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Biomedical subjects

S Harvei

Publications and source records attributed to S Harvei.

6 recordsLinked to original sources

[Data respect--data discipline--data understanding].

All hospitals are obliged to have an index of diagnoses made in the hospital. This file should be the basis for evaluation, planning and research. Our view is that such files are today incomplete and not very fit for above-mentioned purposes. The introduction of EDP in hospitals does not seem to have improved the situation very much. Therefore the hospitals should improve the professional responsibility for these files, in order to obtain complete and correct registration. Administrators and physicians in administrative positions must feel responsible for feed-back of patient data to the different departments for analysis, discussion and evaluation. This will hopefully increase the interest for data and registration, and supply a better medical basis for planning hospital activities.

Attitude of Health Personnel

[Kaposi's sarcoma. Development in Norway during the period 1957-86].

The article analyzes the incidence of Sarcoma Kaposi in Norway during the period 1957-86 (30 years). A clear increase is found for both sexes, particularly over the last 15 years. Whether this is due to changes in diagnostics, classification etc. can best be decided by histopathological reanalysis of the material and a representative sample of known differential diagnoses. There was also a marked increase among males under 50 years of age, mainly related to known AIDS or HIV infection. Among females under the age of 50, no association to HIV is reported. This may be due to under-reporting, or may be because the increase among females under 50 years of age is not related to HIV infection.

Acquired Immunodeficiency Syndrome

Oligodendroglioma: incidence and biological behavior in a defined population.

The cases of 208 patients with histologically confirmed oligodendrogliomas were studied. The incidence represents 4.2% of all primary brain tumors diagnosed in the Norwegian population over a 25-year period. All of these tumors were cerebral and the majority affected the frontal lobe. The patients' median age at diagnosis was 47 years, with a range from 3 to 76 years; 6% of the oligodendrogliomas occurred in children. The median duration of symptoms before diagnosis was 20.5 months (mean 43 months). Plain skull x-ray films showed calcified deposits in 28% of the tumors. At operation, most of the tumors were poorly defined, without cyst formation, hematoma necrosis, or calcification. The median duration of disease from onset of symptoms until death was 14 months in nine untreated cases. In surgically treated oligodendroglioma patients the median survival time from onset of symptoms was 74 months. The median postoperative survival time was 35 months (mean 52 months). Tumor calcification, as seen on plain skull x-ray films, was associated with a significantly longer survival period. The surgical findings of gross necrosis, gross hypervascularity, and soft tumor consistency were all related to a shorter total duration of disease. Grossly well demarcated lesions were associated with a significantly longer postoperative survival. The length of postoperative survival correlated with the preoperative clinical status. The cumulative proportion of patients surviving 5 years was 0.342. The patient's age and sex did not have a statistically significant influence on survival time. The extent of surgical excision only seemed to play a role when the neurosurgeon considered that he had removed the whole lesion: these patients had a median postoperative survival period 14 months longer than the other oligodendroglioma patients. The ABO blood group of the oligodendroglioma patient was of prognostic value. In particular, patients with blood group A had a distinctly poorer prognosis than patients with O or B blood. The survival data from this unselected series indicate that cerebral oligodendrogliomas have a less favorable prognosis than has generally been believed.

Adolescent