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Biomedical subjects

P Sundby

Publications and source records attributed to P Sundby.

At least 19 recordsLinked to original sources
PubMed1993

[Empathy].

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Empathy↗
PubMed1990

[Who is expert on justice--specialists or the local medical and social observers?].

A young Norwegian father was convicted of having battered his 5 month-old daughter to death. The trial relied heavily on a medicolegal autopsy report, the conclusions of which have been later questioned by clinical specialists. These specialists claim that the child died a natural death from hitherto undiagnosed osteogenesis imperfecta. The correspondence raises the question of why the opinions of local medical instances, and of people who had known the family and the circumstances for a long time, were neglected in favour of the opinions of experts during all phases of the trial. These people were convinced all the time that the child had been weak and sick from birth onwards, and that the innocent father was a victim of the tendency of the courts to accept expert advice only.

Child↗
PubMed1986

Social function of adults with isolated ventricular septal defects. Possible negative effects of surgical repair?

Possible long-term deterioration of social function has been studied in adults over 30 years of age with congenital, isolated ventricular septal defects (VSD). This deterioration may possibly have been caused by brain damage connected with open heart surgery performed after age 10 years. Thirty-five patients with a mean age of 39 (range 31-61) years have been followed up for an average of 15 (3-21) years when restudied after surgical repair of VSD performed at a mean age of 23 (10-51) years (Group 1). Their social status was compared with 61 non-operated subjects with basically smaller defects, mean age 43 (31-73) years, who had been followed up for an average of 14 (3-21) years. Group 1 had a higher educational level, were less stressed at work, had a higher gross income (NS) and were less physically disabled (p less than 0.01). Both groups had a higher educational level than normal 40-year-old Norwegians. The percentages receiving disablement pension were 12% in group 1 and 13% in group 2. Despite a higher abortion rate (33% vs. 18%), group 1 females had a higher number of liveborn babies than those in group 2 (NS). Regular medical check-ups were attended by 45% and 60% in groups 1 and 2 respectively, and about half took antibiotics prophylactically. Unlike when initially investigated, group 1 had a better cardiac condition than group 2. Compared with the non-operated group, the operated patients had suffered no detrimental effects on their social function. We therefore advocate a liberal policy for surgical repair of VSD after age 10 years.

Adolescent↗