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Biomedical subjects

I B Andersen

Publications and source records attributed to I B Andersen.

9 recordsLinked to original sources
PubMed1991

[Clinical continuing education of younger physicians. A pedagogic trial with postgraduate clinical training using the clinical decision process].

The aim of this study was to improve the clinical training of the staff of a department of internal medicine. A total of 16 clinical pathological conferences with patient demonstrations were given. The doctor in charge of the conference motivated his choice of patient and made a critical review of the clinical decision process according to a 16 item check list. The median time used for planning of the presentation was five hours, range 2.5-8 hours. Sixteen of the participants (94%) found the training programme of very high or high quality while 1 (6%) found it less good. Fifteen (88%) of the doctors indicated higher clinical skill after than before the conferences (p less than 0.01). The registrars revealed a significantly better improvement of their clinical skills than did the senior registrars and consultants (p less than 0.05). The median educational value of the items of the check list was stated to be 1.3 (0-2). Statement of the probability of the final diagnosis of the patient, value judgement in clinical decisions and costs of diagnostic examinations were considered of highest educational value, 1.5-1.6. Postgraduate clinical pathological conferences with patient demonstrations including systematic reviews of the clinical decision process are valuable in the clinical training of doctors.

Clinical Competence↗
PubMed1989

[Hepatocellular carcinoma].

Hepatocellular carcinoma (HCC) constitutes 1% of all the cases of cancer in Denmark. The global incidence appears to be increasing. HCC is highly malignant with an average survival rate of approximately six months after establishing the diagnosis. A histological variant of HCC, fibrolamellar hepatocarcinoma, has, however, a one-year survival rate of 75%. HCC has a multifactorial etiology in which the most important factors are the Hepatitis B virus, cirrhosis and aflatoxin with alcohol as synergic co-carcinogen. The therapeutic possibilities are few and are mainly of palliative character but resection of the liver and liver transplantation may be considered in selected cases.

Carcinoma, Hepatocellular↗
PubMed1985

Response of solvent-exposed printers and unexposed controls to six-hour toluene exposure.

The acute effects of toluene were studied in 43 male printers and 43 control subjects matched according to sex, age, educational level, and smoking habits. The mean age of the subjects was 36 (range 29-50) years. The printers had been exposed to solvents for 9 to 25 years during employment at flexo and rotogravure printing plants, while the controls had no history of solvent exposure. Each subject was exposed once in a climate chamber to either 100 ppm of toluene or clean air for 6.5 h preceded by a 1-h acclimatization period. The effects of toluene were measured from subjective votes with linear analogue rating scales on 16 items, and on the performance of 10 different tests measuring psychomotor skills, perceptual skills, and vigilance. Exposure to 100 ppm of toluene compared with exposure to clean air caused discomfort with complaints of low air quality, strong odor, fatigue, sleepiness, a feeling of intoxication, and irritation of the eyes, nose and throat. Furthermore, the subjects exposed to toluene showed decreased manual dexterity, decreased color discrimination, and decreased accuracy in visual perception. There was no significant difference in the effects of toluene on printers compared to those of toluene on controls, but tendencies toward a greater sensitivity were seen for the printers in two tests.

Adult↗