Hansen, Dorte Gilså; K. Rasmussen, Niels; Munck, Anders P
doctors stated that the staff performed tasks in connection with weight control, vaccination of adults, blood pressure checks, lung function tests, alcohol abuse treatment and dietary counselling. A total of 72% of the doctors wished for greater staff involvement within one or more areas, especially...... dietary counselling and smoking cessation support. The staff was more frequently involved in the tasks for doctors who had a nurse employed compared with doctors who did not. Except for skin prick tests no connection was found between the staff's participation and the doctor's sex and age, the type and...... interest in the topic, there seems to be a basis for further staff involvement in this type of tasks. Further studies should, however, elucidate whether the participation of the staff substitutes the doctor's work to the extent desired and with sufficient quality. Udgivelsesdato: 2008-Jun-16...
Artiklen gennemgår udvalgt faglitteratur, der på et overordnet plan beskriver typer af spilleregler i musikterapi med (fortrinsvis) voksne klientgrupper. Udgangspunktet er Priestleys anvendelse af begrebet, og hendes inddeling af spilleregler i forhold til forskellige teknikker gennemgås, efterfu......Artiklen gennemgår udvalgt faglitteratur, der på et overordnet plan beskriver typer af spilleregler i musikterapi med (fortrinsvis) voksne klientgrupper. Udgangspunktet er Priestleys anvendelse af begrebet, og hendes inddeling af spilleregler i forhold til forskellige teknikker gennemgås...
Holdgaard, Paw Chr; Nielsen, Søren Steen; Wiggers, Henrik;
INTRODUCTION: Patients with ischemic heart failure and reversible dysfunctional myocardium (Hibernating myocardium, HIB) can benefit from revascularization. These patients can be selected with nuclear methods. The purpose of this study was to describe the results of the imaging procedures in...
Jørgensen, Anthon Sand
Mindst 1000.000 voksne opfylder ADHD-diagnosekriterierne, og en stor del af disse kan risikere at ende i kriminalitet, misbrug eller stå uden job......Mindst 1000.000 voksne opfylder ADHD-diagnosekriterierne, og en stor del af disse kan risikere at ende i kriminalitet, misbrug eller stå uden job...
Petersen, Karen Bjerg
Lektor, cand.mag. Karen Bjerg Petersens afhandling 'Undervisningsfaget dansk som andetsprog for voksne: Nogle udviklingstendenser' undersøger læreplansudviklingen i dansk som andetsprog (DsA) for voksne udlændinge med fokus på tiden efter 2003. Hovedfokus i undersøgelsen er formålet for undervisn...
Johansen, Lene Østergaard
Voksenundervisning (FVU) og særligt i faget FVU-matematik. Jeg har i mine analyser valgt at skelne mellem tre forskellige Diskurser: Politikernes Diskurs, Forskernes Diskurs og matematiklærernes Diskurs. Et af fokuspunkterne i mine analyser er, hvorledes Best Practice italesættes i de tre Diskurser, eller med andre...... ord - hvad er god undervisning for voksne ifølge politikerne, ifølge forskerne og ifølge matematiklærerne? I artiklen præsenterer og diskuterer jeg de tre Diskursers forskellige opfattelser af Best Practice i matematikundervisning for voksne....
Waldorff, Frans Boch; Haugbølle, Nils Wolff; Møller, Hans Christian;
INTRODUCTION: The aim was to describe and analyse signs that make caregivers suspect memory problems among elderly patients in general practice. METHODS: This prospective study was conducted in October and November 2002 among all patients aged 65 or older who consulted a GP in a total of 17...... practices in Copenhagen inner city. The patients who agreed to participate were asked to complete a questionnaire regarding memory, quality of life, etc. Their GP completed a questionnaire independently, and a MMSE was subsequently given to the patient. Where consent was obtained from a patient, a postal...... questionnaire regarding the patient's memory was mailed to a caregiver chosen by the patient. RESULTS: Out of 775 patients 62% (483) gave consent to contact a caregiver. Among the caregivers who received the questionnaire a total of 74% returned the questionnaire. A total of 88 (26%) of the caregivers suspected...
Kjeldsen, A D; Vase, P; Green, A
among the HHT patients younger than 60 years at inclusion the mortality of HHT patients was twice the expected. The excess mortality was fully explained by severe HHT symptoms contributing to death. Future research should aim at identification of HHT patients at particular risk of developing severe......Hereditary haemorrhagic telangiectasia (HHT) is a dominantly inherited disease characterized by telangiectatic lesions. The disease manifestations are variable in severity. Early death due to complications has been described. We report an investigation of the prevalence and mortality of HHT in a...
Ottesen, M M; Køber, L; Jørgensen, S;
with male gender, increased age, diabetes mellitus, left ventricular systolic function (wall motion index), onset from midnight to 6 a.m., onset on a weekday, history of angina pectoris, chest pain as initial symptom, ventricular fibrillation or-tachycardia, Killip class > or = 3, presence of ST......-elevation and ST-depressions. In conclusion, patient delay continues to be disappointingly long. This also applies to patients with a high risk of acute myocardial infarction (notably history of diabetes mellitus and angina pectoris). Udgivelsesdato: 1998-Mar-9...
Glasscock, David John; Carstensen, Ole; Dalgaard, Vita Ligaya Ponce
effects, was repeated again 4 and 10 months after inclusion. Treatment effects were assessed with validated scales: Perceived stress (PSS-10), mental health (GHQ-30), sleep quality (selected items from the BNSQ), and cognitive functioning (two subscales from the CFQ). There were also items concerning sick......The literature contains many empirical studies of interventions aimed at reducing work-related stress. These include randomized controlled trials (RCT). In general it has been found that cognitive behavioural interventions are more effective than other forms of intervention. However, the research......-leave. After inclusion, patients were randomly assigned to either an intervention group or a control group. Participants in the control group were subsequently only followed via questionnaires. The intervention contains both individual cognitive behavioural therapy, conducted by a psychologist, and the offer...
Tønnesen, Hanne; Møller, Henrik; Andersen, Jens Richard;
, liver, larynx, lung, pleura, and secondary cancer. The women had a significantly increased risk of cervical cancer (RR = 2.0). The men developed prostatic cancer significantly more frequently than expected (RR = 1.4). The relative risks of cancer of the stomach, pancreas, kidney and endocrine system......Data on the association between alcohol abuse and cancer morbidity are scarce in large cohorts of non-hospitalized alcoholic men an women. Of 18,368 alcohol abusers who entered an out-patient clinic in Copenhagen between 1954-1987, 18,307 were followed. Their cancer incidence was compared to that...... of the total Danish population. The overall morbidity of cancer was significantly increased among alcohol abusers. The men developed 1441 cancer cases (RR = 1.6), and the women 182 cases (RR = 1.5). Significantly increased incidences were found for cancer of the tongue, mouth, pharynx, oesophagus...
Trier, H; Rasmussen, N K; Brønnum-Hansen, Henrik
The occurrence of upper respiratory symptoms among adult Danes was examined by the use of data from the Danish Health and Morbidity Survey 1986-1987. In this study, 14.0 per cent of 6,672 individuals reported complaints of colds or coughs (CC) during the two-week period preceding the interview...
Nielsen, Jørgen Lerche
Analyse af læring i virtuelle omgivelser. Målgruppen er unge og voksne, der kombinerer tilstedeværelsesundervisning med netbaserede og netunderstøttede læringsforløb. I bidraget ses både på de nye muligheder af faglig og social karakter, der åbner sig, og på de problemer og udfordringer der er fo...
Johansen, Lene Østergaard
analyseværktøjet til at sammenligne SIALS-opgaverne med de nye FVU-prøver, og derigennem finde svar på spørgsmålet: Hvorledes testes voksnes regnefærdigheder/numeralitet?  De tilsvarende tal for Norge, Sverige og Finland var: 33,2% af nordmændene havde utilstrækkelige læsefærdigheder og 29,7% havde...
Mikkelsen, Carsten Sauer; Mikkelsen, Dorthe Bisgaard; Jensen, Thøger Gorm;
parts of her body. The bullae ruptured easily and left a erythematous base. The histopathological changes were characteristic for adult SSSS. The patient was well-treated with intravenous dicloxacillin, topical antibiotic and antiseptic treatment. The patient had marked thrombocytosis, but no interest...
Kofod, Kasper; Jensen, Niels Rosendal
Bogen er en rapport over et forsknings- og udviklingsprojekt for Organisationen for Voksne Udviklingshæmmede i Ballerup Kommune, som er forløbet fra marfts 2008 til februar 2009. Rapporten er en forløbsrapport, som gør rede for processen i projektet og for de første analyser af de observerede...
Faber, C E; Grøntved, A M
The aim of this study was to assess the benefits and complications from cochlear implantation and to evaluate the average implant usage per day. Ten profoundly deaf adults were implanted during the period April 1994 to September 1997. The patients answered questionnaires one year or more after...... receiving their cochlear implants. The average implant usage per day was 16 hours. The patients would again opt for a cochlear implant and would recommend a cochlear implant for a deaf friend. A paired comparison showed that the implants led to statistically significant improvement in a number of factors...
Nielsen, Anette; Bylov, Frank
Spørgeskemaundersøgelse blandt brugerne af værksteds og botilbud i Varde kommune. Undersøgelsen foregik i samarbejde med ULF, Udviklingshæmmedes Landsforbund, der foretog interviewene i forb.m. spørgeskemaundesøgelsen, mens studerende fra socialrådgiveruddannelsen og læreruddannelsen var sekretærer...
Dreyer, Lene; Mellemkjaer, Lene; Hetland, Merete Lund
associated with an increased cancer incidence. MATERIAL AND METHODS: A descriptive study of cancer cases among 3,688 patients with rheumatic diseases who received anti-TNF therapy was performed. The patients were identified in the nationwide database DANBIO and had a total number of treatment years of 6...... continue. Future studies must reveal whether anti-TNF therapy is associated with an increased cancer risk. Planned Danish studies will include relevant control groups and adjustment for confounders. Udgivelsesdato: 2009-Feb-9......,092 years. All cancer cases were identified and the cancer diagnoses were subsequently confirmed by medical record review. RESULTS: A total of 30 cancers in 28 of 3,688 patients were registered in the DANBIO after initiation of anti-TNF therapy in the period from October 2000 to June 2007. Among these six...
Weis, N M; Skinnes, L; Vesterdal, B;
To investigate the use of condoms ("safe sex") as prevention of transmission with human immuno deficiency virus (hiv) among heterosexual couples, 57 hiv-positive heterosexual patients and their partners if there was one interviewed. Forty-three of the 57 patients were heterosexually infected. Five...... at being given the possibility of talking about problems regarding hiv-transmission and sexuality. In conclusion a discrepancy was found between knowledge about transmission of hiv and the use of condoms among heterosexual couples. Udgivelsesdato: 1999-Jun-14...
Burgdorf, Stefan K; Qvist, Niels; Gögenur, Ismail
Short bowel syndrome is the result of extensive surgical resection, inherited defects or loss of functional absorbing intestine. Parenteral nutrition is associated with high economical expenses, increased morbidity and decreased quality of life. Intestinal transplantation is associated with high...... morbidity and mortality rates. Segmental reversal of the small bowel can prolong the transit time in the small bowel and in many cases permanently end parenteral nutrition dependency. Segmental reversal of the small bowel should be integrated in the surgical treatment of adults with short bowel syndrome....
Nielsen, Ulrik Bräuner
Der er fundet store forskelle i kvalitet og udbytte blandt de afprøvede plustræer. Udvalg af de bedste plustræer til frøproduktion i frøplantagerne har lovende perspektiver. En række frøplantager er allerede etableret og i begyndende produktion - og de her præsenterede avlsværdier vil indgå som e...
Skak, Morten; Bloze, Gintautas
Rapporten belyser udviklingen i de ældre medborgeres flyttemønstre, indkomster og formuer over perioden 1986 til 2011. Vi definerer æl-dre medborgere som personer i alderen 65 år og derover (i kort form: 65+’erne). Årene efter, at alderen 65 er opnået, betegnes som pensionsårene for alle personer......, uanset om de er på arbejdsmarkedet eller er gået på pension. Rapporten baserer sig hovedsagelig på data udtrukket fra forskellige administrative registre, som ligger hos Danmarks Statistik. Derudover har vi trukket tal fra Statistikbanken, SHARE og Boligøkonomisk Videncenters (2011...... behandlinger og ind-læggelser på sygehuse er dog samtidig stigende for alle pensionister, og det samme gælder besøg hos tandlæger, kiropraktorer, fysio- og fodterapeuter. Efter et fald frem til sidste halvdel af 1990’erne er erhvervsfrekvensen blandt de ældre igen stigende. I 2011 var knap 10 procent af de...
Eskesen, Vagn; Springborg, Jacob Bertram; Unden, Johan;
Neurotrauma Committee has published new guidelines for the initial management of adult patients with minimal to moderate head injury. These categorize patients into five risk groups that should be handled by three different strategies: admission for observation, computed tomography or assessment of the...
Brasso, Klaus; Friis, Søren; Juel, K;
Until recently, expectant management of localised prostate cancer was the routine strategy in Denmark.......Until recently, expectant management of localised prostate cancer was the routine strategy in Denmark....
Hansen, P E; Wang, A G; Kragh-Sørensen, P
of comparing the antidepressant effect of newer selective serotonin reuptake inhibitors (SSRI), citalopram and paroxetine, with that of the tricyclic antidepressant drug, clomipramine. Diagnostic classification according to the Newcastle-I Scale into endogenous and nonendogenous depression was...
Rasmussen, Malin Lundberg
Forekomsten af type 1 diabetes er stigende og diabetisk retinopati er fortsat en af de primære årsager til nedsat syn blandt personer i den arbejdsdygtige alder. Derudover er andre mikrovaskulære komplikationer som diabetisk nefropati og neuropati blandt de primære årsager til nedsat nyrefunktion...... karanalyser af nethindens kar kan bruges som redskaber til fremtidig risikovurdering for patienter med type 1 diabetes og vidvinklet fotografering er en hurtig og nem metode, der ville kunne bruges i fremtidig screening....
Osler, M; Rasmussen, N K; Brønnum-Hansen, Henrik
foodstuffs in their diets for the same reason. The persons who particularly follow the dietary recommendations made in recent years, which consist of avoiding fat and including coarse bread, vegetables and fruit in the diet are women, aged 25-44 years, individuals with high net incomes and persons living in......By means of an interview investigation of a representative sample comprizing 4,753 adult Danes over the age of 15 years, the attempted dietary principles of the population are illustrated. 60% of the population try to avoid certain foodstuffs from the point of view of health and 75% include certain...... the suburbs of the capital and in the three largest Danish provincial towns. The efforts to achieve healthy dietary habits are, in addition, associated with non-smoking and moderate alcohol consumption. During the past five years, the proportion of Danes who try to alter dietary habits has increased...
Roed, Casper; Skinhøj, Peter
of the disease is abrupt onset of high fever, followed by conjunctivitis, lymphadenopathy, rash, oral mucosal erythema and erythema of palms and soles. The diagnosis of KS is based on the presence of fever of at least four-five days' duration, plus four of the remaining criteria. Udgivelsesdato: 2009...
Jensen, Jan Skov; Feldt-Rasmussen, Bo F; Strandgaard, Svend;
INTRODUCTION: The urinary excretion of albumin is positively correlated to the presence of ischaemic heart disease and atherosclerotic risk factors in subjects with arterial hypertension. The aim of this population-based, follow-up study of hypertensive patients was to assess the predictive impac...
Lohse, Nicolai; Hansen, Ann-Brit Eg; Pedersen, Gitte; Kronborg, Gitte; Gerstoft, Jan; Sørensen, Henrik Toft; Vaeth, Michael; Obel, Niels
It has been difficult to measure the median survival of HIV-infected patients by comparing selected HIV samples and control groups. Data from the Danish HIV Cohort Study combined with the Central Registration System has made it possible to accurately compare the survival of HIV-infected persons and...... uninfected persons. In 2000 to 2005, the median remaining lifetime at age 25 years in the general population was 51 years and 39 years for HIV-infected persons without hepatitis C virus infection. In conclusion, persons with HIV infection have a good, albeit far from normal, life expectancy. Udgivelsesdato...
Sundstrøm, Terje; Wester, Knut; Enger, Martine;
BACKGROUND In 2000, the Scandinavian Neurotrauma Committee (SNC) published evidence-based guidelines for the management of minimal, mild or moderate head injuries. Since then, considerable new evidence has emerged on the clinical use of these guidelines and on the radiation risks associated with...... S100B is for the first time recommended as an initial diagnostic measure for mild head injury patients with low risk. Of these patients, CT examination is only recommended for those who show a pathologically elevated S100B. CT examination is still the recommended routine for moderate head injury...... patients and for mild head injury patients with medium to high risk. An updated information sheet on head injuries has also been compiled for patients and their relatives.CONCLUSION The SNC recommends the implementation of these guidelines in Norway....
Høegh, Simon; Lohse, Nicolai; Hansen, Ann-Brit Eg; Gerstoft, Jan; Kronborg, Gitte; Larsen, Carsten S; Pedersen, Court; Pedersen, Gitte; Laursen, Alex L; Kvinesdal, Birgit; Møller, Axel; Obel, Niels
INTRODUCTION: The incidence of new HIV diagnoses in Denmark has remained stable since 1991, but it has increased among the subgroup of homosexual men in recent years. This may reflect an actual increase in newly infected, e.g. as a result of increased risk behaviour, or it may reflect increased HIV....... MATERIALS AND METHODS: Observational study based on the Danish HIV Cohort Study, which includes all adults seen at Danish HIV clinics since 1995. RESULTS: From 2000 to 2004 the number of newly-infected homosexual men increased (from 69 to 123), particularly in persons under 30 years (from 5 to 42). The...... from 0 in 2000 to 23 in 2004. The prevalence of patients with high viral load (and thus potentially at risk of transmitting HIV) decreased in all risk groups. CONCLUSION: Newly-diagnosed homosexual men present at an earlier stage of disease progression and with a better preserved immune system today...
