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Sample records for ankeltraume hos patient

  1. Fod- og ankeltraume hos patient med diabetes

    DEFF Research Database (Denmark)

    Falborg, Bettina; Ebskov, Lars

    2009-01-01

    If confronted with a neuropathic patient with an acute foot-ankle trauma, including fracture, this patient is by definition Eichenholtz stage 0. This is of major importance for the treatment. Whereas the surgical handling of fractures does not differ from ordinary fracture treatment, the subsequent...

  2. Lejringsskader hos rygopererede patienter

    DEFF Research Database (Denmark)

    Sestoft, Bodil; Larsen, Birgit; Erlandsen, Mogens;

    2009-01-01

    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...

  3. Delirium hos kritisk syge patienter

    DEFF Research Database (Denmark)

    Strøm, Thomas; Pande-Rolfsen, Guri; Hagen, Christine;

    2009-01-01

    Interest in and the quantity of publications on delirium in critically ill patients have grown increasingly over the last decade. Critically ill patients have traditionally been sedated to facilitate mechanical ventilation. This practice impeded the recognition of delirium in the critically ill...... patients, and consequently the disorder was underdiagnosed. Delirium in the critically ill patients is associated with increased morbidity and mortality. Less sedation, guided by protocols with daily wake up trials, and validated delirium scoring systems, have improved the opportunities to diagnose and...... monitor delirium in the critically ill patients. Udgivelsesdato: 2009-Oct-19...

  4. Muskelstyrken hos patienter med fibromyalgi. Et litteraturstudie

    DEFF Research Database (Denmark)

    Dombernowsky, Tilde; Dreyer, Lene; Bartels, Else Marie;

    2008-01-01

    Do patients with fibromyalgia (FM) have reduced muscular strength? We examined 22 articles and conclude from the results of these that FM patients have reduced muscular strength in their hands and quadriceps. The material also suggests generalised reduced muscular strength. However, the studies h...

  5. Seksuel funktion hos patienter med dissemineret sklerose

    DEFF Research Database (Denmark)

    Stenager, E; Stenager, E N; Jensen, Knud

    1997-01-01

    Sexual dysfunction is known to occur in multiple sclerosis (MS). The purpose of the study is to describe the change in sexual function and symptoms in a five year follow-up study. Forty-nine patients (27 females, 22 males) with definite MS were interviewed and examined. The number of patients with...

  6. Dermatologiske reaktioner hos patienter i antineoplastisk behandling

    DEFF Research Database (Denmark)

    Prasad, Sumangali Chandra; Vestergaard, Hanne; Bygum, Anette

    2014-01-01

    Every year more than 33,000 Danish patients are treated with traditional chemotherapy or targeted therapy against cancer. Cutaneous side effects to these therapies are common and may contribute significantly to the morbidity, but rarely to the mortality of the patients undergoing these treatments....... We present the most classical types of drug rashes associated with antineoplastic therapy. Haematologists, oncologists and dermatologists should be aware of these reactions and early recognition and management is important for providing optimal care....

  7. Pause med trombocytaggregationshaemmere hos kirurgiske patienter med kardiel stent

    DEFF Research Database (Denmark)

    Johansen, Mathias; Afshari, Arash; Kristensen, Billy

    2010-01-01

    Dual antiplatelet therapy with aspirin and clopidogrel is increasingly used for secondary prevention of cardiovascular events in patients with percutaneous coronary intervention. Anesthesiologists and surgeons are faced with the challenge of managing these patients prior to a surgical procedure. ...

  8. Neurogen dysfagi ses hyppigt hos patienter på intensivafdelinger

    DEFF Research Database (Denmark)

    Pedersen, Anette Barbre; Kjærsgaard, Annette; Larsen, Jens Kjærgaard Rolighed;

    2015-01-01

    Neurogenic oropharyngeal dysphagia (NOD) is a frequent condition in neurological patients admitted to the ICU, particularly in patients with brainstem lesions. The CNS damage itself can predispose to dysphagia, but also the treatment and preventive measures may predispose to and exacerbate the...... rehabilitation is important....

  9. Behandlingsresultater hos patienter med cancer i papilla Vateri

    DEFF Research Database (Denmark)

    Dahl, Sune; Bendixen, Morten; Fristrup, Claus Wilki; Mortensen, Michael Bau

    2010-01-01

    Cancer of the papilla of Vater is a relatively rare disease. It is difficult to separate from other periampullary tumours at the time of diagnosis. Recent studies have shown that patients with cancer of the papilla tend survive longer than patients with pancreatic cancer and cancers of biliary and...

  10. Ustabil rygfraktur hos en patient med paranoid skizofreni

    DEFF Research Database (Denmark)

    Ydemann, Mogens

    2012-01-01

    The misdiagnosis of somatic illness in the psychiatric population can have grave consequences. Somatic symptoms are easily overseen or misinterpreted and a careful history and examination is essential when approaching this group of patients. We report a case of a patient with a history of paranoi...

  11. Bisfosfonatassocieret osteonekrose i kaeberne hos patienter med myelomatose

    DEFF Research Database (Denmark)

    Lund, Thomas; Gregersen, Henrik; Vangsted, Annette; Marker, Peter; Abildgaard, Niels

    Bisphosphonate-associated osteonecrosis of the jaw (BON) is mainly observed in patients with multiple myeloma, and to a lesser extent in breast and prostate cancer patients receiving intravenous treatment with potent bisphosphonates. The incidence of BON increases with the duration of bisphosphon......Bisphosphonate-associated osteonecrosis of the jaw (BON) is mainly observed in patients with multiple myeloma, and to a lesser extent in breast and prostate cancer patients receiving intravenous treatment with potent bisphosphonates. The incidence of BON increases with the duration of...... bisphosphonate therapy and with the potency of the used bisphosphonate. BON usually develops after tooth extraction or other oral surgery, and has proven difficult to treat. Optimal dental hygiene should be ensured prior to treatment initiation where possible, and once bisphosphonate treatment is instituted......, oral surgery should be avoided if possible. Udgivelsesdato: 2009-Jan-5...

  12. Ultralydsskanning af lungerne hos den kritisk syge patient

    DEFF Research Database (Denmark)

    Jepsen, Søren Vad; Christiansen, Aage; Sloth, Erik

    2009-01-01

    Lung sonography is an old technique applied in a new fashion. Applying lung sonography in the examination of an acute patient with pulmonary problems is a novelty in Denmark. Applications, limitations, techniques, equipment and general principles for lung sonography are reviewed. We introduce the...... "typical signs" such as lung sliding and artefacts. The rationale for lung ultrasonography in the treatment of acute patients seems obvious when comparing this technique with conventional diagnostic tools for the diagnosis of pulmonary status. Udgivelsesdato: 2009-Aug-31...

  13. Legionella pneumoni hos patienter, der er i behandling med infliximab

    DEFF Research Database (Denmark)

    Vinter, Hanne; Nielsen, Henrik Ib

    2009-01-01

    Therapy with tumour necrosis factor-alfa inhibitors is widely used in various inflammatory disorders, but adverse events from severe infections with intracellular pathogens may occur. We describe two cases of severe pulmonary legionellosis in patients treated with infliximab for Crohn's disease a...... psoriasis, respectively. We conclude that legionella infections are probably more frequent in patients receiving immunosuppressive therapy with tumour necrosis factor-alfa inhibitors than in the background population. Udgivelsesdato: 2009-Jan-19...

  14. Praeoperativ funktionel magnetisk resonans-billeddannelse hos patienter med hjernetumor

    DEFF Research Database (Denmark)

    Laustsen, Søren Ravn; Sørensen, Preben; Fründ, Torben;

    2010-01-01

    MRI plus a three-month postoperative assessment. A total of 14 patients complied with these requirements (six men and eight women, the mean age was 39 years). fMRI raw data was collected using a three tesla magnetic resonance scanner (Signa HDx R14M5, GE Healthcare). The distance from the tumour margin to......%) and when deciding the extent of the surgical approach (83%). CONCLUSION: The standardised method for measurement of distance between tumour margin and fMRI activity can contribute to the preoperative risk assessment in patients with brain tumours....

  15. Risikofaktorer for selvmord hos patienter med dissemineret sklerose

    DEFF Research Database (Denmark)

    Stenager, E N; Koch-Henriksen, N J; Stenager, E

    1997-01-01

    with respect to risk factors comparisons were made for male and female suicides, and for various groups of MS suicides according to disability status. The male suicides were characterized by a tendency to commit suicide in the age interval 40-49 years, the use of a violent method, previous suicidal...... behaviour, previous mental disorder, recent deterioration of MS, and moderate disability. For women the characteristics were less distinct. Patients with a severe course of MS had been subjected to more risk factors before the suicide. Careful counselling and good information to MS-patients are advocated....

  16. Udvikling af sklerodermisk krise hos patient med uerkendt sklerodermi

    DEFF Research Database (Denmark)

    Madsen, Kristine Lindhard; Hansen, Alastair; Halberg, Poul; Ullman, Susanne

    2014-01-01

    Less than 10% of the patients with systemic scleroderma develop renal crisis, i.e. acute renal failure and severe hypertension in most cases. Kidney biopsy shows hypertensive arteriolar changes. This complication was lethal until treatment with captopril was introduced in 1976. Since that time the...

  17. Dyb venetrombose i penis hos patient med malign sygdom

    DEFF Research Database (Denmark)

    Ghasemi, Habib; Ajan, Rullah

    2014-01-01

    Thrombosis of the deep penile venous system in a patient with a malignant disease Thrombosis of the deep penile venous system is extremely rare and must be clearly distinguished from superficial thrombosis because it may cause serious clinical complications. We present a 76-year-old man with thro...... thrombosis of the vena dorsalis penis profunda three months after being diagnosed with disse­m­­inated non-small cell lung cancer. Total remission of the thrombosis was achieved with daily subcutaneous injections with heparin for four weeks....

  18. Dyb venetrombose i penis hos patient med malign sygdom

    OpenAIRE

    Ghasemi, Habib; Ajan, Rullah

    2014-01-01

    Thrombosis of the deep penile venous system in a patient with a malignant diseaseThrombosis of the deep penile venous system is extremely rare and must be clearly distinguished from superficial thrombosis because it may cause serious clinical complications. We present a 76-year-old man with thrombosis of the vena dorsalis penis profunda three months after being diagnosed with disse­m­­inated non-small cell lung cancer. Total remission of the thrombosis was achieved with daily subcutaneous inj...

  19. Omvårdnadsåtgärder för viktminskning hos överviktiga patienter med typ 2 diabetes : En litteraturstudie

    OpenAIRE

    Lindahl, Annahanna; Tindefjord, Maria

    2006-01-01

    Övervikt hos patienter med typ 2 diabetes är en riskfaktor för att utveckla komplikationer. Komplikationer kan drabba ögon, njurar, nerver och blodkärl. Sjuksköterskan har en viktig roll i arbetet med att hjälpa överviktiga typ 2 diabetiker att minska sin vikt. Viktminskning hos överviktiga typ 2 diabetiker kan leda till ökat välbefinnande och minska risken för komplikationer. Syftet med litteraturstudien var att beskriva omvårdnadsåtgärder för att patienter med övervikt och typ 2 diabetes sk...

  20. KBT behandling inom ramen för Rehabgarantin, uppfattning och upplevelser hos behandlare och patienter i primärvården, Jämtland

    OpenAIRE

    Reslegård, Christina

    2010-01-01

    En stor del (uppskattningsvis 30%) av primärvårdens patienter lider av psykisk ohälsa. Genom införandet av Rehabgarantin garanteras personer med ångest och depression evidensbaserad samtalsbehandling bland annat i form av kognitiv beteendeterapi. En enkätundersökning visar att behandlare inom primärvården i Jämtland ger en behandling som influeras av andra terapeutiska inriktningar tillsammans med KBT och att de anser att KBT i sig är en alltför begränsad metod för att möta behoven hos primär...

  1. Kartläggning av depressiva symtom hos patienter med arytmi

    OpenAIRE

    Gannedahl, Karin; Stenhammar, Cecilia

    2011-01-01

    Objective: The aim of this study was to study the prevalence of depression among patients with arrhythmia, and to investigate if there was any gender difference in the study population regarding depression. Furthermore, differences considering depressive symptoms between patients with arrhythmia and the general population were to be investigated. Method: The self-rating scale MADRS-S was distributed during two weeks to 24 patients with arrhythmia. Twenty-one patients completed the study. Resu...

  2. Antibiotikumprofylakse ved tandbehandling hos patienter med hofte- eller knaeledsalloplastik er sjaeldent nødvendig

    DEFF Research Database (Denmark)

    Jørgensen, Peter Holmberg; Fuursted, Kurt; Holmstrup, Palle; Husted, Henrik; Sørensen, Torben Sandbjerg

    2010-01-01

    A review of the literature with respect to whether antibiotic prophylaxis should be recommended in relation to dental treatment of patients with hip or knee joint prosthesis. We find no evidence for such a general recommendation. As neutropenic patients and patients with rheumatoid arthritis are ...

  3. Kombination af aliskiren og losartan hos patienter med type 2-diabetes og nefropati - Sekundaerpublikation

    DEFF Research Database (Denmark)

    Parving, Hans-Henrik; Persson, Frederik; Lewis, Julia B;

    2009-01-01

    We evaluated the renoprotective effects of adding aliskiren to treatment with losartan in hypertensive patients with type 2 diabetes and nephropathy. A total of 599 patients were randomized to six months of treatment with placebo or aliskiren in addition to losartan 100 mg and optimal antihyperte...

  4. Antidiabetika, insulinresistens og hjerte-kar-sygdom hos patienter med type 2-diabetes

    DEFF Research Database (Denmark)

    Hemmingsen, Bianca; Lund, Søren S; Vaag, Allan

    2009-01-01

    This article reviews the current evidence of effects on cardiovascular disease (CVD) of anti-diabetic treatment which exert their effect by increasing the insulin sensitivity in patients with type 2 diabetes (T2D). In overweight T2D patients, it has been demonstrated that metformin reduces the CVD...

  5. Anaemi - praevalens og ætiologi hos patienter indlagt på en geriatrisk afdeling

    DEFF Research Database (Denmark)

    Pedersen, Andreas James Thestrup; Skjelbo, Erik

    2008-01-01

    INTRODUCTION: The purpose of this study was to determine the prevalence of anemia among acutely admitted geriatric patients, and among these patients to ascertain how often anemia is listed as a diagnosis, the distribution of these diagnoses and to compare the diagnostic approach to anemia...... with that suggested in the literature. MATERIALS AND METHODS: Age, sex and hemoglobin concentrations (hgb) were registered for patients referred to the acute geriatric ward of Odense University Hospital between 6/1/04 and 8/31/04. The prevalence of anemia was determined on the basis of the local laboratory's sex...... interval 51-71%) than among women (27%, 95% confidence interval 21-34%). 30 of the anemic patients (27%) had anemia listed as a diagnosis, including 14 with the diagnosis anemia without specification. A minority of anemic patients had measurements of serum ferritin (37%), serum iron (10%), plasma cobalamin...

  6. Præsentation af symptomer i almen praksis hos patienter med cancer

    DEFF Research Database (Denmark)

    Nielsen, Tine Nørgaard; Hansen, Rikke Pilegaard; Vedsted, Peter

    2010-01-01

    colorectal, lung and prostate cancer presented diagnosis-specific symptoms (change in bowel habits, cough and bladder dysfunction) as well as more non-specific symptoms (pain, weight loss and fatigue). The GPs interpreted the symptoms as alarm symptoms in 49%, as general symptoms in 24% and as non......-cancer specific symptoms in 27% of the patients. CONCLUSIONS: In general practice, incident cancer patients often present with few and non-cancer specific symptoms. The fact that only half of the patients presented with alarm symptoms complicates the GPs' diagnostic work-up and the use of fast track for suspected...

  7. Effekten af Ginkgo biloba-ekstrakt hos patienter med claudicatio intermittens

    DEFF Research Database (Denmark)

    Drabaek, H; Petersen, J R; Wïnberg, N;

    1996-01-01

    Eighteen patients with stable intermittent claudication were randomized in a double blind cross-over study comparing the effects of the Ginkgo biloba extract GB-8 at a dose of 120 mg o.d. with placebo. All patients were treated for three months with the active extract and three months with placebo...... concentration and the inability to remember were both reduced, when comparing results during active treatment to placebo. Short-term memory did not change significantly. In conclusion, our study has shown that treatment with the Ginkgo biloba extract GB-8 improves some cognitive functions in elderly patients...

  8. Karotinaemi hos patient med excessivt betakarotinfødeindtag og dysreguleret diabetes mellitus

    DEFF Research Database (Denmark)

    Mikkelsen, Carsten Sauer; Mikkelsen, Dorthe Bisgaard; Lindegaard, Hanne Merete

    2009-01-01

    A case of carotinaemia in a patient with excessive beta-carotene food-intake, diabetes mellitus and physiological amenorrhea is reported. The patient developed yellow discolouration in the palms and the soles of her feet. Blood samples showed a significantly increased lever of serum beta......-carotene, but normal vitamine A value and liver enzymes. The patient reported an excessive intake of carrots (approximately 1 kg per day). The status of physiological amenorrhoea and dysregulated diabetes mellitus may have deteriorated the yellow discolouration of the skin. Udgivelsesdato: 2009-Jan-26...

  9. Praeoperativt delay hos patienter med perforeret ulcus: en klinisk audit fra Det Nationale Indikatorprojekt

    DEFF Research Database (Denmark)

    Nakano, Anne; Møller, Morten Hylander; Nørgård, Bente Mertz;

    2009-01-01

    of limited size, this audit suggests that long preoperative delay in patients with peptic ulcer perforation is associated with factors related to both the internal organisation of the healthcare system, the patient's pathological picture, and the quality of diagnosis and treatment given......INTRODUCTION: Mortality following perforated peptic ulcer in Denmark is nearly 30%. Delayed surgery is a prognostic factor, but only half of the patients are operated within six hours of perforation - a predefined quality of care criterion in The Danish National Indicator Project. A clinical audit...

  10. Praeoperativt delay hos patienter med perforeret ulcus: en klinisk audit fra Det Nationale Indikatorprojekt

    DEFF Research Database (Denmark)

    Møller, Morten Hylander; Nørgård, Bente Mertz; Mehnert, Frank; Bendix, Jørgen; Nielsen, Ann-Sophie; Nakano, Anne; Adamsen, Sven; Thomsen, Reimar W.

    2009-01-01

    INTRODUCTION: Mortality following perforated peptic ulcer in Denmark is nearly 30%. Delayed surgery is a prognostic factor, but only half of the patients are operated within six hours of perforation - a predefined quality of care criterion in The Danish National Indicator Project. A clinical audit...... was conducted to investigate possible reasons. MATERIAL AND METHODS: All patients (n = 89) surgically treated for peptic ulcer perforation in six university hospitals in Denmark over a period of one year were included. The association between a number of predefined variables related to the internal...... of limited size, this audit suggests that long preoperative delay in patients with peptic ulcer perforation is associated with factors related to both the internal organisation of the healthcare system, the patient's pathological picture, and the quality of diagnosis and treatment given...

  11. Interventioner som reducerar oro inför och under anestesi hos vuxna patienter

    OpenAIRE

    Sarajärvi, Tanja; Norén, Carola

    2014-01-01

    Background Research shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety. Aim The aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, l...

  12. Sikkerhed af magnetisk resonans-skanning hos patienter med pacemaker og implanterbar defibrillator

    DEFF Research Database (Denmark)

    Al-Sabagh, Kifah Hekmat; Christensen, Britta Ege; Thøgersen, Anna Margrethe;

    2010-01-01

    INTRODUCTION: The presence of a cardiac implantable device is ICD considered an absolute contraindication to magnetic resonance imaging (MRI). The purpose of this study was to evaluate the safety of performing MRI in patients with cardiac pacemakers and ICDs that had a compelling clinical need fo...... pacemakers with an acceptable risk-benefit ratio, while MRI of patients with ICDs must still be considered an experimental procedure. Udgivelsesdato: 2010-Jun...

  13. Effekt af trombolytisk behandling på udfaldet af tidlig arbejdstest hos patienter med akut myokardieinfarkt

    DEFF Research Database (Denmark)

    Svendsen, Jesper Hastrup; Madsen, J K; Saunamäki, K I;

    1994-01-01

    , systolic blood pressure and rate-pressure product were similar in the two groups. At maximum workload the streptokinase treated patients had a significantly higher median maximal heart rate than controls (136 vs. 126 min-1; p <0.01) but only a trend towards higher systolic blood pressure was seen (175 vs....... 163 mmHg; p = 0.09). Rate-pressure product at maximal exercise was 23.620 vs. 20.100 mmHg x min-1; p <0.01). A significantly smaller number of patients in the streptokinase group had exercise capacity below 50 W (0% vs. 15.9%; p <0.01). In conclusion: patients treated with intravenous streptokinase...... for acute myocardial infarction reach both higher heart rates and rate-pressure products at maximum workload than their controls thus indicating that the beneficial effects of thrombolysis after acute myocardial infarction are reflected in an improved heart rate response during exercise....

  14. Præoperativ funktionel magnetisk resonans-billeddannelse hos patienter med hjernetumor

    DEFF Research Database (Denmark)

    Laustsen, Søren Ravn; Sørensen, Preben; Fründ, Torben;

    2010-01-01

    MRI plus a three-month postoperative assessment. A total of 14 patients complied with these requirements (six men and eight women, the mean age was 39 years). fMRI raw data was collected using a three tesla magnetic resonance scanner (Signa HDx R14M5, GE Healthcare). The distance from the tumour margin to...... (50%) and when deciding the extent of the surgical approach (83%). CONCLUSION: The standardised method for measurement of distance between tumour margin and fMRI activity can contribute to the preoperative risk assessment in patients with brain tumours. Udgivelsesdato: 2010-Aug-30...

  15. Øget forekomst af depression hos patienter med hepatitis C-infektion

    DEFF Research Database (Denmark)

    Hjerrild, Simon; Renvillard, Signe Groth; Leutscher, Peter Derek Christian;

    2010-01-01

    neuroinfection. Evidence to support that former intravenous drug abuse increases the risk of depression is lacking. It is particularly important to diagnose and treat depression in HCV patients as it constitutes a relative contraindication to antiviral treatment and may jeopardize therapeutic outcome.......The prevalence of depression is increased in patients with chronic hepatitis C virus (HCV) infection. Several aetiological mechanisms are thought to be involved, e.g. premorbid psychiatric disease, genetic disposition to affective disorders, socio-economic factors, stigmatization and possibly HCV...

  16. Cerebralt aspergillom hos patient med immundefekt og follikulært lymfom

    DEFF Research Database (Denmark)

    Lorentzen, Kristian; Talibi, Monica Nicole; Hansen, Per Boye

    2014-01-01

    We present a case of central nervous system aspergillosis in an immunocompromised 69-year-old male with a history of chemotherapeutic treatment for follicular lymphoma. The patient presented with aphasia, apraxia and confusion. An MRI of the central nervous system and Aspergillus antigen in the s...... spinal fluid was suggestive for this invasive fungal infection. Despite treatment with voriconazole the patient succumbed to the infection. A rise in rare, severe infectious complications as presented is expected due to increasing dose-intensity of chemotherapy....

  17. Oral hälsorelaterad livskvalitet hos patienter med dentala implantat : en enkätstudie

    OpenAIRE

    Vahlberg, Virpi

    2012-01-01

    Syfte: Syftet med denna enkätstudie var att kartlägga hur dental implantatbehandling påverkar livskvaliteten avseende upplevd tuggförmåga, smak, talet, utseendet och munhygienvanor samt själförtroendet. Material och metod: En empirisk enkätstudie med kvantitativ ansats utfördes på tre olika tandkliniker i Stockholm under perioden feb - april 2012. Enkät med följebrev och frankerat svarskuvert sändes ut genom konsekutivt urval till 83 patienter. Fyrtio patienter varav 15 män och 25 kvinnor, me...

  18. Aclidiniumbromid forbedrer lungefunktion og reducerer åndenød hos patienter med KOL

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli

    2014-01-01

    improvements in forced expiratory volume in 1 second, health status, use of rescue medication, day-time dyspnoea and exercise tolerance. The available studies also suggest an effect on night-time dyspnoea and exacerbation rate in patients with COPD. Aclidinium seems to have potential for a significant role in...

  19. Aclidinium bromid forbedrer lungefunktionen og reducerer dyspnø hos patienter med KOL

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli

    2014-01-01

    improvements in forced expiratory volume in 1 second, health status, use of rescue medication, day-time dyspnoea and exercise tolerance. The available studies also suggest an effect on night-time dyspnoea and exacerbation rate in patients with COPD. Aclidinium seems to have potential for a significant role in...

  20. Herpes simplex-virus type 1 påvist hos patient med herpes zoster

    DEFF Research Database (Denmark)

    Larsen, Helle Kiellberg; Schønning, Kristian; Danielsen, Patricia Louise

    2012-01-01

    In this case report we present an otherwise healthy 63 year-old male patient with herpes zoster corresponding to the 2nd left branch of the trigeminal nerve. Real time-polymerase chain reaction analyses were positive for both herpes simplex virus (HSV) type 1 and varicella zoster virus (VZV). The...

  1. Molekylaere mekanismer bag den immunologiske reaktion mod gluten hos patienter med cøliaki

    DEFF Research Database (Denmark)

    Nielsen, Christian; Husby, Steffen; Lillevang, Søren T

    2003-01-01

    Coeliac disease is a complex inflammatory disorder of the small intestine, induced by dietary gluten in genetically susceptible individuals. Recently, the nature of gluten-derived peptides recognized by gut-derived T cells from patients has been elucidated. It has further been established that th...... these HLA-molecules. This article summarizes the latest progress in coeliac disease molecular biology....

  2. Brug af nervestimulator ved anlaeggelse af nervus ischiadicus-blokade hos en crusamputeret patient

    DEFF Research Database (Denmark)

    Heiring, Christian; Kristensen, Billy B

    2008-01-01

    We present a case of a sciatic nerve block performed with the nerve stimulation technique. This technique is normally not used in amputees because detection of a motor response to an electrical stimulation is impossible. In our patient the stimulation provoked a phantom sensation of movement in the...

  3. Claudicatio intermittens--sociale aspekter hos yngre ikke-opererede patienter

    DEFF Research Database (Denmark)

    Lundvall, L; Jensen, K H; Simonsen, L;

    1989-01-01

    consultation. No patients had been operated upon. The ratio women:men was 1:1.3. 33% received disability pensions or some other kind of pensions. Fifty-eight had limited their spare-time activities because of CI. It is concluded that a close control and reconstructive arteria surgery must still be recommended...... when the working ability is threatened....

  4. Polyglykonat- eller polyglykolsyresutur hos patienter med forventet haemmet sårheling

    DEFF Research Database (Denmark)

    Osther, P J; Gjøde, P; Mortensen, B B; Mortensen, P B; Andersen, J B; Gottrup, F

    1997-01-01

    to development of fascial disruption and incisional hernia. Wound infection demanding surgical intervention was found in 7% of patients with polyglyconate sutures and in 16% of those with polyglycolic acid sutures (p = 0.04). Monofilament polyglyconate suture does not reduce the incidence of fascial...

  5. Udredning og behandling af osteoporose hos patienter med prostatacancer uden knoglemetastaser

    DEFF Research Database (Denmark)

    Eiken, Pia Agnete; Langdahl, Bente Lomholt; Eiken, Frederik L;

    2011-01-01

    The prevention of cancer treatment-induced bone loss in patients with prostate cancer due to gonadotropin-releasing hormone (GnRH)-agonist, GnRH-antagonist and orchidectomi therapy has a high priority. We present an algorithm for the prevention and treatment of osteoporosis during treatment of non......-metastatic prostate cancer....

  6. Psykiatriloven forhindrer ikke alvorlige selvmordsforsøg hos patienter med skizofreni

    DEFF Research Database (Denmark)

    Day Poulsen, Henrik

    2012-01-01

    The Danish Mental Health Act does not prevent serious suicide attempts in patients with severe schizophrenia and a lack of compliance to medication. A case in which outpatient involuntary treatment could have prevented a very serious suicidal attempt is presented. In Denmark, outpatient involuntary...

  7. Femoro-acetabulaer impingement: årsag til lyskesmerter og tidlig hofteslidgigt hos yngre patienter

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Winge, Søren

    2007-01-01

    important, often subtle, malformations of the hip joint which are thought to play an important role pathogenetically for the development of hip osteoarthritis and hip pain especially in younger, active patients. The common denominator for these malformations is that they cause femoro-acetabular impingement...

  8. Information kan reducere unødvendig tørstetid hos elektive kirurgiske patienter

    DEFF Research Database (Denmark)

    Risom, Martin; Vedtofte, Jakob; Sørensen, Martin Kryspin;

    2012-01-01

    This prospective study was aimed at identifying the time of thirst above the recommended two hours after repeated information campaigns. Elective surgical patients ≥ 15 years of age were eligible to answer the questionnaire in four different periods between which information campaigns were carried...

  9. Forebyggelse af skeletrelaterede hændelser hos patienter med knoglemetastaser ved solide tumorer

    DEFF Research Database (Denmark)

    Kamby, Claus; Tarp, Simon; Mellemgaard, Anders;

    2014-01-01

    This article is based on a systematic literature search and meta-analyses of clinical data regarding effects of bisphosphonates (BP) and denosumab (DS) on preventing skeletal related events (SRE) in patients with bone metastases from solid tumours. Although there are pharmacological differences...

  10. Multiple embolier efter DC-konvertering hos en patient forbehandlet med dabigatran

    DEFF Research Database (Denmark)

    Buch, Torben Nicolai; Holm, Jakob; Munck, Lars Kristian

    2013-01-01

    A 65-year-old man, who had been treated with dabigatran for 66 days prior to electrical cardioversion, developed extensive intestinal, renal and cerebral thromboembolism five days after cardioversion. There is limited information available on the treatment of thromboembolism in patients being...

  11. Sikkerhed af magnetisk resonans-skanning hos patienter med pacemaker og implanterbar defibrillator

    DEFF Research Database (Denmark)

    Al-Sabagh, Kifah Hekmat; Christensen, Britta Ege; Thøgersen, Anna Margrethe;

    2010-01-01

    INTRODUCTION: The presence of a cardiac implantable device is ICD considered an absolute contraindication to magnetic resonance imaging (MRI). The purpose of this study was to evaluate the safety of performing MRI in patients with cardiac pacemakers and ICDs that had a compelling clinical need fo...

  12. Reduceret cerebralt stofskifte korrelerer med MRI-forandringer og kognitiv dysfunktion hos patienter med dissemineret sklerose

    DEFF Research Database (Denmark)

    Blinkenberg, M; Rune, K; Jensen, C V; Ravnborg, M H; Kyllingsbæk, Søren; Holm, S; Paulson, O B; Sørensen, P S

    2001-01-01

    Magnetic resonance imaging (MRI) lesion load is widely used in the clinical evaluation of patients with multiple sclerosis (MS), but little is known about the associated changes in cortical activation. For this purpose, we studied the association between the corticocerebral metabolic rate of...... glucose (CMRglc) and the MRI T2-weighted total lesion area (TLA). In addition, we investigated the correlation between cognitive and neurological disability and CMRglc....

  13. Serumelektrolytter og medikamentel behandling hos patienter indlagt på en geriatrisk afdeling

    DEFF Research Database (Denmark)

    Sørensen, I J; Matzen, L E

    1993-01-01

    The distributions of sodium and potassium in the serum on admission, and the types of medicine used were studied retrospectively in hospitalized geriatric patients (n = 1418). Sodium concentrations below 130 mmol/l were found in 7.4% and potassium concentrations below 3.0 mmol/l in 5.0% of patien......+amiloride was frequently withdrawn. 38% were given benzodiazepines on discharge. In 40.4% of these, treatment had been started during the hospital stay, most often on account of insomnia. Udgivelsesdato: 1993-Nov-29...

  14. Transkateter-aortaklapimplantation hos patienter med svær aortaklapstenose

    DEFF Research Database (Denmark)

    Bjerre Thygesen, Julie; Loh, Poay Huan; Franzen, Olaf; Søndergaard, Lars

    2012-01-01

    In the late 1980's, Denmark was the birthplace for the concept of transcatheter valve implantation. In 2002, the first successful transcatheter aortic valve implantation (TAVI) was performed in humans. TAVI has matured beyond the learning-curve period with a high overall procedural success rate and...... relatively few serious associated complications. TAVI is now an established treatment for severe aortic stenosis in patients who have prohibitive or high surgical risk; and the treatment has proven to yield symptomatic and prognostic benefits. Innovations and advances continue in this field....

  15. God behandlingseffekt af botulinum toxin A hos systemisk sklerodermi patienter med digitale sår

    DEFF Research Database (Denmark)

    Nielsen, Jane Baumgartner; Hvid, Lone; Olesen, Anne Braae

    2014-01-01

    In this case we describe a successful combined treatment with local anaesthetics and botulinum toxin A. A 61-year-old man with systemic sclerosis of limited type presented treatment refractory digital ulcers on his toes with a poor response to conventional treatment. A combined treatment as above......-mentioned prevented a threatening amputation and improved quality of life, reduction of pain and healing of wounds. Using botulinum toxin A combined with local anaesthetics to severe toe digital ulcers in patients with systemic sclerosis may be a solution, when other treatments have been ineffective and amputation...

  16. Et Patientperspektivistisk Studie i Brug af Alternativ Behandling hos Danske Patienter med Diabetes

    DEFF Research Database (Denmark)

    Gerbild, Helle Nygaard

    2008-01-01

    or cure, and the specific type of CAM used. The experiences of the patients were connected with these factors. The results of this study are that infrequent clients are not positioned towards CAM specificly for diabetes. The established clients using CAM were posited towards CAM supplying...... established clients, however, are positioned as user of both complementary and alternative medicine and conventional treatments, such as biological, homeopathic, and traditional Chinese medicine. The main factors that drive them to this are the aim, the hope, the belief, and knowledge how to cure diabetes....... Conclusion: The study shows that the decisive difference of how diabetics are positioned as to complementary and alternative self-care is the way in which they have the strength and hope, believe and knowledge of how to cure disease which by people in general is regarded as chronic....

  17. Immunmodulerende effekt af LongoVital hos patienter med recidiverende aftøs stomatit. 2

    DEFF Research Database (Denmark)

    Pedersen, A; Klausen, B; Hougen, H P;

    1991-01-01

    ulceration (RAU) during six months' daily LV intake in a double-blind, randomised, crossover 1-year study. Fourteen had had LV during the first six months (GrA) and 17 LV during the latter six months (GrB). OKT4+ percentages increased significantly during the LV period in both groups (p less than 0.05). OKT8......LongoVital (LV) (DK. reg. no. 5178/75) is a herbal-based tablet enriched with recommended doses of vitamins. Peripheral lymphocyte subsets: T-helper/CD4 (OKT4+) and T-suppressor/cytotoxic/CD8 (OKT8+) were studied quantitatively in 31 otherwise healthy patients with minor recurrent aphthous...

  18. Paclitaxels farmakogenomik hos patienter med kræft i æggestokken

    DEFF Research Database (Denmark)

    Bergmann, Troels Korshøj; Mirza, Mansoor Raza; Andersen, Charlotte Brasch;

    Formål og baggrund: Paclitaxel (Taxol®) er et kemoterapeutikum der bruges til behandling af bl.a æggestokkræft. Paclitaxel doseres individuelt (175mg/m2) men alligevel er der klinisk betydende variation i forekomsten af bivirkninger (neurotoksicitet, kvalme/opkast, knoglemarvspåvirkning m.......fl). Vores hypotese er at en betydelig del af variationen skyldes genetiske forskelle mellem patienterne. Den hyppigste kilde til genetisk variation er single nukleotide polymorphisms ie SNPs. Vi vil undersøge om SNPs i gener der koder for proteiner der har betydning for transport og omsætning af paclitaxel...... mellem patienterne og fungerer således som dobbeltblindede randomiserede expositioner. Data indsamles prospektivt ved at rekruttere patienter med æggestokkræft der skal have paclitaxel og carboplatin i Odense, Vejle, Herlev, Herning, Lund eller Linköping. Der tages blod fra til genanalyse og plasma til...

  19. Cobalamin-relaterede parametre og sygdomsmønstre hos patienter med forhøjet serum cobalamin

    OpenAIRE

    Arendt, Johan Frederik Berg; Nexø, Ebba

    2012-01-01

    Background: Measurement of serum cobalamin levels is routinely used to diagnose cobalamin deficiency. Surprisingly, approximately 15% of patients have high cobalamin levels and no consensus exists regarding the clinical implications. Methods: Hospital-treated patients above 18 years of age referred for serum cobalamin measurement were included in groups of patients [percentage cobalamin supplemented] with low (,200 pmol/L, n = 200 [6%]), normal (200–600, n = 202 [6%]) high (601–1000, n = 217 ...

  20. Trandolaprils betydning for overlevelse efter AMI hos patienter med nedsat funktion af venstre ventrikel. TRACE Study Group

    DEFF Research Database (Denmark)

    Køber, L; Torp-Pedersen, C T; Carlsen, J E; Bagger, H; Eliasen, P; Lyngborg, K; Videbaek, J

    1997-01-01

    Angiotensin converting-enzyme (ACE) inhibition reduces mortality among patients surviving an acute myocardial infarction, but whether to give ACE-inhibitors to all patients or target their use to selected patients is unclear. Seven thousand and one consecutive enzyme-confirmed myocardial infarcti......Angiotensin converting-enzyme (ACE) inhibition reduces mortality among patients surviving an acute myocardial infarction, but whether to give ACE-inhibitors to all patients or target their use to selected patients is unclear. Seven thousand and one consecutive enzyme-confirmed myocardial...... infarctions were screened. One thousand seven hundred and forty-nine patients with echocardiographic signs of left ventricular dysfunction were randomized to oral trandolapril (876 patients) or placebo (873 patients) starting from days three to seven following the infarction. Average follow-up was 27 months.......63-0.89) and sudden death (RR 0.76, CI 0.59-0.98). Progression to severe/resistant heart failure was reduced (RR 0.71, CI 0.56-0.90). Recurrent myocardial infarction (fatal or non-fatal) was not significantly reduced (RR 0.86, CI 0.66-1.13). It is concluded that long-term treatment with trandolapril in...

