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Sample records for behandling af patienter

  1. Behandling af den hypoterme patient

    DEFF Research Database (Denmark)

    Kjærgaard, Benedict; Rudolph, Søren Finnemann; Lucas, Alexander;

    2008-01-01

    Treatment of the hypothermic patient depends more on the clinical condition than on the core temperature. Unconscious patients need thorough investigation, and they can often be rewarmed with warm water in the pleural cavities. Cardiac arrest requires cardio pulmonary rescue until rewarming can...

  2. Behandling af patienter med Guillan Barré syndrom

    DEFF Research Database (Denmark)

    Oliel, Vibeke S.

    2011-01-01

    Resumè Guillain Barrés syndrom er en autoimmum sygdom karakteriseret ved motorisk, sensorisk og autonom dysfunktion. I Danmark rammes omkring 80 personer i alle aldre årligt af sygdommen. Akut inflammatorisk polyradikoloneuropati rammer de perifere nervers nerveskeder og medfører progredierende...

  3. Enkeltcenteropgorelse af nyretransplanterede patienters nyrefunktion og immunsuppressive behandling

    DEFF Research Database (Denmark)

    Frederiksen, A.M.; Ewers, B.; Gasbjerg, A.;

    2008-01-01

    INTRODUCTION: The number of kidney-transplanted patients is growing. This report describes the age, sex distribution, kidney function, graft age, and immunosuppressive drugs of kidney-transplanted patients followed at the outpatient clinic of the nephrology department at Copenhagen University...... (74%) were treated with triple-drug immunosuppression, in most cases (46%) with the combination prednisolone-ciclosporine-azathioprine. During recent years, azathioprine has been increasingly replaced by mycophenolate mofetil. CONCLUSIONS: The majority of kidney-transplanted patients...... with a functioning graft have sufficient kidney function to keep the patients free of uremic symptoms. Hyperparathyroidism is frequent. The immunosuppressive regimens used for kidney-transplanted patients are currently changing Udgivelsesdato: 2008/5/5...

  4. Palliativ behandling af patienter med terminal kronisk obstruktiv lungesygdom

    DEFF Research Database (Denmark)

    von Plessen, Christian; Nielsen, Thyge L; Steffensen, Ida E;

    2011-01-01

    Terminal chronic obstructive pulmonary disease (COPD) and advanced cancer have similar prognosis and symptom burden. However, palliative care of patients with terminal COPD has been neglected in Denmark. We describe the symptoms of terminal COPD and suggest criteria for defining the palliative...... phase of the disease. Furthermore we discuss the prognostic and ethical challenges for patients, their families and their caregivers. Finally, we summarize the current evidence for palliative treatment of dyspnoea and ways to evaluate response to treatment....

  5. Palliativ behandling af patienter med terminal kronisk obstruktiv lungesygdom

    DEFF Research Database (Denmark)

    von Plessen, Christian; Nielsen, Thyge L; Steffensen, Ida E;

    2011-01-01

    Terminal chronic obstructive pulmonary disease (COPD) and advanced cancer have similar prognosis and symptom burden. However, palliative care of patients with terminal COPD has been neglected in Denmark. We describe the symptoms of terminal COPD and suggest criteria for defining the palliative...

  6. Karakteristik, diagnostik og behandling af patienter med autoimmun hepatitis

    DEFF Research Database (Denmark)

    Ytting, Henriette; Larsen, Fin Stolze

    2012-01-01

    Autoimmune hepatitis is a relatively rare disease that may lead to rapidly progressing liver cirrhosis and even fulminant liver failure, if diagnosis and treatment is delayed or ineffective. Diagnosing the disease can be challenging, and one in five patients respond insufficiently to standard...

  7. Livscyklusvurdering af behandling af deponeret shredderaffald

    DEFF Research Database (Denmark)

    Møller, Jacob; Damgaard, Anders; Brogaard, Line Kai-Sørensen;

    Denne rapport indeholder en livscyklusbaseret miljøvurdering (LCA) af behandling af deponeret shredderaffald. Livscyklusvurderingen blev udført for Miljøstyrelsen af DTU Miljø i perioden 2013-2014 som en del af en ydelsesaftale mellem Miljøstyrelsen og DTU om forskningsbaseret myndighedsbetjening...... in-den for affaldsområdet. Rapporten indgår i en større undersøgelse vedrørende bedre ressourceud-nyttelse af affald, hvori såvel den miljømæssige som den samfundsøkonomiske konsekvens for forskellige scenarier vedr. affaldshåndtering af shredderaffald, imprægneret træ, træ til genanven-delse samt...... fjernvarmerør undersøges. Livscyklusvurderingen blev udført vha. LCA-modellen EA-SETECH, som er udviklet af DTU Miljø til miljøvurdering af affaldssystemer. Livscyklusvurderingen blev udført i overensstemmelse med principperne for LCA, som beskrevet i DS/EN ISO-standard 14044. Afrapporteringen følger ISO...

  8. Behandling af lokaliseret prostatacancer

    DEFF Research Database (Denmark)

    Jakobsen, Henrik; Iversen, Peter; Mikines, Kári J;

    2007-01-01

    The incidence of prostate cancer is increasing sharply in Denmark and an increasing proportion of patients have clinically localised disease at diagnosis. The therapeutic strategy encompasses intended curative therapy: radical prostatectomy with complete removal of the prostate gland and seminal...... vesicles performed as an open procedure or laparoscopically, external beam radiation therapy, or implantation of radioactive seeds into the prostate (brachytherapy). In older patients with good prognostic factors, active surveillance should be considered. The various therapeutic modalities are reviewed...

  9. Behandling af lokaliseret prostatacancer

    DEFF Research Database (Denmark)

    Jakobsen, Henrik; Iversen, Peter; Mikines, Kári J;

    2007-01-01

    The incidence of prostate cancer is increasing sharply in Denmark and an increasing proportion of patients have clinically localised disease at diagnosis. The therapeutic strategy encompasses intended curative therapy: radical prostatectomy with complete removal of the prostate gland and seminal...... vesicles performed as an open procedure or laparoscopically, external beam radiation therapy, or implantation of radioactive seeds into the prostate (brachytherapy). In older patients with good prognostic factors, active surveillance should be considered. The various therapeutic modalities are reviewed....

  10. 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

    Exercise test variables, such as an impaired heart rate response, are known to be related to left ventricular function and patient prognosis following acute myocardial infarction. The present study was performed to compare exercise test variables in acute myocardial infarct patients following eit...

  11. Gruppebaseret behandling af BED - et faseopdelt behandlingstilbud

    DEFF Research Database (Denmark)

    Laust, Jakob; Lau, Marianne Engelbrecht; Waaddegaard, Mette

    2015-01-01

    Titel: Afrapportering vedr. SATS-puljemidler til behandling og erfaringsopsamling vedr. BED for perioden 1. marts 2013 – 1. maj 2015. Baggrund: Binge Eating Disorder (BED), på dansk tvangsoverspisning, er en udbredt, men overset spiseforstyrrelse med alvorlige psykiske, fysiske og sociale...... konsekvenser. BED blev i 2013 optaget i DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) som en selvstændig diagnose og BED forventes medtaget i den forestående revision af det internationale diagnose system, ICD-11. Sundhedsstyrelsen gav på denne baggrund satspuljemidler til erfaringsopsamling...... vedr. BED. I den forbindelse ansøgte Ambulatorium for Spiseforstyrrelser på Psykoterapeutisk Center Stolpegård ovenstående midler til at udvikle en ambulant, primært psykoterapeutisk gruppebehandling til patienter med moderat til svær BED med fokus på såvel spiseforstyrrelse såvel som overvægt. Metode...

  12. Behandling af hydatidose med albendazol

    DEFF Research Database (Denmark)

    Magnussen, P; Gelletlie, R; Bygbjerg, Ib Christian

    1989-01-01

    Eight patients with hydatidosis treated with albendazol in daily doses of 10 mg/kg daily in courses of 28 days (4-6 courses) were analysed. The patients came from Morocco, Spain, Turkey and Yugoslavia. Seven patients had a cyst (or cysts) in the liver and one had also cysts in the kidneys. One pa...

  13. Onkologisk behandling af meningeal carcinomatose

    DEFF Research Database (Denmark)

    Sulim, S.; Høyer, Morten

    2005-01-01

    Meningeal carcinomatosis (MC) occurs in 5-8% of cancer patients. In the       majority of cases, MC appears in patients with advanced disease. The       increase in incidence is probably caused by improved survival due to       improvements in systemic therapy and an increased awareness of MC among...

  14. Behandling af insulinom med alkoholsklerosering

    DEFF Research Database (Denmark)

    Schnack, Christina; Hansen, Carina Ørts; Beck-Nielsen, Henning;

    2012-01-01

    The efficacy and safety of endoscopic ultrasound (EUS)-guided alcohol ablation of an insulinoma in a patient not candidate for surgery is being evaluated. A 89 year-old male patient with insulinoma and serious cardiac disease was treated with EUS-guided alcohol ablation. The only complication...

  15. Kirurgisk behandling af cancer pancreatis

    DEFF Research Database (Denmark)

    Bergenfeldt, Magnus; Hansen, Carsten Palnaes; Mortensen, Michael Bau

    2010-01-01

    Surgery remains the only hope for cure in pancreatic cancer. The most common procedures are reviewed. Postoperative morbidity and mortality below 30% and 5%, respectively, are the standard. The benefit of extended lymph node dissection and portal-mesenteric vein resection is dubious. Selected...... patients with locally advanced cancer may be down-staged with chemo-radiotherapy and eventually resected. Endoscopic stent placement is the preferred method to relieve biliary and/or gastrointestinal obstruction. The outcome is better for patients treated at high-volume centres than at smaller hospitals....

  16. Farmakologisk behandling af psykotiske tilstande

    DEFF Research Database (Denmark)

    Fink-Jensen, A.; Larsen, J.T.; Nielsen, B.;

    2008-01-01

    Antipsychotic medication has been used for more than fifty years and has brought a dramatic improvement in the treatment of psychotic diseases by removing or reducing the psychotic symptoms and thereby also allowing other treatment approaches to be used. However, an urgent need remains for new me...... medications with better efficacy, especially to limit the so-called negative symptoms and cognitive deficits often observed in schizophrenic patients and to reduce the occurrence of side effects Udgivelsesdato: 2008/11/10...

  17. Orale senfølger af behandling for hoved-halscancer

    DEFF Research Database (Denmark)

    Assaad, Hala; Dynesen, Anja Weirsøe; Thisted, Lise Bjerrum;

    2014-01-01

    Forebyggelse af orale senfølger af behandling for hoved-hals-cancer er vigtig for orale funktioner og livskvalitet Patienter, der er strålebehandlet for hovedhals-cancer, oplever betydelige senfølger i mundhulen; herunder xerostomi og hyposalivation, oral candidose, ubehag og smerte fra...... orale senfølger....

  18. Behandling af højt blodtryk hos patienter med akut apopleksi

    DEFF Research Database (Denmark)

    Olsen, T S; Jørgensen, H S; Garde, E;

    1995-01-01

    The study was performed to investigate how often reduction of high blood pressure (> or = 220 mmHg systolic and or > or = 120 mmHg diastolic) was attempted in patients with acute stroke or transient ischemic attacks (TIA). Of 1351 consecutive patients with acute stroke or TIA 119 had high blood...

  19. Behandling af svær anæmi hos patienter, der afviser blodtransfusion

    DEFF Research Database (Denmark)

    Lorentzen, Kristian; Kjær, Bjarne; Olsen, Karsten Skovgaard

    2014-01-01

    In situations involving serious bleeding and anaemia, a refusal of blood transfusion puts the clinician in an ethical and medical dilemma, as standard treatment is not an option, and the patient risks dying of a potentially reversible cause. This status article describes methods of treatment unde...... the concept of "bloodless medicine", where surgical and supportive techniques are used to manage and treat severe anaemia.......In situations involving serious bleeding and anaemia, a refusal of blood transfusion puts the clinician in an ethical and medical dilemma, as standard treatment is not an option, and the patient risks dying of a potentially reversible cause. This status article describes methods of treatment under...

  20. 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....

  1. Organtransplanterede patienter har behov for intensiv kontrol og behandling af hudcancer

    DEFF Research Database (Denmark)

    Togsverd-Bo, Katrine; Sørensen, Søren Schwartz; Hædersdal, Merete

    2013-01-01

    The risk of non-melanoma skin cancer (NMSC) and in particular squamous cell carcinoma is significantly increased in organ transplant recipients due to long-term treatment with immunosuppressives. Dermatologic management in the form of a multidisciplinary approach, including patient education, skin...

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

    DEFF Research Database (Denmark)

    Gerbild, Helle Nygaard

    2008-01-01

    , the concepts – ‘push’, ‘pull’, ‘press-into’, ‘stop’ and ‘stay’ were used, and further the concepts of the amount of the patients’ general CAM experiences: infrequent clients, established clients and orthodox clients, and in addition, CAM used specificly for diabetes, the aim of using CAM: wellness, prevention...... theory. The data originate from an explorative study based on semi-structured individual in-depth interviews with ten diabetic using CAM. The selection of patients for the interviews was based on several strategies. Results: In order to understand the patients’ experiences and positions of CAM...

  3. Behandling af digital dermatitis på KFC

    DEFF Research Database (Denmark)

    Krogh, Kenneth; Thomsen, Peter

    2008-01-01

    På Kvægbrugets Forsøgscenter blev de rutinemæssige klovbade i maj 2007 erstattet med månedlige tjek af klove i beskærerboks og behandling af klovlidelser, herunder især Digital Dermatitis. Behandlingseffekten har været høj med 90 % helbredte efter en måned. Udgivelsesdato: april 2008......På Kvægbrugets Forsøgscenter blev de rutinemæssige klovbade i maj 2007 erstattet med månedlige tjek af klove i beskærerboks og behandling af klovlidelser, herunder især Digital Dermatitis. Behandlingseffekten har været høj med 90 % helbredte efter en måned. Udgivelsesdato: april 2008...

  4. Behandling af historiske data for hele Limfjorden

    DEFF Research Database (Denmark)

    Henriksen, Peter

    2008-01-01

    forekomst af PSP-toksinproducerende alger, har projektet bl.a. vist, at der er forskel på ophobning af algetoksiner i muslinger afhængigt af om de vokser på et lineopdrætsanlæg eller som bundmuslinger. Endvidere er der blevet identificeret en række mulige tilpasninger af prøvetagningsprogrammerne, som kan...

  5. Fysisk rehabilitering i forbindelse med behandling af hæmatologiske sygdomme

    DEFF Research Database (Denmark)

    Høgdal, Nina; Bartels, Frederik Reith; Smith, Nicholas Simon;

    2015-01-01

    I denne statusartikel vurderes det, hvorvidt det eksisterende fysioterapeutiske træningstilbud under behandling af maligne sygdomme med højdosis kemoterapi og perifer stamcellestøtte (HD-ASCT) lever op til anbefalingerne i Kræftplan III. Alle seks hospitaler i Danmark, som behandler patienter med...... HDASCT, indgår i undersøgelsen. Resultatet af undersøgelsen peger på, at fysisk aktivitet ikke er højt prioriteret på landets hospitaler. Fysioterapinormeringen er sparsom, så daglig prioritering er nødvendig, og enkelte steder er der under indlæggelse ventetid på opstart af fysioterapi...

  6. Nationale domstoles behandling af internationale normkonflikter

    DEFF Research Database (Denmark)

    Kjeldgaard-Pedersen, Astrid

    2013-01-01

    Med sin dom af 12. september 2012 i sagen Nada v. Switzerland har Den Europæiske Menneskerettighedsdomstol (EMD) givet ny næring til debatten om, hvordan konflikter mellem staters forpligtelser ifølge Den Europæiske Menneskerettighedskonvention (EMRK) og deres forpligtelser efter bindende...

  7. Udvikling af medicinsk behandling mod bipolar lidelse

    DEFF Research Database (Denmark)

    Ellegaard, Pernille Kempel

    2015-01-01

    Selvom Esbjerg ligger i vandkants Danmark, er det den Psykiatriske Forskningsenhed i denne by, der er primus motor for et stort forsøg blandt mennesker, der lider af bipolar lidelse. Forsøget hedder ”NACOS”, og er et medicinsk forsøg til mennesker, der befinder sig i den depressive fase.......Selvom Esbjerg ligger i vandkants Danmark, er det den Psykiatriske Forskningsenhed i denne by, der er primus motor for et stort forsøg blandt mennesker, der lider af bipolar lidelse. Forsøget hedder ”NACOS”, og er et medicinsk forsøg til mennesker, der befinder sig i den depressive fase....

  8. Traditionel og alternativ behandling af sklerosepatienter

    DEFF Research Database (Denmark)

    Stenager, E N; Stenager, Egon; Knudsen, L;

    1989-01-01

    The medicine consumption and the employment of alternative treatment were investigated in a material of 117 patients with disseminated sclerosis (DS) considered to be a representative sample of the patients with DS in the County of Funen. This investigation revealed that the preparations most...... commonly employed to modify the disease among patients with disseminated sclerosis were: spasmolytics, agents to counteract neurogenic bladder symptoms, benzodiazepine and analgesics. The consumption of medicine increased with increasing handicap. Employment of psychopharmaca was commonest in patients...... in social classes 4 and 5 and in women. In addition, is was found that there was no difference in social class, sex and age among the patients who employ alternative methods of treatment. The patients themselves have not experienced any effect from alternative treatment....

  9. Neurointensiv behandling af svaere traumatiske hjerneskader

    DEFF Research Database (Denmark)

    Welling, Karen-Lise Kobberø; Eskesen, Vagn; Romner, Bertil;

    2010-01-01

    We present a Danish algorithm for the neurointensive care of patients with severe traumatic brain injury. The primary goal is to avoid cerebral ischaemia and hypoxia and secondarily brain injury. Patient evaluation by a neurosurgeon is mandatory, and decision-making concerning extended cerebral m...... monitoring should take place immediately. Treatment aiming at diminishing increased intracranial pressure should be initiated early. Early critical care management of patients with severe traumatic brain injury should be performed in a teamwork comprising various specialties....

  10. Behandling af Tourettes syndrom med aripiprazol

    DEFF Research Database (Denmark)

    Stenstrøm, Anne Dorte; Sindø, Ingrid

    2008-01-01

    Tourette's syndrome (TS) is a motoric disorder characterised by multiple motor and vocal tics. The treatment for patients with moderate to severe TS includes antipsychotic medication. A case report is described in which a 20 year-old male had taken antipsychotic medication since the age of five......, due to TS. The initial treatment consisted of pimozide and risperidone, both of which had an unsatisfactorily efficacy on tics and side effects in the form of weight gain and sedation. The patient is now treated with aripiprazole and there is a marked reduction of tics and no side effects...

  11. Operativ behandling af thoracic outlet syndrome

    DEFF Research Database (Denmark)

    Birkeland, Peter; Stiasny, Jerzy

    2012-01-01

    We present three cases with longstanding true neurogenic thoracic outlet syndrome. All patients had aching pain in the shoulder, arm and ulnar border of the hand. On examination, we found atrophy of the hand muscles. Electromyography revealed signs of compromised function of the inferior trunk...... of the brachial plexus. At surgery, we found and severed a fibrous band that compressed the inferior trunk. Postoperatively, the pain subsided and fine hand movements improved. One patient had no cervical rib, however, in the two other cases we found rudimentary cervical ribs. Magnetic resonance imaging...

  12. Elektrokemoterapi til behandling af kutane metastaser

    DEFF Research Database (Denmark)

    Falk, Hanne; Matthiessen, Louise Wichmann; Dahlstrøm, Karin;

    2015-01-01

    Cutaneous metastases occur in up to 9% of all patients with cancer and may cause discomfort and stigmatization. Electrochemotherapy is a local treatment using electric pulses to permeabilize cell membranes, enabling chemotherapy, such as bleomycin, to enter the cells and increase the cytotoxic...

  13. Udredning og behandling af morbus Osler

    DEFF Research Database (Denmark)

    Kjeldsen, Anette Drøhse; Andersen, Poul Erik; Tørring, Pernille Mathiesen

    2011-01-01

    such as pulmonary arteriovenous malformations (PAVM), cerebral arteriovenous malformations (CAVM) and gastrointestinal bleeding. Collaboration between various medical specialties is essential in order to provide an up-to-date treatment and thorough work-up in the individual patient. Disregard of symptoms may result...

  14. Målrettet behandling af lymfoproliferativ sygdom

    DEFF Research Database (Denmark)

    Niemann, Carsten Utoft; Geisler, Christian Hartmann

    2014-01-01

    The development of targeted treatment of chronic lymphocytic leukaemia (CLL) is changing the prognostic outlook for CLL patients. The B-cell antigen receptor pathway is identified as pivotal for CLL pathogenesis and CLL cell proliferation. Inhibition of this pathway by ibrutinib (Bruton's tyrosin...

  15. Kirurgisk behandling af levermetastaser og levercancer

    DEFF Research Database (Denmark)

    Wojdemann, M.; Burcharth, F.; Rokkjaer, M.

    2008-01-01

    Hepatic resection is the golden standard in treatment of tumours from primary liver cancer and colorectal liver metastases, but is appropriate for a variety of other benign and malignant tumours in the liver. The selection of patients and criteria are discussed. Curative liver surgery...

  16. Behandling af diabetes mellitus med biologiske laegemidler

    DEFF Research Database (Denmark)

    Larsen, Claus Morten; Mandrup-Poulsen, Thomas

    2008-01-01

    Biologic therapeutics are currently not approved for the treatment of patients with type 1 and type 2 diabetes. However, promising results from recent randomized controlled studies suggest that biologic therapeutics have therapeutic potential. This article summarizes the causal steps of the patho...

  17. Flumazenil til behandling af hepatisk encefalopati

    DEFF Research Database (Denmark)

    Elkjaer, J M; Jensen, T U; Emborg, J

    2000-01-01

    Hepatic encephalopathy (HE) is the neuropsychiatric syndrome that occurs as a complication to liver failure in patients with acute or chronic liver disease. Mental status in this syndrome can range from subtle deficits to coma, with respiratory insufficiency and aspiration to the lungs...

  18. Biologisk behandling af psoriasis og psoriasisartritis

    DEFF Research Database (Denmark)

    Kragballe, Knud; Deleuran, Bent

    2008-01-01

    Psoriasis is an immune-mediated inflammatory skin disease which may be associated with psoriatic arthritis. Biological therapy is indicated in patients who do not respond to, or are intolerant to, or have contraindication against traditional therapy. TNFalpha antagonists are used for both skin...

  19. Biofarmaka til behandling af reumatoid artritis

    DEFF Research Database (Denmark)

    Baslund, Bo; Bendtzen, Klaus

    2008-01-01

    The current status on the use of biopharmaceuticals in the treatment of rheumatoid arthritis is reviewed. Blocking of TNF-alpha, co-stimulation of CD28+ T-cells and depletion of CD20+ B-cells are all effective ways to diminish inflammation and joint damage. However, not all patients react to thes...

  20. Behandling af ideopatisk hypereosinofilt syndrom med imatinib

    DEFF Research Database (Denmark)

    Sørensen, Anne Louise; Larsen, Herdis

    2008-01-01

    We here report a case of idiopathic hypereosinophilic syndrome with prompt response to treatment with imatinib. The patient presented with chest pain, myalgias, fatigue and weakness. Blood tests and bone marrow examination revealed striking eosinophilia. Clonal or reactive disorders were excluded...... by a wide range of diagnostic examinations. Treatment with high-dosis corticosteroids and hydroxyurea had little effect. Additional treatment with imatinib resulted in prompt symptomatic improvement and full haematological remission within five days of therapy. Udgivelsesdato: 2008-Jan-21...

  1. 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....

  2. Behandling af epilepsi ved stimulation af nervus vagus

    DEFF Research Database (Denmark)

    Hansen, Christian Pilebaek; Sidenius, Per Christian; Gyllenborg, Jesper;

    2010-01-01

    epilepsy surgery is not feasible, vagus nerve stimulation (VNS) should be offered. VNS seems to have an effect in all epilepsy syndromes and seizure types. VNS is generally well-tolerated, and may even improve mood and quality of life. Many more epilepsy patients in Denmark should be offered VNS....

  3. Behov for bedre organisering af udredning og behandling af hoste

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli

    2013-01-01

    Cough is frequently a reason for seeing a doctor. Cough has a wide range of causes and the diagnosis can be difficult to make. Cough is often benign and self-limiting but can also be the first sign of malignancy. Especially chronic cough reduces the patients' quality of life. The purpose...... of this review was to present the most common reasons for cough, a rational method of investigation and a management protocol. Cough is a condition, which in most cases can be treated when using a systematic approach....

  4. Forebyggelse og behandling af osteoporose i forbindelse med behandling af ikke-metastaserende prostatacancer

    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 prostatae 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...

  5. Non-invasiv behandling af slid og erosion

    DEFF Research Database (Denmark)

    Pallesen, Ulla; van Dijken, Jan WV

    2011-01-01

    Slid og erosion af tænder synes i dag at være et voksende problem for mange patienter. I de fleste tilfælde kan tandlægens tidlige diagnostik føre til, at forebyggende tiltag iværksættes i tide, så fortsatte skader ophører eller progressionen begrænses. Desværre er det ikke altid muligt og hvis s...

  6. Mentaliseringsbaseret behandling og musikterapi

    DEFF Research Database (Denmark)

    Hannibal, Niels

    2013-01-01

    Denne artikel behandler spørgsmålet, om mentaliseringsbaseret terapi er en metode der medfører et skift i terapeutisk forholdemåde for analytisk orienterede musikterapeuter i arbejde med patienter med personlighedsforstyrrelse. Artiklen skal ses om en del af den teoretiske integrationer af MBT i ...

  7. Private personers behandling af fortrolige oplysninger fra offentlige myndigheder

    DEFF Research Database (Denmark)

    Bønsing, Sten

    2014-01-01

    Denne artikel undersøger, i hvilket omfang den private borger, der kommer i besiddelse af fortrolige oplysninger fra forvaltningsmyndigheder, er begrænset i anvendelsen og videregivelsen heraf. Der gælder ikke et samlet regelsæt, der afgør spørgsmålet, men en række regler i straffeloven og person...... persondataloven kan bringes i anvendelse. Samlet set vil der ofte gælde en form for tavshedspligt for den private, men den endelige konklusion afhænger af de konkrete oplysningers karakter, og hvordan oplysningerne håndteres af borgeren....

  8. Alternativ behandling og kræft

    DEFF Research Database (Denmark)

    Lunde, Anita; Johannessen, Helle

    2010-01-01

    Baggrund: Interessen for komplementær og alternativ behandling (KAB) er stadig stigende, og der kan dokumenteres et større forbrug af KAB blandt kræftpatienter. Patienter anvender primært KAB som supplement til deres konventionelle behandling, og mange så gerne KAB som en integreret praksis. Fler...

  9. 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....

  10. Behandling af suicidalpatienter: Collaborative Assessment and Management of Suicidality

    DEFF Research Database (Denmark)

    Arkov, Kirsten; Rosenbaum, Bent; Christiansen, Lene;

    2008-01-01

    There is still a need for more knowledge about effective methods of assessing and treating the suicidal patient. The method The Collaborative Assessment and Management of Suicidality (CAMS) was tested on a group of out-patients.......There is still a need for more knowledge about effective methods of assessing and treating the suicidal patient. The method The Collaborative Assessment and Management of Suicidality (CAMS) was tested on a group of out-patients....

  11. Præhospital behandling af svært tilskadekomne patienter med fokus på damage control-kirurgi

    DEFF Research Database (Denmark)

    Sørensen, Anne Marie; Larsen, Claus Falck; Steinmetz, Jacob

    2011-01-01

    The majority of patients undergoing damage control surgery initially receive prehospital treatment. Bleeding causes 40% of trauma deaths, half of which happen in the prehospital setting. Future research and improved treatment before hospital admission should focus on control of the bleeding, avoi...

  12. At udholde forandringer i hverdagslivet – patienters oplevelse af at være i behandling for endetarmskræft

    DEFF Research Database (Denmark)

    Hansen, Birgitte Knygle; Winther, Bodil; Norlyk, Annelise

    2015-01-01

    changes; reorganization of everyday life; getting support from close relatives; seeing life from a different perspective. The patients struggled to endure both the on-going treatment and the changes in everyday life related to the disease and unpleasant side effects such as diarrhea. The findings...... demonstrate a need for an increased awareness of the impact of diarrhea on patients’ everyday life during treatment....

  13. Muskuloskeletal behandling af 11-årig med artrogrypose

    DEFF Research Database (Denmark)

    Thomsen, Maria Morandi; Thomsen, Stig Aaberg; Due, Pernille

    2010-01-01

    A two-year-old patient was diagnosed with arthrogryposis because of inflected knees (15-20 degrees) and stiff hamstrings. All joints and reflexes were normal. Activities were described as age-appropriate, but the patient walked with inflected knees and increased lumbal lordosis. Physiotherapy...... and botox did not improve the condition. Because of pain and hampered activities, the patient - now aged 11 years - was treated with musculoskeletal medicine. After treatment the patient could walk normally without pain and stand with stretched knees....

  14. Farmakologisk behandling af mild ukompliceret hypertension i almen praksis

    DEFF Research Database (Denmark)

    Paulsen, Maja Skov; Christensen, Bo; Søndergaard, Jens

    2013-01-01

    Hypertension is an important risk factor for cardiovascular disease. In Denmark, patients with hypertension are primarily managed in primary care. A recent Cochrane review concluded that pharmacotherapy of patients with mild hypertension (systolic blood pressure 140-159 mmHg; diastolic blood pres...

  15. Præhospital behandling af svært tilskadekomne patienter med fokus på damage control-kirurgi

    DEFF Research Database (Denmark)

    Sørensen, Anne Marie; Larsen, Claus Falck; Steinmetz, Jacob

    2011-01-01

    The majority of patients undergoing damage control surgery initially receive prehospital treatment. Bleeding causes 40% of trauma deaths, half of which happen in the prehospital setting. Future research and improved treatment before hospital admission should focus on control of the bleeding......, avoidance of hypothermia, minimising the time to definitive surgery, and a restrictive and goal directed therapy with regard to the intake of fluids. On occasion, lifesaving procedures could be performed during transport to the hospital....

  16. Omkostningseffektivitet ved behandling af type 1-diabetes med insulinpumpe

    DEFF Research Database (Denmark)

    Nørgaard, Kirsten; Sohlberg, Anna; Goodall, Gordan

    2010-01-01

    This study's aim was to project the long-term clinical and economic outcomes of continuous subcutaneous insulin infusion (CSII) treatment compared to multiple daily injections (MDI) in type 1 diabetes patients in Denmark....

  17. Trombosering af mekanisk mitralklapprotese under behandling med dabigatran

    DEFF Research Database (Denmark)

    Thomsen, Jakob Hartvig; Kjaergaard, Jesper; Saust, Laura Trolle;

    2014-01-01

    Dabigatran has been approved for prevention of thromboembolic complications in nonvalvular atrial fibrillation. We present a case of thrombosis of a mechanical prosthetic mitral valve during anticoagulation with dabigatran, switched from warfarin. The patient presented with cardiogenic shock...

  18. Linezolid som behandling af infektiøs endokarditis

    DEFF Research Database (Denmark)

    Lauridsen, Trine Kiilerich; Arpi, Magnus; Bruun, Niels Eske

    2010-01-01

    In Denmark enterococci causes 15 to 20% of all endocarditis (IE) cases. The development of multi-resistant bacterial strains has increased the need for new antibiotics. Linezolid is an alternative to conventional treatment of infections with gram positive cocci. In this case report linezolid was ...... used to treat IE in a patient, who was allergic to penicillin and where conventional treatment caused development of acute renal failure. No side effects were observed and the patient responded well to the treatment....

  19. Behandling af invert papillom med endonasal endoskopisk sinuskirurgi

    DEFF Research Database (Denmark)

    Andersen, Pia Juul; Kjeldsen, Anette Drøhse; Pedersen, Arne Toft

    2002-01-01

    INTRODUCTION: Inverted papilloma is a benign sinonasal tumour and has a marked tendency to recur after surgical excision. The tumour may be associated with malignancy and during growth it may destroy surrounding tissue. The treatment is either lateral rhinotomy or endoscopic sinus surgery. The aim...... of the study was to describe the course of all patients treated with endoscopic sinus surgery at the ENT Department at Vejle County Hospital during the period 1 January to 31 December 1999. MATERIAL AND METHODS: Twenty-eight journals of patients diagnosed with inverted nasal papillomas were reviewed...... with carcinoma. We did not see any serious side effects to the treatment. DISCUSSION: Endoscopic sinus surgery in combination with Caldwell-Luc can be recommended as an alternative treatment to lateral rhinotomy in patients with inverted papillomas. Preoperative staging with CT or MR...

  20. Salmonella typhi--tid til aendring af den empiriske behandling

    DEFF Research Database (Denmark)

    Gade, Christina; Engberg, Jørgen; Weis, Nina

    2008-01-01

    out of seven cases. We recommend that empiric treatment of suspected cases of typhoid fever includes a third generation cephalosporin such as ceftriaxon. Furthermore, the present report stresses the importance of typhoid vaccination of travellers to areas where typhoid is endemic. Udgivelsesdato: 2008......In the present case series report we describe seven recent cases of typhoid fever. All the patients were travellers returning from Pakistan, where typhoid is endemic. Salmonella typhi isolated from the patients by blood culture were reported as intermediary susceptible to fluoroquinolones in six...

  1. Behandling af gastrointestinal blodning fra angiodysplasier med somatostatinanalogen octreotid

    DEFF Research Database (Denmark)

    Boesby, L.; Kristensen, L.O.; Christensen, Niels Juel

    2008-01-01

    Angiodysplasias account for 2-8% of GI-bleeding episodes. We describe a 75-year-old patient with a history of anaemia for 1 year before being diagnosed with multiple angiodysplasias in the GI-tract. The patient needed weekly blood transfusions until he started treatment with octreotide. After 4...... months of treatment the need for transfusions had decreased dramatically and faeces was negative for blood. Treatment was switched to long-acting octreotide (Sandostatin Lar). The case illustrates the usefulness of somatostatin analogues in the treatment of bleeding GI-angiodysplasias Udgivelsesdato...

  2. Utilfredsstillende langtidsresultater efter konservativ behandling af patellofemoralt smertesyndrom

    DEFF Research Database (Denmark)

    Rathleff, Michael Skovdal; Rasmussen, Sten; Olesen, Jens Lykkegaard

    2012-01-01

    This review overviews the long-term prognosis of conservatively treated patients with patellofemoral pain syndrome (PFPS). Median values of the 16 included studies show that 29% of soldiers, 27.8% of sports active and 24,7% of the general public will become pain free after they are diagnosed...

  3. Nyrepåvirkning ved behandling af hjertesvigt

    DEFF Research Database (Denmark)

    Rasmussen, Zhiying Zhang; Barfod, Toke; Klit, Jakob

    2009-01-01

    The case of a 66-year-old male with heart failure and cardiorenal syndrome is presented. The patient had normal renal function before intensive treatment with diuretics and ACE inhibitor. Shortly after the ACE inhibitor was stopped and diuretics were either stopped or reduced in dosage, his renal...

  4. Transanal minimally invasive surgery til behandling af lav rectumcancer

    DEFF Research Database (Denmark)

    Levic, Katarina; Bulut, Orhan

    2014-01-01

    Laparoscopic total mesorectal excision (LTME) has become the standard surgical treatment of rectal cancer. There is however technical challenges when operating patients with a narrow pelvis with tumours located in distal or middle part of the rectum. We describe a case of a 71-year-old male...

  5. Transanal minimal invasiv kirurgi til behandling af lav rectumcancer

    DEFF Research Database (Denmark)

    Levic, Katarina; Bulut, Orhan

    2014-01-01

    Laparoscopic total mesorectal excision (LTME) has become the standard surgical treatment of rectal cancer. There is however technical challenges when operating patients with a narrow pelvis with tumours located in distal or middle part of the rectum. We describe a case of a 71-year-old male...

  6. Rituximab (MabThera) til behandling af aktiv reumatoid artritis

    DEFF Research Database (Denmark)

    El Fassi, Daniel; Nielsen, Claus Henrik; Bendtzen, Klaus

    2006-01-01

    Rituximab (RTX) is a murine/human monoclonal antibody to CD20, a protein expressed almost exclusively on human B-lymphocytes. RTX induces rapid and marked B-cell depletion with beneficial clinical effects in 1/3 to 1/2 of rheumatoid arthritis patients. Treatment is given as two iv. infusions with...

  7. Behandling af metforminassocieret laktatacidose med hæmodialyse

    DEFF Research Database (Denmark)

    Schousboe, K.; Rasmussen, K.; El Fassi, D.;

    2012-01-01

    Metformin-associated lactate acidosis is rare but serious and characterized by metabolic acidosis and elevated lactate. We describe a single-institution experience of four cases in one year. Despite pH levels of 6.85 to 7.12 and lactate levels of 11-28 mmol/l three of the patients survived. Two o...

  8. Måling af nyrefunktion under cytostatisk behandling

    DEFF Research Database (Denmark)

    Hartlev, Louise Brøndt; Bøje, Charlotte Rotbøl; Bluhme, Henrik;

    2008-01-01

    INTRODUCTION: Some cytostatics, used in the treatment of cancer, are excreted by the kidneys and may be nephrotoxic. The glomerular filtration rate (GFR) represents a method for reliable assessement of the 51Cr-EDTA plasma clearance before and during treatment with nephrotoxic drugs. The aim...... of this retrospective study was to evaluate whether this method could be replaced by a more simplified GFR estimate calculated from the creatinine plasma concentration. MATERIALS AND METHODS: We included all patients who had had at least four GFR measurements in 2005 as part of their nephrotoxic cytostatic treatment....... The estimated GFR (eGFR) was calculated from sex, age and weight, according to the Cockcroft formula. RESULTS: Forty-eight patients with a mean age of 47 years were included. 51Cr-EDTA plasma clearance and eGFR showed a poor correlation (r(2) = 0,678). On average, GFR decreased from 95 ml/min to 80 ml/min from...

  9. Biologisk behandling af neuroendokrine tumorer i mave-tarm-kanalen

    DEFF Research Database (Denmark)

    Hansen, Carsten Palnaes; Knigge, Ulrich

    2008-01-01

    Biotherapy of hormonal symptoms and tumour growth is a mainstay in the therapy of metastatic neuroendocrine tumours of the gastrointestinal tract and pancreas. Symptomatic relief can be achieved by somatostatin analogues and interferon, either alone or in combination. The effect on tumour growth...... is less convincing although a stabilization of disease is recorded in almost 50% of patients. Interferon treatment should mainly be considered for tumours with a low proliferation index....

  10. Diagnostik og behandling af paroksystisk supraventrikulær takykardi

    DEFF Research Database (Denmark)

    Rujic, Dragana; Sundbøll, Jens; Tofig, Bawer Jalal;

    2016-01-01

    The paroxysmal supraventricular tachycardias (SVT) are commonly encountered arrhythmias and include atrioventricular nodal re-entrant tachycardia, atrioventricular reciprocating tachycardia, and focal atrial tachycardia. These tachycardias share several clinical features as well as similar...... management strategies. The probable mechanism of paroxysmal SVT can often be diagnosed from the clinical findings and a 12-lead ECG. This review describes the initial evaluation and treatment of patients with paroxysmal SVT, including distinctive features from the most important differential diagnoses....

  11. Filetlap til behandling af livstruende tryksår

    DEFF Research Database (Denmark)

    Gunnarsson, Gudjon Leifur; Høimyr, Hilde; Rossi, Paolo Emilio;

    2014-01-01

    A 71-year-old multi-morbid, paraplegic male with five pressure ulcers and a left-sided open trochanter fracture with chronic osteomyelitis was admitted to hospital. His condition required exarticulation of the left hip joint. A radical wound revision and a pedicled lower extremity fillet flap...... reconstruction of the defect was performed. The patient made uneventful recovery to normal activity within six weeks and had a stable result after one year follow-up. The case is a reminder of the importance of early intervention and preventive management of pressure ulcers and elaborates the benefits...... of interdisciplinary team efforts in the treatment of advanced ulcers....

