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Biomedical subjects

J Wilbrink

Publications and source records attributed to J Wilbrink.

6 recordsLinked to original sources
PubMed2001

Teledermatology as a tool for communication between general practitioners and dermatologists.

A feasibility study of teledermatology was undertaken in Groningen. Six general practitioners (GPs) sent digital images by email, along with relevant patient information, to dermatologists at the Martini Ziekenhuis Groningen, a general non-academic hospital. The dermatologists returned their responses by email. A total of 89 cases were dealt with in this way. On average, the GPs took three photographs per patient. The time taken by the GP to produce and transmit the images, and to implement the telemedicine advice received from the dermatologist, was 9 min and 3 min, respectively. The time spent on diagnosis, provision of advice and response by email amounted to 10 min for the dermatologist. It was concluded that teleconsultations by email are feasible in the daily practice of GPs and dermatologists in a general non-academic hospital. Generally, GPs, dermatologists and patients were satisfied with teleconsultations. Furthermore, GPs reported that 63% of the teleconsultations were of educational value.

Attitude of Health Personnel↗
PubMed1993

Correction of translational motion artifacts in multi-slice spin-echo imaging using self-calibration.

In this paper, we describe a method for detecting and correcting in-plane bulk translational motion in multislice spin-echo imaging using self-calibration and postprocessing. A constant phase encoding offset between slices is used to evenly spread out the low spatial frequency echoes to allow accurate motion detection by self-calibration. Motion detection in both x and y directions is achieved by interchanging the readout and phase encoding directions for the alternate slices. Displacements are determined by cross correlating the modulus of each 1D transformed echo with a reference box car function whose width equals that of the imaged object. In addition, phase errors induced by the velocity in the readout direction are estimated and corrected using the displacement data. The results obtained from knee studies at 0.5 T and 1.5 T show that the artifacts due to translational motions are significantly suppressed upon correction. The method does not require any additional pulses or time, and the data processing can be easily implemented.

Algorithms↗
PubMed1985

Transcutaneous PO2 poorly estimates arterial PO2 in adults during anesthesia.

We compared values of PaO2 and transcutaneous PO2 in 21 adult patients during anesthesia. In 282 simultaneous determinations during anesthetic periods of 3-10 h, transcutaneous PO2 was a poor predictor of absolute PaO2 and changes in PaO2. Transcutaneous PO2 monitoring in adults during anesthesia is of unproven value.

Adult↗
PubMed1985

Anesthetic induction with fentanyl.

The efficacy of fentanyl, 30 micrograms/kg, was evaluated as an anesthetic induction agent in 72 ASA I-III patients scheduled for 2-4-hr operations. The effect of preinduction pretreatment with pancuronium and/or diazepam and the incidence of loss of consciousness (anesthesia), recall, rigidity, abnormal muscle movements, and hemodynamic changes were documented. Seventy-four percent of all patients became anesthetized. Diazepam pretreatment enhanced but did not ensure success of anesthetic induction. There was a significant correlation between age and the incidence of unconsciousness (P = 0.0287) and all patients over 60 yr old were anesthetized with 30 micrograms/kg of fentanyl. The incidence and severity of rigidity was reduced by pancuronium (P = 0.0002) but not by diazepam pretreatment. However, pancuronium plus diazepam produced a significant reduction in the incidence of rigidity when compared to pancuronium alone (P = 0.031). A significant positive correlation between age and the incidence of rigidity (P = 0.003) was found. Six patients had focal and one patient global tonic-clonic abnormal muscle movements. Diazepam but not pancuronium significantly decreased both heart rate (P = 0.05) and blood pressure (P = 0.04). Seventeen patients required reversal of narcotic effect to restore adequate spontaneous respiration after surgery. No patient required postoperative mechanical ventilatory assistance. The results of this study demonstrate that 30 micrograms/kg of fentanyl is not a reliable anesthetic induction dose in patients less than 60 yr old. Both age and premedication enhance the anesthetic capabilities of induction with fentanyl.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