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Biomedical subjects

J R Jepsen

Publications and source records attributed to J R Jepsen.

At least 19 recordsLinked to original sources

[Nerve affection in connection with bloodletting I. A rare, but potentially serious complication].

Based on clinical experiences and a review of the literature we describe venepuncture of blood donors complicated by an affection of the peripheral nerves secondary to an arterial or venous lesion. Such complications are rare but potentially disabling and should be known in blood banks and clinical departments to which these patients are referred. Blood donors should be offered optimal and early diagnostics, which appear to be a prerequisite for treatment of donors complaining of pain of neuropathic character extending beyond the puncture site. Recognition of the complication opens options for prevention.

Blood Donors↗

[Nerve affection in connection with bloodletting II. Four case reports].

Four blood donors with persistent pain and dysfunction of the upper extremity after venepuncture are presented. Physical examinations identified median nerve-affections in all and additionally a varying involvement of other nerves in the elbow region. Such complications appear to have developed following to a vascular lesion. They are rare but potentially disabling and should be known in blood banks and clinical departments to which these patients are referred.

Adult↗

Long-term sickness absence - risk indicators among occupationally active residents of a Danish county.

This study aims to identify risk factors and their prevalence in long-term sickness absence. The study is designed as a case-referent study which comprises 481 participants who have experienced a sickness absence lasting >10 weeks and a reference group of 1326 individuals in active employment. Multivariate analysis identified the following significant risk factors for men: (i) age >50 years [odds ratio (OR) = 2.4]; (ii) short period of education (OR = 2.3); (iii) unemployment within the last 3 years (OR = 1.7); (iv) heavy-duty work (OR = 2.1); (v) monotonous, repetitive work (OR = 1.7); (vi) lack of job satisfaction (OR = 2.1); and (vii) much back pain during the last 3 years (OR = 2.1). The following risk factors were identified for women: (i) leaving school without graduation (OR = 2.6); (ii) unemployment within the last 3 years (OR = 1.5); (iii) heavy-duty work (OR = 2.8); (iv) lack of influence on own job situation (OR = 2.1); and (v) much back pain within the last 3 years (OR = 1.8). It is concluded that the identification of working environment risk factors constitutes a case for improvement of the working environment which may be instrumental in reducing long-term sickness absence.

Absenteeism↗

[Asthma caused by methylene-diphenyl-diisocyanate cast in a nurse].

A case of a 35 year-old female nurse without atopic disposition is presented. For one year (1990-1991), she worked in an emergency room, applying synthetic casts containing MDI 0-3 times daily. She developed rhinitis, itchy eyes and nightly wheezing, during employment in the emergency room, with subsequent serious asthma attacks in 1992 and 1996. Just before the last attack, the patient's husband had used insulation foam containing MDI. A specific bronchial provocation test was performed with MDI-based synthetic cast material. The patient developed an asthma attack after seven hours, with a 48% drop in FEV1, suggesting that MDI is the causative agent.

Adult↗

[Reported occupational diseases. A 5-year follow-up study from the county of Ribe].

The present study sought to examine the health-related, work-related, social and economic consequences of occupational disorders. The survey included 503 patients and was undertaken approximately five years after the disease was notified to the Registry of Occupational Diseases (Danish Working Environment services). The response rate was 80% with women accounting for 56% of the responding group. The mean age was 39.5 years. More than half of all respondents were unskilled workers. White-collar workers and civil servants constituted 14%. Musculo-skeletal disorders were the most frequently diagnosed condition. Forty percent of the occupational diseases were reported in the year in which symptoms arose, while 21% of the patients had been symptomatic for more than six years before the disease was notified. The study indicates that many patients' occupational diseases caused them significant social and medical consequences. During their often protracted illnesses, patients underwent numerous medical examinations and additionally contacted several agencies other than health care providers. Economic consequences for the patient were considerable: reduced earning capacity and expenses were only partially offset by the workers' compensation system. The impact on the health care system was also considerable: occupational disease sufferers averaged one week of hospitalization and 18 visits to a general practitioner or specialist.

Adult↗

[Healthy children].

Explore the source record for details and available documents.

Abortion, Spontaneous↗

[Work environment and health in the maritime occupations].

The health risks for seamen exceed those of other occupational groups and involve serious social problems. Notwithstanding, the preventive measures of maritime medicine have low priority in most countries. The Nordic countries should lead the way in this field, not least because they have a traditional interest in social and preventive medicine but also because the maritime occupations there play a major role. Several practitioners of occupational medicine in the Nordic countries have suggested the establishment of both an industrial health service for seamen and research institutes for maritime medicine.

Environmental Health↗

Contact allergy to the fungicide benomyl?

Benomyl is a widely used fungicide. Contact allergy to benomyl has been reported in a few cases. We describe a group of 62 workers, exposed to benomyl. None had contact dermatitis from benomyl. It appears that benomyl at most is a weak sensitizer. We suggest that earlier-reported allergy may represent cross-reactions and/or that the development of contact allergy to benomyl requires previous exposure to other chemically related pesticides.

Adult↗

[Occupational supraspinatus tendinitis. The rotator cuff syndrome seen from a medical insurance point of view].

The medical insurance course concerning a woman aged 53 years is described. Throughout two years she had stacked more than 20 tons of cheese daily in units of 4.5 kg from a conveyer belt to shelves from ankle to shoulder height. During a period in which great quantities of cheese consisted of units of 18 kg which had to be stacked at over head height, she developed bilateral supraspinatus tendinitis. The patient was no longer able to work and she was subsequently awarded disability pension. The course of this case of occupational insurance is described and criticised.

Female↗