among males we observed a consistent association between BSA and risk of CMM similar to that for height. These relationships between anthropometric indices and CMM are discussed according to factors which promote growth, among which nutrition, social class and hormones are the most important.

Adolescent↗
PubMed1993

Fluorescence in situ hybridization mapping of human chromosome 19: cytogenetic band location of 540 cosmids and 70 genes or DNA markers.

We report here the band location of 540 cosmids mapped to chromosome 19. The cosmids were mapped by fluorescence in situ hybridization (FISH) relative to chromosomal bands produced by DAPI/actinomycin staining. The cosmids are distributed throughout the chromosome, with a sampling bias for the q-arm. A detailed analysis of the distribution of three different subtelomeric and 22 pericentromeric chromosome 19 cosmids on other chromosomes is also reported. Colony hybridization identified 142 cosmids that contain sequences representing genes or DNA markers that map to chromosome 19. FISH mapping of these cosmids sublocalizes a total of 70 genes and DNA markers on chromosome 19, revises the previously published map assignments of 2 genes, and narrows the location of over 20 markers.

Animals↗
PubMed1993

Multiple sclerosis in the Faroe Islands. 5. The occurrence of the fourth epidemic as validation of transmission.

Based on 32 cases with clinical onset 1943-73, we previously described the occurrence of clinical neurologic multiple sclerosis (CNMS) on the Faroe Islands as constituting three consecutive epidemics, with 20, 9, and 3 cases respectively. As of 1991 there were seven additional cases of CNMS with clinical onset 1984-1989 constituting the fourth epidemic, as well as three more members of epidemic III. We have proposed that CNMS is the rare late result of infection with PMSA (the primary multiple sclerosis affection), a state requiring some two years of exposure from age 11+ for acquisition by Faroese, and that PMSA was first transmitted during World War II by affected but asymptomatic British troops to Faroese residents; part of this (F1) cohort of affected asymptomatic Faroese transmitted PMSA to the next (F2) cohort comprising Faroese reaching age 11 in the interval when that F1 subset was present, and the F2 cohort similarly transmitted PMSA to the third (F3) cohort. Cases of CNMS defining epidemic I-III were members of the respective F1-F3 cohorts. The existence of epidemic IV within the F4 cohort of Faroese may be taken as validation of our transmission models and of our theses as to the nature of multiple sclerosis.

Adolescent↗
PubMed1992

Assembly and analysis of cosmid contigs in the CEA-gene family region of human chromosome 19.

The carcinoembryonic antigen (CEA)-like genes are members of a large gene family which is part of the immunoglobulin superfamily. The CEA family is divided into two major subgroups, the CEA-subgroup and the pregnancy-specific glycoprotein (PSG)-subgroup. In the course of an effort to develop a set of overlapping cosmids spanning human chromosome 19, we identified 245 cosmids in a human chromosome 19 cosmid library (6-7X redundant) by hybridization with an IgC-like domain fragment of the CEA gene. A fluorescence-based restriction enzyme digest fingerprinting strategy was used to assemble 212 probe-positive cosmids, along with 115 additional cosmids from a collection of approximately 8,000 randomly selected cosmids, into five contigs. Two of the contigs contain CEA-subgroup genes while the remaining three contigs contain PSG-subgroup genes. These five contigs range in size from 100 kb to over 300 kb and span an estimated 1 Mb. The CEA-like gene family was determined by fluorescence in situ hybridization to map in the q13.1-q13.2 region of human chromosome 19. Analysis of the two CEA-subgroup contigs provided verification of the contig assembly strategy and insight into the organization of 9 CEA-subgroup genes.

Carcinoembryonic Antigen↗
PubMed1991

Physiological parameters in ecotoxicology.

1. Regulated physiological parameters are normally maintained at a constant level by regulatory mechanisms. Acute toxic effects develop whenever a pollutant causes a regulated parameter to be displaced beyond tolerated limits, and thus, regulated parameters may be convenient toxicity parameters. The present study indicates that delta mu Na+ across the adductor muscle membrane of Mytilus edulis is a regulated parameter, and that injuries develop whenever this parameter drops below -700 J/mole. 2. Regulatory physiological parameters may display quick and substantial changes when regulatory mechanisms are activated to counteract variations in the regulated parameters. Thus, regulatory parameters may be used as sensitive alarm parameters in environmental monitoring. The present results indicate that the phosphate index [(ATP x P-arginine)/(Pi)2], metabolic rate and strombine may be used as alarm parameters. 3. The combined response of all parameters may provide a pollutant-specific fingerprint in environmental monitoring.