Kim Jesper Herrmann
Full Text Available De senere års uddannelsespolitiske initiativer har belønnet studerende, der er hurtige til at vælge en videregående uddannelse, og som holder fast i den uddannelse, de nu engang har valgt. At vælge uddannelse er imidlertid ledsaget af tvivl, og nyere dansk forskning har vist, at studerende vedvarende forhandler deres position på uddannelsen. I dette studie undersøgte vi, hvor stor en andel af aktive universitetsstuderende, der stadig var i tvivl om deres valg af studie, og vi undersøgte baggrunden for denne tvivl. På baggrund af en kvantitativ analyse af svar fra 4.339 studerende på Aarhus School of Business and Social Sciences, Aarhus Universitet, fandt vi, at en tredjedel af de studerende, selv efter optagelse på deres uddannelse, stadig var i tvivl om, hvorvidt de havde valgt det rigtige studie, og at dette gjaldt for førsteårsstuderende såvel som for studerende på femte år. Analysen viste yderligere, at studietvivl var mere udbredt blandt studerende, som havde (i svært ved at se det interessante og relevante i fagene; (ii lav tiltro til egne akademisk evner; (iii opnået lave karakterer ved forudgående eksamener på universitetet. I artiklens perspektivering diskuterer vi, hvorvidt studietvivl må betragtes som et almindeligt og uproblematisk studie- og livsvilkår eller, om studietvivl må antages at være problematisk. Recent reforms of the Danish education system tend to favour those students who are quick to decide what higher education course they want to study and then stick to their decision. However, research has shown that the process of course selection and completion is not always linear and that students continuously negotiate their position in their study programme. In this study we examined how current university students experienced doubt about their choice of programme, and we examined the context surrounding this doubt. Based on a quantitative analysis of answers from 4339 students at the Aarhus School of
Shakoor, Tallat; Riis, Rie Wellendorf
Forskningsprojektet skal bidrage til at afdække etniske minoritetsunges drømme om og forståelse af det normale og trygge liv i senmoderniteten, som grundlag for tilrettelæggelse af en evt. fremtidig indsats. Fokus vil blive rettet mod den voksende gruppe "almindelige" unge med anden etnisk baggrund...
Prescott, E; Steendahl, Ulla; Damsgaard, M T
The preparation methylmethacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group, a...... after very slight exposure. Revision of the occupational environment of dental technicians, including the current hygienic limits for MMA, is recommended.......The preparation methylmethacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group, a...... cross-sectional questionnaire investigation was undertaken in a population consisting of 256 dental technicians and 160 opticians, all of whom were professionally active. The percentage replies for the two group were 88 and 85 respectively. The two groups do not differ from one another as regards...
Jensen, Christine Damsbo
Dette studie handler om, hvordan det opleves for den voksne depressive patient at gennemgå et ECT-behandlingsforløb (electroconvulsive therapy). Formålet med projektet er dels at undersøge, hvordan processen omkring ECT-behandlingen udspiller sig og dels at undersøge patienternes oplevelse......, reaktioner og tanker omkring ECT-behandlingen. Studiet bygger på den eksisterende viden om patienters oplevelse af ECT. Metoden er feltforskning med deltagende observation og etnografisk interview. Dette suppleres af to spørgeskemaer. Der blev inkluderet 8 patienter i undersøgelsen. Analysen udspringer af...... konstruktivistisk epistemiologisk vinkel. Ved en teoristyret analyse fremkom 2 overordnede temaer: Anspændthed og tryghed. Disse temaer blev behandlet i en procesorienteret forståelse af ECT-forløbet. Denne proces bestod af: Betingelser, interaktion og konsekvenser. Diskussionen er en kritisk diskussion af fund og...
Thomsen, Kristian Raun
will benefit from the ability to act in accordance with senior professional norms. Knowing your own worth, and to some extent to be able to take advantage of an extraordinary talent are regarded virtues in senior elite coaches and managers as well as among athletes that have successfully sustained...
Obel, Carsten; Dalsgaard, Søren; Arngrim, Torben;
ADHD is a well established condition in childhood, but much less attention has been given to this diagnosis among adults. It is estimated that 2-4% of the adult population has this condition. Adults with ADHD present symptoms that differ somewhat from those presenting in childhood and they are...... typically characterized by problems with planning of work and daily life activities as well as social persistence. The Adult ADHD Self-report Scale (ASRS) can be used in general practice as an introduction to the diagnostic process of ADHD in a psychiatry setting and to evaluate the effect of treatment....... ASRS is now available in Danish and is recommended as a screener for adult ADHD. Udgivelsesdato: 2009-Jan-19...
Obel, Carsten; Dalsgaard, Søren; Arngrim, Torben;
ADHD is a well established condition in childhood, but much less attention has been given to this diagnosis among adults. It is estimated that 2-4% of the adult population has this condition. Adults with ADHD present symptoms that differ somewhat from those presenting in childhood and they are...... typically characterized by problems with planning of work and daily life activities as well as social persistence. The Adult ADHD Self-report Scale (ASRS) can be used in general practice as an introduction to the diagnostic process of ADHD in a psychiatry setting and to evaluate the effect of treatment....... ASRS is now available in Danish and is recommended as a screener for adult ADHD. Udgivelsesdato: 2009-Jan-12...
Licht, Rasmus Wentzer; Straszek, Sune Puggaard Vogt
of recurrence. Many well-documented antimanic drugs are at hand, and the database has been carefully outlined in recent guidelines, also addressing factors of importance in choosing among the options. The real challenge is dealing with non-response, where the database is extremely poor....
Kristensen, Peter Lund
Kardiovaskulære sygdomme er blandt de væsentligste dødsårsager i det moderne vestlige samfund. Sygdommene observeres almindeligvis kun hos voksne, men den almene sundhedstilstand og sundhedsadfærd i barndommen anses for at spille en væsentlig rolle i udviklingen af disse sygdomme. Tidligere studi...
Ph.d. afhandlingen omhandler sammenhængen mellem hjernens blodtilførsel (CBF) og middelarterietrykket (MAP) hos patienter med akut bakteriel meningitis. Hos raske er CBF uafhængig af MAP, hvilket kaldes CBF autoregulation. Svækket autoregulation antages at øge risikoen for cerebral hypoperfusion og...... iskæmi under episoder med lavt MAP, og for cerebral hyperperfusion og vasogent ødem ved højt MAP. CBF autoregulationen undersøgtes hos tyve voksne patienter med akut bakteriel meningitis i den tidlige sygdomsfase (<24 timer efter diagnostisk lumbalpunktur). Idet autoregulationen fandtes svækket hos...... meningitis, men retableres ved klinisk restitution. Autoregulationen kan endvidere delvis retableres ved akut hyperventilation. Fundene har potentiel betydning for valg af supportiv terapi hos patienter med meningitis....
Lillebæk, Troels; Andersen, Ase Bengård; Seersholm, Niels Jørgen;
Active transmission of Mycobacterium tuberculosis (Mt) continues at surprisingly high rates in Denmark. The transmission is particularly observed in specific high risk segments of the population with social problems such as homelessness, alcohol, and/or drug abuse. The patients are infected with ...
Nexøe, J; Kragstrup, J; Rønne, T
Influenza epidemics are accompanied by considerable excess morbidity and mortality especially among the elderly and the chronically ill. In the influenza season 1995 a controlled, randomized trial was carried out to examine the impact of postal invitations and user fee on influenza vaccination...... invitations to influenza vaccination paying the usual fee ($40-$60 US). The last third served as a control group, being vaccinated on their own request and paying the usual fee. In the control group 25% (19-31%, 95% confidence interval) of the patients were vaccinated, compared to 49% (42-56%) in the group...... which received a postal reminder and paid the usual fee, and 72% (65-78%) in the group invited to be vaccinated free of charge. Udgivelsesdato: 1997-Jun-30...
Løite, Vibeke Brinkmann; Lund-Cramer, Pernille
er baseret på filosofisk-hermeneutisk fortolkning af individuelle, semi-strukturerede interviews. Ti informanter blev selekteret strategisk blandt deltagere i forskningsprojektet DANO-RUN (7 mænd, 3 kvinder, gennemsnitsalder 41,5 år). Interviewguiden blev udarbejdet med afsæt i Theory of Planned...... Behavior (TPB) og The Transtheoretical Model (TTM). Efterfølgende kodning og analyse af interviewene blev udført i analysesoftwaren NVivo 10. Resultater: TPB: Informanterne oplevede en erfaringsbaseret ændring i affective beliefs knyttet til løbeadfærden, som medvirkede til, at intentionen for at løbe...... of change anvendtes i størst omfang på action stage, hvorimod behavioral processes of change primært anvendtes på maintenance stage. Informanterne tillagde alle forpligtigelsen overfor DANO-RUN at have afgørende motiverende betydning. Konklusion: Denne undersøgelse viste, at individuelle faktorer i form af...
Wanscher, Jens Højberg; Faber, Christian Emil; Grøntved, Aksel Møller
INTRODUCTION: Our aim was to assess the effect of cochlear implant (CI) surgery on the mental quality of life in totally deaf adults using a generic type of questionnaire. MATERIALS AND METHODS: The survey comprised 40 adult CI users who answered a standard and a retrospective version of the Short...... mean scores of the equivalent subscales of the Danish population, whereas the post-implant mean scores in two out of three cases were above the mean scores of the Danish population. DISCUSSION: CI was shown to have a statistically significant positive impact on the quality of life of adult deaf...
Troelsen, Anders; Søballe, Kjeld
The periacetabular osteotomy is recognized as the surgical treatment of choice in young adults with symptomatic hip dysplasia. The procedure is performed to delay or prevent the development of osteoarthritis. The procedure has the ability to improve function and preserve hip joints in > 80% of...
Pedersen, Louise Ørnskov; Lund, Katrine Bak; Nielsen, Tine Jepsen;
At some Danish workplaces, healthy employees are offered an influenza vaccination, although vaccination has not been proven to have a protective effect on healthy adults. This article gives an overview of the effect of influenza vaccination on healthy adults based on the results from the Cochrane...
Nielsen, Jens Christian; Sørensen, Niels Ulrik
stor repræsentativ cpr-baseret spørgeskemaundersøgelse blandt 15-24-årige unge i Danmark og opfølgende kvalitative interview med udvalgte unge. Det er et ønske med hæftet, at forskningsprojektets viden og perspektiver kan bidrage til at gøre voksne og voksenverdenen bedre i stand til at spotte tegn på...
Slidsborg, Benjamin; Nielsen, Tasia; Weichel, Joachim Højer; Önnerth, Lars
Our paper examines the high suicide and suicide attempt rate among transgender people. We aim to identify possible reasons why transgender people are more prone to suicide than minorities in modern societies. We want to focus our analysis and interpretations on possible reasons for the high suicide rates among transgender people around Émile Durkheim’s work concerning the reasons for suicide and Judith Butler’s work on gender trouble. We want to combine aspects of Durkheim’s suicide theory...
Artiklen bygger på en større undersøgelse af gymnasielæreres oplevelse af at de som noget nyt skal indgå i tværfaglige team. Kravet indgår som led i de omfattende forandringer der i disse år sker i gymnasieskolen. Artiklen argumenterer for at i modsætning til hvad man kunne forvente, skaber disse...... kan anerkende medarbejderne samt rumme og lære af forskelle og konflikter. Dette ses som et afgørende led i bestræbelserne på at reducere stress på arbejdspladsen....
Due, Pernille; Holstein, Bjørn Evald; Jørgensen, Per Schultz
. Bullying was associated with low social class. Bullying varied considerably among schools. The victims had more problems as regards health, well-being and self-esteem; they smoked and drank less than others. Those who bullied others also had more problems but to a much smaller extent than the victims....... They had higher levels of risk behaviours such as smoking, drinking, and seat-belt avoidance, and were less satisfied with school. In conclusion, victims of bullying have a very high proportion of health problems, poor well-being and low self-esteem. To bully others is significantly associated with health...
Nielsen, Charlotte Aagaard
Sundhedsfremme er interessant, fordi det drejer sig om, hvordan vi lever livet på den bedste måde med os selv og hinanden, og sundhedsfremme har derfor mange interessenter: Samfundet, fordi det er billigst og mest produktivt at have sunde borgere. Arbejdsgiverne, fordi usunde medarbejdere har stø...... skolen i højere eller mindre grad støde ind i forskellige familiers normer, værdier, holdninger, rutiner, vaner og traditioner. Så spørgsmålet er, hvor tæt på familiens liv, skolen kan gå i det sundhedsfremmende arbejde. Det har jeg spurgt en gruppe af forældre om. Askov 2009...
Due, P; Holstein, B E; Marklund, U
children have experienced stomach-ache, back pain, bad temper and feeling dizzy. There are minor variations between countries and between age groups, but in almost all age groups in all countries more girls than boys report these symptoms. Approximately every fourth pupil have used medication against......The article reports data from the WHO cross-national study on health behaviour in schoolchildren. A sample of 11,774 children aged 11, 13 and 15 years in Denmark, Finland, Norway and Sweden answered a questionnaire on social situation, health, health behaviour and lifestyle. Self assessed health is...... reported excellent among approximately two thirds of the Swedish children, half the Danish children, one third of the Finnish children and one fifth of the Norwegian children. In Denmark, Norway and Sweden self-assessed health is better among boys than girls. The most frequent symptom reported by the...
artikel III anvendtes den samme studiepopulation som i artikel II. På profilrøntgenbillederne opmåltes dimensionerne af atlas og axis og ved en visuel vurdering blev det afdækket, om der var radiologiske tegn på anomalier i relation til de øverste 5 halshvirvler (fusioner eller hvirvelbue dehiscenser......). Atlas højde og længde samt højden på axis hvirvelbue var forøget hos HR patienter i forhold til KTR (p ≤ 0,001), og flere HR patienter (32%) end KTR (11%) havde fusioner (p = 0,003). I den samlede gruppe af voksne (n = 85) var højden af atlas hvirvelbue og længden af axis negativt korrelerede med...... kraniebasis vinklen (p = 0,017 hhv. p = 0,008), og atlas vertikale dimensioner var positivt korrelerede med den occipitale theca tykkelse (p ≤ 0,015). Atlas længde var positivt korreleret med den mandibulære prognati (angle s-n-pg) (p = 0,042). Forekomsten af fusioner var positivt korrelerede med tykkelsen af...
Necef, Mehmet Ümit
Artiklen gennemgår en række anmeldelser af filmen Flugten og fremfører, at både filmen selv og de positive anmeldelser er eksempler på infantilisering og enfoldiggø-relse af anti-racismen i Danmark. Udgivelsesdato: Sept 2009...
Ottesen, Mathilde Dagsvik
Denne studien undersøker Tinder som arena for selvpresentasjon. Gjennom kvalitative intervjuer med syv studenter mellom 20 og 30 år, har jeg søkt svar på hvordan en presenterer seg selv på Tinder, hvordan en vurderer andre brukeres selvpresentasjon, samt implikasjoner av Tinder. I samsvar med Bourdieu (1986), undersøker jeg Tinder som et sosi...
Thomsen, Per Hove; Plessen, Kerstin J; Houmann, Tine
ADHD, affecting 2-3% of children, is characterised by problems with attention, hyperactivity and impulsivity. Co-morbid psychiatric problems are very frequent. Causal factors are primarily genetics but environmental influences such as smoking during pregnancy or preterm birth are contributing...... factors. For children and adults psychoeducation is essential, for younger children training of the parents are recommended. The most efficient psychopharmacological treatment is with central stimulants or atomoxetine....
Poulsen, Frantz Rom; Meyer, Morten; Rasmussen, Jens Zimmer
Generation of new nerve cells (neurogenesis) is normally considered to be limited to the fetal and early postnatal period. Thus, damaged nerve cells are not expected to be replaced by generation of new cells. The brain is, however, more plastic than previously assumed. This also includes neurogen...
Johansen, Lene Østergaard
I sommeren 2000 blev resultaterne af OECD undersøgelsen "Second International Adult Literacy Survey" (SIALS) offentliggjort. Offentliggørelsen medførte et ramaskrig, idet den påviste, at henholdsvis 46% og 28% af den danske befolkningen mellem 16 og 66 år ikke var i besiddelse af tilstrækkelige...... trinopdelte og hvert trin kan afsluttes med en centralt stillet prøve. I mit oplæg vil jeg præsentere, hvorledes deltagerne er blevet testet for regnefærdigheder i SIALS, og hvad de er blevet testet i. Jeg vil sammenligne testen i SIALS med de nye opgavetyper, der er blevet udviklet til FVU-matematik og...
Background: The effect of psychopharmacology on clinical features of ongoing bipolar disorder episodes and the course of illness are good, but sometimes not sufficient for achieving remission. During the last decade manualized adjunctive psychosocial interventions have been developed. This review focuses on randomized controlled trials studying the effect of psychotherapy adjunctive to pharmacotherapy on recovery from depressive or manic phases, relapse prevention and functional improvement. ...
Berlac, P.A.; Lippert, F.K.; Torp-Pedersen, Christian Tobias
The new ERC guidelines on resuscitation emphasize the importance of quality CPR. BLS should be started as early as possible. Lay rescuers should not check for a pulse, they should call for help and start chest compressions immediately. Compression depth should be 4-5 cm at a rate of 100 compressi...... ventilations followed by a compression-ventilation ratio of 15:2. Automatic External Defibrillation should be used as early as possible Udgivelsesdato: 2008/11/17...
Poulsen, Frantz Rom; Meyer, Morten; Rasmussen, Jens Zimmer
Generation of new nerve cells (neurogenesis) is normally considered to be limited to the fetal and early postnatal period. Thus, damaged nerve cells are not expected to be replaced by generation of new cells. The brain is, however, more plastic than previously assumed. This also includes neurogen......Generation of new nerve cells (neurogenesis) is normally considered to be limited to the fetal and early postnatal period. Thus, damaged nerve cells are not expected to be replaced by generation of new cells. The brain is, however, more plastic than previously assumed. This also includes...... neurogenesis in the adult human brain. In particular two brain regions show continuous division of neural stem and progenitor cells generating neurons and glial cells, namely the subgranular zone of the dentate gyrus and the subventricular zones of the lateral ventricles. From the latter region newly generated...... neuroblasts (immature nerve cells) migrate toward the olfactory bulb where they differentiate into neurons. In the dentate gyrus the newly generated neurons become functionally integrated in the granule cell layer, where they are believed to be of importance to learning and memory. It is at present not known...
