Osteoporosis fracture threshold.
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Female↗
Biomedical subjects
E Berg
Publications and source records attributed to E Berg.
Automated integration of blood gases and electrolyte analyses in a datasystem.
A software system to make communication between a computer and various chemical analysers has been developed. The entered data can be displayed on the screen as numbers or trend curves and printed or plotted out as a record. The collected data can be computed statistically. The software system has been developed in cooperation with BDATA, Fredensgade 29, DK-8000 Arhus C, Denmark.
Blood Gas Analysis↗
Rothmund-Thomson syndrome. A case report, phototesting, and literature review.
Rothmund-Thomson syndrome is a rare hereditary syndrome with developmental defects. Characteristics of this syndrome, based on a review of 107 reported cases in the literature, are (in descending order) as follows: early onset of poikiloderma, short stature, absence or sparseness of eyebrow and/or eyelash hair, familial juvenile cataracts, small hands and bone defects, sunlight sensitivity, hypogonadism, defective dentition, nail abnormality, hyperkeratosis, and mental retardation. Recently we encountered a 25-year-old white woman who had developed this syndrome but without juvenile cataracts, hypogonadism, or mental retardation. She had developed a basal cell epithelioma, which has not previously been described in this syndrome. Phototesting with monochromatic radiation and with a solar simulator showed photosensitivity in the ultraviolet A range but not in the ultraviolet B range. This case may represent an example of the Thomson type. The case is described and the literature reviewed.
Abnormalities, Multiple↗
Psychological variables and patient acceptance of complete dentures.
Psychological variables and tests used in general psychology have been used in the prediction of patient acceptance of dentures. However, a survey of the dental literature indicates that with the possible exception of a 'focused interview' on self-image, none of these methods are of clinical value, either for practical reasons or because their ability to predict denture acceptance is negligible. In the present study 74 individuals with newly made dentures were interviewed with a focused interview and 16 additional questions. No correlations of practical importance between these psychological variables and denture acceptance were found, indicating that useful indicators of patient acceptance of dentures will have to be designed for the prosthodontic problem specifically.
Aged↗
Periodontal problems associated with use of distal extension removable partial dentures--a matter of construction?
It is commonly assumed that a distal extension partial removable dentures rotates around the supporting rests when the saddle is occlusally loaded and that this rotation may expose the abutment teeth to a distal torque believed to be potentially harmful to their periodontal tissues. Attempts are therefore often made to counteract this effect through the denture construction. However, a review of relevant literature does not appear to substantiate an unqualified acceptance of the above mentioned assumptions, nor of the beneficial effect of special denture constructions designed to reduce the abutment loading. On the other hand, well controlled longitudinal studies seem to indicate that a favourable periodontal prognosis may be expected in such cases provided the following conditions are satisfied: Periodontal problems should be treated and an adequate oral hygiene established prior to the insertion of the denture; The periodontal health and oral hygiene should be maintained through regular recalls. During these recalls possible prosthodontic defects should be diagnosed and necessary measures implemented.
Animals↗
Social variables and patient acceptance of complete dentures. A study of patients attending a dental school.
It has been suggested that the social conditions under which patients live may influence their acceptance of dentures. In this paper a sample of 74 complete-denture wearers has been interviewed with regard to several social variables. These variables include the patients' marital status, occupation, interests, social activities, economy, housing conditions, relationship to neighbors, and other people's opinion of their new dentures. The last factor appeared to influence denture acceptance strongly. The other social variables tested showed no significant or only minimal effects in this respect.
Adult↗
On four cases of hemolytic-uremic syndrome without microangiopathy.
Four cases of hemolytic-uremic syndrome (HUS) are presented in which light and electron microscopic examination of renal biopsies (2 cases) and light microscopic examination of the kidneys on autopsy material (2 cases) revealed no changes reflecting microangiopathy. Based on these findings and on personal observation of 197 cases of HUS with glomerular or vascular changes, it is considered questionable whether the results of animal experiments by Brain et al. [1962] and Brian and Brain [1968] can be transferred to man. The cause of hemolytic anemia in HUS is considered unclarified, except for cases in which hemolysis is triggered by neuraminidase-producing bacteria and viruses.