  1. Radiojodbehandling af recidiverende hypertyreose hos patienter som tidligere er behandlet for diffus toksisk struma med subtotal strumektomi

    DEFF Research Database (Denmark)

    Vestergaard, H; Laurberg, P

    1993-01-01

    Radioiodine therapy is often employed for treatment of patients with relapse of hyperthyroidism due to Graves' disease, after previous thyroid surgery. Little is known about the outcome of this treatment compared to patients with no previous surgery. A total of 20 patients, who had received...... surgical treatment for Graves' hyperthyroidism 1-46 years previously and with relapse of hyperthyroidism, and 25 patients with hyperthyroidism due to Graves' disease and no previous thyroid surgery were treated with radioiodine, following the same protocol. Early after treatment the previously operated...

  2. Sikker brug af bedside_UL-vejledt pleuracentese og ascitesdrændge hos patienter med maligne sygdomme

    DEFF Research Database (Denmark)

    Damstrup, Camilla Vantore

    2014-01-01

    and investigated the patients' medical files with regard to complications. In 29 pleuracentesises and 43 laparocentesises only one pneumothorax was registered (3.4%). This is comparable to previous studies and may suggest that it is safe to perform these procedures bedside in cancer patients with no...

  3. Langtidsbehandling med spinal cord-stimulation hos en patient med kronisk regionalt smertesyndrom type 1 og fantomsmerter efter amputation

    DEFF Research Database (Denmark)

    Enggaard, Thomas Peter; Scherer, Christian; Nikolajsen, Lone; Andersen, Claus

    2008-01-01

    The development of stump and phantom pain after limb amputation in patients with complex regional pain syndrome (CRPS) is very frequent. Stump pain is typically recurred CRPS and the possibilities for effective pharmacological pain relief are often limited. Spinal cord stimulation (SCS) has a well......-documented pain relieving effect in patients with CRPS. This case story summarises the long term effect of SCS in a patient with CRPS after two amputations of the right leg. Pharmacological pain therapies as well as Guanethidine blockade were found to be ineffective. Udgivelsesdato: 2008-Feb-4...

  4. Selvmonitorering af blodglukose og sygdomsforståelse hos patienter med insulinbehandlet diabetes. Sammenhaeng med metabolisk regulation

    DEFF Research Database (Denmark)

    Wengler, K; Matzen, L E; Sindrup, S;

    1989-01-01

    average HbA1c-value was 8.0%. Only 13% had HbA1c-values within the reference range for non-diabetic persons. 85% of the patients undertook self-monitoring of blood glucose. In 47.6% insulin was administered once or twice daily, 42.5% were treated with multiple injections and 9.9% employed insulin pumps......A questionnaire investigation was undertaken to register the extent to which 212 insulin-treated diabetic patients undertook home measurements of blood glucose and the consequences which they drew from these measurements. This was compared with the metabolic regulation estimated by HbA1c. The....... Regardless or the form of treatment, good metabolic control was associated with numerous daily measurements of blood glucose whereas no independent connection was found between the form of treatment and the level of regulation. The best regulated patients altered the dosage of insulin with low blood glucose...

  5. Cytomegalovirus-associeret hæmofagocytosesyndrom og akut nyresvigt hos en patient med kronisk lymfatisk leukæmi

    DEFF Research Database (Denmark)

    Broe, Julie; Lauritzen, Anne Falensteen; Hansen, Per Boye

    haemophagocytic syndrome. The serology was compatible with acute Cytomegalovirus infection. The patient received therapy with ganciclovir, prednisolone and gamma globulin, and the acute renal failure was treated with haemodialysis. The patient responded well to the treatment and was discharged after a month with......A 60-year-old man with chronic lymphocytic leukaemia was admitted to our department with fever and hepatospleno-megaly. Laboratory findings revealed hyperferritinaemia of 40,300 microgram/l and both liver and renal dysfunction. A bone marrow biopsy showed haemophagocytosis consistent with...... normal lever and renal function....

  6. Langtidsbehandling med spinal cord-stimulation hos en patient med kronisk regionalt smertesyndrom type 1 og fantomsmerter efter amputation

    DEFF Research Database (Denmark)

    Enggaard, Thomas P.; Scherer, Christian; Nikolajsen, Lone;

    2008-01-01

    The development of stump and phantom pain after limb amputation in patients with complex regional pain syndrome (CRPS) is very frequent. Stump pain is typically recurred CRPS and the possibilities for effective pharmacological pain relief are often limited. Spinal cord stimulation (SCS) has a wel...

  7. n-3 polyumaettede fedtsyrer, hjertefrekvensvariabilitet og ventrikulaere arytmier hos post-AMI-patienter. Et klinisk kontrolleret studie

    DEFF Research Database (Denmark)

    Christensen, Jeppe Hagstrup; Gustenhoff, P; Korup, E;

    1997-01-01

    . Fifty-five patients were randomized to receive either 5.2 g of n-3 PUFA daily for 12 weeks or placebo in a double blind, placebo-controlled study. Prior to randomization a 24-hour Holter recording was obtained, and this was repeated at the end of the study. The major end-points were the number of...

  8. Kombinationen af indacaterol og glycopyrronium har effekt på symptomer, lungefunktion og eksacerbationer hos patienter med KOL

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli

    2014-01-01

    Long-acting bronchodilators are the mainstay of pharmacological therapy for chronic obstructive pulmonary disease (COPD). This paper reviews the efficacy of the once-daily fixed-dose dual bronchodilator combination of indacaterol and glycopyrronium in COPD patients. Compared with single therapy...

  9. Oxidativt stress kan være en mulig årsag til metastasering hos patienter med kolorektal cancer

    DEFF Research Database (Denmark)

    Søndergaard, Edith Smed; Gögenur, Ismail

    2015-01-01

    Despite surgical treatment of stage II colorectal cancer many patients will experience relapse. Inflammatory and immunologic reactions created due to the surgical stress response result in the production of reactive oxygen species. Oxidative stress in turn, may result in the stimulation of cancer...... cells that have not been cleared by the immune system to metastasize. In this paper we present an overview of studies where oxidative stress in relation to surgery has been linked to the development of metastatic disease....

  10. Musik som postoperativ smärtlindring : Upplevelser hos patienter och personal på en ortopedisk avdelning

    OpenAIRE

    Åkerström, Amanda; Dahlén, Johanna

    2012-01-01

    Previous studies have shown positive results on the use of music as postoperative pain relief. Quantitative studies have examined the effect of music on rated pain and otherparameters such as anxiety, relaxation and blood-pressure. The purpose of this study was to investigate the expectations and experiences of patients and nurses onimplementing music as postoperative pain relief in an orthopedic unit Qualitative design and semi-structured interviews were used to examine expectations and expe...

  11. Trötthet och livskvalitet hos patienter med primärt Sjögrens syndrom

    OpenAIRE

    Kiani, Rezvan

    2014-01-01

    Bakgrund: Primärt Sjögrens syndrom (pSS) är en reumatisk sjukdom karaktäriserad av ögon- och muntorrhet samt påverkan på olika organ. En överväldigande trötthet är vanligt. En orsak till tröttheten kan vara ett behandlingsbart tillstånd såsom nedstämdhet. Tröttheten kan leda till nedsatt livskvalitet, arbetsförmåga och påverka relationer med familj och vänner.Syfte: Att kartlägga hur vanligt det är med trötthet i en grupp av patienter med pSS samt om tröttheten har något samband med nedstämdh...

  12. Monitorering af fysisk aktivitetsniveau (MOAN) hos indlagte patienter på geriatrisk afdeling - forsøgsprotokol

    DEFF Research Database (Denmark)

    Villumsen, Morten; Jørgensen, Martin Grønbech; Andreasen, Jane; Rathleff, Michael Skovdal; Mølgaard, Carsten

    udskrivelse? 2. At undersøge hvilken betydning tiden stående/gående har for ændringen i Barthel Index under indlæggelsen. Metode: Undersøgelsen gennemføres som et observationssstudie af aktivitetsniveau fra indlæggelse til udskrivelse for patienter indlagt på geriatrisk afdeling Aalborg sygehus. Timed up and...... som et kvalitetssikrringsprojekt. Reference List (1) Covinsky KE, Palmer RM, Fortinsky RH, Counsell SR, Stewart AL, Kresevic D, et al. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc 2003 Apr;51......(4):451-8. (2) Potter R, Ellard D, Rees K, Thorogood M. A systematic review of the effects of physical activity on physical functioning, quality of life and depression in older people with dementia. Int J Geriatr Psychiatry 2011 Oct;26(10):1000-11. (3) Årsrapport 2010 - DEN LANDSDÆKKENDE KVALITETSDATABASE FOR...

  13. Demens hos etniske minoriteter

    DEFF Research Database (Denmark)

    Nielsen, T Rune; Waldemar, Gunhild

    2010-01-01

    The elderly population of ethnic minorities is increasing in most Western countries, but ethnic minority patients are underrepresented in dementia assessment and care. This may in part be due to cultural perceptions of dementia and lack of knowledge about the available support among ethnic...... minorities. Also, it can be difficult to make clinical assessments of ethnic minority patients who do see a physician for dementia symptoms. In particular, the interpretation of cognitive test results represents a major challenge....

  14. Urogenital tuberkulose hos danskere

    DEFF Research Database (Denmark)

    Almasi, Charlotte Elberling; Holm, Mette; Meyhoff, Hans-Henrik

    2002-01-01

    Extrapulmonary tuberculosis is rare in natives of Denmark, who are not exposed to risk factors, such as homelessness and drug or alcohol abuse. Two patients diagnosed with advanced urogenital tuberculosis are reported.......Extrapulmonary tuberculosis is rare in natives of Denmark, who are not exposed to risk factors, such as homelessness and drug or alcohol abuse. Two patients diagnosed with advanced urogenital tuberculosis are reported....

  15. Identifiable Data Files - Health Outcomes Survey (HOS)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Medicare Health Outcomes Survey (HOS) identifiable data files are comprised of the entire national sample for a given 2-year cohort (including both respondents...

  16. BLIND ADAPTIVE XPIC BASED ON HOS

    Institute of Scientific and Technical Information of China (English)

    Fu Haiyang; Yang Longxiang; Peng Jianglong

    2001-01-01

    This paper presents a new blind XPIC and a new adaptive blind deconvolutional algorithm based on HOS processing, which separates and equalizes the signals in real time. The simulation results demonstrate that the performance of the proposed adaptive blind algorithm,compared with the conventional algorithms, is outstanding with the feature of feasibility, stability and fast convergence rate.

  17. Medicinudløst hudkløe, sår og blærer hos tre patienter med pseudoporfyri

    DEFF Research Database (Denmark)

    Thorsteinsdóttir, Sunna; Velander, Marie Juul; Bygum, Anette

    2015-01-01

    Pseudoporphyria cutanea tarda is a well described bullous skin disorder which resembles porphyria cutanea tarda. However, the levels of porphyrins in plasma, urine and faeces are normal. We present three cases of patients with classical symptoms of pseudoporphyria. Two of the patients developed...

  18. Medicinudløst hudkløe, sår og blærer hos tre patienter med pseudoporfyri

    DEFF Research Database (Denmark)

    Þorsteinsdóttir, Sunna; Velander, Marie Juul; Bygum, Anette

    2015-01-01

    Pseudoporphyria cutanea tarda is a well described bullous skin disorder which resembles porphyria cutanea tarda. However, the levels of porphyrins in plasma, urine and faeces are normal. We present three cases of patients with classical symptoms of pseudoporhyria. Two of the patients developed...

  19. The diagnosis of thymoma and thymic atrophy in patients with myasthenia gravis; Dignostikk av tymom og thymusatrofi hos pasienter med myasthenia gravis

    Energy Technology Data Exchange (ETDEWEB)

    Sund, K.K.; Skeie, G.O.; Gilhus, N.E.; Aarli, J.A.; Varhaug, J.E. [Haukeland Sykehus, Bergen (Norway)

    1997-11-01

    The authors have compared clinical, immunological and radiological data in 20 patients with myasthenia gravis and thymoma and in 21 patients with myasthenia gravis and thymic atrophy. The median age at onset was 54 years in the thymoma group and 63 years in the thymic atrophy group. The severity of the disease was similar in the two groups, and there was no significant difference in the concentration of acetylcholine receptor antibodies. CA antibodies were demonstrated in 17/20 thymoma patients and in 6/21 with thymic atrophy, while 19/20 thymoma patients had antibodies to titin, compared with 9/21 among those with thymic atrophy. The diagnosis and treatment of patients with myasthenia gravis is based upon an evaluation of clinical, immunological and radiological data. 28 refs., 2 tabs.

  20. Juvenil polypose-syndrom og hereditær hæmoragisk telangiektasi hos en patient med SMAD4-mutation

    DEFF Research Database (Denmark)

    Jelsig, Anne Marie; Tørring, Pernille Mathiesen; Wikman, Friedrik;

    2014-01-01

    Germ line mutations in SMAD4 can cause both juvenile polyposis syndrome and hereditary haemorrhagic telangiectasia syndrome. In this case we present a 37-year-old man with a frameshift mutation in SMAD4. The patient had multiple polyps in the gastrointestinal tract and was diagnosed with colon...... cancer at the age of 21 and gastro-oesophageal junction cancer at the age of 37. Furthermore the patient had telangiectasias and recurrent epistaxis....

  1. Recidiverende tilfælde af spinocellulær karcinom i necrobiosis lipoidica-sår hos en patient med diabetes

    DEFF Research Database (Denmark)

    Kolovics, Judit; Mattes, Liuba Penova; Andersen, Klaus Ejner;

    2015-01-01

    The development of squamous cell carcinoma in chronic and/or non-healing ulcers associated with necrobiosis lipoidica (NL) is rare, but should be considered in diabetic patients. NL is a non-infectious granulomatous degenerative skin disease. The prevalence of NL in diabetic patients is estimated...... to 0,3-1,2%. Awareness of malignant transformation potential within a plaque of NL is crucial for early diagnosis and easy radical treatment. A case from our outpatient diabetes clinic is presented....

  2. Forgiftningsmønstre hos 355 konsekutivt indlagte akutte patienter på Bispebjerg Hospital i København i 2001

    DEFF Research Database (Denmark)

    Gude, Anne-Bolette Jill; Høgberg, Lotte Christine Groth; Pedersen, Michael; Nielsen, Jonas; Angelo, Helle R; Christensen, Hanne Rolighed

    2007-01-01

    during 2001. A computer search of patients discharged with codes T36.0-T65.9 was supplemented by a hand search of the daily admittance lists. RESULTS: 355 patients with confirmed poisonings were found. 97% were poisoned by medications, alcohol (ethanol) or drugs of abuse. Only 3% were poisoned by other...... agents such as CO. 55% of poisonings were intentional, where paracetamol and benzodiazepines were the preferred agents. Sedative-hypnotics, alcohol, opioids, and drugs of abuse dominated the unintentional overdoses. Patients poisoned by paracetamol were younger and female, with an overrepresentation of...... young women of foreign origin. Activated charcoal was the preferred method of gastric decontamination. In 52% of the cases various discrepancies between discharge codes and actual poisonings were found. There were 5 deaths, 2 of which were from mixed overdoses with benzodiazepines involving the...

  3. Hyppige samtaler kan måske hjælpe ved svært nedsat adhærens hos belastede patienter med hiv

    DEFF Research Database (Denmark)

    Barfod, Toke Seierøe; Bergstedt, Winnie

    2013-01-01

    This pilot study investigates the feasibility and effect of an intervention based on coaching and directly observed therapy (DOT), aimed at patients who are HIV-positive and have massive adherence problems and treatment failure. Participants were followed six months with coaching, homework and DOT...

  4. Sömn och patientsäkerhet hos sjuksköterskor som arbetar inom avancerad hemsjukvård

    OpenAIRE

    Grönberg, Anna; Us, Diana

    2015-01-01

    Introduction: Irregular working hours has become part of many nurses everyday life and is one of the most common factors regarding sleep disorders due to the fact that the normal time for sleep is interrupted. Sleepiness and tiredness at work can affect the level of performance, productivity and also safety. Few studies concerning the relationships between nurses working hours, sleep and patient safety have been done. Purpose: The purpose of this study was to describe sleep and its relat...

  5. Vena saphena magna in situ-bypass til ankel og fod. En prospektiv opg|relse af resultaterne af 101 procedurer hos 94 amputationstruede patienter

    DEFF Research Database (Denmark)

    Røder, Ole Christian; Jensen, L P; Schroeder, T V; Lorentzen, J E

    1997-01-01

    The results of 101 in situ by-pass operations to the ankle and foot are given. Seventy-five percent of the patients had other arteriosclerotic manifestations and 55% were diabetics. Ninety-nine percent of the operations were limb salvage surgery. The accumulative secondary patency rate was 87......% after one month and 65% after three years. The results did not differ from by-pass surgery to the crural arteries. The wound complication rate was 16% with an infection rate of 7% and the major amputation rate was 8% after one month and 10% after three years. The survival of this selected group of...

  6. Smerte- og smertevurdering hos sykehjemspasienter - en litteraturgjennomgang

    Directory of Open Access Journals (Sweden)

    Liv-Berit Knudsen

    2010-01-01

    Full Text Available Litteraturgjennomgangen omhandler forskningsbasert kunnskap som er utviklet om smerte- og smertevurdering hos pasienter med og uten demenssykdom i sykehjem. Søk i elektroniske databaser med søkeordene "pain", "pain assessment", "dementia", "nursing homes" er gjennomført. 28 vitenskapelige artikler er analysert.Flest studier har kvantitativ tilnærming. Hovedtemaene er; smerte, smertevurdering og utprøving/validering av smertevurderingsskjema. Prevalens av smerte varierte fra 47 - 88 %. Sammenheng mellom smerte og diagnoser, og smerte og atferdsuttrykk er påvist. Sykehjemsbeboere har samme smerteintensitet. De med demenssykdom får foreskrevet mindre smertestillende medikamenter. Personalet avdekket i mindre grad smerte hos pasienter med demenssykdom. Kjennskap og relasjon til beboer har betydning. Verbale selvrapporteringsskjema er anbefalt. Mange observasjonsskjema for personer med demenssykdom er validert, men mer utprøving trengs.Smerteutfordringene i sykehjem er komplekse. For å avdekke smerte hos personer med demenssykdom trengs ulike tilnærmingsmåter, kunnskap om sykdomstilstander, kjennskap til pasientens levde liv, og at valide smertevurderingsskjema benyttes. Ytterligere forskning er nødvendig.

  7. Dilateret kardiomyopati hos en amfetaminmisbruger

    DEFF Research Database (Denmark)

    Svendsen, Mathias Tiedemann; Lambrechtsen, Jess

    2011-01-01

    The patient presented himself at the primary practitioner with dyspnoea and chest pain, and was initially misdiagnosed as having pneumonia. Two weeks later the patient developed universal oedema and was hospitalized. Echocardiography showed dilated cardiomyopathy. The initial diagnosis was delaye...... because the patient was not asked about his possible drug abuse. Remember to ask about drug abuse in younger patients with dyspnoea and uncharacteristic chest pains....

  8. Mundhulens mikroflora hos patienter med marginal parodontitis

    DEFF Research Database (Denmark)

    Larsen, Tove; Fiehn, Nils-Erik

    2011-01-01

    Viden om marginal parodontitis’ mikrobiologi tog for alvor fart for ca. 40 år siden. Den tidlige viden var baseret på mikroskopiske og dyrkningsmæssige undersøgelser af den subgingivale plak. Anvendelsen af de nyere molekylærbiologiske metoder har betydet, at vor viden om de ætiologiske faktorer ...

  9. Akut svimmelhed hos den neurologiske patient

    DEFF Research Database (Denmark)

    Bruun, Marie; Højgaard, Joan L. Sunnleyg; Kondziella, Daniel

    2013-01-01

    Acute vertigo of neurological origin may be caused by haemorrhages and tumours in the posterior fossa and, most frequently, by ischaemic infarction in the vertebrobasilar circulation. Urgent diagnosis is necessary to avoid further ischaemic episodes, herniation due to cerebellar oedema and/or fatal...... brainstem infarction. The history should focus on accompanying neurological symptoms. However, vertigo with cerebellar lesions may be monosymptomatic and then bedside evaluation of oculomotor function is the key to correct diagnosis. This paper discusses the pathophysiology, symptomatology and clinical...... evaluation of acute vertigo of neurological origin....

  10. Adaptive filtering using Higher Order Statistics (HOS

    Directory of Open Access Journals (Sweden)

    Abdelghani Manseur

    2012-03-01

    Full Text Available The performed job, in this study, consists in studying adaptive filters and higher order statistics (HOS to ameliorate their performances, by extension of linear case to non linear filters via Volterra series. This study is, principally, axed on: „ Choice of the adaptation step and convergence conditions. „ Convergence rate. „ Adaptive variation of the convergence factor, according to the input signal. The obtained results, with real signals, have shown computationally efficient and numerically stable algorithms for adaptive nonlinear filtering while keeping relatively simple computational complexity.

  11. Musikterapi til reduktion af agitation hos personer med demens

    DEFF Research Database (Denmark)

    Ridder, Hanne Mette Ochsner; Stige, Brynjulf

    2015-01-01

    Urolig adfærd hos demensramte på plejehjem kan defineres og måles med fagbegrebet agitation. Agitation har alvorlige konsekvenser for de berørte og kan føre til fald i livskvalitet og øget medicinering hos personer med svær demens, og kan ligeledes føre til udbrændthed hos omsorgsgivere. Agitation...... regarding the single individual. A relevant method in an integrated and holistic approach is professional music therapy combined with other staffs’ use of music in daily dementia care....

  12. Fylogeografi og symbiose hos Verminephrobacter og Lumbricus terrestris

    OpenAIRE

    Bakke, Beate Banken

    2009-01-01

    Norsk: Fylogeografiske sammenhenger hos symbiont og vertsorganisme kan fortelle noe om distribusjonsmønstre hos de aktuelle organismene. Stabilitet, tilstedeværelse og fravær av symbionten kan fortelle noe om symbiosens karakter. I dette prosjektet har vi undersøkt den symbionte bakterien Verminephrobacter i individer fra fire populasjoner av meitemarkarten Lumbricus terrestris. Vi har undersøkt om om mengde bakterier er stabil over tid, og vi har gransket sammenhengen mellom f...

  13. Fenologi hos alm visar samband med almsjuka

    OpenAIRE

    Black Samuelsson, Sanna; Ghelardini, Luisa

    2008-01-01

    • Almar angrips alltmer av almsjukan. Antalet insjuknade och döda träd har ökat påfallande senaste åren. Ett komplext samspel mellan trädet, svampen (Ophiostoma novo-ulmi), almsplintborren (Scolytus spp., insekten som överför svampen till trädet) och den omgivande miljön, avgör om trädet blir smittat eller inte. • Träd med tidig knoppsprickning på våren och sydligt ursprung löper lägst risk att bli smittade. • Hos träd med tidig knoppsprickning har vårveden hunnit övergå i sen ved, vars träng...

  14. Optimeret brug af genomisk selektion hos Dansk Jersey

    DEFF Research Database (Denmark)

    Thomasen, Jørn Rind

    2013-01-01

    Anvendelse af genomisk information øger sikkerheden på avlsværdier for unge avlsdyr uden egne registreringer og kan derfor øge avlsfremgangen. Derfor er genomisk selektion allerede blevet en del af beslutningsgrundlaget i mange avlsprogrammer hos malkekvæg. Metoden har dog vist sig at være mere e...... effektiv i den talmæssigt store Holstein race sammenlignet med de mindre racer. Et Erhvervs-ph.d. studie har derfor sat fokus på en optimeret brug af genomisk selektion hos en lille malkekvæg-population som Dansk Jersey...

  15. Karakterisering av immuncellerespons og antimikrobiell effekt hos Dendrobaena veneta

    OpenAIRE

    Berg, Fride

    2009-01-01

    Norsk: Studie av det innate immunforsvaret hos meitemark kan brukes til å øke forståelsen av mekanismene som ligger til grunn for immunsystemet hos høyerestående dyr. I dette arbeidet har det blitt etablert og optimalisert metoder for ekstraksjon av immunceller, såkalt coelomocytter, fra meitemarken Dendrobaena veneta. Ulike ekstraksjonsbuffere har blitt testet og optimalisert med hensyn på størst celleutbytte og lavest mulig grad av celleaggregering. Resultatene viste at elektrostimulering v...

  16. Ivermektinfølsomhed hos danske Collies og Border Collies

    DEFF Research Database (Denmark)

    Treschow, Michaela E. C.; Fredholm, Merete

    2007-01-01

    Anvendelse af ivermektin i terapeutiske doser til hunde medfører i visse tilfælde neurologiske bivirkninger. Der er tale om en idiosynkrasi, der benævnes ivermektinfølsomhed, og som primært er beskrevet hos hyrdehunderacer, herunder især Collies......Anvendelse af ivermektin i terapeutiske doser til hunde medfører i visse tilfælde neurologiske bivirkninger. Der er tale om en idiosynkrasi, der benævnes ivermektinfølsomhed, og som primært er beskrevet hos hyrdehunderacer, herunder især Collies...

  17. Talentet skal vækkes hos dem i bunden

    DEFF Research Database (Denmark)

    Nielsen, Louise Klinge

    2012-01-01

    Hvis vi erkender børns forskellighed, kan vi skabe et skolesystem, der er tilpasset selvstændige individers behov. Det skaber det overskud hos eleverne, der er fundamentet for at ville og kunne bidrage til fællesskabet....

  18. Cerebral blood flow autoregulation in patients with acute bacterial meningitis

    DEFF Research Database (Denmark)

    Møller, Kirsten

    2001-01-01

    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....

  19. Prometheusmotivet hos Viktor Rydberg och i den tidiga arbetarlitteraturen

    OpenAIRE

    Nilsson, Magnus

    2007-01-01

    Magnus Nilsson, Prometheusmotivet hos Viktor Rydberg och i den tidiga arbetarlitteraturen.(The Prometheus Motif in Viktor Rydberg’s Poetry and Early Working-Class Literature.) This essay focuses on the Prometheus motif in Viktor Rydberg’s poetry and in early Swedish working-class literature. Many working-class writers were influenced by Rydberg. But the Prometheus motif undergoes a radical transformation when taken up in their poetry. Whereas Rydberg’s use of the motif is firmly rooted within...

  20. Sprog hos børn med autisme

    DEFF Research Database (Denmark)

    Brynskov, Cecilia

    2010-01-01

    Spredningen i sproglige færdigheder hos børn med autisme er enorm. Dette forhold vanskeliggør forskning inden for området, og omvendt bevirker forskningen og de valg – og ikke mindst fravalg – som autismeforskere er nødt til at foretage, at gruppen af børn med autisme kommer til at fremstå mere...

  1. Tv-mediet lever - også hos de unge

    DEFF Research Database (Denmark)

    Bjørner, Thomas

    2009-01-01

    Denne artikel baserer sig på empiriske data i en dansk kontekst, og kan afvise myten om, at broadcast tv er døende. Set over en femten årig periode er der tale om et meget stabilt tv-forbrug - selv hos de unge. Artiklen beskriver således nogle af de fordele som TV-mediet har, og hvordan andre med...

  2. Neuromuscular function in patients with Subacromial Impingement Syndrome and clinical assessment of scapular kinematics

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie

    muskeldele.I det andet studie blev evnen til selektiv aktivering af de individuelle skapulære muskeldele undersøgt hos 15patienter med SIS under en session med og uden visuel biofeedback, sammenlignet med denne evne hos 15raske kontroller. Med udgangspunkt i præ-definerede kriterier for selektiv aktivering...

  3. Stimulation med 0,3 mg rekombinant human thyrotropin øger effekten af 131 I-behandling hos patienter med atoksisk nodulaer struma. En prospektiv, randomiseret, dobbeltblindet undersøgelse--sekundaerpublikation

    DEFF Research Database (Denmark)

    Nielsen, Viveque Egsgaard; Bonnema, Steen Joop; Boel-Jørgensen, Henrik; Grupe, Peter; Hegedüs, Laszlo

    2006-01-01

    In a randomized, double-blind, placebo-controlled trial, 57 patients with nontoxic nodular goiter were stimulated with either 0.3 mg recombinant human thyrotropin (rhTSH) or placebo before radioactive iodine 131I therapy. After one year the goiter reduction had improved by 35% compared to...... conventional 131I therapy. The difference was most pronounced in patients with a large goiter. Adverse effects, including development of permanent hypothyroidism, were significantly more frequent in the rhTSH group. Patient satisfaction was high and uninfluenced by the use of rhTSH....

  4. Stimulation med 0,3 mg rekombinant human thyrotropin øger effekten af 131 I-behandling hos patienter med atoksisk nodulaer struma. En prospektiv, randomiseret, dobbeltblindet undersøgelse--sekundaerpublikation

    DEFF Research Database (Denmark)

    Nielsen, Viveque Egsgaard; Bonnema, Steen Joop; Jørgensen, Henrik Boel; Grupe, Peter; Hegedüs, Laszlo

    2006-01-01

    In a randomized, double-blind, placebo-controlled trial, 57 patients with nontoxic nodular goiter were stimulated with either 0.3 mg recombinant human thyrotropin (rhTSH) or placebo before radioactive iodine 131I therapy. After one year the goiter reduction had improved by 35% compared to...... conventional 131I therapy. The difference was most pronounced in patients with a large goiter. Adverse effects, including development of permanent hypothyroidism, were significantly more frequent in the rhTSH group. Patient satisfaction was high and uninfluenced by the use of rhTSH. Udgivelsesdato: 2006-Nov-20...

  5. Internkommunikation hos en mobiloperatör : – en studie av motivation och upptagningsförmåga av information hos butikschefer

    OpenAIRE

    Isaksson, Helena

    2007-01-01

    Abstract Title: Internal Communication at a large mobile operator (Internkommunikation hos en mobiloperatör - en studie av motivation och upptagningsförmåga av information hos butikschefer) Number of pages: 43 Author: Helena Isaksson Tutor: Peder Hård af Segerstad Course: Media and Communication Studies C Period: Fall term 2006 University: Division of Media and Communication, Department of Information Science, Uppsala University. Purpose/Aim: The purpose of this essay is to gain an insight in...

  6. Central venøs saturation som behandlingsmål hos patienter med svær sepsis bør undersøges nærmere

    DEFF Research Database (Denmark)

    Simonsen, Louise; Pott, Frank Christian

    2013-01-01

    Fluids, vasopressors and inotropics are mainstays in the initial treatment of sepsis. Consensus guidelines recommend a central venous oxygen saturation (ScvO(2)) larger than 69% as a resuscitation goal for sepsis treatment. Several studies demonstrate that many patients with sepsis have normal or...... higher ScvO(2) and this may lead to inappropriate use of vasopressors or inotropics when the patient is still in need of fluid. We discuss the (patho)physiology of ScvO(2) in sepsis and propose individualized fluid therapy based on optimization of cardiac preload, e.g. by establishing a maximal ScvO(2)....

  7. Schistosomiasis hos danske rejsende og immigranter

    DEFF Research Database (Denmark)

    Helleberg, Marie; Thybo, Søren

    2009-01-01

    INTRODUCTION: The purpose of the study was to describe symptoms and diagnosis of schistosomiasis in travellers and immigrants based on patients diagnosed and treated at the State University Hospital in Copenhagen in 2003-2008. MATERIAL AND METHODS: Retrospective review of patient records. RESULTS......: A total of 49 patients (39 travellers and ten immigrants) were diagnosed with schistosomiasis. All patients except one were infected in Africa. There was considerable variation in clinical manifestations between travellers and immigrants. Eggs were detected in urine, faeces and/or biopsy from 18...... patients, whereas 31 patients were diagnosed solely by serology. DISCUSSION: Travellers with schistosomiasis are often asymptomatic or have unspecific symptoms, while immigrants may present with severe complications to the infection. Because symptoms can develop years after the infection and due to the...

  8. Pragmatiske ferdigheter hos barn med cochleaimplantat : - belyst ved et kasusstudie

    OpenAIRE

    2008-01-01

    Pragmatiske ferdigheter hos barn med cochleaimplantat - belyst ved et kasusstudie. Bakgrunn: Cochleaimplantat (CI) er et høreapparat som gir sterkt hørselshemmede muligheten til å oppfatte lyd. Elektroder implanteres i sneglehuset (cochlea) og stimulerer hørselsnerven direkte (MED-EL 2006, Waltzman 2005). Forskning rundt barn med CI og deres språkutvikling har hovedsakelig vært konsentrert rundt de lingvistiske sidene ved språket (Thoutenhoofd m. fl. 2005). Like viktig vil det være å se p...

  9. Staphylococcal scalded skin syndrome hos voksne

    DEFF Research Database (Denmark)

    Mikkelsen, Carsten Sauer; Mikkelsen, Dorthe Bisgaard; Jensen, Thøger Gorm;

    2010-01-01

    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...

  10. Cytomegalovirus-colitis hos immunkompetent ung mand

    DEFF Research Database (Denmark)

    Rasmussen, Eva; Grønbaek, Karin; Linnemann, Dorte

    2009-01-01

    A healthy young man was hospitalized due to fever, malaise and bloody stools for three weeks. The patient had a primary CMV infection based on biochemical, serological and ultrasonic results, and a colonoscopy was consistent with left-sided CMV colitis. He recovered spontaneously, though haematoc...

  11. Kryptorkisme hos drenge med anal atresi

    DEFF Research Database (Denmark)

    Cortes, Dina; Thorup, J M; Nielsen, Ole Henrik; Beck, Bjarne Lomholdt

    1996-01-01

    undescended testes from patients with cryptorchidism only. These findings, together with the existing literature on the subject, indicate that further studies on the association of cryptorchidism, urological, and T10-S5 vertebral malformations and dysplasias may be important for a better understanding of...

  12. Svaer metabolisk acidose hos en kronisk alkoholiker

    DEFF Research Database (Denmark)

    Sonne, Morten Egede; Rudolph, Søren Finnemann; Pott, Frank Christian

    2008-01-01

    Severe metabolic acidosis is associated with poor prognosis. We present a patient with profound alcohol and starvation-related combined lactic and keto acidosis (lactate = 29 mM; pH = 6.83) who made a good recovery following 18 hours of intensive care therapy. A brief summary of the proposed...... mechanism by which these metabolic derangements develop is presented....

  13. Hvilken evidens er der for medikamentel behandling af depression hos børn og unge?

    DEFF Research Database (Denmark)

    Thomsen, Per Hove; Sørensen, Merete Juul

    2007-01-01

    Depression hos børn og unge er relativt hyppigt forekommende og kan have svære konsekvenser. Den specifikke antidepressive behandling kan være psykoterapeutisk eller medikamentel. I artiklen gennemgås på baggrund af systematisk litteratursøgning den videnskabelige evidens for medikamentel...... behandling af depression hos børn og unge med hovedvægten lagt på de mest veldokumenterede medikamenter: selektive serotoningenoptagelseshæmmere....

  14. Patologisk ankel-arm indeks hos dialysepasienter

    OpenAIRE

    2009-01-01

    Pathological ankle-brachial index in dialysispatients Background. Patients in dialysis have an increased risk of cardiovascular disease and death. The purpose of this study was to evaluate the prevalence of pathologic ankle-brachial index (ABI) in a hemodialysis population at Oslo University Hospital Ullevål. Material and methods. For measurement of the ankle- and brachial-blood pressure, we used a Doppler probe and a blood pressure cuff. The measurements were done 1-2 hours into th...

  15. Bisfosfonatassocieret osteonekrose i kaeberne hos patienter med myelomatose

    DEFF Research Database (Denmark)

    Lund, Thomas; Gregersen, Henrik; Vangsted, Annette;

    2009-01-01

    bisphosphonate therapy and with the potency of the used bisphosphonate. BON usually develops after tooth extraction or other oral surgery, and has proven difficult to treat. Optimal dental hygiene should be ensured prior to treatment initiation where possible, and once bisphosphonate treatment is instituted...

  16. Peritoneal tuberkulose hos patient med formodet dissemineret ovariecancer

    DEFF Research Database (Denmark)

    Madsen, Lone Wulff; Neumann, Gudrun; Pedersen, Court

    We present a case study of a 43 year-old female immigrant from Turkey with abdominal pain, ascites and elevated cancer antigen 125. The symptoms were similar to those of ovarian cancer, and imaging (computed tomography (CT), positron emission tomography/computed tomography and magnetic resonance...... imaging) supported this suspicion. Peritoneal biopsy from laparoscopy showed granulomas with central necrosis. Microscopy, culture and polymerase chain reaction from biopsy samples were negative for Mycobacterium tuberculosis. Follow-up with a CT scan after six months of full tuberculosis treatment showed...

  17. Paraneoplastisk pancytopeni hos en patient med uerkendt lungecancer

    DEFF Research Database (Denmark)

    Hansen, Jakob Werner; Sjö, Lene; Grønbæk, Kirsten

    2014-01-01

    % blasts, but a diagnosis of myelodysplastic syndrome (MDS) was considered. After 30 days without any chemotherapeutic treatment her peripheral blood was normalised. In the meanwhile she was diagnosed with a small cell lung cancer. In this case the MDS-like condition was caused by a paraneoplastic...

  18. Parvovirus B19-akut hepatitis hos immunkompetent patient

    DEFF Research Database (Denmark)

    Larsen, Lykke

    2011-01-01

    This article describes a case of acute hepatitis in an adult person without subsequent complications caused by parvovirus B19 (PVB19). The diagnosis was made by detection of PVB19 IgM and IgG antibody in the blood using ELISA. There was not made any affirmative polymerase chain reaction for DNA...

  19. Restaurangvanor hos vuxna i Sverige : En enkätstudie

    OpenAIRE

    Raneblad, Erica

    2015-01-01

    Bakgrund Alltfler människor väljer att inta fler av sina måltider på restauranger. Anledningar såsom tidsbrist och socialt umgänge anges ofta. Man har även vissa gånger kunnat se ett samband mellan restaurangvanor och frukt- och grönsaksintag. Syfte Syftet med studien var att undersöka restaurangvanor hos vuxna i Sverige och relatera dessa till ålder, kön, socioekonomiska faktorer och matvanor. Metod Studien genomfördes med hjälp av en enkät som spreds via Internet. Enkäten var uppbyggd av ni...

  20. Matvägran hos barn : En medicinsk översikt och kritisk analys samt fallstudier

    OpenAIRE

    Leander, Kajsa

    2012-01-01

    Ätproblem hos barn är relativt vanliga och existerar både hos i övrigt friska barn och hos barn med andra sjukdomar och diagnoser. I vissa fall är ätproblemen så allvarliga att de leder till malnutrition. Ofta delas ätproblem in i kategorier beroende på om man tycker sig se en medicinsk orsak eller inte, man skiljer därmed på organiska och icke-organiska problem. Detta arbete fokuserar främst på det som i litteraturen brukar kallas matvägran. Syftet var att belysa området i stort genom att pr...

  1. Computer-aided diagnosis of psoriasis skin images with HOS, texture and color features: A first comparative study of its kind.

