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Sample records for brystkraeft endokrin behandling

  1. Nye endokrine behandlinger forlænger overlevelsen ved kastrationsresistent prostatacancer

    DEFF Research Database (Denmark)

    Brasso, Klaus; Thomsen, Frederik Birkebæk; Berg, Kasper Drimer;

    2013-01-01

    Endokrin behandling af prostatacancer (PCa) har været anvendt i mere end 60 år og har stadig en væsentlig plads i behandlingen af patienter med avanceret PCa. Hos en voksen mand opretholder androgener celleantallet i prostata og undertrykker apoptose. Ophæves den androgene stimulation opnås en...... dobbeltvirkning: hæmning af DNA syntese og proliferation samt aktivering af apoptose. Kastrationsbehandling i form af orkiektomi eller behandling med LHRH agonister/antagonister er standard hos patienter med avanceret PCa, men effekten er tidsbegrænset og såkaldt kastrationsresistent progression af PCa optræder...

  2. Gastroenteropancreatic endocrine tumors; Gastroenteropankreatische endokrine Tumoren

    Energy Technology Data Exchange (ETDEWEB)

    Schmid-Tannwald, C.; Schmid-Tannwald, C.M.; Reiser, M.F.; Berger, F. [Klinikum der Ludwig-Maximilians-Universitaet Muenchen, Campus Grosshadern, Institut fuer Klinische Radiologie, Muenchen (Germany)

    2014-10-15

    Gastroenteropancreatic neuroendocrine tumors (GEP-NET) are a rare, heterogeneous group of neoplasms. Only 2 % of gastrointestinal tumors belong to the group of neuroendocrine neoplasms. A wide spectrum of diagnostic imaging modalities is available: apart from ultrasound not only computed tomography (CT) but also magnetic resonance imaging (MRI) and positron emission tomography CT (PET-CT) play an important role in detection and staging of GEP-NETs. The PET-CT technique with somatostatin analogues is used for staging as well as for evaluation and monitoring of treatment with peptide radionuclide radiation therapy. According to the literature NETs of the small bowel with a size over 3 cm can be detected with a sensitivity of 84.7 % and a specificity of 96.6 % using CT enteroclysis and MR enteroclysis provides the detection of NETs of the small bowel in 93.3 % of cases. 'The sensitivity of MRI in detection of pancreatic NETs is between 74 % and 100 % and is, therefore, higher than CT. Detection of small primary tumors is carried out using PET-CT and seems to be the most sensitive imaging modality to identify the exact location. On the other hand MRI has to be regarded as the best imaging modality for detection of liver metastases compared to CT and PET-CT. The role of diagnostic imaging is to identify the exact location of the primary tumor and possible metastases, to define an appropriate therapy and to monitor treatment effects; however, the choice of the most appropriate diagnostic imaging modality varies depending on the location and type of the primary tumor. The GEP-NETs are predominantly well-vascularized; therefore, dual-phase CT/MR imaging with the arterial and venous phases after contrast media injection is mandatory for detection and localization of primary tumors and metastases. For whole body staging CT and PET-CT should be performed. (orig.) [German] Gastroenteropankreatische endokrine Tumoren bilden eine heterogene, seltene Tumorgruppe, die ca. 2

  3. 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...

  4. Gentaget selvmordsforebyggende behandling

    DEFF Research Database (Denmark)

    Lind, Bertel

    2014-01-01

    mellem dem, der gentager behandling, og dem, der ikke gør det med hensyn til alder, diagnoser, misbrug af alkohol og / eller stoffer og navnlig i deres relationelle problemer. Dette støtter resultaterne af den kvalitative forskning. I den samlede population af patienter viser kronisk sygdom med smerter...

  5. (Subklinischer Hyperkortisolismus als mögliche endokrine Hypertonieursache

    Directory of Open Access Journals (Sweden)

    Stepan V

    2013-01-01

    Full Text Available Selten, aber doch kann eine arterielle Hypertonie durch eine endokrine Ursache bedingt sein. Das Cushing-Syndrom in seinem Vollbild stellt sicherlich eine sehr seltene Ursache dar, gibt jedoch aufgrund der klinischen Merkmale Hinweise zur Diagnose. Deutlich schwieriger ist die Diagnose eines klinisch nicht präsenten, sondern nur laborchemisch feststellbaren, so genannten subklinischen Hyperkortisolismus. Die Häufigkeit eines solchen wird in der Literatur mit ca. 5–30 % bei Patienten mit adrenalen Inzidentalomen (zufällig entdeckten Raumforderungen der Nebenniere beschrieben, die wiederum in ca. 4 % der Bevölkerung vorkommen. Bezüglich der Diagnose eines subklinischen Hyperkortisolismus gibt es bis dato noch keine standardisierten Diagnosepfade, auch bezüglich des eventuellen Vorteils einer chirurgischen Therapie gibt es noch keine einheitlichen Empfehlungen. Im Folgenden wird auf die Datenlage eingegangen und ein mögliches diagnostisches und therapeutisches Vorgehen dargestellt.

  6. Teknologiers mellemkomst i ambulant behandling og egenomsorg

    DEFF Research Database (Denmark)

    Ballegaard, Stinne Aaløkke; Aarhus, Rikke

    2009-01-01

    Vigtige tendenser i den danske sundhedssektor i disse år er centralisering af behandling og øget egenomsorg. Teknologi ses ofte som en del af denne udvikling, omend der eksisterer både dystopiske og utopiske forestillinger om, hvorvidt teknologi fremmedgør eller støtter patienten. I denne artikel...

  7. Infraktioner i dentin - diagnostik og behandling

    DEFF Research Database (Denmark)

    Pallesen, Ulla

    2011-01-01

    . Kliniske og radiologiske fund viser ikke tegn på sygdom, og patienten ønsker behandling. Diagnosen skal stilles, uden at tandlægen har adgang til at se infraktionen i dentinen, og jo tidligere den stilles, desto større er muligheden for, at tanden kan reddes. Infraktionens retning og dybde, pulpas tilstand...