  12. Bedre prognose af cystinose ved behandling med cysteamin og nyretransplantation

    DEFF Research Database (Denmark)

    Oczachowska-Kulik, Anne; Lund, A M; Skovby, F;

    2011-01-01

    Cystinosis is a rare, autosomal recessive disease with cystine deposits in different tissues. First signs come from kidneys and eyes, but during progression of the disease other organs can also be affected. Previously, patients with cystinosis had a very poor prognosis, but it is now considerably...... improved due to new methods of treatment. The purpose of this paper is to give a brief review of the disease and discuss the significant improvement of the prognosis, which has been achieved by specific medical treatment with cystine-depleting agents, and, if needed, by kidney transplantation....

  13. Forekomst, kausalitet og behandling af polyneuropati associeret til monoklonal gammopati af ukendt signifikans

    DEFF Research Database (Denmark)

    Moth Henriksen, Marie; Kolmos, Eva Brøsted; Abildgaard, Niels;

    2012-01-01

    The prevalence of polyneuropathy in patients with monoclonal gammopathy of undetermined significance (MGUS) has been reported to be 10-50%. The majority of patients have a chronic, slowly progressive, distal, symmetric and predominantly sensory polyneuropathy. A caused relationship between...... polyneuropathy and immunoglobulin (Ig)M MGUS is better established than the relationship between polyneuropathy and IgG/IgA MGUS because of the observed binding of IgM to myelin sheaths and widening of myelin lamellae. In randomized controlled trials plasma exchange, immunosuppressive, rituximab and intravenous...

  14. Hjemtagning af dialysebehandling til grønlandske patienter med kronisk nyresvigt

    DEFF Research Database (Denmark)

    Kronborg, Christian; Kjær, Trine; Bech, Mickael

    Dronning Ingrids Hospital i Nuuk kan organiseres, herunder foreslået hvordan en enhed ved Dronning Ingrids Hospital kan samarbejde med Rigshospitalet i København om behandlingen af patienter med behov for dialyse. Det foreslås således, at opstart af dialysebehandlingen, som nu, skal foregå på...... Rigshospitalet, hvorefter behandling og kontrol foregår på Dronning Ingrids Hospital. På baggrund af danske data om forekomsten af behandlingskrævende nyresvigt vurderes det, at der i dag er færre grønlandske patienter i dialysebehandling end forventet. En hjemtagning af behandlingen kan muligvis ændre på dette...... andelen overstige 60 % (mod ca. 40 % i dag). Hvis andelen af patienter med behov, som faktisk tager imod behandling, fastholdes over de næste 10 år, hvis behandlingen fortsat skal foregå som nu (ca. 40 %), mens andelen øges ved en hjemtagning, vil behandling på Dronning Ingrids Hospital være forbundet med...

  15. 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....

  16. Musikbiografi og musikreminiscens som led i musikterapeutisk behandling af personer med frontotemporal demens

    DEFF Research Database (Denmark)

    Ridder, Hanne Mette Ochsner

    2005-01-01

    At reflektere over sine følelser og sin egen situation, være kreativ og fantasifuld, og kunne planlægge og udføre målrettede handlinger hænger sammen med funktioner der involverer den forreste del af hjernen. Disse evner eller funktioner kan skades ved frontotemporale demensformer. Fra Rigshospit...

  17. Forskelle på ordinationsmønstret af analgetika ved behandling af cancersmerter på seks danske smertebehandlingsenheder

    DEFF Research Database (Denmark)

    Olesen, Anne Estrup; Jarvig, Line; Hansen, Ole Bo;

    2007-01-01

    analgesics were prescribed for 40% of the patients while 50% of the patients were treated with paracetamol and/or NSAID. According to the medical records 79% of the patients were prescribed analgesics for breakthrough pain. 73% of the 347 patients had strong opioids prescribed for breakthrough pain....... For the treatment of background pain opioids were prescribed for the majority of the cancer patients. Morphine and oxycodone were prescribed most frequently. Secondary analgesics and paracetamol and/or NSAID were also prescribed for background pain. The strong opioids were prescribed for the treatment...

  18. ACE-inhibitorer er fortsat førstevalg ved behandling af hjertesvigt--en gennemgang af et Cochranereview

    DEFF Research Database (Denmark)

    Gadsbøll, Niels; Torp-Pedersen, Christian Tobias

    2013-01-01

    A new Cochrane metaanalysis has reviewed the literature on the use of angiotensin receptor blockers (ARB) in patients with heart failure and left ventricular systolic dysfunction. The conclusion supports the present recommendation from the European Society of Cardiology that angiotensin convertin...... enzyme inhibitors (ACE-I) are first choice and that ARBs should be reserved to patients who are intolerant to ACE-Is. Neither ACE-Is nor ARBs are effective in the treatment of heart failure patients with normal left ventricular function....

  19. Kirurgisk behandling af renovaskulaer hypertension forårsaget af nyrearteriestenose. En retrospektiv opgørelse

    DEFF Research Database (Denmark)

    Hensler, M K; Forrest, M; Schroeder, T V;

    1994-01-01

    months. At follow-up (median 65 months), 85% of the patients had normal blood pressure or either no, modest or considerably reduced anti-hypertensive medication. It is concluded that surgical treatment of renovascular hypertension is a safe and effective procedure.......During a 10 year period 58 patients with renovascular hypertension due to renal artery stenosis were treated surgically. A retrospective analysis of the results was carried out. No perioperative mortalities occurred. Ten percent of the patients developed hypertension again after an average of 27...

  20. Fedmekirurgi er mere effektiv end medicinsk behandling til opnåelse af remission af type 2-diabetes

    DEFF Research Database (Denmark)

    Klein, Mads; Rosenberg, Jacob; Gögenur, Ismail

    2013-01-01

    Observational studies have shown that bariatric surgery can lead to remission of diabetes mellitus type 2 (DMII), but randomized controlled trials have been lacking. Recently, randomized controlled trials comparing bariatric surgery with optimal medical treatment in patients suffering from poorly...... controlled DMII, have been performed. These trials show that bariatric surgery in general, and the malabsorptive procedures in particular, are more effective than medical treatment in achieving remission of DMII. These procedures should therefore be considered in the treatment of patients with DMII...

  1. Behandling af reumatoid artrit med anti-tumornekrosefaktor-alpha-antistof. Individuel monitorering af biotilgaengelighed og immunogenicitet-- sekundaerpublikation

    DEFF Research Database (Denmark)

    Bendtzen, Klaus; Geborek, Pierre; Svenson, Morten;

    2007-01-01

    Remicade/infliximab is effective in rheumatoid arthritis (RA), but response failure is frequent. Sera from 106 RA patients were monitored using an RIA for functional infliximab and an RIA for anti-infliximab antibody (Ab). S-infliximab varied considerably, e.g. 0-22 microg/ml before the 3rd infus...

  2. Radium-223 behandling af knoglemetastaser ved kastrationsrefraktær prostatacancer

    DEFF Research Database (Denmark)

    Mortensen, Jann; Højgaard, Liselotte

    2014-01-01

    The alpha emitter Radium-223 ((22)3Ra-Cl2) is a bone-seeking radionuclide studied as a new treatment for patients with bone metastases from hormone refractory prostate cancer. More than 1,000 patients have been included in clinical phase I-III tests showing significant reduction in alkaline...

  3. Behandling af blødende øsofagusvaricer med selvekspanderende metalstenter

    DEFF Research Database (Denmark)

    Dahlerup, Jens F; Kruse, Aksel; Grønbaek, Henning;

    2007-01-01

    We report that haemostasis was obtained by the use of SEMS in two patients with bleeding oesophageal varices which failed conventional therapy (vasoactive drugs, antibiotics, endoscopy, and Sengstaken balloon tamponade). One patient subsequently died of sepsis; the other was treated with TIPS...

  4. Mulig forbedret behandling af kolorektal cancer med sentinel lymph node-diagnostik

    DEFF Research Database (Denmark)

    Burgdorf, Stefan K; Eriksen, Jens Ravn; Gögenür, Ismail

    2014-01-01

    Possibly improved treatment of colorectal cancer by sentinel lymph node mapping Prognosis for colorectal cancer is dependent on radical surgical intervention. Chemotherapy in patients with advanced disease has improved the survival. A considerable proportion of the patients going through radical...... surgery will subsequently relapse. Adjuvant chemotherapy is reserved for patients with lymph node metastases, why undetected malignant lymph nodes will result in understaging and exclusion from the possible benefit of adjuvant chemotherapy. With sentinel lymph node mapping it may be possible to detect and...

  5. Disease-modifying anti-rheumatic drugs til behandling af ankyloserende spondylitis

    DEFF Research Database (Denmark)

    Madsen, Ole Rintek; Egsmose, Charlotte

    2009-01-01

    Ankylosing spondylitis (AS) is an inflammatory disorder affecting the axial skeleton, peripheral joints, entheses and extra-articular sites. Patients with early disease, a higher level of erythrocyte sedimentation rate and/or peripheral arthritis might benefit from sulfasalazine. Otherwise...

  6. Endokrinologisk udredning, behandling og opfølgning af polycystisk ovariesyndrom

    DEFF Research Database (Denmark)

    Glintborg, Dorte; Rungby, Jørgen; Eskildsen, Peter;

    2010-01-01

    Polycystic ovary syndrome (PCOS) has a prevalence of 5-10% and is defined as oligomenorrhoea, hyperandrogenaemia and/or polycystic ovaries and the exclusion of other aetiologies for the patient's symptoms. There is currently no agreement on the initial evaluation programme for women referred...... with PCOS or on how the syndrome should be treated. Women with PCOS have an increased risk of the metabolic syndrome upon diagnosis and increased long-term risk of type 2 diabetes, cardiovascular disease and endometrial cancer. In the present overview, we give recommendations for relevant follow......-up examination of patients with PCOS based on a search of the available literature. Udgivelsesdato: 2010-Jan-18...

  7. Endokrinologisk udredning, behandling og opfølgning af polycystisk ovariesyndrom

    DEFF Research Database (Denmark)

    Glintborg, Dorte; Rungby, Jørgen; Eskildsen, Peter;

    2010-01-01

    Polycystic ovary syndrome (PCOS) has a prevalence of 5-10% and is defined as oligomenorrhoea, hyperandrogenaemia and/or polycystic ovaries and the exclusion of other aetiologies for the patient's symptoms. There is currently no agreement on the initial evaluation programme for women referred...... with PCOS or on how the syndrome should be treated. Women with PCOS have an increased risk of the metabolic syndrome upon diagnosis and increased long-term risk of type 2 diabetes, cardiovascular disease and endometrial cancer. In the present overview, we give recommendations for relevant follow......-up examination of patients with PCOS based on a search of the available literature....

  8. Behandling af idiopatisk perifer facialisparese, også kaldet Bells parese

    DEFF Research Database (Denmark)

    Meyer, Martin Willy; Hahn, Christoffer Holst

    2013-01-01

    Bell's palsy is defined as an idiopathic peripheral facial nerve paralysis of sudden onset. It affects 11-40 persons per 100,000 per annum. Many patients recover without intervention; however, up to 30% have poor recovery of facial muscle control and experience facial disfigurement. The aim...

  9. Omkostningseffektiv ændring af behandling ved delhudstransplantat på crus

    DEFF Research Database (Denmark)

    Vennegaard Kalialis, Louise; von Sperling, Marie Louise; Hoyer, A.P.

    2012-01-01

    We present a clinical comparison of short stretch bandage versus a two-layer compression bandage and early mobilization after split skin grafting to lower leg defects. A total of 38 patients were included. The first group were immobilized for four days and given a short stretch support bandage. G...

  10. Forskelle i behandling af børn med idiopatisk trombocytopenisk purpura

    DEFF Research Database (Denmark)

    Edslev, Pernille Wendtland; Kjærsgaard, Mimi; Rosthøj, Steen

    2010-01-01

    INTRODUCTION: Idiopathic thrombocytopenic purpura (ITP) is a rare immune-mediated bleeding disorder that usually takes a self-limiting and benign course. Due to the risk of intracranial haemorrhage, treatment regimens tend to be active. We present treatment data from 17 paediatric departments...... in Denmark (1998-2000), focusing on regional differences in treatment strategy. MATERIAL AND METHODS: As part of a prospective Nordic study, clinical findings and treatment were recorded for 109 children with newly diagnosed ITP. The course in the following six months was reported for 91 children. Results...... transfusion was given to 24%, 0% and 4%, respectively. There were no differences in remission rates or frequency of mucosal bleeding during follow-up, but treatment rates were 6.3, 4.7, and 3.0 per patient-year with severe thrombocytopenia. Chronic ITP lasting more than six months developed in 26%, 33...

  11. Laparoskopisk versus åben højresidig hemikolektomi til behandling af koloncancer

    DEFF Research Database (Denmark)

    Pommergaard, H C; Olsen, J.A.; Burgdorf, S.K.;

    2010-01-01

    , blood loss, surgical complications and mortality. RESULTS: The length of hospital stay was significantly shorter in the LRH group than in the ORH group (five vs. six, p = 0.023). Furthermore, the number of lymph nodes harvested was significantly larger in the LRH group than in the ORH group (23 vs. 15...... the Danish Colorectal Cancer Group (DCCG) database, we identified two groups each with 42 patients who underwent either laparoscopic right hemicolectomy (LRH) or open right hemicolectomy (ORH). The two groups were compared with respect to demographic data, length of hospital stay, number of glands harvested...... to ORH with regards to morbidity, mortality and blood loss. Furthermore, LRH is associated with a shorter hospital stay and a higher radical lymph node harvest than ORH. The results and the thesis that LRH will result in fewer hernias and better cosmetic outcomes makes LRH a promising surgical procedure...

  12. Korrekt behandling af forfrysninger

    DEFF Research Database (Denmark)

    El-Charnoubi, Waseem Ghulam; Bonde, Christian; Alsbjørn, Bjarne F

    2011-01-01

    Frostbite is rare in Denmark and is often associated with psychiatric conditions or drug- and alcohol abuse. It is seen regularly in countries with an arctic climate and tradition for outdoor activities such as skiing and climbing. The past winter in Denmark was long and cold, so we may see...

  13. Behandling af brandskader

    DEFF Research Database (Denmark)

    Lang, Christian Lyngsaa; Partoft, Søren; Astrup, Jakob;

    2015-01-01

    This paper aims to clarify the newly revised guidelines regarding burn injuries as to assist medical personnel dealing with burns. The Department of Burns at Rigshospitalet is the main burn centre in Denmark, and thus creates the National Guidelines of burns treatment. The new guidelines have...

  14. Behandling af infantile spasmer

    DEFF Research Database (Denmark)

    Hansen, Lars Kjaersgård; Rasmussen, Niels Henrik

    2006-01-01

    Infantile spasms (IS) are characterised by neurodevelopmental regression, a unique type of seizures and a hypsarrhythmic EEG pattern. Studies recommend the medical treatment of IS as a positive short-term outcome with respect to the spasms and in the resolution of the hypsarrhythmia. However...

  15. Behandling af Dupuytrens kontraktur

    DEFF Research Database (Denmark)

    Raundrup Kornø, Maj; Søe, Niels Henrik; Dahlin, Lars B

    2015-01-01

    Dupuytren’s disease treatment Dupuytren’s disease is a hereditary fibroproliferative disease commonly affecting the palmar fascia of the hand, which results in progressive and irreversibly fixed flexion contractures of the hand. It may occur in the sole of the foot or in the penis. Gen­erally, tr......Dupuytren’s disease treatment Dupuytren’s disease is a hereditary fibroproliferative disease commonly affecting the palmar fascia of the hand, which results in progressive and irreversibly fixed flexion contractures of the hand. It may occur in the sole of the foot or in the penis. Gen...

  16. Udformning af en forskningsprotokol

    DEFF Research Database (Denmark)

    Ridder, Hanne Mette Ochsner; Ottesen, Aase Marie

    2008-01-01

    Nogle demenssygdomme rammer især de forreste dele af hjernen, hvilket hos den enkelte person kan medføre svære psykiatriske symptomer. Der findes ingen specifik behandling af grundsygdommene for disse frontotemporaledemenstilstande, og symptomatisk medikamentel behandling af de psykiatriske sympt...

  17. 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...

  18. Depressive patienters oplevelse af at modtage ECT

    DEFF Research Database (Denmark)

    Jensen, Christine Damsbo

    Dette studie handler om, hvordan det opleves for den voksne depressive patient at gennemgå et ECT-behandlingsforløb (electroconvulsive therapy). Formålet med projektet er dels at undersøge, hvordan processen omkring ECT-behandlingen udspiller sig og dels at undersøge patienternes oplevelse......, reaktioner og tanker omkring ECT-behandlingen. Studiet bygger på den eksisterende viden om patienters oplevelse af ECT. Metoden er feltforskning med deltagende observation og etnografisk interview. Dette suppleres af to spørgeskemaer. Der blev inkluderet 8 patienter i undersøgelsen. Analysen udspringer af...... konstruktivistisk epistemiologisk vinkel. Ved en teoristyret analyse fremkom 2 overordnede temaer: Anspændthed og tryghed. Disse temaer blev behandlet i en procesorienteret forståelse af ECT-forløbet. Denne proces bestod af: Betingelser, interaktion og konsekvenser. Diskussionen er en kritisk diskussion af fund og...

  19. Segmentel vending af tyndtarmen til behandling af voksne patienter med korttarms syndrom

    DEFF Research Database (Denmark)

    Burgdorf, Stefan K; Qvist, Niels; Gögenur, Ismail

    2014-01-01

    Short bowel syndrome is the result of extensive surgical resection, inherited defects or loss of functional absorbing intestine. Parenteral nutrition is associated with high economical expenses, increased morbidity and decreased quality of life. Intestinal transplantation is associated with high...... morbidity and mortality rates. Segmental reversal of the small bowel can prolong the transit time in the small bowel and in many cases permanently end parenteral nutrition dependency. Segmental reversal of the small bowel should be integrated in the surgical treatment of adults with short bowel syndrome....

  20. Styring af blodfortyndende medicin

    DEFF Research Database (Denmark)

    Kallestrup, Lisbeth

    2010-01-01

    Artiklen beskriver sygeplejerskers dosering af AK- behandling. Hovedbudskabet er, at kvaliteten af doseringen til patienterne bevares eller måske forbedres, såfremt ansvaret for doseringen overdrages fra læger til sygeplejersker. Udgivelsesdato: 23092010...

  1. Karkirurgisk behandling hos patienter med påvirket nyrefunktion

    DEFF Research Database (Denmark)

    Hensler, M K; Forrest, M; Lorentzen, Jørgen Ewald;

    1994-01-01

    The purpose of the study was to evaluate the effect of surgery for renal artery stenosis in patients with impaired renal function. The design was a retrospective investigation with follow-up. The material consisted of 42 such patients operated at Rigshospitalet between 1980 and 1990. Renal functi...

  2. 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...... and 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......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...

  3. Elektronisk journalplatform i den fysioterapeutiske praksis til kvalitetssikring og dokumentation af praksis

    DEFF Research Database (Denmark)

    Larsen, Birgit Tine; Bie Larsen, Jesper; Harboe, Michael

    dokumentation af evidensen af den fysioterapeutiske behandling, har medfødt ønske om inddragelse af elektroniske undersøgelsesredskaber og validerede spørgeskemaer (Patient Reported Outcome Measures (PROM)) i Digifys. Med udgangspunkt i dette ønske blev indeværende projekt initieret af fysioterapiuddannelsen...... innovationsprojekter på erhvervsakademier og professionshøjskoler i samarbejde med private virksomheder.   Nøgleord: elektronisk journalplatform, kvalitetssikring, innovation...

  4. Klinisk retningslinje for udredning og klassificering af personer med nakkebesvær

    DEFF Research Database (Denmark)

    Kjær, Per; Eirikstoft, Heidi; Ris Hansen, Inge

    2010-01-01

    anbefalinger til: • overordnet klassifikation af nakkebesvær • identificering af tegn på alvorlig patologi (røde flag) • identificering af personer med risiko for at udvikle uhensigtsmæssige copingstrategier i forbindelse med nakkebesvær • identificering af personer med risiko for at miste tilknytning til...... arbejdsmarked (gule flag) • identificering af mulige differentialdiagnoser • klassificering af almindelige lidelser i nakken med henblik på specifik behandling Patienter Retningslinjen giver anbefalinger om fysioterapeutisk undersøgelse og diagnostik af personer med uspecifikke nakkesmerter med eller uden...

  5. Patienters vurdering af medicinpakningernes indlaegssedler

    DEFF Research Database (Denmark)

    Horwitz, Anna; Reuther, Lene; Andersen, Stig Ejdrup

    2009-01-01

    effects had made them stop taking their medicine. Future studies should bring into focus the reason for medication adherence, how written information can be made easier to read, comprehensive and correct without contributing to anxiety and non-adherence. Udgivelsesdato: 2009-Feb......INTRODUCTION: The objective was to investigate patients' perception of patient information leaflets, including their readability, comprehensibility and their impact on adherence. MATERIAL AND METHODS: A 14-item questionnaire was prepared and answered by unselected patients in a general practice...... in Copenhagen. RESULTS: A total of 111 patients were included. Eighty-eight patients (79%) always or often read the patient information leaflets. Among these, 77% attached importance to adverse effects. A mere 13% attached importance to all leaflet information. In all, 21% never or rarely read patient...

  6. Tilfredshedsundersøgelse af Palliativt Team Fyn

    DEFF Research Database (Denmark)

    Paulsen, Maja Skov

    2007-01-01

    Behandling af døende patienter i eget hjem kan være en vanskelig og udfor­ drende opgave. Målet med behand­ lingen skifter fra kurativt til lindrende, hvilket udfordrer selvopfattelsen som be­ handler, og samtidig vil palliativ behand­ ling ofte rumme komplicerede medicinsk faglige problemstillin...

  7. Behandling af renovaskulær hypertension med transluminal angioplastik--13 års erfaring--sekundærpublikation

    DEFF Research Database (Denmark)

    Øvrehus, Kristian Altern; Andersen, Poul Erik; Jacobsen, Ib Abildgaard

    2008-01-01

    The result of treatment of renovascular hypertension by renal angioplasty over a period of 13 years was analysed. Patients with a positive diagnostic work-up with renography or renal vein renin measurement had renal angiography performed and in cases of renal artery stenosis, transluminal...... angioplasty. A total of 124 patients were treated; 31% were normotensive immediately after angioplasty, 59% had improved blood pressure control and 10% had unchanged hypertension. The corresponding figures after six months and at the latest follow-up were 13, 72 and 15%. Udgivelsesdato: 2008-Jan-21...

  8. Indacaterol er en én gang dagligt inhaleret β 2-agonist til behandling af kronisk obstruktiv lungesygdom

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli

    2010-01-01

    The aim of pharmacological treatment of COPD is best possible disease control. Bronchodilators are accepted as the mainstay of COPD therapy. This short review focuses on the available data on indacaterol - a new once-daily beta2-agonist. The analysed studies show that indacaterol has clinically i...... important effects on quality of life, dyspnoea, level of FEV1, hyperinflation, and exacerbation rate in patients with COPD. Indacaterol is therefore in the near future expected to be an important part of maintenance therapy for patients with COPD....

  9. Fortsat behov for både endovaskulær og åben kirurgisk behandling af abdominalt aortaaneurisme

    DEFF Research Database (Denmark)

    de la Motte, Louise; Jensen, Leif Panduro

    2012-01-01

    Abdominal aortic aneurysm can be treated by open surgical repair or by endovascular repair (EVAR) - a less invasive procedure, with lower 30-day mortality and morbidity rates. Twelve studies have been evaluated. The results indicate that for large aneurysms > 5.5 cm, EVAR can be recommended...... for patients with intermediate to high operative risk. For younger patients, with low operative risk, OR is the preferred method, in light of the continued small risk of rupture after EVAR and the need for lifelong surveillance....

  10. Angiotensin I konverteringshaemmeren enalapril til behandling af progredierende kronisk nefropati. En åben randomiseret kontrolleret undersøgelse

    DEFF Research Database (Denmark)

    Kamper, A L; Strandgaard, S; Leyssac, P P

    1993-01-01

    In order to study the influence of angiotensin converting enzyme (ACE) inhibition on the progression of chronic nephropathy, 70 patients with a median glomerular filtration rate (GFR) of 15 (range, 6 to 54) mL/min/1.73 m2 were randomised in an open study to basic treatment with enalapril...... or conventional antihypertensive treatment. The patients were followed for at least two years or until they needed dialysis. The therapeutic goal, was a blood pressure of 120 ti 140/80 to 90 mmHg. In the enalapril group, the median decline in GFR was -0.20 (range, +0.18 to -7.11) mL/min/1.73 m2/month...

  11. Hjertestop uden for hospital. Prospektiv undersøgelse af forskellige typer af udvidet præhospital behandling i Odense

    DEFF Research Database (Denmark)

    Nielsen, J R; Lybecker, H; Andersen, C;

    1990-01-01

    Danish National Board of Health (6 months]. Out of 28 patients brought in by the medically staffed ambulance, two (7%) were discharged alive. Out of 57 patients brought in the phase with the motorized doctor nine (16%) were discharged alive. Out of 78 patients brought in by heart ambulance one (1%) was...... discharged alive. The results of this investigation reveal that the prehospital treatment of cardiac arrest in Odense can be improved by participation of a doctor in the treatment, (particularly the rendezvous model). Suggested improvements consist of 1) improved alarm system, 2) intensification of training...

  12. Nedsat gevinst og højere omkostninger ved ukritisk endovaskulær behandling af abdominalt aortaaneurisme

    DEFF Research Database (Denmark)

    Lindholt, Jes S.; Søgaard, Rikke; Laustsen, Jesper

    2014-01-01

    A rapid increase in endovascular aortic repair (EVAR) procedures for treatment of asymptomatic abdominal aortic aneurysms has occurred in Denmark. However, the newest level 1A evidence suggests that unrestricted use of EVAR in patients suitable for open repair lead to lower benefit and higher total...... costs as compared with open surgery. Amongst cases with relative and absolute contraindications for open surgery, use of EVAR is likely to lead to more benefit, however at a relatively high cost per quality-adjusted life year (QALY). This calls for a more restrictive use....

  13. Diagnostik og behandling af fenylketonuri

    DEFF Research Database (Denmark)

    Bayat, Allan; Møller, Lisbeth Birk; Lund, Allan Meldgaard

    2015-01-01

    Primary phenylalanine hydroxylase deficiency, also known as phenylketonuria, results in accumulation of phenylalanine in the blood. Early identification and treatment prevents the majority of clinical sequelae to the disease, but psychological and neurodevelopmental problems can occur in some...

  14. Biologisk behandling af spondylitis ankylopoietica

    DEFF Research Database (Denmark)

    Freiesleben, S.; Schou, M.

    2008-01-01

    All of the three well-known TNF alpha inhibitors (infliximab, adalimumab and etanercept) have a rapidly occurring and long-lasting effect in ankylosing spondylitis (AS). The IL-1 antagonist, anakinra, has been investigated in two open label studies with partially conflicting results. Apart from...

  15. Diagnostik og behandling af pankreascyste

    DEFF Research Database (Denmark)

    Graversen, Martin; Mortensen, Michael Bau

    2014-01-01

    Incidental cystic lesions of the pancreas are often detected due to the increased use of cross-sectional imaging. Since mucinous cysts have a malignant potential, whereas pseudocysts and serous cystadenomas are benign, the distinction is of key clinical importance. Current recommendations advocat...... the use of multiple imaging modalities (CT/MRI/endoscopic US/endoscopic US & fine-needle aspiration) during evaluation and follow-up. This review describes the most frequent cystic lesions of the pancreas and suggests a simple investigation and treatment algorithm....

  16. Korrekt behandling af akut akillesseneruptur

    DEFF Research Database (Denmark)

    Barfod, Kristoffer W; Ganestam, Ann; Madsen, Bjørn Lindegård;

    2016-01-01

    to an increased risk of re-rupture and operative treatment to an increased risk of other complications such as adhesions, infection and nerve injury. When a non-operative treatment protocol is chosen it is paramount that sufficient expertise is present to guide the treatment and rehabilitation.......Treatment of acute Achilles tendon rupture in Denmark has changed from being predominantly operative to being non-operative treatment over the past five years. However, no clear evidence is found in the literature in favour of one treatment modality over another. Non-operative treatment leads...

  17. Diagnose og behandling af binyrebarkkarcinom

    DEFF Research Database (Denmark)

    Abildgaard, Julie; Pappot, Helle; Petersen, Peter Meidahl;

    2013-01-01

    Adrenocortical carcinomas (ACC) are rare tumours responsible for only 0.02% of the total number of malignant diseases. However the ACC are aggressive with a mean fiveyears survival of 20-50% and are often associated with increased production of adrenocortical hormones. The effect of the treatment...

  18. Behandling af neuroendokrine gastrointestinale tumorer

    DEFF Research Database (Denmark)

    Hansen, Carsten Palnaes; Langer, Seppo; Frevert, Susanne;

    2010-01-01

    The prognosis of neuroendocrine tumours of the gastrointestinal tract and pancreas is difficult to estimate due to their heterogeneous nature. Survival without dissemination may reach 90%, while metastases reduce the 5-year survival to less than 50%. Radical surgery offers the only possibility of...... cure. Palliative therapy includes surgery and intra-arterial embolization of hepatic metastases, chemotherapy, biotherapy with interferon-alpha and radionuclear treatment. Tumour-targeted therapy with tyrosine kinase inhibitors, mammalian target of rapamycin inhibitors or monoclonal antibodies are...

  19. Implementering af evidensbaseret praksis

    DEFF Research Database (Denmark)

    Scheel, Linda Schumann; Tewes, Marianne; Petersen, Preben Ulrich

    2015-01-01

    Projektet omhandler implementering af den kliniske retningslinje om identifikation, forebyggelse og behandling af delirium – i denne sammenhæng relateret til hjertepatienter. Projektet foregår på to hospitaler i Hjertecentret på Rigshospitalet, et intensivt afsnit og et sengeafsnit, i tæt...

  20. Implementering af evidensbaseret praksis

    DEFF Research Database (Denmark)

    Scheel, Linda Schumann; Hansen, Ida Rode

    2014-01-01

    Projektet omhandler implementering af den kliniske retningslinje om identifikation, forebyggelse og behandling af delirium – i denne sammenhæng relateret til hjertepatienter. Projektet foregår på to hospitaler i Hjertecentret på Rigshospitalet, et intensivt afsnit og et sengeafsnit, i tæt...

  1. Gentaget selvmordsforebyggende behandling

    DEFF Research Database (Denmark)

    Lind, Bertel

    2014-01-01

    ramme er casestudie (Yin 2009; George 2005; Flyvbjerg 1991). Casestudiet består af en række patientforløb, hvor hver patient har haft mere end ét registreret behandlingsforløb i databasen (n = 377). Kvantitativ undersøgelse blev udført ved hjælp af Microsoft SPSS 21 på de 377 patienter på baggrund af...

  2. 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...

  3. Toksoplasmose-chorioretinitis: klinisk forløb og behandling af syv patienter

    DEFF Research Database (Denmark)

    Lebech, A M; Lebech, M; Børme, K K;

    1996-01-01

    G antibodies. After anti-Toxoplasma therapy with sulfadiazine, pyrimethamine and corticosteroid the ocular lesions were healed to atrophic scars and the inflammatory activity disappeared. We conclude that when the clinical picture is compatible with toxoplasmosis, antibodies to Toxoplasma gondii......Toxoplasmosis is a major and preventable cause of severe visual loss and blindness in young people. Ocular toxoplasmosis is the leading cause of posterior uveitis and in most cases it represents a late manifestation of a congenital infection. The clinical picture and anti-Toxoplasma therapy...... are demonstrated and there is no other diagnosis, anti-Toxoplasma treatment should be considered. It is important to inform pregnant women about prophylactic measures, and to perform a serological screening of newborns, since treatment of congenital toxoplasmosis from birth improves the prognosis....

  4. Poser af papir og plast

    DEFF Research Database (Denmark)

    Thygesen, Jette

    2007-01-01

    Artiklen behandler de problemstillinger der er i forbindelse med fortolkning af det afgiftspligtige vareområde. I henhold til lov om afgift af visse emballager, poser, engangsservice, og pvc-folier, svares der afgift af poser, såfremt de frembyder bestemte karakteristika, herunder særligt om de er...

  5. Kan sikker medicinering opnås gennem en ændring i organisationens kompetenceudvikling af sygeplejersker?

    DEFF Research Database (Denmark)

    Sørensen, Ann Lykkegaard

    , Psykiatrien, Region Nordjylland Formål: I det nationale initiativ “Sikker Psykiatri”, lanceret af Dansk Selskab for Patientsikkerhed, er der blandt andet sat fokus på sikker medicinering via medicingennemgang. Med den baggrund at patienters medicinske behandling udelukkende er en lægefaglig opgave, men...

  6. ARCgame - gamification af undervisning

    DEFF Research Database (Denmark)

    Jensen, Camilla Gyldendahl

    2014-01-01

    Gamification er et begreb, der anvendes til at beskrive brugen af spilelementer i andre miljøer for at forbedre brugernes oplevelse. Følgende tekst har til formål at behandle emnet i forhold til af opnå en forståelse for de elementer der indvirker på en ”gamification af et undervisningsforløb”, her...

  7. 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...

  8. Lamotriginbehandling af 92 patienter med intraktabel epilepsi

    DEFF Research Database (Denmark)

    Karlsborg, M; Gram, L; Dam, M

    1996-01-01

    The efficacy of treatment with lamotrigine (LTG) was evaluated in 92 patients with refractory epileptic seizures (46 women and 46 men aged 14-80 years, median 32 years). Seventy-one patients had partial epilepsy and 21 had primary generalized epilepsy. Patients were treated from zero to four (most...... frequently two) other antiepileptic drugs (AEDs). Maintenance dose of LTG was 50-800 mg daily (median 300 mg). Fifteen percent of the patients became seizure-free (13% of patients with partial epilepsy, 24% with primary generalized epilepsy). Thirty-eight percent of patients experienced at least 50...... patients, either because of adverse events or lack of effect. We conclude, that LTG is effective in reducing seizure frequency in patients with therapyresistant primary generalized epilepsy or partial epilepsy. Toxicity appears to be limited....

  9. Risikostratificering af patienter med diabetes mellitus

    DEFF Research Database (Denmark)

    Qvist, Peter; Glintborg, Dorte; Andries, Alin;

    2008-01-01

    with diabetes mellitus. MATERIAL AND METHODS: We included patients with diabetes from the catchment areas of four diabetes out-patient clinics in southern Denmark. Patients were risk-stratified to 3 follow-up levels (level 1 - follow-up only by their GP, level 2 - intensified follow-up by GP and/or shared care...

  10. OPUS: Randomiseret multicenterundersøgelse af integreret behandling sammenlignet med standardbehandling før første psykoseepisode--sekundaerpublikation

    DEFF Research Database (Denmark)

    Nordentoft, Merete; Petersen, Lone; Jeppesen, Pia;

    2006-01-01

    A total of 547 patients with first-episode psychosis were included in a randomised clinical trial comparing integrated treatment with standard treatment. The integrated treatment consisted of assertive community treatment with programmes for family involvement and social skills training. Patients...

  11. 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;

    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....

  12. Træning har positiv effekt på helbredsrelateret livskvalitet hos kræftpatienter i behandling--en gennemgang af et Cochranereview

    DEFF Research Database (Denmark)

    Lønkvist, Camilla Kjær; Højman, Pernille; Gehl, Julie;

    2013-01-01

    and reduces risk of recurrence and mortality from breast- and colon cancer. Considerable efforts go to patient care and rehabilitation, both during and after cancer treatment. This new systematic review implies that exercise programmes should be a central part of rehabilitation for all cancer patients.......Cancer and treatment of cancer affects the health-related quality of life (HRQoL) in patients. A recent Cochrane review concludes that exercise may have positive effects on HRQoL and several other domains. Other reviews have shown that physical activity may protect against development of cancer...

  13. Kirurgisk behandling af cancer ventriculi på et universitetshospital. En retrospektiv opgørelse for perioden 1990-1995

    DEFF Research Database (Denmark)

    Hillingsø, Jens; Hviid, Kirsten; Mynster, T;

    2001-01-01

    AIM: A retrospective study of 69 cases of gastric cancer seen during the period from 1/1-1990 to 31/12-1994 treated in a University Hospital. The aim of the study was to describe morbidity, mortality and identify independent prognostic variables for mortality. METHOD: Patient data were recovered.......001) as independent variables. DISCUSSION: The overall five-year survival is low and has not changed over two decades in Denmark, whereas mortality and morbidity rates have improved. It should be recommended that: The treatment of gastric cancer must be centralised in order to develop preoperative examinations...... from the hospital's central database. Mortality was chosen as end-parameter. Univariate log-rank-test identified statistically significant variables which were then analysed by Cox backward stepwise regressional analysis. MATERIAL: Sixty-nine patients were available for analysis, median age 73 years...

  14. Rehabilitering af patienter med Cerebral Parese

    DEFF Research Database (Denmark)

    Smærup, Michael; Grode, Jesper Nicolai Riis; Væggemose, Poul Erik;

    2015-01-01

    . Studier har dog vist at exergames (øvelser + spil) kan virke motiverende på patienter og har vist sig at kunne forbedre outcome efter en given træningsperiode. I nærværende projekt var målet derfor at afdække, udvikle og afprøve en mulig sundhedsteknologisk løsning for at træne meningsfulde dagligdags...

  15. 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

    Following the introduction of highly active antiretroviral therapy (HAART), a number of metabolic and morphologic alterations, known as HIV-associated lipodystrophy syndrome (HALS), have been increasingly common in HIV-infected patients being treated with this therapy. The use of protease...

  16. MINDFULNESS BEHANDLING AF DANSKE VETERANER - ET PILOTSTUDIE

    DEFF Research Database (Denmark)

    Fjorback, Lone

    2015-01-01

    I foråret 2014 mødtes en gruppe på 12 danske veteraner en gang om ugen i 9 uger for at deltage i programmet Mindfulness Baseret Stress Reduktion (MBSR). Deltagerne havde meldt sig frivilligt, og gruppen var blandet mht. alder, køn, antal udsendelser og diagnoser. Det, de havde til fælles, var...

  17. Smitteopsporing og profylaktisk behandling af tuberkulose

    DEFF Research Database (Denmark)

    Seersholm, Niels; Wilcke, Torgny

    2011-01-01

    Contact tracing is an integrated part on tuberculosis management and is conducted by the medical officer in collaboration with the local chest clinics. The principle of contact tracing is to begin with the household contacts and expanding to more peripheral contacts depending of the number of per...... persons with latent of active tuberculosis identified. Persons identified with latent TB infection should be offered isoniazid preventive treatment for six months.......Contact tracing is an integrated part on tuberculosis management and is conducted by the medical officer in collaboration with the local chest clinics. The principle of contact tracing is to begin with the household contacts and expanding to more peripheral contacts depending of the number of...

  18. Diagnostik og behandling af benigne levertumorer

    DEFF Research Database (Denmark)

    Eriksen, Peter Lykke; Schultz, Nicolai Aagaard; Larsen, Lars Peter;

    2016-01-01

    Due to the expanding use of diagnostic imaging, an increasing number of liver tumours are discovered. Benign tumours are very common; they rarely cause symptoms and often they do not require any treatment. However, because of differences in the natural history including risk of complications and...... malignant transformation exact diagnosis is important. Dedicated radiological examinations serve as important diagnostic tools reducing the need for biopsy. In this review we provide an update on the diagnosis and treatment of benign liver tumours adding to existing recommendations on hepatocellular...

  19. Diagnostik og behandling af akut colonpseudoobstruktion

    DEFF Research Database (Denmark)

    Ertberg, Pia; Vilandt, Jesper; Bødker, Birgit

    2013-01-01

    Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie's syndrome, is a clinical condition with acute dilatation of the colon without a provable mechanical cause. Early recognition and treatment of the condition is important in order to improve the outcome. The diagnosis is based on clini...