    Science.gov (United States)

    Shrivastava, Vimal K; Londhe, Narendra D; Sonawane, Rajendra S; Suri, Jasjit S

    2016-04-01

    Psoriasis is an autoimmune skin disease with red and scaly plaques on skin and affecting about 125 million people worldwide. Currently, dermatologist use visual and haptic methods for diagnosis the disease severity. This does not help them in stratification and risk assessment of the lesion stage and grade. Further, current methods add complexity during monitoring and follow-up phase. The current diagnostic tools lead to subjectivity in decision making and are unreliable and laborious. This paper presents a first comparative performance study of its kind using principal component analysis (PCA) based CADx system for psoriasis risk stratification and image classification utilizing: (i) 11 higher order spectra (HOS) features, (ii) 60 texture features, and (iii) 86 color feature sets and their seven combinations. Aggregate 540 image samples (270 healthy and 270 diseased) from 30 psoriasis patients of Indian ethnic origin are used in our database. Machine learning using PCA is used for dominant feature selection which is then fed to support vector machine classifier (SVM) to obtain optimized performance. Three different protocols are implemented using three kinds of feature sets. Reliability index of the CADx is computed. Among all feature combinations, the CADx system shows optimal performance of 100% accuracy, 100% sensitivity and specificity, when all three sets of feature are combined. Further, our experimental result with increasing data size shows that all feature combinations yield high reliability index throughout the PCA-cutoffs except color feature set and combination of color and texture feature sets. HOS features are powerful in psoriasis disease classification and stratification. Even though, independently, all three set of features HOS, texture, and color perform competitively, but when combined, the machine learning system performs the best. The system is fully automated, reliable and accurate. PMID:26830378

  2. Maligne og precancerøse hudlesjoner hos nyretransplanterte pasienter - En prospektiv studie fra privat spesialistpraksis

    OpenAIRE

    Skjernes, Elisabeth Jacobsen; Brun, Sara Johanne

    2014-01-01

    Maligne og premaligne hudlesjoner er vanlig hos immunsupprimerte pasienter. Flere risikofaktorer er årsak til denne utviklingen. Det er gjort flere retrospektive studier på dette emnet, men mange av disse er gjort i geografiske områder med annen eksponering for karsinogene faktorer enn i en norsk populasjon. Det er gjort få prospektive studier på samme emne. Vårt mål er å se på forekomsten både av precanserøse og maligne hudlesjoner hos nyretransplanterte, etter hvor lang tid disse opptrer og...

  3. Sambandet mellan utsatthet och psykosomatiska symtom hos elever i årskurs nio.

    OpenAIRE

    Andersson, Marika

    2013-01-01

    Barnmisshandel är ett globalt folkhälsoproblem som resulterar i stora hälsokonsekvenser.Flera studier har visat att barnmisshandel kan leda till psykisk ohälsa hos de som utsatts,såsom depression och ångest. Det är dock få studier som har undersökt sambandet mellanbarnmisshandel och psykosomatiska symtom hos skolelever. Syftet med studien var attundersöka förekomsten av utsatthet (fysisk barnmisshandel och/eller barn som bevittnat våld)och psykosomatiska symtom bland elever i årskurs nio. Syf...

  4. Dannelsen af en psykologisk og videnskabelig habitus hos psykologistuderende

    DEFF Research Database (Denmark)

    Feilberg, Casper

    Dannelsen af en psykologisk og videnskabelig habitus hos psykologistuderende, Casper Feilberg Afhandlingen er en empirisk undersøgelse af psykologistuderendes tilegnelse af træk ved en psykologisk og videnskabelig habitus ved psykologistudierne på Roskilde Universitet og Aalborg Universitet. Herved...... bidrager afhandlingen til den overordnede diskussion om, hvad målet med og kvalitet i en universitetsuddannelse skal forstås som. Som udgangspunkt for studiet af psykologistuderendes dannelsesprocesser indføres en analytisk distinktion mellem en psykologisk habitus (fænomen orienteret), og en videnskabelig...... habitus (teoretisk/metodisk). Herved tydeliggøres de studerendes dobbelte opgave der består i, at man må lære at trække på sin egen livsverden på en kvalificeret måde, når man skal forstå andre (psykologisk habitus), men at denne psykologiske sans for problemstillingen også må opkvalificeres via...

  5. Intervention rettet mod sproget hos børn med autisme

    DEFF Research Database (Denmark)

    Brynskov, Cecilia

    2014-01-01

    Sprogniveauet hos børn med autisme er afgørende for deres muligheder for udfoldelse og udvikling, og sproget er et udviklingsområde, der er meget modtageligt for intensiv intervention. Imidlertid modtager danske børn med autisme kun sjældent intensiv intervention rettet mod sproget. De intensive...

  6. Emerging countries’ multinational companies investing in developed countries: at odds with the HOS paradigm?

    Directory of Open Access Journals (Sweden)

    Andreff, Wladimir

    2013-04-01

    Full Text Available The paper analyses the new trend of outward foreign direct investment (FDI by multinational companies from emerging countries, in particular the BRICs, in developed countries to question the applicability of the traditional HOS theoretical framework to this trend. A literature review shows that labour costs do not play any significant role in the first attempts to provide an analytical explanation of this new trend. A HOS equation, amended in order to encompass FDI, is elaborated in order to explain outward FDI from developed to developing and emerging countries based on differences in labour endowment and therefore in wage rates. Step by step, the equation introduces the technological gap, institutions and government policies. Then it is shown that such equation when reversed to explain outward FDI from emerging to developed countries is at odds with the traditional HOS framework. Turning the HOS theory upside down does not help to explain reverse FDI outflows from emerging to developed countries. An alternative approach is called for, in which a labour cost advantage (a lower wage rate than abroad is a home market advantage for emerging countries to invest abroad. A final section provides some empirical examples that labour matters and a lower home wage rate is a decisive comparative advantage for Indian and Chinese multinationals investing in developed countries. Additional evidence shows that the technological gap and the home country’s institutions and government policy matter as well

  7. Hvilken evidens er der for behandling af depression hos børn og unge med kognitiv terapi?

    DEFF Research Database (Denmark)

    Sørensen, Merete Juul; Thomsen, Per Hove

    2007-01-01

    Depression hos børn og unge er relativt hyppigt forekommende og kan have svære konsekvenser. Den specifikke antidepressive behandling kan være psykoterapeutisk eller medikamentel. I artiklen gennemgås på baggrund af systematisk litteratursøgning den videnskabelige evidens for effekten af kognitiv...... adfærdsterapi hos børn og unge med depression....

  8. HOS-ocean: Open-source solver for nonlinear waves in open ocean based on High-Order Spectral method

    Science.gov (United States)

    Ducrozet, Guillaume; Bonnefoy, Félicien; Le Touzé, David; Ferrant, Pierre

    2016-06-01

    HOS-ocean is an efficient High-Order Spectral code developed to solve the deterministic propagation of nonlinear wavefields in open ocean. HOS-ocean is released as open-source, developed and distributed under the terms of GNU General Public License (GPLv3). Along with the source code, a documentation under wiki format is available which makes easy the compilation and execution of the source files. The code has been shown to be accurate and efficient.

  9. Automatic Detection of Pathologies in The Voice by HOS Based Parameters

    Directory of Open Access Journals (Sweden)

    de Leon José

    2001-01-01

    Full Text Available In the current panorama the conclusive identification of a laryngeal pathology relies inevitably on the observation of the vocal folds by means of laryngoscopical techniques. This inspection technique is inconvenient for a number of reasons, such as its high cost, the duration of the inspection, and, above all, the fact that it is an invasive technique. This paper looks into the possibility of measuring the quality of a voice starting from an audio recording. The existing parameters in current literature ("classic parameters" which allow quantifying the quality of a voice have been studied, and the parameters that present better results have been selected. Also, seven new High Order Statistics (HOS based parameters are proposed to parametrize the voice signal. On the other hand, a software package has been developed which carries out the automatic detection of dysfunction in phonation. A success rate of % has been obtained by using both the classic and the HOS based proposed parameters.

  10. Ouabain sensitivity is linked to ras -transformation in human HOS cells

    International Nuclear Information System (INIS)

    Mouse cells transformed by the retroviral oncogene v-Ki- ras are significantly more sensitive to the toxic effects of 1mM ouabain than are their nontransformed counterparts. We have extended these findings to a human cell line (HOS). HOS cells (ATCC CRL 1543) are relatively resistant to treatment with 1 microM ouabain while KHOS cells (transformed by Kirsten murine sarcoma virus) are extremely sensitive. Two flat revertant cell lines isolated from the KHOS line and lacking the v- ras gene sequences are resistant to ouabain. This effect may be observed morphologically and can also be demonstrated by dye exclusion and plating efficiency tests. In addition, the toxic effects of ouabain may be rapidly and efficiently quantitated in a 51Cr-release assay. This differential lethality may be used to enrich the proportion of non-transformed revertants in populations of mutagen-treated transformed cells

  11. Depression hos äldre personer : En litteraturstudie om äldres upplevelser

    OpenAIRE

    Lundström, Lena; Öhlund, Anna

    2015-01-01

    Bakgrund: Den äldre befolkningen i världen ökar och med den ökar även den psykiska ohälsan, där depression är en av de vanligaste neurologiska funktionsnedsättningarna hos äldre personer. Det har visat sig att kunskap om depression hos äldre personer är bristfällig inom sjukvården och att många äldre personer aldrig blir diagnostiserade och aldrig får adekvat hjälp. Syfte: Syftet med litteraturstudien var att belysa äldre personers upplevelser av depression. Metod: Åtta artiklar med kvalitati...

  12. Troen - med eller uten tradisjon? En analyse av "sannhetens regel" hos Irenaeus av Lyon

    OpenAIRE

    Olsen, Terje

    2013-01-01

    Når man i teologien snakker om normerende funksjoner, mener man ofte en sum av læresetninger eller bestemte bekjennelsestekster. Disse vil så vise hva som gyldig for kristendommen, eller en viss menighet 5 . Jeg vil vise at hos Irenaeus er perspektivet videre. For kirkefaderen er teologi mer enn terminologi. Teologien griper fatt i hele menneskets eksistens. Teologi dreier seg derfor om det som er virkelig. Når biskopen av Lyon bruker regula veritatis eller regula f...

  13. Sykepleierens tilgang til det smertefulle hos det svært fortidligfødte barnet

    OpenAIRE

    Landsem, Inger Pauline

    2007-01-01

    Tema for denne masteroppgaven er hvordan sykepleiere gjenkjenner noe som smertefullt hos det svært fortidligfødte barnet som behandles i neonatale intensivavdelinger. Studien fokuserer på sykepleiernes arbeid med de nyfødte barn som er yngre enn 28 svangerskapsuker. Disse barnas overlevelsesmuligheter har økt betydelig de siste 20 årene. I samme tidsperiode har det hersket stor usikkerhet i fagfeltet om hvorvidt barna opplever behandling og handtering som smertefullt. Uttrykksevne...

  14. Anticancer Activity Studies of Ruthenium(II) Complex Toward Human Osteosarcoma HOS Cells.

    Science.gov (United States)

    Zhu, Jian-Wei; Liu, Si-Hong; Zhang, Gui-Qiang; Xu, Hui-Hua; Wang, Yu-Xuan; Wu, Yong; Liu, Ya-Min; Wang, Yan; Liang, Jun-Bo; Guo, Qi-Feng

    2016-08-01

    A new Ru(II) complex [Ru(dmp)2(NMIP)](ClO4)2 (dmp = 2,9-dimethyl-1,10-phenanthroline, NMIP = 2'-(2″-nitro-3″,4″-methylenedioxyphenyl)imidazo[4',5'-f][1,10]-phenanthroline) was synthesized and characterized by elemental analysis, ESI-MS and (1)H NMR. The cytotoxic activity of the complex against MG-63, U2OS, HOS, and MC3T3-e1 cell lines was investigated by MTT method. The complex shows moderate cytotoxicity toward HOS (IC50 = 35.6 ± 2.6 µM) and MC3T3-e1 (IC50 = 41.6 ± 2.8 µM) cell lines. The morphological studies show that the complex can induce apoptosis in HOS cells and cause an increase of reactive oxygen species levels and a decrease in the mitochondrial membrane potential. The cell cycle distribution demonstrates that the complex inhibits the cell growth at S phase. Additionally, the antitumor activity in vivo reveals that the complex can induce a decrease in tumor weight. PMID:27007877

  15. Taltid skattad från fonationstid hos pensionärer : en fältstudie med VoxLog

    OpenAIRE

    Wigelius Skoglund, Frida; Fhärm, Nina

    2013-01-01

    Bakgrund Tal- och språkstörningar kan leda till och nedsatt kommunikation och förmåga att delta i samtal. Självskattning anses som ett otillräckligt mått på taltid och objektiva mätmetoder behövs som komplement. Många patienter i logopedbehandling är pensionärer men det saknas forskning om taltid inom denna åldersgrupp. Syfte Att samla in referensdata om fonationstid hos en grupp friska pensionärer och utvärdera röstackumulatorn VoxLog som mätinstrument av taltid. Metod Tjugo pensionärer delt...

  16. The Hos2 Histone Deacetylase Controls Ustilago maydis Virulence through Direct Regulation of Mating-Type Genes.

    Directory of Open Access Journals (Sweden)

    Alberto Elías-Villalobos

    2015-08-01

    Full Text Available Morphological changes are critical for host colonisation in plant pathogenic fungi. These changes occur at specific stages of their pathogenic cycle in response to environmental signals and are mediated by transcription factors, which act as master regulators. Histone deacetylases (HDACs play crucial roles in regulating gene expression, for example by locally modulating the accessibility of chromatin to transcriptional regulators. It has been reported that HDACs play important roles in the virulence of plant fungi. However, the specific environment-sensing pathways that control fungal virulence via HDACs remain poorly characterised. Here we address this question using the maize pathogen Ustilago maydis. We find that the HDAC Hos2 is required for the dimorphic switch and pathogenic development in U. maydis. The deletion of hos2 abolishes the cAMP-dependent expression of mating type genes. Moreover, ChIP experiments detect Hos2 binding to the gene bodies of mating-type genes, which increases in proportion to their expression level following cAMP addition. These observations suggest that Hos2 acts as a downstream component of the cAMP-PKA pathway to control the expression of mating-type genes. Interestingly, we found that Clr3, another HDAC present in U. maydis, also contributes to the cAMP-dependent regulation of mating-type gene expression, demonstrating that Hos2 is not the only HDAC involved in this control system. Overall, our results provide new insights into the role of HDACs in fungal phytopathogenesis.

  17. Higher Order Suppressor (HOS) for the PolLux Microspectroscope Beamline at the Swiss Light Source SLS

    Science.gov (United States)

    Frommherz, U.; Raabe, J.; Watts, B.; Stefani, R.; Ellenberger, U.

    2010-06-01

    The mechanical design and performance of a device to suppress higher orders of a spherical grating monochromator at a constant deviation angle is described. The higher order suppressor (HOS) is used for a scanning transmission x-ray microspectroscope beamline (PolLux) at a bending magnet of the Swiss Light Source (SLS). The instruments allow microspectroscopy in polymer science, of biological samples in the water window as well as the study of magnetic materials with circular or linear polarized light in a photon energy range of 200 eV to 1400 eV. The HOS uses three mirrors acting as a low pass filter for soft x-rays to improve the absorption spectroscopy of carbon, oxygen and nitrogen 1s core levels. The successful installation and operation of the HOS located after the monochromator is reported. First results obtained using samples from materials research and environmental sciences exemplify the improved spectroscopy capabilities of the instrument.

  18. Primaer cerebral vaskulitis hos børn

    DEFF Research Database (Denmark)

    Pradsgaard, Dan Østergaard; Stausbøl-Grøn, Brian; Østergaard, John Rosendahl;

    2010-01-01

    successful in most of the patients. In two patients with progressive CNS vasculitis, the treatment was supplemented by intravenous cyclophosphamide and azathioprin, respectively. CONCLUSION: Primary CNS vasculitis is an acutely acquired inflammatory disease with severe neurological deficits and sequelae...

  19. Functional characterization of Candida albicans Hos2 histone deacetylase [v3; ref status: indexed, http://f1000r.es/3xh

    Directory of Open Access Journals (Sweden)

    G Karthikeyan

    2014-07-01

    Full Text Available Candida albicans is a mucosal commensal organism capable of causing superficial (oral and vaginal thrush infections in immune normal hosts, but is a major pathogen causing systemic and mucosal infections in immunocompromised individuals. Azoles have been very effective anti-fungal agents and the mainstay in treating opportunistic mold and yeast infections. Azole resistant strains have emerged compromising the utility of this class of drugs. It has been shown that azole resistance can be reversed by the co-administration of a histone deacetylase (HDAC inhibitor, suggesting that resistance is mediated by epigenetic mechanisms possibly involving Hos2, a fungal deacetylase. We report here the cloning and functional characterization of HOS2 (HighOsmolarity Sensitive, a gene coding for fungal histone deacetylase from C. albicans. Inhibition studies showed that Hos2 is susceptible to pan inhibitors such as trichostatin A (TSA and suberoylanilide hydroxamic acid (SAHA, but is not inhibited by class I inhibitors such as MS-275. This in vitro enzymatic assay, which is amenable to high throughput could be used for screening potent fungal Hos2 inhibitors that could be a potential anti-fungal adjuvant. Purified Hos2 protein consistently deacetylated tubulins, rather than histones from TSA-treated cells. Hos2 has been reported to be a putative NAD+ dependent histone deacetylase, a feature of sirtuins. We assayed for sirtuin activation with resveratrol and purified Hos2 protein and did not find any sirtuin activity.

  20. Functional characterization of Candida albicans Hos2 histone deacetylase [v2; ref status: indexed, http://f1000r.es/3i2

    Directory of Open Access Journals (Sweden)

    G Karthikeyan

    2014-05-01

    Full Text Available Candida albicans is a mucosal commensal organism capable of causing superficial (oral and vaginal thrush infections in immune normal hosts, but is a major pathogen causing systemic and mucosal infections in immunocompromised individuals. Azoles have been very effective anti-fungal agents and the mainstay in treating opportunistic mold and yeast infections. Azole resistant strains have emerged compromising the utility of this class of drugs. It has been shown that azole resistance can be reversed by the co-administration of a histone deacetylase (HDAC inhibitor, suggesting that resistance is mediated by epigenetic mechanisms possibly involving Hos2, a fungal deacetylase. We report here the cloning and functional characterization of HOS2 (HighOsmolarity Sensitive, a gene coding for fungal histone deacetylase from C. albicans. Inhibition studies showed that Hos2 is susceptible to pan inhibitors such as trichostatin A (TSA and suberoylanilide hydroxamic acid (SAHA, but is not inhibited by class I inhibitors such as MS-275. This in vitro enzymatic assay, which is amenable to high throughput could be used for screening potent fungal Hos2 inhibitors that could be a potential anti-fungal adjuvant. Purified Hos2 protein consistently deacetylated tubulins, rather than histones from TSA-treated cells. Hos2 has been reported to be a putative NAD+ dependent histone deacetylase, a feature of sirtuins. We assayed for sirtuin activation with resveratrol and purified Hos2 protein and did not find any sirtuin activity.

  1. Burde jeg forstått? Selvmord hos eldre. Forekomst, risikofaktorer og mulig forebygging - en litteraturstudie.

    OpenAIRE

    Rotefoss, Simen Johnsrud

    2014-01-01

    Tittel: Burde jeg forstått? Selvmord hos eldre. Forekomst, risikofaktorer og mulig forebygging - en litteraturstudie. Bakgrunn: I Norge ser vi en nedgang i selvmordsraten blant eldre de siste årene, og vi ligger nå under det europeiske gjennomsnittet. Flertallet av eldre som begår selvmord, har i forkant av handlingen formidlet sitt dødsønske til enten helsepersonell eller pårørende. Likevel står sykepleiere i hjemmetjenesten ovenfor en faglig utfordring ved å avdekke eldres suicidalitet. ...

  2. Amningsduration i relation till amningsstart hos förstföderskor : En kvantitativ longitudinell studie

    OpenAIRE

    Fahlbeck, Hanna; Hallgren, Nina

    2015-01-01

    Bakgrund: Hälsofördelarna med amning är välkända, och sedan 1992 försöker svenska sjukhus arbeta efter internationella amningsrekommendationer. Trots detta framkommer brister i vården och amningsstatistiken i Sverige sjunker. Syfte: Syftet med denna studie var att undersöka amningsdurationen hos förstföderskor, om den kunde associeras med vården de fått i samband med barnets födelse och första levnadsdygn, samt med mammornas skattning av amningsstöd vid amningsstart. Metod: Designen var en lo...

  3. Vi trenger longitudinelle epidemiologiske undersøkelser av psykiske lidelser og utviklingsforstyrrelser hos barn

    OpenAIRE

    Bente Gjærum; Torunn S. Nøvik

    2009-01-01

     sAMMENDRAGArtikkelen gjennomgår nyere forekomststudier for utviklings- og atferdsforstyrrelser, nevrologiske og psykiskelidelser hos barn og ungdom. Forfatterne peker på den betydelige komorbiditet som sees for disse grupperav tilstander, og den tverrfaglige bredde som synes nødvendig for å forstå hvilke faktorer og mekanismer sompåvirker barns utvikling og psykiske helse. I tillegg refereres nyere forskning på forløp og varighet vedavvikende utvikling i oppveksten, samt eksempler på undersø...

  4. Copingstrategier i egenvården hos personer med typ 2 diabetes – En metaetnografisk litteratursyntes

    OpenAIRE

    Persson, Caroline

    2012-01-01

    Bakgrund: Diagnosen typ 2 diabetes innefattar för patienten utmaningar i att göra hälsosamma val i vardagen samtidigt som det finns en risk för att drabbas av allvarliga komplikationer till följd av sjukdomen. Coping beskrivs som en förmåga att integrera krav som en svår situation som typ 2 diabetes innebär, med emotionell anpassning. Syftet: med denna litteratursyntes var att genom en syntes av individuella beskrivningar av egenvården hos personer med typ 2 diabetes identifiera individuella ...

  5. Forekomst af indvoldsorm hos hunde på Færøerne

    OpenAIRE

    Petersen, Signar; Joensen, Kristina Dahl; Monrad, Jesper; Thamsborg, Stig Milan

    2008-01-01

    SammendragForekomsten af helminther hos hunde på Færøerneer ikke tidligere systematisk beskrevet. Fæcesprøverfra 227 færøske hunde, hvis ejere varadviseret gennem aviser eller direkte af forfatterneog lokale dyrlæger, blev undersøgt i februarog marts 2004. Fæcesprøverne blev opsamlet afejerne og afleveret sammen med et udfyldt spørgeskemamed oplysninger om hunden. Hundene,hvis gennemsnitsalder var 3½ år (2 mdr.-12 år),omfattede 102 fårehunde og 125 familiehundefordelt over hele Færøerne. Hund...

  6. Primær kutan kryptokokkose hos dueavler

    DEFF Research Database (Denmark)

    Andersen, Kjeld; Ravn, Pernille; Bangsborg, Jette Marie

    2011-01-01

    A Danish 73 year-old male patient with polymyalgia rheumatica and in prednisone treatment presented with a cutaneous ulcer on the hand caused by a scratch from a pigeon. Initial treatment with antibiotics was unsuccessful. Biopsy revealed Cryptococcus neoformans and the patient recovered on...

  7. Klinisk kemiske parametre for metabolisk kontrol hos diabetespatienter

    DEFF Research Database (Denmark)

    Sindrup, S H; Matzen, L E; Wengler, K;

    1989-01-01

    glycosylated hemoglobin below upper reference limit had a fructosamine value over upper reference limit and vice versa. The possibility to predict the level of glycosylated hemoglobin from fasting blood glucose, postprandial blood glucose, and self-measured blood glucose was poor. The difference in self......Fructosamine and various measures of blood glucose were compared to glycosylated hemoglobin as indices of glycaemic control in 148 patients with insulin treated diabetes. Fructosamine correlated fairly well with glycosylated hemoglobin (r = 0.67), but around 40 per cent of the patients with......-measured blood glucose from patients with high versus low levels of glycosylated hemoglobin was very modest (0.5-2.0 mmol/l). It is concluded that it is reasonable to measure both glycosylated hemoglobin and fructosamine to evaluate glycaemic control in insulin treated diabetic patients. Fasting blood glucose...

  8. Sæsontilpasninger i stofsikftet reducerer lyskravet hos ålegræs (Zostera marina)

    DEFF Research Database (Denmark)

    Stæhr, Peter A.; Borum, Jens

    Sæsontilpasning i stofskiftet reducerer lyskravet hos Ålegræs (Zostera marina) Peter A. Stæhr1 og Jens Borum2 1 Danmarks Miljøundersøgelser, Afdeling for Marin Økologi, Aarhus Universit, Frederiksborgvej 399, PO Box 358, 4000 Roskilde, Email: pst@dmu.dk 2 Ferskvandsbiologisk Laboratorium, biologisk...

  9. Hvordan reducerer vi stress hos erhvervsaktive med høretab?

    DEFF Research Database (Denmark)

    Lund, Katja; Rosenstand, Claus Andreas Foss

    2015-01-01

    Stressrelateret sygefravær og dårlig social tilknytning til kolleger og ledelse er virkeligheden for mange danskere med nedsat hørelse. Samtidig er det vanskeligt for virksomhederne at håndtere stress hos gruppen, fordi der mangler indsigt i de udfordringer og sammenhænge, der har betydning for...... udviklingen af stress, når man har et høretab. I kapitlet arbejder vi hen imod konstruktionen af et dialogværktøj, der kan skabe denne indsigt samt støtte arbejdet med stressreduktion og -forebyggelse. Dialogværktøjet er blevet til på baggrund af resultater fra forløb med metoden Ecological Momentary...... Storytelling. 6 erhvervsaktive med høretab deltog i perioden 2013 – 2014. Indledende brugertests indikerer, at dialogværktøjet har po- tentiale som et organisatorisk forståelses- og procesværktøj til reduktion og forebyggelse af stress hos målgruppen....

  10. Artesunate inhibits growth and induces apoptosis in human osteosarcoma HOS cell line in vitro and in vivo

    Institute of Scientific and Technical Information of China (English)

    Qiang XU; Zhao-xu LI; Hui-qin PENG; Zheng-wang SUN; Rui-lin CHENG; Zhao-ming YE; Wei-xu LI

    2011-01-01

    This paper aims to investigate the effects of artesunate (ART) on growth and apoptosis in human osteosarcoma HOS cell line in vitro and in vivo and to explore the possible underlying mechanisms. Cell viability was measured by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The induction of apoptosis was detected by light and transmission electron microscopy and flow cytometry. Western blot analysis was used to investigate the related mechanisms. Nude mice were further employed to investigate the antitumour activity of ART in vivo. MTT assay results demonstrated that ART selectively inhibits the growth of HOS cells in a dose- and time-dependent manner. Based on the findings of light and transmission electron microscopy, Hoechst 33258 staining,and fluorescein isothiocyanate (FITC)-annexin V staining, the cytotoxicity of ART in HOS cells occurs through apoptosis. With ART treatment, cytosolic cytochrome c was increased, Bax expression was gradually upregulated, Bcl-2expression was downregulated, and caspase-9 and caspase-3 were activated. Thus, the intrinsic apoptotic pathway may be involved in ART-induced apoptosis. Cell cycle analysis by flow cytometry indicated that ART may induce cell cycle arrest at G2/M phase. In nude mice bearing HOS xenograft tumours, ART inhibited tumour growth and regulated the expressions of cleaved caspase-3 and survivin, in agreement with in vitro observations. ART has a selective antitumour activity against human osteosarcoma HOS cells, which may be related to its effects on induction of apoptosis via the intrinsic pathway. The results suggest that ART is a promising candidate for the treatment of osteosarcoma.

  11. Cochleaimplantationer hos voksne. Resultater og betydning for kommunikation og livskvalitet

    DEFF Research Database (Denmark)

    Faber, C E; Grøntved, A M

    2000-01-01

    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...

  12. Steatocystoma multiplex hos 39-årig kvinde

    DEFF Research Database (Denmark)

    Duffy, Jonas Raymond; Siersen, Hans Erik; Bonde, Christian T

    2011-01-01

    A clinical case of the rare disorder steatocystoma multiplex is described in a 39-year-old female. The patient was diagnosed with generalized intradermal lesions that started presenting in early adulthood. There was no family history of similar lesions.Skin examination showed multiple, skin-coloured...... cystic lesions on the chest, abdomen, axillae and back. The patient's clinical presentations and history were compatible with steatocystoma multiplex. Various treatment options for steatocystoma multiplex and steatocystoma multiplex suppurativum have been published and include oral antibiotics...

  13. Seksuelle dysfunktioner hos maend, der er behandlet for testikelkraeft

    DEFF Research Database (Denmark)

    Rosendal, Susanne; Kristensen, Ellids; Giraldi, Annamaria G E

    2007-01-01

    Patients treated for testicular cancer have a higher risk of ejaculatory, orgasmic and erectile dysfunctions compared with healthy males. The causality is not clear. In this paper we assess sexual dysfunction in the different treatment modalities based on primarily 1 meta-analysis and 11 original...... articles. During treatment, approximately 1/3 of patients experience one or more sexual dysfunctions. Only retroperitodineal surgery is significantly correlated with a specific sexual dysfunction, which is loss of ejaculation. Psychosexual causes seem to be important in the understanding of sexual...... dysfunctions in the aftermath of testicular-cancer treatment. Udgivelsesdato: 2007-Nov-12...

  14. Diabetes typ 2 och smärta hos kvinnor och män, 60 år och äldre i Karlskrona kommun

    OpenAIRE

    Fast, Ann Lilja; Powis, Jenny Rickardsson

    2010-01-01

    Bakgrund: Kronisk smärta är vanligt hos personer med diabetes typ 2. Smärtan varierar i intensitet och är oftare närvarande hos kvinnor än hos män. Närvaro av smärta påverkar egenvården vid diabetes typ 2 negativt, vilket torde medföra en sämre skött diabetes typ 2. Syfte: Att undersöka smärta hos kvinnor och män i åldrarna 60 år och äldre med diabetes typ 2, boende i Karlskrona kommun, med särskilt fokus på boende, den dagliga aktiviteten och hur den påverkas av smärta. Metod: En kvantitativ...

  15. Myokardieinfarkt hos 22-årig mand med essentiel trombocytose

    DEFF Research Database (Denmark)

    Müllertz, Katrine M; Vestergaard, Hanne; Hansen, Henrik Steen

    2011-01-01

    Essential thrombocythaemia (ET) is an acquired myeloproliferative disorder that causes thrombosis and haemorrhage. The association of myocardial infarction with ET is rare. We here describe a 22 year-old male patient with ET who presented with acute myocardial infarction. Coronary angiography...

  16. Operation for ingvinalhernie og fertilitet hos mænd

    DEFF Research Database (Denmark)

    Kohl, Andreas; Andresen, Kristoffer; Rosenberg, Jacob

    2016-01-01

    showed that the question remains difficult to answer due to a limited number of patients included and the discordant conclusions drawn in past studies. The largest recent cohort study came to the conclusion that there was no clinically significant risk of infertility associated with inguinal hernia...

  17. Selvadministreret ventrikelsondeernaering hos et barn med infantil autisme

    DEFF Research Database (Denmark)

    Dyrborg, J

    1991-01-01

    An example of self-administered gastric tube nutrition in a boy aged 15 years with infantile autism is presented. The boy would neither eat nor drink in the normal manner since the age of eight years and has gradually administered tube-feeding himself. This patient does not fulfill the internatio...... international criteria for the diagnosis of anorexia nervosa. A possible etiological factor and the education/psychological attitudes to the compulsive symptom are discussed. Udgivelsesdato: 1991-Oct-14...

  18. Metabolsk syndrom hos pasienter henvist til behandling for overvekt

    OpenAIRE

    2007-01-01

    The estimated prevalence of metabolic syndrome is 20-25% of the world s population. Earlier studies have shown that this diagnose doubles the danger of coronary heart-disease. In this article, people already diagnosed with obesity, were considered for metabolic syndrome diagnoses, and the different risk factors involved in this diagnosis was discussed. This research looked into patients referred for obesity in a specific period of time. Two separate definitions were used to comparison. Th...

  19. Hofte- og lyskesmerter hos yngre fysisk aktive personer

    DEFF Research Database (Denmark)

    Jacobsen, Julie Sandell; Hölmich, Per; Thorborg, Kristian;

    2015-01-01

    -mulighederne indenfor dette område, herunder træning og kirurgi, som er nogle af de modaliteter, som disse patienter tilbydes i offentligt og privat regi. Der vil være fokus på både træning som primær behandling, samt postoperativ genoptræning. Der vil i den forbindelse også blive fokuseret på sammenhængende......Hør den allernyeste viden om undersøgelse og behandling af yngre fysisk aktive patienter med hofte og lyskesmerter og få en unik lejlighed til at stille spørgsmål. Læringsmål: At deltagerne bliver præsenteret for udviklingen inden for undersøgelse og behandling af yngre fysisk aktive patienter med...... hofte og lyskesmerter. Herunder akutte og kroniske tilstande i både hofteled og i bløddele (muskler/sener). Tema: Kernebudskabet i symposiet er at give tilhørerne et overblik over anvendelighed og effekt af kliniske undersøgelsesmetoder, betydningen af billeddiagnostiske fund og behandlings...

  20. Kirurgisk behandling af levertumorer hos børn

    DEFF Research Database (Denmark)

    Rasmussen, Allan; Kvist, Nina; Kirkegaard, Preben; Rechnitzer, Cathrine

    2008-01-01

    INTRODUCTION: In this paper we review the results of surgical treatment of children with hepatic tumours. MATERIALS AND METHODS: The study comprises 33 children who have undergone lever resection or liver transplantation since 1990. 26 patients had hepatoblastoma, 3 had hepatocellular carcinoma, 2...... difference in survival dependent on the type of resection, and there was no impact of the extension of tumour growth at the time of diagnosis. CONCLUSION: The combination of neoadjuvant chemotherapy followed by liver resection or liver transplantation is the treatment of choice in all children with...

  1. Akutt lymfatisk leukemi hos barn i Norge 1992-2000

    DEFF Research Database (Denmark)

    Kolmannskog, Svein; Flaegstad, Trond; Helgestad, Jon;

    2007-01-01

    patients were followed up until 1.1. 2005. RESULTS AND INTERPRETATION: The diagnosis was made in 301 children, 33 new cases per year (range 24 to 40) on average. The peak incidence was between 2 and 5 years. Four of 6 infants with acute lymphoblastic leukemia and all 4 with mature B-cell leukemia are alive...... of central nervous system prophylaxis was given to just 10% of the children. The 10-year event-free survival (p-EFS) was 76%, and 244 of 289 (84%) were alive 4-13 years after the diagnosis was made. The data are comparable with the best international results. Udgivelsesdato: 2007-May-31...

  2. Depression och stress hos kranskärlspatienter

    OpenAIRE

    Olsson, Daniel; Christovski, Minja

    2011-01-01

    Syfte: Syftet med studien var att undersöka hur vanligt det är med stress och depression efter genomgången hjärtinfarkt. Vidare planeras att undersöka samband mellan stress och depression samt också eventuella skillnader mellan könen för hur stress och depression upplevs efter genomgången hjärtinfarkt. Metod: Patienter som varit inlagda för hjärtinfarkt vid Akademiska sjukhuset i Uppsala inkluderas i studien. Patienterna skall ha genomgått hjärtinfarkt och/eller PCI och/eller CABG. De tre enk...

  3. Hyppigheden af selvrapporteret alkoholpåvirkning hos tilskadekomme cyklister

    DEFF Research Database (Denmark)

    Larsen, L B; Larsen, C F; Kain, H;

    1995-01-01

    room reported themselves influenced by alcohol at the time of accident. The highest injury rate in patients riding under influence was found in the age group 20-29 years, and the proportion of injured cyclists riding under influence was four times higher in males than in females. The lesions sustained......The aim of the study was to determine the frequency of self reported alcohol influence in injured bicyclists. The study was based upon a combination of data from a questionnaire and recordings from the emergency room. Eighteen percent of cyclists 15 years of age or older treated at the emergency...

  4. HOS3, an ELO-Like Gene, Inhibits Effects of ABA and Implicates a S-1-P/Ceramide Control System for Abiotic Stress Responses in Arabidopsis thaliana

    Institute of Scientific and Technical Information of China (English)

    Tanya M. Quist; Irina Sokolchik; Huazhong Shi; Robert J. Joly; Ray A. Bressan; Albino Maggio; Meena Narsimhan; Xia Li

    2009-01-01

    A hyper-osmotically sensitive mutant of Arabidopsis thaliana, designated hos3-1 (high expression of osmotically responsive genes), was identified based on its hyper-luminescence of RD29A:LUC promoter fusion plants upon treatment with NaCI and ABA. These responses implicate the disrupted gene as a direct or indirect negative regulator of the RD29A stress-responsive pathway. By sequencing the flanking regions of the T-DNA borders, it was determined that the disrupted gene is at locus At4g36830, annotated as encoding a putative protein with high homology to CIG30 (ELO2/FEN1).CIG30 has been implicated in synthesis of very long chain fatty acids (VLCFA), which are essential precursors for sphingolipids and ceramides. Altered stress responses characteristic of ABA-hypersensitivity, including reduced root growth inhibition and reduced germination with ABA treatment and reduced water loss from leaves, were exhibited by allelic hos3-1 and hos3-2 mutants. The hos3-2 mutant is partially suppressed in its transcript abundance and is inherited as a recessive trait. Further, the HOS30RF under the control of the 35SCaMV promoter restored wild-type NaCI- and ABA-root growth sensitivity as well as RD29A:LUC luminescence in mutant plants. We also show here that the HOS3 wild-type gene functionally complements the sensitivity of elo2 and elo3 yeast mutants to monensin. Furthermore, both hos3-1 and hos3-2 alleles shared increased sensitivity to the herbicide Metolachlor, which inhibits acyl chain elongation in synthesis of VLCFA, and HOS3 functionally complemented both elo2 and elo3 and restored levels of VLCFA. Together, these data establish that HOS3 inhibits ABA-mediated stress responses and implicate the VLCFA pathway and products as control points for several aspects of abiotic stress signaling and responses. The results also provide support for a role of ceramide in the control of stomatal behavior.

  5. Smärta och smärtlindring hos äldre : -en litteraturstudie

    OpenAIRE

    Kjellberg, Karin

    2012-01-01

    Detta examensarbete är en litteraturstudie om de äldres upplevelser av smärta och metoder för smärtlindring. Uppdragsgivare för detta arbete är Esbo Hemvård. Andelen äldre ökar kraftigt och ändå är hälsorelaterade frågor för den här människogruppen ofta försummade. Syftet med studien var att belysa äldres upplevelser av smärta, beskriva vilka metoder för smärtlindring de äldre föredrar och vad vårdare kan göra för att lindra smärta hos dessa personer. Forskningsfrågor för den här studien var:...