  8. Strategier for udredning og behandling af dyspepsi

    DEFF Research Database (Denmark)

    Jarbøl, Dorte Ejg; Kjeldsen, H.C.; Schaffalitzky de Muckadell, Ove B.

    2004-01-01

    almen praksis er empirisk behandling med antisekretorisk medicin, med efterfølgende endoskopi for nonrespondere. Noninvasiv test for Helico-bacter pylori (Hp) efterfulgt af eradikationskur til Hp-positive (Hp- test-and-treat ) er en strategi, der anbefales i flere guidelines til yngre patienter...

  9. Endokrin hypertension

    DEFF Research Database (Denmark)

    Poulsen, Per Løgstrup; Ibsen, Hans

    2009-01-01

    Endocrine hypertension is rare, but frequently refractory. Adenomas are common incidental findings. Biochemical tests confirm the diagnosis. Primary aldosteronism is the most common form. Hypokalaemia is an important sign, but 50% of patients may be normokalaemic. The plasma-aldosterone-to-renin ......Endocrine hypertension is rare, but frequently refractory. Adenomas are common incidental findings. Biochemical tests confirm the diagnosis. Primary aldosteronism is the most common form. Hypokalaemia is an important sign, but 50% of patients may be normokalaemic. The plasma...

  10. Endokrin hypertension

    DEFF Research Database (Denmark)

    Poulsen, Per Løgstrup; Ibsen, Hans

    2009-01-01

    Endocrine hypertension is rare, but frequently refractory. Adenomas are common incidental findings. Biochemical tests confirm the diagnosis. Primary aldosteronism is the most common form. Hypokalaemia is an important sign, but 50% of patients may be normokalaemic. The plasma-aldosterone-to-renin ...

  11. Kemopraevention for brystkraeft

    DEFF Research Database (Denmark)

    Lanng, Charlotte

    2007-01-01

    About 80% of all breast cancers are oestrogen sensitive. Patients operated for breast cancer treated with tamoxifen or aromase inhibitors (AI) have a lower incidence of contralateral breast cancer. Based on this knowledge, prophylactic studies comparing tamoxifen with placebo have found a 30% red...... by as much as 30% by increased exercise, reduction of alcohol use and avoiding HRT....

  12. Prognoseforbedring for brystkraeft

    DEFF Research Database (Denmark)

    Andreasen, A H; Mouridsen, H T; Andersen, K W;

    1994-01-01

    in the rest of the country. For patients diagnosed in 1978-87 the prognosis, however, reached an equal level in all parts of the country. Thus, it is reasonable to assume that the national programme introduced in 1977 by the Danish Breast Cancer Cooperative Group (DBCG) has played an important role...

  13. HUBUNGAN KADAR KOLESTEROL TOTAL DENGAN HIPERTENSI SISTOLIK PADA PASIEN DIABETES MELITUS TIPE 2 DI POLIKLINIK ENDOKRIN RUMAH SAKIT UMUM SANGLAH PERIODE JANUARI – DESEMBER 2011

    Directory of Open Access Journals (Sweden)

    A.A Sagung Ika Nuriska

    2015-04-01

    Full Text Available Tekanan darah tinggi, dikenal sebagai hipertensi merupakan penyakit kronis yang terjadi pada diabetes melitus tipe 2 DM Tipe 2. Salah satu resiko hipertensi yang dapat diubah adalah kolesterol yang disebabkan oleh konsumsi makanan yang kurang tepat. Tujuan dari penelitian ini untuk mengetahui hubungan antara kadar kolesterol total dengan hipertensi pada pasien di Poliklinik Endokrin RSUP Sanglah. Penelitian ini menggunakan metode deskriptif analitik. Total sampel pada penelitian ini berjumlah 69 responden. Berdasarkan pada hasil penelitian sampel, didapatkan 19 responden (28% dengan kadar kolesterol meningkat dan didapatkan 35 responden (51% dengan hipertensi sistolik pada pasien DM Tipe 2. Dari hasil uji fisher exact didapatkan H0 yang diterima yang berarti tidak ada hubungan yang signifikan antara kadar kolesterol total dengan hipertensi sistolik pada pasien DM Tipe 2 di Poliklinik Endokrin RSUP Sanglah.  

  14. Classification of chemicals as endocrinally active compounds. Critical review of the classification of selected pesticides and industrial chemicals as endocrinally active chemicals; Einstufung von Schadstoffen als endokrin wirksame Substanzen. Kritische Ueberpruefung der Einstufung von ausgewaehlten Pestiziden und Industriechemikalien als endokrin wirksame Substanzen

    Energy Technology Data Exchange (ETDEWEB)

    Bruhn, T.; Guelden, M.; Ludewig, S. [Kiel Univ. (Germany). Inst. fuer Toxikologie; Seibert, H.

    1999-10-01

    Different authors have published lists of chemicals, especially pesticides and industrial chemicals, reported to have 'reproductive and endocrine disrupting activities' or 'estrogenic/antiestrogenic' activities. The objective of this study was to examine what is the basis for and whether it is justified to classify chemical compounds as 'endocrine disrupters' that are contained in frequently cited overviews, but have not been discussed in a previous report (UBA-TEXTE 46/97). Depending on the level of evidence derived from literature data, substances are classified either as (i) endocrinally active or (ii) potentially endocrinally active or (iii) without sufficient data on endocrine activity. The criteria used for the classification are based on the definitions by US-EPA and the Weybridge conference. (orig.) [German] Von verschiedenen Autoren sind umfangreiche Listen mit Chemikalien, insbesondere Pestiziden und Industriechemikalien, veroeffentlicht worden, die als 'endokrin wirksam und reproduktionstoxisch' oder als 'oestrogen- bzw. 'antioestrogen wirksam' bezeichnet werden. Aufgabe der vorliegenden Studie ist es, zu untersuchen, auf welchen Grundlagen die Einstufung als 'endokrin wirksam' beruht, und zu ueberpruefen, ob sie gerechtfertigt ist. Je nach den Ergebnissen der Literaturrecherchen werden die Substanzen einer von drei Gruppen zugeordnet: 1. endokrin wirksam, 2. potentiell endokrin wirksam, 3. ohne ausreichende Hinweise auf endokrine Wirksamkeit. Die verwendeten Kritetien fuer die Zuordnung lehnen sich an die Definitionen der EPA und der Weybridge-Konferenz an. Schon in einem vorangegengenen Bericht (UBA-TEXTE 46/97) diskutierte Verbindungen werden nicht erneut behandelt. (orig.)