  20. Moderne behandling af type B-aortadissektion

    DEFF Research Database (Denmark)

    Klitfod, L.; Baekgaard, N.; Just, S.;

    2008-01-01

    Rapid classification is essential in the management of aortic dissections, as Type A dissections require surgery, while the optimal treatment of Type B dissections is controversial. Medical treatment with antihypertensive medication and analgesics has so far been the main treatment of uncomplicat...

  1. Behandling af peritonsillær absces

    DEFF Research Database (Denmark)

    Anthonsen, Kristian; Trolle, Waldemar

    2012-01-01

    Peritonsillar abscess (PTA) is associated with high morbidity and can cause serious and life-threatening complications. In Denmark, the most commonly isolated bacteria are Fusobacterium necrophorum and Streptococcus pyogenes gr. A. The incidence of PTA in Denmark is 41/100,000/year, the highest...

  2. Diagnostik og behandling af neuromyelitis optica

    DEFF Research Database (Denmark)

    Nielsen, Helle Hvilsted; Ravnborg, Mads; Illes, Zsolt

    2014-01-01

    Neuromyelitis optica (NMO) is an inflammatory demyelinating disease characterized by antibodies against aquaporin-4 in up to 80% of the cases and even less in the NMO spectrum disorders, which may be difficult to distinguish from early multiple sclerosis. While immunosuppressive therapy should...

  3. Ny behandling af kronisk hepatitis B

    DEFF Research Database (Denmark)

    Andersen, Ellen Sloth; Weis, Nina M

    2008-01-01

    Worldwide, 350 million people are infected with chronic hepatitis B. Over the last few years, it has been possible to treat chronic hepatitis B. Treatment very often consists of nucleos(t)ide analogs and in a few cases of pegylated alpha-interferon. In 2007, a new nucleoside analog, Telbivudine......, was approved to treat chronic hepatitis B. In phase II and ongoing phase III studies, Telbivudine has proven more effective than the nucleoside analog, Lamivudine, which was very often used up until recently. Udgivelsesdato: 2008-Nov-24...

  4. Medicinsk efterbehandling af brystkraeft. Endokrin behandling

    DEFF Research Database (Denmark)

    Mouridsen, Henning T; Andersen, Jørn

    2007-01-01

    For women with steroid receptor-positive breast cancers, endocrine therapy has proven to be a major component of adjuvant therapy reducing the risk of recurrence and death. The selective estrogen-receptor modulator (SERM) tamoxifen has been well established as safe and effective in the adjuvant...... care of both pre- and postmenopausal women. For premenopausal women, ovarian suppression is an important option to be considered. Additionally, aromatase inhibitors have recently demonstrated further benefits in postmenopausal women. The ideal sequencing of treatment with tamoxifen and/or an aromatase...

  5. Diagnostik og behandling af øsofagusperforationer

    DEFF Research Database (Denmark)

    Novrup, Hans Gram; Mortensen, Michael Bau; Jungersen, Dorte

    2011-01-01

    the traditional surgical approach is essential for achieving a better clinical outcome. A modern treatment algorithm includes contrast computed tomography and endoscopy diagnostics and use of non- or semi-invasive procedures like selfexpanding metal stents, selective digestive decontamination...

  6. Kirurgisk behandling af aldersrelateret makuladegeneration (AMD)?

    DEFF Research Database (Denmark)

    Kiilgaard, Jens Folke

    2001-01-01

    oftalmologi, aldersrelateret makuladegeneration, transplantation, grise, øjne, kirurgisk udvikling......oftalmologi, aldersrelateret makuladegeneration, transplantation, grise, øjne, kirurgisk udvikling...

  7. Abatacept til behandling af reumatoid artritis

    DEFF Research Database (Denmark)

    Nielsen, Henrik; Hansen, Annette

    2009-01-01

    Abatacept (CTLA4Ig) is a human fusion protein which consists of a cytotoxic lymphocytic-associated type 4 antigen which is bound to the Fc part of the IgG1. Abatacept binds to CD80/CD86 on antigen-presenting cells thus blocking the co-stimulatory signal to the naïve T cells and interfering with a...

  8. Fysisk aktivitet - en behandling af erektil dysfunktion

    DEFF Research Database (Denmark)

    Gerbild, Helle Nygaard

    2016-01-01

    Erectile dysfunction (ED) is typically linked to the risk factors: Physical inactivity, obesity, hypertension, metabolic syndrome, diabetes mellitus or cardiovascular diseases. This thesis results in novel knowledge showing that physiotherapists with guidance on physical activity may contribute...

  9. Kirurgisk behandling af type 2-diabetes

    DEFF Research Database (Denmark)

    Olesen, Stine Chabert; Hansen, Dorte Lindqvist; Almdal, Thomas;

    2009-01-01

    on appetite-regulating gut hormone, particularly peptide YY and glucagon-like peptide-1. Nevertheless, other unknown hormones or mechanisms may be involved in the dramatic changes in the glucose metabolism. Development of new drugs and treatments based on the endocrine changes observed after bariatric surgery...

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

    DEFF Research Database (Denmark)

    Sørensen, I J; Matzen, L E

    1993-01-01

    . Risk factors for low sodium concentrations were treatment with the combination of thiazide+amiloride, potassium-sparing diuretics, thiazides, emergency hospitalization and low body weight. Risk factors for low potassium concentrations were treatment with the combination of thiazide+amiloride, thiazides...... and female gender. On an average, patients were given two different drugs from specified groups both on admission and on discharge, but changes in medical treatment were often performed during the hospital stay. Prehospital treatment with thiazide diuretics and the combination of thiazide...

  11. Skandinaviske kliniske retningslinjer for præhospital behandling af patienter med svære hovedtraumer

    DEFF Research Database (Denmark)

    Juul, Niels; Sollid, Snorre; Sundstrøm, Terje;

    2008-01-01

    Head trauma causes the death of many young persons. The number of fatalities can be reduced through systematic management. Preventing secondary brain injury together with the fastest possible transport to a neurosurgical unit has been shown to be effective in reducing mortality and morbidity...

  12. Rationalerne bag de geografiske placeringer af vidensbaserede virksomheder i Danmark

    OpenAIRE

    Smith, Miriam Lerkenfeld; Jensen, Jon Gudmann; Jensen, Maria Nymann; Nielsen, Ann Cecilie; Fabech, Maja Yoon

    2006-01-01

    Projektet handler om danske vidensvirksomheders rationaler bag den geografiske placering af disses afdelinger i Danmark. Dette belyses af to teorier, omhandlende den kreative klasse og kompetenceklynger, udarbejdet af henholdsvis Richard Florida og Michael Porter begge amerikanske teoretikere. Med et udgangspunkt i den kritiske realisme foretages selvstændigt bearbejdelse af allerede eksisterende empirisk materiale, i form af to rapporter der behandler den kreative klasses geografiske placeri...

  13. Evidens for akupunktur til patienter med kvalme og opkastning i forbindelse med kemoterapi? Et litteraturstudie

    DEFF Research Database (Denmark)

    Pedersen, Birgith; Bundgaard Sørensen, Lene; Stricker, Lisbeth;

    2008-01-01

    Patienter, der får kemoterapi med højemetogene stoffer lider stadig af kvalme og opkastning trods understøttende behandling med moderne antieemtika som 5HT3-antagonister eksempelvis ondansetron. Akupunkturstimulation anvendes for flere lidelser i sundhedsvæsenet og det undersøges om der er eviden...

  14. Effekten af geriatrisk intervention på rehabilitering af ældre patienter med hoftefraktur

    DEFF Research Database (Denmark)

    Gregersen, Merete; Mørch, Marianne Metz; Jensen, Niels Christian;

    2009-01-01

    Introduktion: Antallet af hoftefrakturer er stigende hos de 85+- årige, og det medfører et stort sengedagsforbrug. Årsagen er multifaktorielt betinget og skyldes oftest faldulykker og osteoporose. Materiale og metoder: Geriatrisk Teamfunktion på Ortopædkirurgisk Afdeling, geriatrisk rehabiliterin...

  15. Blødningsforstyrrelser hos kvinder. Undersøgelse og behandling i almen praksis

    DEFF Research Database (Denmark)

    Astrup, Karen

    1994-01-01

    Artiklen omfatter resultaterne af en spørgeskemaundersøgelse til 200 praktiserende læger efteråret 1992 om lægernes undersøgelse og behandling af forskellige former for blødningsforstyrrelser hos kvinder i almen praksis. Undersøgelsen blev udført mhp. Karen Astrup's deltagelse i expertpanelet til...... konsensuskonferencen "Blødningsforstyrrelser hos kvinder" febr. 1993. Udgivelsesdato: 1994......Artiklen omfatter resultaterne af en spørgeskemaundersøgelse til 200 praktiserende læger efteråret 1992 om lægernes undersøgelse og behandling af forskellige former for blødningsforstyrrelser hos kvinder i almen praksis. Undersøgelsen blev udført mhp. Karen Astrup's deltagelse i expertpanelet til...

  16. The Coke Zero Game - Analyse af advergames som kommunikationsprodukt

    OpenAIRE

    Scherfig, Valentin T.; Bendixen, Maria; Larsen, Line N.; Gudmundsson, Soffia

    2010-01-01

    Dette projekt behandler kommunikationsgenren advergames, med udgangspunkt i The Coke Zero Game (2008). Spillet analyseres som kommunikationsprodukt, ved brug af spilteori og empiri i form af fokusgruppeinterview. Opgaven konkluderer på, hvorvidt spillet formår at kommunikere et givent budskab.

  17. Behandlingseffekt af Digital Dermatitis

    DEFF Research Database (Denmark)

    Krogh, Kenneth; Thomsen, Peter

    2008-01-01

    af klovlidelser herunder især Digital Dermatitis. Klovregistreringerne viser, at der er stor dynamik og mange nyinfektioner af Digital Dermatitis svarende til problematikken ved mastitis. Behandlingseffekten ved Digital Dermatitis er høj (omkring 90 %) ved den udførte behandling. Behandlingen bestod...

  18. Hospitalizations in patients with atrial fibrillation: an analysis from ROCKET AF

    Science.gov (United States)

    DeVore, Adam D.; Hellkamp, Anne S.; Becker, Richard C.; Berkowitz, Scott D.; Breithardt, Guenter; Hacke, Werner; Halperin, Jonathan L.; Hankey, Graeme J.; Mahaffey, Kenneth W.; Nessel, Christopher C.; Singer, Daniel E.; Fox, Keith A. A.; Patel, Manesh R.; Piccini, Jonathan P.

    2016-01-01

    Aims The high costs associated with treatment for atrial fibrillation (AF) are primarily due to hospital care, but there are limited data to understand the reasons for and predictors of hospitalization in patients with AF. Methods and results The ROCKET AF trial compared rivaroxaban with warfarin for stroke prophylaxis in AF. We described the frequency of and reasons for hospitalization during study follow-up and utilized Cox proportional hazards models to assess for baseline characteristics associated with all-cause hospitalization. Of 14 171 patients, 14% were hospitalized at least once. Of 2614 total hospitalizations, 41% were cardiovascular including 4% for AF; of the remaining, 12% were for bleeding. Compared with patients not hospitalized, hospitalized patients were older (74 vs. 72 years), and more frequently had diabetes (46 vs. 39%), prior MI (23 vs. 16%), and paroxysmal AF (19 vs. 17%), but less frequently had prior transient ischaemic attack/stroke (49 vs. 56%). After multivariable adjustment, lung disease [hazard ratio (HR) 1.46, 95% confidence interval (CI) 1.29–1.66], diabetes [1.22, (1.11–1.34)], prior MI [1.27, (1.13–1.42)], and renal dysfunction [HR 1.07 per 5 unit GFR < 65 mL/min, (1.04–1.10)] were associated with increased hospitalization risk. Treatment assignment was not associated with differential rates of hospitalization. Conclusion Nearly 1 in 7 of the moderate-to-high-risk patients with AF enrolled in this trial was hospitalized within 2 years, and both AF and bleeding were rare causes of hospitalization. Further research is needed to determine whether care pathways directed at comorbid conditions among AF patients could reduce the need for and costs associated with hospitalization. PMID:27174904

  19. 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...

  20. Relationship of plasma level of NT- ProBNP with development of AF in CABG patients

    Directory of Open Access Journals (Sweden)

    Tanaray B

    2010-10-01

    Full Text Available "nBackground: Studies of the association between post operative AF and Plasma level of NT- Pro BNP have reported conflicting findings. The aim of the present study was evaluation of the association between post coronary bypass graft- Atrial Fibrillation (AF and Plasma level of NT- ProBNP as an independent risk factor of AF development in patients undergoing coronary artery bypass graft."n "nMethods: In a cohort study, 79 patients with sinus rhythm who admitted in Imam Khomeini Hospital in Tehran, Iran, during February 2009 and February 2010 for CABG are included the study and followed for developing post operative AF rhythm."n "nResults: Post operative AF was found in 17.7% of patients. The peak time from the operation to the first AF episode was in second post op day in ten patients (71.4%. The serum level of ProBNP in patients with AF was significantly higher (1624± 647 versus 221± 238 pg/ml, p< 0/0001. Increased age, Increased LA size and high plasma level of ProBNP were associated with increased risk for post op AF. After adjustment of risk factors, plasma level of ProBNP was the most important risk factor with odds ratio of 15.34 with CI 95% 1.77-132.95 and then LA diameter with odds ratio of 6.11 with CI 95% 0.99-37.42 was independently correlated with post op AF. Correlation between plasma level of ProBNP with age and LA size was seen too (LA size r = 0.0281, p= 0.012. Between age and ProBNP (r= 0.337, p= 0.002. The best cut off point for plasma ProBNP as a predictor of post op AF was 854 pg/ml."n "nConclusion: Increased level of preoperative ProBNP levels could be an independent predictor of post operative Atrial Fibrillation.

  1. Salget af aktier i DONG

    DEFF Research Database (Denmark)

    Bechmann, Ken L.; Møller, Michael; Nielsen, Niels Christian

    2014-01-01

    Salget af en del af aktierne i DONG Energy har trukket store overskrifter den seneste tid i både ind- og udland og har haft betydelige politiske konsekvenser. Denne artikel behandler mange af de argumenter, der har været fremført for og imod salget. Samlet konkluderer artiklen, at debatten om sal...... salget til Goldman Sachs har været præget af misforståelser og forkerte argumenter. Omvendt er det også svært at se formålet med, at staten skal sælge på så komplicerede vilkår i stedet for selv at indskyde den manglende egenkapital....

  2. Utvärdering av logopedisk röstbehandling i Västerbottens läns landsting : Patienters självskattade röstbesvär före och efter behandling

    OpenAIRE

    Englund, Linn; Gunnarsson, Kristin

    2013-01-01

    Bakgrund Kraven på evidensbaserad vård ökar ständigt. Att jämföra patienters självskattade besvär före och efter behandling är ett sätt att utvärdera behandlingseffekten.  Rösthandikappindex (RHI) och VA-skala för röstbesvär är två verktyg för utvärdering av röstbehandling. Tidigare studier har visat att röstbehandling ger minskade självskattade röstbesvär. Syfte Syftet med denna studie var att med självskattningsformulär utvärdera effekten av logopedisk röstbehandling i Västerbottens läns la...

  3. Fremlæggelse af projekt med Epworth søvnighedsskema, opgørelse af data fra 2009-2014: "Prevalence of excessive daytime sleepiness in patients treated with orthognathic surgery"

    DEFF Research Database (Denmark)

    Linderup, Mette Werner

    Fremlæggelse af projekt med Epworth søvnighedsskema, opgørelse af data fra 2009-2014: "Prevalence of excessive daytime sleepiness in patients treated with orthognathic surgery"......Fremlæggelse af projekt med Epworth søvnighedsskema, opgørelse af data fra 2009-2014: "Prevalence of excessive daytime sleepiness in patients treated with orthognathic surgery"...

  4. The RecordAF study: design, baseline data, and profile of patients according to chosen treatment strategy for atrial fibrillation

    DEFF Research Database (Denmark)

    Le Heuzey, Jean-Yves; Breithardt, Günter; Camm, John;

    2010-01-01

    The REgistry on Cardiac rhythm disORDers assessing the control of Atrial Fibrillation (RecordAF) is the first worldwide, 1-year observational, longitudinal study of the management of paroxysmal/persistent atrial fibrillation (AF) in recently diagnosed patients. The study was conducted at 532 sites......-control patients mainly received beta blockers (72%), except for sotalol, or cardiac glycosides (34%). Patients receiving a rhythm-control strategy were younger, had a lower resting heart rate, were more frequently symptomatic, and were more likely to have recently diagnosed AF or paroxysmal AF compared...

  5. Sygdom og selvopfattelse på tværs af rum

    DEFF Research Database (Denmark)

    Ilsvard, Sofie; Emilie Christensen, Iben

    2013-01-01

    konkluderer, at fysioterapiklinikken, hvori sygdom behandles og praktiseres, ikke repræsenterer et ”sygdommens rum”, men af deltagerne opleves som et tiltrængt frirum fra sygdom, hvor de føler sig som ”almindelige mennesker”. I modsætning hertil står det private hjem og det offentlige rum, som nærmere...... behandling. Det centrale omdrejningspunkt for det sociologiske studie er deltagernes subjektive oplevelser og udbytte af vederlagsfri fysioterapi. Det undersøges også, hvordan deltagerne håndterer og integrerer fysioterapiklinikkens institutionelle ramme som en fast bestanddel af hverdagslivet. Studiet...

  6. Selvstyring af peroral antikoagulationsbehandling hos patienter med kunstige hjerteklapper

    DEFF Research Database (Denmark)

    Hasenkam, J. Michael; Kimose, H H; Grønnesby, H;

    1998-01-01

    Twenty-one heart valve operated patients (age 19-70 years) were trained in self-managed oral anticoagulant therapy using a home coagulometer (CoaguChek). Twenty patients accomplished between eight and 29 (median 24) months of self management and were fully capable of self management after 30 weeks....... All self-managing patients had their median INR-value within the therapeutic range, versus only 14 in the control group. Self-management of oral anticoagulant therapy seems feasible for selected patients. Udgivelsesdato: 1998-Nov-16...... of training. No patients experienced major bleeds or thrombo-embolic events. A control group of 20 patients from our department was matched, retrospectively, to the study group. The self-managing patients were within the therapeutic INR range 78% of the study period compared to 54% for the control patients...

  7. Relevansen af nyere psykodynamisk teori for det klinisk musikterapeutiske arbejde med psykiatriske patienter med personlighedsforstyrrelser

    DEFF Research Database (Denmark)

    Hannibal, Niels

    2007-01-01

    Denne artikel beskriver et rationale for anvendelse af musik i en psykoterapeutisk kontekst. Det eksplicitte og implicitte forandringsniveau i psykoterapi med patienter med borderline-personlighedsforstyrrelse (BPF) diskuteres herpå med henvisning til to forskellige syn på terapeutisk forandring:...

  8. Review af Business Process Reengineering litteraturen fra 1990-98

    DEFF Research Database (Denmark)

    Wit, Camilla Kølsen de

    1998-01-01

    Formålet med papiret er dels at biddrage med et overblik over centrale kilder om BPR, og dels at kommentere udviklingen i litteraturens behandling af hhv. BPR begrebet og BPR projektet. Reviewet er bygget op om en kronologisk tabel, der opsummerer kildernes hovedsynspunkter....

  9. ROCKET AF adds more concerns about Digoxin safety in patients with atrial fibrillation

    OpenAIRE

    ElMaghawry, Mohamed

    2015-01-01

    In a recent article in the Journal, we have reviewed the adverse cardiovascular outcomes observed with digoxin use in the PALLAS study. 1 The PALLAS study was designed to determine if dronedarone would reduce major vascular events in patients with permanent atrial fibrillation (AF). 2 However the study was stopped early because of safety reasons, as a significant number of patients on the dronedarone arm reached the co-primary end point composite of stroke, myocardial infarction, systemic emb...

  10. Study on the changes of serum levels of ANF in patients with atrial fibrillation (AF)

    International Nuclear Information System (INIS)

    Objective: To study the changes of serum levels of ANF in patients with atrial fibrillation and to explore the mechanism of the prethrombotic state induced by AF. Methods: Serum levels of ANF were measured with RIA in 21 patients with isolated paroxysmal atrial fibrillation (IPAF) both during and one week after termination of the attack. Levels were also measured in 28 patients with isolated sustained atrial fibrillation (ISAF), 27 patients with rheumatic mitral stenosis associated with persistent AF (RHD), 32 patients with paroxysmal supraventricular tachycardia (PSVT) and 35 controls. Results: Serum levels of ANF and Hct% readings in: 1) patients with IPAF during attack 2) patients with ISAF and 3) patients with RHD were significantly higher than those in: 1) patients with IPAF one week after termination of the attack 2) patients with PSVT and 3) the controls (p<0.05). Values in patients with PSVT were not much different from those in controls. In patients with IPAF during the attack, serum ANF levels and Hct% readings were positively correlated to the duration of the attack. Serum ANF levels were not related to such parameters as: age, sex, mitral valve area, ejection fraction and inner diameter of left atrium. Conclusion: There is hemoconcentration in patients with atrial fibrillation, which is related to the hypersecretion of ANF in these patients

  11. Præoperativ vurdering af patienter med hypertension

    DEFF Research Database (Denmark)

    Smitt, Margit; Lind, Morten Nikolaj

    2012-01-01

    Almost one out of four patients referred for non cardiac surgery presents preoperatively with hypertensio arterialis (HA). The risk of perioperative cardiovascular complication increases with the grade of HA and the coexistence of end organ damage. This paper is a review of the current knowledge ...

  12. Udvikling af sklerodermisk krise hos patient med uerkendt sklerodermi

    DEFF Research Database (Denmark)

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

    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...

  13. Hurtig identifikation af patienter med neutropeni og feber bedrer prognosen

    DEFF Research Database (Denmark)

    Johansson, Sofia; Jensen, Lars Henrik

    2016-01-01

    The purpose of this article is to describe the management of febrile neutropenia in the medical emergency room. Symptoms and signs of inflammation in patients receiving chemotherapy may be blunted or absent and fever may be the only sign of severe infection. Early initiation of empirical...

  14. Hurtig identifikation af patienter med neutropeni og feber bedrer prognosen

    DEFF Research Database (Denmark)

    Johansson, Sofia; Jensen, Lars Henrik

    2015-01-01

    The purpose of this article is to describe the management of febrile neutropenia in the medical emergency room. Symptoms and signs of inflammation in patients receiving chemotherapy may be blunted or absent and fever may be the only sign of severe infection. Early initiation of empirical...

  15. Changes of plasma ET and BNP contents in patients suffering from essential hypertension with atrial fibrillation (AF)

    International Nuclear Information System (INIS)

    Objective: To study the changes of plasma ET and BNP contents in patients suffering from essential hypertension with atrial fibrillation. Methods: Plasma ET and BNP contents were measured with IRMA in 130 patients with essential hypertension (48 with AF and 82 with out AF) and 56 controls. Results: The plasma contents of ET and BNP in patients with AF were significantly higher than those in controls (p<0.001). Conclusion: Further study in the changes of plasma ET and BNP contents in patients suffering from essential hypertension would be of great clinical importance in the prevention and treatment of the disease

  16. The RecordAF study: design, baseline data, and profile of patients according to chosen treatment strategy for atrial fibrillation

    DEFF Research Database (Denmark)

    Le Heuzey, Jean-Yves; Breithardt, Günter; Camm, John;

    2010-01-01

    The REgistry on Cardiac rhythm disORDers assessing the control of Atrial Fibrillation (RecordAF) is the first worldwide, 1-year observational, longitudinal study of the management of paroxysmal/persistent atrial fibrillation (AF) in recently diagnosed patients. The study was conducted at 532 site...

  17. Behandling med implanterbar defibrillator

    DEFF Research Database (Denmark)

    Roseva-Nielsen, Natasha G; Svendsen, Jesper Hastrup

    2003-01-01

    About 20 years ago the first patient received an implantable cardioverter defibrillator (ICD), and since then the number of implants have increased dramatically. The ICD can terminate ventricular fibrillation and ventricular tachycardia. Studies of secondary prophylaxis show that ICD treatment can...

  18. Behandling med amiodaron

    DEFF Research Database (Denmark)

    Adelborg, Kasper; Ebbehøj, Eva; Nielsen, Jens Cosedis;

    2015-01-01

    Amiodarone is an effective antiarrhythmic drug for supra­ven­tri­cular and ventricular arrhythmias. A majority of patients treated with amiodarone suffer from mild adverse events, however, serious life-threatening adverse events caused by amiodarone are also seen. This review describes the...... pharmacology, interac­tions, side and adverse effects of amiodarone and highlights the importance of a systematic interdisciplinary follow-up protocol for outpatients treated with amiodarone....

  19. Sygeplejerskers kompetencer ved anvendelse af telemedicin i et tværsektorielt perspektiv

    DEFF Research Database (Denmark)

    Lunde, Anita; Drachmann, Astrid Lykke

    2015-01-01

    stor bevågenhed omkring potentialerne ved indførelse af telemedicin, som antages at øge livskvalitet og selvhjulpenhed hos de involverede patienter/borgere. Det er dog stadig uklart hvad telemedicin er i forskellige kontekster, hvilken betydning det har for pleje og be-handling og hvilke kompetencer...... sektorer. Projekt afgrænser sig til at undersøge sygeplejeperspektivet, herunder mulige tværsektorielle forskelle. Konkret undersøges hvilke kompetencer sygeplejerskerne oplever, at indførelse af telemedicin kræver, om og hvordan kommunikationen ændres og hvilke typer af kontak-ter/opgaver, der opstår og...... egner sig til det elektroniske medie. Metode Der etableres 2 fokusgrupper med henholdsvis 4-6 sygeplejersker fra primær og sekundær sektor, som arbejder med telemedicin. Fokusgrupperne er mødtes 2 gange over et halvt år af en varighed på 2 timer, og samtalerne har afsæt i en semistruktureret...

  20. Edoxaban versus enoxaparin-warfarin in patients undergoing cardioversion of atrial fibrillation (ENSURE-AF)

    DEFF Research Database (Denmark)

    Goette, Andreas; Merino, Jose L; Ezekowitz, Michael D;

    2016-01-01

    ·48, 95% CI 0·64-3·55). The results were independent of the TEE-guided strategy and anticoagulation status. INTERPRETATION: ENSURE-AF is the largest prospective randomised clinical trial of anticoagulation for cardioversion of patients with non-valvular atrial fibrillation. Rates of major and CRNM...... bleeding and thromboembolism were low in the two treatment groups. FUNDING: Daiichi Sankyo provided financial support for the study....

  1. Kliniske retningslinjer for træning af aerob kapacitet og muskelstyrke til patienter med reumatoid artrit

    DEFF Research Database (Denmark)

    Larsen, Birgit Tine; Læssøe, Uffe; Kjær, Thomas;

    2016-01-01

    Titel Kliniske retningslinjer for træning af aerob kapacitet og muskelstyrke til patienter med reumatoid artrit Baggrund Patienter med reumatoid artrit har en forhøjet risiko for udviklingen af cardio-vaskulære lidelser (CVD) og tidlig død. Inflammation, smerter og generel træthed resulterer i...... patienter (> 18 år) med diagnosen reumatoid artrit ifølge ARA eller ACR/EULAR kriterierne, funktionsklasserne I, II og III, i primær eller sekundær sektoren. Intervention/er Kortvarig land- eller vandbaseret højintensitets træning af aerob kapacitet, kortvarig eller længerevarende land-baseret høj...... ↑ Kortvarig land-og vandbaseret højintensitets træning af aerob kapacitet bør overvejes i træningen af patienter med reumatoid artrit. ↑ Kortvarig landbaseret højintensitets træning af aerob kapacitet og muskelstyrke bør overvejes i træningen af patienter med reumatoid artrit. ↑ Længerevarende landbaseret...

  2. ROCKET AF adds more concerns about Digoxin safety in patients with atrial fibrillation.

    Science.gov (United States)

    ElMaghawry, Mohamed

    2015-01-01

    In a recent article in the Journal, we have reviewed the adverse cardiovascular outcomes observed with digoxin use in the PALLAS study.(1) The PALLAS study was designed to determine if dronedarone would reduce major vascular events in patients with permanent atrial fibrillation (AF).(2) However the study was stopped early because of safety reasons, as a significant number of patients on the dronedarone arm reached the co-primary end point composite of stroke, myocardial infarction, systemic embolism, or cardiovascular death. Data sub-analyses suggested that digoxin-dronedarone interaction was responsible for the higher arrhythmic death rate observed in the trial. These observations are consistent with several other studies that demonstrate the potential hazard of the use of digoxin in heart failure and/or atrial fibrillation. A more recent article published in the Lancet studied the use and outcomes of digoxin in the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism in Atrial Fibrillation (ROCKET AF) trial.(3) The investigators concluded that digoxin treatment was associated with a significant increase in all-cause mortality, vascular death, and sudden death in patients with AF.

  3. Medicinsk behandling af små abdominale aortaaneurismer

    DEFF Research Database (Denmark)

    Høgh, Annette Langager; Sandermann, Jes; Lindholt, Jes S

    2008-01-01

    such as prevention for cardiovascular disease has a spin-off benefit by suppressing the expansion rate of AAAs. According to these studies ACE inhibitors, statins and nonsteroidal anti-inflammatory drugs may have effect, macrolides may have some effect while beta-blockers and calcium-channel blockers...

  4. Status og perspektiver for behandling af de kroniske myeloproliferative neoplasier

    DEFF Research Database (Denmark)

    Ocias, Lukas Frans; Holmström, Morten Orebo; Riley, Caroline Hasselbalch;

    2015-01-01

    Polycythaemia vera, essential thrombocytosis and primary myelofibrosis are closely related, clonal myeloproliferative neoplasms. Our knowledge of the underlying molecular mechanisms driving these diseases has increased dramatically during the latest ten years. Traditionally, treatment of these...

  5. Dasatinib. En ny tyrosinkinaseinhibitor til behandling af kronisk myeloid leukaemi

    DEFF Research Database (Denmark)

    Bjerrum, Ole Weis; Dufva, Inge Høgh; Stentoft, Jesper;

    2008-01-01

    Chronic myeloid leukaemia is characterized by an abnormal tyrosin kinase in the cytoplasm of the clonal cells. The enzyme is derived from a fusion gene on the Philadelphia-chromosome, evolved by a translocation between chromosomes 9 and 22. Understanding the biology of the tyrosin kinase led to t...... targeted therapy, inhibiting the ATP-binding site by a small molecule--imatinib (Glivec). A novel 2nd generation tyrosin kinase inhibitor--dasatinib (Sprycel)--is now available in cases of insufficient response or intolerance to imatinib. Udgivelsesdato: 2008-Jan-28...

  6. Diagnose og behandling af cerebral venøs sinustrombose

    DEFF Research Database (Denmark)

    Birkeland, Peter; Stilling, Margit Vejen; Høgedal, Lisbeth;

    2015-01-01

    Thrombosis of the cerebral sinuses most often affects younger adults. Headache is a common complaint and can be accom­panied by vomiting and papilloedema. The diagnosis rests on magnetic resonance imaging and the treatment consists of heparin or low-molecular weight heparin followed by vitamin K...

  7. Medicinsk behandling af små abdominale aortaaneurismer

    DEFF Research Database (Denmark)

    Høgh, Annette Langager; Sandermann, Jes; Lindholt, Jes Sanddal

    2008-01-01

    Our expectation is that the numbers of diagnosed small abdominal aortic aneurysms (AAA) will increase in the future. Slowing down the progression of AAAs is of great interest as this could prevent cost-intensive and potential lethal operations. Recent studies indicate that modern medical treatment...

  8. Medicinsk behandling af vandladningsproblemer hos mænd

    DEFF Research Database (Denmark)

    Andersen, Jens Thorup; Nordling, Jørgen; Walter, Steen

    2007-01-01

    Lower Urinary Tract Symptoms (LUTS) e.g. in prostatic infravesical obstruction and symptoms of overactive bladder (OAB) in men can be treated effectively with drugs. The current evidence for use of alpha-adrenergic blocking agents, 5-alpha-reductase inhibitors, combination therapy and antimuscari...... by the administration of a loop-diuretic in the late afternoon. Udgivelsesdato: 2007-May-14...

  9. Tiotropium. Nyt antikolinergikum til behandling af kronisk obstruktiv lungesygdom

    DEFF Research Database (Denmark)

    Pedersen, Steffen Thirstrup; Lange, Peter

    2003-01-01

    Tiotropium is a new anti-cholinergic drug with a long duration of action designed for maintenance treatment of chronic obstructive pulmonary disease (COPD). Tiotropium is the first drug specifically developed for the treatment of COPD, but it is also amongst the most expensive drugs used for this......Tiotropium is a new anti-cholinergic drug with a long duration of action designed for maintenance treatment of chronic obstructive pulmonary disease (COPD). Tiotropium is the first drug specifically developed for the treatment of COPD, but it is also amongst the most expensive drugs used...

  10. 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...

  11. 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...... the 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....

  12. Udredning og behandling af osteoporose ved cancer mammae uden knoglemetastaser

    DEFF Research Database (Denmark)

    Eiken, Pia A; Hansen, Mogens; Kristensen, Bent;

    2011-01-01

    The prevention of cancer-treatment-induced bone loss due to chemotherapy and long-term adjuvant breast cancer therapy has a high priority. We present an algorithm for the prevention and treatment of osteoporosis during treatment of nonmetastatic breast cancer....

  13. Subkutan atrofi efter steroidinjektion i forbindelse med behandling af springfinger

    DEFF Research Database (Denmark)

    Larsen, Peter Birk; Tjørnild, Michael Kjeldager

    2014-01-01

    Peter Birk Larsen & Michael Kjelager Tjørnild: Subcutaneous atrophy following steroid injection in the treatment of trigger finger Ugeskr Læger 2014;176:V05140273 Trigger finger (TF), also known as stenosing tenosynovitis, is a rather common condition that causes entrapment of the flexor tendon...

  14. Ranolazin--ny behandling af kronisk stabil angina pectoris

    DEFF Research Database (Denmark)

    Ahlehoff, Ole; Hansen, Peter Riis

    2009-01-01

    Ranolazine sustained-release tablets were recently approved in the EU for chronic stable angina as add-on therapy when symptoms are not controlled with first-line agents. The mechanism of action is thought to involve inhibition of late sodium influx in the heart, which can reduce abnormalities...

  15. Forekomst og behandling af seksuel dysfunktion ved hjertesygdom

    DEFF Research Database (Denmark)

    Mickley, Hans

    2002-01-01

    cardiac drugs are responsible for erectile dysfunction (ED). Lastly it should be remembered that treatment of ED may be associated with cardiovascular side-effects. Data from the literature show that men with coronary artery disease, hypertension or diabetes have an up to fourfold higher risk......Several links have been established between sexual dysfunction and heart disease. Indeed, many risk factors for developing sexual dysfunction are shared by coronary artery disease: age, smoking, diabetes, hypertension, and hypercholesterolaemia. It should also be borne in mind that in men several...

  16. Behandling af pilonidalcyster med neodynium-yttriumaluminiumgranat-laser

    DEFF Research Database (Denmark)

    Lindholt, Christine S; Lindholt, Jes Sanddal; Lindholt, Jan

    2008-01-01

    A 23 year-old woman with a nonsupporative pilonidal cyst was successfully treated causally with Nd-YAG laser, and without any recidivate after 9 months follow-up. The mechanism is presumed to be that YAG-laser has a wave-length of 1064 nm. Consequently, the wave penetration through the skin...... is deeper than most other lasers before the energy is absorbed in melanin and oxyhaemoglobin, so the contents of the cyst can be reached and destroyed. The treatment could be a very attractive alternative to open surgery....

  17. Behandling af pilonidalcyster med neodynium-yttriumaluminiumgranat-laser

    DEFF Research Database (Denmark)

    Lindholt, Christine S; Lindholt, Jes S; Lindholt, Jan

    2008-01-01

    A 23 year-old woman with a nonsupporative pilonidal cyst was successfully treated causally with Nd-YAG laser, and without any recidivate after 9 months follow-up. The mechanism is presumed to be that YAG-laser has a wave-length of 1064 nm. Consequently, the wave penetration through the skin...... is deeper than most other lasers before the energy is absorbed in melanin and oxyhaemoglobin, so the contents of the cyst can be reached and destroyed. The treatment could be a very attractive alternative to open surgery. Udgivelsesdato: 2008-Jun-23...

  18. Endovaskulær behandling af bristet abdominalt aortaaneurisme

    DEFF Research Database (Denmark)

    Balezantis, Tomas; Akqül, Cengiz; Duvnjak, Stevo;

    2014-01-01

    Endovascular treatment of ruptured abdominal aortic aneurysms (REVAR) is increasingly used. Retrospective pooled data indicate that REVAR is associated with decreased morbidity and mortality, but in two small randomized clinical trials this has not been evidenced. However, REVAR seems associated...

  19. Kirurgisk behandling af anale fistler ved Crohns sygdom

    DEFF Research Database (Denmark)

    Heyckendorff-Diebold, Tina; Maeda, Yasuko; Buntzen, Steen;

    2012-01-01

    The treatment of transsphincteric anal fistulas in Crohn's disease is a balance between the elimination of the sepsis and the functional outcome. Loose setons can be used as a preoperative drainage or chronic treatment. Fibrin glue and the anal fistula plug are methods with excellent functional o...

  20. Årsager, udredning og behandling af abortus habitualis

    DEFF Research Database (Denmark)

    Larsen, Elisabeth Clare; Christiansen, Ole Bjarne

    2012-01-01

    facing RM should be offered tender loving care; i.e. repeated measurements of hCG and ultrasound scans. Further treatments are directed against the underlying cause: surgery, hormone supplementation, anticoagulation and immunomodulation. However, the effect of these treatments needs further documentation....

  1. Endovenøs termisk behandling af varicer i underekstremiteterne

    DEFF Research Database (Denmark)

    Bækgaard, Niels; Schroeder, Torben V

    2011-01-01

    Using a systematic review process, we identified 15 randomised controlled trials comparing either of the two endovenous thermal techniques, radiofrequency or laser ablation, with conventional open surgery for great saphenous varicose veins. The majority of trials were small and had short-term fol...

  2. Kirurgisk behandling af fedme hos børn

    DEFF Research Database (Denmark)

    Hansen, Ann Berit; Gögenur, Ismail; Støckel, Mikael

    2014-01-01

    Morbid obesity in teenagers has become an increasing problem. Conventional diet has not yet shown effective long-term weight loss. Alternatively, bariatric surgery on adolescents has resulted in substantial weight loss, recovery from diabetes, improvement of cardiovascular risk factors...... and improvement in psychosocial status. Still, surgery performed on adolescents provides ethical challenges such as the unknown long-term prognosis after surgery. Despite these challenges, in cases of severe intractable obesity or development of life-threatening complications due to obesity, surgery should...

  3. Evidensbaseret behandling af psykisk syge hjemløse

    DEFF Research Database (Denmark)

    Larsen, Maja; Nordentoft, Merete

    2010-01-01

    A systematic review of the literature shows that it is possible to reduce homelessness among mentally ill homeless persons, partly by offering access to housing and partly by providing intensive care through Assertive Community Treatment. Assertive Community Treatment can, to some extent, decrease...... psychiatric symptoms and increase quality of life. It is evident that by offering housing, homelessness may be reduced, but the comparison of independent housing and group living did not reveal big differences....

  4. Laktatacidose ved behandling af type 2-diabetes med metformin

    DEFF Research Database (Denmark)

    Holst, Helle; Eldrup, Ebbe; Guldstad, Nana Harriet;

    2012-01-01

    Metformin (MET) is the first-line agent in treatment of type 2 diabetes. However, MET has been associated with lactic acidosis (MALA), a potential but rare complication which has influenced treatment strategies in decades. Recently, guidelines have been changed in regards of age and heart failure...

  5. Sammenlimning af begge øjne skal ikke behandles konservativt

    DEFF Research Database (Denmark)

    Øgard, Carsten; Kjaerbo, Hadi; Sørensen, Torben Lykke

    2010-01-01

    We describe a case of a 4-year-old boy who accidentally had both eyes glued together. The eyelashes were cut and the boy's eyelids were separated in general anaesthesia. When both eyes are glued together, we do not recommend expectancy, especially not in paediatric cases. For psychological reason......, the lids should be separated surgically. Furthermore, we suggest that similarities between ophthalmic bottles and superglue bottles are avoided so that future incidences may be avoided....

