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Biomedical subjects

F Borst

Publications and source records attributed to F Borst.

59 records · Page 4Linked to original sources
PubMed1987

The treatment of hallux valgus in runners using a modified McBride procedure.

We have carried out a modified McBride procedure in 21 patients with hallux valgus which caused pain during running. They have been followed up for a mean of 5.5 years. Metatarsophalangeal pain and metatarsalgia were relieved or significantly decreased in the majority of patients, but callosities beneath the second metatarsal head were not affected. When the angle between the first and second metatarsals did not exceed 14 degrees before operation, satisfactory correction could be obtained. In the absence of degenerative changes in the first metatarsophalangeal joint and with a moderate hallux valgus, a consistently good result was obtained in this group of active patients.

Adolescent↗
PubMedDate not supplied

Long-term results after surgical management of chronic pancreatitis.

BACKGROUND/AIMS: Long-term outcome in surgery for chronic pancreatitis remains relatively unknown. METHODOLOGY: Between 1963 and 1993, we performed 123 pancreatic resections and 35 drainage procedures for severe chronic pancreatitis. We reviewed 131 patients with a mean follow-up of 48 months (4 months to 18 years). RESULTS: Actual 10-year survival was 82% for nonalcoholic patients and 51% for alcoholic pancreatitis. Pain was successfully treated in 71% with pancreatic resection and in 42% with drainage procedures (p<0.01). Although post-operative diabetes mellitus occurred in 56% of patients after pancreatic resection, long-term nutritional status was similar after pancreatic resection and drainage procedures. Weight gain could be observed in 75 patients (47%) and quality-of-life was good to excellent in 97 patients (74%). CONCLUSIONS: In conclusion, long-term survival was mainly conditioned by the etiology of the disease. Pancreatic resections were more successful in treating intractable pain than drainage and required fewer re-interventions. As presumed, resections were associated with a higher rate of diabetes mellitus, but this, however, had no impact on long-term nutritional status and quality-of-life.

Adult↗
PubMedDate not supplied

Organizing the clinical data in the medical record.

We have developed a method of collecting and arranging clinical data that makes the medical record more useful in patient care and research. The design is based on two principles: that detailed clinical findings should be recorded independently of any diagnostic interpretation, and that time should be integrated as a dimension of the medical record. Analysis of the principal components of the medical record as we have organized it allows identification of clinical entities on the basis of synchronous or sequential features and facilitates precise tracking of symptoms, evaluation of therapeutic effects, comparison of treatments, identification of patients at risk of recurrence, transmission of observations from physician to physician, and analysis and reinterpretation of the observations recorded.

Ambulatory Care↗