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Biomedical subjects

P V Balakrishnan

Publications and source records attributed to P V Balakrishnan.

4 recordsLinked to original sources

Evaluating consumer preference for private long-term care insurance.

Despite significant growth in the market for private long-term care insurance in recent years, empirical research is lacking on how policy attributes affect consumer preference. Using conjoint techniques, the authors estimate the utility values associated with different levels of long-term care policy attributes, as well as the overall importance of the attributes. A simulation procedure for estimating the percentage of consumers who would prefer specific types of policies also is presented.

Aged↗

Outcome of lung cancer patients requiring mechanical ventilation for pulmonary failure.

The prognosis of lung cancer patients who are not candidates for surgery is usually poor. The unfavorable natural history of respiratory failure in this group of patients has been suggested as a causative factor. We analyzed the outcome of 46 consecutive patients with primary lung cancer on whom mechanical ventilators were utilized. Although seven patients were ultimately weaned and survived for at least 24 hours, three of them subsequently died prior to discharge from the hospital. The remaining 39 patients died while using the ventilator. Patient age, tumor cell type, and the etiology of respiratory failure were not significantly different between the weaned and unweaned populations. A difference was noted in the duration of mechanical ventilation: none of the patients who could be weaned required mechanical ventilation for more than six days (range, two to six days). Respiratory failure in the nonsurgical lung cancer patient carries a poor prognosis, and selection of patients for mechanical ventilation should be conservative.

Female↗

Surgical correction of a rare variant of cor triatriatum.

Cor triatratum is a rare congenital malformation. Problems in diagnosis and surgery arise due to associated anomalies such as atrial septal defects and anomalous pulmonary venous drainage. A 21-year-old man proved to have a rare variant of cor triatiatum in which both the upper and lower compartments of the left atrium communicated with the right atrium through two separate atrial septal defects. In addition, he had anomalous drainage of the right superior pulmonary vein into the superior vena cava. Intracardiac repair was undertaken successfully.

Adult↗