  6. Variationer av mindfulness i klinisk behandling

    OpenAIRE

    Wetterholm, Petra

    2008-01-01

    Mindfulness i klinisk behandling är ingen enhetlig företeelse. Ett flertal sätt att definiera, operationalisera och tillämpa mindfulness samexisterar i det kliniska rummet. Syftet med denna studie var att åskådliggöra terapeuters kvalitativt varierande sätt att beskriva, använda och uppleva mindfulness i klinisk behandling och att undersöka faktorer av betydelse för dessa variationer. Elva terapeuters arbete studerades genom semistrukturerade intervjuer varpå en teoristyrd tematisk analys av ...

  7. Natriuretic peptides for the detection of paroxysmal atrial fibrillation in patients with cerebral ischemia--the Find-AF study.

    Directory of Open Access Journals (Sweden)

    Rolf Wachter

    Full Text Available BACKGROUND AND PURPOSE: Diagnosis of paroxysmal atrial fibrillation (AF can be challenging, but it is highly relevant in patients presenting with sinus rhythm and acute cerebral ischemia. We aimed to evaluate prospectively whether natriuretic peptide levels and kinetics identify patients with paroxysmal AF. METHODS: Patients with acute cerebral ischemia were included into the prospective observational Find-AF study. N-terminal pro brain-type natriuretic peptide (NT-proBNP, brain-type natriuretic peptide (BNP and N-terminal pro atrial-type natriuretic peptide (NT-proANP plasma levels were measured on admission, after 6 and 24 hours. Patients free from AF at presentation received 7 day Holter monitoring. We prospectively hypothesized that patients presenting in sinus rhythm with NT-proBNP>median were more likely to have paroxysmal AF than patients with NT-proBNPmedian (239 pg/ml, 17.9% had paroxysmal AF in contrast to 7.4% with NT-proBNP<239 pg/ml (p = 0.025. The ratio of early (0 h to late (24 h plasma levels of NT-proBNP showed no difference between both groups. For the detection of paroxysmal atrial fibrillation, BNP, NT-proBNP and NT-proANP at admission had an area under the curve in ROC analysis of 0.747 (0.663-0.831, 0.638 (0.531-0.744 and 0.663 (0.566-0.761, respectively. In multivariate analysis, BNP was the only biomarker to be independently predictive for paroxysmal atrial fibrillation. CONCLUSIONS: BNP is independently predictive of paroxysmal AF detected by prolonged ECG monitoring in patients with cerebral ischemia and may be used to effectively select patients for prolonged Holter monitoring.

  8. Evaluering af forsøgsprojekter vedrørende psykologbehandling af personer med lette og moderat svære depressioner i Fyns og Åhus Amter

    DEFF Research Database (Denmark)

    Christensen, Kaj Aage Sparle

    tendens. Samlet set tyder evalueringen på, at personer med lette og moderate depressive enkeltepisoder behandles lige effektivt i privat og offentlig psykologordning. Henvisning til den gratis offentlige ordning var imidlertid forbundet med længere ventetid på behandling og længere varighed af eventuel...... I 2004 blev det i forbindelse med overenskomstforhandlinger mellem Sygesikringens Forhandlingsudvalg og Dansk Psykologforening aftalt at afholde udgifterne til evaluering af to 1-årige forsøg med behandling af personer med lette og moderate depressioner i Århus og Fyns Amter. Behandlingstilbudet...... der en gradvis forøgelse af ventetiden på behandling i begge amter, mest udtalt i Århus. Den gennemsnitlige ventetid på behandling var 25.3 dage på Fyn og 51.2 dage i Århus. Tilsvarende var patienterne gennemsnitligt sygemeldt 83.8 dage på Fyn og 117.5 dage i Århus Amt. Patienterne på Fyn modtog i...

  9. Billeder af Afrika i Joseph Conrads Heart of Darkness

    OpenAIRE

    Nielsen, Simon Teglskov; Thiel, Gitte May; Fuchs, Lisa; Laubacher, Pia Laugmann; Hansen-Nord, Thomas; Lykke, Christina Mølgaard

    2005-01-01

    I dette projekt behandles Joseph Conrads roman Heart of Darkness, som handler om en rejse i Afrika. Vi undersøger romanen ud fra et postkolonialistisk perspektiv, med indførsel af Robert J. C. Young. Edward Saïd bruges som afsæt til en diskussion af postkoloniale synspunkter i litteraturen. Vi tager udgangspunkt i Chinua Achebes kritiske artikel ”An Image of Africa: Racism in Conrad’s Heart of Darkness”. Achebe påstår, at Conrad er racist, og dette forsøger vi i projektet at undersøge. Vi kig...

  10. Risk of cardiovascular disease? A qualitative study of risk interpretation among patients with high cholesterol

    DEFF Research Database (Denmark)

    Kirkegaard, Pia; Edwards, Adrian; Risør, Mette Bech;

    2013-01-01

    risikoreducerende behandling. I artiklen undersøger vi de måder, hvorpå patienters fortolkninger af risikoinformation inkorporeres i en social og kulturel praksis. Vi forsøger at vise, at håndtering af risiko sker gennem en forhandling mellem rationaliteter fra forskellige diskurser om fx ansvar for eget helbred...... for sygdom skal praktiseres i forhold til sociale og kulturelle hensyn. Vi opfordrer i artiklen til, at risikoinformation i almen praksis inkluderer et fokus på at italesætte disse rationaliteter og hensyn....

  11. Higher risk of death and stroke in patients with persistent vs. paroxysmal atrial fibrillation: results from the ROCKET-AF Trial

    Science.gov (United States)

    Steinberg, Benjamin A.; Hellkamp, Anne S.; Lokhnygina, Yuliya; Patel, Manesh R.; Breithardt, Günter; Hankey, Graeme J.; Becker, Richard C.; Singer, Daniel E.; Halperin, Jonathan L.; Hacke, Werner; Nessel, Christopher C.; Berkowitz, Scott D.; Mahaffey, Kenneth W.; Fox, Keith A.A.; Califf, Robert M.; Piccini, Jonathan P.

    2015-01-01

    Aim Anticoagulation prophylaxis for stroke is recommended for at-risk patients with either persistent or paroxysmal atrial fibrillation (AF). We compared outcomes in patients with persistent vs. paroxysmal AF receiving oral anticoagulation. Methods and results Patients randomized in the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared With Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET-AF) trial (n = 14 264) were grouped by baseline AF category: paroxysmal or persistent. Multivariable adjustment was performed to compare thrombo-embolic events, bleeding, and death between groups, in high-risk subgroups, and across treatment assignment (rivaroxaban or warfarin). Of 14 062 patients, 11 548 (82%) had persistent AF and 2514 (18%) had paroxysmal AF. Patients with persistent AF were marginally older (73 vs. 72, P = 0.03), less likely female (39 vs. 45%, P < 0.0001), and more likely to have previously used vitamin K antagonists (64 vs. 56%, P < 0.0001) compared with patients with paroxysmal AF. In patients randomized to warfarin, time in therapeutic range was similar (58 vs. 57%, P = 0.94). Patients with persistent AF had higher adjusted rates of stroke or systemic embolism (2.18 vs. 1.73 events per 100-patient-years, P = 0.048) and all-cause mortality (4.78 vs. 3.52, P = 0.006). Rates of major bleeding were similar (3.55 vs. 3.31, P = 0.77). Rates of stroke or systemic embolism in both types of AF did not differ by treatment assignment (rivaroxaban vs. warfarin, Pinteraction = 0.6). Conclusion In patients with AF at moderate-to-high risk of stroke receiving anticoagulation, those with persistent AF have a higher risk of thrombo-embolic events and worse survival compared with paroxysmal AF. PMID:25209598

  12. Tidlig struktureret mobilisering og træning af kritisk syge patienter på et dansk intensivafsnit

    DEFF Research Database (Denmark)

    Astrup Sørensen, Katrine; Hvid, Sidsel; Rolving, Nanna;

    2015-01-01

    Formål: I et kvalitetsudviklingsprojekt at afprøve en screenings- og aktivitetsalgoritme på et dansk intensivafsnit med henblik på at intensivere mobilisering og træning af kritisk syge patienter ud fra den enkelte patients funktionsniveau. Metode: Screenings- og mobiliseringsalgoritmen blev afpr...

  13. Regulering og indregulering af større varmeanlæg

    DEFF Research Database (Denmark)

    Ovesen, K.; Christiansen, J.; Schmidt-Jørgensen, F.;

    Rapporten beskriver hvordan man når frem til den samlede principløsning for central regulering, indregulering, lokal regulering og tidsstyring, når der skal gennemføres energibesparende foranstaltninger i større varmeanlæg. Desuden behandles blandt andet indreguleringsniveauer, indregulering af p...

  14. Windows Media Encoder og Producer: værktøjer til udvikling af netbaseret videomateriale

    DEFF Research Database (Denmark)

    Dørup, Jens

    2004-01-01

    Artiklen giver en indføring i brugen af to gratis og relativt let tilgængelige programmer: Microsoft Encoder og Producer. Med MS Encoder kan man behandle et videosignal f.eks. fra et digitalt videokamera og sende det i realtid ud på internettet, hvorved signalet kan ses fra en anden computer på...

  15. Use and Outcomes of Antiarrhythmic Therapy in Patients with Atrial Fibrillation Receiving Oral Anticoagulation: Results from the ROCKET AF Trial

    Science.gov (United States)

    Steinberg, Benjamin A.; Hellkamp, Anne S.; Lokhnygina, Yuliya; Halperin, Jonathan L.; Breithardt, Günter; Passman, Rod; Hankey, Graeme J.; Patel, Manesh R.; Becker, Richard C.; Singer, Daniel E.; Hacke, Werner; Berkowitz, Scott D.; Nessel, Christopher C.; Mahaffey, Kenneth W.; Fox, Keith A.A.; Califf, Robert M.; Piccini, Jonathan P.

    2014-01-01

    Background Antiarrhythmic drugs (AAD) and anticoagulation are mainstays of atrial fibrillation (AF) treatment. Objective We aimed to study the use and outcomes of AAD therapy in anticoagulated AF patients. Methods Patients in the ROCKET AF trial (n=14,264) were grouped by AAD use at baseline: amiodarone, other AAD, or no AAD. Multivariable adjustment was performed to compare stroke, bleeding, and death across groups, as well as across treatment assignment (rivaroxaban or warfarin). Results Of 14,264 patients randomized, 1681 (11.8%) were treated with an AAD (1144 [8%] with amiodarone, 537 [3.8%] with other AADs). Amiodarone-treated patients were less-often female (38% vs. 48%), had more persistent AF (64% vs. 40%), and more concomitant heart failure (71% vs. 41%) than patients receiving other AADs. Patients receiving no AAD more closely-resembled amiodarone-treated patients. Time in therapeutic range was significantly lower in warfarin-treated patients receiving amiodarone versus no AAD (50% vs. 58%, p<0.0001). Compared with no AAD, neither amiodarone (adjusted HR 0.98, 95% CI 0.74–1.31, p=0.9) nor other AADs (adjusted HR 0.66, 95% CI 0.37–1.17, p=0.15) were associated with increased mortality. Similar results were observed for embolic and bleeding outcomes. Rivaroxaban treatment effects in patients not on an AAD were consistent with the overall trial (primary endpoint adjusted HR 0.82, 95% CI 0.68–0.98, pinteraction=0.06; safety endpoint adjusted HR 1.12, 95% CI 0.90–1.24, pinteraction=0.33). Conclusion Treatment with AADs was not associated with increased morbidity or mortality in anticoagulated patients with AF. The influence of amiodarone on outcomes in patients receiving rivaroxaban requires further study. PMID:24833235

  16. Effekten af cellebehandling hos patienter med kronisk iskæmisk hjertesygdom--en gennemgang af et Cochranereview

    DEFF Research Database (Denmark)

    Mathiasen, Anders Bruun; Qayyum, Abbas Ali; Kastrup, Jens

    2015-01-01

    The present Cochrane review included 23 studies randomized placebo-controlled clinical trials with a total of 1,255 patients. The effect of autologous cell therapy versus placebo was examined on left ventricular ejection fraction (LVEF), adverse effects and mortality in patients with chronic isch...

  17. Udvikling af en internetsøgestrategi til identifikation af ny medicinsk teknologi inden for prostatacancer

    DEFF Research Database (Denmark)

    Thygesen, Marianne; Vondeling, Hindrik; Douw, Karla

    2007-01-01

    internetsider efter efficiens. Her er efficiens forstået som mindst antal minutter brugt pr. fund af information om en ny væsentlig medicinsk teknologi. Resultater: Strategien består af ti sider, som bør benyttes i følgende rækkefølge: YahooHealth, DoctorsGuide, The National Electronic Library for Medicines...... internetsøgestrategi til fund af ny medicinsk teknologi til behandling af lokaliseret prostatacancer. Materiale og metoder: Websider blev fundet ved hjælp af litteratursøgning og søgning i specielt udvalgte kilder på internettet. In- og eksklusionskriterier blev udviklet på basis af litteratur og anvendt på en række...... potentielt relevante sider. En foreløbig søgestrategi blev udviklet, teknologier blev identificeret, nyhed og relevans af disse blev vurderet af urologer i teamet, og information herfra blev brugt til at justere strategien. Seks urologer testede strategien, og deres fund blev brugt til at opstille rækken af...

  18. Der mangler undersøgelser af effekten af psykologbehandling til patienter med kræft og depression

    DEFF Research Database (Denmark)

    Johnsen, Anna Thit; Ross, Lone; Guldin, Mai-Britt

    2016-01-01

    Depression is a well-known co-morbidity of cancer. A possible intervention for depression is psychological treatment defined as psychotherapy provided by a psychologist. In this narrative review we investigated the effect of psychological treatment on depression for patients with cancer. Six...... Cochrane reviews of 38 studies investigating psychological or psychosocial interventions were reviewed. One of the 38 studies could not be assessed. None of the included studies investigated psychological treatment for patients who were diagnosed with depression or included because of depression symptoms....

  19. Population pharmacokinetics and pharmacodynamics of rivaroxaban in patients with non-valvular atrial fibrillation: results from ROCKET AF.

    Science.gov (United States)

    Girgis, I G; Patel, M R; Peters, G R; Moore, K T; Mahaffey, K W; Nessel, C C; Halperin, J L; Califf, R M; Fox, K A A; Becker, R C

    2014-08-01

    Two once-daily rivaroxaban dosing regimens were compared with warfarin for stroke prevention in patients with non-valvular atrial fibrillation in ROCKET AF: 20 mg for patients with normal/mildly impaired renal function and 15 mg for patients with moderate renal impairment. Rivaroxaban population pharmacokinetic (PK)/pharmacodynamic (PD) modeling data from ROCKET AF patients (n = 161) are reported and are used to confirm established rivaroxaban PK and PK/PD models and to re-estimate values of the models' parameters for the current AF population. An oral one-compartment model with first-order absorption adequately described rivaroxaban PK. Age, renal function, and lean body mass influenced the PK model. Prothrombin time and prothrombinase-induced clotting time exhibited a near-linear relationship with rivaroxaban plasma concentration; inhibitory effects were observed through to 24 hours post-dose. Rivaroxaban plasma concentration and factor Xa activity had an inhibitory maximum-effect (Emax ) relationship. Renal function (on prothrombin time; prothrombinase-induced clotting time) and age (on factor Xa activity) had moderate effects on PK/PD models. PK and PK/PD models were shown to be adequate for describing the current dataset. These findings confirm the modeling and empirical results that led to the selection of doses tested against warfarin in ROCKET AF.

  20. Optimering af behandlingseffekten i akvakultur. Minimering af forbrug og udledning af hjælpestoffer

    DEFF Research Database (Denmark)

    Sortkjær, Ole; Henriksen, Niels Henrik; Demuth Heinecke, Rasmus;

    er 1/5 af, hvad der normalt anvendes. Brintoverilte omsættes hurtigt, så det er nødvendigt at supplere med brintoverilte under behandlingen i damme. Forsøg med biofilter viser, at formalin omsættes hurtigere, hvis det i forvejen har været eksponeret med formalin, og det skader ikke den mikrobielle...... behandlingstiden samtidig bliver forlænget, sådan som toksicitetstestene viser. For at bekæmpe fiskedræberen skal der behandles flere gange med nogle dages mellemrum, når dambruget er hårdt inficeret. I recirkulerende anlæg med biofilter er det nødvendigt at supplere med formalin for at holde koncentrationen under...

  1. Behandling af placenta percreta kræver involvering af flere specialer

    DEFF Research Database (Denmark)

    Clausen, Caroline; Lönn, Lars; Albrechtsen, Charlotte Krebs;

    2011-01-01

    Placenta percreta is a rare life-threatening obstetrical condition, often resulting in severe haemorrhage and hysterectomy. The incidence seems to be increasing, probably secondary to the increase in caesarean section rates. We present a protocol for an elective multidisciplinary approach...

  2. Betydningen af kroppens stilling for det diuretiske respons ved behandling af dekompenseret cirrose og morbus cordis

    DEFF Research Database (Denmark)

    Wilken-Jensen, C; Ring-Larsen, H; Henriksen, Jens Henrik Sahl;

    1989-01-01

    sodium 96 v 45 mmol (mEq)/6 h (p less than 0.01), and the excreted potassium in six hours was similar in both postures. The glomerular filtration rate was 100 and 66 ml/min (p less than 0.01) and the heart rate 76 and 83 beats/min (p less than 0.05) in the supine and upright positions, respectively...... mechanisms which may reduce the excretion of water and salt. Udgivelsesdato: 1989-Jan-2...

  3. Ultralydskanning ved diagnostik og behandling af hoftedysplasi. Vurdering af en selektiv screeningsprocedure

    DEFF Research Database (Denmark)

    Strandberg, C.; Konradsen, L.A.; Ellitsgaard, N.;

    2008-01-01

    INTRODUCTION: With the intention of reducing the treatment frequency of Developmental Dysplasia of the Hip (DDH), two hospitals in Copenhagen implemented a screening and treatment procedure based on selective referral to ultrasonography of the hip (US). This paper describes and evaluates...... 0.03%. No relationship was seen between morphological parameters at the first US and the outcome of hips classified as minor dysplastic or not fully developed (NFD). A statistically significant relationship was seen between the degree of dysplasia and the time until US normalization of the hips (p......= 0.02). There was no relapse of dysplasia after treatment. The median duration of treatment was six, eight and nine weeks for mild, moderate and severe dysplasia respectively. CONCLUSION: The procedure resulted in a low rate of treatment and a small number of late diagnosed cases. Prediction...

  4. Medikamentel behandling af cancerrelateret traethed--en gennemgang af et Cochrane-review

    DEFF Research Database (Denmark)

    Pedersen, Lise; Palshof, Torben

    2009-01-01

    The data and the conclusions of the Cochrane review of drug therapy for the management of cancer related fatigue (CRF) is analysed and summarized in this report. Overall, data is weakened substantially by a high degree of heterogeneity that stems primarily from the fact that fatigue is a subjective...

  5. Lejefastsættelse i ejendomme, der var ejet af en andelsboligforening den 1. januar 1995 (men ikke længere er det)

    DEFF Research Database (Denmark)

    Juul-Sandberg, Jakob

    2012-01-01

    I artiklen behandles spørgsmålet om lejefastsættelsen i ejendomme, der den 1. januar 1995 var ejet af en andelsboligforening, er omfattet af »småhus-reglerne« i Boligreguleringslovens § 29 c, hvis ejendommen senere erhverves af en privat udlejer. Sådan har praksis været; men er det ikke længere....

  6. U.2010 B.1; Fagforeningers kontrol af virksomheders løn- og arbejdsvilkår

    DEFF Research Database (Denmark)

    Lind, Martin Gräs

    2010-01-01

    Artiklen behandler spørgsmålet, om og i hvilket omfang fagforeninger har ret til at kontrollere især overenskomstforpligtede arbejdsgivere. Det stigende antal udenlandske arbejdstagere på det danske arbejdsmarked har medført øget fokus på og behov for kontrolførelse af overenskomstens bestemmelse...

  7. Increased Mortality Associated with Digoxin in Contemporary Patients with Atrial Fibrillation: Findings from the TREAT-AF Study

    Science.gov (United States)

    Turakhia, Mintu P.; Santangeli, Pasquale; Winkelmayer, Wolfgang C.; Xu, Xiangyan; Ullal, Aditya J.; Than, Claire T.; Schmitt, Susan; Holmes, Tyson H.; Frayne, Susan M.; Phibbs, Ciaran S.; Yang, Felix; Hoang, Donald D.; Ho, P. Michael; Heidenreich, Paul A.

    2014-01-01

    Objectives To evaluate the association of digoxin with mortality in atrial fibrillation. Background Despite endorsement of digoxin in clinical practice guidelines, there exist limited data on its safety in atrial fibrillation and flutter (AF). Methods Using complete data from the US Department of Veterans Administration (VA) Health Care System, we identified patients with newly-diagnosed, non-valvular AF seen within 90 days in an outpatient setting between VA fiscal years 2004-2008. We used multivariate and propensity-matched Cox proportional hazards to evaluate the association of digoxin use to death. Residual confounding was assessed by sensitivity analysis. Results Of 122,465 patients with 353,168 person-years of follow-up (age 72.1±10.3 years, 98.4% males), 28,679 (23.4%) patients received digoxin. Cumulative mortality rates were higher for digoxin-treated patients than for untreated patients (95 vs. 67 per 1,000 person-years; P<0.001). Digoxin use was independently associated with mortality after multivariate adjustment (HR: 1.26, 95%CI: 1.23-1.29, P<0.001) and propensity matching (HR: 1.21, 95%CI: 1.17-1.25, P<0.001), even after adjustment for drug adherence. The risk of death was not modified by age, sex, heart failure, kidney function, or concomitant use of beta blockers, amiodarone, or warfarin. Conclusion Digoxin was associated with increased risk of death in patients with newly-diagnosed AF, independent of drug adherence, kidney function, cardiovascular comorbidities, and concomitant therapies. These findings challenge current cardiovascular society recommendations on use of digoxin in AF. PMID:25125296

  8. EMTC. Europæisk registrering af musikterapeuter

    DEFF Research Database (Denmark)

    Ridder, Hanne Mette Ochsner

    2006-01-01

    i en rapport fra 2004 opstillet kvalitetskriterier for private psykoterapeut uddannelser. I en meget grov inddeling kunne man sortere fagprofessionen indenfor musikterapeutisk behandling i 4 kategorier, nemlig det grå marked, kandidaterne, de autodidakte/pionererne og støtterne. Det grå marked er......Hvem kan kalde sig musikterapeut? Betegnelsen musikterapeut er ikke en beskyttet titel. Alle, uanset uddannelse eller erfaring, har lov til at betegne sig som musikterapeut. Som fag kan musikterapi således favne alt hvad man overhovedet kan forestille sig har noget at gøre med musik og terapi/aktivitet/behandling....../m.m. Dette gør det umuligt at skabe en ensrettet fagprofil. Alle kan annoncere med tilbud om musikterapi, men de personer, der søger behandling hos en musikterapeut, har ingen garanti for indholdet og kvaliteten af den ydelse, de får. Vi ser en lignende problematik i forhold til det store grå marked af...

  9. Symptomscreening af patienter med KOL kan identificere patienter med behov for palliativ indsats

    DEFF Research Database (Denmark)

    Durakovic, Amal; Rasmussen, Dorte Lander; Kjærsgaard-Andersen, Anne Marie

    2014-01-01

    This study developed and tested a collaboration model to improve the quality of palliative care for all patients with life-threatening illness who require palliation. Journal audit was performed on 79 in-hospital patients. European Organisation for Research and Treatment of Cancer, Quality of Life...... Question-naire (EORTC-QLQ-C15-PAL) symptom screening was found to be applicable to all patients with life-threatening illness. It was found important to document the patients' wishes for the end of life care and furthermore the electronic correspondence was found to contain relevant and sufficient...

  10. Behandling av gangfunksjon ved MS

    OpenAIRE

    Unsvåg, Helene Halsteinli

    2015-01-01

    Abstract. Background: Fampyra is a potassium channel blocker that reduces the leakage through ion-channels. Fampyra is approved for use in patients with multiple sclerosis (MS) who have walking difficulties. Previous studies have shown that Fampyra can have a positive effect on walking speed in patients with MS. Objectives: To investigate the effect of Fampyra in a group of MS patients and see the effect on walking speed and endurance. In addition, we wanted to examine whether factors such as...

  11. Nyrearteriestenose--diagnostik og behandling

    DEFF Research Database (Denmark)

    Pedersen, Erling Bjerregaard; Andersen, Ulrik Bjørn

    2009-01-01

    Screening for renal artery stenosis (RAS) should be restricted to patients with a high RAS risk. Captopril renography, computed tomography (CT)-angiography, magnetic resonance (MR)-angiography and ultrasound (US) Doppler can be used. Most patients should receive medical treatment. If predictive...

  12. LCA af genbrug af mursten

    DEFF Research Database (Denmark)

    Møller, Jacob; Damgaard, Anders; Astrup, Thomas Fruergaard

    Der er gennemført en livscyklusbaseret miljøvurdering af genbrug af mursten. Modelleringen er baseret på, hvordan Virksomheden ”Gamle Mursten” forbereder de gamle mursten med henblik på, at de kan genbruges i nybyggeri. Som alternativ til direkte genbrug nedknuses murstensaffaldet og anvendes som...... fyldmateriale ved anlægsarbejder. Under forudsætning af, at en genbrugt mursten teknisk og funktionelt erstatter en ny mursten, er genbrug i varierende grad en mere fordelagtig behandlingsmetode end genanvendelse i forhold til forskellige påvirkninger af miljøet....

  13. BEHANDLING AV MODERAT TIL ALVORLIG PSORIASIS; : GAMMEL VERSUS NY BEHANDLING.

    OpenAIRE

    2007-01-01

    BACKGROUND: Psoriasis is a common, chronic, inflammatory disease. Psoriasis requires long time therapy to maintain disease control and psoriasis patients deserve long-term controlled treatment of their disease with optimal safety. Traditional treatment like phototherapy or systemic therapy with cyclosporin, metotrexate and retinoids are not always effective or cause long-term side effects. New biological, which targets pathologic T cell activity, agents like tumor necrosis factor alpha inhib...

  14. Behandling af akut myeloid leukæmi uden transfusion af blodprodukter hos et medlem af Jehovas Vidner

    DEFF Research Database (Denmark)

    Larsen, Christian; Jensen, Morten Krogh

    2011-01-01

    We present a case in which a young woman was diagnosed with acute myeloid leukaemia, FAB-classification type M2. As a member of Jehovah's Witnesses she refused to accept any treatment involving blood transfusions. A modified induction and consolidation chemotherapy regimen was applied, tailored...

  15. Behandling ved tidlig Hodgkin's sygdom

    DEFF Research Database (Denmark)

    Specht, L K; Carde, P; Mauch, P;

    1993-01-01

    In early stage Hodgkin's disease the optimal choice of treatment is still an unresolved issue. Twenty-two randomized trials of radiotherapy alone versus radiotherapy plus combination chemotherapy have been carried out world-wide. The preliminary results of a global meta-analysis of these trials...... a relapse is avoided in many patients. The major argument against early chemotherapy is: that by careful staging and selection of patients and by careful radiotherapy techniques the number of patients exposed to potentially toxic chemotherapy may be kept at a minimum. Recently, trials have been carried out...... testing chemotherapy alone, results are, however, conflicting. In order not to jeopardize the good results achieved with the standard treatments developed over the last three decades, newer treatment approaches should be carefully tested in large randomized trials before being implemented for general...

  16. Gastropleural fistel kan behandles torakoskopisk

    DEFF Research Database (Denmark)

    Laugesen, Sofie; Nekrasas, Vytautas; Haahr, Poul Erik

    2014-01-01

    Gastropleural fistula (GPF) is although uncommon a severe and sometimes fatal complication after prior thoracic surgery, trauma or malignancy. Standard therapy has often included major surgery such as laparotomia with gastrectomi. In this case report we present a patient with GPF who underwent...

  17. Alternative Calculations of Individual Patient Time in Therapeutic Range While Taking Warfarin: Results From the ROCKET AF Trial

    Science.gov (United States)

    Singer, Daniel E.; Hellkamp, Anne S.; Yuan, Zhong; Lokhnygina, Yuliya; Patel, Manesh R.; Piccini, Jonathan P.; Hankey, Graeme J.; Breithardt, Günter; Halperin, Jonathan L.; Becker, Richard C.; Hacke, Werner; Nessel, Christopher C.; Mahaffey, Kenneth W.; Fox, Keith A. A.; Califf, Robert M.

    2015-01-01

    Background In the ROCKET AF (Rivaroxaban–Once‐daily, oral, direct Factor Xa inhibition Compared with vitamin K antagonism for prevention of stroke and Embolism Trial in Atrial Fibrillation) trial, marked regional differences in control of warfarin anticoagulation, measured as the average individual patient time in the therapeutic range (iTTR) of the international normalized ratio (INR), were associated with longer inter‐INR test intervals. The standard Rosendaal approach can produce biased low estimates of TTR after an appropriate dose change if the follow‐up INR test interval is prolonged. We explored the effect of alternative calculations of TTR that more immediately account for dose changes on regional differences in mean iTTR in the ROCKET AF trial. Methods and Results We used an INR imputation method that accounts for dose change. We compared group mean iTTR values between our dose change–based method with the standard Rosendaal method and determined that the differences between approaches depended on the balance of dose changes that produced in‐range INRs (“corrections”) versus INRs that were out of range in the opposite direction (“overshoots”). In ROCKET AF, the overall mean iTTR of 55.2% (Rosendaal) increased up to 3.1% by using the dose change–based approach, depending on assumptions. However, large inter‐regional differences in anticoagulation control persisted. Conclusions TTR, the standard measure of control of warfarin anticoagulation, depends on imputing daily INR values for the vast majority of follow‐up days. Our TTR calculation method may better reflect the impact of warfarin dose changes than the Rosendaal approach. In the ROCKET AF trial, this dose change–based approach led to a modest increase in overall mean iTTR but did not materially affect the large inter‐regional differences previously reported. Clinical Trial Registration URL: ClinicalTrials.gov. Unique identifier: NCT00403767. PMID:25736441

  18. Hypertension--forekomst og behandling

    DEFF Research Database (Denmark)

    Ibsen, Hans; Jørgensen, Torben; Jensen, Gorm B;

    2009-01-01

    Hypertension is the most important modifiable risk factor for cardiovascular disease. However, less than half of all hypertensives have their blood pressure reduced to relevant goals. The prevalence of hypertension in Denmark was found to be between 26% and 40% of the adult population. Just over ...... half were aware of the diagnosis, but less than half were in treatment. Blood pressure control in patients who are undergoing treatment has improved during recent years, but there is still a gap to achievable control rates....

  19. Hypertension--forekomst og behandling

    DEFF Research Database (Denmark)

    Ibsen, Hans; Jørgensen, Torben; Jensen, Gorm B;

    2009-01-01

    Hypertension is the most important modifiable risk factor for cardiovascular disease. However, less than half of all hypertensives have their blood pressure reduced to relevant goals. The prevalence of hypertension in Denmark was found to be between 26% and 40% of the adult population. Just over...... half were aware of the diagnosis, but less than half were in treatment. Blood pressure control in patients who are undergoing treatment has improved during recent years, but there is still a gap to achievable control rates. Udgivelsesdato: 2009-Jun-8...

  20. Udpegning af risikolokaliteter på det tosporede vejnet i åbent land baseret på data om vejens karakteristika

    DEFF Research Database (Denmark)

    Andersen, Camilla Sloth

    registreringsgraden er siden 2001 faldet fra, at 18,5 % af de tilskadekomne, der behandles på skadestue, også blev registreret i den officielle ulykkesstatstik, til at andelen, der blev registreret i 2011, er nede på 10 %. De danske vejmyndigheder, heraf særligt kommunerne, har derfor vanskeligt ved at udpege sorte...

  1. Fremtidssikring af kloaknet

    DEFF Research Database (Denmark)

    Hansen, Ernst Jan de Place

    2008-01-01

    Beskrivelse af hvordan man ved udbygning af eksisterende kloaknet og ved nytænkning af planlægning af nye bydele kan sikre sig langsigtet mod konsekvenserne af klimaændinger og kraftigere nedbør...

  2. Høringssvar vedr. udlejning af almene boliger til virksomheder

    DEFF Research Database (Denmark)

    Faber, Louise

    2012-01-01

    videreudlejning angår et boliglejemål på det private lejemarkede, er omfattet af lejeloven, jf. lejelovens § 1, stk. 1. Såfremt ændringen vedtages, vil to helt ens situationer, reguleres af to forskellige lovgivninger. Forfatteren anfører derfor, at ændringsforslaget aktualiserer overvejelser om, hvilket regelsæt...... der bør regulere situationen, da sitiationen bør behandles ens. Endvidere påpeges, at der forsat er betydelige problemsstillinger forbundet med fremleje, som der retssikkerhedsmæssigt bør tages højde for, eventuelt ved helt at retænke regulering af leje med henblik på videreudlejning....

  3. Rivaroxaban in the Prevention of Stroke and Systemic Embolism in Patients with Non-Valvular Atrial Fibrillation: Clinical Implications of the ROCKET AF Trial and Its Subanalyses.

    Science.gov (United States)

    Spencer, Ryan J; Amerena, John V

    2015-12-01

    Atrial fibrillation (AF) is an increasingly common cause of stroke and systemic embolism. While warfarin has been the mainstay of stroke prevention in patients with AF, newer novel oral anticoagulant medications are now available. Rivaroxaban, a direct factor Xa inhibitor with a rapid onset and offset after oral administration, offers potential advantages over warfarin, predominantly due to its predictable pharmacokinetics across wide patient populations. It requires no coagulation monitoring, and only two different doses are needed (20 mg daily for patients with normal renal function and 15 mg daily in those with reduced renal function). A large randomized trial (ROCKET AF) has shown non-inferiority to warfarin for preventing stroke or systemic embolism in the per-protocol population and superiority to warfarin in the on-treatment safety population. Several subanalyses confirm that the treatment effect of rivaroxaban is consistent across different patient subgroups, including those with reduced renal function. The tolerability of rivaroxaban appears similar to that of warfarin, with comparable overall bleeding rates in clinical trials. In ROCKET AF, significantly lower rates of fatal and intracranial bleeding were seen with rivaroxaban, while lower rates of gastrointestinal bleeding were seen with warfarin. Important contraindications to rivaroxaban include valvular AF, the presence of a prosthetic valve (mechanical or bioprosthetic) or valve repair, the need for concurrent dual antiplatelet therapy, and creatinine clearance <30 ml/min. Once-daily dosing and the lack of coagulation monitoring may increase utilization and adherence compared with warfarin, potentially decreasing the large burden of care associated with stroke secondary to AF. Overall, rivaroxaban offers a useful alternative to warfarin for stroke prevention in patients with AF.

  4. Revmatoid artritt i Norge – demografi, sykdomskarakteristika og behandling. En sammenligning med andre europeiske land og USA

    Directory of Open Access Journals (Sweden)

    Glenn Haugeberg

    2012-11-01

    Full Text Available Bakgrunn: Revmatoid artritt (RA er en kronisk inflammatorisk leddsykdom som gir økt sykelighet og dødelighet. Nye biologiske legemidler har de siste 10 årene bedret prognosen betydelig. I 2005 ble QUEST-RA (Quantitative Standard Monitoring of Patients with Rheumatoid Arthritis prosjektet etablert for å sammenligne sykdomsstatus og behandling hos RA-pasienter i forskjellige land. I denne artikkelen presenteres status for RA-pasienter i Norge sammenlignet med andre europeiske land og USA.Materiale og metode: Tilfeldig utvalgte RA-pasienter fulgt opp ved revmatologisk poliklinikk ved Sørlandet sykehus i Kristiansand (n=100 og St. Olavs Hospital i Trondheim (n=100 ble inkludert. I henhold til protokoll ble demografiske, sykdoms- og behandlingsdata registrert.Resultater: Norske RA-pasienter skilte seg lite fra gjennomsnittet i andre land med hensyn til alder, utdannelse og sykdomsvarighet. Sykdomsalvorlighet og sykdomsstatus til norske RA-pasienter er sammenlignbare med pasienter fra land som har lavest sykdomsaktivitet og best helsestatus. I Norge er andelen som behandles med biologiske legemidler ca 30%, og Norge er blant de land med størst andel pasienter som behandles med denne legemiddelgruppen. Fortolkning: RA-pasienter i Norge er blant de i Europa som har lavest sykdomsaktivitet. En årsak antas å være den relativt utbredte bruken av biologiske legemidler i Norge.

  5. Ud af Napoli

    DEFF Research Database (Denmark)

    Lausten, Pia Schwarz

    2016-01-01

    Artiklen præsenterer Elena Ferrantes romankvartet "Min geniale veninde" (2011-14). Indledningen behandler problemstillingen vedrørende forfatterens fortsatte ønske om at være anonym, hvorefter artiklen analyserer værket ud fra genremæssige, sproglige og tematiske kriterier. Artiklen er bygget op ...

  6. The Effect of Medicinal Education on Adherence Taking Warfarin in Acute Coronary Syndrome (ACS and Atrial Fibrilation (AF Patients at PKU Muhammadiyah Yogyakarta Hospital

    Directory of Open Access Journals (Sweden)

    Jastria Pusmarani

    2015-12-01

    Full Text Available In order to improve warfarin medication adherence in patient with Acute Coronary Syndrome (ACS and Atrial Fibrillation (AF, giving education with leaflet administration is one of the solutions. This study was aim to know the impact of pharmacist education with using prepared leaflet on the adherence to warfarin in ACS and AF patients. This study used pre test and post test with control group design. Data were collected prospectively during 8 weeks in June–July 2014 at the ambulatory ACS and AF patients at PKU Muhammadiyah Yogyakarta hospital, Indonesia. Data were collected by medical record and the questionnaire using Morisky Medication Adherence Scale (MMAS. Wilcoxon test was used for statistical analysis. The results shows pre test and post test value in the control group was p=0.194 and pre and post test value in the test group was p=0.058. There was no significant difference (p>0.05 after giving education with leaflet. The education with leaflet had no effect to adherence in warfarin in ACS and AF patients at PKU Muhammadiyah Yogyakarta hospital.

  7. Anmeldelse af Ulrik Rammeskow Bang-Pedersen & Lasse Højlund Christensen: Den civile retspleje, 2. udg., 2010

    DEFF Research Database (Denmark)

    Werlauff, Erik

    2011-01-01

    Artiklen anmelder den nævnte bog og giover den videnskabelig og pøædagogiski anerkendelse for på en læseværdig måde at redegøre for, hvordan domstolene i Danmark er opbygget, og hvordan en civil retssag behandles. En lang række af kapitlerne hos Ulrik Rammeskow Bang-Pedersen & Lasse Højlund...

  8. Ambulant neuropsykologisk opfølgning af patienter indlagt med aseptisk meningitis

    DEFF Research Database (Denmark)

    Damsgaard Gunst, Jesper; Klostergaard, Kirsten Rose; Leutscher, Peter Derek Christian

    2014-01-01

    Aseptic meningitis is considered to be a benign illness with mild symptoms, and the prognosis is usually good. However, retrospective studies have demonstrated that these patients may experience cognitive sequelae. A neuropsychologist was affiliated to the Department of Infectious Diseases......, and neuropsychological findings in patients with aseptic meningitis were assessed. In conclusion, at twelve months of follow-up cognitive dysfunction persist among the majority of patients; 75% had mental fatigue and 45% had changed their work status....

  9. Visitation af patienter, som indlægges akut på mistanke om hjertesygdom

    DEFF Research Database (Denmark)

    Okkels Jensen, Lisette; Holmvang, Lene; Forberg, Jakob Lundager;

    2013-01-01

    Overall, the future emergency departments in Denmark serve as a single portal of entry for all acute patients. At the same time an expansion of prehospital diagnosing and triage will take place. In patients suspected of life-threatening cardiac conditions with specialized treatment requirements w...... where the time factor is important, the prehospital triage will be important to identify patients who should be transferred directly to a cardiac care unit to reduce prehospital and in-hospital delays of treatment....