Aarvelta, Heidi Marie Guterud
Most immune cells express vitamin D-receptor (VDR). In vitro trials show that vitamin D affects the function of immune cells. It is therefore possible that vitamin D affects immune function also in vivo. On this foundation the hypothesis that low serum levels of vitamin D affects the risk of acute respiratory tract infections has been posted. Observational studies consistently show that low serum levels of vitamin D are associated with an increased risk of acute respiratory infections. On the...
Uhrenfeldt, Lisbeth; Hall, Elisabeth; Fegran, Liv; Aagaard, Hanne; Ludvigsen, Mette Spliid; Meyer, Gabriele
Abstract (396 ord): Baggrund. Overflytning mellem afsnit/klinikker og hospitaler er et hyppigt fænomen for alle patientgrupper, ældre, voksne, unge mennesker såvel som nyfødte og deres forældre. For kliniske sygeplejersker inkluderer fænomenet overflytning, tilbageflytning og modtagelse af en pat...
Exposure to electromagnetic fields and the risk of disease in the central nervous system in employees at Danish electric companies; Udsaettelse for elektromagnetiske felter og risiko for sygdomme i det centrale nervesystem blandt ansatte ved danske elselskaber
Introduction: Occupational exposure to electromagnetic fields has been associated with neurological diseases, such as amyotrophic lateral sclerosis, senile dementia, Parkinson's disease and Alzheimer's disease. Material and method: I studied the incidence of disease in the central nervous system in 30,631 persons employed at Danish electric companies between 1900 and 1993. I linked the cohort to the nationwide, population-based Danish National Register of Patients and compared the number of cases of these diseases found between 1978 and 1993 with the corresponding rates in the general population. In addition, I fit the data on utility workers to a multiplicative Poisson regression model in relation to estimated levels of exposure to 50 Hz electromagnetic fields. Results: Overall, there was an increase in the risk of senile dementia and motor neuron diseases combined. The incidence of Parkinson's disease, Alzheimer's disease and other diseases of the central nervous system were essentially unrelated to exposure to electromagnetic fields. A decreased risk of epilepsy compared with the general population probably reflects a healthy worker effects; I observed an increased risk of epilepsy based on internal comparisons. Discussion: The increased risk of senile dementia and motor-neuron diseases may be associated with above average levels of exposure to electromagnetic fields. (au)
Lunding, S; Hansen, K S; Krogsgaard, K; Rosdahl, N; Smith, E; Wantzin, P S
The objective of this study was to examine whether the prevalence of hepatitis C, like hepatitis B, is increased among the mentally retarded in Denmark. The prevalence of serological markers of hepatitis B and C was examined in an institution for the mentally retarded. A total of 126 out of 178......-HBc-positive and 30% were HBsAg-positive as compared to 32% and 3.8% respectively among others. In conclusion, hepatitis C infection seems to be uncommon among mentally retarded persons in Denmark and the risk of acquiring infection not significantly increased as compared to that of the general population. The...
Boldsen, J L; Jeune, B; Bach-Rasmussen, K L;
The average age at the menarche has decreased from the 1850s to the 1950s. It is controversial whether there has been a continued decrease since the 1950s. The object of this investigation is to illustrate whether this trend has continued into the 1980s. This study is based on the ages at the...... menarche as recalled by 908 girls aged 14-16 years in 40 schools in Odense. The information was obtained during intervals of differing lengths and consequently, the parameters of the distribution of the age at the menarche were estimated in a randomly grouped normal distribution. The average age at the...... menarche was found to be the same throughout the municipality (13.27 years; 95% confidence limit 13.20-13.35). The variations were found to be significantly differentiated by the type of school district. The variations were low in the suburbs and in the surrounding rural districts, higher in the inner city...
Holstein, B E; Due, E P
among both girls and boys. Five percent are injured at home, 5% at school, 9% are injured at a sport facility, and 4% in the street/road. Ten percent report a sports injury, 4% an injury by falling, and 3% by riding a bicycle. Most common injuries are sprain/strain/pull of a muscle (9%), broken or...
Wisborg, Kirsten; Obel, Carsten; Henriksen, Tine Brink;
intervene. We reviewed the Scandinavian and English randomized controlled intervention studies directed towards smoking cessation during pregnancy. The intervention studies were classified according to the method of intervention namely antismoking advice, self-help manuals, measurements of smoking dependent...... chemical factors and multifactorial methods. We conclude that it is possible to reduce smoking during pregnancy only by an efficient and personal effort performed by a committed person towards each pregnant woman. Udgivelsesdato: 1994-Jul-11...
Due, P; Holstein, B E; Ito, H;
A total of 1,671 school children aged 11, 13 and 15 years answered a questionnaire on diet, other health behaviour, social background, social network, health and life satisfaction. The proportions who ate fruit, vegetables, and rye bread every day were 77%, 64% and 94%. Moreover, 78% had fibre......-containing breakfast every day and 79% had a regular lunch meal every day. 26% of the children received an optimal diet containing all of these five components every day, and 19% received less than three of these components every day. The proportions who consumed five unhealthy diet components every day (candy, chips......, French fries, sausages/hamburgers, and sweet longdrinks) were 32%, 12%, 5%, 5%, and 18%. 39% received at least one of these unhealthy diet components every day. There was no association between intake of healthy and intake of unhealthy diet components. We found no age differences among boys regarding the...
Nielsen, Signe Smith; Nørredam, Marie; Christensen, Karen Louise;
-seeking children showed evidence of having a psychiatric disorder. The results from the SDQ were supported by the results from the HBSC which showed that asylum-seeking children had numerous physical and psychological symptoms, poor self-perceived quality of life and a fragile social network. CONCLUSION: Emotional......INTRODUCTION: There is growing concern for the mental health of asylum-seeking children due to protracted periods of stay at asylum centres and an increasing need for psycho-social measures. The objective of this study is to survey asylum-seeking children's mental health in Denmark. MATERIALS AND...
Nielsen, Signe Smith; Nørredam, Marie Louise; Christiansen, Karen Louise; Olsen, Carsten; Krasnik, Allan
and Difficulties Questionnaire (SDQ) samt fire spørgsmål fra Health Behaviour in School-aged Children-spørgeskemaet (HBSC). For de 4-11-årige udfyldte pædagoger og lærere spørgeskemaer, de 11-16-årige besvarede derudover også selv spørgeskemaer. Resultaterne viste, at 35% af de 4-16-årige asylbørn...... adskillige fysiske og psykiske symptomer, ringe selvvurderet livskvalitet og skrøbeligt socialt netværk....
Prescott, E I; Osler, M; Hein, H O;
Studies reporting increased mortality in smokers are abundant, but only few have included large numbers of heavily smoking women. Based on three large Danish population studies we calculated median survival in smokers and never-smokers and compared the impact of smoking in men and women. Seventee...
Due, P; Holstein, B E; Ito, H; Groth, M V
-containing breakfast every day and 79% had a regular lunch meal every day. 26% of the children received an optimal diet containing all of these five components every day, and 19% received less than three of these components every day. The proportions who consumed five unhealthy diet components every day (candy, chips...
Benjaminsen, Sigurd E.; Thomsen, Rita L T; Balsløv, Kim D.;
family and social circle. Significantly more attempters suffered from depressive disorder, feelings of hopelessness, anxiety attacks, agoraphobia, substance abuse or cluster B personality disorders (dissocial, impulsive, borderline, and histrionic). Also significantly more suicide attempters had...... committed crimes and received early pension. Assessment of coping showed that suicide attempters had a significantly lower tendency to make plans or to make the best of a stressful situation by growing from it They were significantly more likely to show mental disengagement, to resort to denial and drink...... alcohol or take drugs when faced with stressful events or difficulties. When evaluated on the Addiction Severity Index Scale, the suicide attempters were found to have a significantly greater need of treatment....
This pilot study sought to find out the efficacy and effectiveness of a new combination of two therapeutic techniques in the research field of stress management and prevention: Eutony Psychophysical Education and Multimodal therapy. 31 nurses from a public Danish Hospital in Copenhagen participated......). The originality of this project arises from the unique combination of multimodal therapy and Eutony Psychophysical education in relation to stress management. There is no systematic study in which the combination of these two techniques has been tested before. From an historic view point, this is the...... participants descriptions of their own experiences and process of mastering their daily stress, both at work and at home. At first, the participants described stress as a process and as a state in which they experienced an interruption of the interaction, the relation and communication between them (each...
Bennedsen, Anne; Ibfelt, Else Helene; Hansen, Jane Lindschou;
-grade students (aged 15 to 16 years), including 264 first-generation and 391 second-generation immigrants from non-Western countries. Self-reported health and self-efficacy, defined as the belief in the ability to affect one's own health, were included in the analyses, using SPSS cross-tabulations and logistical...
Alinia, Sevil; Tetens, Inge
Forekomsten af overvægt og fedme blandt de voksne på verdensplan er høj med en stigende tendens. Effektive strategier i forhold til kropsvægtregulering målrettet mod opretholdelse af en normal kropsvægt samt forebyggelse af en for stor vægtøgning er derfor påkrævede. Disse mål kan måske opnås ved at reducere kostens energidensitet. Kostens energidensitet kan reduceres ved at erstatte energitætte fødevarer med mindre energitætte fødevarer såsom frugt og grøntsager. Frugt og grøntsager anses fo...
The focus groups (FG) are a “carefully planned series of discussions designed to obtain perceptions on a defined area of interest in a permissive, non-threatening environment” (Krueger and Casey, 2000). The aim of the FG is to raise a discussion among the participants that makes the research to see a certain phenomenon from the participants’ perspective. In Periscope the Focus Group Methodology (FGM) will be used as a supplement to the quantitative methods in order to obtaining background inf...
Christensen, Lene Møller; Kørup, Karsten; Trolle, Ellen;
tre hovedmåltider og tre mellemmåltider samt hverdag/weekend. Resultaterne vises for mænd og kvinder separat og samlet. Rapporten er baseret på data fra Den nationale undersøgelse af danskernes kostvaner og fysiske aktivitet indsamlet i 2005-2008. I alt 537 mænd og 535 kvinder i alderen 20-75 år...
Gottschalk, Georg; Buch Hansen, C.; Nicolajsen, E.
I de senere år der sket en udvikling af institutioner og bofællesskaber for udviklingshæmmede, sindslidende og fysisk handicappede. Tilsammen dækker tilbuddene hele skalaen fra den meget specialiserede institution til bostøtteformer, hvor de pågældende personer bor spredt i egne lejligheder med e...
Musikterapi kan have en signifikant effekt på de primære problematikker ved autismeforstyrrelsen, som f.eks. social interaktion, initierende adfærd og social-emotionel gensidighed. Kapitlet giver et indblik i de ’unikke og essentielle’ træk ved musikterapeutiske interventioner, der ifølge en nyli...
Two international trends are presented by some central documents as they constitute important general frames for understanding and coping with students in mathematics difficulty: A trend towards a political focus on math-containing competence for all, which stresses the need to further work in...... research and practice. And a trend towards political and economical interest in inclusive schools, which challenges thinking on normality and organisation and where concept of inclusion need to be given a mathematical dimension. The article suggests a model for conceptualising mathematics difficulties, and...
Birkelund, Regner; Søndergaard Larsen, Lene
occasionally, the opposite was experienced too. Less typically, the patients experienced interaction with fellow patients as a burden and referred to it in negative terms. Conclusions: Patients’ interaction resembled care as well as self-care. Patient–patient interaction was an important part of the social...... subcategories representing significance of patients’ interaction with fellow patients. Results: The qualitative analysis resulted in two main categories: (i) Caring for fellow patients and (ii) Sharing illness information with fellow patients. Each of the main categories was elucidated through several...... subcategories. Our findings clearly showed that interpersonal interaction with fellow patients was of utmost importance when it came to care and support and when they needed information about their illness. Typically, the interpersonal interaction was experienced as giving and referred to in positive terms, but...
Pedersen, Mette Bjerggaard; Giraldi, Annamaria; Kristensen, Ellids;
Seksuallivet er vigtigt for vores livskvalitet. Blandt mænd og kvinder, der har haft type 2 diabetes i lang tid, er seksuelle problemer hyppige. I ADDITION-studiet om tidlig opsporing og intensiv behandling af type 2-diabetes i almen praksis blev patienterne stillet forskellige spørgsmål om deres...... seksualitet ved 5-års opfølgningsundersøgelsen. Disse spørgsmål dannede baggrund for vores undersøgelse, som viser, at seksuelle problemer også er hyppige blandt mænd og kvinder med diabetes opdaget tidligt i deres sygdomsforløb. Omkring halvdelen af kvinderne og en fjerdedel af mændene i studiet oplevede...
Holstein, B E; Due, P; Ito, H; Deckert, H
% of the children spend 0-10 hours weekly watching television, 35% 11-27 hours, 15% 28-37 hours and 3% more than 37 hours. Boys spend more time watching television than girls, younger pupils more than older and children from lower social classes more than children from higher social classes. The time...... spent watching television increases with increasing degree of urbanisation. Children who spend many hours watching television have more problems in life satisfaction, health and social network compared with children who spend a few hours watching television. Udgivelsesdato: 1991-Jun-3......A material of 1,671 schoolchildren replied to a questionnaire about health, time spent watching television, the demographic and social situation, social network, and life satisfaction. These pupils spend two hours daily watching television and one tenth of this time is spent on video programmes. 48...
Simonsen, Kirsten Wiese; Andersen, Lis Sahl; Jensen, Britt Toftgård;
discussed. The study included 47 drug addicts. Median age was 34, age span: 20-43. The main cause of death was poisoning by heroin. In 28% of the drug addicts cocaine was detected and in 13% amphetamine. About half had used benzodiazepines. Few were employees, most were criminals and eight were homeless...
Jensen, Britt Toftgård; Simonsen, Kirsten Wiese; Rasmussen, Christian;
. The greater part of the deaths were caused by heroin, which is found in different concentrations in the illegal market. Five of the dead persons had just been released from prison and three people had just left 24-hour care centers when they were found dead. Co-operation between the various, treating...
Juel, K; Mosbech, Johannes; Hansen, Eva Støttrup
, circulatory diseases and other natural causes. Mortality due to lung cancer was particularly low. The suicide mortality was increased for both sexes, in particular because of an increased number of suicides by poisoning. Compared with the general population the doctors' mortality was low, but the mortality......This study examines mortality rates of Danish doctors and describes pattern and causes of death for the period 1973-1992. The study comprises 21,943 medical doctors, 6012 of whom were women. At the end of 1992 there were 2387 recorded deaths. The doctors had lower mortality rates than the general...... population. A significant lower mortality was seen for male medical specialists compared to general practitioners. A gender-difference was seen among the youngest doctors with the female doctors suffering a considerably higher mortality than the male doctors did. Both sexes showed SMR below unity for cancer...
Prescott, E; Steendahl, Ulla; Damsgaard, M T
The preparation methyl metacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group, a...... after very slight exposure. Revision of the occupational environment of dental technicians, including the current hygienic limits for MMA, is recommended.......The preparation methyl metacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group, a...... cross-sectional questionnaire investigation was undertaken in a population consisting of 256 dental technicians and 160 opticians, all of whom were professionally active. The percentage replies for the two groups were 88 and 85 respectively. The two groups do not differ from one another as regards...
Graff, V; Madsen, Mette; Nielsen, P E
In an investigation including 2,233 Danish doctors, nurses and midwives between 72 and 96% replied that they found definite proof of connections between smoking and the diseases: cancer of the lung, cardiac infarction and chronic bronchitis. The highest percentages were found among doctors and, in...... hospitals and places of work for health staff should be free from smoke, so that none of the staff smoked at work. Half of the doctors and 3/4 of the nurses and midwives replied that they received insufficient teaching about the deleterious effects of tobacco smoking on health. All of the participants were...
Madsen, Mette; Pedersen, J T; Nielsen, P E
conduct of a questionnaire investigation among a representative section of Danish doctors, nurses and midwives about smoking habits and attitudes to the tobacco problem. The random sample consisted of 2,997 persons, of whom 2,606 (87%) replied to the question about daily smoking habits. In all of the age...... nurses and midwives as compared with 46% in the normal population. The frequency of smoking among doctors has decreased considerably since 1980. Very few heavy smokers were found among health staff, particularly among doctors, and many male doctors smoked pipes (47% of the smokers). Even though health...... groups, the frequency of smoking was considerably lower among health staff than in the population as a whole, primarily because many had stopped smoking. The frequency among men was 23% for doctors as compared with 50% in the normal population (age 20-69 years) and 15% for female doctors, 29-30% for...
Stegger, Sara; Munch, Kathrine; Madsen, Josefine
Abstract The point of departure for this project is to shed light on the individual asylum seekers’ sense of belonging to the culture and user-driven drop-in centre the Trampolinhouse, thus this is where the gathering of the empirical data has been collected. The empirical data in this project relies on a mixture of participant observations and qualitative interviews with four users of the house, one of the informants works at the house whereas the remaining three are asylum seekers. T...
Forstholm, Malene Merete; Langhoff-Roos, Jens; Lidegaard, Øjvind
While multiparous women, who wish for planned Caesarean, indicating "maternal request" (MRS), often do so due to previous natal complications, our knowledge of why more nulliparous (P0) wish for MRS is sparse. The aim of the study was to illuminate reasons why an increasing proportion of P0 want...... MRS....
Mønsted, Mette; Edqvist, Charles; Gabrielsson, Jonas;
entrepreneurs in Norway. In the report we focus on entrepreneurs and growth entrepreneurs with a tertiary education. In Denmark we define tertiary education as a university master degree, based on five years of university study. In Norway we define tertiary education as a master degree or equivalent, based on...... more than four years of university study. In Sweden we define a tertiary education as three years of university study or more than three years. The university studies vary depending on the study subject. In order to be able to compare the data from the three countries we use the definition four years...... or more in the chapter comparing data from the three national studies. The statistic data in the report is based on figures on academic entrepreneurs starting their company in 2004 and following the development in the number of entrepreneurs until 2008. Growth entrepreneurs are defined as...