  15. Arkitektur der (be)handler – fremtidens psykiatri

    DEFF Research Database (Denmark)

    Bertelsen, Eva; Paladino, Vanessa

    2017-01-01

    Hvor dette tema behandler udviklinger i det social-psykiatriske arbejde i socialpsykiatrien, ønsker vi med dette temabidrag at vise, hvordan den danske hospitalspsykiatri aktuelt er under forandring influeret af tænkning og behandlingsideologi fra både socialpsykiatrien og uddannelsesområdet bredt...... taget. Disse forandringer kan spores i nye måder at tænke psykisk sygdom samt psykiatrisk behandling på, men afspejles også i nye måder at indrette de psykiatriske institutioners fysiske rammer på. Den nyeste trend i psykiatrien er at genindrette og bygge nye psykiatriske institutioner ’til fremtiden’ i...

  16. Eksperimentel bakteriofagterapi til behandling af kronisk Pseudomonas aeruginosaotitis hos hund

    DEFF Research Database (Denmark)

    Moodley, Arshnee; Mølgaard, Jesper

    2016-01-01

    Vi beskriver en case med anvendelsen af bakteriofager til behandling af kronisk otitis forårsaget af multiresistente Pseudomonas aeruginosa som en sidste behandlingsmulighed før aflivning. Trods gentagne behandlinger, både topikalt og systemisk, med op til seks forskellige antibiotika over en...

  17. 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...

  18. 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...

  19. 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...

  20. 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....

  1. Er danske sygeplejersker "klædt på" til mødet med patienter, som anvender alternativ behandling

    DEFF Research Database (Denmark)

    Lunde, Anita

    alternativ behandling forekommer af og til, dialogen indgår dog sjældent som et fast punkt i planlagte samtaler, ligesom langt de fleste sygeplejersker aldrig giver konkrete anbefalinger om alternativ behandling. Sygeplejersker anser alternativ behandling som et meget bredt felt, som også afspejler sig i...

  2. Antitrombotisk behandling ved iskæmisk apopleksi og transitorisk cerebral iskæmi

    DEFF Research Database (Denmark)

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

    2007-01-01

    Nærværende statusartikel omhandler antitrombotisk behandling ved transitorisk cerebral iskæmi (TCI) og iskæmisk apopleksi, dog omtales trombolyse ikke. Behandlingen bør individualiseres efter evidensbaserede principper som anbefalet i nationale og internationale kliniske retningslinjer. Ofte er der...

  3. 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....

  4. Arbeitsgemeinschaft fuer die Reinhaltung der Elbe - endocrineously active substances in the Elbe, its tributaries and the North Sea; Arbeitsgemeinschaft fuer die Reinhaltung der Elbe - Endokrin wirksame Stoffe in der Elbe, in Nebenfluessen und in der Nordsee

    Energy Technology Data Exchange (ETDEWEB)

    Heemken, O.P. [GALAB, Geesthacht (Germany); Theobald, N. [Bundesamt fuer Seeschiffahrt und Hydrographie, Hamburg (Germany); Hebbel, H. [Universitaet der Bundeswehr Hamburg (Germany); Stachel, B. [Wasserguetestelle Elbe, Hamburg (Germany)

    2000-07-01

    Endocrineously active substances are discharged into surface bodies of water with communal and industrial effluents. Especially estrogenic substances like Bisphenol A, alkyl phenols and alkyl phenol ethoxylates in the Elbe and its tributaries have been neglected so far. In the context of an interdisciplinary project, chemists, biologists and mathematicians investigated the concentrations and fate of these xenoestrogens, relative potential effects of unknown water constituents and quantitative statistical mechanisms based on the available analytical findings. The contribution intends to contribute information on the pollutant situation of selected endocrineously active substances in the Elbe and its tributaries. [German] Ein relevanter Eintragspfad fuer endokrin wirksame Stoffe in die Oberflaechengewaesser sind die Abwaesser kommunaler und industrieller Klaeranlagen. Insbesondere das Vorkommen und der Verbleib von oestrogen wirkenden Stoffen wie Bisphenol A, den Alkylphenolen und Alkylphenolethoxylaten in der Elbe und in Elbenebenfluessen wurde bisher zu wenig Aufmerksamkeit geschenkt. In einem interdisziplinaeren Projekt, an dem sich Chemiker, Biologen und Mathematiker beteiligten, wird versucht, eine erste Antwort zu geben ueber das Vorkommen und den Verbleib dieser Xenooestrogene, ueber relative Wirkpotenzen von unbekannten Wasserinhaltsstoffen durch die Anwendung von In-vitro-Tests und ueber quantitative statistische Zusammenhaenge, die auf vorhandenen Analysenergebnissen basieren. Dieser Bericht soll einen Beitrag leisten zur Immissionssituation von ausgewaehlten endokrin wirksamen Stoffen in der Elbe und in Elbenebenfluessen. (orig.)

  5. 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...

  6. 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...