  10. Anmeldelse af Ulrik Rammeskow Bang-Pedersen, Lasse Højlund Christensen, Kim Sommer Jensen, Christian Jul Madsen & Andreas Kærsgaard Mylin: Rekonstruktion – teori og praksis (2011)

    DEFF Research Database (Denmark)

    Werlauff, Erik

    2011-01-01

    Artiklen anmelder det nævnte værk, som i detaljer behandler lov nr. 718 af 25. juni 2010, der indførte regler i konkursloven, som muliggør rekonstruktion af både fysiske og juridiske personer med henblik på virksomhedsoverdragelse og tvangsakkord, og således at skyldneren ikke selv kan standse re...

  11. Effekten af cellebehandling hos patienter med kronisk iskæmisk hjertesygdom

    DEFF Research Database (Denmark)

    Mathiasen, Anders Bruun; Qayyum, Abbas Ali; Kastrup, Jens

    2015-01-01

    The present Cochrane review included 23 studies randomized placebo-controlled clinical trials with a total of 1,255 patients. The effect of autologous cell therapy versus placebo was examined on left ventricular ejection fraction (LVEF), adverse effects and mortality in patients with chronic isch...

  12. 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...

  13. AF Termination: the Holy Grail of Persistent AF Ablation?

    Directory of Open Access Journals (Sweden)

    Dennis H. Lau, MBBS

    2010-06-01

    Full Text Available The optimal catheter ablation approach for longstanding persistent atrial fibrillation (AF remains elusive despite significant advances made in our understanding of this arrhythmia. A recent systematic review highlighted the significant variation in procedural success rate both within and between techniques, necessitating repeat ablation procedures and anti-arrhythmic drugs to achieve improved outcomes in those with long-standing persistent AF.1 Indeed, current expert consensus statement recommended ablation beyond ostial pulmonary vein isolation for these patients.2 Despite incorporating various substrate modification techniques which commonly include linear lesions and targeting of complex fractionated electrograms, the reported success rates from various laboratories are still below par to those in paroxysmal AF patients.1 Perhaps the often dilated and chronically remodeled atria in longstanding persistent AF patients harbor complex structural substrates capable of maintaining the arrhythmia beyond amelioration even with extensive catheter ablation in some. Certainly, this reflects our incomplete understanding of the complex mechanisms underlying this arrhythmia.

  14. 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...... 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 with moderate...

  15. 50-års-registerefterundersøgelse af 112 patienter med klassisk neurosediagnose

    DEFF Research Database (Denmark)

    Jepsen, Peter Winning; Juel, Knud; Bech, Per

    2007-01-01

    AND METHODS: The cohort consists of 112 patients (30 males (26.8%) and 82 females (73.2%)) hospitalized in the years 1952 to 1957. These patients were suffering from anxiety neuroses, obsessive-compulsive states or hysterical neuroses. In an early phase of the study, a systematic review of all records...... significance as to readmission or death. DSM-III diagnoses result in a similar picture. During follow-up a total of 67 patients died. There was a weak but insignificant excess mortality of 1.16 for men and 1.14 for women. Death by suicide was significantly increased for both sexes. Most suicides occurred...

  16. Coaching patients to self-care: a primary responsibility of nursing

    DEFF Research Database (Denmark)

    Hørdam, Britta

    2010-01-01

    Anmelselse af international forskning:Formål: En australsk undersøgelse har fokus på aktivt at støtte og guide ældre til en rehabiliterende egenomsorg efter udskrivelse fra behandling på sygehus. Metode: Med afsæt i grounded theory udvikles en model for rehabiliterende sygepleje, hvor sygeplejers...

  17. 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...

  18. 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...

  19. 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

    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...... 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....

  20. 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

    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......+ percentages increased in both groups, however, only significantly in GrA (P less than 0.05). It is concluded that LV acts as an immunostimulator in patients with RAU and that the increase in T-lymphocyte subsets may account for the previously reported benefit of LV in RAU prevention....

  1. Opbygning af alliance

    DEFF Research Database (Denmark)

    Pedersen, Inge Nygaard

    2002-01-01

    Denne artikel er et forsøg på at bringe læseren med ind i atmosfæren, i oplevelsen og overvejelserne i forbindelse med opstart på et musikterapiforløb med en patient, som er meget svær at få kontakt med. Den er skrevet i et detaljerigt praksisnært sprog og har på én gang til for mål at starte på...... dokumentation af musikterapeutisk arbejde i børnepsykiatrien på musikterapiklinikken, APS og at formidle de mange facetter i et allianceopbyggende arbejde med en meget kontaktsvag patient. Artiklen beskriver prøveforløb og første del af et behandlingsforløb og er bygget op, således at praksisbeskrivelser fra...

  2. Kredsløbsmonitorering af kritisk syge patienter med "pulse contour cardiac output"-systemet

    DEFF Research Database (Denmark)

    Afshari, Arash; Perner, Anders; Bonde, Jan

    2006-01-01

    The Pulse Contour Cardiac Output (PiCCO) monitoring system measures cardiac output with high precision and accuracy. The system may replace the pulmonary artery catheter in most critically ill patients because the rate of serious complications may be lower. Whether the use of dynamic or static...

  3. Psykoterapeutisk dagbehandling af svaert personlighedsforstyrrede patienter. En toårsopgørelse

    DEFF Research Database (Denmark)

    Christensen, Nils Balle; Toft, John; Petersen, Brian;

    2007-01-01

    before and after therapy. The design was naturalistic. RESULTS: 40 patients (34 women) completed the DT. Eight dropped out and five received another treatment. Before treatment: Average age 27(SD 6,5), mean GAF= 43 corresponding with unemployment, singles and social dysfunctions, high degree of self...

  4. 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...

  5. 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...

  6. Forudsaetninger for udenlandske laegers kliniske arbejde--vurderet af dansk sundhedspersonale, patienter og udenlandske laeger

    DEFF Research Database (Denmark)

    Mitchell, A.U.; Tabaei, F.H.; Ostergaard, D.;

    2008-01-01

    INTRODUCTION: Many foreign doctors work in Danish hospitals. This study concerns the opportunities available to and difficulties encountered by these doctors. MATERIALS AND METHODS: A questionnaire concerning guidance available to foreign doctors, their linguistic and professional competence and ...... for foreign doctors, and can influence the evaluation of their professional competence. Cultural differences may influence foreign doctors' cooperation with Danish personnel. Patients are satisfied with treatment given by foreign doctors Udgivelsesdato: 2008/5/19...

  7. Patients' Obligation, Embodiment, Motives, and Self in Hypertension - a Qualitative Study from General Practice (PhD thesis)

    DEFF Research Database (Denmark)

    Sångren, Henrik

    . Mange forskellige omr†der af patientens hverdagsliv blev ber›rt af diagnosen. Patienternes motiver for at g† i behandling var komplekse og hvilede p† personlige moralske, praktiske og kulturelle rolle forpligtelser. At kunne leve op til samfundets normer for den ansvarlige borger var en motivation...

  8. Avancering af maksillen ved brug af osseodistraktion

    DEFF Research Database (Denmark)

    Andersen, Kristian; Svenstrup, M; Nørholt, Sven Erik;

    2010-01-01

    Formålet med denne litteraturgennemgang er at danne en oversigt over foreliggende videnskabelig litteratur inden for emnet anvendelse af distraktionsosteogenese til ændring af maksillens position. Materialer og metoder – I artiklen gennemgås behandlingssekvens og typer af distraktionsudstyr....... Gennemgangen omfatter emnerne: 1) stabilitet og recidiv, 2) peroperativ og postoperativ morbiditet samt gener, 3) ændringer af blødtvæv under distraktion, 4) ændringer af velopharynx og taleevne samt 5) psykosociale effekter af behandlingen. Resultater – De eksisterende artikler har samlet set generelle...... metodologiske begrænsninger, hvorfor evidensniveauet i den nuværende videnskabelige litteratur er begrænset. Et enkelt studie viser en postoperativ mere stabil position af maksillen efter distraktionsosteogenese (DO). For de to typer af behandlinger er morbiditetsraten ens, mens morbiditetstyperne varierer. Der...

  9. 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...

  10. Patient med myelomatose med infiltrat på røntgen af thorax

    DEFF Research Database (Denmark)

    Schoos, Ann-Marie Malby; Steentoft, Johnna; Petersen, Michael Mørk;

    2010-01-01

    A 71-year-old man was referred to the lung department with pain in the right side of the chest through three months, especially when physically active. The patient presented with a tendency to shortness of breath, fatigue, low energy level and night sweats. The tentative diagnosis of pleural tumour....../metastases was made. Chest x-ray showed pleural thickening and poorly defined ribs on the right side, consistent with bone destruction. Computed tomography showed a big mass in the 5th rib and universal bone lesions. Biopsy from the rib revealed the diagnosis of myelomatosis....

  11. Restaurering af Skjern Å

    DEFF Research Database (Denmark)

    Jessen, K.; Boysen Larsen, B.; Bundgaard, P.;

    Denne rapport indeholder resultaterne af den natur- og miljøovervågning, der blev iværksat som en del af naturgenopretningen af Skjern Å 1999-2002. Ved projektet ophørte den kunstige afvanding af den vestlige del af Skjern Å dalen. Størstedelen af de dyrkede arealer ændredes til ekstensive græsni...

  12. 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)....

  13. [Reducing the side effects of aggressive chemotherapy (cisplatin and epirubicin) with xenogenic peptides (factor AF2) in patients with hormone refractory metastatic prostate cancer. A prospective, randomized study].

    Science.gov (United States)

    Papadopoulos, I; Wand, H

    1989-06-01

    The indication of a chemotherapy is advisable with patients who are suffering from a progressively metastasised, secondarily hormone refractory carcinoma of the prostate. In search of efficient chemotherapy protocols we combined cisplatin with epirubicin (PE scheme) in our clinic. Massive side effects of that aggressive chemotherapy scheme like gastro-intestinal trouble and myelotoxicity are the limiting factors of the scheme. With measures like reducing the dosage, delaying the next cycle, or breaking off the therapy the effective dosage can often not be achieved. The anti-emetics which are usually used today exclusively give anti-emetic protection. The additional administration of xenogenic peptides (Factor AF2) had additionally myeloprotective effect in former studies. In this study we examined whether, by additionally giving Factor AF2, the patients' subjective condition, and above all their hemogram, could be stabilised in order to achieve the effective dosage or dosage intensity. For that, the patients were prospectively randomised in two groups by means of a random selection board. The analysis of the data gained in the protocol showed that the additional administration of Factor AF2 improves the patients' subjective conditions significantly. Apart from that, we noticed a considerable reduction of the vomiting frequency. Concerning the objective measured parameters of the leukocytes, thrombocytes, erythrocytes, and the hemoglobin level, the significantly myeloprotective effect of Factor AF2 could be proved. Due to the fact that in the verum group there were considerably fewer cases of breaking off or delays of the treatment than in the control group, the effective dosage intensity could be achieved with a higher number of patients in that group. PMID:2691943

  14. Midler til lindring af mundtørhed og stimulation af spytsekretion

    DEFF Research Database (Denmark)

    Dynesen, Anja Weirsøe; Pedersen, Anne Marie Lynge; Jensen, Allan Bardow;

    2013-01-01

    effekt. I relation til risikoen for at udvikle caries, der er forhøjet hos den mundtørre patient, er det dog væsentligt at anbefale produkter uden sukker. Ligesom produktets indhold af syre og dermed det erosive potentiale er af betydning i forhold til udviklingen af dentale erosioner. Systemisk...

  15. Implementering af ny standard for forebyggelse af delir i forhold til ældre svagelige patienter > 65 år med hoftefraktur

    DEFF Research Database (Denmark)

    Bagger, Bettan; Rehder, Bente; Pedersen, Niels;

    2013-01-01

    Baggrund: Pro-hip er et inter-regionalt projekt www.prohip.eu der blandt andet har til formål at evidensbasere den rehabiliterende sygepleje til hoftepatienten i forhold til indsatsområderne; ernæring, urinretention/UVI, delir og tryksår. Delirium er et hyppigt forekommende problem blandt patienter...

  16. Behandling af våd aldersrelateret makuladegeneration med vaskulaer endotel vaekstfaktorhaemmer. Gennemgang af et Cochrane-review

    DEFF Research Database (Denmark)

    Bloch, Sara Brandi; Larsen, Michael

    2009-01-01

    This evaluation of a Cochrane-review including five clinical trials of good methodological quality indicates that the antiangiogenic therapeutic agents, pegaptanib and ranibizumab, are effective treatment strategies for neovascular Age-Related Macular Degeneration (AMD). The review does not inclu...

  17. Intrauterin insemination med donorsaed. Behandling af ufrivillig barnløshed på grund af mandlig infertilitet

    DEFF Research Database (Denmark)

    Vilsbøll, Tina; Helmsøe-Zinck, Lise; Andersen, A N

    1994-01-01

    Intrauterine insemination with cryopreserved donor semen was performed in 114 women in a total of menstrual 381 cycles during the period 1.2.1991 to 15.5.1993. Eighty-one pregnancies were recorded corresponding to a conception rate of 21% per insemination cycle. After ten cycles the probability of...... conception and expected delivery was respectively 96% and 86%. The results show that intrauterine insemination with donor semen is a good treatment for couples with male infertility. Ultrasonic measurement of the follicles and timing of hCG injection were used for optimal timing of intrauterine donor...... insemination. The quality of the semen used for insemination is important. It is recommended to inseminate with at least two million of spermatozoa where at least 20% have normal motility....

  18. Improvement of impaired mitogen-induced interferon-gamma release of peripheral blood mononuclear cells derived from tumor patients by Factor AF2.

    Science.gov (United States)

    Baier, J E; Neumann, H A; Gallati, H; Ricken, D

    1991-01-01

    Factor AF2, a now standardized extract from liver and spleen of newborn lambs, showed myeloprotective capacity on platelet- and erythrocyte-count as well as on hemoglobinconcentration in patients undergoing aggressive chemotherapy. In addition, a possible influence on prolonged remission duration in patients with mammary carcinoma had been claimed. In this study, the effect of Factor AF2 on mitogen-induced interferon-gamma release by PBMC was tested in 23 healthy humans and in 23 tumor patients. All patients were prior to surgery and had not yet received radio- or chemotherapy at the time of examination. The interferon-gamma concentration of the supernatants was measured using an enzyme-linked immunosorbent assay (ELISA). The cells were stimulated with PHA at 7.5 micrograms/ml. In the reference group, interferon-gamma concentration rose to 26 units/ml and to 15.5 units/ml in the tumor patients. In the reference persons, an addition of Factor AF2 at concentrations from 10(1) micrograms/ml to 10(3) micrograms/ml resulted in a small non-significant decrease of interferon-gamma release. At 10(4) micrograms/ml, neither test group showed measurable interferon-gamma concentration. In the tumor patients, cocultivation with Factor AF2 until concentration of 10(2) micrograms/ml resulted in a dose-dependent increase of interferon-gamma release, where 20.5 units/ml interferon-gamma were reached. At 10(3) micrograms/ml, Factor AF2 showed no effect on interferon-gamma release compared with the stimulation with mitogen alone. Flow-cytometry analysis of CD3, CD4, CD8, CD16, CD19, CD56, and HLA-DR expression of the PBMC deriving either from reference persons or from patients revealed an almost identical distribution. A slight difference in CD16-positive and HLA-DR positive cells, respectively, was not significant. PMID:1788474

  19. Ischaemic cardiac outcomes in patients with atrial fibrillation treated with vitamin K antagonism or factor Xa inhibition: results from the ROCKET AF trial

    Science.gov (United States)

    Mahaffey, Kenneth W.; Stevens, Susanna R.; White, Harvey D.; Nessel, Christopher C.; Goodman, Shaun G.; Piccini, Jonathan P.; Patel, Manesh R.; Becker, Richard C.; Halperin, Jonathan L.; Hacke, Werner; Singer, Daniel E.; Hankey, Graeme J.; Califf, Robert M.; Fox, Keith A.A.; Breithardt, Günter

    2014-01-01

    Aims We investigated the prevalence of prior myocardial infarction (MI) and incidence of ischaemic cardiovascular (CV) events among atrial fibrillation (AF) patients. Methods and results In ROCKET AF, 14 264 patients with nonvalvular AF were randomized to rivaroxaban or warfarin. The key efficacy outcome for these analyses was CV death, MI, and unstable angina (UA). This pre-specified analysis was performed on patients while on treatment. Rates are per 100 patient-years. Overall, 2468 (17%) patients had prior MI at enrollment. Compared with patients without prior MI, these patients were more likely to be male (75 vs. 57%), on aspirin at baseline (47 vs. 34%), have prior congestive heart failure (78 vs. 59%), diabetes (47 vs. 39%), hypertension (94 vs. 90%), higher mean CHADS2 score (3.64 vs. 3.43), and fewer prior strokes or transient ischaemic attacks (46 vs. 54%). CV death, MI, or UA rates tended to be lower in patients assigned rivaroxaban compared with warfarin [2.70 vs. 3.15; hazard ratio (HR) 0.86, 95% confidence interval (CI) 0.73–1.00; P = 0.0509]. CV death, MI, or UA rates were higher in those with prior MI compared with no prior MI (6.68 vs. 2.19; HR 3.04, 95% CI 2.59–3.56) with consistent results for CV death, MI, or UA for rivaroxaban compared with warfarin in prior MI compared with no prior MI (P interaction = 0.10). Conclusion Prior MI was common and associated with substantial risk for subsequent cardiac events. Patients with prior MI assigned rivaroxaban compared with warfarin had a non-significant 14% reduction of ischaemic cardiac events. PMID:24132190

  20. Erfaring og kompleksitet - en kvalitativ undersøgelse af betydningsfulde forhold hos sygeplejerskerne ved overflytning af patienter fra intensiv til sengeafdeling

    DEFF Research Database (Denmark)

    Frølund, Christina; Poulsen, Kirsten Beedholm

    2013-01-01

    relocation stress. Studies on this phenomenon suggest that the nurse handover plays a significant role in how the patients experience their transition. The conditions that affect the nurses’ focus during relocation are however unclear. Methods: A hermeneutic interpretation of four qualitative interviews...... with four nurses from an intensive care unit and general ward. As a context for understanding, the interpretation was performed using elected data from the nurses’ working conditions. Results: The extent of the individual nurse’s experience affects her choices in the handover situation and her perception...

  1. Om distributionen af hvidhed

    DEFF Research Database (Denmark)

    Frello, Birgitta

    2007-01-01

    Med udgangspunkt i John Fords Western, Forfølgeren fra 1956, præsenteres en analyse af repræsentationer af race og overskridelse af raceskel, særligt i relation til konstitueringen af subjektpositioner, hvorfra spørgsmål om hvidhed og ikke-hvidhed kan afgøres....

  2. Undervisning af tosprogede elever

    DEFF Research Database (Denmark)

    Horst, Christian

    2003-01-01

    Artiklen fremdrager hovedresultaterne fra Virginia P. Collier's og Wayne P. Thomas's længdeundersøgelser af tosprogede elever i USA, som formentlig er de mest omfattende undersøgelser af undervisningen af tosprogede elever overhovedet. Resultaterne diskuteres i relation til udviklingen af en...

  3. Tilskudsfoder til vinterfodringen af økologiske malkekøer

    OpenAIRE

    Mogensen, Lisbeth; Kristensen, Troels; Sehested, Jakob

    2002-01-01

    Kapitlet omhandler tilskudsfoder til en vintergrundration, som primært består af kløvergræsensilage. Resultaterne er baseret på en række forsøg på Studielandbrug og Den Økologiske Forsøgsstation Rugballegård. Korn indgår i alle delforsøgene som den ene behandling i sammenligning med tilskudsfodermidler, som bidrager med en større mængde protein, fedtsyrer eller cellevægge. I nogle forsøg er tilskudsfodermidlerne substitueret på grundlag af fylde, og i andre på grundlag af udbyttet på et givet...

  4. Om retsafgift i sager om prøvelse af myndighedsudøvelse

    DEFF Research Database (Denmark)

    Waage, Frederik

    2013-01-01

    Artiklen behandler de særligt lempelige regler for beregning af retsafgifter i sager om prøvelse af myndighedsudøvelse, jf. retsafgiftslovens § 1, stk. 4, 2. pkt. og § 2, stk. 3, 2. pkt., med henblik på en nærmere afklaring af, hvornår en retssag vedrører myndighedsudøvelse i retsafgiftslovens...... forstand. Der argumenteres med støtte i retspraksis for, at de lempelige regler skal fortolkes bredt, således at alle handlinger eller undladelser fra en offentlig myndigheds side, som private ikke kan udøve, anses for myndighedsudøvelse i lovens forstand....

  5. Quality of Vitamin K Antagonist Control and 1-Year Outcomes in Patients with Atrial Fibrillation: A Global Perspective from the GARFIELD-AF Registry

    Science.gov (United States)

    Haas, Sylvia; ten Cate, Hugo; Accetta, Gabriele; Angchaisuksiri, Pantep; Bassand, Jean-Pierre; Camm, A. John; Corbalan, Ramon; Darius, Harald; Fitzmaurice, David A.; Goldhaber, Samuel Z.; Goto, Shinya; Jacobson, Barry; Kayani, Gloria; Mantovani, Lorenzo G.; Misselwitz, Frank; Pieper, Karen; Schellong, Sebastian M.; Stepinska, Janina; Turpie, Alexander G. G.; van Eickels, Martin; Kakkar, Ajay K.

    2016-01-01

    Aims Vitamin K antagonists (VKAs) need to be individually dosed. International guidelines recommend a target range of international normalised ratio (INR) of 2.0–3.0 for stroke prevention in atrial fibrillation (AF). We analysed the time in this therapeutic range (TTR) of VKA-treated patients with newly diagnosed AF in the ongoing, global, observational registry GARFIELD-AF. Taking TTR as a measure of the quality of patient management, we analysed its relationship with 1-year outcomes, including stroke/systemic embolism (SE), major bleeding, and all-cause mortality. Methods and Results TTR was calculated for 9934 patients using 136,082 INR measurements during 1-year follow-up. The mean TTR was 55.0%; values were similar for different VKAs. 5851 (58.9%) patients had TTR<65%; 4083 (41.1%) TTR≥65%. The proportion of patients with TTR≥65% varied from 16.7% in Asia to 49.4% in Europe. There was a 2.6-fold increase in the risk of stroke/SE, 1.5-fold increase in the risk of major bleeding, and 2.4-fold increase in the risk of all-cause mortality with TTR<65% versus ≥65% after adjusting for potential confounders. The population attributable fraction, i.e. the proportion of events attributable to suboptimal anticoagulation among VKA users, was 47.7% for stroke/SE, 16.7% for major bleeding, and 45.4% for all-cause mortality. In patients with TTR<65%, the risk of first stroke/SE was highest in the first 4 months and decreased thereafter (test for trend, p = 0.021). In these patients, the risk of first major bleed declined during follow-up (p = 0.005), whereas in patients with TTR≥65%, the risk increased over time (p = 0.027). Conclusion A large proportion of patients with AF had poor VKA control and these patients had higher risks of stroke/SE, major bleeding, and all-cause mortality. Our data suggest that there is room for improvement of VKA control in routine clinical practice and that this could substantially reduce adverse outcomes. Trial Registration Clinical

  6. Danske anbefalinger for behandling af ankyloserende spondylitis og spondylartritis udarbejdet i et internationalt projektsamarbejde

    DEFF Research Database (Denmark)

    Pedersen, Susanne Juhl; Madsen, Ole Rintek; Erlendsson, Jon;

    2008-01-01

    INTRODUCTION: The multinational initiative "3e Initiative in Rheumatology - Multi-national Recommendations for the Management of Ankylosing Spondylitis 2006-7" served the primary purpose of providing specific recommendations for the management of ankylosing spondylitis and spondyloarthritis...

  7. Forebyggelse og behandling af fedme hos børn og unge

    DEFF Research Database (Denmark)

    Michaelsen, Kim Fleischer; Mølgaard, Christian; Richelsen, Bjørn;

    2006-01-01

    In the last 10 years, there has been a marked increase in the prevalence of obesity in children beginning at 3-4 years of age. The only realistic solution to the problem is prevention. Although there is limited evidence for the effectiveness of preventive programmes, there is a consensus that mul...

  8. Tidlig identifikation og behandling af kredsløbssvigt ved svær sepsis

    DEFF Research Database (Denmark)

    Haase, Nicolai; White, Jonathan; Perner, Anders

    2010-01-01

    Severe sepsis is a leading cause of death characterised by infection-induced endothelial and cardiac dysfunction leading to hypovolaemia, maldistribution of flow, tissue ischaemia and organ failure. A clinical approach with focus on cardiovascular diagnostics and rational goal-directed therapy...

  9. Medicinsk behandling af hypofosfatæmisk rakitis hos børn

    DEFF Research Database (Denmark)

    Rahbek, Elise Torp; Nielsen, Line Hougaard; Beck-Nielsen, Signe Sparre;

    2014-01-01

    Hypophosphataemic rickets is a rare, genetic disorder resulting in defect bone mineralisation and rickets. The current medical treatment consists of phosphate supplementation and alfacalcidol, but side effects such as secondary hyperparat-hyroidism and nephrocalcinosis are common. This treatment...

  10. Tumornekrosefaktor alpha-haemning som led i behandling af uveitis hos børn

    DEFF Research Database (Denmark)

    Fledelius, Hans Callø; Nielsen, Susan M; Nissen, Kamilla Rothe;

    2007-01-01

    To present our experience with anti-TNFalpha treatment of juvenile idiopatic arthritis (JIA) associated uveitis.......To present our experience with anti-TNFalpha treatment of juvenile idiopatic arthritis (JIA) associated uveitis....

  11. Ventetid og omkostninger ved diagnostik og behandling af stabil angina pectoris

    DEFF Research Database (Denmark)

    Søgaard, Rikke; Sanchez, Ricardo

    Introduction: The objective of this pilot study was to examine possible consequences of a logistically non-optimal regimen, for the diagnosis and treatment of stable angina pectoris, on waiting time and costs to inform whether a larger study is warranted. Material and methods: Retrospective cohor...... of stable angina pectoris, which ceteris paribus would be associated with cost savings in the health care sector. However, these potentials should be examined in a larger- scale study....

  12. Kost og Idræt til behandling af børn med ADHD

    OpenAIRE

    Thorsdal-Hjeds, Michala Lykke; Lund, Kira; Elling, Fenja Sidse Rudkjøbing; Nielsen, Sif Hummelgaard

    2014-01-01

    Ritalin is the most common medication used for attention deficit hyperactivity disorder (ADHD) and figures show a radical increase in the production of this particular drug within the last decade, leading to the conclusion that more people - especially children showing erratic behavior - are being diagnosed with ADHD and treated for it medically. In opposition to this development of medicating an increasing number of children, this report focuses upon diet and exercise as alternative metho...

  13. Sekundær prævention af apopleksi med effektiv antihypertensiv behandling

    DEFF Research Database (Denmark)

    Knudsen, Signe Boye; Strandgaard, Svend; Paulson, Olaf B.

    2013-01-01

    In this meta-analysis, four of five placebo-controlled studies showed that antihypertensive treatment prevented stroke recurrence, most markedly in a study with a combination of an angiotensin-converting enzyme inhibitor and a diuretic. Studies with beta-blockers were not included. Two head...

  14. Triage medfører hurtigere behandling af de mest syge

    DEFF Research Database (Denmark)

    Skriver, Claus; Lauritzen, Marlene Mauson Pankoke; Forberg, Jakob Lundager;

    2011-01-01

    Systematic process triage is a relatively unknown concept in Denmark. Currently there are no national recommendations regarding triage models for use in the emergency department (ED). Four medium-sized EDs from different regions across the country cooperated in a joint venture to develop a new...

  15. Fæcestransplantation som behandling af Clostridium difficile-infektion, colitis ulcerosa og metabolisk syndrom

    DEFF Research Database (Denmark)

    Carstensen, Jeppe West; Hansen, Axel Kornerup

    2014-01-01

    Faecal transplantation as a treatment for Clostridium difficile infection, ulcerative colitis and the metabolic syndrome Faecal transplantation as a therapeutic tool is increasingly reported in the scientific literature. Faecal transplantation is currently becoming a treatment for nosocomial......, refractory infections with C. difficile. Furthermore, faecal transplantation has been suggested as a treatment for ulcerative colitis as well as for the metabolic syndrome. In the accumulated literature faecal transplantations appear to be safe, effective and superior to current treatments. Faecal...... transplantation remains a sparsely investigated treatment, however, especially for other diagnoses than C. difficile infection....

  16. Behandling og diagnostik af tuberkulose: fremad med små skridt

    DEFF Research Database (Denmark)

    Andersen, Ase Bengård; Lillebæk, Troels; Bang, Didi;

    2011-01-01

    and oxazolidinones are also being assessed in human phase II and III trials. Efforts are made to develop easy-to-handle diagnostic tools that will allow early detection of potential MDR or XDR cases. The Xpert RIF/MTB is a prototype of such an invention. At long last the field is moving slowly forward....

  17. Behandling og diagnostik af tuberkulose: fremad med små skridt

    DEFF Research Database (Denmark)

    Andersen, Ase Bengård; Lillebæk, Troels; Bang, Didi;

    2011-01-01

    Development of new drugs for the treatment of drug sensitive and drug resistent tuberculosis is badly needed. Substantial progress has been made in the field and presently six new drug components are in clinical phase I and II trials. Drugs approved for other indications e.g. newer fluoroquinolones...

  18. Korrekt behandling af akut akillesseneruptur - det svære valg

    DEFF Research Database (Denmark)

    Barfod, Kristoffer Weisskirchner; Ganestam, Ann; Madsen, Bjørn Lindegård;

    2015-01-01

    to an increased risk of re-rupture and operative treatment to an increased risk of other complications such as adhesions, infection and nerve injury. When a non-operative treatment protocol is chosen it is paramount that sufficient expertise is present to guide the treatment and rehabilitation.......Treatment of acute Achilles tendon rupture in Denmark has changed from being predominantly operative to being non-operative treatment over the past five years. However, no clear evidence is found in the literature in favour of one treatment modality over another. Non-operative treatment leads...

  19. Konsensus for behandling og kontrol af borderline-tumor i ovariet i Danmark

    DEFF Research Database (Denmark)

    Lundvall, L; Lund, B A; Hansen, M

    1990-01-01

    In order to obtain an impression of the consensus in Denmark of the treatment and control of border-line tumours of the ovary (BTO), a questionnaire was sent to all 43 departments of gynaecology/obstetrics and of surgery with gynaecology/obstetrics. Thirty-seven (86%) departments replied. The...

  20. Hjertestop forårsaget af massiv lungeemboli under behandling med tranexamsyre

    DEFF Research Database (Denmark)

    Gybel, Mikkel; Kristensen, Kjeld; Roseva-Nielsen, Natasha

    2013-01-01

    Pulmonary embolism (PE) as the direct cause of cardiac arrest is well known but probably under-diagnosed. Treatment of menorrhagia with antifibrinolytics is a well documented treatment modality and it is considered safe although thromboembolic complications have been reported. We describe a case ...

  1. Behandling med valproat under graviditet: beskrivelse af fire cases med føtalt valproatsyndrom

    DEFF Research Database (Denmark)

    Sabers, Anne; Larsen, Katja; Blichfeldt, Susanne;

    2009-01-01

    with developmental delay. This paper aims to give attention to the syndrome through four case descriptions. Furthermore, possible risk factors and the use of the mutation 677C-T as a risk marker are discussed. MATERIAL AND METHODS: Nine developmentally retarded children from a parent group, born of mothers who were...

  2. Diagnose og behandling af osteoporose ved ikke-metastaserende cancer mammae

    DEFF Research Database (Denmark)

    Eiken, Pia Agnete; Hansen, Mogens; Kristensen, Bent;

    2011-01-01

    The prevention of cancer-treatment-induced bone loss due to chemotherapy and long-term adjuvant breast cancer therapy has a high priority. We present an algorithm for the prevention and treatment of osteoporosis during treatment of nonmetastatic breast cancer....

  3. Overlevelse efter lynnedslag og behandling af tilstødende komplikationer

    DEFF Research Database (Denmark)

    Pedersen, Malene Lægdsgaard; Uslu, Bülent; Lind, Morten Nikolaj;

    2011-01-01

    Lightning strike is an unpredictable weather phenomenon which can cause a variety of injuries to the human body. We present a case report with a 24-year-old male football player, who survived prolonged cardiac arrest after a lighting strike and then presented with multiple organ dysfunction due...

  4. Udvikling og behandling af delirium hos kritisk syge børn

    DEFF Research Database (Denmark)

    Winther-Olesen, Marie; Afshari, Arash

    2012-01-01

    Delirium is a common and often under-recognised neuropsychiatric disorder in paediatric critical care, secondary to a general medical condition. Paediatric delirium (PD) is associated with high morbidity and mortality and prolonged stay at the intensive care unit. This review introduces the reader...

  5. Behandling af kardiogent shock med perkutan mekanisk cirkulationsstøtte

    DEFF Research Database (Denmark)

    Junker, Anders; Kaltoft, Anne Kjer; Hassager, Christian;

    2013-01-01

    Despite rapid revascularisation with circulatory support using inotropes and intra-aortic balloon counterpulsation, the mortality of cardiogenic shock complicating acute myocardial infarction still exceeds 50%. An alternative treatment strategy is restoration of cardiac output by using...... a ventricular assist device which can be inserted in the acute setting using the Impella device, a catheter-based flow pump. DanShock is a Danish multicentre study that will assess whether circulatory support using the Impella device will improve the outcome of cardiogenic shock compared to conventional...

  6. Glucagon-like peptide 1-baseret behandling af type 2-diabetes mellitus

    DEFF Research Database (Denmark)

    Knop, Filip Krag; Vilsbøll, Tina

    2007-01-01

    GLP-1 is secreted from the small intestine in response to ingestion of nutrients. It has a powerful insulinotropic effect and stimulates beta-cell growth and is therefore being developed for treatment of type 2 diabetes. The GLP-1 analogue, exenatide, is on the market in the USA as an add......-on therapy. Another strategy to increase circulating GLP-1 is to inhibit the enzyme DPP-IV which degrades endogenous GLP-1. GLP-1-based therapy results in HbA1c reductions of approximately 1 percent point, and the lack of serious side effects and the low risk of hypoglycaemic episodes are unique traits....

  7. Lyden af musik - er lyden af idealisme

    DEFF Research Database (Denmark)

    Eigtved, Michael

    2015-01-01

    Programartiklen til Det Ny Teaters opsætning af Rodgers & Hammersteins The Sound of Music, undersøger musicalgenrens - og især de konkrete ophavsmænds- affinitet til fremstillingen af såvel idealistiske som ideologiske universer.......Programartiklen til Det Ny Teaters opsætning af Rodgers & Hammersteins The Sound of Music, undersøger musicalgenrens - og især de konkrete ophavsmænds- affinitet til fremstillingen af såvel idealistiske som ideologiske universer....

  8. Simulering af fotoinitieret nedbrydning af maling

    DEFF Research Database (Denmark)

    Kiil, Søren

    2013-01-01

    Beskyttende malingslag udsat for sollys, ilt og vand forvitrer gennem en række komplicerede fysiske og kemiske processer. Glasovergangstemperaturen af malingen og tilstedeværelsen af små mængder lysstabilisatorer har stor indflydelse på nedbrydningshastigheden.......Beskyttende malingslag udsat for sollys, ilt og vand forvitrer gennem en række komplicerede fysiske og kemiske processer. Glasovergangstemperaturen af malingen og tilstedeværelsen af små mængder lysstabilisatorer har stor indflydelse på nedbrydningshastigheden....

  9. AF Termination: the Holy Grail of Persistent AF Ablation?

    Directory of Open Access Journals (Sweden)

    Dennis H. Lau

    2010-05-01

    Full Text Available The optimal catheter ablation approach for long-standing persistent atrial fibrillation (AF remains elusive despite significant advances made in our understanding of this arrhythmia. A recent systematic review highlighted the significant variation in procedural success rate both within and between techniques, necessitating repeat ablation procedures and anti-arrhythmic drugs to achieve improved outcomes in those with long-standing persistent AF . Indeed, current expert consensus statement recommended ablation beyond ostial pulmonary vein isolation for these patients . Despite incorporating various substrate modification techniques which commonly include linear lesions and targeting of complex fractionated electrograms, the reported success rates from various laboratories are still below par to those in paroxysmal AF patients.

  10. Autoimmun hepatitis. Fremtroedelsesformer, diagnostik og behandling

    DEFF Research Database (Denmark)

    Poulsen, L O; Tage-Jensen, U; Vyberg, M

    1992-01-01

    A retrospective study concerning ten patients with autoimmune hepatitis (AiH), diagnosed during a 2 1/2-year period is presented. The age of the patients ranged from 25 to 82 years and nine of the patients were women. Their symptoms included jaundice, pruritus, fever, anorexia and fatigue during a...... detected in nine patients, while none had increased levels of anti-nuclear antibody titer. Histological features of moderate or severe chronic active hepatitis were demonstrated in nine patients. One patient presented with clinical and histological features of acute hepatitis. Prednisolone therapy was...

  11. Optimering af model for spredning af luftforurening

    DEFF Research Database (Denmark)

    Pedersen, Jens Christian

    2008-01-01

    De nuværende luftforureningsmodeller har problemer med at bevare massen af diverse kemiske stoffer og med at der ind i mellem optræder negative værdier. Derfor arbejder specialestuderende Ayoe Buus Hansen på om at forbedre den model DMU bruger til at beskrive transport og spredning af luftforuren...

  12. A cohort study of relationship between serum calcium levels and cerebral microbleeds (CMBs) in ischemic stroke patients with AF and/or RHD.

    Science.gov (United States)

    Liu, Junfeng; Wang, Deren; Xiong, Yao; Liu, Bian; Wei, Chenchen; Ma, Zhenxing; Wu, Bo; Yuan, Ruozhen; Tang, Hehan; Liu, Ming

    2016-06-01

    Calcium is an essential element for life and has cerebroprotective property in stroke patients. Low serum calcium levels were found to be related to large hematoma volumes in intracerebral hemorrhagic patients and hemorrhagic transformation in ischemic stroke patients after thrombolysis. However, their impact on hemorrhage-prone small vessel disease represented by cerebral microbleeds (CMBs) is uncertain. We aim to investigate whether low serum calcium levels are associated with presence and location of CMBs.Ischemic stroke patients with atrial fibrillation (AF) and/or rheumatic heart disease admitted to our hospital were consecutively and prospectively enrolled. Demographic and clinical information were collected and analyzed according to the occurrence and location of CMBs, and levels of serum calcium. We used logistic regression analysis to estimate the multivariable adjusted relationship between serum calcium levels and the presence or location of CMBs.Among the 67 patients (28 males; mean age, 67.3 years) in the final analysis, 39 (58.2%) were found to have CMBs. After adjustment for age, sex, smoking habits, drinking habits, and renal impairment, the presence of CMBs and deep CMBs was, respectively, 4.96- and 4.83-fold higher in patients with lower serum calcium levels (≤2.15 mmol/L) than in patients with higher serum calcium levels.Lower serum calcium levels (≤2.15 mmol/L) are independently associated with the presence of CMBs and deep CMBs in ischemic stroke patients with AF and/or rheumatic heart disease, which should be verified and extended in large cohorts, with other types of stroke patients and the general population. PMID:27368027

  13. Skoling af lyst

    DEFF Research Database (Denmark)

    Bjerg, Helle

    2011-01-01

    På baggrund af interview med tre elevgenerationer fremanalyseres skolens virkningsfuldhed i skoling af lyst i et historisk perspektiv. I afhandlingen udvikles to teoretisk-analytiske optikker: Skolen som ideologisk rum - med inspiration fra Slavoj Zizeks ideologikritik, samt Skolen som affektivt...

  14. Vi lever af myter

    DEFF Research Database (Denmark)

    Bilde, Per

    2005-01-01

    En kritisk gennemgang af en kronik om regeringens forsknings- og universitetspolitik af Helge Sander, Minister for Videnskab, Teknologi og Udvikling: "Myter om universiteter står for fald" (Morgenavisen Jyllands-Posten 11/11 2005)...