Steno, Anne Mia; Friche, Nanna
Interessen for mad, råvarer og gastronomi er stor i disse år. Forskning peger på, at kokkefagets brede popularitet i offentligheden virker til at tiltrække elever til uddannelsen. Mediekokke bliver forbilleder, og de unge vil gerne lære at lave den smarte mad, som de spiser på byens cafeer (Møberg...
Hasle, H; Jeune, B
had been exposed to physically strenuous work, too rapid a tempo and a long series of unpleasant working conditions. In addition, disability pensioners had frequently experienced periods of unemployment. No differences were observed as regards piece work, shift work or the number of places of...
Eksisterer det klassiske arbejderkollektiv, på hvilke betingelser og hvorfor? Det er denne afhand-lings problemstilling. Undersøgelsen foregår i 2 industrivirksomheder, og i alt 80 industriarbejdere er interviewet. I den ene case møder industriarbejderne efter en virksomhedsoverdragelse ledelsens krav om fleksibilitet i stor skala. Det undersøges, hvordan en fagpolitisk stærk industriarbejder-gruppe fornyer interessetolkningerne. I den anden case er fagligt arbejde under opbygning i en nyopre...
Vestergaard, L; Andersen, Klaus Ejner
steroid allergens, and 17 had a positive reaction to at least one of these (2.6%). Budesonide allergy was most often encountered, followed by hydrocortisone, tixocortol pivalate and hydrocortisone-17-butyrate. Betamethasone valerate, triamcinolone acetonide and clobetasol propionate rarely caused contact...
Karen Fog Olwig
Full Text Available Siden slaveriets ophør midt i 1800-tallet har Caribien været præget af en stærk migrationstradition. Forskere har påvist, at denne tradition har fået næring afhistorier om den succesrige returmigrant, som rig på penge og materielle goder vender tilbage efter år i udlandet. I denne artikel argumenterer jeg for, at disse historier indskriver sig i et 'mandligt' narrativ, der primært fokuserer på muligheden for at opnå social og økonomisk mobilitet gennem migration. Gennem en analyse af livshistorieinterviews med kvindelige returmigranter på den vestindiskeø Nevis viser jeg, at der parallelt med det mandlige narrativ findes et komplementært 'kvindeligt' narrativ, som omhandler den gode slægtning, der udvandrer for at hjælpe familien i hjemlandet ved forsendelser af penge, tøj og andre materiellegoder. Denne migrant kan derfor vende tilbage som et højt respekteret familiemedlem til trods for de beskedne materielle ressourcer, vedkommende selv besidder. Selv om de to narrativer knytter sig til henholdsvis mænd og kvinder, drager både mandlige og kvindelige migranter på dem, afhængigt af deres særligeerfaringer i udlandet og de specifikke aspekter af deres liv de beretter om. Analysen peger på, at narrativerne ikke er faktuelle redegørelser for migrantforløb, men snarere kulturelt specifikke måder hvorpå migranter skaber mening ogsammenhæng i deres liv. Ikke desto mindre er narrativerne med til at præge de forventninger og erfaringer, der knytter sig til migration, og de spiller derfor en vigtig rolle i de migrationsprocesser, der rent faktisk finder sted.Migration Narratives:Stories of the good Relative among Caribbean WomenSince the abolishment of slavery during the middle of the nineteenth century, the Caribbean has been characterized by a strong migration tradition. Research on Caribbean migration has shown that this tradition has been nourished by narrativesof the successful return migrant, who moves back home rich in money and material goods. In this article I will argue that this is a ‘male’ narrative emphasizing the importance of achieving social and economic mobility through migration.Through life story interviews with female return migrants on the Caribbean island of Nevis, this article points to the existence of a complementary ‘female’ narrative revolving around the good relative who migrates to help the family left behind. In this narrative a successful return is not measured by material gain, but rather by the extent to which support has been sent to the family and the respect this engenders in the local community. The analysis shows that, while the twonarratives of return are gendered, individuals may draw on both, depending on their particular experiences abroad and the specific aspects of their life story they are recounting. The narratives therefore should not be viewed as factual accountsof migration, but rather as culturally specific modes of representation that give meaning and purpose to individual lives. Nevertheless, the narratives shape individuals’understandings and practices of migration, and they therefore play an important role in actual migration processes.
Karen Fog Olwig
Siden slaveriets ophør midt i 1800-tallet har Caribien været præget af en stærk migrationstradition. Forskere har påvist, at denne tradition har fået næring afhistorier om den succesrige returmigrant, som rig på penge og materielle goder vender tilbage efter år i udlandet. I denne artikel argumenterer jeg for, at disse historier indskriver sig i et 'mandligt' narrativ, der primært fokuserer på muligheden for at opnå soci...
Olsen, Else Marie; Johannsen, Trine Holm; Moltesen, Bodil; Skovgaard, Anne Mette
Failure to thrive, defined as insufficient weight gain according to age, is a well-known condition among infants and toddlers. The aim of the study was to investigate the prevalence of diagnosed failure to thrive and possible comorbidity in hospitalised 0-2 year-old children in the County of...
Rasmussen, Mette; Damsgaard, Mogens T; Due, Eva Pernille;
INTRODUCTION: The objective was to study the correlation between male and female smoking prevalence in elementary school classes at grade nine through group-level analysis. MATERIAL AND METHODS: Data was collected by the 1998 Danish contribution to the cross-national study Health Behaviour in Sch...... effect of the classroom environment on the students' smoking behaviour must be considered differently for boys and girls. Udgivelsesdato: 2002-Dec-2...
Nielsen, Nete Munk; Paerregaard, Anders; Fischer, Thea Kølsen
Rotavirus (RV) is the most frequent causative agent of severe diarrhoea in infants and young children worldwide, also in Denmark. However, the actual number of diagnosed RV cases among Danish children is unknown. If a new RV-vaccine is to be introduced in Denmark, updated data on RV disease burde...
Høegh, Simon; Lohse, Nicolai; Hansen, Ann-Brit Eg;
INTRODUCTION: The incidence of new HIV diagnoses in Denmark has remained stable since 1991, but it has increased among the subgroup of homosexual men in recent years. This may reflect an actual increase in newly infected, e.g. as a result of increased risk behaviour, or it may reflect increased HIV....... MATERIALS AND METHODS: Observational study based on the Danish HIV Cohort Study, which includes all adults seen at Danish HIV clinics since 1995. RESULTS: From 2000 to 2004 the number of newly-infected homosexual men increased (from 69 to 123), particularly in persons under 30 years (from 5 to 42). The...... median CD4 cell count at the time of diagnosis increased in this group (median 19.1 cells/microL per year [95% CI: 3.7-11.3]), while it remained stable among heterosexually infected. The number of newly-diagnosed homosexually infected under 30 years with a CD4 cell count over 400 cells/microL increased...
Søgaard, Lisa Eilenberg; Christensen, Cathrine Lundgaard; Bilenberg, Niels
The present paper is a review of recent research on the prevalence of deliberate self-harm (DSH) in a non-clinical background population of adolescents during the period 2002-2008. Cutting and overdosing are the most common methods used, and the majority of adolescents engaging in DSH are girls. A...
Petersen, Lone Kjeld; Vaesel, Hanne; Brønsgaard, Poul Hede;
INTRODUCTION: Cervical cancer is caused by oncogenic human papilloma virus (HPV) serotypes. Types 16 and 18 are responsible for approximately 75% of all cases in Europe. Low-malignant serotypes like HPV 6 and 11 are the cause of approximately 90% of all cases of conyloma accuminata. Approximately...
Full Text Available Patient satisfaction is an important and commonly used indicator for measuring the quality in health care. Patient satisfaction affects clinical outcomes, patient retention, and medical malpractice claims. It affects the timely, efficient, and patient-centered delivery of quality health care. Patient satisfaction is thus a proxy but a very effective indicator to measure the success of doctors and hospitals. This article discusses as to how to ensure patient satisfaction in dermatological practice.
Hatlevik, Frode Severin
This Master's thesis addresses the need for further development of programs facilitating basic training in ICT for adults unfamiliar with the technology. Three different training options for self-intruction in ICT available to the Norwegian public are compared. One of theese, DataPower Learning eBorger, is studied in detail, and an empirical study following one participant's use of this program is carried out and summarized. eBorger is the Norwegian term for e-Citizen, a framework for bas...
Hellesen, Mia Iden
Introduction: Inactivity is a major public health challenge in today's society and it is important to find strategies on prevention. In Norway only 20% of the adult population meets the daily recommendations of 30 minutes of physical activity. Objective: The purpose of this study is to investigate whether CrossFit can contribute to changes in physical fitness and body composition in physically inactive men and women between 20 and 40 years. Furthermore, this study aims to see t...
Christensen, Kaj Sparle; Haugen, Wenche; Sirpal, Manjit K; Haavet, Ole Rikard
Ifølge WHO bidrager depression væsentligt til den globale sygdomsbyrde. Depressioner hos voksne har ofte deres debut i ungdomsårene. Korte, pålidelige depressionsskalaer er fremmende for tidlig identifikation af depressioner. Formålet med denne undersøgelse var at validere WHO-5 og HSCL-6...... spørgeskemaer til opsporing af depression blandt unge. Projektet blev gennemført som et multicenter-studie i almen praksis i Danmark og Norge. I alt 294 unge i alderen 14-16 år deltog ved at besvare et papir- eller webbaseret spørgeskema og gennemførte efterfølgende et Composite International Diagnostic...... Interview (CIDI), som blev brugt som diagnostisk standard. Depression blev i undersøgelsen defineret ud fra ICD-10 kriterier. Kriterievaliditeten blev undersøgt i form af Receiver Operating Curve analyser og cut-offs for depression blev beregnet ved anvendelse af Youden-indekset. Forekomsten af depression...
Ejrnæs, Morten; Gabrielsen, G.; Nørrung, Per
"Social opdrift - social arv" stiller på flere måder spørgsmål ved begrebet social arv. Bogen konkluderer blandt andet, at langt de fleste børn, der opvokser i en socialt belastet familie, bliver velfungerende voksne. Professionelle, der møder socialt belastede familier, har derfor et stort ansvar....... Naturligvis skal der tages hånd om udsatte børn, men det kræver samtidig stor opmærksomhed at sørge for, at fokuseringen på den sociale arv ikke tager overhånd, så det bliver en selvopfyldende profeti."Social opdrift - social" arv viser, hvordan forskningsresultater er blevet fremlagt på en måde, som har...... medvirket til at skabe en skæv opfattelse af, at forældrenes problemer er hovedårsag til børns sociale problemer. I selvstændige analyser vises, hvordan data, der normalt bruges som "bevis" for den sociale arvs betydning, tydeligt illustrerer, at det er en undtagelse, at børn får sociale problemer af samme...
Ludvigsen, Mette Spliid
Background: The hypothesis for the study is that the informal relationships amongst patients during hospitalisation have more influence on wellbeing, understanding of own illnesses and recovery than we until now have recognised in nursing. Aim: The purpose is to describe patients' experiences of ...
What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice? The CPD article discussed the importance of effective planning when discharging patients from acute care hospitals. It emphasised the benefit of early assessment and planning, and outlined the essential principles that should be followed when discharging a patient. PMID:27332612
Lunde, Anita; Johannessen, Helle
Baggrund: Interessen for komplementær og alternativ behandling (KAB) er stadig stigende, og der kan dokumenteres et større forbrug af KAB blandt kræftpatienter. Patienter anvender primært KAB som supplement til deres konventionelle behandling, og mange så gerne KAB som en integreret praksis. Fler...
Lindeman, C A
The 120 studies included in this review were grouped in relation to five categories of variables basic to a theory of instruction in patient education. Findings in the studies related to the characteristics of the patient as learner support the following variables as significant for a theory of instruction: demographic characteristics including age, race, duration and type of illness, educational level, and family preparedness. Selected psychological variables are significant as they interact with teaching approaches. Given only two studies in which the characteristics of the nurse as teacher were the main variables, no inferences for a theory of instruction could be drawn. However, the findings from those studies combined with results from studies in which characteristics of the nurse were secondary variables support the importance of this category of variables. The educational preparation, motivation, values, and job description of the nurse implementing patient teaching appear to be significant variables for a theory of instruction. Investigators explored a wide range of teaching strategies in the studies of patient teaching. The setting for teaching, group and individual teaching, and a variety of instructional strategies all prove promising at the operational level. The instructional strategies were too diverse to allow analysis at a level of abstraction beyond the operational. Findings in this review also support characteristics of the health care setting as an important category of variables for a theory of instruction. The organizational structure, a quality assurance framework, and valuing patient teaching appear to be significant variables. Patient education research provides a rich data source for future developments in theory, practice, and research. The effectiveness of patient education as a nursing intervention is clearly established. Furthermore, positive learning outcomes are associated with a broad range of teaching strategies, content areas, and
Full Text Available Background . Complementary and alternative medicine (CAM practices for cancer have become popular among oncology patients. An increasing interest in alternative medicine can be explained by the inefficiency of conventional treatment, dissatisfaction with treating patients like objects, and the will to use all available treatment methods. Objectives . The authors assessed how often patients use CAM methods, and which of them are most popular. Material and methods . The study was conducted in Military Hospital no. 109 and the Independent Public Clinical Hospital no. 1 in Szczecin among 100 chemotherapy patients. This survey-based study was performed using an original questionnaire. Results. Most respondents (68% did not use alternative methods to fight the disease. The most popular treatment methods were: herbal medicine (50%, alternative medicine preparations (38% and diet (25%, and the least common: hypnosis (3% and aromatherapy (3%. Analyzed sociodemographic factors had no effects on a choice of a CAM method. Patients obtained information about CAM methods mainly from the Internet (40%, medical staff (37% and literature (31%. Conclusions . 1. Using CAM by patients receiving chemotherapy for neoplasms is quite a common phenomenon. 2. CAM were more often chosen by women. Neither the duration of the disease nor sociodemographic data had effects on making the decision to use CAM methods. 3. The most popular CAM were: herbal medicine, alternative medicine preparations, and diet. 4. Cancer patients should receive special support from nurses and doctors as well as other members of the therapeutic team. Oncology patients should never be left on their own so that they were forced to seek help and support in therapies unconfirmed by scientific investigation.
accounting for the views of consumers and of holding providers accountable for their care. These movements are shown to entail the staging and stabilizing of “knowing patients” in both senses of the term: these are patients that are equipped and empowered as consumers with knowledge about quality and their...
... do anything to deserve this. Find ways to increase relaxation. Patients often report that their tinnitus is less burdensome when they are relaxed. Find the activities and behaviors that best help you relax: exercise, yoga, meditation, soothing music, anything that helps you ...
... A Patient’s Perspective Live Living With Kidney Cancer Cancer Nutrition Information (AICR) Emotional Well-Being Patient Empowerment Support ... want to help themselves. Vitamin supplements and good nutrition have a role to play in cancer care. However, large doses of some supplements may ...
Valeras, Aimee Burke
This short story focuses on refugee patients. Family members talk about the horrific struggles of civil war, refugee camps, and promises of US resettlement. Their harsh reception into a brutal world includes unemployment, food scarcity, and isolation. (PsycINFO Database Record PMID:27270253
Tina Wilchen Christensen
Full Text Available Artiklen vil belyse de mekanismer, der ligger til grund for et velfungerende fællesskab i en af Indre Missions ungdomsforeninger i Århus. Troen har på forskellige måder en central position i fællesskabet, og denne artikel vil argumentere for de unges tro som en social identitet, idet deres habitus synes at have en afgørende betydning for den og deres oplevelse af det religiøst funderede fællesskab. Artiklenvil også belyse, hvordan Biblen og dens fortællinger udgør den fortolkningsramme, som de unge er opvokset med og forstår livet igennem. Artiklen viser desuden den rolle, det kollektive samvær spiller i de unges konstruktion af Gud og egen identitet som kristen.Faith as common ground- community feeling among young evangelicals in DenmarkThe aim of this article is to demonstrate the mechanisms that underlie a youth association in the so-called Home Mission, a branch of the Evangelical Lutheran Church of Denmark. It is the result of anthropological research focusing on the sense of community among members aged between 15 and 27. In a number of ways faith plays a central role in the community, and the main argument of the article is that the young people's faith constitutes a social identity, since their habitus seems to have a decisive impact on their experience of the faith-based community. The article further demonstrates how the Bible and its narratives form the framework of interpretation with which the young people have grown up, and which, in their present life as adults, continues to mould their understanding and view of life, as well as the role that collective interaction plays in the young people's construction of God and their own identity as Christians. A core argument in the article is that faith is a socialization into a structure which results in all participants having the same frame of reference and therefore experiencing a strong feeling of community with one another within this particular wing of the Church of Denmark.
Thorsen, Anne; Devantier, Louise; Ovesen, Therese
about the child's hearing status. The most significant reason for this attitude was that it would make it possible to prepare for having a deaf child. Only 6% thought that the obtained knowledge would lead to termination of pregnancy. CONCLUSION: In consistency with these parents' point of view...
Allergic and toxic initiative symptoms from skin, eyes and respiratory tract are well known among gardeners This study reports the prevalence of these symptoms among gardeners working with Ficus Benjamina (Fb) and Hedera helix (Hh).......Allergic and toxic initiative symptoms from skin, eyes and respiratory tract are well known among gardeners This study reports the prevalence of these symptoms among gardeners working with Ficus Benjamina (Fb) and Hedera helix (Hh)....