  7. Forskning i ergoterapeutisk behandling indenfor neurorehabilitering - en stor udfordring og nødvendighed!

    DEFF Research Database (Denmark)

    Schow, Trine

    2011-01-01

    Der sker i disse år meget indenfor både forskning og behandling i neurorehabilitering. Både grundforskning og kliniske studier bidrager til viden om neuroplasticitet og til udvikling og dokumentation af forskellige behandlingsformer og det er vigtigt at det ergoterapeutiske felt følger med. Denne...

  8. Selvrapporteret stress og risiko for brystkraeft

    DEFF Research Database (Denmark)

    Nielsen, Naja Rod; Zhang, Zuo-Feng; Kristensen, Tage Søndergaard;

    2006-01-01

    A possible association between stress and risk of breast cancer has been assessed in different study designs with conflicting results. We prospectively followed 6,689 women from the Copenhagen City Heart Study for 18 years for a first-time diagnosis of primary breast cancer. The women were asked...... about stress intensity and frequency at baseline in 1981-83. Women reporting high levels of stress were at lower risk of breast cancer (hazard ratio = 0.60; 95% CI: 0.37-0.97) than women reporting low levels of stress. This association was most pronounced among women who received hormone therapy...

  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. 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.

  11. GIM-behandling af en traumatiseret flygtning med PTSD – med fokus på traumebearbejdning

    Directory of Open Access Journals (Sweden)

    Torben Moe

    2016-12-01

    Full Text Available Artiklen omhandler en case med fokus på direkte traumebehandling i traumefokuseret Guided Imagery and Music (GIM. Patienten deltog i et mixed methods feasibility-pilotprojekt vedrørende behandling af traumatiserede flygtninge, som er beskrevet i artiklen Feasibility of trauma-focused Guided Imagery and Music with adult refugees diagnosed with PTSD – a pilot study. Patienten modtog 16 sessioner over en periode på ca. 6 måneder. I artiklen gives eksempler på traumefokuserede interventioner og eksempler på patientens kommentarer, oplevelser, refleksioner og udbytte af behandlingen. Behandlingstilgangen i konteksten med traumatiserede flygtninge er en ny variation inden for spektret af GIM-terapi, og beskrivelsen af behandlingsforløbet understøttes af teoretisk forståelse af processen. Resultater for pilotstudiet viser, at patienten fik signifikant udbytte af terapien. Dette bliver understøttet af patientens egne udtalelser i evalueringen af forløbet samt ud fra data fra de spørgeskemaer, der blev anvendt i undersøgelsen. Patienten har efter GIM-forløbet en score på Harwards Trauma Questionaire (HTQ, som ligger under cut-off for diagnosen PTSD og scorer markant højere på WHO-5 livsstil-skemaet.

  12. "Som natt och dag" : Kvinnors upplevelser av att leva med IBS och behandling med låg FODMAP-kost

    OpenAIRE

    Börjesson, Louise; Lindberg, Emelie

    2014-01-01

    Introduktion: Irritable Bowel Syndrome, IBS, är den vanligaste funktionella mag-tarmsjukdomen i västvärlden med en prevalens på cirka 15-20 % i befolkningen. IBS är generellt sett dubbelt så vanligt förekommande hos kvinnor som hos män och majoriteten som drabbas är kvinnor under 40 år. Behandling med låg FODMAP-kost är den mest effektiva kostbehandlingen vid IBS. Det finns få kvalitativa studier om IBS och behandling med låg FODMAP-kost och det behövs en ökad förståelse av hur det är att lev...

  13. Behandling af demenssygdomme--hvem skal behandles?

    DEFF Research Database (Denmark)

    Hasselbalch, Steen; Kampmann, Jens Peter

    2009-01-01

    Recommendations for treatment with specific antidementia drugs in Denmark are given on the basis of recent evidence. Such evidence supports treatment of mild to moderate Alzheimer's Disease (AD) with acetylcholinesterase inhibitors (AchEI), and moderate to severe AD with memantine. Combination...... therapy with these drugs can be considered in moderate AD. Dementia with Lewy bodies and Parkinson's disease with dementia should be treated with rivastigmine. There is not sufficient evidence to recommend treatment with AchEI or memantine in pure vascular dementia or frontotemporal dementia...

  14. Mentaliseringsbaseret behandling og musikterapi

    DEFF Research Database (Denmark)

    Hannibal, Niels

    2013-01-01

    musikterapi med denne målgruppe. Artiklen ser på de forskrifter til mentaliseringsfremmende tiltag som Allan, Fonagy og Bateman (2010) beskriver. Artiklens konklusion er dels af MBT’s krav til forholdemåde og interventionsfokus er et skift i forhold til traditionel analytisk orienteret terapi, bl.a. i forhold...

  15. Samfundserhvervet pneumoni--behandling

    DEFF Research Database (Denmark)

    Andersen, Ljubica; Brock, Birgitte; Jakobsen, Preben

    2008-01-01

    Penicillin is the drug of choice for treatment of community-acquired pneumonia (CAP) in Denmark. The primary determinant for therapeutic activity of penicillin is ''penicillin time'' (T>MIC), i.e. time with penicillin concentration above minimum inhibitory concentration. Eradication of S. pneumon......Penicillin is the drug of choice for treatment of community-acquired pneumonia (CAP) in Denmark. The primary determinant for therapeutic activity of penicillin is ''penicillin time'' (T>MIC), i.e. time with penicillin concentration above minimum inhibitory concentration. Eradication of S....... pneumoniae requires T>MIC above 40-50%. The second determinant for therapeutic activity is the ratio between maximum penicillin concentration in serum and MIC (Cmax/MIC). Considering penicillin pharmacokinetics, intravenous penicillin 2 million units four times a day is recommended as empirical treatment...