Animals↗
PubMed1991

Measurements of oxygen consumption in Mytilus edulis during exposure to, and recovery from, high sublethal concentrations of formaldehyde, benzene and phenol.

1. The rate of oxygen consumption has been monitored continuously in M. edulis during acute exposure to high sublethal concentrations of formaldehyde, phenol and benzene and subsequent recovery periods of 96 hr. 2. The results are discussed in relation to changes in the electrochemical potential difference of sodium, the content of ATP and the tissue concentration of strombine. 3. After exposure to benzene and phenol, an increase in the rate of oxygen consumption that could not be explained by oxygen debt from the exposure period was observed. 4. Depression of the rate of oxygen consumption after exposure to formaldehyde may be explained by a reduced ability to extract oxygen from the water. 5. The pattern of oxygen consumption and behavioural responses, as well as the combined changes in the biochemical markers, were distinctly different in the three cases.

Animals↗
PubMed1990

Interferon-gamma reverses the stimulation of collagen but not fibronectin gene expression by transforming growth factor-beta in normal human fibroblasts.

It has recently become apparent that several cytokines and growth factors are capable of modulating fibroblast proliferation and biosynthetic activity. To understand the role of these factors in connective tissue regulation, we examined the effects of the simultaneous addition of interferon-gamma (IFN-gamma) and transforming growth factor-beta (TGF-beta) on normal human dermal fibroblast collagen and fibronectin production. In addition, in vitro transcription rates and steady-state mRNA levels for these molecules were determined by nuclear run-off assays and Northern and dot-blot hybridization using specific human cDNA probes. Treatment of cultures with TGF-beta caused stimulation of collagen and fibronectin production. Addition of IFN-gamma to the TGF-beta-treated cultures abrogated the stimulatory effects of TGF-beta on collagen production in a dose-dependent manner and resulted in a net inhibition of collagen production. In contrast, the increase in fibronectin synthesis induced by TGF-beta was augmented further by IFN-gamma. These changes in collagen and fibronectin production were accompanied by parallel changes in the steady-state mRNA levels for these proteins. The effects of TGF-beta plus IFN-gamma on fibronectin gene expression appeared to be mediated entirely by transcriptional mechanisms, whereas the effects on collagen gene expression resulted from a combination of transcriptional and post-transcriptional events.

Cells, Cultured↗
PubMed1990

The natural history of functional morbidity in hospitalized older patients.

This study provides data on changes in the functional status of older patients that are associated with acute hospitalization. Seventy-one patients over the age of 74 admitted to the medical service of Stanford University Hospital between February and May 1987 received functional assessments covering seven domains: mobility, transfer, toileting, incontinence, feeding, grooming, and mental status. Assessments were obtained by report from the patient's caregiver (or the patient when he or she lived alone) for 2 weeks before admission; from the patient's nurse on day 2 of hospitalization and on the day before discharge; and again from the caregiver (or patient) 1 week after discharge. The sample had a mean age of 84, covered 37 Diagnostic Related Groups, and had a median length of stay of 8 days. Between baseline and day 2, statistically significant deteriorations occurred for the overall functional score and for the individual scores for mobility, transfer, toileting, feeding, and grooming. None of these scores improved significantly by discharge. In the case of mobility, 65% of the patients experienced a decline in score between baseline and day 2. Between day 2 and discharge, 67% showed no improvement, and another 10% deteriorated further. These data suggest that older patients may experience a burden of new and worsened functional impairment during hospitalization that improves at a much slower rate than the acute illness. An awareness of delayed functional recovery should influence discharge planning for older patients. Greater efforts to prevent functional decline in the hospitalized older patient may be warranted.

Activities of Daily Living↗
PubMed1990

Infertility, technology and the law. Patients' and future doctors' opinions.

The rectifying of infertility by application of modern technology has been a topic for debate in modern society over the past decade. Laws regulating the investigation and treatment of infertility have been passed in many countries, for instance in Norway and Sweden, while other nations await future developments. In this paper, some users of the technology--female infertility patients and future medical doctors--present their attitudes toward controversial issues of infertility, investigated by means of a survey questionnaire issued to them in 1987-88. Medical students have a more restrictive attitude than former patients, whereas religious beliefs influence the viewpoints of the patients. Both groups seem to have opinions that to a large degree accept the content of the Norwegian law.