  6. Säker sex : En enkätstudie om ansvarstagande kring preventivmedel hos gymnasieungdomar

    OpenAIRE

    Sandén, Johanna; Hjelm, Maria

    2015-01-01

    Syfte: Syftet med denna studie var att studera hur gymnasieungdomar ser på ansvarstagande gällande preventivmedel i en fast relation. Metod: En kvantitativ tvärsnittsstudie användes för att undersöka könsskillnader i ansvarstagande hos gymnasieungdomar över 18 år. 102 enkäter delades ut med jämn fördelning mellan könen. Enkäten bestod av en öppen fråga samt fem slutna frågor med kommentarsfält. Chi-två-test användes för att undersöka signifikansen (p<0.05) mellan könen. Resultat: Det fanns...

  7. Den komplexa språksituationen hos en flerspråkig talare : En fallstudie

    OpenAIRE

    David, Jonas Alexander

    2014-01-01

    Syftet med denna studie var att undersöka och kartlägga den komplexa språksituationen och - användningen hos en flerspråkig person. Den undersökta personen kallas för Frida. Hon hade redan i ung ålder lärt sig mer än två språk och har sedermera varit i kontakt med sju språk på en signifikant kunskapsnivå. Denna studie ville knyta an till de teorier och modeller som har presenterats i den modernare forskningen kring andra- och tredjespråksinlärning. Undersökningen baserades enbart på...

  8. Ätstörningar hos kvinnliga tränings idrottare : - en systematisk littaraturstudie

    OpenAIRE

    Lintuluoto, Emilia

    2013-01-01

    Sex procent av alla unga finländska kvinnor har i något skede av livet drabbats av ätstörningar och ätstörningar är den fjärde vanligaste psykiska störningen hos unga kvinnor. Inom idrotten är pressen ofta hård på utövaren att prestera goda resultat och att inte väga för mycket och därmed finns det förutsättningar för olika former av ätstörningar inom idrottsvärlden. Även om teoretiker har försett oss med förklaringar till varför idrottaren anses löpa en stor risk att utveckla ätstörningar, s...

  9. DCS系统在6HOS-3型往复压缩机上的应用%Application of DCS System in 6HOS-3 Type Reciprocating Compressor

    Institute of Scientific and Technical Information of China (English)

    王玮

    2012-01-01

    为了提高往复压缩机的仪表自动化控制水平,以天然气处理站液化气回收装置引进的6HOS-3型往复压缩机为例,在不改变压缩机控制逻辑的基础上,把DCS系统应用到往复压缩机的参数监控和数据分析上,并取得了很好的效果.%In order to improve the automation control level of the reciprocating compressor instruments, set the introduced 6HOS-3type reciprocating compressor in the natural gas processing station of liquefied petroleum gas recovery device for an example,without changing the control logic,the DCS system is applied to the reciprocating compressor parameter monitoring and data analysis,and the good results are achieved.

  10. Sambandet mellan övervikt/fetma och orala sjukdomar hos barn och ungdomar : En litteraturöversikt

    OpenAIRE

    Khanbhai, Rashida; Hanna, Nareeman

    2015-01-01

    Bakgrund: Övervikt/fetma är ett hälsoproblem som snabbt ökar i Sverige och hela världen. Övervikt/fetma, karies och parodontit är alla kroniska och multifaktoriella sjukdomar. Dessa sjukdomar är vanligt förekommande hos både barn och ungdomar. De orala sjukdomarna är förknippade med ohälsosamma kostvanor som påverkar både orala- och allmänna hälsan och som i sin tur kan påverka vikten hos barn och ungdomar. Syfte: Att studera om det finns ett eventuellt samband mellan övervikt/fetma och orala...

  11. The effects of real-time telemedicine video consultations between nurses and patients with severe Chronic Obstructive Pulmonary Disease (COPD)

    DEFF Research Database (Denmark)

    Sorknæs, Anne Dichmann

    Formålet med ph.d. studiet var at undersøge effekten af telekonsultationer som supplement til konventionel behandling sammenlignet med konventionel behandling hos udskrevne patienter med KOL med fokus på genindlæggelser, dødelighed, sundhedsøkonomi, sygeplejerskers og patienters oplevelse af tele...

  12. Development and Validation of Written Exam Items for the Agricultural Hazardous Occupations Orders (AgHOs) Certification Training Program.

    Science.gov (United States)

    Mann, A J; Field, W E; Tormoehlen, R; French, B F

    2016-04-01

    Research was conducted to develop and validate a pool of exam items that can be used to test the readiness of youth, ages 14-15 years, to be certified under the current federally mandated Agricultural Hazardous Occupations Orders (AgHOs). The AgHOs require training prior to employment in agricultural workplaces that the Secretary of Labor has determined are especially hazardous for youth within the prescribed age range. Under the current provisions of the AgHOs certification process, non-exempt youth seeking employment in agriculture are required to pass a written exam concentrating on safe work practices as partial satisfaction to receive certification of eligibility for employment to perform certain tasks. However, the regulations provide little guidance concerning the format of the exam, subject matter to be covered, degree of difficulty, or minimum passing score. As part of the USDA-sponsored Hazardous Occupations Safety Training in Agriculture (HOSTA) initiative, efforts have been made to develop consistent and evidence-based testing methods for disseminating the test protocols to instructors. The goal was to expand, enhance, and maintain the reliability of the exam item pool for the AgHOs certification process. Item development was based on the HOSTA-supported Gearing Up for Safety: Production Agriculture Safety Training for Youth curriculum. To ensure adequate item availability, the current item pool was expanded to include a minimum of two test items for each of the 157 cognitive-based core competencies developed as part of the Gearing Up curriculum design process. Administering 70-item exams that were generated from the item pool to 568 youth, ages 13-18 years, provided evidence of item validity. The result was a pool of 367 validated exam items. PMID:27373061

  13. En sammenligning av effekten av Ritalin, Dexedrine og placebo hos et utvalg barn og unge med diagnosen ADHD

    OpenAIRE

    2007-01-01

    Hensikten med denne studien var å sammenligne effekten av Ritalin og Dexedrine hos et utvalg barn med attention deficit/hyperactivity disorder (ADHD). Tidligere studier har funnet at ved å la hvert barn prøve begge medikamentene økes sannsynligheten for positiv effekt og reduserer sannsynligheten for bivirkninger. Noen barn responderer bra på Ritalin men ikke på Dexedrine, og omvendt. Denne studien har et randomisert dobbel-blind kryssover design der vi sammenligner Dexedrine, Ritalin og...

  14. Lungefunksjon, lungevolum, diffusjonskapasitet og respiratorisk muskelstyrke hos svømmere: en observasjonell kasus-kontroll studie

    OpenAIRE

    Hellesøy, Ingrid Decube

    2016-01-01

    Bakgrunn: Tidligere studier av svømmere viser at svømmerne skiller seg fra aktive kontroller, ikke-aktive kontroller og har bedre enn forventede verdier for lungefunksjon, lungevolum, diffusjonskapasitet og respiratorisk muskelstyrke. De økte verdiene hos svømmere kan skyldes ulike årsaker; antropometri, respiratorisk muskelstyrke, treningsmengde og økt antall alveoler. Ingen studier har hittil bekreftet eller avkreftet de ulike teoriene. Hovedmålet med den foreliggende studien...

  15. Quality of life in urinary bladder and prostate cancer patients

    OpenAIRE

    Schmidt, Stefanie

    2014-01-01

    The overall objective of this thesis was to describe the evolution of Health-Related Quality of Life in Spanish patients with urologic tumours; and to the examine clinical and treatment-related factors associated with changes in Health-Related Quality of Life during the first year of treatment. The EMPARO project is an observational, multicenter, prospective study on patients diagnosed with bladder cancer (n=326) and prostate cancer (n=472). Consecutive patients were enrolled in 7 Spanish hos...

  16. Fatal hæmofagocytisk lymfohistiocytose og mononukleose hos en patient med colitis ulcerosa

    DEFF Research Database (Denmark)

    Juul Ingvardsen, Charlotte; Ballegaard, Vibe Cecilie; Homøe, Preben

    2012-01-01

    We report a case of Epstein-Barr virus primo infection with the development of lethal haemophagocytic lymphohistiocytosis (HLH) in a 22 year-old man, who was being treated with azathioprin for colitis ulcerosa. HLH is a rare, life-threatening disease, which is caused by an inappropriate activation...

  17. Epstein-Barr-virus-associeret lymfom hos en patient med colitis ulcerosa i behandling med azathioprin

    DEFF Research Database (Denmark)

    Kofoed, Kristian; Kiszka-Kanowitz, Marianne; Albrectsen, Jens Mørch; Andersen, Ove

    2008-01-01

    A 28 year-old man with ulcerative colitis treated for 10 years with azathioprine (AZA) returned from Central Asia with fever, swollen lymph glands, hepatosplenomegaly, and pancytopenia. He was tested positive for acute Epstein-Barr virus (EBV) infection. Before the final diagnosis of EBV-associat......A 28 year-old man with ulcerative colitis treated for 10 years with azathioprine (AZA) returned from Central Asia with fever, swollen lymph glands, hepatosplenomegaly, and pancytopenia. He was tested positive for acute Epstein-Barr virus (EBV) infection. Before the final diagnosis of EBV...

  18. Behandling med dopaminagonister og udvikling af hjerteklapsygdom hos patienter med hyperprolaktinæmi

    DEFF Research Database (Denmark)

    Steffensen, Maria Charlotte; Mægbæk, Merete Lund; Laurberg, Peter;

    2014-01-01

    Treatment with dopamin agonists, particularly cabergoline, is the primary and preferred therapy for prolactinomas and symptomatic hyperprolactinaemia due to its effectiveness and tolerability. However, an association has been demonstrated between fibrotic heart valve disease and high-dose dopamin...

  19. Antithyroideaantistof hos to patienter med subakut dementiel udvikling, ataksi og myoklonus

    DEFF Research Database (Denmark)

    Kondziella, Daniel; Hansen, Klaus; Gonzalez, Teresa;

    2012-01-01

    Hashimoto encephalitis (HE) is a steroid-responsive autoimmune encephalitis with anti-thyroid antibodies; Creutzfeldt-Jakob disease (CJD) is a prion disease. Both disorders can have a similar clinical presentation. Two women, 67 and 63 year-old, with subacute dementia, ataxia, myoclonus and...

  20. Diabetisk ketoacidose hos en hiv-positiv patient i antiretroviral behandling

    DEFF Research Database (Denmark)

    Holm, Malene Rahbek; Hansen, Birgitte Rønde; Røder, Michael E

    2006-01-01

    inhibitors (PI), in particular, has been associated with insulin resistance and hyperglycaemia, but only infrequently with diabetic ketoacidosis. We report a case of diabetic ketoacidosis in an HIV-infected woman after 1(1/2) years of a PI-containing regimen, demonstrating reduced beta cell function and...

  1. Paralyse af nervus peroneus hos patient med Ehlers-Danlos syndrom

    DEFF Research Database (Denmark)

    Al-Aubaidi, Zaid; Skov, Ole

    2011-01-01

    Ehlers-Danlos syndrome (EDS) is a hereditary generalized connective tissue disorder characterized by skin hyperextensibility, joint hypermobility and tissue fragility. Peripheral neuropathy is described sporadically. Although the exact mechanism of the neuropathy is not well-known, excessive...

  2. Graviditetskomplikationer hos en patient med systemisk lupus erythematosus og lupus nefritis

    DEFF Research Database (Denmark)

    Bisgaard, Helene; Jacobsen, Søren; Tvede, Niels;

    2014-01-01

    A woman with systemic lupus erythematosus (SLE) and lupus nephritis had two pregnancies which both resulted in complications known to be associated with SLE, i.e. late abortion, preterm delivery and pre-eclampsia. We conclude that disease quiescence is important for a successful outcome and that...

  3. Fatal hæmofagocytisk lymfohistiocytose og mononukleose hos en patient med colitis ulcerosa

    DEFF Research Database (Denmark)

    Juul Ingvardsen, Charlotte; Ballegaard, Vibe Cecilie; Homøe, Preben

    2012-01-01

    We report a case of Epstein-Barr virus primo infection with the development of lethal haemophagocytic lymphohistiocytosis (HLH) in a 22 year-old man, who was being treated with azathioprin for colitis ulcerosa. HLH is a rare, life-threatening disease, which is caused by an inappropriate activatio...

  4. Neuro-Behçet hos en kaukasid dansk patient

    DEFF Research Database (Denmark)

    Karshena, Ali; Koch-Henriksen, Nils

    2010-01-01

    Behçet's disease (BD) is a chronic, relapsing multisystem inflammatory disorder, vasculitis being its major pathological feature. It is prevalent in the Orient and areas along the ancient Silk Road, but very rare among North European Caucasians. Neurological involvement is relatively uncommon. The...

  5. Fatal neutropen enterokolitis hos en patient i kemoterapi med kastrationsresistent prostatacancer

    DEFF Research Database (Denmark)

    Kongsted, Per; Sheikh, Kiran; Mouritsen, Lene Sonne;

    2015-01-01

    Neutropenic enterocolitis (NE) is a possible life-threatening complication to chemotherapy. The pathogenesis is multi-factorial with mucosal injury and impaired mucosal defence as contributing factors. Histopathological findings are heterogeneous. Clinical presentation includes neutropenia, fever...

  6. Generel populationsscreening af mentalt helbred hos småbørn

    DEFF Research Database (Denmark)

    Ammitzbøll, Janni; Skovgaard, Anne Mette; Kreiner, Svend; Andersen, Anette; Holstein, Bjørn Evald; Nielsen, Tine

    Psykiske vanskeligheder rammer mere end 10 % af børnepopulationen, og udgør de hyppigste årsager til sociale og helbredsmæssige problemer hos børn og unge. De fleste former for psykiske forstyrrelser opstår tidligt i livet, og intervention i førskolealderen vil kunne begrænse udviklingen af...... autismetilstande, adfærdsforstyrrelser og ADHD. Resultater fra det danske forløbsstudie CCC2000 har vist at mentale helbredsproblemer kan opspores ved sundhedsplejerskernes hjemmebesøg. Forudsætningen er, at der foreligger valide screeningsmetoder, hvilket der ikke gør i dag. Der findes således ikke validerede...... hyppighed i normalbefolkningen. Undersøgelsen viser at validiteten er høj og at PUF er egnet til populationsscreening. Analyser af den prædiktive validitet af PUF er i gang, og der er planlagt udvikling af en interventionsmetode, der kan kobles til PUF screeningen. Såfremt tidlig intervention baseret på PUF...

  7. Hyperbilirubinemi hos nyfødte – et kontroversielt tema. Erfaringer med nye indikasjoner for fototerapi og utskiftningstransfusjon

    OpenAIRE

    Alf Meberg

    2009-01-01

     SAMMENDRAGNye indikasjoner for behandling av hyperbilirubinemi hos nyfødte (bilirubinskjema fra Hillingdon sykehus,England) ble innført ved Vestfold sentralsykehus primo 1994. Endringene i panoramaet av behandlingstiltak(lysbehandling, utskiftningstransfusjon) ble registrert i kohortene av levende fødte ved sykehuset i toårsperioden1994-95 og sammenlignet med foregående treårsperiode 1991-93. Total lysbehandlingsprevalens falt signifikantfra 6,9% av levende fødte i perioden 1991-93 til 5,5% ...

  8. Psykososiale og organisatoriske forhold på arbeidsplassen : hvilken sammenheng har slike forhold for utvikling av smerter hos unge arbeidstakere?

    OpenAIRE

    Vindal, Emma

    2013-01-01

    Formål: Formålet med denne studien var å analysere muskel- og skjelettlidelser hos unge personer i begynnelsen av arbeidslivet. Hovedfokus var å identifisere psykososiale, organisatoriske og andre arbeidsrelaterte forhold som kan være viktige risikofaktorer for å utvikle langvarige smerter i nakke, skulder eller øvre del av ryggen. Målgruppen for undersøkelsen var unge studenter og arbeidstakere med en overvekt av frisører og elektrikere. Metode: Studien tar utgangspunkt i data som er sam...

  9. Verbanvändning vid skriftlig produktion hos avancerade inlärare av svenska som andraspråk

    OpenAIRE

    Tranefeldt, Sophia

    2011-01-01

    Sammanfattning Den här uppsatsen undersöker verbanvändningen i skriftlig produktion hos en grupp avancerade svenska som andraspråkselever. Studien granskar såväl kvantitativa som kvalitativa aspekter i elevernas verbordförråd. Uppsatsens syfte är att kartlägga L2-elevernas verbvokabulär med avseende på frekvens, variation, fördelning över semantiska fält samt semantisk och konstruktionsmässig korrekthet. L2-gruppens resultat kontrasteras mot en kontrollgrupp bestående av L1-elever. Undersökni...

  10. Sammenheng mellom inntak av FODMAPs og symptomer hos pasienter med inflammatorisk tarmsykdom i remisjonsfase som har irritabel tarm

    OpenAIRE

    Megen, Frida van

    2014-01-01

    Introduksjon: Tidligere studier har vist at pasienter med IBS (irritabel tarm-syndrom) kan ha god effekt av et kosthold med lite FODMAP (fermenterbare oligo- di- og monosakkarider, og polyoler). Studier har også vist en gunstig effekt av FODMAP-BD hos pasienter med IBD (inflammatorisk tarmsykdom) i tillegg til IBS, men disse studiene er gjort med en blanding av IBD-pasienter både i aktiv fase og i remisjon. Hensikten med denne studien er derfor å se på effekten av F...

  11. Inställningar till kostråd hos de med ett viktrelaterat träningssyfte

    OpenAIRE

    Wiberg, Sofia; Hallén, Amanda

    2013-01-01

    Bakgrund Övervikt och fetma är ett komplext världsproblem framförallt relaterat till en stillasittande livsstil i kombination med ett högt energiintag. En kostomläggning i samband med träning har betydelse för både viktminskningsresultatet samt risken att drabbas av överviktsrelaterade följdsjukdomar. Det har setts en svårighet i att avgöra vilken kostinformation på internet som ger ett långsiktigt viktminskningsresultat. Syfte Syftet med studien var att studera inställningar till kostråd hos...

  12. Comparative studies of genome-wide maps of nucleosomes between deletion mutants of elp3 and hos2 genes of Saccharomyces cerevisiae.

    Directory of Open Access Journals (Sweden)

    Takashi Matsumoto

    Full Text Available In order to elucidate the influence of histone acetylation upon nucleosomal DNA length and nucleosome position, we compared nucleosome maps of the following three yeast strains; strain BY4741 (control, the elp3 (one of histone acetyltransferase genes deletion mutant, and the hos2 (one of histone deactylase genes deletion mutant of Saccharomyces cerevisiae. We sequenced mononucleosomal DNA fragments after treatment with micrococcal nuclease. After mapping the DNA fragments to the genome, we identified the nucleosome positions. We showed that the distributions of the nucleosomal DNA lengths of the control and the hos2 disruptant were similar. On the other hand, the distribution of the nucleosomal DNA lengths of the elp3 disruptant shifted toward shorter than that of the control. It strongly suggests that inhibition of Elp3-induced histone acetylation causes the nucleosomal DNA length reduction. Next, we compared the profiles of nucleosome mapping numbers in gene promoter regions between the control and the disruptant. We detected 24 genes with low conservation level of nucleosome positions in promoters between the control and the elp3 disruptant as well as between the control and the hos2 disruptant. It indicates that both Elp3-induced acetylation and Hos2-induced deacetylation influence the nucleosome positions in the promoters of those 24 genes. Interestingly, in 19 of the 24 genes, the profiles of nucleosome mapping numbers were similar between the two disruptants.

  13. Clinician awareness of tetanus-diphtheria vaccination in trauma patients: a questionnaire study

    OpenAIRE

    Yoon Young-Hoon; Moon Sung-Woo; Choi Sung-Hyuk; Cho Young-Duck; Kim Jung-Youn; Kwak Young Ho

    2012-01-01

    Abstract Background Most trauma patients visit the hospital via the emergency department. They are at high risk for tetanus infection because many trauma patients are wounded. Tetanus immunity in the Korean population has been revealed to be decreased in age groups over 20 years old. It is important for emergency physicians to vaccinate patients with the tetanus booster in wound management. Methods Questionnaires were sent to the directors of the emergency departments of resident training hos...

  14. Vi trenger longitudinelle epidemiologiske undersøkelser av psykiske lidelser og utviklingsforstyrrelser hos barn

    Directory of Open Access Journals (Sweden)

    Bente Gjærum

    2009-10-01

    Full Text Available  sAMMENDRAGArtikkelen gjennomgår nyere forekomststudier for utviklings- og atferdsforstyrrelser, nevrologiske og psykiskelidelser hos barn og ungdom. Forfatterne peker på den betydelige komorbiditet som sees for disse grupperav tilstander, og den tverrfaglige bredde som synes nødvendig for å forstå hvilke faktorer og mekanismer sompåvirker barns utvikling og psykiske helse. I tillegg refereres nyere forskning på forløp og varighet vedavvikende utvikling i oppveksten, samt eksempler på undersøkelser av beskyttelsesfaktorer såvel som genetiskefaktorer av betydning for å forstå de typer tilstander som her er fokusert. Til slutt nevnes de muligheteneulike typer prospektiv, epidemiologisk forskning i et utviklingsperspektiv vil gi til en bedret forståelse avårsaks- og utviklingsforhold, samt forløp og prognose for disse tilstandene. Slik kunnskap antas å ville gibedre muligheter til samfunnsmessig planlegging av forebyggende arbeid og individuell behandling.Gjærum B, Nøvik TS. There is a need for longitudinal studies of psychiatric and developmentaldisorders in children.   ENGLISH SUMMARYThis article reviews recent prevalence studies of developmental and behavioural disorders, and neurologicaland psychiatric disorders in children and adolescents. The authors highlight the degree of comorbidity amongthese conditions and emphasize the complexity of models that should be used in order to understand howdifferent factors and mechanisms affect children's development and mental health. Further, studies of courseand duration of deviant development in childhood, studies of protective factors and contributions frombehavioural genetic studies to the understanding of these conditions, are addressed. Finally, the authorsdiscuss the possibility of using prospective, epidemiological studies in a developmental perspective in order tounderstand etiological and developmental factors, course and prognosis. Such knowledge would lay thefoundations

  15. NRDA-processed CTD data from the HOS Davis in the Gulf of Mexico, Cruise 2 Leg 1, collected from 2010-08-26 to 2010-09-02, associated with the Deepwater Horizon Oil Spill event (NCEI Accession 0128093)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Conductivity Temperature and Depth (CTD) measurements were collected aboard the R/V HOS Davis, Cruise 02, to determine physical oceanographic parameters of the...

  16. Bestemmelse af T2*-relaksationstiden i myokardiet, med magnetisk resonans, kan indikere patologisk jernophobning hos børn med β-thalassaemia major

    DEFF Research Database (Denmark)

    Brix, Lau; Lundorf, Erik; Clausen, Niels;

     Baggrund: Thalassaemia er den hyppigst forekommende arvelige sygdom på verdensplan. β-thalassaemia major giver svær anæmi og fører ubehandlet til en tidlig død. 71% af dødsfaldene kan relateres til et øget jern-indhold i myokardiet, hvoraf 50% dør inden det 35. leveår, hvis ikke de kelations...... målt i det inter-ventrikulære septum (Figur 1). Resultater: Tre β-thalassaemia major patienter (3-12 år) deltog i projektet. Analyserne viste T2*-værdier på 35.9ms±4.4ms (Figur 2). Da værdier over 20ms anses som ikke-patologiske, havde ingen af deltagerne et forhøjet jern-niveau i myokardiet....... Konklusion: Bestemmelse af T2* er den non-invasive og reproducerbare metode til bestemmelse af jern-niveauet i myokardiet hos β-thalassaemia major patienter. Den beskrevne teknik bør derfor indgå i rækken af diagnosticeringsværktøjer til behandlingsoptimering af patienter med β-thalassaemia major....

  17. Sexuellt riskbeteende och självkänsla hos ungdomar

    OpenAIRE

    Unis, Brian

    2010-01-01

    Sammanfattning     Författare (Tillnamn, förnamn)                                                                                                                 Årtal                     Unis, Brian                                                                                                       2010              Arbetets titel   Sexuellt riskbeteende och självkänsla hos ungdomar Opublicerad uppsats för magisterexamen.                                                                      ...

  18. Effectiveness of outpatient, day hospital, and inpatient psychotherapeutic treatment for patients with cluster B personality disorders

    OpenAIRE

    Bartak, Anna; Andrea, Helene; Spreeuwenberg, Marieke; Ziegler, Uli; Dekker, Jack; Rossum, Bert; Hamers, Elisabeth; Scholte, Wubbo; Aerts, Janneke; Busschbach, Jan; Verheul, Roel; Stijnen, Theo; Emmelkamp, Paul

    2010-01-01

    textabstractAbstract Background: For patients with cluster B personality disor- ders there is no consensus regarding the optimal treatment setting. The aim of this study was to compare the effective- ness of different psychotherapeutic settings for patients with cluster B personality disorders, i.e. outpatient, day hos- pital, and inpatient treatment. Methods: The study was con- ducted between March 2003 and June 2008 in 6 mental health care centres in the Netherlands, with a sample of 207 pa...

  19. Reversion effects of curcumin on multidrug resistance of MNNG/HOS human osteosarcoma cells in vitro and in vivo through regulation of P-glycoprotein

    Institute of Scientific and Technical Information of China (English)

    SI Meng; ZHAO Jie; LI Xin; TIAN Ji-guang; LI Yong-gang; LI Jian-min

    2013-01-01

    Background P-glycoprotein (P-gp) encoded by ATP-binding cassette sub-family B member 1 (ABCB1) gene is a kind of ATP-dependent drug transporter,which plays important roles in multidrug resistance (MDR) of human cancers,such as osteosarcoma.Curcumin is a natural phenolic coloring compound originating from the rhizomes of Curcuma longa,which is proved to possess antitumor biological activities including reversion of MDR.However,the effect and molecular mechanisms of curcumin to osteosarcoma MDR remain unclear.Methods We established a human osteosarcoma drug-resistant cell line MNNG/HOS/MTX by pulse exposure to methotrexate (MTX) and verified that the new cell lines were cross-resistant to other anticancer agents.Then,according to the cytotoxicity assay,we reversed MDR of MNNG/HOS/MTX by 30 μmol/L curcumin,and detected the mechanisms of curcumin reversing MDR through Real-time PCR,Western blotting assay,and Rhodamine123 (Rh123)transport test.Finally,we evaluated the effect of curcumin reversing MDR in vivo by MNNG/HOS/MTX cells xenograft-nude mice model.Results MNNG/HOS/MTX was proved to be a human osteosarcoma MDR cell line.MTT tumor chemosensitivity test indicates that 30 μmol/L curcumin attenuates the half maximal inhibitory concentration (IC50) and resistance index (RI)to MTX,diamminedichloroplatinum (DDP),adriamycin (ADM),ifosfamide (IFO),and epirubicin (EPI) in MNNG/HOS/MTX cells (P <0.05).Real-time PCR and Western blotting assays demonstrated that curcumin down-regulated P-gp expression of MNNG/HOS/MTX cells.Rh123 transport test showed that curcumin inhibited the transport function of P-gp in vitro.In vivo studies showed that curcumin displayed the features of sensitizing antitumor drugs and inhibiting the proliferation,invasion,and metastasis of osteosarcoma MDR cells.Conclusion Down-regulation of P-gp and inhibition of the function of P-gp efflux pump may contribute to MDR reversion induced by curcumin in vitro and in vivo.

  20. Framtida förändringar i konstruktionen hos fordon som en följd av autonoma system

    OpenAIRE

    Didner, Olof; Ingvarsson, Gustaf

    2015-01-01

    Detta är ett kandidatexamensarbete om hur självkörande bilar kan se ut i framtiden. Utgående från dagens bilar och nuvarande autonoma hjälpsystem, samt system som är under utveckling och prototypbilar som företag har, dras slutsatser om hur konstruktionen hos framtida bilar kan skilja sig från idag. För att underlätta detta togs olika krav fram, som kan ställas på självkörande bilar. Dessa krav rör bland annat manövrering, uppsikt runt fordonet, oskyddade trafikanter, olika väderförhållanden ...

  1. Varumärkesutvidgning - En studie om konsumenters attityder mot ökad tillgänglighet hos lyxvarumärken

    OpenAIRE

    Pihlgren, Johanna

    2014-01-01

    När ett företag väljer att utvidga sitt varumärke kan det av olika anledningar antingen gynna eller missgynna varumärkets värde. Risken att strategin påverkar varumärket negativt är större hos varumärken och det är svårt att implementera strategin rätt för att det inte ska skada imagen. Flera lyxvarumärken har någon typ av varumärkesutvidgning för att kunna öka sin tillväxt och det finns olika sätt att utföra strategin. Den här studien har fokuserats på vertikal varumärkesutvidgning nedåt hos...

  2. Effekt av ulike NDF-innhold i surfôret på metanproduksjon hos lakterende og tørre kyr

    OpenAIRE

    Ollila, Victoria

    2012-01-01

    Hovedmålet med denne masteroppgaven var å se på a) effekten av stigende mengde NDF i grassurfôr på metanproduksjonen hos lakterende og tørre kyr og b) om produksjonsnivået påvirker metanproduksjonen hos melkekyr. Masteroppgaven består av en litteraturdel og en forsøksdel. Det har de siste tiår vært en økende interesse for klimagassenes påvirkning på den globale oppvarmingen. Metan (CH4) er den nest største klimagassen etter karbondioksid (CO2). Metan har 21 ganger større effekt som klimagass ...

  3. Muskel-senesystemet hos elite volleyballspillere med og uten hopperkne (jumper's knee): Med hovedvekt på spenst og patellarsenens mekaniske og materielle egenskaper

    OpenAIRE

    Helland, Christian

    2012-01-01

    Innledning: Hopperkne (jumper’s knee; patellar tendinopati) er en belastningsskade i patellarsenen, der en prevalens på hele 45% har blitt rapportert hos mannlige volleyballspillere. I tillegg har det blitt rapportert at spillere slutter på grunn av problemene denne skaden medfører. Flere behandlingsmetoder for hopperkne har blitt utprøvd, men likevel blir pasienter sjelden helt friske og risikofaktorer er ikke godt dokumentert. Det er imidlertid godt kjent at sener med tendinopati er struktu...

  4. Effekt av aerobics på aerob utholdenhet hos inaktive førstegangsfødende gravide kvinner : en randomisert kontrollert studie

    OpenAIRE

    Halvorsen, Silje

    2009-01-01

    Friske gravide kvinner anbefales å være i fysisk aktivitet. En Cochrane oversiktsartikkel fra 2006 konkluderte med at regelmessig trening i svangerskapet ser ut til å bedre fysisk form, men påpekte at studiene var av lav metodisk kvalitet og involverte få deltakere. Hensikten med denne studien var å evaluere effekten av et aerobics treningsprogram på aerob utholdenhet hos tidligere inaktive gravide kvinner.

  5. The RNA-binding protein HOS5 and serine/arginine-rich proteins RS40 and RS41 participate in miRNA biogenesis in Arabidopsis

    KAUST Repository

    Chen, Tao

    2015-07-30

    MicroRNAs are a class of small regulatory RNAs that are generated from primary miRNA (pri-miRNA) transcripts with a stem-loop structure. Accuracy of the processing of pri-miRNA into mature miRNA in plants can be enhanced by SERRATE (SE) and HYPONASTIC LEAVES 1 (HYL1). HYL1 activity is regulated by the FIERY2 (FRY2)/RNA polymerase II C-terminal domain phosphatase-like 1 (CPL1). Here, we discover that HIGH OSMOTIC STRESS GENE EXPRESSION 5 (HOS5) and two serine/arginine-rich splicing factors RS40 and RS41, previously shown to be involved in pre-mRNA splicing, affect the biogenesis of a subset of miRNA. These proteins are required for correct miRNA strand selection and the maintenance of miRNA levels. FRY2 dephosphorylates HOS5 whose phosphorylation status affects its subnuclear localization. HOS5 and the RS proteins bind both intronless and intron-containing pri-miRNAs. Importantly, all of these splicing-related factors directly interact with both HYL1 and SE in nuclear splicing speckles. Our results indicate that these splicing factors are directly involved in the biogenesis of a group of miRNA.

  6. Investigating Oral Mucositis Prevalence and its Related Factors in 80 Patients Undergone Bone Marrow Transplantation

    OpenAIRE

    Khatibi, S.; M Ghavamzadeh; A Farizadfar; M khalifeh

    2015-01-01

    Introduction: Oral mucositis is one of the most important side effects of chemotherapy. Bone marrow transplantation is one of the common ways to rescue many patients’ life, therefore, this study intended to investigate the prevalence of oral mucositis and its related factors (age-gender-type of transplantation –site of involvement-smoking-medication except chemotherapy drugs-history of chemotherapy-allergy-oral hygiene) in patients undergoing bone marrow transplantation in Tehran Shariaty hos...

  7. A HOS-based blind deconvolution algorithm for the improvement of time resolution of mixed phase low SNR seismic data

    International Nuclear Information System (INIS)

    A blind deconvolution technique using a modified higher order statistics (HOS)-based eigenvector algorithm (EVA) is presented in this paper. The main purpose of the technique is to enable the processing of low SNR short length seismograms. In our study, the seismogram is assumed to be the output of a mixed phase source wavelet (system) driven by a non-Gaussian input signal (due to earth) with additive Gaussian noise. Techniques based on second-order statistics are shown to fail when processing non-minimum phase seismic signals because they only rely on the autocorrelation function of the observed signal. In contrast, existing HOS-based blind deconvolution techniques are suitable in the processing of a non-minimum (mixed) phase system; however, most of them are unable to converge and show poor performance whenever noise dominates the actual signal, especially in the cases where the observed data are limited (few samples). The developed blind equalization technique is primarily based on the EVA for blind equalization, initially to deal with mixed phase non-Gaussian seismic signals. In order to deal with the dominant noise issue and small number of available samples, certain modifications are incorporated into the EVA. For determining the deconvolution filter, one of the modifications is to use more than one higher order cumulant slice in the EVA. This overcomes the possibility of non-convergence due to a low signal-to-noise ratio (SNR) of the observed signal. The other modification conditions the cumulant slice by increasing the power of eigenvalues of the cumulant slice, related to actual signal, and rejects the eigenvalues below the threshold representing the noise. This modification reduces the effect of the availability of a small number of samples and strong additive noise on the cumulant slices. These modifications are found to improve the overall deconvolution performance, with approximately a five-fold reduction in a mean square error (MSE) and a six

  8. Hvordan fremme mestring av bivirkninger av cytostatikabehandling hos pasienter med kreft?

    OpenAIRE

    Aas, Vibeke

    2013-01-01

    Background: To be diagnosed with cancer affects the whole person, both mentally and physically. The treatment may also affect the patient. Chemotherapy often has powerful side effects like fatigue, nausea and vomiting. It is important for the nurse to have knowledge about what might help the patients to cope with these side effects. Aim: To learn more about cancer and coping with side effects of chemotherapy. To learn what the patient can do to cope with the side effects, and what the nurs...

  9. Uttrykk av P-gp i gastrointestinaltrakten og lever hos pasienter som har gjennomgått biliopankreatisk avledning med duodenal omkobling : Utvikling av en Western blott metode

    OpenAIRE

    2011-01-01

    Problemstilling: Det er tidligere vist i en studie gjort av Skottheim et al (2010) at biotilgjengeligheten av atorvastatin øker etter biliopankreatisk avledning med duodenal omkobling (BPD-DS). Det ble i denne studien tatt biopsier fra de 10 pasientene for å undersøke mekanismen bak denne forandringen i biotilgjengelighet. Hensikten med dette arbeidet var å utvikle en metode for å estimere P-gp utrykket i biopsiene fra de ulike delene av tarmsystemet og lever hos disse pasientene, samt stu...

  10. Kan det være noe i tillegg? : en kartleggingsundersøkelse av hyperaktivitet og konsentrasjonsvansker hos barn med stoffskiftesykdommen PKU

    OpenAIRE

    2007-01-01

    Denne studien er en kartleggingsundersøkelse for å se på sammenhengen mellom hyperaktivitet og konsentrasjonsvansker hos barn med Fenylketonuri (PKU), som er en medfødt arvelig stoffskiftesykdom. Sykdommen kalles heretter PKU. Tidligere studier og uttalelser fra foreldre og fagfolk har antydet en slik sammenheng. Jeg ønsket videre å se på betydningen av vanskene i elevenes skolehverdag. For å få økt kunnskap om sammenhengen ble følgende problemstilling valgt; ”I hvilken grad eksist...

  11. Koronar CT Angiografi : Optimalisering av protokoll ved bruk av betablokker og en kvantitativ bildeanalyse av koronararteriene hos en selektert pasientgruppe ved hjelp av et semi-automatisk plaquesoftware

    OpenAIRE

    2011-01-01

    Formål: Formålet med del 1 av prosjektet er å redusere hjertefrekvensen til ≤60 hos pasientene i forkant av CT-undersøkelsen ved hjelp av per orale betablokker, slik at man kan benytte lavdoseprotokollen ”Step and shoot” på flest mulig. Formål med del 2 er å gjøre en kvantitativ bildeanalyse av koronararteriene på en selektert gruppe pasienter som er deltakere i et større prosjekt (RORA-studiet) ved hjelp av et nytt software (Plaque Analysis, Philips Healthcare). Intensjonen er å kartlegg...

  12. Mortaliteten hos multitraumatiserede trafiktilskadekomne. Deskriptiv undersøgelse 1986-1990

    DEFF Research Database (Denmark)

    Larsen, M S; Jørgensen, H R

    1995-01-01

    In the period 1986-1990, 16,307 patients were injured in road traffic accidents in the city of Odense, Denmark. 251 had multiple injuries according to the definition: AIS > or = 3 in at least two body regions. Overall mortality was 41%, while the mortality in hospital was 20%. 19 patients died...

  13. Initial håndtering af minimale, lette og moderate hovedtraumer hos voksne

    DEFF Research Database (Denmark)

    Eskesen, Vagn; Springborg, Jacob Bertram; Unden, Johan;

    2014-01-01

    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...

