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Biomedical subjects

M Andreassen

Publications and source records attributed to M Andreassen.

At least 19 recordsLinked to original sources
PubMed2001

[Breast feeding in Tromsö before and after the baby-friendly-hospital initiative].

BACKGROUND: "The-Baby-Friendly Hospital Initiative" was introduced in the early 1990s by WHO/UNICEF to reverse a declining trend in breastfeeding worldwide. We wanted to investigate factors influencing breastfeeding and whether this initiative, introduced between 1993 and 1996, had improved breastfeeding in our region, Tromsø, a mid-sized city in northern Norway. MATERIAL AND METHODS: Medical records at maternal and child health centres of 1,374 infants born 1992 (n = 653) and 1997 (n = 721) were studied. The number of mothers breastfeeding, duration of lactation, parents' age, their occupation and education, maternal marital status and parity were registered. RESULTS: In a multiple regression analysis, birth, year 1997, high parental level of education/occupational prestige, and higher maternal age significantly prolonged the total period of breastfeeding. Parental age, education/occupation, the number of women starting breastfeeding, the duration of exclusive breastfeeding and the total lactation period significantly increased from 1992 to 1997. When correcting for parental age and education/occupation in a multiple regression analysis we found an increase in exclusive breastfeeding and the total lactation period by 0.5 month (mean (95% CI)) 0.5 (0.2-0.8) and 1.1 month (0.6-1.5) respectively. INTERPRETATION: This improvement might be due to "the Baby-Friendly Hospital Initiative", but also to unknown factors.

Attitude to Health↗
PubMed1999

[Surgical humour at Rigshospitalet].

Medical humour is often an important part of the treatment of patients in hospitals and in general practice. Therefore, medical humour should be distinguished from other forms of humour. The author of this article has served over forty years in Rigshospitalet of Copenhagen. He has observed the remarkable difference in the frequency of homour in the two surgical departments of the hospital. Department D had as a chief Wilhelm Schaldemose. He seemed to be completely without any sense of humour, and this spread to the rest of the department. When Schaldemose died Sigurd Kjaergard became head of the department. His sense of humour was limited, and he was not able to induce the humour to the rest of the department. It was first in 1953 when Erik Husfeldt took over as chief that the humour developed in the department, and it took several years before humour became a part of the daily treatment of patients. On the other department C the humour has always had good days starting with Thorkild Rovsing, the first chief, and later when Erling Dahl-Iversen was leader of the department. He had a special way to educate his staff in his sense of humour which became well known all over the hospital. In the beginning of this year a new society: >>Nordic Society of Medical Humour<< has been founded in Norway. This seems to be a remarkable positive development in the field of medical humour.

Attitude↗
PubMed1993

Autopsy-verified major pulmonary embolism after hip fracture.

This retrospective study included 1812 hip-fracture patients 40 years of age or older who did not receive prophylactic anticoagulation. Two hundred seventy-three patients (15.1%) died within 90 days after hospitalization. In 180 autopsies, 27 cases of major pulmonary embolism (PE), defined as occluding at least one lobar or several segmental arteries, were found. Based on an autopsy frequency of 72%, a rate of 1.4% major PEs during the first 30 days could be estimated. No major PE was found among patients with femoral neck fractures treated conservatively or by internal fixation or among patients younger than 66 years of age.

Adult↗
PubMed1989

Radio-iodobenzylguanidine scintigraphy of neuroblastoma: conflicting results, when compared with standard investigations.

Seventy-one patients with neuroblastoma (NB) and 25 patients with other neoplastic or nonneoplastic diseases were studied with MIBG scintigraphy. Sensitivity and specificity at diagnosis were 94% and 88%, respectively. Of 52 patients with NB studied during follow-up, 14 had on one or several occasions conflicting results, when the findings at MIBG scintigraphy were compared to standard investigations (SI: CT scan, bone scan, x-ray, and ultrasound). The correlation of MIBG scintigraphy and SI to clinical outcome were in these 14 patients not significantly different. Adding VMA-excretion measurements did not significantly improve the predictive value of MIBG scintigraphy or SI. Patients with tumor-suspected lesions only at MIBG scintigraphy should be followed closely and the nature of the lesions should be explored through biopsy.

3-Iodobenzylguanidine↗
PubMed1976

Principles in operative treatment of residual bile duct stones.

Of sixty-five patients with residual bile duct stones 17 patients had a supraduodental choledochotomy as the only operative procedure. Of the remainder, 48 patients, a supplementary sphincteroplasty was carried out in 36, and a choledochoduodenostomy was added in 12 patients. Early postoperative results showed two deaths, while 40 patients passed an uneventful postoperative course. Following sphincteroplasty three patients had residual stones at the postoperative cholangiography. These calculi had disappeared at follow-up examination. Follow-up examination with a mean observation period of six years revealed 50 patients free of symptoms. Four patients were re-operated on because of residual stones. None of these had a sphincteroplasty. It is concluded that in the operative treatment of residual bile duct stones sphincteroplasty and choledochoduodenostomy offer valuable supplements to the supraduodenal choledochotomy.

Adult↗