  15. En verden af medier

    DEFF Research Database (Denmark)

    Tække, Jesper

    2009-01-01

    Bogen: 'En verden af medier – Medialiseringen af politik, sprog, religion og leg' anmeldes. Anmeldelsen kan læses på: http://ojs.statsbiblioteket.dk/index.php/mediekultur/article/view/1370/1499 Udgivelsesdato: 2009......Bogen: 'En verden af medier – Medialiseringen af politik, sprog, religion og leg' anmeldes. Anmeldelsen kan læses på: http://ojs.statsbiblioteket.dk/index.php/mediekultur/article/view/1370/1499 Udgivelsesdato: 2009...

  16. Regulering af lysesiv

    OpenAIRE

    Buttenschøn, R.M.; Nielsen, L.

    2004-01-01

    Lysesiv optrader ofte som problemart i forbindelse med retablering af naturenge og ved etablering af "våde enge". Marginalisering og ekstensivering af engdriften i Danmark og andre europæiske lande har betydet, at lysesiv har bredt sig og mange steder betragtes som et stort problem. Målrettet græsning er en af mulighederne for bekæmpelse.

  17. Skal tavs iskaemi diagnosticeres og behandles?

    DEFF Research Database (Denmark)

    Bech, J; Egstrup, K; Mickley, H;

    1995-01-01

    Silent ischaemia (objective signs of myocardial ischaemia without symptoms) can be diagnosed using a conventional exercise-test or ambulatory Holter monitoring. Silent ischaemia is a frequent phenomenon in patients with ischaemic heart disease, i.e. patients with angina pectoris or previous...

  18. Behandling med kosmetiske bløddelsfyldere

    DEFF Research Database (Denmark)

    Thyssen, Jacob Pontoppidan; Christensen, Lise H; Zachariae, Claus O C

    2007-01-01

    An increasing number of patients undergo soft-tissue augmentation. The quality depends on the applied filler substance, the compliance of the patient and the physician. Long-term adverse reactions are referred to as nodules or granulomas. Nodules following degradable gels and polyacrylamide hydro...

  19. Billeder af verdens svovl

    DEFF Research Database (Denmark)

    Samson, Kristine

    2014-01-01

    Film- og billedmediet har en særlig plads i skildringen af vores samfund og økonomi. Produktionen i de vestlige samfund består i dag primært af tegn, symboler, billeder og begær, mens de forgangne tiders maskinelle og, ikke mindst, manuelle bearbejdning af materialer – det vi stadigvæk umiddelbar...

  20. Kombinationseffekter af pesticider

    DEFF Research Database (Denmark)

    Kudsk, Per; Andersen, Helle Raun; Cedergreen, Nina;

    Resumé: Effekten af 101 tokomponentblandinger og 20 trekomponentblandinger bestående af 22 forskellige pesticider blev undersøgt i 7 forskellige testsystemer. Effekterne af blandingerne blev sammenholdt med pesticidernes virkningsmekanismer/virkemåder med henblik på at undersøge, om det med...

  1. Forankring af skolemadsordninger

    DEFF Research Database (Denmark)

    Brinck, Nenna Maria; Kristensen, Niels Heine; Hansen, Mette Weinreich

    Denne rapport præsenterer resultaterne af de undersøgelser, der er gennemført i delprojekt 4 i EVIUS evalueringen. Fokus i dette delprojekt er forankringen af skolemadsordningerne. Af undersøgelsen fremgår det, at støtteordningen har virket bedst på skoler, hvor skolelederen har inddraget elever,...

  2. Digital formidling af kulturarv

    DEFF Research Database (Denmark)

    En af tidens store kulturelle dagsordner drejer sig om digital tilgængeliggørelse af kulturarv. Fortidens spor dukker op i nye former på nettet - næsten alle kulturinstitutioner arbejder med, og befolkningen har fået helt nye muligheder for at se med og deltage. Digital formidling af kulturarv...

  3. Nedbrydning af barrierer for brug af alternative isoleringsmaterialer

    DEFF Research Database (Denmark)

    Hansen, Ernst Jan de Place

    2003-01-01

    Resume af rapport om fremme af anvendelsen af alternative isoleringsmaterialer ved nedbrydning af barrierer af traditionel, teknisk og lovgivningsmæssig karakter, udarbejdet af Landsforeningen Økologisk Byggeri (LØB) under Energistyrelsens udviklingsprogram "Miljø- og arbejdsmiljøvenlig isolering"...

  4. Udredning af xerostomi og hyposalivation

    DEFF Research Database (Denmark)

    Pedersen, Anne Marie Lynge; Dynesen, Anja Weirsøe; Jensen, Siri Beier

    2011-01-01

    Mundtørhed kræver grundig undersøgelse Xerostomi er ofte associeret til betydelig nedsat spytsekretion, men kan forekomme, uden at der objektivt kan påvises nedsat spytsekretion. Udredning af patienter, som klager over mundtørhed, bør således altid inkludere en omhyggelig anamnese, en detaljeret ...

  5. Vellykket konservativ behandling efter knivtraume mod hjertet

    DEFF Research Database (Denmark)

    Wærsted, Stian; Schou-Jensen, Katrine; Jensen, Tim;

    2012-01-01

    A five year-old girl was admitted to hospital following an accidental stab wound to the chest, inflicted by a knife placed in a dishwasher's cutlery tray. Investigations revealed a traumatic ventricular septum defect of the heart, with a pericardial effusion. Since the patient remained haemodynam......A five year-old girl was admitted to hospital following an accidental stab wound to the chest, inflicted by a knife placed in a dishwasher's cutlery tray. Investigations revealed a traumatic ventricular septum defect of the heart, with a pericardial effusion. Since the patient remained...

  6. Diagnose, behandling og prognose ved fibromyalgi

    DEFF Research Database (Denmark)

    Danneskiold-Samsøe, Bente; Bartels, Else Marie; Amris, Kirstine;

    2010-01-01

    It is important to recognize the diagnosis of fibromyalgia (FM) to adequately advise patients with this chronic pain disease. FM coexists with other rheumatic diseases and may therefore serve as a confounder in connection with estimation of disease activity. The aetiology and pathogenesis of FM r...

  7. Gensplejsning af byg uden brug af selektionsgener

    DEFF Research Database (Denmark)

    Holme, Inger B; Brinch-Pedersen, Henrik; Lange, Mette;

    2008-01-01

    Genetisk modificerede planter indeholder som regel gener, som gør planten modstandsdygtig overfor enten et ukrudtsmiddel eller et antibiotikum. Disse gener, som benyttes i forbindelse med selektion af genetisk modificerede celler, er generelt uønskede i planter, som skal dyrkes kommercielt. En ny...... metode gør det muligt at fremstille genetisk modificerede bygplanter uden brug af selektionsgener. Udgivelsesdato: Juni 2008...

  8. Den kardiovaskulaere risikoprofil og antihypertensiv behandling

    DEFF Research Database (Denmark)

    Olsen, Michael Hecht; Sehestedt, Thomas; Prescott, Eva

    2009-01-01

    Estimation of absolute cardiovascular risk is important for choice of primary as well as secondary cardiovascular prevention. In general, physicians are advised to use SCORE in apparently healthy subjects with optimal or normal blood pressure, the ESH risk stratification chart in patients with hy...... hypertension and either one or even better a combination of the two instruments in apparently healthy subjects with a high normal blood pressure. Udgivelsesdato: 2009-Jun......Estimation of absolute cardiovascular risk is important for choice of primary as well as secondary cardiovascular prevention. In general, physicians are advised to use SCORE in apparently healthy subjects with optimal or normal blood pressure, the ESH risk stratification chart in patients with...

  9. Nyrefunktionen under behandling med angiotensinkonverterende enzymhaemmere

    DEFF Research Database (Denmark)

    Rasmussen, K; Heitmann, M; Nielsen, J I;

    1995-01-01

    The use of ACE-inhibitors has increased greatly during the last years. They were first used in treating hypertension, but nowadays cardiac diseases, mainly cardiac failure, are common indications. This means that the drugs are used in the treatment of more elderly patients who often have generali......The use of ACE-inhibitors has increased greatly during the last years. They were first used in treating hypertension, but nowadays cardiac diseases, mainly cardiac failure, are common indications. This means that the drugs are used in the treatment of more elderly patients who often have...... generalised atherosclerosis. This means that the patients must be controlled more often after initiation of treatment, especially concerning kidney function, since treatment with ACE-inhibitors can cause pronounced changes in renal haemodynamics and kidney function. This review focuses on the effects of ACE......-inhibitors on renal haemodynamics and kidney function, which may be positive, with preservation of kidney function in diabetic and other chronic nephropathy, or negative, for example in cases with atherosclerotic stenosis of large or small renal arteries. It is concluded, that in cases of diabetic nephropathy an ACE...

  10. Hon må väl få behålla sin anorexi då : Behandlares upplevelser av utmaningar och svårigheter i behandling av anorexia nervosa

    OpenAIRE

    Nilsson, Tina; Sandström, Johanna

    2011-01-01

    Anorexia nervosa är en svårbehandlad sjukdom med hög dödlighet (Fichter, Quadflieg & Hedlund,2006). Studiens syfte var att undersöka behandlares upplevelser av utmaningar och svårigheter i behandling av patienter med anorexia nervosa som vid behandlingsavslut har kvarvarande symtom, samt sätta upplevelserna i relation till ett patientperspektiv. Semistrukturerade intervjuer genomfördes med sju behandlare. Intervjumaterialet analyserades med Interpretative Phenomenological Analysis (IPA) o...

  11. Assessment of Device-Related Thrombus and Associated Clinical Outcomes With the WATCHMAN Left Atrial Appendage Closure Device for Embolic Protection in Patients With Atrial Fibrillation (from the PROTECT-AF Trial).

    Science.gov (United States)

    Main, Michael L; Fan, Dali; Reddy, Vivek Y; Holmes, David R; Gordon, Nicole T; Coggins, Tina R; House, John A; Liao, Lawrence; Rabineau, Dawn; Latus, George G; Huber, Kenneth C; Sievert, Horst; Wright, Richard F; Doshi, Shephal K; Douglas, Pamela S

    2016-04-01

    Left atrial appendage closure with the WATCHMAN device is an alternative to anticoagulation for stroke prevention in selected patients with atrial fibrillation (AF). LA device-related thrombus (DRT) is poorly defined and understood. We aimed to (1) develop consensus echocardiographic diagnostic criteria for DRT; (2) estimate the incidence of DRT; and (3) determine clinical event rates in patients with DRT. In phase 1 (training), a training manual was developed and reviewed by 3 echocardiographers with left atrial appendage closure device experience. All available transesophageal (TEE) studies in the WATCHMAN left atrial appendage system for embolic protection in patients with atrial fibrillation (PROTECT-AF) trial patients with suspected DRT were reviewed in 2 subsequent phases. In phase 2 (primary blind read), each reviewer independently scored each study for DRT, and final echo criteria were developed. Unanimously scored studies were considered adjudicated, whereas all others were reevaluated by all reviewers in phase 3 (group adjudication read). DRT was suspected in 35 of 485 patients by the site investigator, the echocardiography core laboratory, or both; 93 of the individual TEE studies were available for review. In phase 2, 3 readers agreed on 67 (72%) of time points. Based on phases 1 and 2, 5 DRT criteria were developed. In phase 3, studies without agreement in phase 2 were adjudicated using these criteria. Overall, at least 1 TEE was DRT positive in 27 (5.7%) PROTECT-AF patients. Stroke, peripheral embolism, or cardiac/unexplained death occurred in subjects with DRT at a rate of 3.4 per 100 patient-years follow-up. In conclusion, DRT were identified on at least 1 TEE in 27 PROTECT-AF patients, indicating a DRT incidence of 5.7%. Primary efficacy events in patients with DRT occurred at a rate of 3.4 per 100 patient-years follow-up, intermediate in frequency between event rates previously reported for the overall device and warfarin arms in PROTECT-AF. PMID

  12. Konstruktion af transducer

    DEFF Research Database (Denmark)

    Henriksen, Lars; Nielsen, Martin Pram

    Formålet med dette midtvejsprojekt er at udarbejde en transducer til måling af pressers stivhed. Dette er gjort på baggrund af en gennemgang af både presse- og stativ-typer samtidig med at udbøjningssituationen beskrives. Der introduceres en ide, der udgør grundkonceptet for opmålingsproceduren o...... færdige transducer – Load cellen. Strain gauge sørger for dataopsamlingen fra load cellen. Disse kalibreres således at transduceren er klar til de videre målinger der ligger i forlængelse af dette projekt....

  13. Raman af hvide pigmenter

    DEFF Research Database (Denmark)

    Reeler, Nini Elisabeth Abildgaard; Nielsen, Ole Faurskov; Sauer, Stephan P. A.;

    2013-01-01

    Et samspil mellem kunst og kemi. I et samarbejde mellem Statens Museum for Kunst og Kemisk Institut på KU er Ramanspek-troskopi brugt til at definere sammensætningen af blandinger af blyhvidt og calcit i maleriers hvide pigmenter.......Et samspil mellem kunst og kemi. I et samarbejde mellem Statens Museum for Kunst og Kemisk Institut på KU er Ramanspek-troskopi brugt til at definere sammensætningen af blandinger af blyhvidt og calcit i maleriers hvide pigmenter....

  14. Compreensão de fala em situação de mensagem competitiva em afásicos Comprehension of competitive messages in aphasic patients

    Directory of Open Access Journals (Sweden)

    Karin Zazo Ortiz

    2008-01-01

    Full Text Available OBJETIVO: verificar o desempenho de pacientes afásicos com distúrbios leves de compreensão em tarefas de figura-fundo e atenção seletiva para sons verbais em escuta de mensagem competitiva. MÉTODOS: foram incluídos neste estudo pacientes afásicos com distúrbio de compreensão leve, identificados através da aplicação do teste M1-Alpha. Além disso, deveriam apresentar audiometria tonal nas freqüências de 500Hz, 1KHZ, 2KHZ, compatível com a realização de testes auditivos centrais, medidas de imitância acústica normais e reflexos contralateral presentes bilateralmente. Foi utilizado o teste de identificação de sentenças PSI (Pediatric Speech Inteligibility - versão em português. Inicialmente, todos os pacientes identificaram as frases que compõem o PSI à viva voz. Em seguida, foram submetidos ao Teste de Escuta Monótica e Dicótica. RESULTADOS: os pacientes apresentaram dificuldades de compreensão estatisticamente significantes na situação de mensagem competitiva ipsilateral, nas situações 0dB e -10dB, além de dificuldades de compreensão também na situação de mensagem competitiva contralateral MCC (- 40 dB. CONCLUSÕES: os pacientes afásicos apresentaram dificuldade na compreensão de estímulos verbais em tarefas de figura-fundo e atenção seletiva, perdendo parte da informação nestas condições. Os achados dessa pesquisa puderam contribuir de forma a elucidar em como a lesão cerebral e, conseqüentemente, o prejuízo de habilidades perceptuais auditivas pode interferir na compreensão de pacientes afásicos no dia-a-dia, em que várias mensagens concorrem de forma competitiva.PURPOSE: to analyze the performance of aphasic patients with mild comprehension disorders in tasks of back-image and selective attention to verbal sounds in listening tasks with competitive message. METHODS: the patients were submitted to an audiological assessment; acoustic immitance measures and measurements of acoustic reflex. An

  15. The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) : Exploring the changes in anticoagulant practice in patients with non-valvular atrial fibrillation in the Netherlands.

    Science.gov (United States)

    Ten Cate, V; Ten Cate, H; Verheugt, F W A

    2016-10-01

    There are over 385,000 cases of atrial fibrillation (AF) in the Netherlands, with over 45,000 new cases each year. Among other things, AF patients are at high risk of stroke. Patients are often prescribed oral anticoagulation, such as vitamin K antagonists (VKA), to mitigate these risks. A recently introduced class of oral anticoagulants, non-vitamin K antagonists (NOAC), is quickly gaining currency in global clinical practice. This study provides insight into the changes these new drugs will bring about in Dutch clinical practice.GARFIELD-AF is a large-scale observational AF patient registry initiated in 2009 to track the evolution of global anticoagulation practice, and to study the impact of NOAC therapy in AF in particular. The registry includes a wide array of baseline characteristics and has a particular focus on: (1) bleeding and thromboembolic events; (2) international normalised ratio fluctuations; and (3) therapy compliance and persistence patterns. The results in this paper provide the baseline characteristics of the first cohorts of Dutch participants in this registry and discuss some of the consequences of the changes in anticoagulation practice.Although VKA therapy remains overwhelmingly favoured by Dutch practitioners, NOACs are clearly gaining in popularity. Between 2011 and 2014, NOACs constituted an increasingly large proportion of prescriptions for oral anticoagulants.The insights provided by the GARFIELD-AF registry can be used by healthcare systems to inform better budgetary strategies, by practitioners to better tailor treatment pathways to patients, and finally to promote awareness of the various available treatment options and their associated risks and benefits for patients. PMID:27561277

  16. Evaluering af virkninger af omprioriteringsloven fra 2000

    DEFF Research Database (Denmark)

    Vestergaard, Hedvig

    , bliver i stand til at tiltrække bredere grupper af beboere. Rapporten indeholder en evaluering af, hvordan tre udvalgte bebyggelser har grebet forbedringsprojekterne an. Det drejer sig om Bispehaven i Århus Kommune, Vejleåparken i Ishøj Kommune og Tingbjerg i Københavns Kommune. Den overordne konklusion...... er, at en fysisk renovering med reelle forbedringer af bebyggelsernes oplevelsesmæssige og æstetiske kvaliteter er helt afgørende for en imageforbedring. Men ligeså afgørende er det sideløbende og vedholdende at gennemføre kulturelle og sociale udviklingsindsatser, der sikrer beboerne et bedre liv i...

  17. Emission af ammoniak fra landbruget

    DEFF Research Database (Denmark)

    Andersen, J. M.; Sommer, S. G.; Hutchings, N. J.;

    Denne faglige redegørelse er en del af 4 faglige redegørelser: 1: Emmission af ammoniak fra landbruget - status og kilder, 2: Teknologiske muligheder for reduktion af ammoniakfordampningen fra landbruget, 3: Natur- og miljøeffekter af ammoniak, (4): Økonomiske vurderinger af tiltag til reduktion ...

  18. Forbrug af oplevelser – oplevelser af forbrug

    DEFF Research Database (Denmark)

    Jantzen, Christian

    2011-01-01

    Vi lever i et overflodssamfund, hvor det er svært at komme i tanker om noget, vi mangler. Men også i en ”glædesløs økonomi”, hvor vi ikke bliver berusende lykkelige af at spise os mætte eller smide det snavsede tøj i en vaskemaskine, som vasker det renere end rent, uden at vi behøver røre en finger...... kunne mærkes i form af nydelse og sanseligt eller følelsesmæssigt nærvær i situationen her og nu....

  19. Kuratering af Samtidskunst

    DEFF Research Database (Denmark)

    Kuratering af Samtidskunst er den første bogudgivelse i Danmark, der fokuserer på kuratering som fag og praksis. Kuratering spiller en stadig større rolle i samtidskunsten. Bogen er en introduktion til skiftende forståelser af udstillings- og kuratorpraksisser og deres udfordringer, indkredset ge...

  20. Kvalitetsvurdering af sundhedsoplysende materiale

    DEFF Research Database (Denmark)

    Osler, Merete; Bech, Lars; Sybille, Bojlén;

    1990-01-01

    Lægeforeningens Hygiejnekomités arbejdsgruppe vedrørende sundhedsoplysning har udarbejdet en "huskeliste" til brug for en kvalitetsvurdering af skriftligt sundhedsoplysende materiale......Lægeforeningens Hygiejnekomités arbejdsgruppe vedrørende sundhedsoplysning har udarbejdet en "huskeliste" til brug for en kvalitetsvurdering af skriftligt sundhedsoplysende materiale...

  1. Ud af guldrammerne

    DEFF Research Database (Denmark)

    Munch, Anders V.

    2006-01-01

    Diskussion af den internationale indflydelse på dansk symbolisme og skønvirke med udgangspunkt i Johan Rohdes rejsejournaler og Emil Hannovers anmeldelser af internationale udstillinger og udgivelser. Særligt fokus er Gesamtkunstwerk-tanken som baggrund for at koble kunst og kunsthåndværk....

  2. Dialektisk billede af Benjamin

    DEFF Research Database (Denmark)

    Bøggild, Jacob

    2004-01-01

    Anmeldelse af Lars Brückner: "Løse blade. Læseren, kritikeren og fortælleren Walter Benjamin"......Anmeldelse af Lars Brückner: "Løse blade. Læseren, kritikeren og fortælleren Walter Benjamin"...

  3. Redesign af logistiksystemet

    DEFF Research Database (Denmark)

    Bjarnø, Ole-Christian; Johannsen, Bjørn

    1997-01-01

    Brüel og Kjær har gennem en årrække arbejdet med en strategi for redesign af logistiksystemet, en høj grad af outsourcing samy direkte leverancer til end-user. Med udgangspunkt i koncepterne for Business Reengineering. Supply Chain Management og kompleksitetsanalyse introduceres problemstillingen...

  4. Hvordan integration af it?

    DEFF Research Database (Denmark)

    Toft, Herdis

    2008-01-01

    Bourdieu-perspektiv og en analyse af data fra museums- og skoleprojektet Din egen historie på nettet vises det, hvordan børnene opbygger en legehabitus, det vil sige aktivt tilegner sig og anvender færdigheder i brug af æstetiske teknikker, som er formler, de kan improvisere frit over. Kendskab til formler...

  5. Administration af informationsmodeller

    DEFF Research Database (Denmark)

    Hundebøl, Jesper

    2013-01-01

    En informationsmodel er i denne sammenhæng en digital repræsentation af et givent byggeri. Både offentlige og private bygherrer anvender informationsmodeller, når der 'bygges digitalt'. I denne artikel undersøges det, hvilke konkrete udfordringer der følger af digitaliseringen, hvor gennemgribend...

  6. Midtvejsevaluering af EGA handlingsplanen

    DEFF Research Database (Denmark)

    Møller, Niels; Hasle, Peter; Christiansen, Jørgen Møller;

    Center for Alternativ Samfundsanalyse (CASA) og Institut for Teknologi og Samfund ved Danmarks Tekniske Universitet har gennemført denne midtvejsevaluering af arbejdsmarkedets parters handlingsplan mod reduktion af ensidigt gentaget arbejde. Undersøgelsen viser, at der er sket en betydelig...

  7. Anvendelse af genmodificerede planter

    DEFF Research Database (Denmark)

    Møller, F.

    I rapporten vurderes mulighederne for at gennemføre velfærdsøkonomiske analyser af anvendelsen af genmodificerede planter. Der gøres rede for kravene til konse-kvensbeskrivelsen og for mulighederne for at prissætte såvel de markedsrelaterede som de ikke-markedsrelaterede konsekvenser. Mulighederne...

  8. Indsattes organisering af selvforplejning

    DEFF Research Database (Denmark)

    Kjær Minke, Linda

    2012-01-01

    organiserer sig i madgrupper. Dette dels af økonomiske og praktiske hensyn, men madgrupperne fungerer også som mulighedsrum til fremvisning af forskellige former for kapital, positionering og magt. Madgrupperne har derfor både økonomiske og sociale formål og har betydning for indsattes strategier i...

  9. Coaching af dit studieliv

    DEFF Research Database (Denmark)

    Hansen, Rasmus Thorning

    2008-01-01

    En generel beskrivelse af de problemer specialestuderende sidder med og hvorledes coaching kan hjælpe med at (gen)skabe motivation og fokus......En generel beskrivelse af de problemer specialestuderende sidder med og hvorledes coaching kan hjælpe med at (gen)skabe motivation og fokus...

  10. Hormonforstyrrende effekter af kombinationer af pesticider

    DEFF Research Database (Denmark)

    Vinggaard, Anne Marie; Hass, Ulla; Nellemann, Christine;

    Resumé: Hvad sker der, når vi mennesker udsættes for en cocktail af hormonforstyrrende pesticider gennem kosten? Miljøstyrelsen har undersøgt pesticidblandinger i cellekulturer og i dyreforsøg for at vurdere samspillet mellem stofferne. Undersøgelserne har fokuseret på østrogene og antiandrogene...

  11. Rådgivning af storforbrugere af alkohol

    DEFF Research Database (Denmark)

    Beich, Anders

    1996-01-01

    målsætning for ændring af drikkevaner forbliver patientens. Stort alkoholforbrug er en underdiagnosticeret tilstand. I gængs praksis erkendes mindre end 25%. Det diskuteres, hvornår det er acceptabelt, at lægen sætter dagsordenen for konsultationen ved uopfordret at bringe alkohol på bane. Udgivelsesdato...

  12. Rivaroxaban versus warfarin in Japanese patients with non-valvular atrial fibrillation in relation to hypertension: a subgroup analysis of the J-ROCKET AF trial.

    Science.gov (United States)

    Matsumoto, Masayasu; Hori, Masatsugu; Tanahashi, Norio; Momomura, Shin-Ichi; Uchiyama, Shinichiro; Goto, Shinya; Izumi, Tohru; Koretsune, Yukihiro; Kajikawa, Mariko; Kato, Masaharu; Ueda, Hitoshi; Iekushi, Kazuma; Yamanaka, Satoshi; Tajiri, Masahiro

    2014-05-01

    The majority of the patients enrolled in the rivaroxaban vs. warfarin in Japanese patients with atrial fibrillation (J-ROCKET AF) trial had hypertension. In this subgroup analysis, we investigated differences in the safety and efficacy of rivaroxaban and warfarin in subjects with and without hypertension. The baseline blood pressure (BP) measurements of patients with hypertension in the rivaroxaban and warfarin groups were 130/77 mm Hg and 131/77 mm Hg, respectively, whereas those of patients without hypertension were 123/74 mm Hg and 124/73 mm Hg, respectively. The incidence rates of the principal safety outcomes in the rivaroxaban and warfarin groups were 18.39% per year and 16.81% per year, respectively, among patients with baseline hypertension (hazard ratio (HR): 1.10; 95% confidence interval (CI): 0.84-1.45) and 16.71% per year and 15.00% per year, respectively, among patients without hypertension at baseline (HR: 1.14; 95% CI: 0.66-1.97), indicating no significant interaction (P=0.933). The incidence rates of the primary efficacy endpoints in the rivaroxaban group and the warfarin group were 0.54% per year and 2.24% per year, respectively, in patients without baseline hypertension (HR: 0.25; 95% CI: 0.03-2.25), and 1.45% per year and 2.71% per year, respectively, in patients with baseline hypertension (HR: 0.54; 95% CI: 0.25-1.16), indicating no significant interaction (P=0.509). In conclusion, the safety and efficacy profile of rivaroxaban was similar to that of warfarin, independent of baseline hypertensive status.

  13. Hukommelsesproblemer blandt ældre patienter i almen praksis: betydning af pårørendeoplysninger

    DEFF Research Database (Denmark)

    Waldorff, Frans Boch; Haugbølle, Nils Wolff; Møller, Hans Christian;

    2006-01-01

    INTRODUCTION: The aim was to describe and analyse signs that make caregivers suspect memory problems among elderly patients in general practice. METHODS: This prospective study was conducted in October and November 2002 among all patients aged 65 or older who consulted a GP in a total of 17...... practices in Copenhagen inner city. The patients who agreed to participate were asked to complete a questionnaire regarding memory, quality of life, etc. Their GP completed a questionnaire independently, and a MMSE was subsequently given to the patient. Where consent was obtained from a patient, a postal...... questionnaire regarding the patient's memory was mailed to a caregiver chosen by the patient. RESULTS: Out of 775 patients 62% (483) gave consent to contact a caregiver. Among the caregivers who received the questionnaire a total of 74% returned the questionnaire. A total of 88 (26%) of the caregivers suspected...

  14. UL-vejledt anlæggelse af fødeepidural hos patient med torakolumbal skoliose

    DEFF Research Database (Denmark)

    Piosik, Zofia Maria; Helbo-Hansen, Søren; Sprehn, Michael

    2015-01-01

    Providing epidural analgesia in patients with scoliosis may be challenging. We describe ultrasound-guided insertion of an epidural catheter for labour analgesia and a following caesarean section in a patient with a thoracolumbar scoliosis. A well-functioning epidural catheter was easily inserted...... on the first attempt without any need for redirections of the epidural needle. Use of ultrasound imaging to guide epidural needle insertion site and trajectory can be a valuable tool in managing patients with scoliosis....

  15. Smagen af svovl

    DEFF Research Database (Denmark)

    Madsen, P. V.; Sørensen, B. T.

    2007-01-01

    Et af Sydafrikas største industriområder ligger i landets tredje største by, Durban. Industriområdet kaldes for "South Durban Industrial Basin" (SDIB), hvor der er cirka 120.000 beboere. Boligerne ligger side om side med en bred variation af tung industri. Området er et sørgeligt eksempel på den ...... tidligere Apartheid styret byplanlægning, hvor regeringen i 1940'erne valgte at placere industri i et område hovedsageligt beboet af farvede og sorte mennesker....

  16. Ledelse af vejledelse

    DEFF Research Database (Denmark)

    Andersen, Frode Boye

    2014-01-01

    Denne artikel handler om samspillet mellem vejledning som funktion, ledelse og de organisatoriske processer i skolen. Det er artiklens ambition at argumentere for nogle særlige ledelsesmæssige fokuseringer i en skoleorganisation hvor vejledningsfunktioner af forskellige grunde ser ud til at skulle...... derfor indledningsvist et billede af hvordan man kan forstå ledelsesbetingelserne i en organisation som skolen: uden en sådan forståelsesramme risikerer konteksten for vejledningsfunktionerne at blive en art black box hvor ledelseskraften bliver prisgivet tilfældigheder. Omvendt er valget af...

  17. 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 complications....

  18. Test af Software

    DEFF Research Database (Denmark)

    Dette dokument udgør slutrapporten for netværkssamarbejdet ”Testnet”, som er udført i perioden 1.4.2006 til 31.12.2008. Netværket beskæftiger sig navnlig med emner inden for test af indlejret og teknisk software, men et antal eksempler på problemstillinger og løsninger forbundet med test af...... administrativ software indgår også. Rapporten er opdelt i følgende 3 dele: Overblik. Her giver vi et resumé af netværkets formål, aktiviteter og resultater. State of the art af software test ridses op. Vi omtaler, at CISS og netværket tager nye tiltag. Netværket. Formål, deltagere og behandlede emner på ti...

  19. Kritik af pseudovidenskab censureret

    DEFF Research Database (Denmark)

    Emmeche, Claus

    2014-01-01

    Weekendavisen har afvist at bringe et indlæg af Jørgen Øllgaard om deres egen dækning af Helmuth Nyborg og sagen om hans forskning i IQ, som UVVU har dømt uredelig. Måske er UVVU bedre til at tage sig af bevidst fusk i god normal videnskab end til sager, som angår "patologisk videnskab" ("fringe...... science") med varierende grader af marginalitet. Dette begreb kan både dække hvad Kuhn ville kalde "revolutionær videnskab", som blot endnu ikke er anerkendt men starter med nogle få forskeres vilde ideer, og så især det, som dårligt nok kan testes, efterprøves, og som måske langsomt opløses hvis det...

  20. Supervision af psykoterapi

    DEFF Research Database (Denmark)

    SUPERVISION AF PSYKOTERAPI indtager en central position i uddannelsen og udviklingen af psykoterapeuter. Trods flere lighedspunkter med psykoterapi, undervisning og konsultation er psykoterapisupervision et selvstændigt virksomhedsområde. Supervisor må foruden at være en trænet psykoterapeut kende...... supervisionens rammer og indplacering i forhold til organisation og samfund. En række kapitler drejer sig om supervisors opgaver, roller og kontrolfunktion, supervision set fra supervisandens perspektiv samt betragtninger over relationer og processer i supervision. Der drøftes fordele og ulemper ved de...... forskellige måder, hvorpå en sag kan fremlægges. Bogens første del afsluttes med refleksioner over de etiske aspekter ved psykoterapisupervision. Bogens anden del handler om de særlige forhold, der gør sig gældende ved supervision af en række specialiserede behandlingsformer eller af psykoterapi med bestemte...

  1. Anvendelser af Pervasive Communication

    DEFF Research Database (Denmark)

    Brønsted, Jeppe

    forskningsmuligheder. For at gøre det hele lidt mere konkret, præsenteres i dette dokument en række eksempler på brug af Pervasive Communication. Udvalget af eksempler skal ikke ses som værende udtømmende, men snarere som håndplukkede eksempler der hver repræsenterer en genre. I dokumentet er både valgt...... forskningsprojekter og kommercielle produkter. Dette er gjort for både at demonstrere hvor vide rammerne er for anvendelser af Pervasive Communication og for at vise at der kan laves en forretning ud af ideerne. For overskueligheds skyld er eksemplerne delt op i en række kategorier: Sundhed, transport, ordre og...

  2. Termisk forgasning af biomasse

    DEFF Research Database (Denmark)

    Indlæggene i referatet er gengivet efter båndoptagelser. Der er dog foretaget nogle enklte omskrivninger af hensyn til læseligheden. Foredragsholdernes overheads er endvidere blevet lagt ind i referatet....

  3. Hereditaer haemoragisk telangiektasi. Et populations-baseret studium af praevalens og mortalitet blandt danske HHT-patienter

    DEFF Research Database (Denmark)

    Kjeldsen, A D; Vase, P; Green, A

    2000-01-01

    among the HHT patients younger than 60 years at inclusion the mortality of HHT patients was twice the expected. The excess mortality was fully explained by severe HHT symptoms contributing to death. Future research should aim at identification of HHT patients at particular risk of developing severe......Hereditary haemorrhagic telangiectasia (HHT) is a dominantly inherited disease characterized by telangiectatic lesions. The disease manifestations are variable in severity. Early death due to complications has been described. We report an investigation of the prevalence and mortality of HHT in a...

  4. Forekomst af resistente bakterier og forbrug af antibiotika til hunde

    DEFF Research Database (Denmark)

    Pedersen, Karl; Pedersen, Kristina; Jensen, Helene;

    2007-01-01

    Forekomsten af antibiotikaresistens i forskellige patogene bakterier fra hunde blev bestemt og resultaterne sammenholdt med forbrug af antibiotika til hunde i Danmark. I undersøgelsen indgik isolater af Staphylococcus intermedius (n=201), Streptococcus canis (n=37), Pseudomonas aeruginosa (n=39...... + trimethoprim udgjorde i 2005 tilsammen 81% af det totale forbrug til kæledyr. Forekomsten af resistens overfor cephalosporiner og amoxycillin med clavulansyre var dog lav for de undersøgte isolater, med undtagelse af isolater af P. aeruginosa. Blandt S. intermedius isolaterne var 60,2% resistente overfor...

  5. Forebyggelse af kriminalitet

    DEFF Research Database (Denmark)

    Christiansen, U.; Jantzen, E.B.; Kirkegaard, O.

    Forebyggelse af kriminalitet i boligområder har længe stået på dagsordenen i alle vestlige samfund. Dansk Ingeniørforening og Ingeniørsammenslutningen har udviklet normer for kriminalpræventiv planlægning i boligområder siden midten af 1980'erne. To bebyggelser i Københavnsegnen er blevet planlag...

  6. Bearbejdning af Luhmanns organisationsteori

    DEFF Research Database (Denmark)

    Mortensen, Nils

    Som titlen siger, er det en gennemgang/præsertation af Luhmanns organisationsteori. Der er lagt særlig vægt på emnerne beslutning, ledelse opg forandring......Som titlen siger, er det en gennemgang/præsertation af Luhmanns organisationsteori. Der er lagt særlig vægt på emnerne beslutning, ledelse opg forandring...

  7. Sundhedseffekter af luftforurening-beregningspriser

    DEFF Research Database (Denmark)

    Andersen, M. S.; Frohn, L. M.; Jensen, S. S.;

    Denne rapport afrapporterer det fortsatte arbejde med udvikling af miljøøkonomiske beregningspriser. På grundlag af EcoSense 4.0 fra ExternE-projektet, er der foretaget nye beregninger af eksternaliteter ved luftforurening med sundhedseffekter. Samtidig giver rapporten en vurdering af luftspredni...

  8. Reduktion af stress og sygefravær blandt patienter med arbejdsrelaterede belastnings- og tilpasningsreaktioner henvist til Arbejdsmedicinsk klinik

    DEFF Research Database (Denmark)

    Glasscock, David John; Carstensen, Ole; Dalgaard, Vita Ligaya Ponce

    reactions to stress or adjustment disorders that were work related, patients were offered participation in the project, if inclusion and exclusion criteria were satisfied. Patients answered baseline questionnaires prior to initial examination. The questionnaire, which was used to measure treatment effects...... on all measures at 10-months follow-up. No between group differences were found concerning sick-leave duration. This was the case both when analyzing self-reported sick-leave data and follow-up data from the DREAM-register. In conclusion, the evaluated intervention results in a faster reduction...... of perceived stress (PSS) and stress symptoms (GHQ), compared with a control group, amongst patients with work-related stress reactions and adjustment disorders referred to a department of occupational medicine. Six months after the end of the intervention, there are no longer differences between the groups...

  9. 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

    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 ave...

  10. Simulering af fossilt energiforbrug & emissioner af drivhusgasser

    DEFF Research Database (Denmark)

    Dalgaard, Tommy; Halberg, Niels; Fenger, J.

    2000-01-01

    Øget jordbehandling ved mekanisk ukrudtsbekæmpelse i det økologiske jordbrug har givet en forventning om et højere energiforbrug i økologisk end i konventionelt jordbrug. Beregninger viser imidlertid, at der på landsplan spares energi ved omlægning til økologisk jordbrug. Dette skyldes primært, a...... der i økologisk jordbrug ikke anvendes kunstgødning. Rapporten belyser effektive veje til at mindske energiforbrug og udledning af drivhusgasser, som at mindske produktionen, indføre mere energieffektive teknologier og evt. øge bioenergiproduktionen....

  11. Ledelse af sociale institutioner

    DEFF Research Database (Denmark)

    Kofod, Kasper

    Ledelse af sociale institutioner giver et overblik over den enorme forandring, der er sket indenfor det sociale område i de sidste 25-30 år. Moderniseringen af den offentlige sektor har været gennemgribende, og udviklingen på det sociale område er gået mod større instirutioner og mod, at stadig...... flere beslutninger træffes lokalt. det betyder også,a t der kommeret øget fokus på ledelse af de enkelte sociale institutioner. Forandringer i omverdenedn som globalisering, individualisering, mangel på arbejdskraft og ændringer i omgangsformer påvirker også ledelsesvilkårene i de sociale institutioner...

  12. Anvendeligheden af GIS

    DEFF Research Database (Denmark)

    Winstrup, Mie; Levin, Gregor

    2011-01-01

    Fragmentering af naturen er en trussel mod biodiversiteten, og etablering af økologiske forbindelser/korridorer mellem naturområderne er én måde hvorved nedgangen i biodiversitet kan stoppes. Med Næstved Kommune som case-område har jeg undersøgt, hvordan analyser i GIS kan bruges til at udvælge...... omdannet til reelle korridorer, hvor bredden afhænger af arealdækket som forbindelserne krydser. I implementerings øjemed er det anvendeligt at vide om nogle forbindelser er særlig vigtige for at skabe mere sammenhængende natur. GIS er anvendeligt hertil, idet GIS kan bruges til at bestemme den enkelte...

  13. Realisering af Vision 2020

    DEFF Research Database (Denmark)

    Bertelsen, Niels Haldor; Hansen, Ernst Jan de Place

    Repræsentanter for byggesektoren har på 11 dialogmøder drøftet Erhvervs- og Byggestyrelsens "Vision 2020 - Byggeri med mening". Drøftelserne førte til formulering af en lang række initiativforslag til realisering af visionen. Den mest centrale udfordring bliver at reducere fejl og mangler i...... byggeriet. Branchen lægger også vægt på, at styringen af Vision 2020s reaisering sker i byggesektoren. Initiativforslagene er i rapporten samlet under 3 hovedområder. Det første hovedområde lægger vægt på bygningerne, brugerbehov og det globale samfund. Det andet omhandler processen og leverancesystemet...