  14. Svær interstitiel lungesygdom på grund af infliximab og azathioprin hos en patient med colitis ulcerosa

    DEFF Research Database (Denmark)

    Hansen, L. K.; Cecere, Stefano; Thøgersen, Thøger

    A 41-year-old man developed severe interstitial lung disease (ILD) after treatment with infliximab (IFX) and azathioprine (AZA). A relapse of ulcerative colitis was treated with corticosteroids (CS) and IFX as rescue therapy. Following remission AZA was given as prophylaxis. AZA was initiated the...

  15. Køn- og aldersfordeling hos patienter i fødevarebårne udbrud anvendt til hypotesegenerering i udbrudsefterforskningen

    DEFF Research Database (Denmark)

    Wingstrand, Anne; Fagt, Sisse; Christensen, Tue;

    rangering af Præfpot i denne undersøgelse er Excel-baseret, og er hurtig og nem at gennemføre når de bagvedliggende dataark en gang er etableret. Rangering af fødevaregrupper efter Præfpot vurderes at kunne anvendes som supplement i eftersporingen af kilden til fødevarebårne udbrud. Det er nødvendigt med...

  16. Normal D-dimer ved dyb venøs trombose i en overekstremitet hos to patienter med pacemaker

    DEFF Research Database (Denmark)

    Byrne, Christina; Abdulla, Jawdat; Christensen, Jan Kim

    2015-01-01

    Danish guidelines recommend the use of D-dimer to exclude deep venous thrombosis (DVT) in the lower extremities. However, guidelines are lacking for DVT in the upper extremities. We describe two young women with transvenous pacemaker electrodes and symptomatic DVT in related veins. Despite a norm...

  17. Temporary hyposalivation induced by radiation therapy in a child; Forbigaaende straaleindusert hyposalivasjon hos barnepasient

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, J.L. [Oslo Univ., Oslo (Norway); Langberg, C.W. [Ullevaal Sykehus, Oslo (Norway)

    1997-09-01

    This case report deals with the diagnosis and treatment of hyposalivation after radical radiation therapy and cytotoxic treatment of a metastasising nasopharyngeal carcinoma in an eight-year old girl. After cancer treatment the patient suffered from xerostomia, and pronounced hyposalivation was demonstrated. Frequent chewing of sugar-free gum and use of lozenges was recommended, and the patient was followed up for one year. During this time, the values for unstimulated whole saliva increased by a factor of five, and stimulated whole saliva values increased as well, but less so. Two years after cancer treatment, the patient no longer suffers from xerostomia. 13 refs., 2 figs.

  18. Omfalitis med fatal udgang hos en nyfødt dreng

    DEFF Research Database (Denmark)

    Debes, Nanette M M Mol; Dahl, Marianne; Jonsbo, Finn

    2008-01-01

    Omphalitis is a serious condition with important morbidity and mortality, especially in developing countries. The most commonly involved micro-organisms are Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae and Pseudomonas aeruginosa. We describe a Danish patient with cellulitis...

  19. Subjektive hukommelsesklager hos aeldre. Er det tegn på demens?

    DEFF Research Database (Denmark)

    Vogel, Asmus

    2008-01-01

    Subjective memory complaints are common in older people. They are inconsistently related to current cognitive impairment, but are more consistently correlated to future development of dementia. Subjective memory complaints are also related to depression and personality traits. Many patients with...

  20. Endotelfunksjon målt med FMD -metoden hos pasienter med revmatoid artritt

    OpenAIRE

    2011-01-01

    Introduction: Rheumatoid arthritis (RA) is a known chronic inflammatory disease. It has been reported that this inflammation can affect the endothelium of blood vessels and induce a dysfunction. We wanted to examine patients with rheumatoid arthritis and whether they have an impaired flow-mediated dilation (FMD), as a measure of endothelial dysfunction. Methods: In this study 27 patients with rheumatoid arthritis were selected from a larger study. We measured FMD response and compared the...

  1. Intratekal baclofenbehandling ved svaer spastisk tetraplegi og dystoni hos børn og unge

    DEFF Research Database (Denmark)

    Illum, Niels Ove; Hansen, Flemming Juul; Fischer, Claudia;

    2003-01-01

    INTRODUCTION: Continuous intrathecal baclofen has been used over the past years especially in adult patients with spasticity of spinal origin. Children and young adults with severe spasticity and dystonia of cerebral origin are difficult to treat in spite of optimal systemic antispasmotic therapy...... with baclofen, tizanidine, dantrolene and/or diazepam. Intrathecal baclofen has therefore been applied in a group of young patients. MATERIAL AND METHODS: Eight children and young adults from East Denmark with spasticity and 12 with dystonia aged 3-18 years (median 10.9 years) were tested, operated and...... treated with continuous intrathecal baclofen for a period of 2-64 months (median 22.2 months). Registration of efficacy, fillings, adjustments of baclofen and other therapies were performed in an out patient setting since 1995. RESULTS: Spasticity in lower extremities was reduced from Ashworth score 3...

  2. beta-thalassaemia major hos børn og unge i Danmark

    DEFF Research Database (Denmark)

    Jung, Anne; Main, Katharina Maria; Scheibel, Elma;

    2002-01-01

    strategy. MATERIAL AND METHODS: During 1998-99 all Danish pediatric departments were contacted for identification of children aged 0-18 years with beta-thalassemia major. Blood transfusions and chelation therapy were registered, and for Eastern Denmark clinical, endocrine, cardiac, and serologic parameters...... were performed. RESULTS: Twenty-six children had beta-thalassemia major. Out of these, 20 received blood transfusions, and 17 patients were chelated. Eight patients were not chelated owing to previous bone marrow transplantation, treatment with hydroxyurea or ferritin < 2000 micrograms/l and young age...... earlier and more effective iron chelation therapy together with improved patient support may reduce growth disturbances and endocrine and cardiac late effects....

  3. beta-thalassaemia major hos børn og unge i Danmark

    DEFF Research Database (Denmark)

    Jung, Anne; Main, Katharina Maria; Scheibel, Elma;

    2002-01-01

    strategy. MATERIAL AND METHODS: During 1998-99 all Danish pediatric departments were contacted for identification of children aged 0-18 years with beta-thalassemia major. Blood transfusions and chelation therapy were registered, and for Eastern Denmark clinical, endocrine, cardiac, and serologic parameters...... were performed. RESULTS: Twenty-six children had beta-thalassemia major. Out of these, 20 received blood transfusions, and 17 patients were chelated. Eight patients were not chelated owing to previous bone marrow transplantation, treatment with hydroxyurea or ferritin < 2000 micrograms/l and young age...... earlier and more effective iron chelation therapy together with improved patient support may reduce growth disturbances and endocrine and cardiac late effects. Udgivelsesdato: 2002-Dec-2...

  4. Akut pankreatitis hos en 16-årig dreng efter indtag af ibuprofen

    DEFF Research Database (Denmark)

    Bruusgaard-Mouritsen, Mads Emil; Leerhøy, Bonna; Hansen, Mark Berner

    2015-01-01

    This is a case report of a 16-year-old boy with possible drug-induced pancreatitis (DIP) caused by ibuprofen. The patient had a history of psychiatric, but no somatic, disease, and he was admitted with a clinical presentation consistent with acute pancreatitis after a bolus ingestion of 10 g of...... ibuprofen in a suicidal attempt. No evidence of other causality for acute pancreatitis was identified. The patient was treated with a standard pancreatitis treatment regime and was discharged against medical advice after four days. The case represents a possible causality between ibuprofen and DIP....

  5. Tre tilfaelde af visceral leishmaniasis: det ene hos en HIV-positiv mand

    DEFF Research Database (Denmark)

    Balslev, U; Jonsbo, F; Junge, Jette;

    1991-01-01

    Three cases of visceral leishmaniasis (kala-azar) are presented. One of these was in a 43-year-old patient with AIDS who was infected in Southern Spain. Another was in a man aged 25 years infected in West Africa. These cases are the first two adults to be reported in Denmark. The third case was an...... 18 month old previously healthy boy, infected in Southern Spain. The symptomtology, diagnosis and treatment of the disease are discussed and it is stressed that serological diagnostic tests have limited value in HIV positive patients....

  6. Genetisk betinget hypokaliæmisk periodisk paralyse hos en 13-årig dreng

    DEFF Research Database (Denmark)

    Andersen, Anne Holm; Hansen, Bente; Hermansen, Mette Northman

    Hypokaliaemic periodic paralysis is a rare hereditary neuro-muscular disease caused by an error in the ion-canals in muscle cells resulting in decreased excitabiliy. It presents itself in the late childhood or teenage years with a periodic paralysis without involving respiratory and heart muscles....... Our patient was a 13-year-old boy, who woke up with decreased strength in arms and legs after excessive physical activity and a high carbo-hydrate intake. Tests showed a low P-potassium level. The patient had full remission of his symptoms within 24 hours....

  7. Ballonbehandling og koronar bypasskirurgi hos aeldre. Forekomst, komplikationer og mortalitet 1999-2003

    DEFF Research Database (Denmark)

    Tjerrild, Stinne Bennike; Jakobsen, Anne Mette Prammann; Poulsen, Tina Svenstrup;

    2006-01-01

    INTRODUCTION: Persons over 70 years of age are the fastest-growing segment of the population. A major proportion of these elderly have ischemic heart disease and may need treatment. We describe the development of mechanical coronary revascularization in patients aged 70-79 years versus those 80...... intervention and age: 70-79 versus > or = 80 years of age. Retrospectively, descriptive characteristics, complication rates and six-month mortality rates were compiled. RESULTS: During the study period, the number of interventions increased from 182 to 374 per year. In the patients > or = 80 years of age, a...

  8. Cannabinoid hyperemesissyndrom som årsag til langvarig kvalme og opkastning hos cannabismisbrugere

    DEFF Research Database (Denmark)

    Vindsand Naver, Astrid; Theede, Klaus

    2015-01-01

    cannabinoid hyperemesis syndrome. Characteristically, the symptoms appear in a cyclical pattern and are relieved by long, hot baths. Physical examination, radiology and endoscopy are often normal. The symptoms resolve with cessation of cannabis abuse. Health professionals must be aware of this syndrome in......Cannabinoid hyperemesis syndrome causing prolonged nausea and vomiting in patients with cannabis abuse Cannabis is one of the most used drugs worldwide. The link between repeated episodes of nausea, vomiting, and cannabis abuse is often missed in patients with prolonged cannabis abuse and is named...

  9. Legemiddel­interaksjoner hos sykehuspasienter – forekomst og klinisk betydning

    Directory of Open Access Journals (Sweden)

    Hege Salvesen Blix

    2009-09-01

    Full Text Available Introduction: Little is known about the occurrence of drug interactions of hospitalised patients. We aimed to identify the frequency of potential drug interactions among hospitalised patients and, furthermore, to evaluate how many of these were problematic and clinically significant. Methods: We investigated drug interactions by two methods: by applying a computerised drug-drug interaction programme and by prospective clinical evaluation. The study was carried out at departments of internal medicine and rheumatology in five Norwegian hospitals in 2002. Patient characteristics and information on drug use were recorded for 827 patients consecutively included. Medication reviews were carried out by clinical pharmacists and drug-related problems (DRPs, among which drug interactions is one category, were identified and discussed in the hospital multidisciplinary team, chaired by a physician. Retrospectively, the patients’ drug regimens were screened by using a computer programme for drug-drug interactions, DRUID. This programme is universally used in Norway and classifies DDIs into four categories according to assumed severity: A, avoid; B, avoid/take precautions; C, take precautions; D, no action needed. Results: A total of 1513 DDIs were found in 544 patients (66% of the total sample of 827 patients by computer screening. Many of these were related to drugs started in the hospital, that is they were new drug interactions. By bedside evaluation, 99 DDIs were found in 73 patients (9%. Of these, 89 were also identified by computer screening. Thus, only 6% of the computer identified drug interactions were assessed to be clinically problematic. Interactions of all degrees of severity, according to the computer programme, were identified as problematic by bedside screening. Drugs most often causing new drug interactions were warfarin, acetylsalicylic acid, digitoxin and combinations of codeine and paracetamol. Conclusions: The majority of hospitalised

  10. Varierende sygdomsbilleder hos mindre børn med Influenzavirus type A infektioner

    DEFF Research Database (Denmark)

    Olsen, P M; Hornsleth, A; Krasilnikoff, P A

    1992-01-01

    of age. Eight patients had febrile convulsions, a girl aged nine years had double vision and vertigo and a female infant aged two months had periodic apnoea and bradycardia. The reasons for hospitalization were febrile convulsions, abdominal pain, lower respiratory tract symptoms and high pyrexia....

  11. Eosinofil akut lymfatisk leukæmi hos yngre mand hjemvendt fra rejse i troperne

    DEFF Research Database (Denmark)

    Larsen, Mette Vang; Andersen, Mette Klarskov; Karstoft, Kristian

    2011-01-01

    A 22-year-old man presented with severe back pain and 60% eosinophilia after returning from the tropics. An extensive investigation for parasitic diseases was negative. Over time, his haemoglobin level and thrombocyte count fell, and the spleen and several lymph nodes were enlarged. The patient was...

  12. Stomi prolaps (tarm) og kirurgisk behandling av stomi prolaps hos barn

    OpenAIRE

    Johnson, Prince

    2015-01-01

    Abstract Background: An intestinal stoma is a surgical opening of the intestine, mostly sutured to the anterior abdominal wall. It is a common lifesaving operative procedure done on children. Stoma prolapse is one of the common complications of stoma. A significant number of stoma prolapse patients require surgical correction. Aim: This thesis is in two parts. The first part is a literature review of intestinal stoma prolapse and its surgical treatments. The second part is an evaluation of th...

  13. Diagnostik af kræft hos børn starter i almen praksis

    DEFF Research Database (Denmark)

    Ahrensberg, Jette Møller; Vedsted, Peter

    2013-01-01

    forløbene er i Danmark. En af kernekompetencerne for den praktiserende læge er at kunne skelne de relativt få alvorligt syge fra de mange patienter med forbi¬gående symptomer. Mange symptomer på banal og alvorlig sygdom ligner nemlig hinanden. Udenlandske studier viser, at der tit går lang tid, fra barnet...

  14. Bakterielle hud- og bløtvevsinfeksjoner hos injiserende stoffmisbrukere i sykehus. : Forekomst, mikrobiologi og behandling.

    OpenAIRE

    2012-01-01

    Skin and soft tissue infections (SSTIs) cause significant morbidity among intravenous drug users (IVDUs). Information about special features of SSTIs in IVDUs is essential for treatment. We performed a retrospective cross-sectional study in a Norwegian university hospital. Using the ICD-10-classification, we selected admissions for abscess, cellulitis and erysipelas from two subsequent years and excluded non-IVDUs. From the patient charts we collected information about demographic data, a...

  15. Brystrekonstruktion med m. latissimus dorsi er et godt valg hos kvinder med brystkræft

    DEFF Research Database (Denmark)

    Højvig, Jens B; Bonde, Christian T

    2015-01-01

    Breast reconstruction using autologous tissue is commonly used in breast cancer patients who have received radiation therapy. The use of a latissimus dorsi flap is a safe and viable alternative to the use of an abdominal flap. The cosmetic results are excellent but there is need for a better...... understanding of the donor-site morbidity in regard to potential loss of shoulder function. We believe that it is possible to improve the procedure through optimized surgical technique in combination with the implementation and the benefits of fast-track surgery....

  16. Selvstyring af peroral antikoagulationsbehandling hos børn med medfødte hjertesygdomme

    DEFF Research Database (Denmark)

    Christensen, Thomas Decker; Attermann, Jørn; Hjortdal, Vibeke Elisabeth;

    2002-01-01

    INTRODUCTION: Self-management of oral anticoagulation has been shown to produce a better quality of treatment than conventional management when assessed in selected adults. We have extended the concept of self-management to include children with congenital cardiac disease on the hypothesis that it...... is also possible in this subset of patients. Our aim was to assess the quality of self-management in children with congenital cardiac disease. MATERIAL AND METHODS: We trained 14 children aged from 2.2 to 15.6 years, with a mean age of 9.7 years, and their parents, in domiciliary analysis of the...... parents expressed full satisfaction with the treatment. DISCUSSION: Self-management of oral anticoagulation provides a good quality of treatment and is safe and feasible in selected children with congenital cardiac disease. Udgivelsesdato: 2002-Sep-2...

  17. Hyperbilirubinemi hos nyfødte – et kontroversielt tema. Erfaringer med nye indikasjoner for fototerapi og utskiftningstransfusjon

    Directory of Open Access Journals (Sweden)

    Alf Meberg

    2009-10-01

    Full Text Available  SAMMENDRAGNye indikasjoner for behandling av hyperbilirubinemi hos nyfødte (bilirubinskjema fra Hillingdon sykehus,England ble innført ved Vestfold sentralsykehus primo 1994. Endringene i panoramaet av behandlingstiltak(lysbehandling, utskiftningstransfusjon ble registrert i kohortene av levende fødte ved sykehuset i toårsperioden1994-95 og sammenlignet med foregående treårsperiode 1991-93. Total lysbehandlingsprevalens falt signifikantfra 6,9% av levende fødte i perioden 1991-93 til 5,5% i perioden 1994-95 (p betydelig fall i prevalensen av fullbårne barn som ble lysbehandlet for fysiologisk ikterus, fra 4,3% til 1,6% ihenholdsvis første og siste periode (p steg signifikant fra 2,0% av levende fødte til 3,2% (p økning i prematuritetsinsidensen, som steg fra 4,5% i perioden 1991-93 til 5,9% i perioden 1994-95 (p Andelen premature som ble lysbehandlet steg fra 45,2% i første til 53,1% i siste periode (p av blodgruppeimmuniserte barn som ble lysbehandlet var uforandret i de to periodene (henholdsvis 0,6% og0,7% (p > 0,05. Det var en markert reduksjon i prevalensen av barn som gjennomgikk utskiftningstransfusjon(fra 0,2 til 0,06% henholdsvis i de to periodene (p effekter av lysbehandling til friske fullbårne barn med ikterus, reduseres relativt betydelig med de moderatejusteringer av indikasjonene som er foretatt. Rutineskiftet har også betydd ressurssparing. På landsbasis vil en slikrutineendring medføre at 1000-2000 fullbårne barn hvert år kan unngå lysbehandling. Indikasjonene for fototerapiog utskiftningstransfusjon for hyperbilirubinemi hos nyfødte i Norge må diskuteres på nytt i lys av ny forskningmed tanke på nasjonal konsensus. Kortere liggetider for nyfødte i sykehus etter fødselen gjør det nødvendig medgode rutiner for oppfølging av hyperbilirubinemi utenfor sykehus.Meberg A. Hyperbilirubinemia – a controversial topic. Experiences with new guidelines for phototherapyand exchange transfusion . Nor J

  18. Följsamhet vid läkemedelsbehandling bland psykiatriska patienter : Litteraturstudie

    OpenAIRE

    Dang, Dao

    2014-01-01

    Detta arbete är inom MAQ (Medication Administration Quality) projektet som yrkeshögskolan Arcada administrerar. Syftet med studien är att utforska vilka faktorer som påverkar psykiatriska patienters följsamhet vid läkemedelsbehandling. Utgående från forskningssyftet utformades forskningsfrågan: vilka faktorer påverkar följsamheten vid läkemedelsbehandlingen hos psykiatriska patienter? Som metod valdes kvalitativ litteraturstudie med induktiv innehållsanalys. Nio artiklar valdes ut för analy...

  19. Smal är lika med lycklig? : En litteraturstudie som belyser livsvärlden hos två unga kvinnor med anorexia nervosa

    OpenAIRE

    Johnsson, My; Nilsson, Lilliann

    2010-01-01

    Anorexia Nervosa är en sjukdom som debuterar i tonåren och som främst drabbar flickor. Personer med anorexi har en intensiv rädsla för så kallad normalvikt, samt viktuppgång. Syftet med denna studie var att belysa livsvärlden hos två unga kvinnor med denna sjukdom. Metoden som användes var en litteraturstudie. Studien genomfördes, genom analys av två självbiografiska böcker. Analysen som valdes var en kvalitativ innehållsanalys. Analysen utfördes i sex steg och resulterade i tjugosex kategori...

  20. Arbetsmotivation trots osäkra arbetsvillkor? : En kvalitativ studie om arbetsmotivation hos anställda med osäkra arbetsvillkor

    OpenAIRE

    Medina, Nathalie

    2015-01-01

    Studiens syfte är att undersöka arbetsmotivation och motivationsfaktorer hos anställda med korttidskontrakt på ett företag som arbetar med sådana praktiker. De formulerade frågeställningarna är: Hur anser anställda med korttidskontrakt att deras arbetsmotivation påverkas av de osäkra arbetsförhållandena? Vilka motivationsfaktorer är viktiga för dem? Vilka strategier har de för att motivera sig? Empirin bygger på intervjuer genomförda med 6 respondenter på ett företag som utgör typfallet för s...

  1. Effekter av icke-farmakologiska metoder vid beteendemässiga och psykiska symtom hos personer som lever med Alzheimers sjukdom : En litteraturöversikt

    OpenAIRE

    Tasci,, Gulseren; Schönning, Tetyana

    2016-01-01

    Bakgrund: Alzheimers sjukdom (AD) är den vanligaste formen av demenssjukdomar och antalet människor som insjuknar i AD förväntas öka kraftigt med tiden. Dessutom kännetecknas personer med AD ofta av beteendemässiga och psykiska symtom (BPSD) som kan innefatta agitation, depression, vanföreställningar, oro, ångest, hallucinationer, sömnrubbningar, rastlöshet och apati. Dessa symtom kan orsaka lidande hos patienten och är svåra att hantera för både vårdgivaren och anhöriga, samt försvårar omvår...

  2. Stress och välbefinnande hos föräldrar till barn i övre tonåren

    OpenAIRE

    Alm Sönnergren, Susanne

    2008-01-01

    I denna enkätstudie undersöktes stress och välbefinnande hos 224 slumpmässigt utvalda föräldrar i Stockholmsområdet, med hemmavarande barn i övre tonåren. Ryff Well-Being Scale plus en nykonstruerad föräldrastresskala användes; den sistnämnda visade sig ha god intern konsistens och i övrigt godtagbara psykometriska kvaliteter. Tonårsföräldrarna rapporterade något högre välbefinnande än en tidigare normgrupp. Grad av välbefinnande, specifikt dimensionerna självacceptans (self acceptance) och k...

  3. Jämförelse mellan ekokardiografiska metoder vid bedömning av vänsterkammarfunktion hos kvinnliga bröstcancerpatienter

    OpenAIRE

    Andersson Nyberg, Sarah; Lesjak, Martina

    2015-01-01

    Ekokardiografi är en mycket användbar teknik som bland annat kan bedöma vänsterkammarensfunktion hos hjärtat med hjälp av ejektionsfraktion (EF) och global longitudinell strain (GLS). EF är idag den metoden som används mest vid bedömning av vänsterkammarfunktionen och beräknas enligt Simpsons biplanmetod. GLS är en ny metod som mäter myokardiets deformation och har i tidigare studier visat sig vara en känslig metod och kan upptäcka förändringar i myokardiet tidigare än EF. Vid behandling av b...

  4. Analys av Lagerhållningsstrategier för Surfplattor hos en Hemelektronikkedjas Återförsäljare

    OpenAIRE

    Samsioe Guldbrand, Louise; Karaca, Ferhat

    2014-01-01

    Föreliggande examensarbete undersöker möjligheterna att effektivisera order- och lagerhanteringen av surfplattor hos företaget Företag A. Arbetet är avgränsat till företagets varuhus i Barkarby och till de två största märkena på marknaden just nu; Apple och Samsung. Detta är ett ämne som är relativt nytt eftersom det är en relativt ny marknad runt hela världen som har exploderat sedan Apples första lansering av surfplattan. Eftersom Företag A säljer samtliga märkens surfplattor vilka har helt...

  5. Personalutbildning – effektiv strategi vid oro/agitation kopplad till BPSD hos brukare som bor i särskilda boenden?

    OpenAIRE

    Sjöberg, Andreas; Ylva, Lübeck

    2014-01-01

    Bakgrund Demenssjukdomar, som blir allt vanligare, kan medföra beteendemässiga och psykiska symtomvid demens (BPSD). Dessa symtom förekommer någon gång hos ungefär 90 % av alla personermed demenssjukdom. BPSD kan innebära ett stort lidande för såväl den demenssjuke som fördennes anhöriga samt en yrkesmässig utmaning för vårdpersonalen. Syfte Syftet med denna litteraturstudie är att belysa olika utbildningar för personal som arbetar isärskilda boenden och vårdar brukare med oro/agitation koppl...

  6. c-cytokromer hos den (per)kloratreducerande bakterien GR-1 : samt en jämförande studie av c-cytokromer från GR-1, Ideonella dechloratans och Dechloromonas aromatica

    OpenAIRE

    Palm, Eva-Lotta

    2007-01-01

    Arbetet beskriver en analys av innehållet av membranbundna och periplasmiska c-cytokromer hos perkloratodlade GR-1 och jämförelser med c-cytokrominnehållet hos Ideonella dechloratans och andra kända c-cytokromer, samt med genomet för Dechloromonas aromatica. Den jämförande studien av c-cytokromer gjordes med syftet att undersöka en hypotes om att bakterierna använder olika vägar för elektronöverföring till det periplasmiska enzymet (per)kloratreduktas. Cellmembran från GR-1 renframställdes ge...

  7. Motivation hos ledige

    OpenAIRE

    Schytte, Frederik J.J; Knudsen, Rasmus Kristoffer; Kappel, Kevin Bossen; Walander-Andersen, Benjamin

    2014-01-01

    This study examines the motivation of the unemployed. Émile Durkheim and Abraham Maslow’s theories are used to describe the motivation of the unemployed along with reforms dating from 1994 to 2013. In the second part of the study, it tries to analyze the motivation of the unemployed by using Durkheim and Maslows’ theories while combining them with the aforementioned reforms. The third part of the study discusses the intentions of the danish government for implementing new reforms about unempl...

  8. Hypertension hos gravide

    DEFF Research Database (Denmark)

    Mathiesen, Elisabeth R; Johansen, Marianne; Kamper, Anne Lise;

    2009-01-01

    There are four major hypertensive disorders in pregnancy: chronic hypertension, gestational hypertension, preeclampsia and chronic hypertension with superimposed preeclampsia. The indications and efficacy of antihypertensive treatment of the different hypertensive disorders are assessed. Advantages...

  9. Nogle argumentationsgange hos Habermas

    DEFF Research Database (Denmark)

    Dupont, Søren

    Artiklen forholder sig til væsentlige begreber fra Habermas' teori om den kommunikative handlen.......Artiklen forholder sig til væsentlige begreber fra Habermas' teori om den kommunikative handlen....

  10. Pulmonal fedtemboli hos traumepatient

    DEFF Research Database (Denmark)

    Rudolph, Søren F.; Hansen, Nikolaj Friis; Edström, Birgitte

    2007-01-01

    Pulmonal fedt emboli (PFE) kan ses, når fedt perler udskilles fra fedtholdige væv og emboliserer i den pulmonale mikrovaskulære cirkulation. Tilstanden ses ved frakturer, særligt lukkede frakturer af lange rørknogler, pelvis og costae 1, 2, men også ved massive bløddelsskader 3, 4, ortopædkirurgi......Pulmonal fedt emboli (PFE) kan ses, når fedt perler udskilles fra fedtholdige væv og emboliserer i den pulmonale mikrovaskulære cirkulation. Tilstanden ses ved frakturer, særligt lukkede frakturer af lange rørknogler, pelvis og costae 1, 2, men også ved massive bløddelsskader 3, 4...

  11. Bilateral akillesseneruptur hos nyretransplanterede

    DEFF Research Database (Denmark)

    Skovgaard, D; Feldt-Rasmussen, B F; Nimb, L;

    1996-01-01

    Increased incidence of tendinitis and tendon ruptures is reported in recipients of a kidney transplant. Two cases of bilateral achilles tendon rupture after minimal trauma are described. Tendon ruptures are more frequent in individuals with kidney disease in dialysis or after transplantation comp...

  12. Kawasakis syndrom hos voksne

    DEFF Research Database (Denmark)

    Roed, Casper; Skinhøj, Peter

    2009-01-01

    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...

  13. Kulturtrekk hos organisasjoner

    OpenAIRE

    Skjærpe, Helge Hjemaas

    2011-01-01

    Å ha en sterk organisasjonskultur oppfattes som viktig for dagens moderne organisasjoner (Jacobsen og Thorsvik, 2008). Moderne organisasjoner er avhengig av sine ansattes kompetanse og medvirkning for å oppnå sine strategiske mål, og dette kan i følge Jacobsen og Thorsvik (2008) oppnås ved å etablere en sterk organisasjonskultur. Med en sterk kultur menes en kultur som virker gjennomtrengende på organisasjonen og som i stor grad er med på å styre medlemmenes atferd (Bang, 1995).Denne masterop...

  14. Harepest hos jaeger

    DEFF Research Database (Denmark)

    Edfors, Robert; Smith, Birgitte; Lillebaek, Troels

    2010-01-01

    "Rabbit fever" (Francisella Tularensis) is a rare infection in Denmark. It was first described in Denmark in 1987. It is most likely to affect people who come into close contact with infected animals or ticks, such as hunters, butchers and veterinarians. The diagnosis should be suspected in such...

  15. Influenzavirus hos svin

    DEFF Research Database (Denmark)

    Dalsgård, Anders; Larsen, Lars Erik

    Med fundet af H1N1 virus i en cansdisk svinebesætning har den aktuelle humane, influenzaepidemi fået en veterinærvinkel og er rykket tættere på Danmark, mener ekspert fra DTU Veterinærinstituttet.......Med fundet af H1N1 virus i en cansdisk svinebesætning har den aktuelle humane, influenzaepidemi fået en veterinærvinkel og er rykket tættere på Danmark, mener ekspert fra DTU Veterinærinstituttet....

  16. Helvede hos Dante

    DEFF Research Database (Denmark)

    Pedersen, Else Marie Wiberg

    2012-01-01

    Dante Alighier (1265-1321) skrev sit store digt La Comedia, kendt som Den guddommelige Komedie i 1300-tallets begyndelse, efter at han var forvist fra Firenze. Digtet skildrer en rejse gennem tre riger: Helvede, Renselsesbjerget og Paradis, som hver især beskriver faser i et menneskes vej mod...... større erkendelse og mod frelse. Netop derfor skal læseren ikke standse ved Helved, men foretage hele rejsen. Dantes pointe er, at vejen til Paradis går gennem Helvede, for menneskelivet er qua mennesket selv langtfra fuldkomment. Artiklen her viser, hvordan Dante beskriver ethvert menneskes vanskelige...... livsafgørelser (kriser) ved fra første færd at inddrage læseren i en knusende krisestemning og føre os ned i all helvedes pinsler, før vi føres op gennem rensende selvindsigter og endelig til at se større livsperspektiver. Ifølge Dante er Helvede kun et kritisk begyndelsespunkt, ikke et slutpunkt....

  17. Resistens hos brune rotter

    DEFF Research Database (Denmark)

    Lodal, Jens

    I perioden 2001-2008 har Skadedyrlaboratoriet gennemført en systematisk undersøgelse af rotter for eventuel resistens for at skaffe et landsdækkende overblik over den geografiske udbredelse samt niveau for resistens blandt rotter. Der er fundet lokaliteter med resistens mod coumatetralyl, bromadi......, bromadiolon eller difenacoum i omkring halvdelen af de undersøgte kommuner. Det vurderes, at resistens fortsat vil spredes i landet, og i områder med svag resistens kan resistensen forventes at stige til et højere niveau....

  18. Oplevelseskommunikation hos Danish Crown

    OpenAIRE

    Mosbæk, Malene; Ralph Vogelius, Christina; Tranberg-Hansen, Morten Sejer; Møller Bøttiger, Jakob; Axelsen, Lykke Vils

    2011-01-01

    With this report we wish to discover the meaning and use of the phrase experience communication. To investigate experience communication in action, we teamed up with Danish Crown who within recent years has used experience communication as part of their communication strategy. Based on experience communication theory and empirical studies we made an analysis of their campaign “Vi ses i køkkenet”. Our report demonstrates that experiences are a useful way of communicating. Participants co...

  19. Syfilis hos gravide

    DEFF Research Database (Denmark)

    Vestergaard, Tine; Ibsen, Hans Henning Windeløv

    2012-01-01

    The incidence of syphilis in Denmark is rising. In 2010, 377 new cases of syphilis were reported, 36 of these cases in women. Since January 1st 2010 all pregnant women are offered an antenatal syphilis test. This resulted in the finding of seven cases of syphilis among pregnant women in 2010. This...... article summarises the clinical and serological findings in syphilis and describes the treatment of the disease, with focus on pregnancy and congenital infection....

  20. Botulisme hos et spaedbarn

    DEFF Research Database (Denmark)

    Nielsen, Allan Bybeck; Nordly, Sannie Brit; Clausen, Marianne Engel

    2010-01-01

    investigation, contaminated food was not found. One particular batch of canned baby food was suspected and recalled from the market, but no contamination was found. The girl had not ingested honey. The condition is rare, but can be very serious and should be kept in mind in cases presenting with the well...

  1. TNF-alpha-dependent activation of NF-kappa B in human osteoblastic HOS-TE85 cells is repressed in vector-averaged gravity using clinostat rotation.

    Science.gov (United States)

    Kobayashi, K; Kambe, F; Kurokouchi, K; Sakai, T; Ishiguro, N; Iwata, H; Koga, K; Gruener, R; Seo, H

    2000-12-01

    Effects of vector-averaged gravity on tumor necrosis factor (TNF)-alpha-dependent activation of nuclear factor kappa B (NF-kappa B) in human osteoblastic HOS-TE85 cells were investigated by culturing the cells using clinostat rotation (clinorotation). Cell cultures were rotated for 72 h at 40 rpm in a clinostat. At the end of clinorotation, the cells were treated with TNF-alpha for 30 min under stationary conditions. Electrophoretic mobility shift assays revealed that TNF-alpha-dependent activation of NF-kappa B was markedly reduced in the clinorotated cells when compared with the cells in control stationary cultures or after horizontal rotation (motional controls). The NF-kappa B-dependent transactivation was also impaired in the clinorotated cells, as evidenced by a transient transfection assay with a reporter plasmid containing multimerized NF-kappa B sites. Consistent with these findings, the TNF-alpha-dependent induction of endogenous NF-kappa B-responsive genes p105, I kappa B-alpha, and IL-8, was significantly attenuate in clinorotated cells. These results demonstrate that vector-averaged gravity inhibits the responsiveness of osteoblasts to TNF-alpha by repressing NF-kappa B activation. PMID:11112449

  2. Strength and pain are related to different measures of functional ability in patients with end-stage hip osteoarthritis

    Science.gov (United States)

    Zeni, Joseph; Abujaber, Sumayah; Pozzi, Federico; Raisis, Leo

    2014-01-01

    Objective Performance tests and self-reported questionnaires capture different domains of function in patients with lower extremity osteoarthritis, but the impairments related to each of these domains have not been elucidated. The purpose of this study was to determine how strength and joint pain influence performance-based tests and self-reported questionnaires of functional ability of individuals with end-stage hip osteoarthritis. Methods Fifty-six patients scheduled to undergo unilateral total hip arthroplasty were included in this cross sectional analysis. Subjects completed the Hip Outcome Survey (HOS) and pain in the affected hip was quantified on a scale from 0–10. Performance-based tests included the Six Minute Walk (6MW), Timed Up and Go (TUG), and Stair Climbing Test (SCT). Isometric strength of the hip abductors and knee extensors was collected. Hierarchical linear regressions were created to determine the contributions of pain, knee extensor strength, and hip strength for each outcome measure (TUG, 6MW, SCT, HOS). Height and BMI were entered first, followed by pain, then knee extensor strength, then hip abduction strength. Results Greater pain significantly predicted lower HOS scores, but hip strength did not significantly improve the model. Hip pain was also significantly related to TUG, SCT and 6MW values, but hip and knee strength explained additional variance for these performance-based measures. Conclusions Self-report and performance-based measures capture different aspects of disability and are influenced by different underlying impairments. Both types of outcome measures should be used in studies that evaluate functional changes in patients with hip osteoarthritis. PMID:24664893

  3. Upplevelse av kroppsbild hos personer med ätstörning samt personer med ett missbruk av anabola androgena steroider

    OpenAIRE

    Kjerstad, Sidsel; Ranung, Milja

    2015-01-01

    Background: In our society there is a tremedous focus on body ideal and appearence among Young adults. Patient´s with eating disorders and patients with an abuse of anabolic androgenic steroids (AAS) both have the displeasure of their own bodies and a wrong body-image in common. Method: The study contained semi-structured interviews with patients that were diagnosed with eating disorders and patients with an abuse of AAS. The result was analyzed with a latency containment analysis and was dis...

  4. Symptomer og malabsorpsjon hos pasienter med selvrapportert matoverfølsomhet etter inntak av fruktose og sorbitol - en sammenligning av pasienter med selvrapportert matoverfølsomhet og friske kontroller

    OpenAIRE

    2007-01-01

    Rundt 25 % av befolkningen i den vestlige verden opplever gastrointestinale plager i forbindelse med matinntak. De fleste av disse har ikke matallergi. Malabsorpsjon av fruktose og sorbitol er foreslått som årsak til slike plager.Formålet med masteroppgaven var å sammenligne forekomst av gastrointestinale symptomer ved inntak av fruktose og sorbitol hos pasienter med selvrapportert matoverfølsomhet og friske kontroller. I tillegg ville jeg prøve å påvise forskjeller i orocøkal transitt-tid, f...

  5. ARRESTS AND LIQUIDATIONS OF WOUNDED MEMBERS OF THE CROATIAN ARMED FORCES (HOS) TAKEN FROM HOSPITALS IN ZAGREB BY YUGOSLAV ARMED FORCES IN MAY AND JUNE OF 1945 IN THE RECORDS OF STATE ARCHIVES IN ZAGREB

    OpenAIRE

    Matković, Blanka

    2011-01-01

    Based on documents from the two hospitals in Zagreb, Croatia (‘Zakladna’ and ‘Sisters of Mercy’), it is possible, at least to some degree, to reconstruct what happened to the hospitalized members of the Croatian Armed Forces (HOS), most of whom were suffering from heavy injuries and were bedridden when the Yugoslav Army entered Zagreb on May 8, 1945 and found them in the hospitals. Even though contemporary historians do not have access to documents from other Croatian hospitals (because they ...