Adult↗
PubMed1989

Progress toward structure determination.

Convergent-beam electron diffraction provides more precise measurements of diffracted intensity than the traditional method of selected-area diffraction. The intensity is recorded at well-defined beam directions for each reflection in the pattern within disks defined by the incident cone of rays. Measurements relating to structure factors or parameters can be arranged in different ways: intensities at the zone axis position; Kossel line profiles or integrated intensities across Kossel lines; conditions for vanishing contrast at a Kossel line (e.g., critical voltage); separation between Kossel line segments at intersections. Examples of application to refinement of structure parameters (zone axis intensities) and structure factor determination (Kossel line methods) are given. The relation of these magnitudes to theory is discussed, especially for the Kossel line methods. These are described in terms of effective Fourier potentials or gaps at the Bloch-wave dispersion surface. Use of the methods for refinement of structure parameters and structure factors is reviewed with special attention to recent developments. This is seen along two lines: 1) extended scope for the more accurate methods in order to cover larger unit cells and 2) better precision in measurements of intensities.

Crystallography↗
PubMed1989

Early diagnosis of postoperative pneumonia following upper abdominal surgery. A study in patients without cardiopulmonary disorder at operation.

In 130 patients with no cardiac or pulmonary disease at the time of elective upper abdominal surgery, chest radiography was performed 2 and 4 days postoperatively. The sputum was examined and the patients were monitored with measurement of body temperature, arterial oxygen tension and white blood counts. Pneumonic infiltrates appeared in 8.4% of the patients and atelectasis in 68.5%. Most of the patients had elevated body temperature, raised white blood count and reduced arterial oxygen tension postoperatively. None of these commonly employed clinical or laboratory findings, singly or in combination, proved adequate for diagnosis of postoperative pneumonia.

Aged↗
PubMed1988

Multiple sclerosis in the Faroe Islands. IV. The lack of a relationship between canine distemper and the epidemics of MS.

Clinical onset of multiple sclerosis (MS) occurred in 32 native resident Faroese between 1943 and 1973, comprising 3 consecutive epidemics of decreasing frequency. Relationship of MS with the appearance of canine distemper (CD) was explored by serologic studies, questionnaires, and veterinarian reports. Tested were sera from 12 MS patients and 112 controls among the 22 patients and 192 controls with questionnaires in 1978-1979. The daily treatment ledgers of the Veterinarian of the Faroes 1940-1961 were also reviewed and additional Faroese interviewed 1987-1988 as to CD. History of CD was determined for residence of all 32 MS. There was no evidence of elevated CD antibody titers in MS vs controls for neutralizing titers or ELISA values, nor to ELISA for measles. In the questionnaires only one patient and 2 of his sibs reported owning (the same) dog(s) with CD during the war. One other patient reported a possibly sick dog but not CD. CD occurred in one southern village 1941-1942, was present on Vágar from 1941-1950, and was epidemic on Streymoy 1944-1945 with scattered cases there and elsewhere through 1950. There was no significant correlation between villages with CD and MS residents. We conclude that the occurrence of multiple sclerosis was not related to the presence of canine distemper or sick dogs in the Faroe Islands.

Animals↗
PubMed1987

The CT (Hounsfield unit) number of brain tissue in healthy infants. A new reliable method for detection of possible degenerative disease.

It is difficult to correlate CT Hounsfield unit (H. U.) numbers from one CT investigation to another and from one CT scanner to another, especially when dealing with small changes in the brain substance, as in degenerative brain diseases in children. By subtracting the mean value of cerebrospinal fluid (CSF) from the mean value of grey and white matter, it is possible to remove most of the errors due, for example, to maladjustments, short and long-term drift, X-ray fan, and detector asymmetry. Measurements of white and grey matter using these methods showed CT H. U. numbers changing from 15 H. U. to 22 H. U. in white matter and 23 H. U. to 30 H. U. in grey matter in 86 healthy infants aged 0-5 years. In all measurements, the difference between grey and white matter was exactly 8 H. U. The method has proven to be highly accurate and reproducible.

Brain↗