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Biomedical subjects

B Wichmann

Publications and source records attributed to B Wichmann.

8 recordsLinked to original sources

[Implementation and testing of a multifunctional electronic patient record for routine practice and evaluation of patient care].

"Medical Monitoring" is a software produced for everyday medical practice in order to document data of history, physical and functional status, interventions and outcomes. The electronic patient record has been developed for research purpose within a network of hospitals and primary care physicians specialized in integrative medicine. It should help to realize a comprehensive documentation-system for long-term observations of patients concerning effectiveness, cost, risk and safety. Important components of the program are: a) health record for routine documentation in medicine and nursing b) tools for formal assessment in special indications c) user-support in service and decision-making d) user-support for advising and teaching patients in self-treatment and lifestyle-techniques e) archive-function for diverse findings f) tools for quality assurance g) tools for reimbursement and billing.

Computer Communication Networks↗

[Infant mortality among children of 35-39 year-old mothers. An analysis of development of death cause categories and among multiple pregnancies during the period 1980-1993].

The perinatal mortality in Denmark decreased significantly from the late 1980's to 1990-1993 but increased among births by mothers aged 35-39 years, from 9.7 in 1985-1989 to 11.0 per 1000 born in 1990-1993. No increase was observed among infants of teen-age mothers or mothers older than 40 years. Based upon data from the Danish National Register of Causes of Death and the Birth Register all perinatal deaths in 1980-1993 were classified in nine categories including pathoanatomical, obstetrical and paediatric criteria. The increase in perinatal mortality in infants born to mothers aged 35-39 years was because of more deaths due to congenital birth defects, intra-partum events and foeto-placental dysfunction, while mortality due to prematurity decreased. The rate of multiple pregnancies and of primiparas increased significantly among 35-39 year-old mothers. With reference to international literature, the article discusses the possible impact of in-vitro fertilisation and other fertility treatments upon the special trend in perinatal mortality in this mother age-group. A national Danish IVF-register was first established in 1994 and will in the future allow concrete analyses of the outcome of IVF-pregnancies.

Adult↗

Mortality from chronic interstitial nephritis and phenacetin consumption in Denmark.

After 1950, a pronounced increase in the mortality from chronic interstitial nephritis among women was registered in Denmark. This was suspected to be caused by a contemporary increase in the consumption of drugs containing phenacetin. Restrictions were therefore imposed on the sale of such drugs in 1961 and consumption decreased sharply. This report, based upon death certificates from 1941--76, shows that the mortality rate from chronic interstitial nephritis has decreased gradually among women in Denmark since 1960, and has now reached the same level in younger women as in the 1940's.

Chronic Disease↗

[Treatment of bradycardia with an atropine ester].

In view of the unsatisfying drug treatment of bradycardias in most cases, clinical studies with new compounds seem to be urgent. A report is given on experiences with a derivative of atropine (gen. Ipratropiumpromid) in 34 cases suffering from various types of bradycardias. Comparing heart rate following intravenous injections of 0.5 to 1.0 mg, the new drug proved to be definitely more effective than atropine sulfate. Side effects were limited to diminution of salivary glands function.

Adolescent↗