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Biomedical subjects

G Bring

Publications and source records attributed to G Bring.

14 recordsLinked to original sources
PubMed2002

Self-assessments of general and oral health in persons with chronic whiplash-related disorders.

OBJECTIVE: The objectives of the study were 1) to describe general health and daily functioning in a group of subjects with whiplash-associated injuries, 2) to analyse self-assessments of oral disease relative to background factors, 3) to investigate if the Medical Outcomes Study Short Form 36 (SF-36) Health Survey variables were related to the oral disease variables. DESIGN: Questionnaires included the SF-36 Health Survey, and self-assessed oral health with regard to relevant background factors such as gender, age, education and marital status. Logistic regression modelling was performed. PARTICIPANTS: Members of a nationwide Swedish association enlisting persons who have problems concerning a whiplash injury (n = 1,928) were included. A total of 979 persons participated in the study, a response rate of 50.8%. RESULTS: More than twice as many females (n=680) as men (n=296) responded to the questionnaire. A general trend, in comparing SF-36 scores between the present study group and the normative sample, was that persons with whiplash associated disorders scored considerably lower on all scales. Older age and being of female gender, together with poorer physical functioning and poorer general health, were related to poorer oral health status. CONCLUSION: Self-assessed oral health was correlated to impairment in general health, a finding which is in agreement with an integrated holistic understanding of human health and disease. One causative chain for this may be through the stress mechanisms.

Activities of Daily Living↗
PubMed1996

Gender patterns in minor head and neck injuries: an analysis of casualty register data.

This study was designed to determine the age- and gender-specific incidences of moderate and minor head and neck injuries from emergency room casualty registers in two cities in northern Sweden. By contrast with findings in most studies on injuries, the incidence of minor and moderate head and neck injuries was higher among women than men in the 15-17- and the 39-53-year-old age group, and the incidence of neck injuries as high among women as among men in the 15-65-year-old age group. As compared to men, women more often sustained their head and neck injuries as pedestrians and as car passengers, and in rear-end and side collisions. Men were more often injured as motor vehicle drivers, in single-vehicle accidents and head-on collisions. Sports-related impact injuries were twice as common as fall injuries among men, the reverse being true of women. The determinants of gender-specific differences, and the relatively high incidence of minor head and neck injuries among women are discussed in relation to exposure, physical differences, as well as behaviour and lifestyle. It is recommended that greater detail is required in injury registrations, and that neck injury prevention be improved taking into consideration women's greater vulnerability to such injuries.

Accidents, Traffic↗
PubMed1991

Hidden cervical spine injuries in traffic accident victims with skull fractures.

We studied 22 cervical spines from traffic accident victims with fatal craniocerebral injuries (19 male victims and three female victims; mean age, 26 years). Two had parietal fractures, 20 had skull base fractures (seven ring fractures), and 16 had severe polytrauma. The spines with all soft tissues were frozen in situ and removed. Fine-focus specimen radiograms were taken in special views and evaluated by an expert orthopedic radiologist. The specimens were then cryosectioned, and all injuries were recorded at submillimeter intervals on high resolution film. Ten radiological fracture diagnoses were incorrect; six were false positive, and four were false negative. In the upper cervical spine, only one of 10 gross ligamentous disruptions was suspected on the radiograms. In the lower cervical spine, 198 lesions were missed on the radiograms: 77 facet joint and ligamentum flavum injuries, 77 uncovertebral, and 22 disc lesions. In two adolescents, eight cartilaginous end-plate avulsions of the discs were found. At second-look evaluation, only four of the 245 unrecognized bone and discoligamentous lesions were detected on the radiograms. All spines were injured. Multiple-level soft-tissue injuries were common.

Accidents, Traffic↗
PubMed1991

Chronic posttraumatic syndrome after whiplash injury. A pilot study of 22 patients.

Chronic posttraumatic syndrome after whiplash injury presents several problems to the general practitioner, due largely to the discrepancy between the multiplicity of subjective symptoms and the poverty of objective findings. With the aim of analysing the symptoms and signs of this syndrome and of evaluating the significance of extended physical examination, 22 chronically disabled patients were investigated. The chronic syndrome is characterized by widespread symptoms, migrainous headache, and aggravation following physical activity. Extended physical examination, including an analysis of pain reaction elicited by palpation and a nerve tension test of the brachial plexus, together with negative X-ray examination, supports a common origin of symptoms in soft tissue injury and a disturbance of locomotor function. On the basis of this study we propose an alternative approach to diagnosis and care for these patients.

Accidents↗
PubMed1989

Oculomotor problems after cervical spine injury.

Oculomotor function was investigated in 39 patients with a previous soft-tissue injury of the cervical spine. The velocity, the accuracy, and the pattern of the eye movements were disturbed in 20 patients with chronic and disabling symptoms. Oculomotor function in the 19 asymptomatic patients did not differ from a control group. The oculomotor function seems to be impaired, possibly by brain stem lesions, in patients with chronic symptoms of whiplash injury of the cervical spine.

Adult↗
PubMed1987

Rolled up to death. An unusual autoerotic fatality.

Recently, an unusual case of autoerotic death in which a man died of hypoxia after having enclosed himself in plastic was reported in this Journal (1). We present a second case showing many similarities to the one published previously.

Cause of Death↗
PubMed1985

The patients dying after long terminal phase have acidotic brains; implications for biochemical measurements on autopsy tissue.

Measurement of the frontal cortex and the medulla oblongata pH at autopsy revealed that those brains from individuals who died after long terminal phase had lower pHs than those who died quickly. These low pHs (pH 6.0-6.5) corresponded to lactic acid concentrations (20-25 mM) which are known to be neurotoxic. The cerebrospinal fluid pH and blood pH correlated with the cortical pH. The significance of these observations to the study of the biochemistry and histology on post-mortem human brain tissue and their possible clinical relevance are discussed.

Acidosis↗