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Biomedical subjects

S C Jensen

Publications and source records attributed to S C Jensen.

24 records · Page 2Linked to original sources

The relation of socioeconomic factors to the incidence of proliferative diabetic retinopathy and loss of vision.

PURPOSE: To investigate the relations between socioeconomic factors and the incidence of proliferative retinopathy and loss of vision. METHODS: A population-based sample of younger-onset persons with diabetes 25 years of age or older (n = 334) and older-onset persons with diabetes (n = 906) was followed over a 4-year period. Education, occupational status, employment status, and marital status were measured at baseline and follow-up. Main outcome measures were incidence of proliferative retinopathy and loss of vision measured using standard protocols. RESULTS: Proliferative retinopathy was more likely to develop in younger-onset women with less education than in those with more education; no relation was found in the older-onset group. Education was associated inversely with incidence of loss of vision in younger-onset women and older-onset men. CONCLUSION: These data suggest that education is associated with the development of loss of vision, independent of other risk factors. The associations vary between men and women and between younger-onset and older-onset people with diabetes. Further understanding of these relationships may lead to interventions to prevent loss of vision in people with diabetes.

Adult↗

13CO2 washout kinetics in acute hypercapnia.

The redistribution of CO2 and bicarbonate throughout the body following perturbations of normal respiration is not well described. We used tracer techniques to examine CO2-bicarbonate dynamics in an animal model in which acute hypercapnia was induced by hypoventilation. Eleven rabbits were anesthetized, tracheostomized, paralyzed and ventilated. In five animals PaCO2 was kept between 30 and 35 mmHg (control, C) while in six PaCO2 was held between 65 and 70 mmHg (acute hypercapnia, AH). A bolus of [13C]bicarbonate was given intravenously. Breath samples were obtained for 13CO2 by isotope ratio mass spectrometry and CO2 output (VCO2) was measured breath-by-breath for 240 min. There was no difference in the VCO2 between C [5.6 +/- 1.8 (SD) ml/min per kg] and AH (5.3 +/- 0.8). The 13CO2 washout for both C and AH was well fit by the sum of three exponentials. Only the time constant of the third (slowest) exponential was significantly longer in AH (103 +/- 11 min) compared with C (75 +/- 15, P less than 0.01). The mean residence time in AH (82 +/- 9 min) was significantly lower than in C (57 +/- 10, P less than 0.001). The estimated mass of exchangeable CO2 and bicarbonate was significantly greater in AH (443 +/- 37 ml per kg) compared with C (312 +/- 63, P less than 0.005). Compartmental analysis indicated that the increase in CO2-bicarbonate occurred primarily in the slowly exchanging pool. The data suggest that acute hypercapnia may be accompanied by a redistribution of exchangeable CO2 and bicarbonate in the body.

Acute Disease↗

Task analysis provides data for MRI curriculum planning.

No standardized education or training program currently exists for magnetic resonance imaging technology. The results of this initial national task analysis will assist in development of a curriculum guide and serve as a baseline for further research.

Allied Health Personnel↗

The herpes simplex viruses: the facts health professionals need to know.

Herpes labialis and herpes genitalis are described, including the symptoms, complications, treatment, and research of the disease. The article explains how transmission or contraction of the herpes virus occurs, particularly in the hospital setting, and how it can be avoided by the health professional.

Adult↗

Treatment and control of hypercholesterolemia and hypertension in persons with and without diabetes.

Our object was to examine whether the frequency of medical treatment for hypercholesterolemia or hypertension and the frequency of control of these conditions were different in persons with and without known diabetes. Subjects 43-86 years of age with (n = 376) and without (n = 4,420) known diabetes participated in the Beaver Dam Eye Study. Hypercholesterolemia was defined as a serum cholesterol of > or = 6.2 mmol/L or use of lipid-lowering agents, and hypertension was defined as a systolic blood pressure > or = 140 mm Hg or diastolic blood pressure > or = 90 mm Hg or use of antihypertensive medications. Those subjects with diabetes had a similar frequency of hypercholesterolemia (42.8% versus 43.3%, P = .22) and a significantly higher frequency of hypertension (73.1% versus 48.3%, P < .0001) than those without diabetes. In those who were hypercholesterolemic, subjects with diabetes were slightly more likely to use lipid-lowering agents than those without diabetes (14.6% versus 9.8%, P = .05). In those who were hypertensive, subjects with diabetes were more likely to be on antihypertensive medications than those without diabetes (77.4% versus 57.0%, P < .0001). After adjusting for sociodemographic and cardiovascular disease risk factors, the odds of a participant with hypercholesterolemia receiving treatment with lipid-lowering agents was 1.61 (95% confidence intervals [CI] = 0.98, 2.65) and the odds of a participant with hypertension receiving treatment with antihypertensive medications was 2.32 (95% CI = 1.68, 3.20) for those with diabetes versus those without.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