  6. Survival of patients with small cell lung cancer undergoing lung resection in England, 1998-2009

    DEFF Research Database (Denmark)

    Lüchtenborg, Margreet; Riaz, Sharma P; Lim, Eric;

    2014-01-01

    stadier, der opereres i, så vi på, om kirurgisk intervention havde en gavnlig effekt også for mere avancerede stadier af småcellet lunge¬kræft. Som forventet havde patienter med småcellet lungekræft en dårligere 1-årsoverlevelse (31 %) end patienter med ikke-småcellet lungekræft (45 %) efter behandling...... er næsten ligeså høj som hos patienter med ikke-småcellet lungekræft. Denne konklusion støtter også den kliniske praksis i dag, hvor udvalgte grupper af patienter med småcellet lunge¬kræft i stigende grad tilbydes kirurgisk behandling. Knap 360.000 engelske patienter indgik i undersøgelsen, og data...

  7. Myokarditis med massivt troponin T-udslip forårsaget af varicella zoster-infektion hos teenager

    DEFF Research Database (Denmark)

    Nystrup, Kristin Brønnum; Stantchev, Hristo

    2014-01-01

    Chickenpox is a common childhood infection caused by the varicella-zoster virus. Complications are rare. We report on a 15-year-old boy who developed myocarditis during a varicella-zoster infection. The patient presented with severe chest pain, examinations revealed significant ST-elevations in the...

  8. Hyperfibrinolyse som årsag til blødning og øget mortalitet hos traumepatienter

    DEFF Research Database (Denmark)

    Wikkelsø, Anne Juul; Afshari, Arash; Stensballe, Jakob;

    2011-01-01

    Trauma-associated coagulopathies are at times present upon arrival at the emergency department. Hyperfibrinolysis is a condition in which the natural ability to dissolve blood clots is pathologically enhanced. It is present in 2-8% of trauma patients and associated with shock and increased mortal...

  9. Relevant traume hos en hæmodynamisk stabil patient bør efterfølges af computertomografi trods graviditet

    DEFF Research Database (Denmark)

    Lützen, Mads Agerholm; Frederiksen-Møller, Britta; Jørgensen, Jan Stener

    2012-01-01

    A 37 year-old pregnant woman, gestational age 32 weeks, was involved in a motor vehicle accident. Abdominal ultrasound revealed no pathological findings, and the woman was discharged after 24 hours of observation. Three weeks later a healthy girl was delivered by emergency caesarean section due to...... placental abruption. During surgery a large amount of blood was detected and signs of previous trauma and haematoma to the spleen were revealed. Post-operative abdominal computed tomography scan was performed, revealing a 5 × 7 cm intrasplenic haematoma....

  10. Specialpedagogiska metoder som främjar utvecklingen hos barn med autism samt hur dessa påverkar barn och föräldra-/vårdarrelation-en litteraturstudie

    OpenAIRE

    Solvarm, Rosemary

    2008-01-01

    Autism är ett livslångt handikapp som ställer stora krav på familj, skola, sjukvård samt övriga personer som på olika sätt kommer i kontakt med dessa barn. Pedagoger och vårdare behöver medvetandegöras om sina föreställningar eftersom dessa styr bemötandet. Målet för behandlingen är målmedveten träning eftersom förmåga till social inlevelseförmåga mer eller mindre saknas hos såväl barn som vuxna med autism. Syftet med litteraturstudien var att belysa metoder som fanns för att främja utvecklin...

  11. Frivillig men motvillig? – En kartläggning av faktorer som bidrar till intentioner att lämna respektive stanna i anställningen hos gruppbefäl och soldater i Försvarsmakten.

    OpenAIRE

    Andersson, Magnus; Berggren, Caroline

    2015-01-01

    Försvarsmakten har nyligen ersatt värnplikten med ett personalförsörjningssystem där gruppbefäl och soldater anställs på samma villkor som på den civila arbetsmarknaden. En oväntad konsekvens av detta är en oönskat hög personalomsättning inom denna anställningskategori. Syftet med denna studie var att kartlägga faktorer som bidrar till intentionen att stanna kvar i eller lämna sin anställning hos kategorin gruppbefäl och soldater i Försvarsmakten. Ett konceptuellt ramverk ...

  12. Cognitive Functioning in Patients with Eating Disorders

    OpenAIRE

    Weider, Siri

    2015-01-01

    Norsk sammendrag: Kognitiv fungering hos pasienter med spiseforstyrrelser Foreliggende litteratur på kognitive vansker hos pasienter med spiseforstyrrelser er sprikende og inkonklusiv. For pasienter med anorexia nervosa (AN), finnes en del støtte for spesifikke vansker innen eksekutiv funksjon (mental fleksibilitet) og visuospatielle ferdigheter (sentral koherens), men det er fremdeles usikkert hvor stor del av disse vanskene som skyldes andre faktorer enn spiseforstyrrelsen...

  13. Depressive Symptoms and Risk of New Cardiovascular Events or Death in Patients with Myocardial Infarction: A Population-Based Longitudinal Study Examining Health Behaviors and Health Care Interventions

    DEFF Research Database (Denmark)

    Larsen, Karen Kjær; Christensen, Bo; Søndergaard, Jens; Vestergaard, Mogens

    bruges til at skærpe opmærksomheden over for denne patientgruppe hos de praktiserende læger, hvor op mod 90 % af alle patienter med depression bliver diagnosticeret og behandlet. Background: Depressive symptoms is associated with adverse cardiovascular outcomes in patients with myocardial infarction (MI......), but the underlying mechanisms are unclear and it remains unknown whether subgroups of patients are at a particularly high relative risk of adverse outcomes. We examined the risk of new cardiovascular events and/or death in patients with depressive symptoms following first-time MI taking into account...... 2009 and 31 December 2009, and followed up until 31 July 2012. Depressive symptoms were found in 18.6% using the Hospital Anxiety and Depression Scale (HADS-D$8). A total of 239 new cardiovascular events, 95 deaths, and 288 composite events (239 new cardiovascular events and 49 deaths) occurred during...

  14. Bloodstream infections among patients using central venous catheters in intensive care units Infección de corriente sanguínea en pacientes con catéter venosos central en unidades de cuidado intensivo Infecções da corrente sangüínea em pacientes em uso de cateter venoso central em unidades de terapia intensiva

    OpenAIRE

    Eni Rosa Aires Borba Mesiano; Edgar Merchán-Hamann

    2007-01-01

    Central Venous Catheters (CVC), widely used in Intensive Care Units (ICU) are important sources of bloodstream infections (BSI). This prospective cohort epidemiological analytical study, aimed to infer the incidence of BSI, the risk factors associated and evaluate the care actions related to the use of these catheters in seven ICU in the Federal District - Brasília, Brazil. From the 630 patients using CVC, 6.4% developed BSI (1.5% directly related to the catheter and 4.9% clinic BSI). The hos...

  15. Angstbegrebet hos Kierkegaard, Heidegger & Sartre

    OpenAIRE

    Meier, Mathias Dahl; Kent, Sidse Marie; Lau, Anne Kathrine Behrendt; Gräs, Jepser Ladekær; Andersen, Niels Bruun; Bertelsen, Ditte Dyrgaard

    2014-01-01

    This study investigates the Danish philosopher Søren Kierkegaard’s concept of angst and cogna-te existentialistic notions such as nothingness, freedom, responsibility and choice as represented in his thesis The Concept of Anxiety (1844). Furthermore, it seeks to examine how and why the existentialistic philosophy of Kierkegaard was reintroduced in the inter-war period by German philosopher Martin Heidegger and French philosopher Jean-Paul Sartre in their respective wri-tings Being and Time (1...

  16. Behandling af mani hos voksne

    DEFF Research Database (Denmark)

    Licht, Rasmus Wentzer; Straszek, Sune Puggaard Vogt

    2014-01-01

    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....

  17. Patient-Reported Outcome (PRO) questionnaires for young to middle-aged adults with hip and groin disability

    DEFF Research Database (Denmark)

    Thorborg, K; Tijssen, M; Habets, B;

    2015-01-01

    BACKGROUND/AIM: To recommend Patient-Reported Outcome (PRO) questionnaires to measure hip and groin disability in young-aged to middle-aged adults. METHODS: A systematic review was performed in June 2014. The methodological quality of the studies included was determined using the COnsensus...... information or poor quality rating on methodological aspects made it impossible to fully evaluate the remaining PROs at present. CONCLUSIONS: HAGOS, HOS, IHOT-12 and IHOT-33 can be recommended for assessment of young-aged to middle-aged adults with pain related to the hip joint, undergoing non......-surgical treatment or hip arthroscopy. At present, HAGOS is the only PRO also aimed for young-aged to middle-aged adults presenting with groin pain and is recommended for use in this population. TRIAL REGISTRATION NUMBER: CRD42014009995....

  18. Snurrstol, befordran eller att lösa problem och se resultat av det? : En studie som undersöker vilka faktorer som är viktiga för motivationen hos anställda i olika organisationsformer.

    OpenAIRE

    Ewing, Mikael; Wahlström, Carl

    2011-01-01

    Uppsatsen syftar till att undersöka och diskutera vad som är viktigt för motivationen hos anställda i två olika organisationsformer (privata och ideella) och jämföra om det finns någon skillnad mellan dem. I studien introduceras två teoretiska spår, där det första identifierar vilka olika organisationsegenskaper som karaktäriserar respektive organisationsform. Det andra beskriver motivationsteorier från bland annat Abraham Maslow (1943 och 1954) och Frederick Irving Herzberg (Jacobsen, 1998)....

  19. Fysisk traening som behandling af nedsat funktionsevne hos svage, hjemmeboende 75+ -årige. Et randomiseret interventionsstudie i almen praksis omfattende elementer til en teknologivurdering

    DEFF Research Database (Denmark)

    Vad, Esther; Worm, Charlotte; Lauritsen, Jens; Poulsen, Peter Bo; Puggaard, Lis; Støvring, Henrik; Kragstrup, Jakob

    2002-01-01

    The aim of this study was to establish the value of physical training as a treatment of reduced physical ability in frail, elderly patients living at home.......The aim of this study was to establish the value of physical training as a treatment of reduced physical ability in frail, elderly patients living at home....

  20. Diagnosis and Treatment of Infective Endocarditis in Chronic Hemodialysis Patients

    Institute of Scientific and Technical Information of China (English)

    Jian-ling Tao; Xue-mei Li; Xue-wang Li; Jie Ma; Guang-li Ge; Li-meng Chen; Hang Li; Bao-tong Zhou; Yang Sun; Wen-ling Ye; Qi Miao

    2010-01-01

    Objective To analyze the clinical features of hemodialysis patients complicated by infective endo-carditis.Methods The clinical features of six such patients admitted to Peking Union Medical College Hos-pital during the year 1990 to 2009 were analyzed. All of them were diagnosed based on Chinese Children Diagnostic Criteria for Infective Endocarditis.Results The average age of the six patients was 52.3±19.3 years old. Four were males. Vascular ac-cesses at the onset of infective endocarditis were as follows: permanent catheters in three, temporary cathe-ters in two, and arteriovenous fistula in one. Three were found with mitral valve involvement, two with aor-tic valve involvement, and one with both. Five vegetations were found by transthoraeic echocardiography, and one by transesophageal echocardiography. Four had positive blood culture results. The catheters were all removed. Four of the patients were improved by antibiotics treatment, in which two were still on hemodialy-sis in the following 14-24 months and the other two were lost to follow-up. One patient received surgery, but died of heart failure after further hemodialysis for three months. One was well on maintenance hemodi-alysis for three months after surgery.Conclusions Infective endocarditis should be suspected when hemodialysis patients suffer from long-term fever, for which prompt blood culture and transthoracic echocardiography confirmation could be performed. Transesophageal echocardiography could be considered even when transthoracic echocardiogra-phy produces negative findings. With catheters removed, full course of appropriate sensitive antibiotics and surgery if indicated could improve the outcome of chronic hemodialysis patients complicated by infective endocarditis.

  1. Les infections urinaires chez les patients insuffisants rénaux chroniques hospitalisés au service de néphrologie: profil bactériologique et facteurs de risque

    OpenAIRE

    Chemlal, Abdeljalil; Ismaili, Fatiha Alaoui; Karimi, Ilham; Elharraqui, Ryme; Benabdellah, Nawal; Bekaoui, Samira; Haddiya, Intissar; Bentata, Yassamine

    2015-01-01

    L'infection urinaire chez l'insuffisant rénal est fréquente et particulière dans sa prise en charge diagnostique et thérapeutique. L'objectif de notre étude est de déterminer le profil bactériologique et d’étudier les facteurs de risque des infections urinaires chez le patient insuffisant rénal chronique en milieu de néphrologie. Etude prospective débutée en Septembre 2012 menée au service de néphrologie à l'hôpital régional d'Oujda de l'oriental Marocain. Ont été inclus tous les patients hos...

  2. Pludselig uventet hjertedød hos en 18-årig kvinde med familiær hyperkolesterolæmi

    DEFF Research Database (Denmark)

    Risgaard, Bjarke; Jabbari, Reza; Bundgaard, Henning; Hansen, Steen Holger; Haunsø, Stig; Winkel, Bo Gregers; Tfelt-Hansen, Jacob

    2013-01-01

    Familial hypercholesterolaemia (FH) is a well-defined but underdiagnosed dyslipidaemia occurring in 1:500 persons. We report a case where an 18-year-old woman with an untreated FH dies a sudden cardiac death due to acute myocardial infarction. In patients with FH atherosclerotic manifestations ar...

  3. Följsamhet till riktlinjer för handhygien hos hälso och sjukvårdspersonal : en litteraturstudie

    OpenAIRE

    Lindström, Birger

    2011-01-01

    Introduction: Good hand hygiene practice is the single most important measure to reduce the spread of bacteria and viruses in healthcare. For nurses, this has become more important as the spread of multidrug-resistant bacteria in hospitals is increasingObjective: To identify factors that are important for adherence to hand hygiene among health care workers with patient contact.Method: Systematic literature review. Original articles were searched in PubMed and Cinahl.Results: Factors of import...

  4. Musik i samband med venprovtagning för att lindra stress och smärta hos patienten : En interventionsstudie

    OpenAIRE

    Vasberg, Anna; Holm, Lina

    2014-01-01

    Bakgrund: En av sjuksköterskans grundläggande uppgifter är att lindra patientens lidande i samband med vård. Lugn musik har visat sig vara ett effektivt verktyg för att minska patienters upplevelser av stress och smärta vid flera procedurer inom sjukvården. Parametrar som hjärtfrekvens och blodtryck kan påverkas av musiken. Frisättning av hormoner och signalsubstanser kan minska patientens känslor av obehag av olika slag. Venös blodprovtagning utförs rutinmässigt på vårdcentra...

  5. Risk factors for chronic renal failure in Ivory coast: A prospective study of 280 patients

    Directory of Open Access Journals (Sweden)

    Ackoundou-N′Guessan K

    2011-01-01

    Full Text Available Chronic renal failure (CRF represents the major cause of mortality in the nephro-logy unit in Ivory Coast because the means for appropriate management are lacking. The present study was performed to investigate the risk factors for CRF so that strategies for prevention could be elaborated. A case-control study was performed prospectively at the Yopougon Teaching Hos-pital in Abidjan from January 2006 to December 2006. Factors known to cause CRF were investigated in patients and controls. Their prevalence rates were compared with the general population. A total of 280 patients and 113 controls were recruited. The mean age of the patients was 37.88 ± 13.33 years and that of the controls was 41.5 ± 9.72 years. Both genders were equally represented. The main causes of CRF were chronic glomerulonephritis (47.48%, with HIV infec-tion accounting for 15% of them, and essential hypertension (HTA (25%. Essential HTA repre-sented the only factor which, if untreated, inevitably leads to CRF. Thus, our study indicates that HTA is a major public health concern. All efforts should be implemented to reduce the high prevalence of HTA and the deleterious effect of this disorder in Ivory Coast.

  6. Analysis of 10 126 Cases of Pre-hosPital Emergency Care%10126例院前急救病例分析

    Institute of Scientific and Technical Information of China (English)

    付丽琼; 胡远扬; 林建功; 朱龙华

    2013-01-01

    目的:了解泉州市区院前急救疾病的病种及其特点。方法回顾性分析泉州市急救指挥中心2009年1月至2009年12月救治转送的10126例患者及180例死亡病例。结果院前急救病种排序前五位依次为各种创伤6035(59.58%)、脑血管病907(8.95%)、中毒与损伤621(6.13%)、心血管病446(4.6%)、消化系统423(4.2%)此前五位占全部患者的83.46%,创伤中交通伤占一半以上。结论院前急救在医务人员与设备配置方面应与急救疾病谱的变化相适应,要加强针对医务人员及社会公众进行急救创伤知识、心脑血管疾病等培训,提高急救抢救能力。%Objective To explore the disease entity and its clinical characteristics in the pre-hospital emergency cases. Method A retrospective study of 10 126 patients transferred by Quanzhou Emergency Center and 180 deaths among them between January 2009 and December 2009 was performed. Result The five common disease entities in pre-hospital emergency patients which account for 83.46%of the total amount are:6035 cases of trauma(59.58%),half of which are auto accidents,907 cases of cerebrovascular disease(8.95%),621 cases of poisoning (6.13%),446 cases of cardiovascular disease(4.6%),423 cases of gastrointestinal disease(4.2%). Conclusion It is recommended that the emergency resource such as pre-hospital rescuers and devices should be allocated in accordance with the disease spectrum for pre-hospital emergency care. It is essential to improve the quality of the training about the pre-hospital rescue of trauma and cardiac-cerebral vascular disease to ensure the high performance of pre-hospital emergency care.

  7. 综合医院精神科联络会诊分析%The analysis of consultation-liaison Psychiatry in a general hosPital

    Institute of Scientific and Technical Information of China (English)

    郭俊慧; 王高华; 朱志先; 刘忠纯; 杨灿

    2016-01-01

    Objective:The purpose of this paper was to explore the distribution of psychiatric consulta-tion in general hospital. Method:Six hundred and eighty-eight cases were selected from non psychiatric de-partment in a general hospital. Self-made questionnaires were finished. Descriptive statistical analysis was used by SPSS. Results:The most patients came from the following department:department of internal neurology (19. 3% ),department of cardiology(9. 7% ),department of orthopedics(9. 3% ),department of gastroenterolo-gy(8. 9% ),department of respiratory(8. 7% )and neurosurgery(7. 0% ). The main patients ages were 40 ~ 69 years old(53. 2% )and 20 ~ 29 years old(13. 5% ). The main reasons of consultation were acute brain syn-drome(25. 7% ),psychotic symptoms(22. 8% ),medically unexplained physical symptoms(12. 9% )and the history of mental disorder without symptoms(13. 8% ). The main diagnoses were as follows:mental disorders due to physical diseases(21. 4% ),schizophrenia and other psychotic disorder(20. 9% ),brain organic mental disorders(20. 1% ). Conclusion:In current,non psychiatrists paid more attention to patient′s mental health, mainly include positive mental symptoms,especially acute main syndrome and psychotic symptoms. But depres-sion and anxiety symptoms were got less attention.%目的:探讨综合医院内精神科联络会诊的分布特征。方法:收集某综合医院1年内精神科联络会诊病例688例,完成自制调查问卷,使用 SPSS 统计软件进行描述性统计分析。结果:会诊病例最多分布在神经内科(19.3%),其次为心内科(9.7%)、骨科(9.3%)、消化内科(8.9%)、呼吸科(8.7%)以及脑外科(7.0%);患者年龄分布以40~69岁(53.2%)和20~29岁(13.5%)为多;会诊主要原因为急性脑病综合征(25.7%)、精神病性症状(22.8%)、不能解释的躯体症状(12.9%)和既往有精神障碍史而目前无明显症状者(13.8%

  8. Samtidig iltbehandling ved anstrengelsesudløst hypoksæmi forbedrer den fysiske formåen og reducerer åndenød hos patienter med KOL

    DEFF Research Database (Denmark)

    Kjeldgaard, Peter; Ringbæk, Thomas; Lange, Peter

    2011-01-01

    rehabilitation. These studies show that oxygen therapy during exercise results in significant improvement in exercise capacity. Yet it is not possible to draw a clear conclusion regarding the effects of more prolonged (weeks) treatment. The studies are in general small and of poor methodological quality....

  9. The morphology of the cranium and the cervical coumn in patients with hypophosphatemic rickets

    DEFF Research Database (Denmark)

    Gjørup, Hans

    2014-01-01

    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...

  10. Patient - patient interaction

    DEFF Research Database (Denmark)

    Birkelund, Regner; Søndergaard Larsen, Lene

    2013-01-01

    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...

  11. Syskonplaceringens relation till personligheten hos vuxna personer

    OpenAIRE

    Lindberg, Charlotta

    2015-01-01

    Individers placering i syskonskaran och dess relation till beteenden har varit i fokus för otaliga studier. Det finns dock relativt lite forskning kring syskonplaceringens relation till personlighet i Sverige. Syftet med denna studie var att undersöka syskonplaceringens relation till personligheten enligt Big Five-Inventory (Zakrisson, 2010). Studien inkluderade vuxna personer (N=1070) som var relaterade till Stockholms universitets databas och svarade elektroniskt på enkäten (BFI). Fyra grup...

  12. Kronisk hoste hos børn

    DEFF Research Database (Denmark)

    Grarup, Pernille Abildgaard; Pedersen, Juri Lindy

    2015-01-01

    Cough in children is a common problem of various aetiologies. In the presence of specific findings diagnostics may be easy, but often the symptoms are few and unclear. Management involves specific diagnosing and it should be considered if the cough is acute, prolonged or chronic. The diagnosis...... depends on the quality of the cough evaluated as dry cough or wet, productive cough. Trials of treatment are often used to make a diagnosis, and any trial should be time-limited because natural resolution of cough is so common. Finally, giving thorough information to parents is crucial....

  13. Nekrotiserende fasciitis hos børn

    DEFF Research Database (Denmark)

    Jensen, Karsten Gjessing; Kristensen, Kim

    2009-01-01

    Necrotizing fasciitis (NF) is a serious condition with infection of the muscular fascia causing rapidly spreading necrosis. NF rarely affects children, and we here report two paediatric cases of NF. The first developed NF after a joint puncture, the other after surgical extirpation of a lymph node...

  14. Dyskalkyli hos elever i grundskola och gymnasium

    OpenAIRE

    Kullenberg, Lise-Lotte

    2013-01-01

    This paper presents the results of a study of dyscalculia. It is a retrospective archival study implemented with a deductive approach. On the basis of established research and theory 18 analytical categories were formulated, before a deductive thematic analysis of empirical material, consisting of journal data of 17 students investigated for dyscalculia, 14 girls (82.4%) and 3 boys (17.6%). The purpose of this study was to investigate the relationship between the concepts formulated in resear...

  15. Kirurgisk behandling af urininkontinens hos kvinder

    DEFF Research Database (Denmark)

    Ammendrup, A.C.; Sørensen, Helle Christina; Sander, Pia; Lose, G.

    2010-01-01

    INTRODUCTION: During the last decade, minimal invasive procedures have been introduced for treatment of urinary incontinence (UI) in women leading to shorter hospitalisation and fewer complications. The aim of this study was to outline clinical practice and attitudes among Danish UI surgeons....... MATERIAL AND METHODS: Surgeons performing UI procedures were identified and mailed a questionnaire in 2007 concerning 2006. Questions included specialisation, number of procedures, type of surgery, complications and attitude towards learning surgery and maintaining a sufficient level of routine. RESULTS......: In total, 94 operating gynaecologists and urologists were identified, 63 responded (71%) of whom 49 (78%) performed UI surgery. UI surgeons were gynaecologists 43 (88%) of these 24 (49%) were urogynecologists (working more than 50% with urogynecology) and five (10%) urologists. Tension-free Vaginal...

  16. Periacetabulaer osteotomi og hoftedysplasi hos yngre voksne

    DEFF Research Database (Denmark)

    Troelsen, Anders; Søballe, Kjeld

    2009-01-01

    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...

  17. Demens hos personer med Downs syndrom

    DEFF Research Database (Denmark)

    Salem, Lise Cronberg; Jørgensen, Kasper

    2014-01-01

    In developed countries the population of elderly people with Down syndrome expands resulting in an increasing incidence of age-related diseases, including dementia. The assessment of dementia in individuals with intellectual disability is often complicated due to large intra-individual variability...

  18. Nobelcentrum : Nationalmuseum flyttar in hos Nobel

    OpenAIRE

    Strindberg, Lova

    2013-01-01

    Uppgift: Att rita den tilltänkta teknikbyggnaden till Nationalmuseum som planeras byggas efter att renoveringen av museet är klar. Eftersom Nobelcentrum planeras på tomten bredvid har jag intresserat mig för hur dessa två projekt skulle kunna samverka och dela funktioner i en gemensam byggnad. Nationalmuseums tilltänkta teknikbyggnad är placerad tillsammans med liknande funktioner inom Nobelcentrums byggnadskropp. Verksamheterna delar lastintag och uppställningsytor samt vissa verkstäder. De ...

  19. Ulnarisneuropati hos fjerkræslagteriarbejder

    DEFF Research Database (Denmark)

    Svendsen, Susanne Wulff; Juhl, Anne

    2008-01-01

    -25 kg with flexion of the elbow, pronation of the forearm, and ulnar deviation of the wrist. A nerve conduction study indicated ulnar neuropathy just distal to the elbow. Surgery at this level alleviated the symptoms, but shortly after his return to work, he changed jobs because of aggravation...

  20. Kvinnens Overflødighet hos Platon

    OpenAIRE

    Fredrik Nilsen

    2014-01-01

    The Superfluity of Women in Plato. In her article «Plato’s problematic women» Kristin Sampson argues that Plato has two different views on women in the Republic and the Timaeus respectively. In the Republic Plato operates with some sort of equality of status between the two genders, at least in the leaders’ and the soldiers’ classes, whereas in the mythology of the Timaeus women are depicted as reincarnations of men who earlier had lived an unmoral and bad life. According to my interpretation...

  1. Kvinnens overflødighet hos Platon

    Directory of Open Access Journals (Sweden)

    Fredrik Nilsen

    2014-11-01

    Full Text Available The Superfluity of Women in Plato. In her article «Plato’s problematic women» Kristin Sampson argues that Plato has two different views on women in the Republic and the Timaeus respectively. In the Republic Plato operates with some sort of equality of status between the two genders, at least in the leaders’ and the soldiers’ classes, whereas in the mythology of the Timaeus women are depicted as reincarnations of men who earlier had lived an unmoral and bad life. According to my interpretation, these two views must be seen as two aspects of one common Greek thought or, as Vigdis Songe-Møller puts it, one common Greek dream, «the dream of the women’s superfluity». In the Republic Plato tries to rule out differences between genders by making the women as similar to men as possible, while in the Timaeus he describes them as something completely different from the norm, the man, and actually as a punishment to men with bad moral behaviour, something that society ideally should do without.

  2. Fritids- og sportsaktiviteter hos yngre pacemakerpatienter

    DEFF Research Database (Denmark)

    Mickley, H; Petersen, J

    1989-01-01

    : Badminton (3), bicycle-riding (6), firefighting (1), fishing (3), golf (2), gymnastics (3), handball (1), hunting (4), riding (1), running/jogging (4), sailing (5), shooting (2), skiing (3), soccer (5), swimming (1), theatre (1), chorus (1), and tennis (2). No significant changes in the levels of activity...

  3. Problemer med primakin-recidivprofylakse hos malariapatienter

    DEFF Research Database (Denmark)

    Rønn, A M; Bygbjerg, Ib Christian

    1993-01-01

    Standard treatment of P. ovale and P. vivax malaria is 1500 mg of chloroquine base given over three days followed by 15 mg of primaquine base daily for 14 days. At the Department of Infectious Diseases, Rigshospitalet, Copenhagen an increasing number of cases of relative by primaquine-resistant...... malaria have been observed. The side effects of primaquine are mainly gastrointestinal. Primaquine may also cause serious toxic side effects, including methaemoglobin formation and haemolytic anaemia, especially in individuals with erythrocyte glucose-6-phosphate dehydrogenase (G-6-PD) deficiency. We...

  4. Separations- och filtreringsstabilitet hos cementbaserat injekteringsbruk

    OpenAIRE

    Draganovic, Almir

    2007-01-01

    Bleeding of cement based grout Bleeding of cement based grout is a complex problem. How it occurs and which basic mechanism causes and influences bleeding have been questions for discussion. Therefore the aim of the thesis is to illustrate what really happens with grout during bleeding and which factors influence it. In this way relevant measuring methods can be developed as well as the knowledge regarding how to interpret measuring results to joints in rock. The bleeding tests show that ther...

  5. Sundhedsloven og sundhedsydelser hos udokumenterede migranter

    DEFF Research Database (Denmark)

    Aabenhus, Rune Munck; Hallas, Peter

    2012-01-01

    Health-care workers may experience uncertainty regarding legal matters when attending to medical needs of undocumented migrants. This paper applies a pragmatic focus when addressing the legal aspects involved in providing health-care services to undocumented migrants with examples from the Danish...... Health Act and international conventions. The delivery of medical care to vulnerable groups such as pregnant women and children is described....

  6. Abort hos får

    DEFF Research Database (Denmark)

    Agerholm, Jørgen Steen; Fog-Larsen, Anne Marie; Jensen, Tim K.

    2006-01-01

    Forårsages ofte af mikroorganismer, der naturligt forekommer i dyrenes miljø! For at undgå smitte til andre drægtige får bør aborterede fostre og efterbyrden straks fjernes fra folden og moderfåret isoleres....

  7. Identitetskonstruktion hos unge poly-linguale sprogere

    DEFF Research Database (Denmark)

    Stæhr, Andreas

    2010-01-01

    I denne artikel belyser jeg, hvordan henholdsvis fler- og mindretals unge konstruerer, tilskriver og forhandler identiteter i interaktionen med hinanden. Karakteristisk, for de unge jeg fokuserer på, er, at de i deres identitetsarbejde ikke kun positionerer sig i lokalt i forhold til hinanden, me...

  8. Odontogent myksom i maksillen hos et barn

    DEFF Research Database (Denmark)

    Danielsson, Lina Isabella; Jakobsen, John; Thygesen, Torben H;

    2014-01-01

    exclusively in the maxilla. Orbital involvement is very rare, and to our knowledge reconstruction with a Medpore sheet has not previously been reported. At post-operative follow-up normal eye function and an excellent cosmetic result was observed. OM should be considered in a midfacial mass....

  9. Naturligt forekommende oseltamivirresistens hos influenza A

    DEFF Research Database (Denmark)

    Madsen, Laura; Nielsen, Alex; Lundgren, Jens

    2010-01-01

    During the last two influenza seasons, one of the predominant influenza A types (H1N1) has developed complete resistance to oseltamivir, the primary treatment option. The virus does, however, remain sensitive to zanamavir and amantadine. There is no unequivocal explanation for this slide in the...... development of resistance. The best prevention strategy remains vaccination of the general population to avoid immunity. Future antiviral treatment calls for knowledge about resistance to existing types of influenza and the availability of all three types of antiviral medication....

  10. Obstetriske komplikationer hos kvinder med endometriose

    DEFF Research Database (Denmark)

    Berlac, Janne Foss; Hartwell, Dorthe; Langhoff-Roos, Jens; Lidegaard, Ojvind

    2014-01-01

    Approximately 5-10% of the women in the reproductive age are afflicted with endometriosis and many become pregnant after fertility treatment. Women with endometriosis seem to have an increased risk of placental complications, bleeding in pregnancy and during labour as well as possible increased...... risk of pre-eclampsia, preterm birth and low birthweight. Large epidemiological studies are needed to clarify the magnitude of these risks in order to define the appropriate level of proactive management of pregnant women with endometriosis....

  11. Durability of shrink joints; Bestaendighet hos krympskarvar

    Energy Technology Data Exchange (ETDEWEB)

    Forsaeus Nilsson, Stefan; Saellberg, Sven-Erik

    2007-07-01

    About one third of all joint failures are caused by shrink seals losing adhesion, according to statistics from the Swedish District Heating Association. The present project was initiated upon request from the Authorisation Board of the Swedish District Heating Association in order to investigate the potential to enhance the quality of shrink joints. The purpose has been to provide a screening of the key properties of the joint systems currently available on the market. The aim has been to facilitate the choice of right materials and constructions to achieve the best functionality and cost effectiveness. The project has comprised a compilation of the views from industry representatives from manufacturers of shrink and sealing materials, pipe producers, joint contractors and district heating companies, and an experimental study where a number of joints were evaluated with respect to tightness and strength. The following joint systems took part in the investigation: Logstor SX; Canusa SuperCase; Raychem RayJoint; Powerpipe DTK with external seal Nitto NeoCover 1150 in one end and Raychem TPSM in the other; Logstor B2S med external seal Canusa KLD in one end and Raychem TPSM in the other. The joints were installed on pipes of diameters 160 mm and 450 mm. The installation was done under cold and dirty conditions, to simulate a field like worst-case scenario. After the installation, the joints were tested with respect to tightness. Peel strength and shear strength were evaluated before and after thermal ageing in +50 deg C for 70 days. Mechanical tests and ageing followed standardised procedure in EN 12068. A study of the shrink force relaxation in crosslinked and non-crosslinked polyethylene shrink sleeves was undertaken, by shrinking them onto aluminium cylinders and storing them in room temperature for about 2000 hours. The results show that it is clearly possible to install excellent shrink joints also under difficult conditions. In addition, thermal ageing does not automatically lead to any dramatic changes in material properties. Of the tested variants, all but one was completely tight and the mechanical strength levels were in line with what the manufacturers state in their data sheets for most of the joints. The measured shrink forces show that relaxation is not a big problem. The material in the joint sleeve will continue to strive towards it non-expanded state of equilibrium, and for the non-crosslinked samples, this actually resulted in an increase in shrink force over time. Since the materials and constructions do work, one may indirectly conclude that the problems are mainly caused by the installation, which, in turn, is likely to a large extent a consequence of difficult working conditions and demanding installation procedures. According to experience, the sealing materials are decisive for the ease of installation. From the fitter's point of view, the sealing material should be soft (more forgiving) and fibre reinforced (easier to handle) and it should come in wide strips (easier to apply). When it comes to sleeves, the shrinking work is faster with crosslinked material (PEX). An important observation is also that sleeves with built-in sealant and/or adhesive are harder to keep clean at the work site. Hence, the most important thing is that the installation is done in a proper manner and that appropriate conditions for the fitter to achieve this is provided at the work site. It is hard to single out the best or the worst joint system, but some recommendations may be given: Remember to depressurise the joint during shrinking to avoid unnecessary pressure loads on the seal. Use a sleeve of crosslinked polyethylene if a fast installation is important. If non-crosslinked sleeves are used, choose a double expanded variant. Use a sealing material with easy handling and forgiving characteristics, e.g., the type used for Nitto NeoCover or Raychem TPSM. If extra strength is needed, use a stronger sealant, such as, e.g., a mastic/hotmelt mix such as that used in Canusa KLD. Please note, though, that high strength does not automatically imply good tightness

  12. Erhvervsbetinget eksem hos fynske gartnere og gartnerimedhjaelpere

    DEFF Research Database (Denmark)

    Paulsen, E; Søgaard, J; Andersen, Klaus Ejner

    1998-01-01

    The aims of the study were to assess the prevalence of and association between occupational dermatitis and possible risk factors in gardeners and greenhouse workers living on Funen, describe the distribution of different types of eczema and detect the allergens most commonly involved. A cross...... gardener in females were significantly associated with an increased prevalence of occupational eczema, whereas sex, age and personal atopy seemed to be of less importance. Udgivelsesdato: 1998-Nov-23...

  13. Naturligt forekommende oseltamivirresistens hos influenza A

    DEFF Research Database (Denmark)

    Madsen, Laura; Nielsen, Alex; Lundgren, Jens

    2010-01-01

    During the last two influenza seasons, one of the predominant influenza A types (H1N1) has developed complete resistance to oseltamivir, the primary treatment option. The virus does, however, remain sensitive to zanamavir and amantadine. There is no unequivocal explanation for this slide in the...

  14. Propofolinfusionssyndromet hos børn

    DEFF Research Database (Denmark)

    Hansen, Tom G

    2005-01-01

    metabolism, resulting in an imbalance between energy demand and utilisation and thus compromising cardiac and peripheral muscle cell function. Propofol should be used with caution for sedation in critically ill children, as well as for long-term anaesthesia in otherwise healthy children, and doses exceeding...

  15. En google-lik inredning hos Proakatemia

    OpenAIRE

    Hobin, Emilia

    2011-01-01

    Arbetets mål är att planera en fungerande och tilltalande inredning för de gemensamma utrymmena vid Proakatemia. Proakatemia är en enhet för företagande vid yrkeshögskolan Tampereen Ammattikorkeakoulu i Tammerfors, som utbildar studerande inom företagande genom praktiska studier. Syftet med inredningsplaneringen är att skapa en lämplig arbetsmiljö i lokalen för studerandena. I inredningsplaneringen koncentrerar jag mig på de gemensamma utrymmena. Uppdragsgivaren Proakatemia vill att inred...

  16. PTSD hos ældre efterladte

    DEFF Research Database (Denmark)

    O'Connor, Maja

    2009-01-01

    Intro: Tab af ægtefælle i alderdommen kan være en traumatisk begivenhed med reaktioner og symptomer på linje med dem, man nogle gange ser efter overfald, ulykker og naturkatastrofer. Det slår en ny undersøgelse fast. Udgivelsesdato: Maj 2009......Intro: Tab af ægtefælle i alderdommen kan være en traumatisk begivenhed med reaktioner og symptomer på linje med dem, man nogle gange ser efter overfald, ulykker og naturkatastrofer. Det slår en ny undersøgelse fast. Udgivelsesdato: Maj 2009...

  17. Hepatitis B hos børn

    DEFF Research Database (Denmark)

    Christensen, Vibeke Brix; Nordly, Sannie Brit; Kjær, Mette;

    2014-01-01

    Chronic hepatitis B (HBV) infection is seen in 400 million persons worldwide. HBV is transmitted vertically or horizontally by infected blood and body fluids. An effective vaccine exists. Most children develop a chronic HBV infection if infected early in life. They are often in an immune-tolerant......Chronic hepatitis B (HBV) infection is seen in 400 million persons worldwide. HBV is transmitted vertically or horizontally by infected blood and body fluids. An effective vaccine exists. Most children develop a chronic HBV infection if infected early in life. They are often in an immune...

  18. Hepatitis C hos børn

    DEFF Research Database (Denmark)

    Christensen, Vibeke Brix; Nordly, Sannie Brit; Fischler, Bjørn;

    2014-01-01

    Chronic hepatitis C (HCV) infection has a prevalence of 2-3% worldwide. The vertical transmission rate is approximately 5%. There is no evidence to recommend abstinence from breastfeeding or elective C-section to prevent transmission. In children, the natural history of HCV infection is typically...

