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Biomedical subjects

P Toft

Publications and source records attributed to P Toft.

At least 91 records · Page 5Linked to original sources
PubMed1987

Comparison of midazolam and diazepam to supplement total intravenous anaesthesia with ketamine for endoscopy.

Fifty patients undergoing endoscopy (laryngoscopy, bronchoscopy, mediastinoscopy) were anaesthetised in a double-blind prospective trial using total intravenous anaesthesia. Half of the patients were anaesthetised with an infusion of a solution of 250 mg ketamine and 12.5 mg midazolam. The other patients received an infusion of a solution of 250 mg ketamine and 20 mg diazepam. In addition, both groups were given increments of 50-100 micrograms of fentanyl. The immediate awakening time (t1) was not significantly different between groups, but the patients who had received midazolam-ketamine, had a significantly shorter time to more complete recovery (t2), a significantly lower frequency of emergence reactions and were more satisfied with the anaesthetic than the patients who had received diazepam-ketamine. There was no difference between groups with respect to intraoperative heart rate and blood pressure. No awareness during anaesthesia was reported.

Anesthesia, Intravenous↗
PubMed1987

Glycopyrrolate compared with atropine in association with ketamine anaesthesia.

Atropine and glycopyrrolate given intravenously before the induction of a ketamine anaesthesia to diminish salivary secretion were compared for their effect on psychotomimetic side-effects, awakening time and heart rate. Though atropine is a tertiary amine that crosses the blood-brain barrier, which glycopyrrolate as a quaternary ammonium compound does not, it did not increase the incidence of psychotomimetic side-effects nor did it significantly prolong the awakening time after ketamine anaesthesia. During intubation the increase in heart rate was significantly higher following atropine than following glycopyrrolate.

Anesthesia↗
PubMed1987

Vaginal fibromyomas. A report of two cases.

Vaginal fibromyomas, which affect women during the period of genital activity, may reveal both urological and gynecological symptoms. Two cases are reported and discussed.

Adult↗
PubMed1985

The control of organics in drinking water in Canada and the United States (standards, legislation and practice).

Both the United States and Canada have a federal form of government, but approaches used in the two countries to ensure the safety of drinking water supplies differ. The Environmental Protection Agency currently enforces regulations for 10 organic chemicals (including 6 pesticides) under the Safe Drinking Water Act and provides advice on others through its health advisory program. Canada, however, does not have similar legislation, but rather provides health-related guidelines for 21 organic chemicals (including 16 pesticides) which are used by the provincial agencies responsible for drinking water supplies. Both countries are in the process of revising their standards and will include a variety of additional synthetic organic chemicals. Where possible, standards are set using a calculated acceptable daily intake usually derived from animal feeding experiments. Procedures for setting standards for carcinogens involve a blend of risk estimation coupled with consideration of the feasibility of reducing the risk in light of socio-economic factors. Most drinking water treatment plans in North America utilize 'conventional' treatment. Some now employ modifications in order to minimize trihalomethane formation. A few use aeration or granular activated carbon to remove synthetic organic chemicals.

Canada↗
PubMed1985

Translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation. A case report.

A case translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation occurred as a young man drove his motorcycle into the side of a car. Closed reduction was performed initially. Open reduction was performed with a screw in the lunate. Eighteen months later the screw was removed and after two and a half years x-rays revealed no signs of avascular necrosis or arthrosis. The patient fully recovered. This case stresses the necessity of open reduction in cases of complicated carpal fracture dislocations.

Accidents, Traffic↗
PubMed1983

Asbestos in drinking water: a Canadian view.

For several years now, public health professionals have been faced with evaluating the potential hazards associated with the ingestion of asbestos in food and drinking water. In Canada, this is a subject of particular concern, because of the widespread occurrence of chrysotile asbestos in drinking water supplies. The results of available Canadian monitoring and epidemiologic studies of asbestos in drinking water are reviewed and discussed in light of other published work. It is concluded that the risk to health associated with the ingestion of asbestos, at the levels found in municipal drinking water supplies, is so small that it cannot be detected by currently available epidemiologic techniques.

Asbestos↗
PubMed1981

Asbestos and drinking water in Canada.

Samples of raw, treated and distributed tap water were collected from 71 municipalities across Canada and analyzed for asbestos content by transmission electron microscopy. Chrysotile asbestos was identified as the major asbestos type present in drinking water with some 5% of public water supplies containing asbestos at concentrations greater than 10 million fibres per litre. Improvement factors of up to 300 were observed for the removal of chrysotile fibres from drinking water during treatment, indicating that coagulation/filtration treatment is efficient for this purpose. In certain cases there is evidence to suggest that erosion of asbestos from pipe material is taking place. Age-standardized mortality rates for gastro-intestinal cancers were calculated for each city for the period of 1966 to 1976. Rates for the 2 localities with the highest (congruent to 10(8)/L) concentrations of asbestos fibres in treated drinking water were compared with the weighted average of the rates for the 52 localities with asbestos concentrations not significantly greater than zero. Eleven localities had intermediate concentrations of asbestos and six were too small for meaningful statistical analysis. Relatively high mortality rates were apparent amongst males in city 1 for cancer of the large intestine except rectum, and in both sexes in city 1 and males in city 2 for stomach cancer. It is felt that these findings are probably related to occupational exposure to asbestos. Further statistical analyses are required, however, before the significance of these observations can be fully assessed.

Asbestos↗