Juel, K. [Statens Insti. for Folkesundhed, Copenhagen (Denmark); Engholm, G.; Storm, H. [Kraeftens Bekaempelse, Copenhagen (Denmark)
January 21st, 1968, an American B52 bomber with nuclear weapons aboard crashed close to the Thule air-base in Greenland. In 1986 suspicions arose that there might be increased disease incidences and death rate among the employees at the base that were involved in the clearing operations. During 1986 - 1995, several health studies were made of the Thule workers. These studies of death rate, cancer, hospitalization, and fertility did not show any differences between the Thule workers from the clearing operations and those not involved in the clearing. The present study shows no difference in total death rate among the clearing workers compared to other workers. The same results were found for cancer mortality, circulatory diseases, pulmonary diseases, natural causes, and accidents. As the previous studies showed, the present study shows that there were a slightly less number of suicides among the clearing workers. The data analyses show with great certainty that the Thule workers as a group do not have a great excessive mortality or an increased cancer incidence caused by the aircraft crash. Thus, the present results fall in line with the previous investigations. (ln)
Holstein, Bjørn E; Henriksen, Pia Elena; Krølner, Rikke;
The increasing prevalence of overweight and obesity among children and adolescents suggests a need to study the development in main predictors of obesity, like eating habits and physical activity. The objective was to describe self-reported vigorous physical activity versus physical inactivity...... among children and adolescents over a period of 14 years, 1988-2002....
Jensen, Mille Elhøj
This thesis deals with narrative sensemaking among primary school leaders in Copenhagen. Based upon seven narrative meaning interviews, the thesis discusses the development of school leadership, from traditionally having being influenced by a professional leadership paradigm to now being increasingly influenced by a leadership paradigm dealing with the principles of New Public Management. This has a number of consequences for the leaders personally, as well as for the school's community of pr...
Forskningsråd. Undersøgelsen blev udført som en anonym, webbaseret spørgeskemaundersøgelse, hvor der blev stillet spørgsmål inden for 8 tekniske områder: Generelt kendskab til it-sikkerhed, Datasikring, Adgangskoder, Virus og andet ondskabsfuldt programmel, E-mail, Download, E-banking og ehandel og...
Hasle, H; Jeune, B
The significance of the conditions in childhood and adolescence for awarding of disability pension is illustrated by means of a case-control design with persons matched according to age, sex and type of work. The group investigated consisted of 581 general male workers who received middle or...... investigated and the control group. Unskilled work results in confounding as it is associated not only with poor childhood conditions and also with a high incidence of disability pension. Poor childhood conditions are not found more frequently within the group of general workers among the disability pensioners...
Faergemann, Christian; Larsen, Lars Binderup
INTRODUCTION: Since 1990, the number of persons treated at the Odense University Hospital for injuries following road traffic with registered motor vehicles has increased. In this study we wanted to examine if the increase included an increase in more severe injuries. MATERIAL AND METHODS: The...... study included all inhabitants in the Municipality of Odense treated at the Odense University Hospital for more severe injuries (MAIS > or = 3) following road traffic accidents as drivers or passengers in registered motor vehicles during the period January 1st 1990 to December 31st 1999. RESULTS: 241...... persons were included. 177 (73 per cent) were men. The median age was 29.5 years for men and 57 years for women. The total incidence was 1.3 injuries per inhabitant/year. No significant increase was recorded during the period 1990 to 1998. Single accidents without counterpart were the most frequent type...
Wieclaw, Joanna; Paludan, Merete; Rosenkilde, Mikael;
INTRODUCTION: Employees in departments of oncology in Denmark are faced with the public's expectations of increased productivity and quality. Understaffing is a serious obstacle to the fulfillment of these expectations. In 2006, the psychosocial work environment was examined among junior physicians...... and predictability at work, the assessment of the psychosocial work environment is significantly poorer. There is considerable inter-departmental variation. The junior physicians call for more staff, a higher prioritization of education, and an improved psychosocial work environment. CONCLUSION...
Holstein, Bjørn E; Henriksen, Pia Elena; Krølner, Rikke; Rasmussen, Mette; Due, Pernille
INTRODUCTION: The increasing prevalence of overweight and obesity among children and adolescents suggests a need to study the development in main predictors of obesity, like eating habits and physical activity. The objective was to describe self-reported vigorous physical activity versus physical...... collection used the standardised HBSC questionnaire which included items about vigorous physical activity (VPA) outside school hours per week. We defined physically inactivity as 0 hours of VPA per week and high activity as at least 7 hours of VPA per week. RESULTS: The prevalence of high activity was higher...... among boys than girls and increased by age. The prevalence of physically inactive students increased from 1988 to 2002, especially among the 15 year olds. The proportion of students with high activity decreased from 1988 to 2002, especially among the 15 year olds. CONCLUSION: A large proportion of...
Lau, Sofie Rosenlund; Christensen, Søren Troels; Andreasen T., Jesper
To investigate patients' preferences for patient-centered communication (PCC) in the encounter with healthcare professionals in an outpatient department in rural Sierra Leone.......To investigate patients' preferences for patient-centered communication (PCC) in the encounter with healthcare professionals in an outpatient department in rural Sierra Leone....
Lucio-Villegas Menéndez, M Eulalia; González, Laura López; Gutiérrez Pérez, M Isabel; Lluch, Natalia Aresté; Morató Agustí, M Luisa; Cachafeiro, Santiago Pérez
In wound care, knowing what to do is as important as knowing what not to do. The first step is to evaluate the severity of the lesion and to know whether it is necessary to attend a health center or not. If the wound is simple, the recommended course of action is cleansing with serum or water after washing one's hands, followed by wound disinfection with the most appropriate antiseptic. Antiseptics not should be used for wound cleansing (physiological serum or tap water should be used) or for wound healing with granulation tissue. Equally, antiseptics should not be used in the ear or near the eyes; if there is accidental application, the eye should be washed in abundant water. Povidone iodine should not be used in pregnant women, nor should iodine preparations be used in neonates, in patients with thyroid alterations or in those allergic to iodine. Currently, merbromine/mercurochrome is not used because of its mercury content. Before an antiseptic is applied, all inorganic residues (foreign bodies) and dead tissue should be removed; detritus, slough, purulent exudate, scabs… This will aid healing and the action of antiseptics, since they become inactive in the presence of organic material. PMID:24998084
Oseeva А.О.; Soboleva L.A.; Bulkina N.V.; Shuldyakov A.A.
The article presents the study of formation mechanisms and periodontitis course in patients with subclinical stage of HIV-infection. The examination of 45 patients has enabled the division of patients into three basic groups: patients with periodontitis and HIV-infection; patients with periodontitis; and HIV patients without periodontitis. It has been determined that the patients with periodontitis and subclinical HIV-infection have developed local inflammatory reaction with infection, activa...
Itri, Jason N
Patient-centered care (ie, care organized around the patient) is a model in which health care providers partner with patients and families to identify and satisfy patients' needs and preferences. In this model, providers respect patients' values and preferences, address their emotional and social needs, and involve them and their families in decision making. Radiologists have traditionally been characterized as "doctor-to-doctor" consultants who are distanced from patients and work within a culture that does not value patient centeredness. As medicine becomes more patient driven and the trajectory of health care is toward increasing patient self-reliance, radiologists must change the perception that they are merely consultants and become more active participants in patient care by embracing greater patient interaction. The traditional business model for radiology practices, which devalues interaction between patients and radiologists, must be transformed into a patient-centered model in which radiologists are reintegrated into direct patient care and imaging processes are reorganized around patients' needs and preferences. Expanding radiology's core assets to include direct patient care may be the most effective deterrent to the threat of commoditization. As the assault on the growth of Medicare spending continues, with medical imaging as a highly visible target, radiologists must adapt to the changing landscape by focusing on their most important consumer: the patient. This may yield substantial benefits in the form of improved quality and patient safety, reduced costs, higher-value care, improved patient outcomes, and greater patient and provider satisfaction. PMID:26466190
Zimmermann, Esther; Ekholm, Ola; Juel, Knud;
INTRODUCTION: Smoking is the largest modifiable risk factor for early death in Denmark, and reduction of the number of smokers is a high-priority health goal. The aim of this study was to investigate the importance of tobacco consumption and social position on smoking cessation in a representative...... sample of the Danish population. This had not previously been done in Denmark. MATERIALS AND METHODS: The data were derived from the Danish Health and Morbidity Surveys of 1994 and 2000. The study population consisted of persons between 25 and 64 years of age who smoked in 1994 and who were re...
Lange, Synne De
Diabetes type 2 får i dag tittelen ”klodens moderne epidemi”, da omtrent 344 millioner mennesker lever med denne sykdommen. Forskning viser at diabetes type 2 pasienter har betydelig dårligere livskvalitet enn personer uten denne sykdommen, der egenomsorgen ofte er svært redusert. Etter et sterkt møte med to diabetes pasienter med svært forskjellig egenomsorgsbehov, vekket interessen for hvordan jeg som sykepleier kunne styrke egenomsorgen til diabetes type 2 pasienter. Dorothea Orem er en po...
Caregivers awareness of sexualityThis study deals with the results from two focus group interviews with 13 students from education in "Sexology and Disability" by Oslo and Akershus University College (HIOA). The purpose of this study was to highlight the experiences and perceptions of employees in their work with the theme of sexuality.Findings from the study show that it is still difficult to talk openly about people with developmental disabilities and their sexuality. Many see it as a taboo...
Full Text Available Caregivers awareness of sexualityThis study deals with the results from two focus group interviews with 13 students from education in "Sexology and Disability" by Oslo and Akershus University College (HIOA. The purpose of this study was to highlight the experiences and perceptions of employees in their work with the theme of sexuality.Findings from the study show that it is still difficult to talk openly about people with developmental disabilities and their sexuality. Many see it as a taboo area. The study shows that both the caregiver and care recipient are in need of training. Staff working with the theme of sexuality may feel stigmatized by colleagues. They get little support from managers and colleagues.Management must ensure good care for the client. The study indicates that employees should have knowledge and methods to meet the challenges of sexual education and prevent abuse.
Maghsoudi, Hemmat; Aghamohammadzadeh, Naser; Khalili, Nasim
CONTEXT AND AIMS: Diabetic burn patients comprise a significant population in burn centers. The purpose of this study was to determine the demographic characteristics of diabetic burn patients. MATERIALS AND METHODS: Prospective data were collected on 94 diabetic burn patients between March 20, 2000 and March 20, 2006. Of 3062 burns patients, 94 (3.1%) had diabetes; these patients were compared with 2968 nondiabetic patients with burns. Statistical analysis was performed using the statistical...
Houston, Robert E.
Over 25 years ago, Kubler-Ross identified anger as a predictable part of the dying process. When the dying patient becomes angry in the clinical setting, all types of communication become strained. Physicians can help the angry dying patient through this difficult time by using 10 rules of engagement. When physicians engage and empathize with these patients, they improve the patient's response to pain and they reduce patient suffering. When physicians educate patients on their normal response...
Pii, Kathrine Hoffmann
Intro: This paper discusses a central professional dilemma in patient-centred education: on one hand the concern for ensuring patients autonomy and right to make their own decisions regarding their treatment and, on the other hand, a concern for getting patients to make the “right” decisions that...... will improve their health condition. The patient-centred approach (and related concepts: patient participation, involvement, and empowerment) is being promoted both in healthcare politics and by healthcare professionals as a way to achieve more active self-managing and self-caring patients. Patient......-centredness is thus promoted as a way to organize health more effectively (in terms of cost and treatment outcomes) and as a way to ensure patients’ autonomy and fundamental right to make their own decisions regarding their treatment. Critical voices within social and nursing theory have however argued that the...
Department of Veterans Affairs — The Patient Assessment File (PAF) database compiles the results of the Patient Assessment Instrument (PAI) questionnaire filled out for intermediate care Veterans...
Full Text Available Physician-patient relationship is unique in some aspects and not-so-unique in other aspects when compared to other human interactions. Until-unless for the sake of health promotional activities, this relationship is almost always conceived in the times of human sufferings and consequently culminated when those sufferings have subsided as well as sought out happiness has ensued/been achieved. However, not all physician-patient relationships follow the normal course and/or meet the natural ends. These abnormal relationships are not inconsequential in terms of numbers and/or their effects (short-term and long term on both patients and physicians. Every country has its own baggage in the wake of why, how and what about these abnormal ends to physician-patient relationships; however, the most common causes are the patients’ inability to pay their medical bills, the conflicting goals of physicians and their patients in regards to patients’ sufferings’ management and finally the behavioral issues (patients’ and/or physicians’ interfering these relationships. Irrespective of any cause, the physicians should never forget that the patient can always discharge their physicians and discontinue their relationship with their physicians without any reason (until unless the physicians deem those patients either incapable/non-consentable to do so and/or potential threat to their own personal safety or other people’s safety. Contrarily, physicians can also discharge patients from their care but cannot abandon these patients (1-3 which mean that physicians have to ensure their discharged patients either are referred to or have sought another physician within appropriate time frame post-relationship-discontinuation. Each country has their own medico-legal liabilities that vary in terms of penalties imposed; however, irrespective of the feared legal concerns, the physicians should not forget that ethical essence of medicine is the art of healing that
Bredland, T; Duesund, R
This article reviews the concept of day surgery and shows how the treatment can be organized pre-, per- and post-operatively. It can be established in a hospital-integrated unit, a unit separate from the hospital, but connected with it, or a satellite ambulatory facility. Because the patient spends only a short time in hospital it is necessary to have structured preparations before admission, for the benefit of both patient and staff. It should be easy to identify patients suitable for day surgery from the waiting lists, and preparations should be directed at treatment by day surgery right from the start. Rules must be worked out for selecting patients, as well as guidelines for information to patients. It is also necessary to plan the operation programme, and to agree how nurses and doctors should take care of the patient during the different steps of treatment. PMID:8658453
Campbell, Catherine; Scott, Kerry; Skovdal, Morten;
, physical cleanliness, honesty, gratitude and lifestyle adaptations (taking pills correctly andcoming to the clinic when told). As healthcare workers may decide to punish patients who do not live up the‘good patient persona’, many patients seek to perform within the confines of the ‘good patient persona’ to...
Barfod, S.; Saunders, J.; Wutzke, S.
Artiklen omtaler de danske resultater af en spørgeskemaundersøgelse blandt praktiserende læger i 16 lande. Af de 304 besvarelser angiver 91%, at de højst behandler 2 patienter om måneden for alkoholproblemer. Læger med erfaring i alkoholbehandling, og læger, der arbejder mest, spørger oftere dere...
Nielsen, Mette Kjaergaard; Neergaard, Mette Asbjoern; Jensen, Anders Bonde;
Sorgsymptomer under sygdomsforløbet blandt pårørende til terminalt syge patienter har været forbundet med både forværret og forbedret sorgreaktion efter dødsfaldet. Dette systematiske review viste, at pårørende med svær grad af sorgsymptomer før patientens død har øget risiko for at udvikle alvor...
Pedersen, Anette Fischer; Vedsted, Peter
Udbrændthed er et stigende problem blandt alment praktiserende læger i Danmark. Dette studie viser, at alment praktiserende læger med en stor andel af socialt udsatte patienter på deres liste har større risiko for at være udbrændte sammenlignet med alment praktiserende læger med en lille andel af...
Pors, Anja Svejgaard
target groups for which information can be standardized. In the latter approach (market orientation), the patient is also a resource for organizational development. Overall, the strategy presents an information-pursuing patient figure that makes it possible to streamline the organization's care...... in Copenhagen, Denmark. Based on situational analysis of internal documents, the paper gives an empirical account of the work of strategic documents and explores how the documents organize patient communication through displacements of the patient. This paper shows that the hospital’s patient...... communication is not only about disease treatment, but also about ‘information treatment’ for the purpose of increasing patient satisfaction at the hospital. The goal of patient satisfaction addresses both a care-oriented approach to the patient and also deploys market perceptions of patients as homogeneous...
Pors, Anja Svejgaard
as an affective care recipient, as a citizen with rights and as an individual need-oriented user on the one hand. On the other hand, the goal of patient satisfaction also deploys market perceptions of patients as homogeneous target groups to which information can be standardised. In the latter......The analysis is based on an empirical study of a hospital’s communication strategy entitled: 'The Perspective of the Patient'. The paper asks how the strategy organizes communication work as situated displacements of the patient. Based on methodological elements from situational analysis (Clarke...... 2005) the analysis examines how the hospital’s patient communication is not just about disease treatment, but rather about information treatment of the patient in order to attain a high level of patient satisfaction. The goal of patient satisfaction addresses care-oriented understandings of the patient...
Pors, Anja Svejgaard
a care-oriented approach to the patient and also deploys market perceptions of patients as homogeneous target groups to which information can be standardized. In the latter approach (market orientation), the patient is also a resource for organizational development. Overall, the strategy presents an......This analysis is based on an empirical study of a Danish hospital‟s communication programme entitled: 'The Perspective of the Patient'. The paper explores how strategic documents of the programme organize the communication work through situated displacements of the patient. Based on methodological...... elements from situational analysis (Clarke 2005) the analysis examines how the hospital‟s patient communication is not only about disease treatment, but rather about information treatment of the patient in order to attain a high level of patient satisfaction. The goal of patient satisfaction addresses both...
... contact us TEXT SIZE IMF Multiple Myeloma Patient Handbook 2016 One of the most daunting aspects of ... with each of these steps. The IMF’s Patient Handbook is meant to furnish you with the tools ...
... Professional Learning Series Webcasts CPPS Review Course E-Learning Patient Safety Curriculum CPPS Review Course Patient Blood Management Reducing Diagnostic Error Health Info Technology Publications Ask Me 3 For ...
Ludvigsen, Mette Spliid
Patient life in hospital.A qualitative study of informal relationships between hospitalised patients Introduction Within a patientology framework, this PhD dissertation is about an empirical study on patient life that provides insight into the nature of informal relationships between patients in...... hospitals today. Purpose The purpose was to explore how informal relationships between patients affect their hospital experiences in the hospital. The assumption is that, on the one hand, the impacts on patients' suffering affect the way they act and experience encounters with fellow patients for good or....... Methods The study is designed within a phenomenological-hermeneutical philosophic frame of reference and is based on ethnographic fieldwork among hospitalised patients in a Danish university hospital. Data for the study were collected through participant observations over a period of 18 months. Nine males...