  16. Behandlingsresistent depression kan behandles

    DEFF Research Database (Denmark)

    Vinberg, Maj; Levinsen, Mette Frandsen; Kessing, Lars Vedel

    2011-01-01

    Depression is considered resistant when two treatment attempts with antidepressants from different classes fail to produce significant clinical improvement. In cases of treatment-resistant depression, it is recommended to reevaluate the diagnosis, clarify comorbidity, substance abuse and lack...... of compliance. Regarding treatment, evidence is sparse, but switching to a different antidepressant, and combination or augmentation with another agent, admission and treatment with ECT are the options. The choice of treatment must be based on the characteristics of the depression, the severity of treatment...

  17. For gammel til behandling?

    DEFF Research Database (Denmark)

    Petersen, Thomas Søbirk

    2014-01-01

    Bør det være lovligt for sundhedspersoner at hjælpe kvinder over 45 år med kunstig befrugtning som reagensglasbefrugtning? Ifølge gældende dansk lov er dette ulovligt. En kritisk diskussion af centrale argumenter for og imod gældende lov er målet for artiklen. Argumenter for gældende lov betoner ...

  18. 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...

  19. 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...

  20. Behandling af irritabel tyktarm

    DEFF Research Database (Denmark)

    Fassov, Janne; Fynne, Lotte; Krarup, Anne Lund

    2016-01-01

    More than every tenth Dane have irritable bowel syndrome. The condition is diagnosed by a positive strategy including fulfilment of the Rome III criteria, absence of alarm symptoms, and if needed a few paraclinical tests. Currently, there is no cure of the disorder. Treatment is recommended...

  1. Dom til psykiatrisk behandling

    DEFF Research Database (Denmark)

    Stevens, Hanne; Nordentoft, Merete; Agerbo, Esben

    2010-01-01

    Previous Danish studies of the increasing number of sentences to psychiatric treatment (SPT) have compared prevalent populations of persons undergoing treatment with incident measures of reported crimes. Examining the period 1990-2006, we studied incident sentences, taking the type and severity...... of crime into account....

  2. 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, the...

  3. Betydning af centraliseret behandling

    DEFF Research Database (Denmark)

    Højgaard, Liselotte

    2006-01-01

    hospital organizations. Centralization with a focus on efficiency and low cost, as well as decentralization combined with the loss of university hospital functions, will further challenge the conditions of clinical research already seen worldwide and also experienced in Denmark....

  4. 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...

  5. 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 this ...... this phenomenon more frequently in the future. We report two cases from the winter 2009/2010 and summarize the pathophysiology and briefly present the treatment strategy....

  6. 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...

  7. 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....

  8. Behandling af infantile spasmer

    DEFF Research Database (Denmark)

    Kjærsgård, Lars; Rasmussen, Niels

    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, the...

  9. 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...

  10. RESISTENSI INSULIN TERKAIT OBESITAS: MEKANISME ENDOKRIN DAN INTRINSIK SEL

    Directory of Open Access Journals (Sweden)

    Mira Dewi

    2012-03-01

    Full Text Available 800x600 Normal 0 false false false IN X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} The number of obese individuals worldwide has reached 2.1 billion and this will lead to explosion of obesity-related morbidity and mortality. Obese individuals will develop re­sistance to celluler action of insulin. The obesity related insulin resistance is the major risk factor of cardiovascular diseases and Type 2 Diabetes Mellitus, the disease which number has reached epidemic proportion. The association between obesity and insulin resistance seem to be cause and effect relation because studies on human and animal has indicated that the increase or decrease of body weight correlates with insulin sensitivity.  Among of many mechanisms proposed, the most often proposed mechanisms are endocrine and cell in­trinsik mechanism. The increase of fatty acid plasma concentration, dysregulation of adi­pokines and ectopic fat storage are proposed to be the endocrin mechanism that lead to obesity related insulin resistance while oxidative stress and mitochondria dysfunction are the cell intrinsic mechanisms that play role to the disease. Understanding the molecular mechanisms of obesity related insulin resistance will provide valuable information to search for interventions that help to prevent or treat Type 2 Diabetes Mellitus and cardiovascular diseases and its related pathologies. Keywords: Obesity, insulin resistance, fatty acid, adipokines, oxidative stress, mitochondria

  11. Endokrine Therapieoption in der Menopause: GH, Melatonin, DHEA etc.?

    Directory of Open Access Journals (Sweden)

    Bojunga J

    2012-01-01

    Full Text Available In den vergangenen Jahren hat die Lebenserwartung insbesondere in den modernen Industriegesellschaften aufgrund unterschiedlicher Faktoren deutlich zugenommen. Der natürliche Alterungsprozess geht dabei mit körperlichen Veränderungen einher, wie zum Beispiel Zunahme des Fettgewebes, Abnahme der Muskelmasse und muskulären Kraft, Abnahme der Knochendichte, Hautdicke, Hautelastizität sowie auch des geistigen und sexuellen Vermögens. Darüber hinaus sind viele Menschen in den letzten Lebensjahren von einem Verlust der Selbstständigkeit und Lebensfreude betroffen. Dennoch sind niedrige Hormonserumkonzentrationen auf der anderen Seite nicht etwa ein Kausalfaktor des Alterns und durchaus mit exzellenter Leistungsfähigkeit und Gesundheit vereinbar. Sie stellen deshalb keine Indikation zur Hormonsubstitution per se dar. In kontrollierten Studien war die Substitutionstherapie mit Wachstumshormon, DHEAS sowie Melatonin bei postmenopausalen Frauen zudem nicht wirksam für die Behandlung alterungsassoziierter Beschwerden und körperlicher Veränderungen.