Adolescent↗
The acutely swollen joint. First impressions may mislead.
An acutely swollen joint may be indicative of a number of disease entities. A thorough history and physical examination are the cornerstones of evaluation. Laboratory findings can be useful in diagnosis, as can response to therapy (eg, response to penicillin in gonococcal arthritis is often the only criterion for diagnosis, as the organism is difficult to culture). Patients with malignancy (especially leukemia) or who are immunosuppressed or otherwise debilitated are at particular risk for a septic cause of swelling. Infectious arthritis should be the first potential cause looked for in these patients as well as in patients with such preexisting joint diseases as rheumatoid arthritis. The diagnosis of joint sepsis is confirmed by examination of aspirated joint fluid. In no case should a swollen joint be injected with corticosteroids until all possibility of infection has been eliminated.
Acute Disease↗
Patient motives and fulfillment of motives in renewal of complete dentures.
Seventy-four edentulous patients were interviewed concerning their opinion of their old dentures, motives for renewing them, and requirements for new ones. After an initial period of adaptation they were asked questions relating to their experience with the new dentures. More than 80% of the patients claimed to have functional motives for renewing their old dentures. A similar proportion had functional requirements with regard to the new ones. Less than 30% claimed to have any esthetic motives. Examination of the data, however, suggests that the esthetic factor may be underrecorded. The patient motives, as recorded, were only weakly correlated to the overall acceptance of new dentures. More than 90% found their new dentures as expected or better than expected.
Consumer Behavior↗
Some attitudes towards edentulousness, complete dentures, and cooperation with the dentist. A study of denture patients attending a dental school.
Our purpose was to study some patient attitudes related to edentulousness and aspects of the personal relationship between patient and dentist. Seventy-four edentulous patients at a dental school, all experienced denture wearers, were interviewed before the insertion of new complete dentures. Half of them felt bitter and sad about the loss of their teeth. This attitude was found significantly more frequently in women than men. More than 3/4 were quite willing to talk to others about having dentures. Almost as many, however, refused to appear in front of others without their dentures. Nearly 70% seemed to have accepted their dentures as a part of themselves. More than 80% of the patients expressed that satisfaction with new dentures may be influenced by the personal relationship between patient and dentist. A similar proportion expressed that satisfaction with dentures may be influenced by their own cooperation. There seemed to be less agreement about how they should cooperate and also what the responsibilities of the dentist were. None of these patient attitudes or opinions were significantly related to acceptance of new dentures.
Adult↗
The influence of some anamnestic, demographic, and clinical variables on patient acceptance of new complete dentures.
Information obtained by the dentist during a conventional anamnesis and clinical investigation has been claimed to be important in predicting how new complete dentures will be accepted by the patient. The main purpose of the present paper was to test this hypothesis. Seventy-four experienced denture wearers with an average age of 66 years were included in the study. These patients were interviewed concerning their dental history and satisfaction with old and new complete dentures. In the clinical examination, anatomical and physiological conditions of the oral cavity, the quality of the old dentures, and the general health of the patients were assessed. Sixty-six per cent of the patients were dissatisfied with their old dentures. With regard to the new dentures, 15% of the patients were dissatisfied. The major prosthodontic problems during the period of adaptation were pain related to the mandibular dentures and difficulties with speech. Correlations between patient acceptance of new dentures and the anamnestic, demographic, and clinical variables were either statistically or practically/clinically insignificant and therefore poor predictors of how new dentures would be accepted by the patients.
Aged↗
Schizoaffective psychoses. A long-term follow-up.
