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Biomedical subjects

R Andersen

Publications and source records attributed to R Andersen.

At least 109 records · Page 6Linked to original sources
PubMed1981

Legionnaires' disease combined with erythema multiforme in a 3-year-old boy.

A case of Legionnaires' disease (LD) is described in a 3-year-old boy. He had fulminant disease with typical signs like bilateral pneumonia, gastrointestinal symptoms, and somnolence indicating involvement of the central nervous system. There was no premorbidity. An outstanding development was erythema multiforme, which has never previously been described in LD. The basic disease was caused by Legionella pneumophila. This is evidenced by specific serum IgM at admission and a subsequent significant rise in titers against L. pneumophila. At an early stage respiratory syncytial virus (RSV) was isolated from the patient's throat, although there was no antiviral serological response at the outset of erythema multiforme or 3 weeks after onset of disease; anti-RSV appeared later. The prolonged course of the disease can be explained by the successive occurrence of two infections. The possibility that the virus could have contributed to the development of erythema multiforme cannot be ruled out. The role of concomitant medication cannot be separated out, but on the basis of general knowledge of their immunogenicity and the fact that immunosuppressive cortisone was given at the time it is less likely that the antibiotics contributed significantly.

Child, Preschool↗
PubMed1981

The status of hospital discharge data in Denmark, Scotland, West Germany, and the United States.

This section has surveyed characteristics of the health service systems in Denmark, Scotland, West Germany, and the United States. Certain characteristics in each country are likely to increase hospital utilization. In the United States the characteristics include economic incentives to physicians and patients for hospital use and the high percent of physicians in specialty practices. In Denmark the high proportion of hospital-based physicians may increase hospital use. In Scotland the use of capitation to pay office-based physicians and the absence of a nursing home system probably increase hospital use, and in West Germany the large number of physicians per population and the lack of sufficient alternative facilities for long-term care are likely to increase hospital use. On the other hand, each health services system has some characteristics that should decrease hospital use: for instance, the large number of alternative facilities for long-term care in the United States, the well-established programs for home care in Denmark and Scotland, and the small percent of physicians who are specialists in West Germany. Further research is needed to understand the interactions of these factors and the effects they have on hospital use. Increased understanding of the effects of health services system characteristics should result in more useful comparisons of hospital utilization statistics.

Adolescent↗
PubMed1980

Methodological issues in health care surveys of the Spanish heritage population.

This paper examines national survey data on access to medical care to explore methodological issues associated with conducting health care surveys of Spanish-heritage persons. These include problems of identifying and sampling such groups, achieving respondent cooperation, designing valid interview protocols, and controlling biases that may result from the cultural specificity of the concepts being studied. The findings suggest that more attention should be given to the following in designing health care surveys of Spanish-heritage individuals: cultural and economic heterogeneity of "Spanish-heritage" grouping, validity studies of health care utilization, and yea-saying tendencies related to health care attitude items. Given that there is a paucity of information available on methodological problems associated with health care surveys of Spanish-heritage persons, these analyses should serve to inform researchers of issues to be taken into account in designing such studies and to suggest useful hypotheses to explore in evaluating the validity of social survey data on minority (especially non-English speaking) populations' health care practices.

Adolescent↗
PubMed1978

Adult respiratory distress syndrome precipitated by massive salicylate poisoning.

Pulmonary oedema has been reported in severe cases of acetyl salicylic acid (ASA) poisoning. Liberal use of intravenous fluids, to establish a forced diuresis, is usually thought to be the precipitating cause. A case of severe ASA poisoning and respiratory failure was found to have increased pulmonary vascular resistance and signs of intravascular hypercoagulability. The patient recovered rapidly on mechanical ventilation with a positive endexpiratory pressure of 18 cm H2O and systemic steroids.

Aspirin↗