Publications by authors named "Kalaja E"

Plasma fibronectin concentrations were measured in 33 patients with major burn injury. Changes in plasma fibronectin concentration were related to the day of burn injury, surgery and to the development of sepsis. Within 24 hours of the burn injury and surgical treatment, a decrease of the plasma fibronectin concentration was observed, which returned to normal values within 72 hours.

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Beside the nursing difficulties in using the Clinitron bed we have experienced further technical difficulties during the introduction period which are described. However, the beds have been most effective from a bacteriological point of view and have reduced the infection rate.

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To evaluate late-result of burn treatment 102 patients (52 treated with acute excision and grafting and 50 with exposure treatment and grafting on the 14th day) were examined 3 years after the burn injury. The series included patients with small, medium-sized and large burns, 56 of whom had used pressure bandages for about one year. During the first 3 years post-burn, 17 patients with contractures required release operations amounting to a total of 60 reconstructive procedures.

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Which treatment, acute excision or exposure, is the method of choice in the treatment of patients with small, medium-sized or large burns, and superficial or deep burns respectively? In an attempt to give an answer to this question a Randomized, Controlled, Clinical Trial was carried out by the Burns Unit in Copenhagen. The RCCT consisted of all patients (570) admitted primarily for burn injuries over the 3-year period 1976-79. Patients who would be too difficult to compare were sorted out (unsuited for trial--421 patients).

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In a prospective study of 230 patients followed up for 5 years after hospital admission for acute non-specific abdominal pain, 21 patients (9 patients) could not be traced, and 11 (5 percent) had died. Only one death was related to symptoms from the first admission. Of the remaining 198 patients, 77 percent were healthy and free of any symptoms during the observation period.

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In a prospective trial comprising 202 patients operated on because of suspicion of acute appendicitis, the diagnostic accuracy was 70 percent based on histologic examination of all removed appendices. The diagnostic accuracy was lowest in women less than 50 years old and in young patients (aged 20 years or less), being about 60 percent in both of these groups. The reasons were gynecologic disorders and uncharacteristic abdominal pains, respectively.

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The interaction of intravenously infused glucagon and pentagastrin on gastric acid secretion was studied in 5 healthy subjects. First a step dose-response study with pentagastrin in doses of 0.01, 0.

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In 3 years 266 consecutive patients were electively operated on for ulcer disease with either selective vagotomy (SV) with drainage (159) or proximal gastric vagotomy (PGV) without drainage (107). The total number of operative accidents was 15 (6 percent), similar to that of truncal vagotomy. Perforation of the stomach occurred in six SV and in one PGV.

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