  12. Das PCOS – aktuelle endokrine und klinische Aspekte

    Directory of Open Access Journals (Sweden)

    Schorsch M

    2013-01-01

    Full Text Available Kein gynäkologisch-endokrinologisches Krankheitsbild ist so häufig wie das PCO-Syndrom. Einerseits sind äußerst unterschiedliche pathophysiologische Mechanismen am PCOS beteiligt, die von einer Insulinresistenz über zentrale Regulationsstörungen bis zu seltenen Polymorphismen reichen, anderseits sind die therapeutischen Prozeduren oft schwierig und erfordern langfristige Anstrengungen. Während ohne Kinderwunsch die antiandrogene Therapie und die Prophylaxe von Langzeitmorbiditäten im Vordergrund der Therapie stehen, reicht die Therapie bei Kinderwunsch von der Clomifengabe, der Low-dose-FSH-Therapie und dem „Ovarian drilling“ bis zum IVF, wobei hier besonders das Überstimulationssyndrom des Ovars vermieden werden muss. Das PCOS stellt weiterhin eine erhebliche Herausforderung für jeden Reproduktionsmediziner dar.

  13. Endokrine Therapieoption in der Menopause: GH, Melatonin, DHEA etc.?

    OpenAIRE

    Bojunga J

    2012-01-01

    In den vergangenen Jahren hat die Lebenserwartung insbesondere in den modernen Industriegesellschaften aufgrund unterschiedlicher Faktoren deutlich zugenommen. Der natürliche Alterungsprozess geht dabei mit körperlichen Veränderungen einher, wie zum Beispiel Zunahme des Fettgewebes, Abnahme der Muskelmasse und muskulären Kraft, Abnahme der Knochendichte, Hautdicke, Hautelastizität sowie auch des geistigen und sexuellen Vermögens. Darüber hinaus sind viele Menschen in den letzten Le...

  14. Livskvalitet mere end fem år efter brystkraeft--sekundaerpublikation

    DEFF Research Database (Denmark)

    Peuckmann, Vera Irina; Grønvold, Mogens; Ekholm, Ola;

    2010-01-01

    In this national survey, long-term breast cancer survivors (BCS) (n = 1,316) reported quality of life comparable to data from the general Danish female population, but a significantly higher prevalence of chronic pain (42% versus 32%). Paraesthesia, phantom sensation, allodynia, and swelling of arm....../shoulder were also reported, and every fifth woman felt that these sequelae limited her daily activities. Health care utilization indicated chronic morbidity. Relatively young age, short education, and former radiotherapy were risk factors for issues such as pain....

  15. Livskvalitet mere end fem år efter brystkraeft--sekundaerpublikation

    DEFF Research Database (Denmark)

    Peuckmann, Vera; Grønvold, Mogens; Ekholm, Ola;

    2010-01-01

    In this national survey, long-term breast cancer survivors (BCS) (n = 1,316) reported quality of life comparable to data from the general Danish female population, but a significantly higher prevalence of chronic pain (42% versus 32%). Paraesthesia, phantom sensation, allodynia, and swelling of arm....../shoulder were also reported, and every fifth woman felt that these sequelae limited her daily activities. Health care utilization indicated chronic morbidity. Relatively young age, short education, and former radiotherapy were risk factors for issues such as pain. Udgivelsesdato: 2010-Feb-22...

  16. Livskvalitet mere end fem år efter brystkraeft--sekundaerpublikation

    DEFF Research Database (Denmark)

    Peuckmann, Vera; Grønvold, Mogens; Ekholm, Ola

    2010-01-01

    In this national survey, long-term breast cancer survivors (BCS) (n = 1,316) reported quality of life comparable to data from the general Danish female population, but a significantly higher prevalence of chronic pain (42% versus 32%). Paraesthesia, phantom sensation, allodynia, and swelling of arm....../shoulder were also reported, and every fifth woman felt that these sequelae limited her daily activities. Health care utilization indicated chronic morbidity. Relatively young age, short education, and former radiotherapy were risk factors for issues such as pain. Udgivelsesdato: 2010-Feb-22...

  17. Behandling af astma hos gravide

    DEFF Research Database (Denmark)

    Akram, Iram; Ulrik, Charlotte Suppli; Johnsen, Claus Rikard

    2016-01-01

    Asthma is one of the most frequent chronic diseases which complicate pregnancy. Well-controlled asthma during pregnancy reduces the risk of for exacerbations and, consequently, the risk of adverse pregnancy outcome. Pharmacological therapy for pregnant women with asthma is a challenge, not least...... due to suboptimal adherence with controller therapy and pregnant women's concerns about harmful effects of medication on the fetus. This review provides an update on the safety of asthma medication during pregnancy, based on recent clinical studies and international guidelines....

  18. Udredning og behandling af hoste

    DEFF Research Database (Denmark)

    Çolak, Yunus; Laursen, Lars Christian

    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 ...

  19. Behandling af gener efter whiplash

    DEFF Research Database (Denmark)

    Rittig-Rasmussen, Bjarne; Kongsted, Alice; Carstensen, Tina

    2010-01-01

    Treatment of whiplash-associated disorders starts with a thorough clinical examination, which may be repeated after 1-3 weeks. For optimal results it is essential that the patient receives clear information about the condition and that any pain is treated effectively with analgesics. Risk factors...... for persistent symptoms can often be identified early and should be addressed adequately. If symptoms persist and conservative treatments are chosen, these should be active and they should focus on sustaining or regaining usual activities. Udgivelsesdato: 2010-Jun-14...

  20. Behandling af gener efter whiplash

    DEFF Research Database (Denmark)

    Rittig-Rasmussen, Bjarne; Kongsted, Alice; Carstensen, Tina Birgitte

    2010-01-01

    Treatment of whiplash-associated disorders starts with a thorough clinical examination, which may be repeated after 1-3 weeks. For optimal results it is essential that the patient receives clear information about the condition and that any pain is treated effectively with analgesics. Risk factors...... for persistent symptoms can often be identified early and should be addressed adequately. If symptoms persist and conservative treatments are chosen, these should be active and they should focus on sustaining or regaining usual activities....

  1. 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....

  2. 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...

  3. Behandling af neuroendokrine gastrointestinale tumorer

    DEFF Research Database (Denmark)

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

    2010-01-01

    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...

