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Biomedical subjects

J T Møller

Publications and source records attributed to J T Møller.

49 records · Page 3Linked to original sources

The consequences to the injured of occupational accidents. A follow-up study of an emergency department material.

The consequences of occupational accidents to the injured have been studied in a follow-up investigation of an emergency department material comprising almost 7 000 patients. The accident resulted in sick leave for 51% (on average 14.9 working days), in a reduced income for 31% (on average 2 125 Danish 1982 kroner), in a prolonged physical handicap for 6%, in hospitalization for 4.2% (on average 27 days), and in occupational consequences for 1.5%.

Absenteeism↗

Radiologic aspects of the Galeazzi lesion.

In lesions of the forearm that included a fracture of the distal two thirds of the radial shaft, a concomitant disruption of the distal radio-ulnar joint was found in 20 out of 38 cases. In 15 cases a typical Galeazzi lesion was present. Dislocation of the distal radio-ulnar joint frequently goes unrecognized. The clinical significance of a lesion in the distal radio-ulnar joint is related to its prognostic value.

Female↗

Total condylar prosthesis placement in knee arthroplasty. Biomechanic analysis of human knee preparations.

Knee replacement using the Total Condylar Prosthesis was carried out on six large cadaveric knees. Tibiofemoral articulation was studied radiographically with the tibial component placed anteriorly as well as posteriorly on the tibial plateau. It is concluded that, in this model, when using the Total Condylar Prosthesis for big-sized knees, a tall, posteriorly placed tibial component gave the best placement of the femoral component and the most central tibio-femoral articulation, entailing optimal distribution of the load on the trabecular bone beneath the tibial component.

Biomechanical Phenomena↗

Some public expenses in connection with occupational accidents. A follow-up study of an emergency department material.

An attempt has been made to calculate some of the public expenses arising from occupational accidents, by means of a follow-up study of an ad hoc emergency department investigation of 6 941 consecutive cases. Each accident has given rise, on average, to two visits to a physician, and to hospitalization for 1.1 days. During a one-year period, the expenses of sick benefits, hospital admissions, and medical treatment alone for the whole of Denmark amount to a minimum of 1.2 milliard 1982 Danish kroner, and at least 8 900 man-working-years have been lost.

Accidents, Occupational↗

The effect of vagotomy on human gastroesophageal sphincter pressure in the resting state and following increases in intra-abdominal pressure.

The effect of surgical isolation and extrinsic denervation of the distal 5 to 7 cm of the human esophagus on resting gastroesophageal sphincter pressure and its response to graded increases of external abdominal compression was determined in 89 patients with duodenal ulcer. Fasting serum gastrin concentration also was measured. No significant changes in resting sphincter pressure were obtained before and after vagotomy of various types: parietal cell vagotomy, selective gastric vagotomy plus drainage, and selective gastric vagotomy plus precise antrectomy. No correlation between resting sphincter pressure and fasting serum gastrin concentration was found in any of the groups studied. The increase in gastroesophageal sphincter pressure was similar to the increase in intragastric pressure after 10, 20, and 30 mm Hg of external abdominal compression and was unchanged after all types of vagotomies. These results suggest that (1) extrinsic innervation of the lower esophageal sphincter in humans does not regulate the resting tone of the sphincter; (2) extrinsic "mechanical" influence does not play any role in the maintenance of resting pressure; (3) the effect of increased abdominal pressure is a pure mechanical effect, is unchanged after vagotomy, and therefore is not regulated by external neural reflex.

Abdomen↗

Gastroesophageal reflux in duodenal ulcer patients before and after vagotomy.

Gastroesophageal reflux was investigated in 80 patients with duodenal ulcer by analysis of symptomatology and the acid reflux test. Resting gastroesophageal sphincter pressure (GESP) and postvagotomy reduction in basal and pentagastrin stimulated gastric acid secretion were also studied. Reflux symptoms were present in 40% of the patients, and this incidence was significantly reduced two months after vagotomy. In patients studied late after operation reflux symptoms were still less frequent than before operation, but not significant. After vagotomy, no significant changes in the fasting GESP or in gastroesophageal reflux as determined by the pH glass electrode were demonstrated. Thus, the decrease in reflux symptoms may be explained by the significant reduction in gastric acid secretion. Denervation of the cardia and the lower esophagus does not influence GESP or gastroesophageal reflux.

Adult↗

Transrectal cytological aspiration biopsy in prostatic disease.

Of 761 fine-needle biopsy specimens obtained from the prostate by the method of Franzén, 303 originated from patients in whom either a histological diagnosis had been obtained or cancer had been confirmed by increased levels of prostatic phosphatases. Among palpable cancers, 83% were diagnosed by this method, and none of them gave falsely negative results. Among the cancers with benign palpatory findings and normal phosphatase levels, cytological examination did not show cancer in any of the cases. It is concluded that the method is unsuited for screening of proctatic cancer, but its use is indicated for the confirmation of the diagnosis in cases with abnormal palpatory findings, and when the diagnosis seems likely from the results of biochemical analysis and/or radiographic studies. On these indications, repeated aspiration should be done if the first biopsy specimen does not reveal cancer.

Biopsy, Needle↗