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Biomedical subjects

E Meland

Publications and source records attributed to E Meland.

51 records · Page 3Linked to original sources
PubMed1993

Assessment of clinical features predicting streptococcal pharyngitis.

A total of 133 patients who consulted 4 general practitioners in Bergen 1988/89 for sore throat were examined. 8 clinical parameters with expected predictive value for identifying streptococcal tonsillopharyngitis were recorded. Clinical examination was validated against bacteriologic examination at a microbiological laboratory. The prevalence of streptococcal infection (group A, C and G) was 29%. An algorithm was constructed which identifies 3 groups with varying probabilities of streptococcal infection. A positive predictive value of 62% in the group with highest prevalence and a negative predictive value of 90% in the group with lowest prevalence was found. The consequences of performing a confirmative test only on patients in the group with uncertain prediction for streptococcal disease was elaborated. Although slightly reduced accuracy was demonstrated, due to diminished sensitivity, selective testing is recommended. Another algorithm was constructed for use in situations where no confirmative testing is available. The positive predictive value in the group with highest probability of streptococcal infection was 51%, and the negative predictive value in the group with lowest probability was 84%.

Algorithms↗
PubMed1991

[Perestroika--in medicine too].

The article criticizes the one-dimensionality of natural science and the one-way concept of causality in medicine. The crisis in medical practice and health economy is considered in the light of an outdated and rigid health ideology with parallels in the "scientific" dogmas that have now been discarded in Eastern Europe. In this article we try to point a way out of this unfortunate situation: how would a change of paradigm affect clinical practice, health ideology and our concept of social policy?

Economics, Medical↗
PubMed1990

[Sore throat].

Explore the source record for details and available documents.

Humans↗
PubMed1989

Effect of fish oil on blood pressure and blood lipids in men with mild to moderate hypertension.

Forty men with mild to moderate hypertension were given one of two dietary supplements for 6 weeks: 20 capsules of fish oil (MaxEPA) or placebo (olive and corn oil). The MaxEPA supplement provided about 7 g omega-3-fatty acids pr day, whereas the placebo contained about 7 g omega-6-fatty acids and only 0.2 g omega-3-fatty acids. A clinical insignificant reduction in blood pressure was noted in both groups. In the fish oil group, the serum triglyceride levels fell by 30%. A decrease in the ratio total cholesterol/high density lipoprotein (HDL-) cholesterol was noted in both groups, most pronounced in the placebo group. No significant effect on total serum cholesterol level was observed during this study.

Adult↗