  4. 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...

  5. 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....

  6. Korrekt behandling af akut akillesseneruptur

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...... 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....

  7. 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...

  8. Udredning og behandling af reflekssynkoper

    DEFF Research Database (Denmark)

    Mehlsen, Jesper; Mehlsen, Anne-Birgitte

    2008-01-01

    Syncope is associated with considerable costs to society as well as to the patient. Syncope may arise on a neurological, cardiac, or neurovascular background. Cardiac and neurological causes are evaluated by standard methods. Neurovascular syncope is diagnosed by tilt table testing and carotid ma...... massage. The treatment of neurological or cardiac syncope aims at the underlying cause, whereas the treatment of neurovascular syncope consists of information and instruction in reasonable precautions. In persisting cases, medical treatment or pacemaker implantation may be necessary....

  9. 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...

  10. Diagnostik og behandling af trigeminusneuralgi

    DEFF Research Database (Denmark)

    Maarbjerg, Stine; Heinskou, Tone Bruvik; Wolfram, Frauke

    2016-01-01

    Trigeminal neuralgia (TN) is characterized by unilateral evoked short-lasting intense pain paroxysms in the face. A concomitant persistent background pain is frequently present. Neurovascular contact causing displacement or atrophy of the trigeminal nerve is important to TN aetiology. TN can also...

  11. Den dysplastiske hofte II. Behandling

    DEFF Research Database (Denmark)

    Jacobsen, Steffen; Sonne-Holm, Stig

    2003-01-01

    The possibility of individualized treatment of residual dysplasia of the hip in childhood and adulthood has renewed the interest in this orthopaedic field and new procedures of treatment have been devised. This article reviews current knowledge of the treatment of the dysplastic hip.......The possibility of individualized treatment of residual dysplasia of the hip in childhood and adulthood has renewed the interest in this orthopaedic field and new procedures of treatment have been devised. This article reviews current knowledge of the treatment of the dysplastic hip....

  12. Pneumocystepneumoni ved behandling med infliximab

    DEFF Research Database (Denmark)

    Josephson, Maria Eklund; Kristensen, Lena Hagelskjaer; Andersen, Vibeke

    2008-01-01

    The treatment of ulcerative colitis has improved since the appearance of Tumor Necrosis Factor (TNF)-alpha inhibitors. However, the use of TNF-alpha inhibitors increases the risk of opportunistic infections. We describe two cases of Pneumocystis jiroveci pneumonia during infliximab therapy...... for active ulcerative colitis. They were successfully treated with sulfametoxazole/trimetroprim. High awareness of P. jiroveci pneumonia in patients who develop pulmonary symptoms with hypoxia during TNF-alpha modulator therapy is recommended....

  13. 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...... is controversial and often based on small retrospective series or expert opinions. Centralization, international attention and collaboration in the treatment of ACC are mandatory. Randomized clinical trials are needed to determine the best treatment strategy in order to increase survival in patients with ACC....

  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. 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...

  16. 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....

  17. 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...

  18. 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...

  19. 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...

  20. Præhospital behandling

    DEFF Research Database (Denmark)

    Larsen, C F; Jørgensen, H R; Nielsen, J R

    1990-01-01

    by the Danish National Board of Health was also tested. Experience from abroad and recent Danish trial arrangements demonstrate the positive effect of extended professional prehospital treatment. The authors consider, therefore, that an ambulance law is required as this would ensure better and more uniform...

  1. 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...

  2. Stress og profylakse samt behandling

    DEFF Research Database (Denmark)

    Netterstrøm, Bo

    2012-01-01

    Prevention of stress should address the stressors and factors which modify the effect of these. At the community level legislation and agreements on the labour market are important tools. At the enterprise level policies to reduce stress and monitoring the psychosocial work environment has...... the first priority in prevention. Treatment of stress is often a long-term process involving diagnostic assessment, psycho-education and counselling. The Danish National Board of Health has published recommendations to both general practitioners and the public in this area....

  3. Gir tidlig vurdering og behandling hos spesialist i fysikalsk medisin og rehabilitering reduksjon i langtidsfravær hos sykmeldte med muskel- og skjelettsykdommer?

    Directory of Open Access Journals (Sweden)

    Harald Elvsåshagen

    2010-01-01

    Full Text Available Bakgrunn: De fleste langtidssykmeldte med muskel- og skjelettsykdommer blir utredet, behandlet og fulgt opp av fastlege. Ved lengre tids sykmelding henvises mange fra sin fastlege til spesialist i fysikalsk medisin og rehabilitering for å optimalisere behandlingsopplegget.Formålet med denne studien var å undersøke om henvisning direkte fra NAV til spesialist uten å gå veien om fastlege, medførte redusert antall sykmeldingsdager og mindre bruk av andre trygdeytelser som rehabiliteringspenger, yrkesrettet attføring og uførepensjon.Materiale og metode: I samarbeid med 14 NAV-kontor i Vestfold ble 829 sykmeldte i alder 25-50 år med 8-12 ukers sykmelding for muskel- og skjelettsykdommer randomisert til en intervensjonsgruppe (n=409 og en kontrollgruppe (n=420. Eksklusjonskriterier var manglende arbeidsforhold, revmatiske sykdommer, brudd og leddsykdommer. Intervensjonsgruppen ble undersøkt og behandlet av spesialist i fysikalsk medisin og rehabilitering, Spesialsykehuset for rehabilitering, avd. Stavern. Kontrollgruppen fortsatte behandling hos sin fastlege. Noen av disse pasientene ble henvist til samme poliklinikk eller til annen spesialist på initiativ fra sin fastlege. Data for sykmeldingsdager, uførepensjon, rehabiliteringspenger og attføringspenger ble samlet inn fra NAV-kontorene. De samme parametre ble brukt som endepunkter. Etter to år ble endepunktene analysert. Data ble analysert etter "intention to treat"- prinsippet.Resultater: I intervensjonsgruppen var gjennomsnittlig antall sykmeldingsdager 138 dager (SD 86,2 mot 147 dager (SD 88,0 i kontrollgruppen, en forskjell på ni sykmeldingsdager. Forskjellen er ikke statistisk signifikant (p=0,163. Det var heller ikke statistisk signifikant forskjell i forbruket av yrkesrettet attføring og rehabiliteringspenger mellom intervensjonsgruppen og behandlingsgruppen.Konklusjon: Henvisning til spesialist i fysikalsk medisin og rehabilitering direkte fra NAV etter 8-12 ukers sykmelding