  14. Konstruktion af sandheden

    DEFF Research Database (Denmark)

    Nørreklit, Lennart

    2009-01-01

    Artiklen fremstiller sandhedsbegrebet som et læringsideal, som erstatter absolutisme og relativisme med læring. Indledningen bestemmer en problemorienteret ramme, som teorien indgår i: Mennesket er aktør, der danner virkelighed i form af relationer til sin omverden. Sandhedsbegrebet er forudsætni...... for en løbende sandhedsbestemmende læringsproces. Artiklen slutter med en diskussion af performative problemer, hvorigennem udsagn kan påvirke deres egen sandhedsværdi....

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

    DEFF Research Database (Denmark)

    Villumsen, Morten; Jørgensen, Martin Grønbech; Andreasen, Jane;

    (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...... and Go (TUG), rejse-sætte sig testen og Barthel score registreres for alle patienter ved indlæggelse og udskrivelse. Øvrige oplysninger vedrørende alder, køn, vægt, højde, demens, depression, årsag til indlæggelse, boligform, og pårørende indhentes fra journalen. Primær outcome for undersøgelsen er den...... 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...

  16. Et pust af storhed

    DEFF Research Database (Denmark)

    Kural, René

    2005-01-01

    I forsommeren dette år gik Council of Europe's Museum Prize 2005 til det Byzantinske Museum i Thessaloniki, Makedonien. Prisen er uddelt siden 1977 og tildelt museer, der har bidraget betydeligt til formidlingen af den europæiske kulturarv. Forfatteren har vurderet, hvad der fik juryen i...

  17. Forankring af skolemadsordninger

    DEFF Research Database (Denmark)

    Brinck, Nenna Maria; Kristensen, Niels Heine; Hansen, Mette Weinreich

    I rapporten beskrives tre forældrebetalte skolemadsordninger, der blev etableret med støtte fra FødevareErhverv i 2008. Rapporten indeholder også resultater fra en spørgeskemaundersøgelse foretaget blandt elever og forældre i en 4. og 8. klasse på de tre caseskoler. Rapporten er en del af evaluer...

  18. Anmeldelse af: Gruppepsykologi

    DEFF Research Database (Denmark)

    Christensen, Bodil

    2009-01-01

    , kreativitet og nytænkning. Det er her, videnskabens virkelige fremskridt sker.” Sådan lyder et citat af Albert Einstein, som Lars Svedberg bruger for at sætte sin faglige fremstilling om gruppepsykologi i perspektiv. Gruppeorganisationen er nemlig ofte rum for/ eller kan være rum for denne synergieffekt, der...

  19. Brug af forskningsbaseret viden

    DEFF Research Database (Denmark)

    Næsby, Torben

    2013-01-01

    Artiklen anvender LP-modellen som et eksempel på, hvordan forskningsbaseret viden kan anvendes til kvalitetsudvikling. Ikke organiseret som top-styrede projekter, heller ikke som ”bottom-up- styrede”, men som en kombination af disse. Med eksempler fra den forskningsbaserede viden fra empirien, der...

  20. Udforskning af journalistiske moralnormer

    DEFF Research Database (Denmark)

    Mogensen, Kirsten

    2010-01-01

    Kirsten Mogensen beskriver professionelle journalistiske normer. Med udgangspunkt i amerikansk tv's dækning af begivenhederne 11. september kombinerer Kirsten Mogensen kvalitative interviews og tekstanalyse for på den måde at beskrive professionelle journalistiske normer. Metoden er en kombination...

  1. Digitalisering af undervisning

    DEFF Research Database (Denmark)

    Christiansen, René B.; Hansen, Søren; Rossen, Svend;

    2010-01-01

    Rapporten er et bestillingsarbejde fra FU (Forskning og Udvikling) og viser en række eksempler på hvorledes undervisningsforløb kan konstrueres online. Herunder ved brug af både LMS-systemer og web 2.0-værktøjer...

  2. Benchmark af erhvervsuddannelserne

    DEFF Research Database (Denmark)

    Bogetoft, Peter; Wittrup, Jesper

    I dette arbejdspapir diskuterer vi, hvorledes de danske erhvervsskoler kan benchmarkes, og vi præsenterer resultaterne af en række beregningsmodeller. Det er begrebsmæssigt kompliceret at benchmarke erhvervsskolerne. Skolerne udbyder en lang række forskellige uddannelser. Det gør det vanskeligt...

  3. Definition af et landdistrikt

    DEFF Research Database (Denmark)

    Søgaard, Villy

    2008-01-01

    Forskellige lande arbejder med meget forskellige definitioner af begrebet landdistrikt. Arbejdspapiret diskuterer først en række generelle krav til definitioner og anbefaler på den baggrund konkrete justeringer i forhold til den hidtidige danske praksis på området. Arbejdspapiret er blevet til i...

  4. Innovationen lider af teknologifetichisme

    DEFF Research Database (Denmark)

    Pedersen, Peder Holm

    2011-01-01

    Teknologisk innovation er udråbt som vejen til fremtiden for den danske velfærdsstat. Men vi risikerer at miste innovationens fulde potentiale, hvis vi tror, at innovation nødvendigvis skal lugte af teknologi. Nogle gange kan en sort affaldssæk også gøre det....

  5. Inklusion af utilpassede unge

    DEFF Research Database (Denmark)

    Petersen, Karen Bjerg

    2015-01-01

    Anholt-projektet repræsenterer en alternativ pædagogisk interventionsform for utilpassede og sårbare unge. Projektet, der i en årrække har været afprøvet af ungdomsskoler og ungdomsorganisationer i Danmark, Tyskland, Østrig, Spanien, Portugal og Italien, bygger på tanker om erfaringsbaseret, ufor...

  6. Energirenovering af parcelhuse

    DEFF Research Database (Denmark)

    Aggerholm, Søren

    I rapporten beskrives et demonstrationsprojekt, som viser, at det er muligt at opnå yderligere energibesparelse i parcelhuse, der i forvejen opfylder kravene for at få udstedt energiattest. Projektet er gennemført i tre parcelhuse i Toftlund, som en del af Brundtlandbyprojektet. Energirenoveringe...

  7. Nibe Bredning, klapning af oprensningsmaterialer og vurdering af sedimentspredning

    DEFF Research Database (Denmark)

    Larsen, Torben; Bentzen, Thomas Ruby

    Formålet med undersøgelsen er at beregne spredningen af klapmateriale oprenset fra sejlrenden til Nibe samt Draget. Klappladsen for begge lokaliteter er umiddelbart nordvest for Klitgaard Hage. Beregningen er foretaget vha. af numerisk modellering af strømforhold samt sedimenttransport. Til formå...

  8. Energieffektivisering af byggeriet - Nyhedsbrev 4

    DEFF Research Database (Denmark)

    Larsen, Tine Steen; Grøn, Dorte Marie Frilund; Mortensen, Erik

    2013-01-01

    Hermed er det fjerde nyhedsbrev fra UCN Spireindsatsen ”Energieffektivisering af byggeriet” på gaden. I brevet kan du blandt andet læse mere om relaterede afholdte og fremtidige aktiviteter samt delprojektet; Systematisk energieffektivisering af tekniske installationer.......Hermed er det fjerde nyhedsbrev fra UCN Spireindsatsen ”Energieffektivisering af byggeriet” på gaden. I brevet kan du blandt andet læse mere om relaterede afholdte og fremtidige aktiviteter samt delprojektet; Systematisk energieffektivisering af tekniske installationer....

  9. Monitering af korrosion i fjernvarmesystemer

    DEFF Research Database (Denmark)

    Hilbert, Lisbeth Rischel; Nielsen, Lars Vendelbo; Thorarinsdottir, R.I.

    2004-01-01

    Kontrol af korrosion i fjernvarmesystemer foregår primært ved kontrol af vandkvaliteten. Generel korrosion af kulstofstål undgås således normalt ved at holde iltkoncentration og ledningsevne lav og pH høj. Lokaliseret korrosion forekommer dog i systemerne og disse korrosionsangreb detekteres i fo...

  10. Dannelsen af den ansvarlige elev

    DEFF Research Database (Denmark)

    Larsen, Jesper

    2010-01-01

    Denne artikel handler om den del af lærergerningen, der har at gøre med udarbejdelse af elevplaner. Der tages udgangspunkt i en foucaultsk forståelse, hvor beskrivelsen af den enkelte elev udtrykker et særligt normativt ideal om, hvilke former for elevhed der er de ønskværdige i den danske...

  11. Udlejers godkendelse af ny erhvervslejer

    DEFF Research Database (Denmark)

    Munk-Hansen, Carsten

    2009-01-01

    I artiklen er taget udgangspunkt i den »klassiske« afståelsessituation, hvor en lejer vil afhænde den i de lejede lokaler drevne virksomhed, og lejeren har afståelsesret til en af udlejer godkendt lejer, uden at kravene til den ny lejer er specificeret. På baggrund af Vestre Landsrets dom af 9/2 ...

  12. Vejledning i projektering af ventilationsrum

    DEFF Research Database (Denmark)

    Dinesen, J.

    vedligeholdelse. Vejledningens dimensioneringsforslag er baseret på et omfattende erfaringsmateriale, som er indsamlet dels af det rådgivende ingeniørfirma Crone & Koch, dels i forbindelse med det arbejde, der udføres af Byggeriets Indeklima Målestation (BIM). Ved bearbejdningen af materialet har civilingeniør...

  13. Behandling mot alla odds : En kvalitativ studie om den offentliga sektorns förutsättningar för arbete med behandling av spelberoende

    OpenAIRE

    Ekeroth, Helena; Yngström, Henrik

    2015-01-01

    Denna studies syfte är att belysa hur professionella som i sitt yrke möter hjälpsökande spelberoende individer uppfattar och reflekterar kring möjligheten att arbeta med hjälp och behandling av spelberoende utifrån sin organisations förutsättningar och ansvar. Studien har genomförts genom djupintervjuer med professionella inom kommun, landsting, en privat ägd behandlingsorganisation och en nationell organisation inriktade mot spelberoende i syfte att erhålla en så bred bild av spektrumet som ...

  14. Patienters oplevelse af medicinsk brystkraeftbehandling

    DEFF Research Database (Denmark)

    Grønvold, Mogens; Jensen, Anders Bonde

    2007-01-01

    hair loss, nausea, hot flushes, mucositis, fatigue, and cognitive side effects. Overall quality of life, social relations, and sexuality may also be affected. Endocrine therapies are characterised by hot flushes, vaginal dryness, arthralgias, and reduced libido. Udgivelsesdato: 2007-Sep-10...

  15. Kontrol af patienter med levertraumer

    DEFF Research Database (Denmark)

    Osterballe, Lene; Helgstrand, Frederik; Hillingsø, Jens;

    2014-01-01

    Development of a hepatic pseudoaneurysm (HPA) is a well-known, yet rare complication after liver trauma. We found 135 cases reported in the literature since 1965. Ruptured HPAs may have severe consequences with sudden massive haemorrhage and death. A clear strategy towards diagnosis and management...... of HPA post liver trauma is needed and outlined in this paper. We recommend early detection and definitive treatment before enlargement and rupture....

  16. Anmeldelse af Evolution, Literature and Film

    DEFF Research Database (Denmark)

    Grodal, Torben Kragh

    2011-01-01

    Diskussion af basisproblemer i evolutionær fiktionsteori med udgangspunkt i en anmeldelse af Evolution, Literature and Film......Diskussion af basisproblemer i evolutionær fiktionsteori med udgangspunkt i en anmeldelse af Evolution, Literature and Film...

  17. Hætten af for Robin Hood

    DEFF Research Database (Denmark)

    Oxenbøll, Morten

    2010-01-01

    En historisk gennemgang af Robin Hood myten i anledning af den kommende Hood film med Russell Crowe i hovedrollen.......En historisk gennemgang af Robin Hood myten i anledning af den kommende Hood film med Russell Crowe i hovedrollen....

  18. En genlæsning af John Rawls i lyset af hans diskussion af forholdet til fremtidige generationer

    DEFF Research Database (Denmark)

    Lübcke, Poul

    2009-01-01

    På grundlag af en konsekventialistisk rekonstruktion af Rawls' politiske position gøres der rede for Rawls eksplicitte og implicitte vurdering af vores ansvar over for fremtidige generationer......På grundlag af en konsekventialistisk rekonstruktion af Rawls' politiske position gøres der rede for Rawls eksplicitte og implicitte vurdering af vores ansvar over for fremtidige generationer...

  19. Aflivning af heste

    DEFF Research Database (Denmark)

    Karlshøj, Merete; Fredsbo, Louise; Buhl, Rikke

    2007-01-01

    Det er efterhånden sjældent at heste dør af alderdøm. Ofte må ejer træffe den vanskelige beslutning om at lade hesten aflive. Da der tit er tale om en kær ven, er hesteejeren følelsesmæssigt påvirket. Det er derfor afgørende, at aflivningen foretages fagligt korrekt og professionelt.......Det er efterhånden sjældent at heste dør af alderdøm. Ofte må ejer træffe den vanskelige beslutning om at lade hesten aflive. Da der tit er tale om en kær ven, er hesteejeren følelsesmæssigt påvirket. Det er derfor afgørende, at aflivningen foretages fagligt korrekt og professionelt....

  20. På sporet af sprogpsykologi

    DEFF Research Database (Denmark)

    2005-01-01

    Sprogpsykologi beskæftiger sig med, hvordan sprog og mennesker hænger sammen, og hvilke følger sammenhængen får for vore forståelser af verden og os selv. Denne antologi henvender sig til den sproginteresserede, der ønsker at gå et lag dybere end sprogets grammatiske sider. Sprog er ikke kun et l...

  1. Epidemiologi af spiseforstyrrelser

    DEFF Research Database (Denmark)

    Waaddegaard, Mette

    2010-01-01

    Spiseforstyrrelser som anoreksi og bulimi har op gennem det 20. århundrede og især inden for de sidste 50 år været et stigende problem i den vestlige verden. Problemet er særlig udbredt blandt unge kvinder, der står på tærsklen til voksenverdenen, og har store omkostninger af såvel psykologisk so...

  2. Innovation af innovation

    DEFF Research Database (Denmark)

    Harste, Gorm

    2009-01-01

    , at innovation af innovationen forsøges gennemført på en måde, hvor tiden kræves at forholde sig til sin egen tidslighed i form af fremtid, nutid, fortid og ikke mindst i form af samtidighed. I tiden skal vi iagttage, hvordan vi iagttager tiden. Vi dobbelt-koder tiden på samme måde, som forskning forsker i...... organisationssystemerne. De to typer systemer kan noget helt bestemt med fænomenet tid. De kan synkronisere. Analyseres organisationssystemer ser vi, imidlertid at innovation kræver ro. Stærkt innovative systemer er militærsystemet og kunstsystemet, der også inddrages, og hvor vi ser paradokset mellem innovation og...... involution. Tid er med et medium og ikke et lufttomt rum. Tid er end ikke en gasart, men udgør et solidt fluidum, som samfundet bader i og flyder i, konstant i bevægelse. Reformer forudsætter former, og innovation forudsætter involution. Kun sådan muliggøres evolution....

  3. Korrosionshastigheder af rene zinkcoatings

    DEFF Research Database (Denmark)

    Bech-Nielsen, G.; Tang, Peter Torben; Ulrich, Dan

    1991-01-01

    Det har længe været den fremherskende opfattelse i galvanobranchen, at et zinkbad var et zinkbad og at der, tiltrods for de forskellige leverandørers gyldne løfter, ikke var den store forskel på de bade der kan købes på markedet idag. Det har ydermere været den almindelige opfattelse, at zinkbade......-bestandighed og udseende. Badenes alder har også vist sig at have endog meget stor betydning for kvaliteten af belægningerne....

  4. Kulturelle spejlinger af Profeten Muhammed

    DEFF Research Database (Denmark)

    Høgsbro Lading, Åse

    2008-01-01

    Artiklen er en analyse af to forløb i den såkaldte Muhammedkrise, der udspringer af Jyllandspostens offentliggørelse af karrikaturer af profeten Muhammed. Den første i 2006 ses som et  udspil, der først og frememst er styret  af markedsmæssige interesser, og hvor de globale reaktioner kom bag på ...... forsvar opleves  af avisen i splitting-kategorier: enten kan man sige alt, eller også har man ikke ytringsfrihed. Artiklen slutter med et ønske om, at mere komplekse syn på de globale relationer kan etableres...

  5. Slaver af Væksten

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen

    2004-01-01

    Artiklen rejser spørgsmålet om der, foruden den miljømæssige nødvendighed af at bremse væksten i Brutto National Produktet, også er direkte meneskelige fordele ved et sådant skridt. Dette aspekt er illustreret med de stigende negative følger af velstanden i USA og andre overflodslande, i form af ...

  6. Sammenligning af energiforbrug i supermarkeder

    DEFF Research Database (Denmark)

    Knudsen, Hans Jørgen Høgaard

    2005-01-01

    Formålet med det her omtalte projekt har været at sammenligne energiforbruget til køling i fire supermarkeder af sammenlignelig størrelse men med forskellig opbygning af køleanlægget. To af supermarkederne har nyudviklede kaskadeanlæg med CO2 i lavtemperaturkredsen og R404A i højtemperaturkredsen...

  7. Energieffektivisering af byggeriet - Nyhedsbrev 2

    DEFF Research Database (Denmark)

    Larsen, Tine Steen; Grøn, Dorte Marie Frilund

    2013-01-01

    Hermed er andet nyhedsbrev fra UCN Spireindsatsen ”Energieffektivisering af byggeriet” på gaden. I brevet kan du blandt andet læse mere om relaterede afholdte og fremtidige aktiviteter samt delprojektet; Nedbringelse af sygefravær og forbedret produktivitet på arbejdspladsen.......Hermed er andet nyhedsbrev fra UCN Spireindsatsen ”Energieffektivisering af byggeriet” på gaden. I brevet kan du blandt andet læse mere om relaterede afholdte og fremtidige aktiviteter samt delprojektet; Nedbringelse af sygefravær og forbedret produktivitet på arbejdspladsen....

  8. Om anvendelsen af Foucaults magtbegreb

    DEFF Research Database (Denmark)

    Jørgensen, Kenneth Mølbjerg

    Artiklen argumenterer for, at anvendelsen af Foucaults magtbegreb er knyttet til analysen og problematiseringen af de værdier, som forandringsprocesser i organisationer og andre sociale sammenhænge hviler på. Mere præcist argumenteres der for, at magtbegrebet er udviklet i forhold til at konfront......Artiklen argumenterer for, at anvendelsen af Foucaults magtbegreb er knyttet til analysen og problematiseringen af de værdier, som forandringsprocesser i organisationer og andre sociale sammenhænge hviler på. Mere præcist argumenteres der for, at magtbegrebet er udviklet i forhold til at...

  9. Centralisering overfor decentralisering af varelagre

    DEFF Research Database (Denmark)

    Graungaard Pedersen, Søren; Zachariassen, Frederik

    2010-01-01

    store virksomheder. I Danmark går langt størstedelen af virksomheder under betegnelsen små og mellemstore virksomheder (SMV) og for en stor andel af disse, er udfordringen med effektiv styring af varelagre også relevant. Denne artikel beskæftiger sig med udfordringen mellem centralisering overfor...... decentralisering af varelagre i SMV. Det viser sig, at der er betydelige forskelle i, hvilke argumenter der er for og imod, når udfordringen ses fra et SMV-perspektiv....

  10. Etablering af platform for optimering af avlsfremgange i dansk akvakultur

    DEFF Research Database (Denmark)

    Meier, Kristian; Norberg, Elise; Sørensen, Anders Christian;

    en havbrugsvirksomhed, der opdrætter og eksporterer ørreder og rogn. I forhold til de deltagende virksomheders forskellige behov har der været følgende leverancer i avlsprojektet: 1) Typeavlsplaner for havbrugsvirksomheder, 2) Etablering af basepopulation for Musholm A/S, 3) Optimering af avlsplaner...

  11. Relevansen af Aristoteles' etik for konceptionen af eksistentiel terapi

    DEFF Research Database (Denmark)

    Dræby, Anders

    Siden sin undfangelse i begyndelsen af det 20. århundrede har den eksistentielle terapi repræsenteret et filosofisk funderet alternativ til de former for terapeutisk praksis, der er funderet i den funktionalistiske medicinske metafysik. Anvendelse af elementer fra Aristoteles' etik muliggør en...

  12. En systemteoretisk analyse af underviseres medlemskab af uddannelsessteder

    DEFF Research Database (Denmark)

    Kaspersen, Steffen Warming

    2014-01-01

    Afhandlingen undersøger ved hjælp af Niklas Luhmanns systemteori, hvordan undervisere på to uddannelsessteder der skal fusionere, er med til at bidrage til det nye uddannelsesstedets selvbeskrivelse. Der konkluderes, at undervisernes egen iagttagelse af uddannelsesstedet afgør hvilke faktorer der...

  13. Simulering af dagslys i digitale modeller

    DEFF Research Database (Denmark)

    Villaume, René Domine; Ørstrup, Finn Rude

    2004-01-01

    Projektet undersøger via forskellige simuleringer af dagslys, kvaliteten af visualiseringer af komplekse lysforhold i digitale modeller i forbindelse med formidling af arkitektur via nettet. I en digital 3D model af Utzon Associates Paustians hus, simulers naturligt dagslysindfald med  forskellig...... Renderingsmetoder som: "shaded render" /  ”raytraceing” /  "Final Gather /  ”Global Illumination”...

  14. Psykisk sygdom - en risikofaktor for fysisk sygdom og død

    DEFF Research Database (Denmark)

    Larsen, Karen Kjær; Ribe, Anette Riisgaard; Christensen, Kaj Sparle;

    2014-01-01

    i almen praksis. Artiklen her præsenterer nogle af de temaer, som forskningsprojekterne kredser om. Formålet er at identificere årsager til overdødelighed og underbehandling af psykisk syge, som samtidig lider af fysisk sygdom, så denne gruppe af patienter fremover kan tilbydes en bedre behandling....

  15. Evaluering af lokale udviklingsprocesser

    DEFF Research Database (Denmark)

    Jensen, Bente

    Rapporten udgør arbejdspapir nr 14 i forskningsprojektet "Handlekompetence i pædagogiske arbejde med socialt udsatte børn og unge - indsats og effekt (HPA-projektet). Rapporten diskuterer det grundlæggende spørgsmål: Hvad er evaluering? Herunder spørgsmål om hvilke dimensioner der skal medtænkes i...... gode evalueringsmodeller, samt hvilken betydning mål og indhold har for anvendelse af en konkret evalueringsmodel. I HPA-projektet sigtes imod såvel handlingsorienteret evaluering, såkaldt selvevaluering, som virkningsevaluuering. Rapporten opstiller modeller for de forskellige evalueringstyper og...... skitserer nogle perspektiverende overvejelser om de tre typer evalueringer anvendt i HPA-projektet....

  16. Seminar om evaluering af forskningsprogrammer

    DEFF Research Database (Denmark)

    Larsen, Anders Stig Skau; Pedersen, Søren Marcus

    Dette Working Paper sammenfatter indlæg og konklusioner fra et seminar om evaluering af Fødevareministeriets Forskningsprogrammer afholdt den 26. februar 2007 af Direktoratet for FødevareErhverv og Fødevareøkonomisk Institut, Københavns Universitet. På seminaret blev et nyt metodeoplæg til...

  17. Virkelighedsflugt og masser af sex

    DEFF Research Database (Denmark)

    Lorentzen, Rasmus Fink

    2011-01-01

    I artiklen laves en læsning af ungdomsromanen "6" (2010) af Ronni Andersen. Dernæst udfoldes en række litteraturpædagogiske forslag tilen undervisning i romanen i skolens ældste klasser. Arbejdsforslagene er baseret på en kompetencetilgang til danskfaget og rummer fire værksteder hvor eleverne sk...

  18. Midtvejsevaluering af Pulje til Landsbyfornyelse

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole; Blach, Vigdis E. Magnusdatter

    og bidrage til en helhedsorienteret og fremadrettet indsats i en række kommuner i de danske yderområder. Midtvejsevalueringen belyser effekten af puljen og kommunernes erfaringer med administrationen af puljen. Evalueringen er gennemført som en internet-baseret spørgeskemaundersøgelse (survey) blandt...

  19. Anbefalinger til organisering af uddannelserne

    DEFF Research Database (Denmark)

    Andersen, Lars; Andersen, Lars Døvling; Hornemann, Birte C.;

    2009-01-01

    Notatet sammenfatter de diskussioner, som det af fakulteterne nedsatte udvalg vedrørende nye undervisnings- og eksamensformer har haft, og de anbefalinger til en omlægning af vores uddannelsessystem, som udvalget har valgt at give. Notatet er samtidig en begyndelse på en erfaringsudveksling om ny...

  20. Tabet af en elsket person

    DEFF Research Database (Denmark)

    Spaten, Ole Michael; Kaldahl Friberg, Inge; Kyndesen, Anna Imer

    2011-01-01

    Psykologistudiet på Aalborg Universitet havde i samarbejde med Kræftens Bekæmpelse i Aalborg inviteret to af verdens absolutte topforskere indenfor moderne sorgteori til at forelæse og afholde workshop. Overskriften for heldagsaarangement fredag den 18. marts 2011 var "sorgen over tabet af den vi...

  1. Domesticeringen af Ford i Danmark

    DEFF Research Database (Denmark)

    Wagner, Michael

    Det amerikanske automobilfirma Ford Motor Company med hovedkvarter i Detroit begyndte at drive forretning i Danmark omkring 1906. De første aktiviteter blev konsolideret samme år ved udnævnelsen af motorforhandleren F. Bülow & Co. til salgsagent i Danmark og importør af Ford automobiler til det...

  2. På sporet af fremtidens konkurrenceevne

    DEFF Research Database (Denmark)

    Boje Rasmussen, Martin Møller

    2013-01-01

    økonomier. Formålet med udviklingen af indekset er at tilvejebringe et mere informeret og analytisk grundlag for at kickstarte den politiske debat om ikke blot, hvad lande skal leve af i fremtiden, men også hvad de skal leve for. På den måde giver SPI de politiske beslutningstagere et mere nuanceret og...

  3. Slutevaluering af TRIB-projektet

    DEFF Research Database (Denmark)

    Zobbe, Karen; Madsen, Lisbeth; Ertmann, Bo

    TRIB-projektet (Traumatiserede i beskæftigelse) er et udviklingsprojekt, som er finansieret af satspuljemidler under Ministeriet for Flygtninge, Indvandrere og Integration (INM). UC2, Videnscenter for tosprogethed og interkulturalitet, har stået for gennemførelse af projektet, som projektledelse....

  4. EMDR-behandling  : Barns och ungdomars upplevelser en kvalitetssäkringsstudie 

    OpenAIRE

    Fredin, Ingela

    2005-01-01

    Föreliggande studie är dels ett led i att kvalitetssäkra EMDR (Eye Movement Desensitization and Reprocessing) som behandlingsmetod för barn och ungdomar och dels att utröna om behandlingen bidragit till ett förbättrat mående. EMDR som behandlingsmetod för barn och ungdomar har stöd i kontrollerade studier, men ytterligare forskning behövs. I den här studien deltog åtta barn och ungdomar med varierande diagnoser, vilka fått EMDR-behandling i barn- och ungdomspsykiatrisk öppenvård. Behandlingen...

  5. Parent Management Training - en foreldreveiledningsmetodefor behandling av barn med atferdsproblemer. Teori, behandlingsprogram og implementering i Norge

    OpenAIRE

    Apelseth, Eva Fohlin; Amlie, Christine

    2001-01-01

    Antisosial atferd blant barn og ungdom er et stort og økende helsemessig og økonomisk problem. Parent Management Training – Oregon (PMT-O), et behandlings- og forebyggingsprogram for familier med barn som fremviser antisosial adferd, blir for tiden implementert i Norge som ledd i satsingen på psykisk helsevern. PMT-O er basert på ”social learning interaction theory”, utviklet av Patterson og medarbeidere ved Oregon Social Learning Center. PMT-O er et detaljert program for styrking av foreldre...

  6. Clinical characteristics and outcomes with rivaroxaban vs. warfarin in patients with non-valvular atrial fibrillation but underlying native mitral and aortic valve disease participating in the ROCKET AF trial

    Science.gov (United States)

    Breithardt, Günter; Baumgartner, Helmut; Berkowitz, Scott D.; Hellkamp, Anne S.; Piccini, Jonathan P.; Stevens, Susanna R.; Lokhnygina, Yuliya; Patel, Manesh R.; Halperin, Jonathan L.; Singer, Daniel E.; Hankey, Graeme J.; Hacke, Werner; Becker, Richard C.; Nessel, Christopher C.; Mahaffey, Kenneth W.; Fox, Keith A. A.; Califf, Robert M.

    2014-01-01

    Aims We investigated clinical characteristics and outcomes of patients with significant valvular disease (SVD) in the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET AF) trial. Methods and results ROCKET AF excluded patients with mitral stenosis or artificial valve prostheses. We used Cox regression to adjust comparisons for potential confounders. Among 14 171 patients, 2003 (14.1%) had SVD; they were older and had more comorbidities than patients without SVD. The rate of stroke or systemic embolism with rivaroxaban vs. warfarin was consistent among patients with SVD [2.01 vs. 2.43%; hazard ratio (HR) 0.83, 95% confidence interval (CI) 0.55–1.27] and without SVD (1.96 vs. 2.22%; HR 0.89, 95% CI 0.75–1.07; interaction P = 0.76). However, rates of major and non-major clinically relevant bleeding with rivaroxaban vs. warfarin were higher in patients with SVD (19.8% rivaroxaban vs. 16.8% warfarin; HR 1.25, 95% CI 1.05–1.49) vs. those without (14.2% rivaroxaban vs. 14.1% warfarin; HR 1.01, 95% CI 0.94–1.10; interaction P = 0.034), even when controlling for risk factors and potential confounders. In intracranial haemorrhage, there was no interaction between patients with and without SVD where the overall rate was lower among those randomized to rivaroxaban. Conclusions Many patients with ‘non-valvular atrial fibrillation’ have significant valve lesions. Their risk of stroke is similar to that of patients without SVD after controlling for stroke risk factors. Efficacy of rivaroxaban vs. warfarin was similar in patients with and without SVD; however, the observed risk of bleeding was higher with rivaroxaban in patients with SVD but was the same among those without SVD. Atrial fibrillation patients with and without SVD experience the same stroke-preventive benefit of oral anticoagulants. PMID:25148838

  7. Anmeldelse af World Drug Report 2005

    DEFF Research Database (Denmark)

    Møller, Kim

    2005-01-01

    Internationale udfordringer i spændingsfeltet mellem organiseret kriminalitet og narkotika. Værdien af det illegale narkotikamarked. Skabelsen af et Illicit Drug Index. Ny organisationsstruktur bag udgivelsen af denne WDR. Udgivelsesdato: December......Internationale udfordringer i spændingsfeltet mellem organiseret kriminalitet og narkotika. Værdien af det illegale narkotikamarked. Skabelsen af et Illicit Drug Index. Ny organisationsstruktur bag udgivelsen af denne WDR. Udgivelsesdato: December...

  8. Udvikling af CO2 neutralt byrumsarmatur

    DEFF Research Database (Denmark)

    Poulsen, Peter Behrensdorff; Dam-Hansen, Carsten; Corell, Dennis Dan;

    Denne rapport indeholder en beskrivelse af arbejdet udført i og resultaterne af forsknings- og udviklingsprojektet ” Udvikling af CO2 neutralt byrumsarmatur” og udgør slutrapportering for dette projekt.......Denne rapport indeholder en beskrivelse af arbejdet udført i og resultaterne af forsknings- og udviklingsprojektet ” Udvikling af CO2 neutralt byrumsarmatur” og udgør slutrapportering for dette projekt....

  9. Nyttigt bidrag til professionalisering af revisionsudvalg

    DEFF Research Database (Denmark)

    Thomsen, Steen

    2009-01-01

    Anmeldelse af: KPMG. 2009, Audit Committee Institute. Revisionsudvalg i Praksis. 2. reviderede udgave.......Anmeldelse af: KPMG. 2009, Audit Committee Institute. Revisionsudvalg i Praksis. 2. reviderede udgave....

  10. Intelligent styring af dynamisk LED belysning

    DEFF Research Database (Denmark)

    Thorseth, Anders; Corell, Dennis Dan; Hansen, Søren Stentoft;

    Denne slutrapport giver en kort beskrivelse af arbejdet, der er udført af DTU Fotonik i projektet ”Intelligent styring af dynamisk LED belysning” støttet af EUDP. Arbejdet er udført i perioden 2011‐2012 i samarbejde med Lighten.......Denne slutrapport giver en kort beskrivelse af arbejdet, der er udført af DTU Fotonik i projektet ”Intelligent styring af dynamisk LED belysning” støttet af EUDP. Arbejdet er udført i perioden 2011‐2012 i samarbejde med Lighten....

  11. 非瓣膜性房颤患者支架植入术后的抗栓策略%Antithrombotic Strategies of the Patients with Non-Valvular AF after PCI

    Institute of Scientific and Technical Information of China (English)

    冯莹

    2014-01-01

    目的:观察房颤患者经皮冠状动脉介入术( post-percutaneous coronary intervention ,PCI)后使用三联疗法( triple therapy ,TT)即华法林+双联抗血小板疗法( dual antiplatelet therapy ,DAPT)的安全性及有效性。方法:这是一项单中心、回顾性研究。主要复合事件包括死亡、缺血性卒中或短暂性脑缺血发作;胃肠道出血、颅内出血。结果:房颤PCI术后患者中,22例接受TT,13例接受DAPT。随访6个月。 TT组CHADS2评分较高,较年长,男性较多。 CHADS2评分值>2分,TT显著减少缺血事件。但TT组复合出血事件增多。 CHADS2评分值>2分的净临床获益(net clinical benefit,NCB)为正值。结论:NCB表明CHADS2评分值>2分的患者使用TT有明显获益。 CHADS2评分可作为房颤PCI术后患者抗栓策略的评估工具。%Objective:To determine the safety and efficacy of triple therapy ( TT): warfarin with dual antiplatelet therapy ( DAPT) for treating patients with atrial fibrillation ( AF) in post -percutaneous coronary intervention (PCI).Methods:This was a single -centre,retrospective study.Primary composite destination event were death , ischemic stroke , or transient ischemic attack; gastrointestinal bleeds , intracerebral hemorrhage.Results:In post-PCI patients with AF,22 received TT,13 received DAPT.Mean follow-up was 6 months.The TT group had a higher CHADS2 score,and older,much more male.CHADS2 score >2, TT decreased ischemic events significantly , but with composite bleeding events were increasing .When CHADS 2 score >2 , Net clinical benefit ( NCB ) was in positive value .Conclusion:NCB declares that patient with CHADS2 score >2 is beneficial to receive TT .CHADS2 score may be used to determine optimal antithrombotic therapy for patients with Af after PCI .

  12. Modellering af elforbrug til netanalyse

    DEFF Research Database (Denmark)

    Østergaard, Jacob

    I denne rapport undersøges mulighederne for at etablere en model for elforbruget, der kan anvendes ved analyser af det østdanske transmissionsnet. Rapporten henvender sig til ingeniører og beslutningstagere, der ønsker viden om betydningen af en nøjagtig elforbrugsmodel og om mulighederne for i p...... simuleringsresultater med mindre usikkerhed, og der opnås en integration mellem eksisterende systemer, idet data fra en række systemer bl.a. Panda, elforbrugsprognoser, elforbrugspaneler og stationsprognoser kan udnyttes til etableringen af en model....

  13. Digitalisering af det eksisterende byggeri

    DEFF Research Database (Denmark)

    Sørensen, Nils Lykke; Øien, Turid Borgestrand

    2010-01-01

    Digitalisering af det eksisterende byggeri er en vanskelig og uendelig opgave. Det giver kun mening at digitalisere eksisterende byggeri, når man har et konkret behov, og da kun at indhente og lagre de informationer, som man strategisk eller konkret har behov for. Erhvervs og Byggestyrelsen har...... iværksat en analyse af strategier for digitalisering af det eksisterende byggeri. I forbindelse hermed vil denne rapport undersøge problemerne og potentialerne ved at digitalisere den eksisterende bygningsmasse, både hvad angår hvilke dele heraf der er relevant at digitalisere, til hvilket niveau, samt de...

  14. Estimering af afløbskoefficienter ved brug af vejrradarer

    DEFF Research Database (Denmark)

    Ahm, Malte

    2013-01-01

    Korrekt bestemmelsen af et oplands afløbskoefficienter er essentielt i forbindelse med afløbsteknisk modellering. Specielt i forbindelse med realtidsstyring, da afløbskoefficienterne er styrende for afløbssystemets massebalance. Dette studie viser en effektiv metode til at estimere de hydrologiske...... parametre på deloplandsniveau på baggrund af afstrømningsmålinger for hele oplandet kombineret med vejrradar data....

  15. Effektivisering af forbelastning ved anvendelse af vertikaldræn

    DEFF Research Database (Denmark)

    Jensen, B. S.; Sørensen, Carsten S.

    2000-01-01

    delelementer af vejen, udføres vejen ved forbelastning. Sætninger fra traditionel konsolidering af forbelastning vil tage 30 år. Da denne periode skal reduceres til 20 måneder, vælges at etablere vertikal dræn gennem forbelastningsdæmningen. Herved reduceres drænvejen fra 6,O m til 0,5 m og drænretningen...

  16. Dokumentation af konvertering af trafiktal til emissionsopgørelser

    DEFF Research Database (Denmark)

    Kveiborg, Ole; Jensen, Thomas Christian

    2009-01-01

    Danmarks Miljøundersøgelser (DMU) er ansvarlig for at opgøre og rapportere danske drivhusgas-emissioner til Klimakonventionen, Geneve-konventionen og EU’s overvågningsmekanisme for driv-husgasser. Til brug for opgørelser af emissioner fra transportområdet har DMU behov for en række oplysninger fra...... Transportministeriet. Vejdirektoratet (VD) har hidtil stået for levering af disse oplysnin-ger. DMU skal nu som følge af Danmarks og EU’s ratificering af Kyoto-protokollen dokumentere, at der er foretaget de nødvendige foranstaltninger for at sikre de årlige opgørelser. Derfor ønskes nu en mere formaliseret aftale...... vedrørende levering af oplysninger for transportområdet. Dette notat sammenfatter de konverteringsrutiner og metoder, der er anvendt for at beregne bestan-den af køretøjer, deres trafikarbejde, hastigheder, last mv....

  17. Revisors opklaring af besvigelser - Læren af praksis

    DEFF Research Database (Denmark)

    Bloch Christensen, Maria; Kristensen, Rikke Holmslykke; Warming-Rasmussen, Bent

    Besvigelser i form af misbrug af aktiver eller regnskabsmanipulation er et fænomen, som desværre forekommer jævnligt både i Danmark og i udlandet. Fænomenet har derfor stor relevans og bevågenhed blandt danske selskabers stakeholdere. Når skaden er sket, handler diskussionen typisk om...... virkede så tillidsvækkende, og at besvigelsen var udført meget snedigt, så ingen havde fattet mistanke! Netop adresseringen af dette er motivationen til denne bog. Bogens første del beskæftiger sig således med analysen af personen bag besvigelsen og dennes beslutningsproces. Analysen lægger op til et nyt...... arbejdspapir med optegnelser af ledende medarbejderes ansvarsområder og observationer af deres aktuelle situation. Bogens anden del analyserer en række besvigelsessager fra praksis og giver eksempler på revisionshandlinger, som ville have opdaget besvigelsen. Der lægges op til endnu et arbejdspapir, som samler...

  18. Air Facility System (AFS) Widget

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Air Facility System (AFS) widget allows users to enter a specific location and retrieve facilities in the area of interest for stationary sources of air...

  19. Kognitive forstyrrelser ved depression - betydning for behandling og prognose

    DEFF Research Database (Denmark)

    Ravnkilde, Barbara; Bruun, Louise Meldgaard; Videbech, Poul

    2007-01-01

    Depression is often accompanied by cognitive disturbances, and by focusing on these deficits practitioners can obtain important information about the status of the disease and the prognosis of the patient. From this perspective, patients may also gain useful insight into their own condition...