Sestoft, Bodil; Larsen, Birgit; Erlandsen, Mogens;
INTRODUCTION: The aim of this study was to answer the questions: Which kind of positioning injuries occurred in anaesthetized orthopaedic patients undergoing spine surgery who were prone-positioned for more than two hours? What was the incidence of positioning injuries? Which patients were at...... particular risk of developing positioning-related injuries? MATERIAL AND METHODS: Follow-up study comprising 299 patients. A patient record followed the patient from the day of surgery until discharge. Selected pre-disposing factors related to positioning injuries as well as positioning-related injuries were...... registered. One year after surgery, localisation, duration and treatment of positioning-related injuries were registered. A total of 299 patients were included. Among these, 60 patients died within the first year, and 52 could not be reached. The remaining 187 patients were interviewed by telephone one year...
... of these new biomarkers can indepen- dently pred ict that a patient with SMM has an 80% ... stop or adjust doses on your own. Patient education sheets on preventing blood clots and thromboembolic events, ...
Henriksen, Ann-Helen; Ringsted, Charlotte
Prior research on the use of patients as teachers has focused on testing the effectiveness of this practice and exploring its benefits for students. However, very little is known about the added value of patient teaching and how it relates to patient-centred learning. The aim of this study was to...
Moore, Angelo D; Hamilton, Jill B; Krusel, Jessica L; Moore, LeeAntoinette G; Pierre-Louis, Bosny J
National Committee for Quality Assurance recommends patient-centered medical homes incorporate input from patient populations; however, many health care organizations do not. This qualitative study used two open-ended questions from 148 active duty Army Soldiers and their family members to illicit recommendations for primary care providers and clinic leadership that would improve their health care experiences. Content analysis and descriptive statistics were used to analyze responses. Participant responses were related to four major themes: Access to Care, Interpersonal Interaction, Satisfaction of Care, and Quality of Care. Participants were overall satisfied with their care; however, spending less time waiting for appointments and to see the provider or specialist were the most frequently requested improvements related to Access to Care. For Interpersonal Interaction, 82% of the responses recommended that providers be more attentive listeners, courteous, patient, caring, and respectful. Decreasing wait times and improving interpersonal skills would improve health care experiences and patient satisfaction. PMID:27046182
Curtis, Ffion; Hurlin, Claire; Tomlinson, Sarah; Thatcher, Rhys; Rice, Sam
Aims and Objectives: To assess the feasibility of conducting a randomised control trial to evaluate the effectiveness of a patient delivered education programme for Type 2 diabetes in a Welsh population and to explore a range of factors that could inform future delivery of such a programme. Design: A randomised case control study was deployed. 60 newly diagnosed Type 2 diabetes patients were recruited (40 into a treatment arm and 20 into a control arm). Participants were randomly allocated...
Oropeza, Athamaica Ruiz; Mikkelsen, Søren; Bindslev-Jensen, Carsten;
intramuskulær adrenalin (64 % ifølge Sampson’s skala og 76 % ifølge Muraro’s). Af de 38 patienter der blev set i Odense fik 66 % intravenøs (IV) binyrebarkhormon, 63 % IV antihistamin og 5 % IV adrenalin (blandt dem med moderat til svær anafylaksi fik op til 77 % IV binyrebarkhormon og op til 82 % IV...... antihistamin). Blandt de 55 patienter i resten af Region Syddanmark fik 80 % IV binyrebarkhormon, 78 % IV antihistamin og 7 % IV adrenalin (blandt dem med moderat til svær anafylaksi fik op til 94 % IV binyrebarkhormon og op til 90 %, IV antihistamin). Af dem der fik IV adrenalin havde 2 ud af 2 tidligere fået...... intramuskulær adrenalin i Odense-området og 1 ud af 4 i resten af Region Syddanmark. Konklusion: Over 50 % af de reporterede tilfælde af allergi efter bi- og hvepsestik kunne gradueres som moderat til svær anafylaksi. Lang de fleste fik behandling med IV binyrebarkhormon og antihistamin, men kun omkring 50 % af...
Full Text Available The article presents the study of formation mechanisms and periodontitis course in patients with subclinical stage of HIV-infection. The examination of 45 patients has enabled the division of patients into three basic groups: patients with periodontitis and HIV-infection; patients with periodontitis; and HIV patients without periodontitis. It has been determined that the patients with periodontitis and subclinical HIV-infection have developed local inflammatory reaction with infection, activation of anti-inflammatory cytokines in parodontal recess fluid. It has been proved that the causative factor of frequent and durable relapses in parodontal pathology with clinical HIV-infection was the development of pathologic process with endotoxicosis syndrome and imbalance of lipid peroxidation and antioxidant system
Patient-centered care focuses on the patient and the individual's particular health care needs. The goal of patient-centered health care is to empower patients to become active participants in their care. This requires that physicians, radiologic technologists and other health care providers develop good communication skills and address patient needs effectively. Patient-centered care also requires that the health care provider become a patient advocate and strive to provide care that not only is effective but also safe. For radiologic technologists, patient-centered care encompasses principles such as the as low as reasonably achievable (ALARA) concept and contrast media safety. Patient-centered care is associated with a higher rate of patient satisfaction, adherence to suggested lifestyle changes and prescribed treatment, better outcomes and more cost-effective care. This article is a Directed Reading. Your access to Directed Reading quizzes for continuing education credit is determined by your area of interest. For access to other quizzes, go to www.asrt.org/store. According to one theory, most patients judge the quality of their healthcare much like they rate an airplane flight. They assume that the airplane is technically viable and is being piloted by competent people. Criteria for judging a particular airline are personal and include aspects like comfort, friendly service and on-time schedules. Similarly, patients judge the standard of their healthcare on nontechnical aspects, such as a healthcare practitioner's communication and "soft skills." Most are unable to evaluate a practitioner's level of technical skill or training, so the qualities they can assess become of the utmost importance in satisfying patients and providing patient-centered care.(1). PMID:19901351
Full Text Available It is not enough to consider treatment and care depression in the oncology that is the most common psychiatric illness in cancer patient affects of cancer treatment and the patient`s quality of life negatively, which is determined through researches in the field. With development of psycho-oncology it has been demonstrated to establish an important link between the cancer patient`s treatment as well as psycho-social support for the patient and psychiatric treatment and care for the if it is needed. With this connection between them it has been proposed to use of bio-psycho-social-model in cancer patient to improve their care. To achieve this goal, it is expected from medical personnel to realize patients psychosocial need und if he/she has a psychiatric disorders or syndromes. For the medical personnel that work in oncology services, it is inevitable to organize in order to raise the awareness of depression in the cancer patients. In the present study, it is focused on raising the awareness of depression in cancer patient for the medical personnel. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(2.000: 186-198
Stroke is one of the most serious health problems in the world, cited as being the second leading cause of death. After stroke, there is a greater risk of suffering second and further subsequent stroke-events. Given the heavy burden of disease present by stroke, there is a great need to improve patient education for stroke survivors, who are at an increased risk of another cerebrovascular accident. The purpose of this thesis is to develop the quality of patient education in nursing care o...
Gross, B; Ketema Wassie, F; Agnholt, Hanne;
Music for hemodialysis patients Background Patients starting a new regimen of dialysis often experience anxiety and other psychological disturbances. They struggle with the unknown situation, feelings of uncertainty and on top of that, a high level of sophisticated technological equipment. Music...... is known from literature to influence and dampen anxiety and tension and has been used for millennia in the treatment of illness. Here we report a study on the influence of music on patients undergoing dialysis and whether music has a potential for lowering discomfort in patients during first-time dialysis....... Purpose To investigate whether music can reduce feelings of anxiety, tension and restlessness in patients new to dialysis treatment and make them more relaxed during the treatment. Method Twenty patients aged 42-84 were selected for participation in the study, which took place over two separate dialysis...
van Brummelen, S E; de Vries, E; Schneeberger, P M; van Binnendijk, R S; Lestrade, P; Wever, P C
Two patients, men aged 17 and 19 years respectively, were admitted with parotitis epidemica and orchitis caused by mumps. The second patient also had meningitis. PCR analysis revealed that, in both cases, the causative agentwas a mumps virus that was genetically related to a wild-type virus responsible for an outbreak in Singapore. This viral strain was also responsible for a mumps outbreak at Hotel School The Hague in September 2004. Both patients were not fully vaccinated. Both patients were from regions in which clustering of patients with clinical signs of mumps has been seen. Interestingly, a number of patients with confirmed mumps had been fully vaccinated. Possible explanations for the increase in mumps cases include low vaccination and immunity levels, primary and secondary vaccine failure and the emergence of genetically disparate mumps viruses. PMID:16924947
Feitelberg, Steven P
The KP Patient Safety Executive Walkarounds Program in the KP San Diego Service Area was developed to provide routine opportunities for senior KP leaders, staff, and clinicians to discuss patient safety concerns proactively, working closely with our labor partners to foster a culture of safety that supports our staff and physicians. Throughout the KP San Diego Service Area, the Walkarounds program plays a major part in promoting responsible identification and reporting of patient safety issue...
A patient robot with an oral cavity mimicking unexpected movement due to vomiting and pain and functions to induce bleeding and saliva flow was developed and used for clinical training. Trainee students and clinical residents were asked to complete a questionnaire about the patient robot. The results showed the patient robot to be effective as a means of training students to respond to unexpected movements during surgical procedures. In the future, the author intend to incorporate additional ...
Christensen, Dorthe Wiinholdt; Andersen, Rene Richard; Rydahl-Hansen, Susan
Between 50 and 83 per cent of patients with a tracheostomy have difficulty swallowing. A study comprising 553 patients found aspiration and silent aspiration in respectively 48.8 per cent and 36.8 per cent of patients. As aspiration into the lungs is the commonest cause of hospital-acquired infec......Between 50 and 83 per cent of patients with a tracheostomy have difficulty swallowing. A study comprising 553 patients found aspiration and silent aspiration in respectively 48.8 per cent and 36.8 per cent of patients. As aspiration into the lungs is the commonest cause of hospital...... fluid/food when the tracheostomy is cuffed; whether nurses should ideally test patients for mis-swallowing and the extent to which nurses can prevent mis-swallowing. A systematic review showed that it makes a difference whether the patient is cuffed or uncuffed when fluid/food is administered. We also...... found a number of tools suitable for use in testing for dysphagia. We still do not know whether dysphagia can be prevented in tracheostomy patients, as we did not find answers to this question in the scientific literature.....
Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise; Birkelund, Regner
back patient and what back patients consider important when dealing with the healthcare system. Methods: The method draws on James Thomas' and Angela Hardens approach in "Methods for the thematic synthesis of qualitative research in systematic reviews" (2008). The thematic synthesis aims to systematise...... and integrate findings of qualitative studies. Results: The analysis reveals that many back patients feel that their experiences and perceptions are ignored by the health professionals, who are often concerned about identifying the cause. This can result in patients feeling mistrusted, marginalised...
Denne ph.d. afhandling omhandler 3D ganganalyse af raske og apopleksipatienter. Formålet med afhandlingen var at estimere referenceværdier for power i et udvalg af underekstremitetens muskelgrupper, samt at estimere ændringer i muskelgruppers power, når ganghastigheden øges blandt raske og...... baseret på fire artikler, som alle er indsendt til ”peer-review” tidsskrifter. Power af plantarfleksorerne, hofteekstensorerne, hoftefleksorerne, hofteabduktorerne og knæekstensorerne blev vurderet i et 3D ganganalysesystem ved en foretrukken ”normal” ganghastighed (studie et til tre). Ligeledes blev...... ganghastighed og gangsymmetri, målt som (1) absolut skridtlængde ratio, (2) en svingfase ratio og (3) enkeltstandfase tiden på hemiparetiske ben (studie fire), vurderet ved hjælp af ganganalyse. Resultaterne viste, at reference power værdier beskrevet med et forventet ”normalom-råde” var et anvendeligt klinisk...
Odlaug, Brian Lawrence; Weinhandl, Eric; Mancebo, Maria C;
Over the past 30 years, clinical trials have resulted in several successful pharmacotherapies for obsessive-compulsive disorder (OCD), yet patients in clinical settings often report inadequate response. This study compares clinical characteristics of treatment-seeking OCD patients to the inclusion...
Clinicians need a better understanding of transgender populations and a systematic approach to treating transgender patients medically and psychologically while managing any potential judgment or bias. This article explains key concepts, describes transgender patient health concerns, and discusses how to perform a comprehensive history. PMID:27228044
The issue of whether patients should always be told the truth regarding their diagnosis and prognosis has afforded much debate in healthcare literature. This article examines telling the truth from an ethical perspective. It puts forward arguments for and against being honest with patients, using a clinical example to illustrate each point.
Hsu, D H
Dyspnea is common in terminally ill patients and is often fairly difficult to control. If specific causes cannot be identified or treated, general measures to relieve symptoms should be used. Nondrug measures (eg, discussion and explanation with the patient) and drug measures (eg, morphine) can be used to control the dyspnea, although side effects, such as sedation, can be problematic.
Full Text Available Managing a bleeding patient is very challenging for the perioperative physician. Bleeding in a patient would be due to inherited or acquired disorders of haemostasis. Identifying the patients at risk of bleeding and utilising prophylactic treatment protocols has good outcomes. Along with clinical signs, trends in monitoring coagulation parameters and analysing blood picture are necessary. Management of patients in the postoperative period and in intensive care unit should be focused on normalization of coagulation profile as early as possible with available blood and its products. Available recombinant factors should be given priority as per the approved indications. Exploring the surgical site should be considered for persistent bleeding because haemodynamic compromise, excessive transfusion of fluids, blood and its products and more inotropic support may have a negative impact on the patient outcome.
Sørensen, Dorthe; Frederiksen, Kirsten; Grøfte, Thorbjørn;
Objectives: This paper provides a theoretical account of nurses’ collaboration with patients with chronic obstructive pulmonary disease during non-invasive ventilation treatment in hospital. Background: Despite strong evidence for the effect of non-invasive ventilation treatment, success remains a...... huge challenge. Nurse-patient collaboration may be vital for treatment tolerance and success. A better understanding of how nurses and patients collaborate during non-invasive ventilation may therefore contribute to improvement in treatment success. Design: A constant comparative classical grounded...... theory. Method: The data comprised sessions of qualitative participant observation during the treatment of 21 patients with non-invasive ventilation that included informal conversations with the nurses and semi-structured interviews with 11 patients after treatment completion. Data were collected at...
The objectives of this study were to determine the entrance surface dose to the patient and to estimate the dose to the uterus and ovaries due to hysterosalpingography (HSG) diagnostic examinations performed in Recife-Pe, Brazil. The entrance doses were measured using four thermoluminescent dosimeters per patient, attached to anatomical landmarks on the patient's skin. The study was carried out on 25 patients between 21 and 45 years of age who underwent the HSG examinations in two training hospitals and one private radiodiagnostic institute. The number of exposures performed ranged from 4 to 15 radiographs per patient measured. Entrance surface doses varied between 4.99 and 36.6 mGy, with an average of 12.6mGy. The doses to the ovaries and uterus ranged from 0.80 mGy to 5.8 mGy and 1.10mGy to 8.05 mGy, respectively. (author)
Holmes-Rovner, M; Rovner, D R
Patient decision support (PDS) tools or decision aids have been developed as adjuncts to the clinical encounter. Their aim is to support evidence-based patient choice. Clinical trials of PDS tools have used an array of outcome measures to determine efficacy, including knowledge, satisfaction, health status and consistency between patient choice and values. This paper proposes that the correlation between 'subjective expected utility' (SEU) and decision may be the best primary endpoint for trials. SEU is a measure usually used in behavioural decision theory. The paper first describes how decision support tools may use decision analysis to structure the presentation of evidence and guide patient decision-making. Uses of expected utility (EU) are suggested for evaluating PDS tools when improving population health status is the objective. SEU is the theoretically better measure when internal consistency of patient choices is the objective. PMID:11083037
Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta
Every year millions of patients worldwide suffer injury or death due to unsafe care, thus improving patient safety is both a national and international priority. A developmental project involving University College Zealand and clinical partners in the region focused upon the improvement of patient...... safety by optimizing the theory-practice connection with respect to the development of students’ competencies and the reporting of clinical errors. Population: 2nd year nursing students at University College Zealand (N: 56). Informed consent and full anonymity. Aims: - To increase patient safety by...... raising student awareness with respect to the role of the reporting of clinical errors and thus increase patient safety - To prepare a structured and systematical teaching program Methodology: an explorative, longitudinal study - Identification of students’ self-evaluated knowledge, skills and competences...
Pedersen, Anette Fischer; Hansen, Rikke P; Vedsted, Peter
Blødning fra endetarmen ses normalt som et alarmsymptom på kolorektalkræft. Alligevel vælger mange patienter at lade være med at opsøge lægen. Denne artikel ser nærmere på sammenhængen mellem et alarmsymptom (rektal blødning), forsinkelser i patientforløbet og tanker om kræft. Resultaterne viser,...
Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta
Improving patient safety is both a national and international priority as millions of patients Worldwide suffer injury or death every year due to unsafe care. University College Zealand employs innovative pedagogical approaches in educational design. Regional challenges related to geographic......, social and cultural factors have resulted in a greater emphasis upon digital technology. Attempts to improve patient safety by optimizing students’ competencies in relation to the reporting of clinical errors, has resulted in the development of an interdisciplinary e-learning concept. The program makes...
Patient exposures arising from radiological procedures form the largest part of the population exposure from artificial sources of radiation. According to United Nations Scientific Committee on the Effects of Atomic Radiation, the annual frequency of X ray examinations is 360 per 1000 individuals worldwide. Owing to the associated risk of radiation detriment to the patient, there is a clear need to monitor and control these exposures, and to optimize the design and use of the X ray imaging equipment so that the patient dose is reduced as far as possible, consistent with achieving the required clinical image quality
Waaddegaard, Mette; Davidsen, Michael; Kjøller, Mette
disorders and also to SF-36 and Perceived Stress Scale (PSS). RESULTS: Women with risk behaviour for eating disorders have a lower score on all subscales of SF-36 than women without risk behaviour. The differences are significant for the subscales for mental health, vitality, social function and general......INTRODUCTION: To improve the early identification of eating disorders the study tested whether women with risk behaviour for eating disorders have lower health-related life quality and more perceived stress than women without risk behaviour. MATERIAL AND METHODS: The study was a representative...... health. They also have a higher mean score on PSS than women without risk behaviour. CONCLUSION: Women with risk behaviour for eating disorders have lower mental health-related life quality than women without risk behaviour. They also experience daily life as more unpredictable, stressful and difficult...
Holstein, B E; Ito, H; Due, P
A total of 1,671 schoolchildren aged 11, 13 and 15 years answered an anonymous questionnaire in 1988 on their social backgrounds, social networks, health, life satisfaction and health behaviour. The proportions who had tried to smoke were 24%, 51%, and 66% in the three age groups; the proportions...... of smokers were 3%, 8%, and 29%, and the proportions of daily smokers were 0%, 2% and 6%. More girls than boys were smokers but there was almost no difference if place of residence, social class, or family type were considered. Almost the entire variation could be explained by best friends' smoking...
Idéen om denne Ph.D. et vokset ud af et ønske om at afdække de faktorer, der ligger til grund for, at personer med høretab oplever stress, som kan resultere i stressrelateret sygefravær fra arbejdspladsen. Målgruppen er erhvervsaktive personer med høretab, som anvender det talte og auditive sprog som det primære. Studiet bygger på en biopsykosocial stressforståelse og en salutogenetisk overbevisning, der handler om, at forskellige aspekter og kontekster i livet hænger uløseligt sammen og at h...
Jørgensen, Marianne Johansson
respondenternes alkoholindtagelse hele livet samt det sidste år, og en høj floor effekt for det item, der relaterede sig til alkoholindtagelsen den sidste måned. Både Rosenbergs Self-esteem skala og kondom Self-efficacy skalaerne viste god intern overensstemmelse (α>0,8), og spørgeskemaets test...
Nordestgaard, Børge G; Benn, Marianne; Schnohr, Peter;
We followed 13,981 Danes for 26 years, during which 1,793 developed myocardial infarction and 7,818 died. Women with elevated non-fasting triglycerides had hazard ratios for myocardial infarction of 2.2 for triglycerides of 1-1.99 mmol/L, 4.4 for 2-2.99 mmol/L, 3.9 for 3-3.99 mmol/L, 5.1 for 4......-4.99 mmol/L, and 17 for > or = 5 mmol/L versus women with triglycerides Hazard ratios for death were 1.3, 1.7, 2.2, 2.2, and 4.3 in women and 1.3, 1.4, 1.7, 1.8, and 2.0 in men with increasing triglycerides versus
Holstein, B E; Ito, H; Due, P
A total of 1,671 children aged 11, 13 and 15 years from a nationwide random sample of schools completed an anonymous questionnaire on their social backgrounds, social networks, health, life satisfaction, and health behaviour. The proportion practising outdoor activities at least three times a week...... do physical exercise at the age of 20. High intensity of physical activity was associated with high social class, strong social integration in the peer group, easy contact with parents and friends, physical exercise among parents and best friends, high degree of life satisfaction, and good health...
Hjøllund, Niels Henrik; Jensen, Tina Kold; Bonde, Jens Peter;
Mental distress has often been suggested as a cause of unexplained infertility. However, the causal direction may well be from infertility to distress, and prospective data are needed. We therefore followed 393 couples, who were planning their first pregnancy, with prospective collection of infor...... was based on a small number of observations. It is concluded that psychological distress may be a risk factor for reduced fertility in women with long menstrual cycles.......Mental distress has often been suggested as a cause of unexplained infertility. However, the causal direction may well be from infertility to distress, and prospective data are needed. We therefore followed 393 couples, who were planning their first pregnancy, with prospective collection of...... information on distress from termination of birth control until pregnancy for a maximum of six menstrual cycles. The analyses included 1,475 menstrual cycles, and mental distress was measured in each cycle by the General Health Questionnaire (GHQ). Urine samples from each period of vaginal bleeding were...
Mørkeberg, Stine Enslev
During the last few years there has been a lot of news in the mass media about crime, violence and vandalism in the district of Tingbjerg in Copenhagen. In these news young men of other ethnicity than Danish are often connected with the negative activities. In this context this project explores the self-perceptions and the experiences of categorization among young men of other ethnicity than Danish from the district Tingbjerg in Copenhagen. The method of the project is qualitative and soci...
Waaddegaard, Mette; Davidsen, Michael; Kjøller, Mette
INTRODUCTION: To improve the early identification of eating disorders the study tested whether women with risk behaviour for eating disorders have lower health-related life quality and more perceived stress than women without risk behaviour. MATERIAL AND METHODS: The study was a representative...... disorders and also to SF-36 and Perceived Stress Scale (PSS). RESULTS: Women with risk behaviour for eating disorders have a lower score on all subscales of SF-36 than women without risk behaviour. The differences are significant for the subscales for mental health, vitality, social function and general...... health. They also have a higher mean score on PSS than women without risk behaviour. CONCLUSION: Women with risk behaviour for eating disorders have lower mental health-related life quality than women without risk behaviour. They also experience daily life as more unpredictable, stressful and difficult...
Brøndum, Eva; Lange, Peter; Vestbo, Jørgen
We wanted to examine the factors that were of importance for the hospital outpatient treatment of teenagers with asthma.......We wanted to examine the factors that were of importance for the hospital outpatient treatment of teenagers with asthma....
U.S. Department of Health & Human Services — The national average for the HCAHPS survey categories. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent...
Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise; Birkelund, Regner
and integrate findings of qualitative studies. Results: The analysis reveals that many back patients feel that their experiences and perceptions are ignored by the health professionals, who are often concerned about identifying the cause. This can result in patients feeling mistrusted, marginalised...... and reluctant to speak out. Therefore, telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. The health professionals must incorporate the patients’ narratives as an integral part of the care and treatment. Conclusions: In order to...... acknowledge the back patient the narrative must be complemented by a different perspective that includes the issue of ethical responsibility. It is therefore also a question of adopting certain norms as binding; to be bound by obligation or loyalty. Thus, the literature review argues for a more process...
Geiker, Nina Rica Wium
(Paper I). The present study is, to my knowledge, the only study investigating the validity of performed nutritional risk screenings by comparing them with medical records. Eight per cent of patients were correctly screened for nutritional risk. A total of 24% of 2393 patients were nutritionally screened......Malnutrition, under-nutrition and/or obesity, may develop due to disease but may also cause disease. The prevalence of under-nutrition among hospitalized patients is high: 40-60% are either already under-nourished on admittance or at-risk of becoming malnourished. As in the general population...... of prescription medication, and take longer to recover. Acknowledging the adverse effects of malnutrition on health, since 2006 it has been mandatory to screen all patients for nutritional risk within 24 hours of admittance at all hospitals in the Capital Region, Denmark. The compliance to and the validity...
U.S. Department of Health & Human Services — A list of the state averages for the HCAHPS survey responses. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent...
It has been suggested that it is very important to position patients reproducibly at different stages of radiotherapy treatment planning and treatment, or similar procedures. Devices have been described for positioning a patient's upper and lower thorax. This invention provides reproducible positioning for a female patient's breasts, for example in planning treatment of and treating breast tumours. The patient is placed prone, using for example an upper thorax device. A support device is placed central to and beneath her breasts to partially displace them outwards. The device may be triangular in section with one apex contacting the chest wall at the sternum. Restraining straps may be provided to hold the breasts against the support device. Means may be provided to take a healthy breast from the path of radiation through the tumour. (author)
Federal Laboratory Consortium — he National Capital Area (NCA) Medical Simulation Center is a state-of-the-art training facility located near the main USU campus. It uses simulated patients (i.e.,...
Department of Veterans Affairs — This database is part of the National Medical Information System (NMIS). The Patient Treatment File (PTF) contains a record for each inpatient care episode provided...
Conclusion: Traumatic asphyxia is a clinical condition caused by blunt thoracoabdominal trauma, and with good trauma management patients can be discharged with less mortality and morbidity. [Cukurova Med J 2014; 39(4.000: 914-917
Kirti Rajesh Bendre; Tanvi Vijay Tuteja; Geeta Madhav Niyogi
Background: Objectives: To review all obstetric patients admitted in Intensive Care Unit (ICU) to access ethiology, required interventions, maternal mortality and to identify the conditions associated with maternal death. Methods: This is a retrospective study carried out in a medical college with tertiary hospital facility in Mumbai. The ICU admissions for a period of 5 years from October 2005 to October 2010 were reviewed. Results: Over 5 years, 48 out of 10800 obstetric patients wer...
King-Wing Ma, Terry; Kam-Tao Li, Philip
Depression is the most common psychiatric illness in patients with end-stage renal disease (ESRD). The reported prevalence of depression in dialysis population varied from 22.8% (interview-based diagnosis) to 39.3% (self- or clinician-administered rating scales). Such differences were attributed to the overlapping symptoms of uraemia and depression. Systemic review and meta-analysis of observational studies showed that depression was a significant predictor of mortality in dialysis population. The optimal screening tool for depression in dialysis patients remains uncertain. The Beck Depression Inventory (BDI), Patient Health Questionnaire (PHQ) and Center for Epidemiologic Studies Depression Scale (CESD) have been validated for screening purposes. Patients who scored ≥14 using BDI should be referred to a psychiatrist for early evaluation. Structured Clinical Interview for DSM disorders (SCID) remains the gold standard for diagnosis. Non-pharmacological treatment options include cognitive behavioural therapy and exercise training programs. Although frequent haemodialysis may have beneficial effects on patients' physical and mental well-being, it cannot and should not be viewed as a treatment of depression. Selective serotonin reuptake inhibitors (SSRIs) are generally effective and safe in ESRD patients, but most studies were small, non-randomized and uncontrolled. The European Renal Best Practice (ERBP) guideline suggests a trial of SSRI for 8 to 12 weeks in dialysis patients who have moderate-major depression. The treatment effect should be re-evaluated after 12 weeks to avoid prolonging ineffective medication. This review will discuss the current understanding in the diagnosis and management of depression in dialysis patients. PMID:26860073
Sabio Paz, Verónica; Panattieri, Néstor D; Cristina Godio, Farmacéutica; Ratto, María E; Arpí, Lucrecia; Dackiewicz, Nora
Patient safety and quality of care has become a challenge for health systems. Health care is an increasingly complex and risky activity, as it represents a combination of human, technological and organizational processes. It is necessary, therefore, to take effective actions to reduce the adverse events and mitigate its impact. This glossary is a local adaptation of key terms and concepts from the international bibliographic sources. The aim is providing a common language for assessing patient safety processes and compare them. PMID:26294153
To measure the frequency of depression and its risk factors in patients under going hemodialysis. It is a cross-sectional prospective study conducted at Hemodialysis unit of Shalamar Hospital and Shaikh Zayed Hospital, Lahore from 1/sup st/ January 2006 to 30/sup th/ April 2006. All patients getting regular hemodialysis for more than three months were included. Beck's Depression Inventory- II (BDI-II; adapted in Urdu) was administered on all the patients who were able to read or understand it. Blood sample were drawn at the same time for routine hematological, biochemical parameters and viral markers (Anti HCV and HbsAg). Diagnosis was made as per Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM IV) for correlation of psychological variables with clinical, hematological and biochemical parameters. Eighty nine patients were enrolled which included fifty two (58.4%) were male and seventy seven (86.5%) were married. Major causes of renal failure were diabetes, hypertension and chronic glomerulonephrotis. Duration of dialysis was from 03 to 49 months with mean of 19.64 +- 11.7 months. Severity of depression was categorized in to mild, moderate and severe on the basis of BDI score. Majority of the patients fifty (56.1%) were moderately to severely depressed and there was no gender difference in the prevalence of depression. Majority of patients undergoing hemodialysis were depressed. Major risk factors for depression were marital status, illiteracy, number of children, socioeconomic factors, gender, hypertension and hypoalbuminemia. Patients with anemia, hyponatremia and hyperkalemia had suicidal tendency. Patients with hepatitis C and disturbed liver function have strong correlation with psychological parameters. (author)
Wenner, Allen R.
Instant Medical History®1 is an interrogation expert system that uses the patient to generate the initial portion of the electronic medical record. Prior to a decision about what type of medical intervention is required, the patient uses an interactive voice response telephone system to respond to branching questions based on the answer to the previous question. The responses are translated into medical terminology and presented to medical personnel who can quickly determine the level of enco...
Sex education evokes a wide variety of responses in the community and from teachers. Consequently, physicians have a responsibility to present sex education material in a factual, objective way. Many people are misinformed about sexual behavior. Physicians can help patients and the community by being aware of appropriate sex education for each age group. A curriculum for sex education, and opportunities to provide sex information for patients of different ages and stages in the lifecycle, are...
Galya Ivanova Gancheva
Leptospirosis is a re-emerging zoonosis with broad clinical spectrum and high mortality in severe forms. The aim of this study was to analyze clinical manifestations, laboratory findings, epidemiological data, and management in elderly patients with leptospirosis. Toward that end, we performed a descriptive analysis of 15 leptospirosis elderly cases (age 60-78 years) treated at the Clinic of Infectious Diseases of University Hospital - Pleven (1976-2012). Patients were serologically confirmed...
Wellbery, Caroline; Chan, Melissa
Much has been written about the symbolic function of the white coat: its implications of purity, its representation of authority and professionalism, and its role in consolidating a medical hierarchy. By contrast, the medical literature has paid almost no attention to the patient gown. In this article, we argue that in order to understand the full implications of the white coat in the doctor-patient relationship, we must also take into account patients' dress, and even undress. We explore contemporary artistic images of white coat and patient gown in order to reveal the power differential in the doctor-patient relationship. Artistic representations capture some of the cultural ambivalence surrounding the use of the white coat, which confers professional status on its wearer, while undermining his or her personal identity. At the other end of the sartorial spectrum, hospital gowns also strip wearers of their identity, but add to this an experience of vulnerability. Although compelling reasons for continuing to wear the white coat in circumscribed settings persist, physicians should be mindful of its hierarchical implications. Ample room remains for improving patients' privacy and dignity by updating the hospital gown. PMID:24687912
Panek, W C; Holland, G N; Lee, D A; Christensen, R E
The records of 100 patients (161 eyes) with uveitis were reviewed retrospectively to determine the prevalence of increased intraocular pressure, the forms of uveitis most commonly associated with glaucoma, and the forms that require specific glaucoma therapy. Secondary glaucoma was present in 23 patients (31 eyes): three of 24 patients with acute uveitis (three eyes, 12% of acute uveitis patients) and 20 of 76 patients with chronic uveitis (28 eyes, 26% of chronic uveitis patients). Eighteen ...
Introduction: Two thirds of patients (ptes) cancer present slimming recognized a negative prognostic factor. Anorexia cachexia syndrome (SCA) results from the interaction of multiple factors and causes death of 22% of these patients. Nutritional support produces a moderate recovery weight without affecting the underlying metabolic disorders. Objectives: Conduct a review of current knowledge of the underlying pathophysiology and management the cachexia-anorexia syndrome in cancer patients. Designing indications possible policy interventions in the management of these patients. Method: Performed an a literature review on SCA. Conclusions: We identify patients at risk for early implementation of non-pharmacological measures preventive. The control side effects to treatment oncospecific with particular attention to the need for antiemetics, laxatives / antidiarrheal control dental and proper pain management is fundamental. Keep track enteral is a priority. In those with swallowing disorders or dysphagia, nasogastric feeding tube should be considered early. Indications for gastrostomy / jejunostomy and total parenteral nutrition (TPN) are very limited. The NPT is a complementary treatment maneuver a temporary and reversible complication, in order to prevent deterioration
Dike, Charles C; Nicholson, Elizabeth; Young, John L
Patients in a forensic psychiatric facility often require escorted transport to medical facilities for investigations or treatments of physical health ailments. Transporting these patients presents significant safety and custody challenges because of the nature of patients housed in forensic psychiatric facilities. A significant proportion of these patients may be transfers from the Department of Corrections (DOC) under legal mandates for psychiatric evaluation and treatment better provided in a hospital setting, and most of them will return to the DOC. Although departments of correction have protocols for escorting these potentially dangerous individuals, it is unclear whether receiving psychiatric hospitals have established procedures for maintaining the safety of others and custody of these individuals during transportation outside the hospital facility. The literature is sparse on precautions to be observed when transporting dangerous forensic psychiatric patients, including those with high escape risk. In this article, we describe one forensic inpatient facility's procedure for determining the appropriate level needed to transport these individuals outside of the forensic facility. We also describe the risk assessment procedure for determining level of transport. These are quality improvement measures resulting from a critical review of an incident of escape from the forensic facility several years ago. PMID:26668224
Full Text Available Humanoids have increasingly become the focus of attention in robotics research in recent years, especially in service and personal assistance robotics. This paper presents the application developed for humanoid robots in the therapy of dementia patients as a cognitive stimulation tool. The behaviour of the robot during the therapy sessions is visually programmed in a session script that allows music to play, physical movements (dancing, exercises, etc., speech synthesis and interaction with the human monitor. The application includes the control software on board the robot and some tools like the visual script generator or a monitor to supervise the robot behaviour during the sessions. The robot applicationʹs impact on the patientʹs health has been studied. Experiments with real patients have been performed in collaboration with a centre of research in neurodegenerative diseases. Initial results show a slight or mild improvement in neuropsychiatric symptoms over other traditional therapy methods.
Joginder Pal Attri
Full Text Available Many patients with psychiatric illnesses are prescribed long-term drug treatment, and the anaesthesiologist must be aware of potential interactions with anaesthetic agents. Psychotropic drugs often given in combination with each other or with other non-psychiatric drugs generally exert profound effects on the central and peripheral neurotransmitter and ionic mechanisms. Hence, prior intake of these drugs is an important consideration in the management of the patient about to undergo anaesthesia and surgery. This article highlights the effects of anaesthetics on patients taking antipsychotics, tricyclic antidepressants, monoamine oxidase inhibitors and lithium carbonate. The risk that should be considered in the perioperative period are the extent of surgery, the patient′s physical state, anaesthesia, the direct and indirect effects of psychotropics, risk of withdrawal symptoms and risk of psychiatric recurrence and relapse.
Høy, Bente; Hall, E.O.C.; Wagner, L.
This study shows how care providers in hospital practice perceive the elderly patient's dignity as a core value in health promoting care towards the elderly. Fifteen focus group interviews were conducted with care providers who told about their nursing practice experience. The interviews were...... analysed using a phenomenological hermeneutical approach. The results disclose that when caring for the elderly patient's health potential, care providers saw dignity as the core value of health. Dignity was found to capture three themes: autonomy, identity, and worthiness. These themes reflect the...... principles of nursing practice, protecting, enhancing and promoting the elderly patient's health potential. It is suggested that these themes of dignity provide a frame of reference in elder care; they shape the understanding of when health issues become a concern for health-promoting care for the elderly...
Natalya Victorova Strueva; Galina Afanas'evna Melnichenko; Mikhail Gur'evich Poluektov; Larisa Victorovna Savel'eva; Gul'nara Victorovna Katsiya; Nikolay Petrovich Goncharov
Objectives: The aim of the study was to investigate the influence of duration and individual characteristics of sleep and chronotype on body weight, eating behavior, anxiety, depression, life quality, metabolic and hormonal parameters of obese patients. Materials and methods: 200 patients with primary obesity were studied: 83 men and 117 women at age from 18 to 61 years old, median age 41,5 years [31,0; 50,0]; body weight 107 kg [94; 128,5], waist circumference 112 cm [102; 124]; neck circumf...
A patient support system for use in computerized tomography (CT) is described. The system is particularly useful for CT scanning of the brain and also of the abdominal area. The support system consists of two moveable tables which may be translated into position for X-ray scanning of the patient's body and which may be translated incrementally and automatically to obtain scans at adjacent locations. For use with brain scans, the second table is replaced by a detachable restraint assembly which is described in detail. The support system is so designed that only a small volume of low density material will intercept the X-ray beam. (UK)
Thengilsdóttir, G; Pottegård, Anton; Linnet, K;
their prescription dispensed within a year from issuing (primary non-adherent) was assessed, as well as the time from issue until dispensing. Associations between demographic factors and primary non-adherence were estimated using logistic regression. RESULTS: The overall primary non-adherence was 6...... when a prescription is issued until it is dispensed. METHODS: Data on patients receiving a new prescription for a statin or an antidepressant from the Primary Health Care database were linked with dispensing histories from The Icelandic Prescription Database. The proportion of patients who did not have...
Eke, F; Balfe, J W; Hardy, B E
Three boys were treated for arteritis of the aorta and great vessels and bilateral renal artery stenosis. One presented at age 6 months with failure to thrive, excessive sweating, and vomiting: hypertension and cardiac failure were subsequently diagnosed. The two older boys (7 and 14 years) presented with symptomless hypertension. The clinical and angiographic findings in the three patients suggest that the illness may have been Takayasu's arteritis, which should be included in the differential diagnosis of hypertension in infancy and childhood. Renal autotransplantation was performed in all three patients with good results. Early renal autotransplantation may reduce the morbidity associated with this disease. PMID:6148918
Reynard, John; Stevenson, Peter
Following recent high profile cases of surgical error in the UK and USA, patient safety has become a key issue in healthcare, now placed at heart of junior doctor's training. Errors made by doctors are very similar to those made in other high risk organisations, such as aviation, nuclear and petrochemical industries. Practical Patient Safety aims to demonstrate how core principles of safety from these industries can be applied in surgical and medical practice, in particular throughtraining for health care professionals and healthcare managers.Whilst theoretical aspects of risk management form
Baldwin, Mike; Spong, Andrew; Doward, Lynda; Gnanasakthy, Ari
Internet communication is developing. Social networking sites enable patients to publish and receive communications very easily. Many stakeholders, including patients, are using these media to find new ways to make sense of diseases, to find and discuss treatments, and to give support to patients and their caregivers. We argue for a new definition of patient-reported information (PRI), which differs from the usual patient-reported outcomes (PRO). These new emergent data from the social web ha...
Ennis, Jeffrey H
The physician-patient relationship, like any human relationship, blends two types of interactions described by philosopher Martin Buber. In an “I-It” interaction, the physician objectifies the patient and his or her problem; in an “I-Thou” interaction, the physician perceives the patient as an emotional being. My encounters with medical practitioners as a patient with brachial neuritis and Guillain-Barré syndrome illustrate these forms of the physician-patient relationship.
Pors, Anja Svejgaard
Purpose - The purpose of this paper is to examine how strategic, patient-centred communication plays a part in the discursive management of expectations posed to patients and healthcare organizations. Design/methodology/approach - The paper provides an analysis of four documents collected as part of an ethnographic case study regarding "The Perspective of the Patient" - a Danish Hospital's patient-centred communication programme. Mapping methods inspired by Grounded Theory are used to qualify the analysis. Findings - The paper shows that strategic patient-centred communication addresses both a care-oriented approach to the patient and deploys market perceptions of patients. Market and care is seen as co-existing organizing modes that entail expectations to the patient. In the communication programme the patient is constructed in six information-seeking patient figures: affective patient; target group patient; citizen with rights; patient as a competent resource; user as active partner; and consumer. As a result, the patient-centred communication programme renders the patient as a flexible figure able to fit organizational demands of both care orientation and market concerns. Originality/value - This study contributes to qualitative research in organizational health communication by combining two subfields - patient-centredness and health communication - in an empirical study of how market and care are intertwined in a patient-centred communication programme. The argument goes beyond the prevalent prescriptive approaches to patient-centredness and healthcare communication, instead providing a critical analytical perspective on strategic communication and patient-centredness and showing how expectations are posed to both patient and organization. PMID:27052626
Aaltio, Laura; Huhtamaa, Iina
Cardiovascular diseases affect many people in Finland. One way to support this patient group is patient education. Since the time spent in the inpatient settings is limited, treatment and education of cardiovascular patients is currently focused mainly on the outpatient settings. This creates pressure for the nurses due to the strict time-frame and high turnover of patients. The purpose of this final project was to find evidence-based knowledge on the patient education of a cardiac patie...
Caffarella, Rosemary S.
Patient education is recognized by health care providers and patients themselves as an important component of adequate health care for hospital patients. Through this informational process, patients receive information about specific health problems, learn the necessary competencies to deal with them, and develop accepting attitudes toward the…
Ameri, Cinzia; Fiorini, Fulvio
If the "old economy" preached standardization of products/services in order to reduce costs, the "new economy" is based on the recognition of the needs and the management of information. It is aimed at providing better and more usable services. One scenario is a national health service with regional management but based on competition between hospitals/companies.This led to a different handling of the user/patient, which has become the center of the health system: marketing seeks to retain the patient, trying to push a client-patient to not change their healthcare service provider. In costs terms, it is more economical to retain a customer rather than acquire a new one: a satisfied customer is also the best sounding board for each company. Customer equity is the management of relations with patients which can result in a greater customer value: it is possible to recognize an equity of the value, of the brand and of the report. Loyalty uses various marketing activities (basic, responsive, responsible, proactive and collaborative): each hospital/company chooses different actions depending on how many resources it plans to invest in loyalty. PMID:27374397
Andersen, Tariq Osman
This paper introduces the concept of the “participatory patient” as a vehicle to promote attention to patients¿ dual enactment of participation on participatory design (PD) projects in healthcare. By an empirical case-story from an ongoing PD project in healthcare, I illustrate the relationship...
Hvidt, Niels Christian
Faith and hope in divine healing figure in most religious traditions. This chapter looks at faith in healing miracles and explores how following that faith may involve both risks and advantages. On the one hand, it may imply a risk by camouflaging a deferring attitude as when patients decline...
Selberg, Hanne; Madsen, Trine Stougaard
Right patient, Right Blood Simulation based training in blood transfusion practice in nursing education Background: In spite of strict checking procedures to handling transfusion of blood severe adverse reactions are likely to happen and the major cause of morbidity occurs to be liable to human...
Fibromyalgia: The Information and the Care You Deserve PATIENT HANDBOOK e Fibromyalgia: You Need the Facts Fibromyalgia (fi’bro-mi-al’je- ) affects more than ... occur in men as well. 1 People with fibromyalgia may experience the following symptoms: 2 • Chronic, widespread ...
O'Donnell, Joseph F
Insomnia affects up to 50% of patients with cancer, but has received little attention from the oncology community compared with other symptoms such as pain and fatigue. Insomnia and subsequent sleep disturbances can lead to fatigue, mood disturbances, and contribute to immunosuppression, which can have a profound impact on quality of life and perhaps affect the course of disease. Insomnia in cancer patients must be distinguished from cancer-related fatigue. Although they are 2 distinct conditions, insomnia and fatigue are interrelated. Insomnia often leads to daytime fatigue that interferes with normal functioning. Conversely, daytime fatigue can lead to behaviors such as napping, which result in insomnia. The primary goal of insomnia treatment should first be to relieve any underlying disorder (eg, cancer pain, depression, anxiety) that may be causing the sleep disturbance. Because insomnia in this patient population may be due to a variety of causes, treatment must be multimodal and include both pharmacologic and nonpharmacologic therapies. A plan that combines attention to sleep hygiene and cognitive-behavioral therapy with prescription of hypnotic medications can help relieve the symptoms of insomnia in cancer patients and improve their quality of life. PMID:15675652
Salama Abo-elyazed Ouf; Tarek Abd-elgawaad Moussa; Alshimaa Saber Mohamed Abd-Elmegeed; Samar Mohamed Rajaee Eltahlawy
Objective: To study the occurrence and prevalence of dermatomycosis in special patient populations suffering from diabetes, cancer and heart diseases. Methods: A total of 640 patients suffering from diabetes, 280 patients suffering from cancer and 210 patients suffering from heart diseases from Cairo City were evaluated for dermatophytosis at the dermatology clinics of four different hospitals from January 2005 to December 2006. Results: It is estimated that diabetic patient...
Son, Yu Ri; Choi, Kyoung Hyo; Kim, Tae Gyun
Objective To identify risk factors for dysphagia in tongue cancer patients. Dysphagia is a common complication of surgery, radiotherapy, and chemotherapy in tongue cancer patients. Previous studies have attempted to identify risk factors for dysphagia in patients with head and neck cancer, but no studies have focused specifically on tongue cancer patients. Methods This study was conducted on 133 patients who were diagnosed with tongue cancer and who underwent a videofluoroscopy swallowing stu...
van Sluijs, E. M.
This large-scale study describes the way in which physical therapists currently inform, instruct and advise their patients. The study is based on 2000 audiotaped sessions of physical therapy treatments and 1600 patient questionnaires. The results show that patients receive much information and advice during treatment but that patient's compliance is unsatisfactory. The study shows which factors are related to patients' non-compliance. Finaly the book gives an explanatory model for short-term ...
Ehrensvärd, Martin Gustaf
Ibn 'Arabi¯ (1165-1240) er blandt de mest indflydelsesrige og kontroversielle islamiske mystikere, kendt blandt hans tilhængere som ’den største mester’ og blandt hans modstandere som ’den største kætter’. Af hans meget omfattende forfatterskab foreligger der indtil videre kun nogle fa° sider i...
Der er en tæt sammenhæng mellem den pædagogstuderendes fysiske aktivitet i barndommen og fysiske aktivitet i det voksne liv. Den sociale vane (habitus) spiller i denne sammenhæng en afgørende rolle for praksis i det voksne liv! Pædagogstuderende har generelt et positivt forhold til fysisk aktivit...
Horwitz, Anna; Reuther, Lene; Andersen, Stig Ejdrup
in Copenhagen. RESULTS: A total of 111 patients were included. Eighty-eight patients (79%) always or often read the patient information leaflets. Among these, 77% attached importance to adverse effects. A mere 13% attached importance to all leaflet information. In all, 21% never or rarely read patient......-five patients (32%) stated that they had stopped taking medication due to the information about adverse effects. CONCLUSION: The patient information leaflet is an important source of drug information as most patients read the leaflet and nearly a third of the patients stated that information about the adverse...... information leaflets, but relied on the doctor or the pharmacist. 62% of the interviewed had no problems reading or understanding the patient information leaflets. Among the 38% with reading problems, 57% had difficulties due to text-size, and 33% found the written language difficult to understand. Thirty...
Bostan, Sedat; Acuner, Taner; Yilmaz, Gökhan
The expectations of patient are one of the determining factors of healthcare service. The purpose of this study is to measure the Patients' Expectations, based on Patient's Rights. This study was done with Likert-Survey in Trabzon population. The analyses showed that the level of the expectations of the patient was high on the factor of receiving information and at an acceptable level on the other factors. Statistical meaningfulness was determined between age, sex, education, health insurance, and the income of the family and the expectations of the patients (p<0.05). According to this study, the current legal regulations have higher standards than the expectations of the patients. The reason that the satisfaction of the patients high level is interpreted due to the fact that the level of the expectation is low. It is suggested that the educational and public awareness studies on the patients' rights must be done in order to increase the expectations of the patients. PMID:17028043
Jensen, Andrew; Boyle, Justin; Khanna, Sankalp
We describe the development of a method to distil routinely collected clinical data into patient flow information to aid hospital bed management. Using data from state-wide emergency department and inpatient clinical information systems, a user-friendly interface was developed to visualise patient flow conditions for a particular hospital. The historical snapshots employ a variable time scale, allowing flow to be visualised across a day, week, month or year. Flow information includes occupancy, arrival and departure rates, length-of-stay and access block observations, which can be filtered by age, departure status, diagnosis, elective status, triage category, and admission unit. The tool may be helpful in supporting hospital bed managers in their daily decision making. PMID:22797023
Bro Brask, Kirsten; Birkelund, Regner
The aim of this study was to research how the staff experience care expressed during the brief encounter with the patients in a diagnostic imaging department. This was a qualitative study with a phenomenological and hermeneutical frame of reference. The data were collected using field observations...... and semistructured interviews and analyzed according to the guidelines for meaning condensation by Giorgi. The imaging staff found that care is expressed in an administrative, an instrumental, and a compassionate sense. The imaging staff perceived care in a way that clearly differs from the traditional perception...... of care understood as the close relations between people. In their self-understanding, the staff found that care not only comprised the relational aspect but also that it was already delivered during the preparatory phases before the actual meeting with the patient and up until the image...
Pandey M; Thomas B
With the developments in cancer treatment, more and more patients are surviving their disease. However, very little emphasis is being placed to rehabilitate these cancer survivors. Ignorance, social structure, stigma attached in seeking psychological help, and poor communication skills of oncology staff all contribute to poor rehabilitative efforts. The priority of governmental agencies and health efforts to fight rampant communicable diseases, malnutrition, maternal health, and the frequent ...
A 52-year-old Caucasian man presented to hospital with confusion and was treated for a urinary tract infection. He developed new and unexpected signs and symptoms during his stay in hospital. On further questioning, the story of his social background unfolded and, following further investigation, he was diagnosed with human immunodeficiency virus (HIV). This case reminds all clinicians to think about HIV in the older patient and it also gives direction for investigation and management of simi...
Sreelatha, Omana Kesary; Ramesh, Sathyamangalam VenkataSubbu
Teleophthalmology is gaining importance as an effective eye care delivery modality worldwide. In many developing countries, teleophthalmology is being utilized to provide quality eye care to the underserved urban population and the unserved remote rural population. Over the years, technological innovations have led to improvement in evidence and teleophthalmology has evolved from a research tool to a clinical tool. The majority of the current teleophthalmology services concentrate on patient screening and appropriate referral to experts. Specialty care using teleophthalmology services for the pediatric group includes screening as well as providing timely care for retinopathy of prematurity (ROP). Among geriatric eye diseases, specialty teleophthalmology care is focused toward screening and referral for diabetic retinopathy (DR), glaucoma, age-related macular degeneration (ARMD), and other sight-threatening conditions. Comprehensive vision screening and refractive error services are generally covered as part of most of the teleophthalmology methods. Over the past decades, outcome assessment of health care system includes patients’ assessments on their health, care, and services they receive. Outcomes, by and large, remain the ultimate validators of the effectiveness and quality of medical care. Teleophthalmology produces the same desired clinical outcome as the traditional system. Remote portals allow specialists to provide care over a larger region, thereby improving health outcomes and increasing accessibility of specialty care to a larger population. A high satisfaction level and acceptance is reported in the majority of the studies because of increased accessibility and reduced traveling cost and time. Considering the improved quality of patient care and patient satisfaction reported for these telemedicine services, this review explores how teleophthalmology helps to improve patient outcomes. PMID:26929592
Eke, F.; Balfe, J W; Hardy, B E
Three boys were treated for arteritis of the aorta and great vessels and bilateral renal artery stenosis. One presented at age 6 months with failure to thrive, excessive sweating, and vomiting: hypertension and cardiac failure were subsequently diagnosed. The two older boys (7 and 14 years) presented with symptomless hypertension. The clinical and angiographic findings in the three patients suggest that the illness may have been Takayasu's arteritis, which should be included in the differenti...
DEMİRÇEKEN, Fulya G.; SOYKAN, İrfan; KULOĞLU, Zarife; ÇETİNKAYA, Hülya; ÖZDEN, Ali
Background and Aims: The etiology of functional (nonulcer) dyspepsia is unknown and many factors are suspected. Giardia lamblia is the most common protozoan isolated from the gastrointestinal tract, and chronic giardiasis is considered as a cause of dyspepsia. Our aim was to determine the frequency of giardiasis in patients undergoing upper gastrointestinal endoscopy for dyspepsia and to compare with results of stool examination by microscopy. Materials and Methods: One hundred and four dyspe...
Dintinjana, Renata Dobrila; Redžović, Arnela; Čubranić, Aleksandar; Dintinjana, Marin; Vanis, Nenad
Cachexia is defi ned as an unintended loss of stable weight exceeding 10%. Patients with advanced cachexia express anorexia, early satiety, severe weight loss, weakness, anemia, and edema. Anorexia represents the result of a failure of the usual appetite signals whereas cachexia is the debilitating state of involuntary weight loss. This syndrome, referred to as the »cancer anorexia-cachexia syndrome« (CACS) and usually consists of a combination of anorexia, tissue wasting, malnutr...