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P Lindell

Publications and source records attributed to P Lindell.

8 recordsLinked to original sources

[Electrical conversion of atrial fibrillation. Superior effects of biphasic transthoracic method when compared with the conventional monophasic method].

Can biphasic electrical conversion of atrial fibrillation replace the standard monophasic method? This report reviews factors facilitating the electrical conversion of atrial fibrillation and describes a clinical trial, showing superior effects of biphasic versus monophasic electrical conversion of atrial fibrillation. We conclude that the most important factors for successful electrical conversion of atrial fibrillations are 1) a biphasic impulse, 2) low transthoracic impedance and 3) a short history of atrial fibrillation.

Atrial Fibrillation↗

Antibodies reactive with human immunodeficiency virus gag-coded antigens (gag reactive only) are a major cause of enzyme-linked immunosorbent assay reactivity in a blood donor population.

Normal blood donors were examined for human immunodeficiency virus (HIV)-reactive antibodies with both virus- and Escherichia coli-expressed env- and gag-coded antigens. The frequency of samples from normal (low-risk) donors that were repeatedly reactive with an HIV enzyme-linked immunosorbent assay blood screening test (Du Pont Co.) was 0.6%. Two classes of HIV serological reactivity were identified: a minor env-reactive class (0.03 to 0.06% of donors) and the predominant env-nonreactive gag-reactive class (gag reactive only [GRO]) (0.4 to 0.5% of donors). Assignment of env reactivity was made by a synthetic (recombinant) env enzyme-linked immunosorbent assay and virus immunoblot. Most GRO sera reacted with p15/p17 bands on HIV immunoblot. Antibody specificity in GRO sera was confirmed by competition-binding studies with viral gag and E. coli-expressed p55gag. This study provides independent verification that gag-specific antibodies are present in many env-nonreactive sera. More serological and virological studies of individuals with this antibody pattern should be pursued to determine the origin of these gag-reactive antibodies.

Antibodies, Viral↗

Ventilation efficiency after different incisions for cholecystectomy.

Forced expiratory vital capacity (VC), forced expired volume during the 1st second (FEV1) and peak expiratory flow (PEF) were measured preoperatively and during the first four postoperative days in 44 patients undergoing cholecystectomy. 18 patients had a muscle splitting incision (M.S.), with no transection of the abdominal muscles; 15 patients had a subcostal incision with transection of the rectus muscle; 11 patients had a midline incision with transection of linea alba. Postoperatively, VC and FEV1 were reduced to 75% of the preoperative value with a m.s. incision, and to 40-55% with a subcostal or midline incision PEF was reduced to 65% of the initial value with a m.s. incision and to 50% with the other incisions. Almost every second patient with a m.s. incision had returned to the initial VC and PEF within four days, whereas only one did so with a subcostal or mid-line incision. In conclusion, the m.s. incision reduces postoperative ventilation efficiency less than other incisions. Its use may reduce postoperative pulmonary complications and shorten the hospital stay.

Adult↗