  19. Spiritualitet som coping hos tibetanske torturoverlevere

    DEFF Research Database (Denmark)

    Elsass, Peter; Carlsson, Jessica; Husum, Kristian

    2010-01-01

    INTRODUCTION: There is solid documentation for the positive relationship between spirituality and health, but few examples of how this link may be used in projects of rehabilitation after war, civil conflicts and natural disasters. One such example is the Danida funded Tibetan Torture Program in...

  20. Botulisme hos spaedbørn

    DEFF Research Database (Denmark)

    Hoffmann, Thomas; Mølbak, Kåre; Paerregaard, Anders

    2010-01-01

    Infant botulism is a rare disease that affects infants below the age of 12 months following absorption of neurotoxins produced by ingested Clostridium botulinum spores. The clinical manifestations are caused by symmetrical cranial nerve palsies followed by descending, symmetric flaccid paralysis of...... voluntary muscles. Presenting symptoms include constipation, lethargy, mydriasis and ptosis. The diagnosis is made on the basis of clinical examination and confirmed by isolating the toxin in serum or stools. Treatment consists of supportive intensive care and treatment with antitoxins....

  1. Type 2-diabetes hos etniske minoriteter

    DEFF Research Database (Denmark)

    Zander, Mette; Hansen, Caroline Raun; Koefoed, Birgitte Gade; Perrild, Hans

    2012-01-01

    In general, type 2 diabetes is more common among immigrants than among the inhabitants with a Western background. The higher prevalence among ethnic minorities is probably due to a complex correlation between genetic factors, diet, exercise, linguistic and cultural obstacles, low birthweight and...... high catch up weight as well as socio-economic factors. Ethnic minorities are heterogeneous, and individual initiatives within the different groups are needed. The evidence regarding the effect of initiatives targeted at ethnic minorities in Denmark is sparse. In future, clinically controlled studies...

  2. Konstruktionsforberedelse hos Kværner

    DEFF Research Database (Denmark)

    Mortensen, Niels Henrik; Radmer, Jim

    1997-01-01

    Konstruktionsforberedelse kan parallelt til produktionsforberedelse opfattes som opbygning af beredskab og "iscenesættelse" før det egentlige konstruktionsarbejde gennemføres. Der eksisterer allerede i praksis mange måder til opnåelse af større konstruktionsforberedelsesgrad. Toyota anvender for...

  3. Astma hos børn

    DEFF Research Database (Denmark)

    Bønnelykke, Klaus; Pedersen, Søren; Rubak, Sune Leisgaard Mørck;

    2013-01-01

    These clinical guidelines were developed by the Danish Pediatric Asthma Center in collaboration with the Danish Paediatric Society. Key messages in the guidelines are: 1) Inhaled steroids are the most effective preventive medication and are first choice in children with persistent symptoms. 2......) There is rarely indication for more than low to moderate doses of inhaled steroids as preventive medication. 3) There is insufficient evidence for preventive medication in pre-school children with intermittent asthma; a trial of leukotriene-receptor-antagonists or inhaled steroids could be done....

  4. Type 2-diabetes hos etniske minoriteter

    DEFF Research Database (Denmark)

    Zander, Mette; Hansen, Caroline Raun; Koefoed, Birgitte Gade;

    2012-01-01

    In general, type 2 diabetes is more common among immigrants than among the inhabitants with a Western background. The higher prevalence among ethnic minorities is probably due to a complex correlation between genetic factors, diet, exercise, linguistic and cultural obstacles, low birthweight and...

  5. Traumatiske reaksjoner hos tolker i offentlig sektor

    Directory of Open Access Journals (Sweden)

    Daniela Feistritzer

    2015-01-01

    Full Text Available This article aims to see how traumatic reactions may influence public service interpreters in their interpreting performance. It looks at relevant research results and refers to reflective reports and written examinations about secondary traumatic stress and other psychological reactions written by interpreters that attended a one-semester study programme in public service interpreting at Telemark University College in 2004. The article is divided into three parts starting with a definition of the key concept used to describe traumatic reactions that may arise when meeting traumatised people. Thereafter it briefly presents neurophysiologic research results that show a relation between emotional reactions and the interpreting process. Part two describes the content of the above mentioned one semester programme in interpreting that included the topic of interpreting in emotional challenging situations and part three connects the students’ reflections to the key concepts around traumatic reactions and analyses how this topic may be integrated in interpreting studies.

  6. Autoinflammatoriske knoglesygdomme hos børn

    DEFF Research Database (Denmark)

    Bech, Agnes Ziobrowska; Herlin, Troels

    2014-01-01

    Chronic non-bacterial osteomyelitis (CNO) is an autoinflammatory disease with unpredictable, painful courses of osteolytic lesions in the bones. CNO is frequently associated with psoriasis and inflammatory bowel disease. In cases with multifocal lesions the term chronic recurrent multifocal osteo...... osteomyelitis (CRMO) is preferably used. SAPHO (synovitis, acne, pustulosis palmoplantaris, hyperostosis and osteitis) syndrome is regarded as CRMO in adults. New knowledge of the hereditary forms like Majeed syndrome, deficiency of IL-1-receptor antagonist and cherubism is described....

  7. Lungeinfektioner er hyppige hos ældre

    DEFF Research Database (Denmark)

    Laut, Kamilla Grønborg; Benfield, Thomas

    2013-01-01

    population in Denmark and elsewhere is growing and by 2015 it is estimated to have increased by 15%. The aetiology and empirical antimicrobial therapy is not affected by age per se, but aetiology is influenced by co-morbidity, particularly chronic lung disease. Prophylactic measures include immunization......, smoking cessation, mobilization and oral hygiene....

  8. Funktion af neoblaere hos kvinder efter cystektomi

    DEFF Research Database (Denmark)

    Bigum, Lene Hyldgaard; Jensen, Jørgen Bjerggaard; Jensen, Klaus Møller-Ernst;

    2008-01-01

    INTRODUCTION: Since 1999, Rigshospitalet (RH) and Aarhus University Hospital, Skejby (SKS) have been offering women an orthotopic neobladder following cystectomy. The aim of the present study was to describe the function of the neobladders in women by examining continence and voiding function...

  9. FibroScan i evalueringen av sykdomsprogresjon hos pasienter med primær biliær cirrhose. : Sammenlikning med ikke-invasive biokjemiske markører og symptomscore.

    OpenAIRE

    2009-01-01

    Aim: To examine if patients with Primary Biliary Cirrhosis progress in liver fibrosis despite treatment with ursodeoxycholic acid (UrsoFalk), and to study correlations between liver fibrosis measured by transient elastography (FibroScan) and biochemical markers of fibrosis. Methods: We invited 24 patients with PBC to a study consultation containing blood samples, FibroScan examination and interview. We also collected information from the patients´ files. Results: We included 16 ...

  10. Evaluation of Retention in Methadone Treatment in Patients Attending Baharan Hospital Clinic in Zahedan City

    Directory of Open Access Journals (Sweden)

    M.D. Mohebi

    2015-04-01

    Full Text Available Introduction & Objectives: Substance abuse and opioid dependency refers to hazardous use of psychoactive substance .Prevention and treatment of opiate dependence has not been success-ful. Most effective drug in agonist treatment of opiates is methadone maintenance therapy (MMT.But the lack of cooperation of addicts in methadone maintenance therapy has always been a big problem to continue. The purpose of this study is to investigate the retention in the MMT. Materials & Methods: This historical cohort study analyzed the medical records of patients of Baharan hospital in Zahedan. All 912 cases of methadone maintenance clinic of Baharan hos-pital in Zahedan 2011-2012 were studied and the data were analyzed using SPSS. Tables and indexes were analyzed by the Chi-square test and survival curves were plotted using Kaplan–Meier method and analyzed by Log-Rank test. Results: This study reviewed records from 912 patients with a mean age of 34.67% and stan-dard deviation of 10.88 and the range of 15-86 years. 735 were male and 177 ware female. 1-moth retention rate was 71%, 3 months was 59%, 6 months was 47%, 1 year was 30% and 2 years was 17%. Kaplan-Meier median survival time of 8 months was estimated by relation-ship. Doses higher than 60 mg/d of methadone was associated with increased survival on MMT. Conclusion: Age increase, increase of employment time, increasing of the duration of drug abuse, increasing the daily dose of methadone, oral substance abuse increased retention rate and heroin abuse and smoking were associated with decrease retention rate of methadone maintenance therapy. So, with an emphasis on each of these factors effective steps can be taken to improve the cooperation of patients in MMT. (Sci J Hamadan Univ Med Sci 2015; 22 (1:30-36

  11. Patient satisfaction

    Directory of Open Access Journals (Sweden)

    Bhanu Prakash

    2010-01-01

    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.

  12. Comparison Thoracic Epidural and Intercostal Block to Improve Ventilation Parameters and Reduce Pain in Patients with Multiple Rib Fractures

    Directory of Open Access Journals (Sweden)

    Raheleh Aligholipour Maleki

    2011-08-01

    Full Text Available Introduction: Chest wall blunt trauma causes multiple rib fractures and will often be associated with significant pain and may compromise ventilator mechanics. Analgesia has great roll in rib fracture therapies, opioid are useful, but when used as sole agent may re-quire such high dose that they produce respiratory depression, especially in el-derly .the best analgesia for a severe chest wall injury is a continuous epidural infusion of local anesthetic. This provides complete analgesia allowing inspiration and coughing without of the risk of respiratory depression. Methods: sixty adult patients who with multiple rib fractures were enrolled in this study. They were divided into Group A or thoracic epidural with bupivacaine 0.125 % +1mg/5ml morphine and group B or inter-costal block with %0.25 bupivacaine. The patients were assessed through ICU and hos-pital stay length, ventilation function tests. Pain score among the patients was meas-ured with verbal rating scale, before and after administration of the analgesia. Results: We found a significant improvement in ventilatory function tests during the 1st, 2nd, and 3rd days after epidural analgesia compared with the intercostal block (P < 0.004. Changes in the visual Analogue Scale were associated with marked improvement re-garding pain at rest and pain caused by coughing and deep breathing in group A com-pared group B... ICU and hospital stay markedly reduced in Group A. Conclusion: tho-racic epidural analgesia is superior to intercostals block regarding pain relief of rib frac-tures. Patients who received epidural analgesia had significantly lower pain scores at all studied times.

  13. Comprehensive characteristics retrospective analysis of homeless schizophrenia patients%某医院住院流浪精神分裂症患者综合特征回顾性分析

    Institute of Scientific and Technical Information of China (English)

    李彦博

    2015-01-01

    Objective To analyze the comprehensive characteristics of homeless patients with schizophrenia in order to take more effective reference for patientˊs rehabilitation and management. Methods 326 homeless schizophrenia inpatients hos-pitalized from March 2013 to March 2014 were enrolled as the study group. 326 non-homeless schizophrenia inpatients hospital-ized at the same period were randomly selected as the control group. The general data, disease diagnosis, accompanying homeop-athy, aggressive behavior and curative effect were statistically analyzed. Results Compared with the control group, the patients in the study group were less educated and many of them were from rural areas, unmarried and unemployed, the difference show-ing statistical significance (P0. 05), but the attack behavior had difference (χ2=8. 406,P0.05),但两组攻击行为方式有差别(χ2=8.406,P<0.05),观察组以对他人体力攻击较多,对照组言语攻击较多。结论流浪精神分裂症患者与非流浪精神分裂症患者具有不同的特征。应对流浪精神分裂症患者制定有针对性的康复措施,并加强护理管理。

  14. OCD og orofaciale dyskinesier forårsaget af sjælden basalganglielidelse

    DEFF Research Database (Denmark)

    Elmgreen, Søren Bruno; Danielsen, Erik Hvid

    2014-01-01

    Bevægeforstyrrelser hos psykiatriske patienter skyldes sædvanligvis ekstrapyramidale bivirkninger til antipsykotisk medicin. Her beskrives en sjælden årsag til orofaciale dyskinesier, tungedystoni og koreiforme bevægelser hos en 31-årig mand i behandling for obsessiv-kompulsiv lidelse (OCD)....

  15. "Om å holde på øyeblikket når minnene er borte...": Kognitiv svekkelse hos kreftoverlevere - En metasyntese over utførte studier 2007-2011

    OpenAIRE

    Steiring, Randi

    2012-01-01

    My aim with this writing is to give a review of what science has done the last five years with the topic of cognitive impairment, both national and international.What do we know, and what do we not know in this area?Many patients who have completed initial cancer treatment with chemotherapy, experience cognitive changes. This mild cognitive impairment evinced in form of short-term memory loss, and attention and concentration problems.Side-effects can be both physical and/or psychological of n...

  16. Patient life

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

    2004-01-01

    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 ...

  17. Discharging patients.

    Science.gov (United States)

    Causey, Amy

    2016-06-22

    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

  18. Patient education.

    Science.gov (United States)

    Lindeman, C A

    1988-01-01

    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

  19. chemotherapy patients

    Directory of Open Access Journals (Sweden)

    Katarzyna Augustyniuk

    2016-02-01

    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.

  20. Knowing Patients

    DEFF Research Database (Denmark)

    Pflueger, Dane

    2016-01-01

    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...

  1. Patient Roadmap

    Science.gov (United States)

    ... 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 ...

  2. Patient Empowerment

    Science.gov (United States)

    ... 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 ...

  3. Refugee patients.

    Science.gov (United States)

    Valeras, Aimee Burke

    2016-06-01

    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

  4. Persisterende pulmonal hypertension hos nyfødte

    DEFF Research Database (Denmark)

    Pedersen, C M; Hansen, T G; Henneberg, S W

    1997-01-01

    On the basis of a review of the literature, a survey is presented concerning persistent pulmonary hypertension of the newborn. In this article the authors focus on the pathophysiology, diagnostic criteria and treatment, including mechanical ventilation, pharmacological vasodilation and...... extracorporal membrane oxygenation. Particular emphasis is placed on the treatment of the condition with inhaled nitric oxide. Nitric oxide is a selective pulmonary vasodilator and able to improve ventilation/ perfusion mismatching in cases where there is an affection of the pulmonary parenchyma. Data from...

  5. Pituitær apopleksi hos en ung kvinde

    DEFF Research Database (Denmark)

    Lewis, Anna; Jarløv, Anne Elisabeth; Holm, Kirsten;

    2014-01-01

    Pituitary apoplexy occurs when a preexisting pituitary adenoma undergoes acute haemorrhage, infarct or both. The patho-genesis is not fully understood but macroadenomas and prolactinomas have been reported as being predisposed to apoplexy. Only a few cases are described in the paediatric population...

  6. Forbedret overlevelse hos børn med neuroblastom

    DEFF Research Database (Denmark)

    Schrøder, Henrik; Wacher, Jeanette; Larsson, Heidi Jeanet;

    2010-01-01

    The aims of the present study were to analyze whether changes in incidence and mortality rates have taken place in Denmark during the period 1981-2005, and whether the distribution of known prognostic factors has changed during this period....

  7. Forbedret overlevelse hos børn med neuroblastom

    DEFF Research Database (Denmark)

    Schrøder, Henrik; Wacher, Jeanette; Larsson, Heidi;

    2010-01-01

    INTRODUCTION: The aims of the present study were to analyze whether changes in incidence and mortality rates have taken place in Denmark during the period 1981-2005, and whether the distribution of known prognostic factors has changed during this period. MATERIAL AND METHODS: A total of 206 child...

  8. Progredierende muskelsvind hos en tiårig pige

    DEFF Research Database (Denmark)

    Flugt, Anette; Balslev, Thomas; Christensen, Mogens Fjord

    2008-01-01

    Chronic inflammatory demyelinating polyneuropathy, CIDP, is a rare differential diagnosis to the hereditary myopathies but because it can be treated effectively it is important to consider. A ten-year-old girl's proximal muscle groups debilitated progressively, and in four months she lost the...... ability to walk. Stretch reflexes were absent, creatine kinase low and spinal protein elevated. Muscle biopsy showed demyelinating atrophy. CIDP was diagnosed and she was successfully treated with immunoglobulin. Udgivelsesdato: 2008-Feb-25...

  9. Risikofaktorer for depresjon hos kvinner i postpartum-perioden

    OpenAIRE

    2008-01-01

    1.0 Abstract Objective: The aim of this review was to identify the most important risk factors for postpartum depression. Background: As a visiting student for three weeks in a Norwegian psychiatric hospital I met a deeply depressed mother who had given birth to twins a couple of months earlier. I instantly got inspired to learn more about postpartum depression and especially risk factors for this condition. Method: Using the search terms “postpartum depression”, “risk factors”, “et...

  10. Tilltron till den nya ATK-tekniken hos dagens poliser

    OpenAIRE

    Baltzer, Oskar; Hägglund, Per

    2005-01-01

    Dagens automatiska trafikkontroll (ATK) med kamera har medfört hastigheten på våra vägar har sänkts och många liv har räddats. Med anledning av det lyckade resultatet har regeringen beslutat att utveckla den befintliga ATK tekniken för att öka säkerheten och sänka medelhastigheten ytterligare. Detta tycker man är helt avgörande för att nå etappmålet för år 2007; Högst 270 döda i trafiken. De stora förändringarna som denna nya generationens ATK innebär, är att varje skåp kommer innehålla en ka...

  11. 1 Stress hos tamrein 2 Arbeidsgruppe om forskning

    Directory of Open Access Journals (Sweden)

    Sven Skjenneberg (ed.

    1985-05-01

    Full Text Available 1 NOR har adoptert et opprinnelig svensk prosjekt for å klarlegge i hvilken grad moderne reindriftsteknologi kan tenkes å påvirke reinen slik at det utvikles symptomer på stress. Det er særlig to forhold som har gjort NOR interessert i et slikt prosjekt, nemlig stressforandringers innvirkning på kjøttkvalitet samt i hvilken grad stresspåvirkninger kan medføre langtidseffekter som har innvirkning på dyrenes overlevelsesevne under vanskelige vinterforhold, altså på reintapenes størrelse. Begge disse to momenter har direkte innvirkning på reinnæringens økonomi.2 Forskning, veiledning og utdanning i reindriften i Norge.Den arbeidsgruppe som det norske Landbruksdepartementet den 30. august 1983 oppnevnte for å utrede ovennevnte tema, avga 14. mai 1985 sin betenkning. Denne skisserer gruppens forslag til langtidsplan.

  12. Nydiagnosticeret kongenit transposition hos en 76-årig kvinde

    DEFF Research Database (Denmark)

    Sloth, Astrid Drivsholm; Jensen, Jesper Khedri; Steffensen, Flemming Hald; Nørgaard, Bjarne Linde

    2009-01-01

    A case of congenitally corrected transposition presenting for the first time with second-degree AV block in a 76-year-old woman is presented. This case demonstrates that congenitally corrected transposition can remain asymptomatic and undiagnosed, especially when no other cardiac defects are pres...

  13. ACL-rupturer hos fotbollstjejer – riskfaktorer och prevention

    OpenAIRE

    Ågren, Andreas

    2013-01-01

    Non-contact anterior cruciate ligament (ACL) injuries is a serius and traumatic injury to the knee that is common in female soccer players and often force the player to quit or lower the level of activity because of lost stability in the knee or from fear to suffer  a new injury. Female soccerplayers have a higher risk than their male counterparts to get an ACL rupture and especially adolescent females have a high risk. The most common causes to a non-contact ACL rupture is side-cutting manuv...

  14. Persisterende pulmonal hypertension hos nyfødte

    DEFF Research Database (Denmark)

    Pedersen, C M; Hansen, T G; Henneberg, Steen Winther;

    1997-01-01

    On the basis of a review of the literature, a survey is presented concerning persistent pulmonary hypertension of the newborn. In this article the authors focus on the pathophysiology, diagnostic criteria and treatment, including mechanical ventilation, pharmacological vasodilation and extracorpo......On the basis of a review of the literature, a survey is presented concerning persistent pulmonary hypertension of the newborn. In this article the authors focus on the pathophysiology, diagnostic criteria and treatment, including mechanical ventilation, pharmacological vasodilation and...

  15. Laktat i navlearterie- og navleveneblod hos nyfødte

    DEFF Research Database (Denmark)

    Rubak, Sune Leisgaard Mørck; Henriksen, Tine Brink

    2010-01-01

    INTRODUCTION: In theory, lactate may be used as a more precise measure of the degree of metabolic acidosis than other previous methods, thereby enabling differentiation between acute and chronic foetal hypoxia. The aim of the study was to describe lactate in arterial and venous cord blood in an...

  16. Kognitive og emotionelle forandringer hos klienter i metadonvedligeholdelsesbehandling

    DEFF Research Database (Denmark)

    Aagesen, Niels Skovby

    2004-01-01

    functions: 1) Concerning cognitive functions, the apparent negative effect of methadone is restricted to short time memory, and 2) apparently methadone have negative effects on emotional functioning in the areas of empathy and attachment, and a positive effect in the areas of depression and anxiety. At last......  There has for some time been diverse opinions concerning the effect of methadone on the cognitive and emotional functions in man. The present work attempts a critical overview of the existing research in this area, drawing some conclusions regarding the effect of methadone on the affected...

  17. Field cancerization i ansigtet hos en ung kvindelig svejser

    DEFF Research Database (Denmark)

    Kristensen, Rasmus Nygård; Sørensen, Jens Ahm

    2015-01-01

    developed multiple squamous cell carcinomas located exclusively on the right side of her face. During welding she had experienced numerous facial burns limited to the right side. This marked anatomical relationship between exposure and illness supports a causal association between welding and skin cancer....

  18. Alvorlige bivirkninger ved p-pillebrug hos teenagere

    DEFF Research Database (Denmark)

    Nylander, Malin Chatarina; Clausen, Helle V

    2014-01-01

    PubMed-search found studies investigating adverse effects of combined oral contraceptive pills (COC) among teenagers. Four studies found a small negative impact of COC on acquisition of bone mineral density. COC is associated with elevated risk of venous thrombotic events (VTE), especially during...... the first year of usage. VTE risk increases with EE dose and progestin of 3rd and 4th generation. There are several difficulties in studying COC use in teenagers: high dropout rates, ethical considerations and many different COC formulas....

  19. Tyndtarmstransplantation som behandling af tarmsvigt hos børn

    DEFF Research Database (Denmark)

    Thøstesen, Lisbeth Marianne; Qvist, Niels; Rasmussen, Allan;

    2010-01-01

    Parenteral nutrition is the main treatment of intestinal failure. In cases with irreversible intestinal failure and life-threatening complications to parenteral nutritional treatment, transplantation of the intestine may be considered. Post-transplantation survival has increased markedly during t...... latest years and is now > 80% after one year and > 50% after five years. Recipients of an isolated intestinal transplantation have a better survival rate than recipients of a combined liver-intestinal-transplantation....

  20. Moralfilosofi Hos Jürgen Habermas og John Rawls

    OpenAIRE

    Belmark, Lee Alexander; Jensen, Mai Lønbro; Jensen, Birgitte Skov; Knudsen, Rasmus; Nielsen, Jesper; Sønderskov, Line Maria; Sørensen, Louis Valente

    2004-01-01

    #Projektet tager udgangspunkt i værkerne A Theory of Justice af John Rawls og Diskursetik – en notits til et begrundelsesprogram af Jürgen Habermas, og forsøger at belyse teoriernes moralfilosofiske indhold. Habermas mener, at moralsk rigtighed findes i konsensus opnået gennem diskurs. Filosoffens rolle er at bidrage med terapeutisk hjælp, så den ideelle diskurs, som Habermas mener at rekonstruere, kan gennemføres. Rawls søger at finde moralsk retfærdighed i sin teori ”jus...

  1. Ervervet spondylolyse hos unge idrettsutøvere : En litteraturstudie

    OpenAIRE

    2011-01-01

    Abstract One of the most common conditions of low back pain in school- age athletes is spondylolysis. Spondylolysis is a stress fracture of one or both pars interarticularis and most commonly occurs in the lower lumbar spine. Sports such as gymnastic, figure skating, football, throwing sports, volleyball, handball, dancing, diving, butterfly swimming, pole vault and weightlifting etc. place children and adolescents at a higher risk for developing these overuse injuries. (10, 11, 14, 21...

  2. Monteggiafrakturer hos børn kan overses

    DEFF Research Database (Denmark)

    Abood, Ahmed Abdul-Hussein; Møller-Madsen, Bjarne; Rahbek, Ole

    Monteggia fractures in children are rare fractures presenting with anterior radial head dislocation and ulnar bowing in typical cases. In adulthood, pain, instability, deformity, loss of power and range of motion in the elbow joint are experienced. Early treatment is crucial, since the prognosis is...

  3. Trombotisk trombocytopenisk purpura hos barn med lavt ADAMTS13 enzymniveau

    DEFF Research Database (Denmark)

    Spangenberg, Katrine Bredsdorff; Clasen-Linde, Erik; Poulsen, Anja

    2014-01-01

    Thrombotic thrombocytopenic purpura (TTP) is a rare condition, but important to consider in case of thrombocytopenia and haemolysis. It is imperative to proceed with the correct treatment, in order to ensure a satisfactory outcome. TTP is either acquired or idiopathic. This case report shows that a...... 14-year-old boy has acquired TTP due to an infection with Campylobacter jejuni and Samonella szentes. Plasma exchange plays an essential role in the treatment of TTP....

  4. Strålefare hos tannlegen, frem til idag

    OpenAIRE

    Aaen, Eirik Mørch; Storesund, Jonar

    2010-01-01

    Based on the literature we have surveyed, and correspondence with key individuals in the scientific community, it is possible to draw some conclusions. Use of dental X-rays have minimal harmful effect when the current guidelines and recommendations are followed. One should, however take the necessary precautions when utilizing this kind of equipment, and one should be aware that the device has potentially harmful effects. Different sources use different figures on how harmful d...

  5. Selvrapportert alkoholbruk hos innsatte i tre norske fengsel

    OpenAIRE

    Grenersen, Marte Petrikke

    2009-01-01

    Self-reported alcohol consumtion among prisoners in three Norwegian prisons Background: Male prisoners in the three Norwegian prison received in 2006, 2007 and 2008 written request to participate in the study and complete the Alcohol Use Disorders Identification Test (AUDIT) and Drug Use Disorders Identification Test (DUDIT) to expose their self-reported alcohol and substance abuse problems. AUDIT was used in its entirety and DUDIT was partially used. AUDIT ≥ 8 indicates hazardous alc...

  6. Egenvård hos personer med typ 2 diabetes

    OpenAIRE

    Holmberg, Carina

    2012-01-01

    Bakgrund: Våra levnadsvanor har en central roll vid uppkomsten och utvecklandet av diabetes. Det primära vid vård av personer med typ 2 diabetes är att stödja egenvården. Målet med behandling av diabetes är att behålla en god livskvalitet samt förhindra komplikationer orsakade av sjukdomen. Syfte: Syftet var att undersöka den egenvård som personer med typ 2 diabetes utför. Metod: En kvalitativ intervjustudie med semistrukturerade frågor användes. Tio personer med typ 2 diabetes intervjuades....

  7. ADHD hos børn og voksne

    DEFF Research Database (Denmark)

    Thomsen, Per Hove; Plessen, Kerstin J; Houmann, Tine

    2014-01-01

    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....

  8. H1N1 Influenza A hos mennesker og svin

    DEFF Research Database (Denmark)

    Larsen, Lars Erik

    2009-01-01

    Den nye pandemiske influenza A stamme H1N1 er hovedsagelig et nyt virus, som spredes mellem mennesker, men virusset er formodentlig opstået ved blanding af to svineinfluenza-virus og har derfor bibeholdt evnen til at kunne smitte fra mennesker til svin og fra svin til svin. Det er derfor vigtigt at...

  9. Spikmattans effekter hos en person med smärtproblematik

    OpenAIRE

    Pousette, Niclas; Möllberg, Annelie

    2010-01-01

    Background: Pain may involve physical, emotional and psychological reactions. Chronic pain can lead to restrictions and problems in everyday life. One of the most common pain states is low back pain. A form of treatment that has been marketed as a charitable and pain reliefing alternative is the Shakti mat. Currently there are no studies on its effects published. Purpose: To see whether treatment with Shakti mat in a person with low back pain has an effect on the experience of the ability in ...

  10. TV-mediet lever - også hos de unge

    DEFF Research Database (Denmark)

    Bjørner, Thomas

    2009-01-01

    TV-mediet er ikke under afvikling, men snarere under udvikling med digtitalt tv og nye medieplatforme som mobiltelefonen og nettet. TV og opfattelsen heraf er dog ikke bundet til en bestemt skærm, en medieforbrugeren udvælger medieplatformen efter en bestemt kommunikationssituation, hvor forskell...

  11. Behandling af håndledsbrud hos ældre

    DEFF Research Database (Denmark)

    Christensen, Mikkel; Troelsen, Anders; Kold, Søren; Brix, Michael; Ban, Ilija

    2015-01-01

    Evidence on the treatment of distal radius fractures (DRF) in the elderly is lacking. Over the last decade new volar locking plates have increased in popularity as other means of treating DRF are pushed aside. No definitive evidence exists to support the use of volar locking plates especially among...... the elderly. There is some evidence that Disabilities of the Arm, Shoulder and Hand-scores improve the first 3-6 months after treatment with volar locking plates only to become insignificant after 12 months. This article examines the evidence of the different modes of treatment....

  12. Water retention properties of ashes; Vattenretentionsegenskaper hos aska

    Energy Technology Data Exchange (ETDEWEB)

    Hemstroem, Kristian; Ezziyani, Samir; Bendz, David

    2009-05-15

    The water holding properties of a material can be described with a water retention curve (also called pF curve or characteristic curve). The importance of this material property has until now been neglected in waste and rest products contexts. There is an eminent need for knowledge of the water holding properties of ash and rest products in order to improve the possibility to perform i) assessment of leaching from rest product used in constructions, ii) dimensioning of covers built with rest products and iii) assessment of long term properties of land fill waste concerning leaching, especially for stabilized ash with a monolithic characteristics. The aim of this project was to increase the knowledge of the water holding properties of ashes by determining water retention curves with laboratory methods on four ash materials with the potential to be used in constructions. In the project, four ashes has been studied; one MSWI bottom ash from SYSAV, one aged MSWI bottom ash from Gaerstadverket and two fly ashes from incineration of biofuels; one from SCA Ortviken and one from Jaemtkraft AB. For comparison, data from a silt soil studied in another SGI project is presented. When determining a water retention curve for a specific material water from the examined, beforehand water saturated, sample is eliminated under controlled circumstances in a pressure plate extractor. The sample is exposed to a pressure, with increasing degree, squeezing excess water out of the material. The excess water is measured for each increased pressure step and the remaining volumetric water content in the material can be calculated. The results from such measurements are presented in water retention curves, in which the volumetric water content is plotted as a function of the capillary pressure. The water retention curves shows how various materials differ in water content at the same pressure. The results from the study showed that ashes have great water holding capacity. The study also showed that particle size distribution is an inadequate indicator of what water holding properties that can be expected from bottom ashes; the studied MSWI bottom ashes' water holding properties were much greater than natural materials with comparable particle size distribution. This is probably due to the fact that the ash particles have a porous structure, and a special composition, which is of great importance for the water holding properties. The water retention properties of ashes could be determined with a pressure plate extractor in a satisfactory way. In order to improve the determination of the water holding properties of bottom ashes it would be of importance to develop the test procedure further in order to make it possible to test particle fractions larger than 2 mm, which was the upper limit in the test procedure used in this study

  13. Stresshyperglykaemi hos et barn med svaer akut gastroenteritis

    DEFF Research Database (Denmark)

    Bjerre, Jesper V.

    2002-01-01

    A case of a two years and ten months old girl with severe acute gastroenteritis, dehydration, and hyperglycaemia is described. Transient hyperglycaemia is a common clinical finding in children under stress. We discuss the distinction between hyperglycaemia as a prediabetic state and that as a...

  14. Traethedsbrud af collum femoris hos rask maratonløber

    DEFF Research Database (Denmark)

    Nielsen, Klaus; Christensen, Ole; Lukina, Guy Feruzi; Moghaddam, Asghar Zolfaghari

    2009-01-01

    Fatigue fractures of the hip are rare causes of hip pain. Delayed diagnostics of this type of fracture can cause serious complications. We describe a case concerning a 32-year-old male amateur runner who experienced hip pain with rapid onset during his first marathon. After eight days his general...

  15. Clearcellekarcinom i livmoderhalsen hos en 17-årig pige

    DEFF Research Database (Denmark)

    Rønneberg, Elisabeth Thal; Lidang, Marianne; Palle, Connie

    2014-01-01

    Clear cell adenocarcinoma of the uterine cervix (CCEA) is a rare disease, accounting for only 1% of all cervical cancers. The disease in young women is linked to diethylstilbestrol (DES) exposure in utero. Following the ban of DES in 1979, CCEA rarely occurs in young women, but still remains a...

  16. Nyre- og urinvejsabnormiteter hos småbørn

    DEFF Research Database (Denmark)

    Cortes, Dina; Lee, Kirsten; Thorup, J M

    1999-01-01

    abnormalities after presentry with their first urinary tract infection. The obstructive urological diagnoses: congenital hydronephrosis, congenital megaureter and posterior urethral valves made up to 57% (20/35) of the abnormalities. Nine boys were operated upon; three for unilateral hydronephrosis, two for...... were diagnosed in 11 children; 55% (6/11) ultrasonographically and 45% (5/11) by examination of the external genitalia of children younger than two years of age at the time of the first diagnosed urinary tract infection....

  17. Alkoholdebutalderen hos 7-18-årige unge

    DEFF Research Database (Denmark)

    Wium-Andersen, Marie Kim; Wium-Andersen, Ida Kim; Becker, Ulrik;

    2009-01-01

    INTRODUCTION: Early onset of alcohol consumption contributes to increased risk of subsequent heavy alcohol use, alcohol dependence and alcohol-related problems. The objective of this study was to examine the onset of alcohol consumption in a group of Danish children. METHODS: The study was part of...

  18. Albertine og fortelleren. Om det etiske hos Proust

    OpenAIRE

    Ytre Arne, Synne

    2013-01-01

    Denne oppgaven dreier seg om Albertine, en av de kvinnelige protagonistene i Marcel Prousts (1871- 1922) À la recherche du temps perdu (På sporet av den tapte tid) (1913-1927). Albertine-figuren har generelt vært gjenstand for lite oppmerksomhet i litteraturen skrevet om Prousts roman. En nærlesning av La Recherche viser imidlertid at hun spiller en sentral rolle for forståelsen av dette verket, og da særlig med hensyn til dets etiske dimensjon. Jeg har latt meg ins...

  19. Kognitiv udvikling hos børn med cerebral parese

    OpenAIRE

    Bøttcher, Louise

    2012-01-01

    The aim is to present a theoretical framework that related the cognitive development of children with spastic cerebral palsy (CP) to the children’s learning and participation over time. The dominant approach to the cognitive development of children with spastic CP is grounded in the bio-medical understanding that assumes a direct relationship between the brain lesion and the disability such as cognitive dysfunctions and learning impairments. This approach has been highly productive in regard ...

  20. Miltabsces hos en 28-årig, tidligere rask mand

    DEFF Research Database (Denmark)

    Eriksen, Nina Marie Birk; Lynggard, Charlotte Duch; Kronborg, Gitte

    2011-01-01

    signs of infection and a computer tomography of the abdomen revealed an 11 cm abscess in the spleen. Non-haemolytic streptococci were found after aspiration. Initially the abscess was treated with antibiotics and ultrasound-guided drainage. Due to lack of curative effect of drainage splenectomy was...

  1. Omdannelse af sukker og andre kulhydrater til fedt hos mennesker

    DEFF Research Database (Denmark)

    Quistorff, Bjørn; Grunnet, Niels

    2003-01-01

    The basic biochemistry of de novo lipogenesis and the current understanding of fat formation from carbohydrates in humans are reviewed. The suggestion is made that ingestion of carbohydrates in excess of the caloric needs necessarily results in de novo lipogenesis since the glycogen stores are...

  2. Hvordan diagnosticerer man astma hos børn?

    DEFF Research Database (Denmark)

    Hermann, Christian

    1997-01-01

    Astma og astmatisk bronkit har ens symptomatologi og behandling og kan med vore dages effektive og bivirkningssvage medicin selv i de lettere grader behandles. Symptomerne kender vi i praksis fra op mod 1/3 af småbørnene, kunsten består i at stille behandlingsindikationen. Der opridses overvejend...... nødvendig rutine og erfaring heri kun kan opnås ved i dagligdagen at turde tage ansvaret for at stille diagnosen og behandle. Udgivelsesdato: 1997...

  3. Lönsamhet med CSR hosMAX Hamburgare

    OpenAIRE

    Nisell, Samuel; Kaya, Roni

    2012-01-01

    När företag engagerar sig i CSR-frågor främjar det miljö och samhälle. Denna rapport utreder hur CSR-arbetet också kan gynna företaget ur ett ekonomiskt perspektiv. Rapporten behandlar hamburgerkedjan Max Hamburgares hållbarhetssatsning och besvarar frågorna: • Är Max Hamburgares CSR-arbete ekonomiskt lönsamt för dem själva? • Är någon/några av Max Hamburgares CSR-åtgärder förlust- respektive vinstaffärer? För att besvara frågorna har en omfattande studie kring ämnet och företaget genomförts ...

  4. APD hos barn og ungdom – En normdatastudie

    OpenAIRE

    Myrvold, Magnus

    2013-01-01

    Background: Auditory Processing Disorder is difficult to diagnose and there is still a lot to learn about this condition. Recent research reports MLR as a promising new tool to help assess the disorder. The last few years efforts has been made to establish a Norwegian test battery for APD, but there is a need to conduct more research on electrophysiological measurements to supplement this battery. Purpose: The main purpose of this study was to describe performance of normal...

  5. Middle latency response hos barn med mistenkte auditive prosesseringsvansker

    OpenAIRE

    Wennberg, Siri

    2013-01-01

    Background: International research has shown that middle latency responses (MLR) are sensitive to auditory processing disorders. It seems to be a useful measurement for evaluation of the central auditory system and in the diagnosis of Auditory Processing Disorder (APD), but the MLR has not yet been established in a test battery for APD in Norway.Purpose: The main purpose of this study was to examine the components of MLR in a sample of children referred to the audiological department at St. O...

  6. Middle latency response hos barn med mistenkte auditive prosesseringsvansker

    OpenAIRE

    Wennberg, Siri

    2013-01-01

    Background: International research has shown that middle latency responses (MLR) are sensitive to auditory processing disorders. It seems to be a useful measurement for evaluation of the central auditory system and in the diagnosis of Auditory Processing Disorder (APD), but the MLR has not yet been established in a test battery for APD in Norway. Purpose: The main purpose of this study was to examine the components of MLR in a sample of children referred to the audiological department at St. ...