  4. Partielle endokrine Veränderungen des alternden Mannes (PEVAM: Facts and Fiction

    Directory of Open Access Journals (Sweden)

    Ponholzer A

    2000-01-01

    Full Text Available Die kontinuierliche Abnahme der Sexualhormone Testosteron und Dehydroepiandrosteronsulfat (DHEA-S in Verbindung mit dem Altern des Mannes steht heutzutage außer Zweifel [1, 2]. Die beim Mann zu beobachtenden Änderungen im Hormonhaushalt unterscheiden sich von denen der Frau durch den langsamen, stetigen Verlauf und die oftmalige Erhaltung der Fertilität bis ins höchste Alter. Es ist daher falsch, von einem "Klimakterium virile" oder von "Andropause" zu sprechen. Das Ausmaß der Abnahme der Androgenspiegel unterliegt, ebenso wie das Bestehen einer assoziierten Symptomatik, einer hohen interindividuellen Streuung. Unter dem Begriff PADAM (partielles Androgendefizit des alternden Mannes werden als Auswirkung verminderter Androgenspiegel vielfältige Symptome beschrieben, wie zum Beispiel Hitzewallungen, Schlafstörungen, Einschränkungen des Wohlbefindens und der Sexualität sowie Abnahme von Knochendichte und Muskelmasse oder Veränderung von Fettverteilungsmuster und Gesamtkörperfettanteil. Bei Vorliegen von einem oder mehreren der oben genannten Symptome in Verbindung mit entsprechend verminderten Testosteronspiegeln existiert die Möglichkeit einer Substitutionstherapie, sowohl zur Prävention, als auch zur Therapie negativer Auswirkungen des Mangels. Potentielle Risiken einer Androgentherapie scheinen kontrollierbar, werden aber erst in Zukunft durch umfassende Langzeitstudien in ihrem ganzen Ausmaß beurteilbar sein. Andere Hormonsysteme, wie etwa Wachstumshormone (GH oder Melatonin unterliegen ebenfalls einer altersassozierten Abnahme. Auch hier darf eine Auswirkung auf die Lebensqualität angenommen werden, die Sinnhaftigkeit einer Ersatztherapie ist bei GH und Melatonin, wie auch bei DHEA-S, jedoch umstritten.

  5. Tingkat Aktivitas Sel Endokrin Penghasil Folikel Stimulating Hormon (FSH Terkait Pemberian Pasak Bumi (Eurycoma longifolia JACK

    Directory of Open Access Journals (Sweden)

    Hurip Pratomo

    2015-05-01

    Full Text Available Pasak bumi is popular as an aphrodisiac. Traditionally, pasak bumi infusion is used to increase libido and duration of erection. The research was focused on: Activity level of FSH cells after three days of pasak bumi treatment. The research was carried out by evaluation using immunohistochemistry method via antibody anti FSH staining. The result of the research showed that a dosage of 18 mg/200 g body weight (bw orally of pasak bumi maintained certain endoceine positive cells e.g. FSH production cells and were found stabile in the third days. Pasak bumi serves a stabilizer for intracellular levels of FSH in the anterior hipophysis/pituatary.

  6. Radionuclide therapy of endocrine-related cancer; Nuklearmedizinische Therapie endokriner Tumoren

    Energy Technology Data Exchange (ETDEWEB)

    Kratochwil, C.; Giesel, F.L. [Universitaetsklinikum Heidelberg, Abteilung Nuklearmedizin, Heidelberg (Germany)

    2014-10-15

    This article gives an overview of the established radionuclide therapies for endocrine-related cancer that already have market authorization or are currently under evaluation in clinical trials. Radioiodine therapy is still the gold standard for differentiated iodine-avid thyroid cancer. In patients with bone and lung metastases (near) total remission is seen in approximately 50 % and the 15-year survival rate for these patients is approximately 90 %. In contrast to the USA, meta-iodobenzylguanidine (MIBG) therapy has market approval in Europe. According to the current literature, in the setting of advanced stage neuroblastoma and malignant pheochromocytoma or paraganglioma, radiological remission can be achieved in > 30 % and symptom control in almost 80 % of the treated patients. Somatostatin receptor targeted radionuclide therapies (e.g. with DOTATATE or DOTATOC) demonstrated promising results in phase 2 trials, reporting progression-free survival in the range of 24-36 months. A first phase 3 pivotal trial for intestinal carcinoids is currently recruiting and another trial for pancreatic neuroendocrine tumors is planned. Radiopharmaceuticals based on glucagon-like peptide 1 (GLP1) or minigastrins are in the early evaluation stage for application in the treatment of insulinomas and medullary thyroid cancer. In general, radiopharmaceutical therapy belongs to the group of so-called theranostics which means that therapy is tailored for individual patients based on molecular imaging diagnostics to stratify target positive or target negative tumor phenotypes. (orig.) [German] Dieser Artikel gibt einen Ueberblick ueber die etablierten sowie weitere vielversprechende, aktuell im Rahmen von Studien eingesetzte nuklearmedizinische Therapiemoeglichkeiten diverser endokrinologischer Neoplasien. Die Radiojodtherapie ist unveraendert die Therapie der Wahl beim differenzierten, jodspeichernden Schilddruesenkarzinom. