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Biomedical subjects

K Blomquist

Publications and source records attributed to K Blomquist.

10 recordsLinked to original sources
PubMed1993

The morphologic relationship of sinus and fistula formation to intestinal stenoses in children with Crohn's disease.

Sinus and fistula (SF) formation in adults with Crohn's disease has been ascribed to increased intraluminal pressure from stenotic lesions or to inflammation. We retrospectively evaluated 55 surgically resected specimens from 30 children with Crohn's disease for stenotic lesions, sinuses, fistulas, and inflammation. Eighteen of 30 children had one operation, and there were 12 multiple surgeries. Thirty-one of 55 specimens (56%) contained stenoses. SF formation was seen in 16 of 31 specimens with stenosis; it developed proximal to the stenosis in seven patients, distal in five, and both proximal and distal in four. SF formation was also noted in 12/24 specimens without stenosis. In 93% of the cases, the SF was associated with moderate to severe inflammation. Although 56% of the patients had stenoses, SF frequently developed independent of stenosis. All SF were associated with inflammation. Therefore, inflammation rather than increased intraluminal pressure appears to be the primary factor in SF formation in children with Crohn's disease.

Adolescent↗
PubMed1992

Living arrangements, visit patterns, and health problems in a nurse-managed clinic for the homeless.

The purpose of this article is to describe living arrangements, clinic visit patterns, and health problems of clients by age and gender in a nurse-managed clinic serving the homeless. The conceptual framework for this project was derived from a nursing perspective of community health. The problem classification scheme used included four domains of community health practice: environmental, psychosocial, physiological, and health-related behavior. Data were collected during each visit to a nurse-managed health clinic for the homeless for 18 months. The findings indicate that living arrangements and visit patterns vary by age and gender. Health problems associated with integument and income were identified as primary and secondary problems across all age groups. Six other health problems were shared across all age and gender groups as either primary or secondary: circulation, respiration, pain, nutrition, communication, and prescription medication. Substance misuse was not a primary problem noted by clients, but was commonly a secondary problem. Genitourinary problems were noted primarily to be problems of younger women. Implications for planning nursing services for the homeless are discussed.

Adult↗
PubMed1991

Children with dermatological disease and their mothers.

Our study hypotheses are based on extensive, clinical experience of patients with psoriasis and atopic eczema and on observations of emotions these patients tend to provoke in nursing personnel. We wanted to see whether there were statistically significant differences between these patient categories. We also wanted to compare dermato not equal to logical patients with patients seeking help for psychological problems (alexithymia-hypothesis). Since psoriasis starts and atopic eczema often gets worse in puberty or young adulthood, we chose to study teenagers. On this occasion, we will discuss the Rorschach test results of our female subjects (n: 99) and their mothers (n: 68) scored by Holt's "Method for Assessing Primary Process Manifestations and Their Control in Rorschach Responses" and the girls' scores on Edwards Personal Preference Schedule--questionnaire. The results seem to confirm the alexithymia-hypothesis and our control group of young psychiatric outpatients (mainly neurotics) produce more varied Rorschach protocols consisting of more primary process material and more creative solutions. In contrast, protocols of psoriatics are strict and formally good with occasional outbursts of slightly shocking primary process material. Girls suffering from atopic eczema produce long and varied, but rather defensive, Polly Anna-like protocols. The statistical differences between mothers and daughters within each diagnostic group suggest that the psychiatric patients differ most from their mothers in the following areas: they give more libidinal answers which often are of more primitive kind than the answers of their mothers, and, they seem to have better means of coping with their impulses than the mothers.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1988

Merkel cell carcinoma arising in the oral mucosa.

This is the first reported case of a Merkel cell carcinoma arising in the oral mucosa. The tumor occurred in a 53-year-old white man, and it originated in the right mucobuccal fold. The Merkel cell origin was confirmed by electron microscopic and immunohistochemical studies.

Adenocarcinoma↗
PubMed1983

CT diagnosis of congenital lobar emphysema.

Congenital lobar emphysema can be diagnosed by conventional chest films, but it may be difficult to determine which is the affected lobe or the etiology. This report presents the computed tomographic (CT) appearance of this entity and also emphasizes the significant role CT may have in its diagnosis.

Humans↗