  20. En beskrivelse af tidligere stofmisbrugere

    DEFF Research Database (Denmark)

    Hecksher, Dorte

    2004-01-01

    Artiklen fokuserer på en del af et sample fra en større opfølgningsundersøgelse af døgnbehandlingsindsatsen overfor stofmisbrugere i Danmark. Formålet med artiklen er at beskrive den stoffri gruppe forud for indskrivning i døgnbehandling og i de første to år efter udskrivning fra døgnbehandling. ...

  1. Identificering af teknologi gennem narrativer

    OpenAIRE

    Stoustrup, Sune Wiingaard; Rising, Carl Johan; Petersen, Mikael

    2011-01-01

    Denne rapport arbejder med en gennemgang af den såkaldte 3D printer teknologi. Denne vil sættes i sammenhæng med et teknologifilosofisk ’form of life ́ forståelse fremsat af Langdon Winner, samt en metode til at udrede det komplekse forhold: menneske-teknologi, med aktør-netværk teori som værktøj.

  2. Skal vi synge den originale eller folkelige version af vores danske sange?

    DEFF Research Database (Denmark)

    Olsen, Jens Stig

    2015-01-01

    Artiklen behandler problemet med, at sange har en tendens til at ændre sig over tid og flittig brug, og via nogle kendte eksempler behandler den spørgsmålet om, hvordan vi kan forholde os til denne problematik.......Artiklen behandler problemet med, at sange har en tendens til at ændre sig over tid og flittig brug, og via nogle kendte eksempler behandler den spørgsmålet om, hvordan vi kan forholde os til denne problematik....

  3. Kants Kritik af dømmekraften

    DEFF Research Database (Denmark)

    Introduktion til Kants Kritik af dømmekraften bestående af otte artikler, der følger værkets egen tematiske opbygning......Introduktion til Kants Kritik af dømmekraften bestående af otte artikler, der følger værkets egen tematiske opbygning...

  4. På sporet af de gyldne opskrifter?

    DEFF Research Database (Denmark)

    Poulfelt, Flemming

    2015-01-01

    Børsen Ledelse. Markedet for kogebøger er stort. For der produceres hvert år et hav nye af slagsen. Nogle udgives af kendte kokke, nogle af særlige eksperter inden for kost og motion, og andre af personer, der har en ægte interesse inden for gastronomi og mad. På ledelsesområdet findes en...

  5. Overvejelser vedr. effektvurdering af det Digitale Sygehus

    DEFF Research Database (Denmark)

    Andersen, Povl Erik Rostgård; Wit, Camilla Kølsen de

    2001-01-01

    Nærværende skrift indeholder en beskrivelse af de overvejelser og planer, der er lavet på projektet 'Effektvurdering af Det Digitale Sygehus' medio dec. 2001.......Nærværende skrift indeholder en beskrivelse af de overvejelser og planer, der er lavet på projektet 'Effektvurdering af Det Digitale Sygehus' medio dec. 2001....

  6. Vi lever i en verden af ting

    DEFF Research Database (Denmark)

    Helms, Niels Henrik

    2009-01-01

    Vi lever i en verden af ting Vi lever i en verden af ting. Menneskeligt frembragte påvirkninger, konstruktioner og manipulationer af vores natur, hvis det da er vores natur. Vi lever også i et særligt innovations-regime, hvor vi bliver vurderet på og defineret af, hvad og hvordan vi kan bidrage med...

  7. Demokratiseringen af den politiske diskurs i Polen

    DEFF Research Database (Denmark)

    Arnfast, Juni Søderberg

    1999-01-01

    Gennem en analyse af brugen af personlige pronominer i politiske tekster fra udvalgte, polske medier diskuteres forandringerne i den polske, politiske diskurs gennem 1980'erne. Det påvises at det kommunistiske styres anvendelse af pronominet 'vi' skifter konnotationer i retning af en mindre ideol...

  8. Bilag til forskningsoversigt - Effekterne af Cooperative Learning

    DEFF Research Database (Denmark)

    Larsen, Lea Lund

    Ved en opsamling af de empiriske studier vedrørende effekten af CL inden for voksenundervisningsfeltet ses en overvægt af studier, som rapporterer en positiv effekt af CL i forhold til de voksne lærendes faglige udbytte. En meta-analyse over 168 amerikanske undersøgelser på universitetsniveau vis...

  9. Professor: Lær af Canada

    DEFF Research Database (Denmark)

    Greve, Carsten

    2013-01-01

    Transportdebatten: En mulig finansiering af fremtidige infrastrukturprojekter kunne være OPP. Danmark bør tage ved lære af erfaringer fra Canada.......Transportdebatten: En mulig finansiering af fremtidige infrastrukturprojekter kunne være OPP. Danmark bør tage ved lære af erfaringer fra Canada....

  10. Antitrombotisk behandling ved iskaemisk apopleksi og transitorisk cerebral iskaemi

    DEFF Research Database (Denmark)

    Overgaard, Karsten; Poulsen, Tina Svenstrup; Husted, Steen E

    2007-01-01

    In acute ischemic stroke and transient ischemic attack (TIA), aspirin is recommended to all patients (except immediately following thrombolysis). Heparin and anticoagulant therapy using vitamin K antagonists should be avoided in the acute phase. Secondary preventive antithrombotic treatment...

  11. Betydningen af pesticider for forekomsten af vilde bier

    DEFF Research Database (Denmark)

    Bruus, Marianne; Dupont, Yoko Luise; Grant, Ruth;

    Både i Danmark og andre steder er der observeret en nedgang i de insekter, der bestøver landmandens afgrøder og de vilde planter. Tilbagegangen falder sammen med, at landbrugsdriften er blevet mere intensiv, og anvendelsen af pesticider er øget. Vi ved imidlertid ikke, hvilken rolle pesticiderne...... vigtige for bestøvningen af fx kløver og mange vilde planter. Da humlebier og andre vilde bier har en anden adfærd og placerer deres reder andre steder end honningbierne, er det ikke givet, at de er beskyttet mod pesticideksponering, selv om honningbierne er. I pilotprojektet ”Betydningen af pesticider...... for forekomsten af vilde bier og honningbier” har Aarhus Universitet på to landbrugsbedrifter gennemført en indledende undersøgelse af, om humlebier udsættes for pesticider i danske landbrugsområder. Humlebistader blev sat ud i to værkstedsområder (ved Fensten og Rodstenseje syd for Odder), hvor driftsformen...

  12. Thalidomidbehandling af gastrointestinal angiodysplasi

    DEFF Research Database (Denmark)

    Bélard, Erika; Foss, Catherine H; Christensen, Lisbeth Ambrosius;

    2009-01-01

    Patients with obscure recurrent intestinal bleeding refractory to standard treatment are a major clinical challenge. The bleeding is often a result of angiodysplasia. Most patients undergo numerous diagnostic and therapeutic procedures. In this article we present two cases with no response to sta...... to standard treatment, but who were successfully treated with Thalidomide. Udgivelsesdato: 2009-Nov...

  13. Overførsel af viden ved flytning af produktion

    DEFF Research Database (Denmark)

    Madsen, Erik Skov; Riis, Jens Ove; Wæhrens, Brian Vejrum

    2010-01-01

    Empiriske studier i tre industrielle virksomheder har afsløret, at selv virksomheder med mange års erfaring i at overføre produktion til andre lande hovedsagelig fokuserer på planlægning af den fysiske overflytning af produktionsudstyr og fokuserer på den eksplicitte viden, der er tilknyttet...... produktionsfaciliteterne. Virksomhederne synes at være usikre på, hvordan man indfanger, overfører og udvikler tavs viden. Litteraturstudier understøtter konklusionen om, at der er behov for en mere systematisk metode til at overføre og udvikle viden for at sikre en accelereret ramp-up efter flytning af...

  14. Risikovurdering af lossepladsers påvirkning af overfladevand

    DEFF Research Database (Denmark)

    Bjerg, Poul Løgstrup; Sonne, Anne Thobo; Tuxen, Nina;

    afgørende betydning for hvilken påvirkning af overfladevand, de kan have. Projektet viser, at det er muligt at opstille i alt 6 typologier for lossepladserne. Forureningsstofferne som findes i lossepladser, og som kan true overfladevand er opdelt i 3 grupper: ”klassiske” perkolatparametre, miljøfremmede...... organiske stoffer samt tungmetaller. I forhold til truslen mod overfladevand er forekomsten af organisk stof, ammonium og jern fundet særligt interessante, i det de alle er potentielt iltforbrugende ved udsivning til overfladevand. Ammonium, jern, en række tungmetaller samt specifikke miljøfremmede stoffer...... har også en toksisk effekt, som er afspejlet i stoffes miljøkvalitetskrav. Forureningsstoffernes transportveje fra en losseplads mod overfladevand afhænger af lossepladsens typologi. Der er identificeret i alt 4 betydende transportveje fra en losseplads via grundvand til overfladevand: Umættet...

  15. Ledelsesroller i globalisering af cleantech

    DEFF Research Database (Denmark)

    Knudsen, Poul Frøjk; Tambo, Torben

    2011-01-01

    Cleantech anses i de fleste industrialiserede lande for den nye vækstbølge, der både skal fastholde arbejdspladser og beskæftigelse og også redde miljøet. Danmark har været early-mover på vindkraft. Aktiv ledelse har til dato fastholdt et forspring. Denne aktive ledelse har sikret anvendelse af...... nyeste teknologier, globalisering af salg, installation og produktion, og at vækstdagsordenen er blevet fastholdt. Den globale satsning på cleantech sætter disse ledelsesmæssige kvaliteter under pres. Dette studie ser på en mellemstor komponentleverandør til vindindustrien, og dennes kamp for...... økonomisk bæredygtighed præger ledelsesprocesserne. Studiet giver et sæt anbefalinger til en justering af egen-forståelsen i den bredere del af cleantech-sektoren med fokus på ledelse, som i denne sektor i særlig grad skal håndtere krav ud over den klassiske supply chain i form af politiske dagsordener i...

  16. Landspatientregisteret. Evaluering af datakvaliteten

    DEFF Research Database (Denmark)

    Mosbech, J; Jørgensen, J; Madsen, Mette;

    1995-01-01

    The Danish National Patient Register, which includes information on all patients admitted to hospitals, has been evaluated as concerns the quality of the data included. The material examined consisted of a representative sample of 1094 patients from departments all over the country (gynaecology a...... and the registry. It is anticipated, however, that introduction of ICD-10 with more clear-cut rules for choice of primary diagnosis in morbidity coding will contribute to better validity and consequently improved hospital statistics. Udgivelsesdato: 1995-Jun-26...

  17. Klasstödjare med EQ uppdrag : Ett verktyg mot kränkande behandling

    OpenAIRE

    Boman Linnman, Pernilla

    2008-01-01

    Syftet med mitt arbete har varit att undersöka hur en skola använder sig av klasstödjare och EQ i arbetet mot kränkande behandling.  Den frågeställning som jag har utgått från är: Hur ser värdegrundsarbetet ut på en skola, med avseende på likabehandlingsteam, klasstödjare och EQ uppdrag? I min undersökning har jag tagit del av hur en skola arbetar med ett likabehandlingsteam och klasstödjare. Likabehandlingsteamet består av två lärare som tillsammans med klasstödjare, bestående av elever arbe...

  18. Brug af alternativ isolering i forbindelse med renovering af ældre etageejendomme

    DEFF Research Database (Denmark)

    Hansen, Ernst Jan de Place

    2003-01-01

    Resume af rapport om praktiske erfaringer med brug af alternative isoleringsmaterialer i en renoveringsopgave, udarbejdet af Byfornyelse København m.fl. under Energistyrelsens udviklingsprogram "Miljø- og arbejdsmiljøvenlig isolering"...

  19. Hjælp til ernæring fremmer rehabilitering: et follow-up-studie af patienter opereret for colorektal cancer

    DEFF Research Database (Denmark)

    Overgaard, Dorthe; Christiansen, Anette; Neymark, Kirsten;

    2011-01-01

    potentials of improvement in nursing. The experiences of guidance and practical help, as well as the experiences of having a primary contact person (nurse/physician) and admission - and discharge consultations were related to physical, mental and social rehabilitation. Patients' experiences of care were......Nurses play a key role in ensuring that nutritional needs of cancer patients are met and is enabling patients to manage rehabilitation. Most patients with colorectal cancer are malnourished. The objective was to examine how patients' experiences of information, support, and involvement concerning...... nutrition during hospitalization are associated with rehabilitation. Furthermore, to investigate how patients' experiences of admission- and discharge consultations, as well as having a primary contact person are associated with rehabilitation. Patients who had undergone surgery according to the ICD-10...

  20. Totally thorascopic surgical ablation of persistent AF and long-standing persistent atrial fibrillation using the "Dallas" lesion set.

    Science.gov (United States)

    Edgerton, James R; Jackman, Warren M; Mahoney, Cecile; Mack, Michael J

    2009-12-01

    Minimally invasive surgery consisting of bipolar radiofrequency pulmonary vein (PV) isolation and limited ganglionated plexus ablation is effective in eliminating atrial fibrillation (AF) in patients with paroxysmal AF but is less effective in those with persistent AF or long-standing persistent AF. The purpose of this study was examine the results of minimally invasive surgery incorporating an additional set of radiofrequency ablation lines replicating a left-sided Cox maze III procedure. Thirty patients with persistent AF (n = 10) or long-standing persistent AF (n = 20) underwent minimally invasive surgery with an extended lesion set and PV isolation for a minimum follow-up of 6 months. Linear lesions were created at the roof line, at the anterior line, and between the roof line and the left atrial appendage. All patients underwent limited ganglionated plexus ablation and left atrial appendage excision as well as PV isolation verification. Block across the roof and anterior lines was confirmed in 29 (96.6%) of the 30 patients. Follow-up included 2-week event monitoring with auto-trigger in 21 patients, pacemaker interrogation in 8, and ECG in 1 who was in AF and refused longer-term monitoring. No operative mortality or major morbidity occurred. At 6 months, 24 (80%) of the 30 patients were free of AF: 15 (75%) with long-standing persistent AF and 9 (90%) with persistent AF. Among the six failures, burden of AF was low: one had 1 episode >15 seconds, two had 4 episodes, one had 6 episodes, one had >50 episodes, and one had AF on ECG and refused further monitoring. Early results of minimally invasive surgery with a new extended linear lesion set suggest increased efficacy over PV isolation and limited ganglionated plexus ablation in patients with persistent AF or long-standing persistent AF. PMID:19959146

  1. Implementering af drift i byggeri

    DEFF Research Database (Denmark)

    Damgaard, Torben; Erichsen, Pia Bruun

    På trods af, at der løbende er udgivet materiale der argumenterer for at tænke drift ind i byggeprocesser, er der problemer med, at det faktisk sker. Undersøgelser viser, at forskellige barrierer kan være årsag til problemerne. Disse barrierer kan opstilles inden for følgende kategorier: Projekt...... med i byggeriet. Som følge af dette skal der løbende skabes nye relationer mellem parterne, og der skal arbejdes sammen på nye måder. De forskellige barrierer syntes at være mest fremtrædende ved offentlige byggerier, men også private innovative byggerier er præget af barriererne. Der er flere...

  2. Den gode facilitator af refleksionsarbejde

    DEFF Research Database (Denmark)

    Jørgensen, Pia

    2009-01-01

    tværfaglig lektorgruppe fra social og sundhedssektoren.’Learning by doing’, selvevaluering og sparring følger herefter som bud på, hvordan man kan leve op til de tilsyneladende ret utopiske krav til en god facilitator. At kunne skabe det tillidsfulde refleksionsrum og at kunne stille gode...... præsenteres i det følgende afsnit, og forfatteren argumenterer for begrebet facilitator af refleksionsarbejde. Herefter udfoldes rollen som facilitator ifølge Ghay og Lillyman. De har fokus på positive praksisoplevelser og tillidsfulde relationer. Gillie Boltons teoretiske og praktiske referenceramme...... for facilitatorrollen beskrives herefter. Bolton beskriver refleksionsarbejde som en fysisk (ikke ren kognitiv), passioneret (ikke ren intellektuel) kontekstbunden kunstnerisk proces, som kræver flair, stil og intuition. I de følgende afsnit beskrives den gode facilitator af refleksionsarbejde detaljeret af en...

  3. Styring af international transfer pricing

    DEFF Research Database (Denmark)

    Reuther, Peter; Rossing, Christian Plesner

    2011-01-01

    Nærværende artikel introducerer international transfer pricing, dels som et skatteretligt fænomen og dels som et værktøj til planlægning og økonomisk styring af koncernforbundne selskaber i en multinational virksomhed (MNV). Med udgangspunkt i en case-analyse af MNV’en gives der et konkret eksempel...... international transfer pricing i betragtning, når økonomiske styringssystemer i en MNV skal anvendes til planlægning og opfølgning....

  4. Rapportering af diagnostiske undersøgelser af faldvildt 2014

    DEFF Research Database (Denmark)

    Chriél, Mariann; Hansen, Mette Sif; Larsen, Gitte;

    i grævling for første gang i denne epidemi. Der modtaget mange rådyr til undersøgelse, der giver et godt kendskab til de problemer der ses i bestanden. Der er fortsat mange rådyr med dårlige tænder og deraf følgende ringe kondition på grund af mange gamle dyr i bestandene. Der blev gennemført en...... undersøgelse af snabelklove hos rådyr, da denne tilstand ses relativt hyppigt. Materialet er indsamlet over flere år, og afslørede at mange klovben er drejede. En lignende tilstand kendes fra heste og kvæg efter pludselige foderskift eller fodring med for store mængder energi og resulterer i snabelklove....../-hove. Det hyppige fund af drejede klovben hos rådyr kunne tyde i samme retning. I 2014 fandt det første udbrud af influenza A virus blandt spættede sæler sted i Europa. Dette udbrud centrerede sig omkring Danmark og resulterede i stor dødelighed blandt sælerne pga. samtidig bakteriel lungebetændelse...

  5. En sammenligning af selvstændighedsbegrebet for Assessment of Motor and Process Skills (AMPS) og Barthel Index (BI-100) – for patienter indlagt på apopleksi afsnit

    DEFF Research Database (Denmark)

    Lauridsen, Sussi

    2008-01-01

    Ergoterapeuter arbejder ud fra en overbevisning om, at menneskelig livskvalitet betinges af muligheden for at deltage i daglige aktiviteter, den enkelte selv finder betydningsfulde. Aktivitetsudførelsen afhænger af muligheder og begrænsninger i omgivelserne, i personens evner, rutiner og vaner samt...

  6. På sporet af den tabte sans

    DEFF Research Database (Denmark)

    Nielsen, Thomas Rosendal

    2014-01-01

    Analyse af en workshop om interaktive strategier i børneteater for børn. Workshoppen fandt sted på Dramatikkens hus i Oslo og blev ledet af Sara Topsøe-Jensen, kunstneriske leder af teatret Carte Blanche.......Analyse af en workshop om interaktive strategier i børneteater for børn. Workshoppen fandt sted på Dramatikkens hus i Oslo og blev ledet af Sara Topsøe-Jensen, kunstneriske leder af teatret Carte Blanche....

  7. Fiktionen, der var ude af sig selv

    DEFF Research Database (Denmark)

    Hansen, Kim Toft

    2007-01-01

    På baggrund af en analyse af Lars Frosts roman Smukke biler efter krigen (2004) reflekterer jeg over fiktionen som på én gang selvberoende og selvnedbrydende størrelse, og der henvises til Adornos æstetik som en mulig teoretisk ramme for begribelsen af dette tilsyneladende paradoks.......På baggrund af en analyse af Lars Frosts roman Smukke biler efter krigen (2004) reflekterer jeg over fiktionen som på én gang selvberoende og selvnedbrydende størrelse, og der henvises til Adornos æstetik som en mulig teoretisk ramme for begribelsen af dette tilsyneladende paradoks....

  8. Elektrokemisk fjernelse af cadmium fra bioasker

    DEFF Research Database (Denmark)

    Pedersen, Anne Juul; Ottosen, Lisbeth M.; Simonsen, Peter;

    Posteren viser resultater fra elektrokemiske rensningsforsøg på bioasker udført i forbindelse med PSO projekt 5205 "Elektrokemisk fjernelse af cadmium fra bioasker i pilotskala og vurdering af mulighederne for nyttiggørelse af behandlet aske i beton".......Posteren viser resultater fra elektrokemiske rensningsforsøg på bioasker udført i forbindelse med PSO projekt 5205 "Elektrokemisk fjernelse af cadmium fra bioasker i pilotskala og vurdering af mulighederne for nyttiggørelse af behandlet aske i beton"....

  9. Radionuklidbehandling af neuroendokrine tumorer

    DEFF Research Database (Denmark)

    Mortensen, Jann; Oturai, Peter Sandor; Højgaard, Liselotte;

    2010-01-01

    Peptide receptor radionuclide therapy using somatostatin analogues labelled with beta-emitting isotopes can be given to patients with metastasized or inoperable neuroendocrine tumours provided these have increased uptake on octreotide scintigraphy. This is a brief review of the treatment principle...

  10. Forebyggelse af proteseinfektioner

    DEFF Research Database (Denmark)

    Jørgensen, Peter Holmberg; Gromov, Kirill; Søballe, Kjeld

    2007-01-01

    Prosthetic infection is a feared complication to surgery with alloplastics and has a high degree of comorbidity. Prophylaxis is concentrated on commonly-accepted hygienic behaviour, optimization of the patient's general health status, peri-operative antibiotics (one dose before surgery and three ...... doses during the first 24 hours postoperatively) and antibiotic loaded cement. Laminary flow reduces the risk of prosthesis infection but there is no clear evidence of any effect to concomitant antibiotic prophylaxis. Udgivelsesdato: 2007-Nov-26...

  11. Atrial Fibrillation (AF or AFib)

    Science.gov (United States)

    ... Pressure High Blood Pressure Tools & Resources Stroke More Atrial Fibrillation (AF or AFib) Updated:Feb 10,2016 What ... to the Terms and Conditions and Privacy Policy Atrial Fibrillation • Introduction • What is Atrial Fibrillation? • Why AFib Matters • ...

  12. Fluoridering af drikkevandet i Danmark?

    DEFF Research Database (Denmark)

    Arvin, Erik; Spliid, Henrik; Bruvo, M.;

    2010-01-01

    Første gang sammenhængen mellem caries (huller i tænderne) og fluoridindholdet i drikkevand blev diskuteret i vandværkskredse i Danmark var ved årsmødet i 1958. Her blev det oplyst, at fluorid i drikkevand beskytter mod caries, men man konstaterede også, at der nok ikke var stemning for fluorid......-tilsætning til drikkevandet (fluoridering). Siden da er emnet ikke taget op. Formålet med dette indlæg er at besvare spørgsmålene: 1. Er der behov for fluoridering af drikkevandet i Danmark? 2. Er der alternativer? Hvordan påvirker blødgøring af vand og andre vandbehandlingsmetoder dental caries hos børn og unge......? Som baggrund herfor vil vi redegøre for resultaterne af et netop afsluttet studium af sammenhængen mellem caries og drikkevandets sammensætning, specielt m.h.t. luoridindholdet og vandets calciumindhold (hårdhed). Undersøgelsen bekræfter, at fluorid i drikkevand i væsentlig grad beskytter mod caries...

  13. Ud af subsidie-sumpen

    DEFF Research Database (Denmark)

    Ingemann, Jan Holm

    2012-01-01

    Artiklen tager afsæt i, at subsidier hverken er i samfundets eller landbrugernes interesse. Subsidierne kapitaliseres i jordpriserne og medfører endvidere højere priser på landbrugets inputs. Da subsidierne blev indført, fik de daværende jordejere frit foræret en kapitalgevinst. Når subsidierne a...

  14. Virksomhedernes opfattelse af arbejdsmarkedets "restgrupper"

    DEFF Research Database (Denmark)

    Larsen, Christian Albrekt

    2010-01-01

    Artiklen beskriver, hvorledes danske arbejdsgivere opfatter ældre ledige, ledige indvandrere og ledige med lang forudgående ledighed. Det teoretiske udgangspunkt er, at arbejdsmarkedets fundamentale informationsproblemer fører til brug af statistisk diskrimination og frygt for «lemons». Analyserne...

  15. Forskningsoversigt - Effekterne af Cooperative Learning

    DEFF Research Database (Denmark)

    Larsen, Lea Lund

    Kan Cooperative Learning - en undervisningsform hvor lærerens tid ved tavlen mindskes og hvor de lærende samarbejder om stoffet - maksimere de lærendes indlæring og medvirke til en forbedring af deres interpersonelle og kommunikative kompetencer, samt øge deres motivation for læring? Den megen...

  16. Patentering af det humane genom

    DEFF Research Database (Denmark)

    Sommer, Tine

    2004-01-01

    Direktiv 98/44/EF om retlig beskyttelse af bioteknologiske opfindelser blev gennemført i dansk ret med ikrafttrædelse den 30. juli 2000. Direktivet indeholder i artikel 5 en central bestemmelse som giver adgang til patent på humane gener. I artikel 5, stk. 3, er indføjet et skærpet krav til...

  17. Domesticeringen af Ford i Danmark

    DEFF Research Database (Denmark)

    Wagner, Michael

    2011-01-01

    Det amerikanske automobilfirma Ford Motor Company (1903) med hovedkvarter i Detroit begyndte at drive forretning i Danmark omkring 1906. Dermed havde Ford tidligt fået et stærkt fodfæste i Nordeuropa, som udviklingen i salget af Ford automobiler de næste årtier til fulde skulle demonstrere...

  18. Professionalisering af den eksterne ekspert

    DEFF Research Database (Denmark)

    Gottlieb, Susanne

    Masterafhandling, der bearbejder problemstillingen, som den eksterne ekspert kommer ud for, når han/hun skal bidragge til udvikling af uddannelsessystemet i et andet land. Afhandlingen har et pædagogisk-antropologisk udgangspunkt og tager udgangspunkt i et konkret udviklingsprojekt i Letland i pe...

  19. Evaluering af ICDP i praksis

    DEFF Research Database (Denmark)

    Miller, Tanja

    2015-01-01

    skridt – noget ingen tidligere har kunnet gøre” (interview faglig udvikler) ICDP programmet anvender video og billeder i arbejdet med otte samspilstemaer og syv sensitiveringsprincipper. Familiebehandlerne har ændret pædagogisk praksis i arbejdet med styrkelse af udfordrede forældres forældrekompetencer...

  20. Bliver seksualitetsforskningen lykkelig af moralismeanklager?

    DEFF Research Database (Denmark)

    Frederiksen, Maja Bissenbakker

    2010-01-01

    Anmeldelse: ‘Piger bliver ikke lykkelige af analsex’ er underholdende og sine steder forstemmende læsning om de problematiske måder, hvorpå offentlige debatter de seneste år har gjort seksualitet til genstand for en overvældende bekymring og deraf følgende krav om regulering og kontrol"...

  1. Psykosocial sygepleje i intensivafdeling - Et studie af den psykosociale sygepleje i mødet mellem den vågne intuberede patient og intensivsygeplejersken

    DEFF Research Database (Denmark)

    Schultz, Lotte Abildgren; Hounsgaard, Lise

    2011-01-01

    Psychosocial Nursing Care in a High Tech Critical Care Unit – A Study of Psychosocial Nursing in Encounters -between the Awake Intubated Patient and the Critical Care Nurse Modern technology and new ways of treating and caring for the ventilated patient have implied a change in the need for nursing....... The aim of this study was to gain deeper understanding of the psychosocial care in the encounter between the awake intubated patient and the critical care nurse. In a Danish high tech critical care unit, 44 hours of participant observation were conducted. Three critically ill, intubated patients and...... eight critical care nurses were included in the study. Data were analysed and interpreted using a Ricoeur inspired interpretation strategy. Three themes emerged: contact, information and interaction. The findings suggest that there is a divergence between the nurse's intentions and actions in the...

  2. 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....

  3. Pulmonale konsekvenser af hashrygning

    DEFF Research Database (Denmark)

    Pfeifer, Andreas Klaus; Lange, Peter

    2006-01-01

    Based on previously published studies, this review describes the pulmonary consequences of marijuana smoking. Smoking of marijuana is significantly associated with chronic bronchitis (cough and phlegm), but it has not been firmly established whether it also leads to a reduction in lung function....... Both epidemiological studies and case reports suggest that regular smokers of marijuana have a higher risk of developing malignancies in both the upper and lower airways. Smoking of marijuana contaminated with fungus spores has been reported to lead to pulmonary aspergillus infections...... in immunocompromised patients, and sharing of marijuana water pipes has been associated with transmission of tuberculosis....

  4. Test af studerendes begrebsforståelse

    Directory of Open Access Journals (Sweden)

    Simon Olling Rebsdorf

    2006-03-01

    Full Text Available Denne oversigtsartikel præsenterer aspekter af den såkaldte Force Concept Inventory test til måling af studerendes begrebsforståelse i introducerende fysikkurser. Artiklen beskriver testens rationale, giver et overblik over testens fremkomst og præsenterer de konklusioner, uddannelsesforskere har draget af testens interessante resultater samt forskellige kritikpunkter aftesten. Endelig inddrages en kvalitativ diskussion af testens anvendelse i en dansk universitetspædagogisk sammenhæng.

  5. Kortlægning af unge

    DEFF Research Database (Denmark)

    Skou, Carl Verner

    2009-01-01

    Computerprogram til Windows XP/Vista platformen til indberetning af unge under 18 år til registering af stofmisbrug og sociale data. Udgave: 1.0.1.1 Udgivelsesdato: 01-01-2009......Computerprogram til Windows XP/Vista platformen til indberetning af unge under 18 år til registering af stofmisbrug og sociale data. Udgave: 1.0.1.1 Udgivelsesdato: 01-01-2009...

  6. Patienters oplevelse af deltagelse i et accelereret operationsforløb efter en kolonoperation. En fænomenologisk undersøgelse

    DEFF Research Database (Denmark)

    Norlyk, Annelise

    2010-01-01

    The aim of this study was to explore patients’ lived experiences of participating in a fast-track programme after colonical surgery within a phenomenological framework. 16 patients suffering from colonic cancer were interviewed twice. Transcriptions of the interviews were analysed using Reflective...... Lifeworld Research. Participating in the programme involved facing several dilemmas. It was not always easy for the patients to find the strength, courage, and will to comply with the daily regimen because discomfort and vulnerability could undermine their abilities to follow the recommendations. In this...

  7. Registrering af biometriske og biologiske personoplysninger

    DEFF Research Database (Denmark)

    Blume, Peter Erik; Herrmann, Janne Rothmar

    2009-01-01

    Med udgangspunkt i menneskeretsdomstolens Marper dom drøftes i artiklen indretningen af dansk rets regler om registrering af fingeraftryk og dna-profil med tilhørende biologisk materiale, og om dommen nødvendiggør ændringer af disse regler....

  8. Udvikling af intelligent legepraksis i trampoliner

    DEFF Research Database (Denmark)

    Elbæk, Lars; Karoff, Helle Skovbjerg; Rytz Alison, Sigrid

    2012-01-01

    Den digitale dimension ved børns leg spiller en stadig stigende rolle. Denne har nu også fundet vej til legeredskaber og senest til udvikling af et digitalt koncept til en havetrampolin. I design af trampolinen blev anvendt forskellige børneprofiler og legetyper som inspiration i udvikling af de ...

  9. Registrering og Benchmarking af Modus 2 Forskning

    DEFF Research Database (Denmark)

    Duus, Henrik Johannsen; Jørgensen, Jens E.

    2004-01-01

    Fremvæksten af modus 2 forskning stiller krav om en revurdering af højere læreanstalters evaluerings- og meriteringspraksis. Den endimensionale prioritering af modus 1 forskning såvel som dennes ligeså endimensionale evaluering via publikationer må afvises som utidssvarende. Som en konsekvens her...

  10. Kvægbedriften - udledning af drivhusgasser

    DEFF Research Database (Denmark)

    Kristensen, Troels; Mogensen, Lisbeth

    2011-01-01

    Med et klimaregnskab for kvægbedriften får driftslederen et grundlag for at vurdere bedriftens status og muligheder for at nedbringe udledningen af drivhusgasser. I klimaregnskabet er den enkelte bedrifts årlige udledningen af klimagasser fra produktion og forbrug af foder, gødning og andre drift...

  11. Energioptimering af bæredygtighedscertificeringsprocesserne

    DEFF Research Database (Denmark)

    Christensen, Dorthe Holmberg; Carlsen, Mads; Alon, Shlomo Nevo;

    2014-01-01

    Større fokus på bæredygtighedscertificeringer som DGNB har yderligere øget kompleksiteten af designet af bygninger. Introduktionen af teknologier som building information modelling (BIM) og proces metoder som integreret design proces (IDP) kan hjælpe med at reducere kompleksiteten og bedre...

  12. Fermentering af korn øger fordøjeligheden af næringsstoffer

    DEFF Research Database (Denmark)

    Pedersen, Anni Øyan; Jørgensen, Henry Johs. Høgh; Knudsen, Knud Erik Bach;

    2010-01-01

    Et fordøjelighedsforsøg har vist, at energiværdien af byg og hvede steg ved fermentering. Effekten var størst ved fermentering af byg, hvor fordøjeligheden af organisk stof for enden af tyndtarmen steg statistisk sikkert med 9 %. Ved fermentering af hvede steg fordøjeligheden af organisk stof...... statistisk sikkert med 3 %. Stigningen i energiværdien ved fermentering af korn kunne ikke vises ved foderanalyser (FEsv), hvilket viser, at in vitro-analyserne EFOS og EFOSi ikke kan anvendes til vurdering af effekten af fermentering. Fordøjeligheden af fosfor i foderblandinger baseret på byg eller hvede og...... tilskudsfoder steg statistisk sikkert ved fermentering af kornet. Der blev ikke tilsat mikrobiel fytase. Ved fermentering af byg steg fordøjeligheden af fosfor i foderblandingen fra 32 til 47 %, og ved fermentering af hvede steg fordøjeligheden af fosfor i blandingen fra 43 til 57 %. Fordøjeligheden af fosfor i...

  13. Trafikanalyser af et net af letbaner og BRT i Hovedstaden

    DEFF Research Database (Denmark)

    Nielsen, Otto Anker; Ingvardson, Jesper Bláfoss; Andersen, Jonas Lohmann Elkjær

    Denne rapport gennemgår et projekt for Region Hovedstaden, hvor letbanenet fra forårets opgave for Region Hovedstaden (Nielsen, Ingvardson & Andersen, 2013) blev detaljeret, viderebearbejdet og forbedret, hvorefter der er gennemført beregninger af forskellige varianter med OTM Trafikmodellen. Arb...... og sammenlignes med tidligere net og beregninger, der er blevet gennemført i Trængselskommissionens regi....

  14. Vaccination af slagtekalve mod BRSV

    DEFF Research Database (Denmark)

    Graumann, Anne Mette; Larsen, Lars Erik

    2009-01-01

    Rspiratory Suncytial Virus) blev fundet til at være den typisk fundne virus, der forårsager lungebetændelse. Vacciner imod BRSV er tilgængelige på markedet, men de er aldrig blevt afprøvet systematisk under danske forhold. Formålet med dette forsøg er at undersøge effekten af to forskellige...

  15. Didaktisk design af et pervasive learning game

    DEFF Research Database (Denmark)

    Oldenskov, Joakim; Westergren, Jens; Frank, Anders Bredahl

    2010-01-01

    Projektet er et studie i det teoretiske grundlag for, og en empirisk undersøgelse, af en prototype for et didaktisk design af et pervasive learning game. Der arbejdes overordnet med udviklingen af et didaktisk design af et læringsspil som kombinerer mobile teknologier, det fysiske rum og eleverne...... game med en analyse af legen og motivationen iboende spillet. I det læringsteoretiske felt inddrages og diskuteres forskellige tilgange til læring og pervasive games, som alle repræsenterer et socialkonstruktivistisk syn på læring. Det didaktiske design danner grundlag for et prototypedesign af et...... spilkoncept, hvor remediering og it-kompetencer inddrages som vigtige teoretiske faktorer. Undersøgelsesdesignet er rettet mod elever i Folkeskolen igennem brugen af fokusgruppeinterviews, og dataindsamlingen er foretaget med video. Eleverne udtrykker sig i undersøgelsen klart omkring konceptets...

  16. "Hvis noen forteller om mobbing..." Utdypende undersøkelse av funn i Elevundersøkelsen om mobbing, urettferdig behandling og diskriminering

    OpenAIRE

    Lødding, Berit; Vibe, Nils

    2010-01-01

    Denne rapporten skal bidra til å forklare forskjeller mellom skoler når det gjelder andeler av elevene som over tid har rapportert om mobbing, urettferdig behandling eller diskriminering i Elevundersøkelsen. I hvilken grad programmer for å forebygge mobbing og bedre læringsmiljøet har effekt, er også en del av oppdraget fra Utdanningsdirektoratet. Hva elevene forstår med begrepene mobbing, urettferdig behandling og diskriminering og i hvilken grad de klarer å reflektere rundt begrepene, er og...

  17. Kvalitetssikring af Ul prober på baggrund af protokol til vurdering af tekniske fantom billeder

    DEFF Research Database (Denmark)

    Vernegreen, Susanne

    2013-01-01

    fordel sorteres fra i en revidering af protokollen. Jeg havde valgt at medtage dem, da de indgik i den oprindelige CIRS protokol, og det kan i en startfase være en fordel at have flere målinger at holde sig til. Min vurdering er dog at denne fordel ikke opvejer det øgede tidsforbrug. Der er dog nogle...... ikke muligt at undgå subjektivitet i forbindelse med måling og vurdering af de tekniske fantombilleder, da disse foretages manuelt. Det er derfor vigtigt at foretage flere målinger, og måske også oftere målinger end hvis målingerne var objektive. Flere og oftere målinger tager tid, og kan gå ud over...

  18. An adherent nerve root – Classification and exercise therapy in a patient diagnosed with lumbar disc prolapse

    DEFF Research Database (Denmark)

    Melbye, Martin

    2010-01-01

    Patienter med diskusprolaps får oftest besked på, at det ikke skal gøre ondt for at gøre godt, i forbindelse med behandling og genoptræning. Der findes dog en ganske lille gruppe patienter som udvikler en restriktiv tilstand, hvor der dannes adhærencer ved nerveroden, i forbindelse med opheling a...

  19. Vurdering af sikkerhedsniveau for betonelementer

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard

    I dette notat vurderes muligheden for at anvende partialkoefficienterne i tillægget til kapitel 5 til DS411 (2006) sammen med DS409:1998, DS410:1998 og DS 411:1998 (1998 normerne). Da det i henhold til bl.a. DS409 ikke umiddelbart er tilladt at blande partialkoefficienter (og andre regler) i fors...... forskellige normsystemer, undersøges i dette notat specifikke tilfælde, hvor mindst samme sikker-hedsniveau opnås ved ovennævnte kombination af partialkoefficienter og normsystemer....

  20. Effekter af koordineret hjerneskaderehabilitering. Et systematisk litteraturreview

    DEFF Research Database (Denmark)

    Glintborg, Chalotte; Hansen, Tia G. B.

    Forskningsprojekt udvikler ny definition af begrebet koordination Som et led i forskningsprojektet ”Bio-psyko-sociale effekter af koordineret hjerneskaderehabilitering” er der udviklet en ny definition af koordinationsbegrebet. Forskningsprojektet ”Bio-psyko-sociale effekter af koordineret...... senhjerneskadeområdet – initiativer, der skal fremme en sammenhængende og helhedsorienteret rehabiliteringsindsats. Men hvad dækker begrebet koordination egentlig over? Det har et nyt forskningsprojekt set på og kommer med et bud på en ny definition. Dansk definition mangler Indholdet i koordination har været upræcist...... beskrevet. Der er ingen klar dansk definition af koordination. Begrebet bliver ofte brugt inkonsistent, og koordination er meget forskelligt tilrettelagt. Derfor kan man ikke generelt dokumentere, om koordinatorfunktioner er en sikker vej til forbedring af komplekse rehabiliteringsforløb. Sundhedsstyrelsen...