  7. Traumatisk distal humerus-epifysiolyse hos nyfødt

    DEFF Research Database (Denmark)

    Al-Aubaidi, Zaid; Nielsen, Keld Daubjerg

    2010-01-01

    Traumatic distal humerus epiphysiolysis (TDHE) is a rare injury in infants with an incidence of about 1:35,000 births. It is primarily a birth injury, but it is also seen in cases of battered child syndrome. Because of its rare occurrence and the diagnostic difficulties, the lesion may be overloo...

  8. Medicinsk behandling af osteoporose hos mænd

    DEFF Research Database (Denmark)

    Eiken, Pia A; Vestergaard, Peter

    2015-01-01

    One in five men over the age of 50 years will suffer an osteoporotic fracture during their lifetime, and men who sustain fractures have an increased mortality risk compared to women. Three bisphosphonates (alendronate, risedronate and zolendronic acid), denosumab, strontium ranelate and teriparat...... teriparatide are currently approved in Denmark for the treatment of osteoporosis in men. This review summarizes the available therapeutic options....

  9. Medicinsk behandling af osteoporose hos mænd

    DEFF Research Database (Denmark)

    Eiken, Pia A; Vestergaard, Peter

    2016-01-01

    One in five men over the age of 50 years will suffer an osteoporotic fracture during their lifetime, and men who sustain fractures have an increased mortality risk compared to women. Three bisphosphonates (alendronate, risedronate and zolendronic acid), denosumab, strontium ranelate and teriparat...... teriparatide are currently approved in Denmark for the treatment of osteoporosis in men. This review summarizes the available therapeutic options....

  10. Pancreastraumer hos børn - operativ versus nonoperativ behandling

    DEFF Research Database (Denmark)

    Haugaard, Michael Valentin; Penninga, Luit; Ifaoui, Inge Bøtker-Rasmussen; Qvist, Niels; Wettergren, André

    2012-01-01

    Pancreatic trauma is more frequent in children than in adults and is often caused by trauma to the upper part of the abdomen. Mortality is low, but morbidity is high. Pancreatic trauma can be treated operatively or non-operatively, but there is disagreement about the optimal treatment strategy for...

  11. Case01: BIM hos mindre arkitektrådgiver

    DEFF Research Database (Denmark)

    Vestergaard, Flemming; Karlshøj, Jan; Hauch, Peter; Lambrecht, Jan; Mouritsen, Jan

    Casen beskriver et IKT-koncept, hvor en hovedrådgiver, en mindre arkitektvirksomhed specialiseret i renovering og ombygning af mindre boligprojekter, anvender en modelbaseret arbejdsmetode i tre hovedleverancer for tegnestuen: et dispositionsplanforslag, et forprojekt/myndighedsprojekt og et ho-v...

  12. Body image hos mastektomiopererede kvinder, med og uden rekonstruktion

    DEFF Research Database (Denmark)

    Thorup, Charlotte Brun; Gregersen, Anette Møller; Damgaard, Helle;

    2012-01-01

    Baggrund: I Danmark er incidensen for brystkræft ca. 5.000 årligt. Kvinder, der er mastektomiopereret, risikerer ubalance i body image. De kan føle sig amputeret, lemlæstede, mindre kvindelige og mindre seksuelt attraktive. De kan frygte at se sig selv i spejlet. De kan opleve, at kroppen ikke er...... hel. Mange undersøgelser er kvantitative og kun få har undersøgt kvindernes oplevelse af body image kvalitativt. Formål: At opnå indsigt i danske mastektomiopererede kvinders oplevelse af body image, med fokus på den akutte fase samt år efter operationen, hvor beslutningen om valg eller fravalg af...... rekonstruktion var taget. Metode: Undersøgelsen var fænomenologisk hermeneutisk, idet hensigten var at opnå indsigt i kvinders oplevelser af body image relateret til mastektomi. Fund: Undersøgelsen resulterede i tre temaer, der følger Bob Price begreber. Kropsrealiteten viste sig som ”en krop, der ikke var hel...

  13. Psykoterapi ved behandling av bipolare lidelser hos voksne : En litteraturstudie

    OpenAIRE

    2009-01-01

    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. ...

  14. Dannelsen af en psykologisk og videnskabelig habitus hos psykologistuderende

    DEFF Research Database (Denmark)

    Feilberg, Casper

    Afhandlingen er en empirisk undersøgelse af psykologistuderendes tilegnelse af en psykologisk og videnskabelig habitus ved psykologistudierne på Roskilde Universitet og Aalborg Universitet. Teoretisk bygger afhandlingen på den eksistentielle fænomenologi (Merleau-Ponty), samt perspektiver fra...... fra, i hvilken grad den er i stand til at understøtte de studerendes tilegnelse af en faglig habitus. Habitusbegrebet fremhæves her som en måde at forstå den færdige kandidats opbyggede beredskab til at percipere, tænke og handle på bestemte vanemæssige måder. Med dannelsesbegrebet bliver det muligt...... at tematisere de processer og udviklingsforløb, som er forbundet med at inkorporere en professions habitus i sin egen habitus på en selvstændig måde. Disse dannelsesprocesser er imidlertid både vanskelige og sårbare, og både studerende, undervisere og studieledelsen kan derfor drage nytte af den...

  15. Fonologi hos svenska förskolebarn med typisk utveckling

    OpenAIRE

    Blumenthal, Cecilia; Jacobsson, Elin

    2013-01-01

    The present study aims to investigate the phonological development of typically developing monolingual Swedish speaking children aged three to four years. The result could be used in the standardization of a new phonological test material for clinical speech and language pathology assessments. One-hundred and thirty four children aged three and four years (73 girls and 61 boys) were assessed with the new material. The children were tested in kindergartens in three communities in southeastern ...

  16. Perkutan endoskopisk gastrostomisonde hos børn med cancer

    DEFF Research Database (Denmark)

    Barlaug, Mari; Kruse, Aksel; Schrøder, Henrik

    2008-01-01

    (n=10). Eight tubes were changed, and eight tubes were removed due to complications. 85% of the inflammations were related to neutropenia. There was a significant (p=0,0006) decrease in the median weight-for-age standard deviation score (SDS) of 0, 70 (-1,12; -0,28) from the time of diagnosis to the...... during periods of neutropenia. Udgivelsesdato: 2008-Jun-2...

  17. Hjertetamponade hos et praematurt barn med perkutant anlagt centralt venekateter

    DEFF Research Database (Denmark)

    Callesen, Michael T; Nielsen, Peter Ehlert

    2008-01-01

    We report a case of a premature girl born with a gestational age of 26 weeks who developed cardiac tamponade after displacement of a peripheral inserted central catheter. She recovered completely after an acutely performed pericardiocentesis. The pericardial fluid was consistent with parental nut...

  18. Kontinuerlig glukosemonitorering kan have betydning hos gravide med diabetes

    DEFF Research Database (Denmark)

    Madsen, Anne Bjerrum; Secher, Anna L; Damm, Peter; Mathiesen, Elisabeth R

    2011-01-01

    In this review the use of continuous glucose monitoring (CGM) in pregnancy complicated by type 1 and type 2 diabetes is examined. Fourteen relevant articles were identified. Observational studies demonstrated that CGM was feasible during pregnancy without severe side effects. One randomised...

  19. Emosjonsregulering og motivasjon hos barn med AD/HD

    DEFF Research Database (Denmark)

    Høvik, Marie Farstad; Plessen, Kerstin J

    2010-01-01

    Impaired cognitive control functions have long been regarded as the main problem in the development of Attention-Deficit/Hyperactivity Disorder (ADHD). A more recent model emphasizes the importance of emotional and motivational problems. We have reviewed the evidence for this model, which may have...

  20. Infektionsrisikoen hos internationale adoptivbørn er reel

    DEFF Research Database (Denmark)

    Pedersen, Tine Marie; Poulsen, Anja; Pedersen, Freddy Karup

    2013-01-01

    Each year approximately 400 internationally adopted children (IAC) come to Denmark from countries with high prevalences of infectious diseases. Former studies of IAC have shown that approximately 1% of the IAC are infected with Hepatitis A, 3-6% with Hepatitis B, mostly asymptomatic infections. 8...

  1. Biofilter odour reduction level, measurements; Luktreduceringsgrad hos biofilter, faeltmaetningar

    Energy Technology Data Exchange (ETDEWEB)

    Arrhenius, Karine; Rosell, Lars; Tsetsilas, Sakis (SP, Boraas (Sweden)); Loevenklev, Maria; Blomqvist, Marie; Hall, Gunnar; Sverken, Anna; Widen, Helene (SIK, Goeteborg (Sweden)); Holmgren, Magnus Andreas (Vattenfall Power Consultants (Sweden))

    2010-07-01

    Biofilter is today the most common odour reduction method for biological treatment. A biofilter consists of a bed of organic material often made of compost together with another material which increases the porosity of the bed. Microorganisms in the compost use odorous compounds as nutrient by decomposing them. Resulting products are mainly carbon dioxide and water, mineral salts, other organic compounds and more microorganisms. In this project, seven biofilters implemented in Sweden have been tested in order to describe their status and function. A number of physical, chemical, microbiological and odour related parameters have be measured in the pipe which leads to the biofilter as well as on the surface of the biofilter in order to determine biofilters status and their effectiveness. Values from plants have been compared to published optimal values for each parameter. The goal of the project is to optimize biofilters function och prevent risks for performance disturbances. Results from the project can also be used as reference for plants which are planning process modifications as an increase of waste to be treated, substrate/material changes etc. Each plant has been visited during two days in August/September 2009. The following parameters have been measured: 1) physical parameters such as relative humidity, temperature, and pH, 2) chemical parameters such as incoming and out coming gas composition, gas composition variation with time, access to nutriments, 3) microbiological parameters such as the total number of microorganisms and the dominating microflora i respective biofilter and 4) odour related parameters through an evaluation of the contribution of individual compounds to the total out coming odour and in some cases, through a evaluation by olfactometry. All these parameters have been subsequently interpreted and treated in order to evaluate the status of the biofilter: description of the biofilter, its environment, the microbiological status, which flow and load are passing through the biofilter and its effectiveness. The results show that it is common that important parameters are outside the range of recommended values. As an example, it has been found that parts of the biofilters can be either too wet or too dry. The water content of the biofilter is known to be one of the most critical parameter to insure its correct function. In some cases, the pH was found to be very acidic which negatively influences micro organism's activity and consequently biofilters efficiency. At optimal pH, the microflora is dominated by bacteria while the growth of mould dominates at low pH. An expected lower effectiveness was found when important parameters are deviating from recommended values. At the opposite, when parameters were found to be within the recommended range of values, the efficiency was found to be higher. The project general recommendations are that all plants should introduce new routines to regularly survey the biofilters status and function. Example of routines is presented in the end of this rapport. For the plants where parameters presented high discrepancies from recommended values, the project group recommends to carry out a new evaluation when the deviating parameters have been corrected

  2. Sexualvanor och preventivmedelsanvändning hos svenska gymnasieelever

    OpenAIRE

    Voortman Landström, Therese; Norevall, Ida

    2014-01-01

    The aim of this study was to examine sexual behavior, contraceptive use, self-rated health, lifestyle factors and the prevalence of HPV vaccination among last year high school students. The study was a quantitative cross-sectional study which was a substudy of the longitudinal study " Pornography, Youth and Health". Results showed that the majority of students had had sexual intercourse (75 %, n=524) and both performed (67 %, n=479) and received oralsex (70 %, n=498). Forty percent (n=282) of...

  3. Somatisk helsetilstand hos intravenøse heroinmisbrukere

    OpenAIRE

    2005-01-01

    Background The number of heroin addicts has increased significantly over the last 10 years, and accordingly the number of people dying from heroin overdoses has increased. The health condition among the heroin using population is reported to be very poor. In order to evaluate whether poor health could be a contributing factor in fatal heroin overdoses we have examined reports from medicolegal autopsies concerning such deaths. Material and methods The data collected was based on 214...

  4. Forskellige metoder til kredsløbsmonitorering hos intensivpatienter

    DEFF Research Database (Denmark)

    Palsgaard Møller, Thea; Perner, Anders; Bülow, Hans-Henrik

    2012-01-01

    suggest starting with simple screening tools (e.g. CardioQ or central venous O2 saturation), and when in doubt, upgrade to better validated, yet more time-consuming techniques (e.g. PiCCO using thermodilution). Also consults should be made to other intensive care units in terms of the practical...

  5. Fotodynamisk behandling af kolangiokarcinom hos 80-årig

    DEFF Research Database (Denmark)

    Ulstrup, Thomas; Pedersen, Finn Møller

    2013-01-01

    70% of cholangiocarcinomas (CC) are perihilar lesions. At the time of diagnosis few are candidates for complete resection, and the standard palliative therapy has been biliary stenting. Studies have shown that photodynamic therapy (PDT) improves survival time. In this case report we describe an 8...

  6. Væksthormonmangel hos børn

    DEFF Research Database (Denmark)

    Nielsen, Jon; Jensen, Rikke Beck; Afdeling, Anders Juul

    2015-01-01

    appropriate auxological measurements using updated national growth references, bone age determination, and biochemical evaluation. GH dose is adjusted every three months based on height changes and serum insulin-like growth factor-I concentration. After cessation of linear growth, GH secretion should be re...

  7. Væksthormonmangel hos børn

    DEFF Research Database (Denmark)

    Nielsen, Jon; Jensen, Rikke Beck; Juul, Anders

    2014-01-01

    appropriate auxological measurements using updated national growth references, bone age determination, and biochemical evaluation. GH dose is adjusted every three months based on height changes and serum insulin-like growth factor-I concentration. After cessation of linear growth, GH secretion should be re...

  8. Multipel graviditet hos kvinder med korrigeret Steno-Fallots tetralogi

    DEFF Research Database (Denmark)

    Pedersen, Lia Mendes; Pedersen, Thais A; Herskind, Anne Maria

    2008-01-01

    Tetralogy of Fallot is the most common cyanotic heart disease accounting for 5 to 8% of all cases of congenital heart disease. In a cohort of women with corrected Tetralogy of Fallot, followed concerning fertility and pregnancy outcome, we observed two cases of uncomplicated multiple pregnancies...

  9. Toksisk shock syndrom. Et tilfoelde hos et barn med forbroending

    DEFF Research Database (Denmark)

    Glazowski, M J; Ostergaard, G Z; Arpi, M;

    1992-01-01

    recognition of the syndrome and institution of the correct treatment are of utmost importance. By means of an easy and rapid test, it is possible to detect if the strain of S. aureus is TSST-1-producing. The test is now available and employs passive latex agglutination. The sensitivity and specificity are...

  10. Cirkulatorisk kollaps hos bodybuilder i forbindelse med anaestesi

    DEFF Research Database (Denmark)

    Ravn, Toke; Afshari, Arash; Nielsen, Jeppe Sylvest

    2010-01-01

    The use of anabolic steroids is a growing problem in Denmark. The effects and side effects caused by anabolic steroids in relation to anaesthesia are poorly described. This article describes a case of circulatory collapse in a young bodybuilder during anaesthesia. The primary cause of the collapse...

  11. Improved reliability of residential heat pumps; Foerbaettrad driftsaekerhet hos villavaermepumpar

    Energy Technology Data Exchange (ETDEWEB)

    Haglund Stignor, Caroline; Larsson, Kristin; Jensen, Sara; Larsson, Johan; Berg, Johan; Lidbom, Peter; Rolfsman, Lennart

    2012-07-01

    Today, heat pump heating systems are common in Swedish single-family houses. Many owners are pleased with their installation, but statistics show that a certain number of heat pumps break every year, resulting in high costs for both insurance companies and owners. On behalf of Laensfoersaekringars Forskningsfond, SP Energy Technology has studied the cause of the most common failures for residential heat pumps. The objective of the study was to suggest what measures to be taken to reduce the number of failures, i.e. improving the reliability of heat pumps. The methods used were analysis of public failure statistics and sales statistics and interviews with heat pump manufacturers, installers, service representatives and assessors at Laensfoersaekringar. In addition, heat pump manuals have been examined and literature searches for various methods for durability tests have been performed. Based on the outcome from the interviews the most common failures were categorized by if they; 1. Could have been prevented by better operation and maintenance of the heat pump. 2. Caused by a poorly performed installation. 3. Could have been prevented if certain parameters had been measured, recorded and followed up. 4. Are due to poor quality of components or systems. However, the results show that many of the common failures fall into several different categories and therefore, different types of measures must be taken to improve the operational reliability of residential heat pumps. The interviews tell that failures often are caused by poor installation, neglected maintenance and surveillance, and poor quality of standard components or that components are used outside their declared operating range. The quality of the installations could be improved by increasing installers' knowledge about heat pumps and by requiring that an installation protocol shall be filled-in. It is also important that the owner of the heat pump performs the preventive maintenance recommended by the manufacturer and that he/she surveys parameters indicating if satisfying operating conditions are maintained. Another example that could improve the reliability is that the heat pump system is regularly checked by a professional heat pump service technician. Components with sometimes poor quality can for example be temperature sensors, valves and circulations pumps. Compressor failures are often due to the fact that the heat pump of some reason, operates too much outside or close to the usage limits for the compressor and are not necessarily due to poor quality of the component itself.

  12. "Vitamin D og risiko for akutte luftveisinfeksjoner hos voksne friske"

    OpenAIRE

    Aarvelta, Heidi Marie Guterud

    2013-01-01

    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...

  13. Patients' preferences for patient-centered communication

    DEFF Research Database (Denmark)

    Lau, Sofie Rosenlund; Christensen, Søren Troels; Andreasen T., Jesper

    2013-01-01

    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....

  14. [Patient advice].

    Science.gov (United States)

    Lucio-Villegas Menéndez, M Eulalia; González, Laura López; Gutiérrez Pérez, M Isabel; Lluch, Natalia Aresté; Morató Agustí, M Luisa; Cachafeiro, Santiago Pérez

    2014-05-01

    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

  15. Effect of Nursing Intervention on Surgical Patients with Sleep Disorders%护理干预对手术患者睡眠障碍的影响

    Institute of Scientific and Technical Information of China (English)

    夏先萍; 张贵清

    2012-01-01

      Objective TO investigate methods of care to reduce the sleep disorders of surgical patients. Methods 280 cases with surgical patients in our hospital from March 2010 to July 2010 were as the control group,280 cases with surgical patients in our hos-pital from August 2010 to December 2010 were as the experimental group. The control group received normal care, the experimental group carried out the appropriate nursing intervention in addition to normal care. Sleep of two groups were surveyed. Patients with sleep disorders were surveyed the types and causes of sleep disorders with the self-questionnaire. Results The control group had 120 cases with sleep disorders, experimental group had 45 cases with sleep disorders, there was statistically significant differences be-tween the two groups(P0.05). Conclusion Nursing intervention can improve the sleep position of the surgical patients and reduce the incidence of sleep disorders, but it can not effect on the typing of of sleep disorder Significantly.%  目的探讨减轻手术患者睡眠障碍的护理方法.方法选择本院2010年3月~2010年7月的手术患者280例患者为对照组,2010年8月~2010年12月的280例手术患者为实验组.对照组采用常规护理,实验组除常规护理外,进行相应的护理干预.比较2组患者的睡眠状况,并对睡眠障碍的患者采用自拟问卷方式调查睡眠障碍类型及原因.结果对照组出现睡眠障碍120例,实验组睡眠障碍45例,2组比较差异具有统计学意义(P0.05).结论护理干预能改善手术患者的睡眠状况,减少睡眠障碍的发生,但对睡眠障碍分型无明显影响.

  16. Periodontitis in HIV patients

    OpenAIRE

    Oseeva А.О.; Soboleva L.A.; Bulkina N.V.; Shuldyakov A.A.

    2011-01-01

    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...

  17. INCIDENCE OF NON-CANDIDA ALBICANS IN PATIENTS WITH URINARY TRACT INFECTION WITH SPECIAL REFERENCE TO SPECIATIO N AND ANTIFUNGAL SUSCEPTIBILITY

    Directory of Open Access Journals (Sweden)

    Ragini Ananth

    2012-10-01

    Full Text Available ABSTRACT: BACKGROUND AND OBJECTIVES: Fungal urinary tract infections have become frequent, as a result of increased use of broad spec trum antibiotics, corticosteroids, immunosuppressive drugs and bladder catheters in acut e care settings. The associated risk factors which are seen in cases of candiduria are: antibiotic therapy, female gender, urinary catheterization, surgical procedure and extended hos pitalization. Candiduria has become a potential source of morbidity and mortality if untre ated. We undertook a prospective study to note the incidence of non-Candida albicans in patien ts with urinary tract infection with special reference to speciation, antifungal susceptibility an d the associated risk factors. METHODS: Candida species isolated from urine samples of patient s with urinary tract infection were subjected to speciation using standard yeast identif ication protocol and CHROM agar. Antifungal Susceptibility testing was done by the disc diffusio n method to amphotericin B and fluconazole. Clinical details and risk factors of the patients we re noted down. RESULTS: Among the 60 culture positive cases, six Candida species which wer e isolated are : C.tropicalis (66.66%, C.albicans (13.33%, C.parapsilosis (8.33%, C.glabr ata (6.66%, C.kefyr (3.33% and C.guilliermondii (1.66% The susceptibility pattern s howed, that of the 60 isolates, 40% were resistant to fluconazole. No resistance was seen to amphotericin B. CONCLUSION: Isolation of non-Candida albicans species was more than Candida a lbicans. Candida tropicalis was the predominant isolate. The following risk factors were noted: 43.33 % of the patients had diabetes mellitus, 30%had history of prolonged antib iotics (cephalosporin and aminoglycosides, 16.66% had underlying renal pathol ogy, 3.33% had post –renal transplant status, 1.66% were on steroids, 1.66%had pregnancy a nd 3.33% had no identifiable risk factors.20% patients had an indwelling catheter in them. The antifungal

  18. Patient-centered Radiology.

    Science.gov (United States)

    Itri, Jason N

    2015-10-01

    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

  19. Knowledge of HIV Transmission and Associated Factors among HIV-Positive and HIV-Negative Patients in Rural Kenya

    OpenAIRE

    Hong, Steven Y.; Thompson, Daria; Wanke, Christine; Omosa, Gloria; Jordan, Michael R.; Tang, Alice M; Patta, Shem; Mwero, Ben; Mjomba, Innocent; Mwamburi, Mkaya

    2012-01-01

    Knowledge of HIV transmission is a prerequisite to practicing safer behaviors to prevent HIV infections and may be expected to vary by region because of cultural and socioeconomic determinants. A cross-sectional study was conducted in rural Kenya using a standardized questionnaire assessing HIV transmission knowledge, socio-demographic and other characteristics. Participants were recruited from the voluntary counseling and testing clinic and the general hospital population of Moi District Hos...

  20. Burns in diabetic patients

    OpenAIRE

    Maghsoudi, Hemmat; Aghamohammadzadeh, Naser; Khalili, Nasim

    2008-01-01

    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...

  1. The Angry Dying Patient

    OpenAIRE

    Houston, Robert E.

    1999-01-01

    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...

  2. Patient-centred Prevention among PAD Patients

    DEFF Research Database (Denmark)

    Pii, Kathrine Hoffmann

    2014-01-01

    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...

  3. Patient Assessment File (PAF)

    Data.gov (United States)

    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...

  4. An Analysis of Factors Related to Hospitalization of MHD Patients and Countermeasures%维持性血液透析患者住院相关因素分析及应对策略

    Institute of Scientific and Technical Information of China (English)

    郭爱莉

    2015-01-01

    目的::分析维持性血液透析(MHD)患者住院原因及相关因素,探讨减少MHD患者住院的策略。方法:对2010~2013年某院39例MHD住院患者进行回顾性分析,并和同期非住院的MHD患者比较,观察透析次数、营养状况、血红蛋白、铁蛋白、超敏C反应蛋白、脑钠肽等指标。结果:MHD患者住院的首要原因为呼吸道感染和心功能不全;营养不良、透析充分性、透析间期体重增加过多、炎症状态、BNP增高等是MHD住院的相关因素。加强营养支持治疗和卫生宣教,及早控制潜在心功能不全及炎症状态可能会减少MHD患者住院率,改善预后。%Objective:To analyze the reasons why the MHD patients Hospitalize and relevant factors,and investigate the countermeasures to reduce the hospitalization of MHD patients.Methods:A retrospective anal-ysis was made on the data of 39 cases of hospitalized MHD patients during 2010~2013in our hospital.Com-pare them with concurrent non-hospitalized MHD patients,detect dialysis times,nutritional status,hemoglo-bin,feeritin,high sensitivity C-reactive protein(hs-CRP),BNP and other indexes.Results:The primary cau-ses for the hospitalization of the MHD patients were respiratory infection and cardiac insufficiency;dystro-phy,dialysis adequacy,excessive weight gain during dialysis,inflammation and rising in BNP were the correl-ative factors.Conclusion:To strength nutrition-supported therapy and propaganda and education about health and try to control possible cardiac insufficiency and the inflammation earlier would lower MHD patients'hos-pitalization rate and improve prognosis.

  5. Transfer Out Patient Not Abandon The Patient

    Directory of Open Access Journals (Sweden)

    Deepak Gupta

    2015-12-01

    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

  6. [Ambulatory surgery. Patients and patient education].

    Science.gov (United States)

    Bredland, T; Duesund, R

    1996-02-20

    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

  7. A good patient?

    DEFF Research Database (Denmark)

    Campbell, Catherine; Scott, Kerry; Skovdal, Morten;

    2015-01-01

    , 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...

  8. Displacing the patient

    DEFF Research Database (Denmark)

    Pors, Anja Svejgaard

    2014-01-01

    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...

  9. Displacing the Patient

    DEFF Research Database (Denmark)

    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...

  10. Displacing the patient

    DEFF Research Database (Denmark)

    Pors, Anja Svejgaard

    2012-01-01

    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...

  11. Multiple Myeloma: Patient Handbook

    Science.gov (United States)

    ... 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 ...

  12. National Patient Safety Foundation

    Science.gov (United States)

    ... 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 ...

  13. Patient life in hospital

    DEFF Research Database (Denmark)

    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...

  14. Multiple Myeloma: Patient Handbook

    Science.gov (United States)

    ... 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, ...

  15. Physical activity, cardiovascular health and longevity in patients with metabolic syndrome

    OpenAIRE

    Stensvold, Dorthe

    2011-01-01

    TRENING FOR BEDRE HELSE HOS PERSONER MED METABOLSK SYNDROMOm lag hver tredje 50-åring i den vestlige verden har metabolsk syndrom, en tilstand hvor flere risikofaktorer for hjerte- og karsykdommer opptrer sammen. Personer med metabolsk syndrom har tre ganger så stor sannsynlighet for å dø av koronar hjerte- sykdom sammenlignet med friske. I tillegg øker metabolsk syndrom sannsynligheten for å få enkelte typer kreft. Regelmessig trening har vist seg å kunne forbedre mange av de risikofaktorene...

  16. Learning from patients

    DEFF Research Database (Denmark)

    Henriksen, Ann-Helen; Ringsted, Charlotte

    2011-01-01

    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...

  17. Patients Provide Recommendations for Improving Patient Satisfaction.

    Science.gov (United States)

    Moore, Angelo D; Hamilton, Jill B; Krusel, Jessica L; Moore, LeeAntoinette G; Pierre-Louis, Bosny J

    2016-04-01

    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

  18. Can patients educate patients? A feasibility study

    OpenAIRE

    Curtis, Ffion; Hurlin, Claire; Tomlinson, Sarah; Thatcher, Rhys; Rice, Sam

    2016-01-01

    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...

  19. HO1 mRNA and Protein do not Change in Parallel in Bronchial Biopsies of Patients After Long Term Exposure to Sulfur Mustard

    OpenAIRE

    Mohammad Reza Nourani; Samaneh Yazdani; Mehryar Habibi Roudkenar; Majid Ebrahimi; Raheleh Halabian; Leila Mirbagheri; Mostafa Ghanei; Abbas Ali Imani Fooladi

    2010-01-01

    Sulfur mustard (SM), is an alkylating agent and has been emerged as a chemical weapon in various battlefields. More recently, SM was employed in the Iraq conflict against Iranian military forces and civilians. Nowadays there are more than 40,000 people suffering from pulmonary lesions special chronic obstructive pulmonary disease (COPD) due to mustard gas in Iran. SM causes the endogenous production of reactive oxygen species (ROS). Heme oxygenases (HOs) are the rate-limiting enzyme for heme ...

  20. Periodontitis in HIV patients

    Directory of Open Access Journals (Sweden)

    Oseeva А.О.

    2011-09-01

    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

  1. Patient-centered Care.

    Science.gov (United States)

    Reynolds, April

    2009-01-01

    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

  2. Depression in Cancer Patients

    Directory of Open Access Journals (Sweden)

    Beyhan Bag

    2014-06-01

    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

  3. Patient Education Among Stroke Survivor Patients

    OpenAIRE

    Martin, Ruth

    2014-01-01

    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...

  4. Music for Hemodialysis patients

    DEFF Research Database (Denmark)

    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...

  5. [Two patients with mumps].

    Science.gov (United States)

    van Brummelen, S E; de Vries, E; Schneeberger, P M; van Binnendijk, R S; Lestrade, P; Wever, P C

    2006-08-01

    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

  6. Patient Safety Executive Walkarounds

    OpenAIRE

    Feitelberg, Steven P

    2006-01-01

    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...

  7. Dental Patient Robot

    OpenAIRE

    Takanobu, Hideaki

    2008-01-01

    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 ...

  8. Sygepleje til trakeostomerede patienter

    DEFF Research Database (Denmark)

    Christensen, Dorthe Wiinholdt; Andersen, Rene Richard; Rydahl-Hansen, Susan

    2016-01-01

    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.....

  9. Acknowledging the back patient

    DEFF Research Database (Denmark)

    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...

  10. Excluding the typical patient

    DEFF Research Database (Denmark)

    Odlaug, Brian Lawrence; Weinhandl, Eric; Mancebo, Maria C;

    2014-01-01

    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...

  11. Caring for transgender patients.

    Science.gov (United States)

    Abebe, Alyssa

    2016-06-01

    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

  12. Withholding truth from patients.

    LENUS (Irish Health Repository)

    O'Sullivan, Elizabeth

    2012-01-31

    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.

  13. Dyspnea in dying patients.

    OpenAIRE

    Hsu, D H

    1993-01-01

    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.

  14. Approach to bleeding patient

    Directory of Open Access Journals (Sweden)

    Ramachandran Gopinath

    2014-01-01

    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.

  15. Nurse–patient collaboration

    DEFF Research Database (Denmark)

    Sørensen, Dorthe; Frederiksen, Kirsten; Grøfte, Thorbjørn;

    2013-01-01

    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...

  16. Patient dosimetry in hysterosalpingography

    International Nuclear Information System (INIS)

    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)

  17. Measuring improved patient choice.

    Science.gov (United States)

    Holmes-Rovner, M; Rovner, D R

    2000-08-01

    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

  18. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

    Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta

    2013-01-01

    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...

  19. Patient Delay in Colorectal Cancer Patients

    DEFF Research Database (Denmark)

    Pedersen, Anette Fischer; Hansen, Rikke P; Vedsted, Peter

    2013-01-01

    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,...

  20. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

    Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta

    2013-01-01

    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...

  1. Patient Dosimetry. Chapter 22

    International Nuclear Information System (INIS)

    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

  2. Patient survey (HCAHPS) - National

    Data.gov (United States)

    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...

  3. Acknowledging the back patient

    DEFF Research Database (Denmark)

    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...

  4. Optimizing patient nutrition

    DEFF Research Database (Denmark)

    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...

  5. Patient survey (HCAHPS) - State

    Data.gov (United States)

    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...

  6. Positioning devices for patients

    International Nuclear Information System (INIS)

    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)

  7. USU Patient Simulation Center

    Data.gov (United States)

    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.,...

  8. Patient Treatment File (PTF)

    Data.gov (United States)

    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...

  9. Woe patient is purple

    Directory of Open Access Journals (Sweden)

    Hatice Dogan

    2014-08-01

    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

  10. Is skin conductance a predictor of arousal, noxious stimuli and pain in the sedated and anaesthetized patient?

    OpenAIRE

    2011-01-01

    Hudledningsevne som mål på smertefulle stimuli. Lege og forsker Ann Christin Gjerstad har sett på en metode for å oppdage ubehag og smerte hos pasienter som ligger på sykehus og av ulike grunner ikke kan meddele seg på vanlig måte. Dette er gjort ved hjelp av hudledningsevne som måler svetteutsondring i håndflater eller under føttene. En fryktet komplikasjon for pasienter som skal gjennom et sykehusopphold er muligheten for å oppleve smerte uten mulighet til å få kommunisert dette ti...

  11. Critically ill obstetric patients

    OpenAIRE

    Kirti Rajesh Bendre; Tanvi Vijay Tuteja; Geeta Madhav Niyogi

    2015-01-01

    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...

  12. Depression in dialysis patients.

    Science.gov (United States)

    King-Wing Ma, Terry; Kam-Tao Li, Philip

    2016-08-01

    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

  13. [Patient safety: Glossary].

    Science.gov (United States)

    Sabio Paz, Verónica; Panattieri, Néstor D; Cristina Godio, Farmacéutica; Ratto, María E; Arpí, Lucrecia; Dackiewicz, Nora

    2015-10-01

    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

  14. Depression in hemodialysis patients

    International Nuclear Information System (INIS)

    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)

  15. Patient Centered Telemedicine

    OpenAIRE

    Wenner, Allen R.

    1995-01-01

    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...

  16. Sex Education for Patients

    OpenAIRE

    Zitner, David

    1985-01-01

    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...

  17. Leptospirosis in elderly patients

    OpenAIRE

    Galya Ivanova Gancheva

    2013-01-01

    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...

  18. White coat, patient gown.

    Science.gov (United States)

    Wellbery, Caroline; Chan, Melissa

    2014-12-01

    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

  19. Nye endokrine behandlinger forlænger overlevelsen ved kastrationsresistent prostatacancer

    DEFF Research Database (Denmark)

    Brasso, Klaus; Thomsen, Frederik Birkebæk; Berg, Kasper Drimer;

    2013-01-01

    Endokrin behandling af prostatacancer (PCa) har været anvendt i mere end 60 år og har stadig en væsentlig plads i behandlingen af patienter med avanceret PCa. Hos en voksen mand opretholder androgener celleantallet i prostata og undertrykker apoptose. Ophæves den androgene stimulation opnås en...... efter 1-2 år. Kastrationsresistent prostatacancer (CRPC) defineres som progression trods serum testosteron i kastrationsniveau (<1,7 nmol/L). Progression hos patienter med CRPC kan være enten stigning af prostata specifikt antigen (PSA) eller forekomst af nye metastaser, konsensus om...

  20. Glaucoma in patients with uveitis.

    OpenAIRE

    Panek, W C; Holland, G N; Lee, D A; Christensen, R E

    1990-01-01

    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 ...

  1. Cachexia Syndrome, anorexia patient

    International Nuclear Information System (INIS)

    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

  2. Transporting Forensic Psychiatric Patients.

    Science.gov (United States)

    Dike, Charles C; Nicholson, Elizabeth; Young, John L

    2015-12-01

    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

  3. Fysisk aktivitet hos ungdomsskoleelever - En oppgave om motivasjon i kroppsøving som fører til mer fysisk aktivitet i fritiden hos ungdomsskoleelever.

    OpenAIRE

    Dewey, Tony

    2016-01-01

    Problemstilling To hypoteser. 1. Dersom elevene er interesserte i en idrett eller aktivitet på skolen, vil de oppsøke disse på fritiden. 2. Kroppsøvingselevene føler at lærerne ikke gjør dem nysgjerrige på idretter eller aktiviteter som de har i kroppsøving. Teori Studien innbefatter teoriene ”Self Determination Theory” (Deci & Ryan, 1985) og ”self-efficacy” (Bandura, 1997). Viser også til forskjellige rapporter som stortingsmelding 16, frafall i idretten og nasjonale anbefa...

  4. Robotherapy with Dementia Patients

    Directory of Open Access Journals (Sweden)

    Francisco Martín

    2013-01-01

    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.

  5. Psychiatric patient and anaesthesia

    Directory of Open Access Journals (Sweden)

    Joginder Pal Attri

    2012-01-01

    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.

  6. The elderly patients' dignity

    DEFF Research Database (Denmark)

    Høy, Bente; Hall, E.O.C.; Wagner, L.

    2007-01-01

    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...

  7. Sleep in obese patients

    OpenAIRE

    Natalya Victorova Strueva; Galina Afanas'evna Melnichenko; Mikhail Gur'evich Poluektov; Larisa Victorovna Savel'eva; Gul'nara Victorovna Katsiya; Nikolay Petrovich Goncharov

    2014-01-01

    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...

  8. Patient support systems

    International Nuclear Information System (INIS)

    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)

  9. Do patients initiate therapy?

    DEFF Research Database (Denmark)

    Thengilsdóttir, G; Pottegård, Anton; Linnet, K;

    2015-01-01

    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...

  10. Three patients with arteritis.

    Science.gov (United States)

    Eke, F; Balfe, J W; Hardy, B E

    1984-09-01

    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

  11. Practical Patient Safety

    CERN Document Server

    Reynard, John; Stevenson, Peter

    2009-01-01

    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

  12. Patient-Reported Outcomes, Patient-Reported Information

    OpenAIRE

    Baldwin, Mike; Spong, Andrew; Doward, Lynda; Gnanasakthy, Ari

    2012-01-01

    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...

  13. The Physician-Patient Relationship: A patient-physician's view

    OpenAIRE

    Ennis, Jeffrey H

    1990-01-01

    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.

  14. Constructions of the patient in healthcare communications: six patient figures.

    Science.gov (United States)

    Pors, Anja Svejgaard

    2016-04-11

    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

  15. Patient education of cardiac patients : a nursing journal club

    OpenAIRE

    Aaltio, Laura; Huhtamaa, Iina

    2011-01-01

    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...

  16. Hospital Patients Are Adult Learners.

    Science.gov (United States)

    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…

  17. [Healthcare patient loyalty].

    Science.gov (United States)

    Ameri, Cinzia; Fiorini, Fulvio

    2016-01-01

    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

  18. The participatory patient

    DEFF Research Database (Denmark)

    Andersen, Tariq Osman

    2010-01-01

    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...

  19. Patient Belief in Miracles

    DEFF Research Database (Denmark)

    Hvidt, Niels Christian

    2011-01-01

    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...

  20. Right patient, Right blood

    DEFF Research Database (Denmark)

    Selberg, Hanne; Madsen, Trine Stougaard

    2014-01-01

    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...