The study comprises 20 men who had shown admixtures of schizophrenic and affective symptoms during their first hospitalisation in a psychiatric hospital in Stockholm 1946-1957. The observation period was between 17 and 30 years. At the time of follow-up the group was rediagnosed on the basis of all information obtained. It was shown that this originally relatively homogeneous group was made up of a heterogeneous collection of illnesses. Definite schizophrenia formed the largest group (nine patients). Three patients had developed a definite manic-depressive disease and three severe alcoholism. The remaining five patients showed prominent symptoms of both schizophrenic and affective type. After the first hospitalisation 19 patients were recovered or improved. At the end of the follow-up period the corresponding number was eight. Twelve patients showed social recovery, i.e. were working or studying at the end of the follow-up period. Eighteen patients were at some time re-hospitalised for psychosis. The group, as a whole, spent 16% of the observation period hospitalised in a mental hospital - 6% in the outcome group recovered + improved and 21% in the outcome group were unimproved. The course was difficult to predict with the aid of factors usually considered prognostically favourable. The study stresses the need for prospective controlled studies based on a systematised after-care programme for patients who show symptoms of both schizophrenia and affective illness in their first attack.
Adolescent↗
Observer variability of and comparison between visual and central bearing point methods of evaluating denture occlusion.
Central bearing point and visual methods were used in the study of repeated recordings of occlusion in 30 patients with old complete dentures. The results were classified into di- and trichotomous categories. Intra- and interexaminer variability were generally high. In addition, significant differences were found between the examiners in the level of recording denture occlusion. The use of trichotomous categories increased the variability to an unacceptable level. The variability with the central bearing point method was higher than with the visual method. However, occlusal discrepancies were found with significantly higher frequencies with the central bearing point method than with the visual method.
Aged↗
Bristow-Latarjet procedure for recurrent anterior dislocation of the shoulder. A 2-5 year follow-up study on the results of 112 cases.
A follow-up study of 111 out of 112 patients operated on for shoulder joint dislocation according to the Bristow-Latarjet procedure during the years 1975 through 1979 in four Swedish hospitals is presented. The average follow-up time was 30 months (range 24-60 months). There were seven cases of significant recurrences (6 per cent). During follow-up, further surgery had been performed on four of these. Another eight patients (7 per cent) had experienced occasional insignificant subluxations. In one case neurolysis of the musculocutaneous nerve was undertaken because of postoperative paresis of elbow flexors. The average limitation of outward rotation as compared with the nonoperated side was 19 degrees in adduction and 21 degrees in abduction. There was a measurable difference in strength between the operated and nonoperated shoulders. The results were considered excellent or good by 101 of the patients (90 per cent), fair by eight and bad by three. Of 12 cases with failed surgery before the Bristow-Latarjet procedure 10 regarded the result as good or excellent.
Adolescent↗
Total parenteral nutrition and scientific evaluation of therapy.
Defects in many controlled randomized trials in surgery were recently (1980) pointed out by van der Linden. The value of total parenteral nutrition (TPN) in connection with major surgical procedures and in the management of chronic inflammatory disease of the bowel is frequently debated. The present paper concerns some pitfalls in controlled randomized trials dealing with TPN. Emphasis is placed on the value of clinical judgement, common sense and appropriate experience in lieu of such trials, which in many instances are not feasible because of the extremely large numbers of patients required.
Clinical Trials as Topic↗
[Sugar metabolism in the mouth].
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Dietary Carbohydrates↗
[Isolated asymptomatic hematuria].
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Adult↗
The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow-Latarjet procedure.
One hundred and twelve shoulders with recurrent anterior dislocation were treated with the Bristow-Latarjet procedure and had a two to five-year follow-up after surgery. The incidence of redislocation was 6 per cent, and an additional 7 per cent of the patients reported occasional subluxation. In 106 shoulders, a radiographic study was carried out in order to determine the importance of factors such as healing and position of the transferred coracoid process with regard to the postoperative clinical results. No redislocation or subluxation occurred in the forty patients in whom the transplant showed osseous or fibrous union at the scapula and was located inferior to the equator of the glenoid and less than one centimeter medial to its rim. In shoulders in which either the transplant had migrated more than 1.5 centimeters from that position or was placed one centimeter or more medial to the glenoid rim, the incidence of redislocation or subluxation was significantly increased.
Adolescent↗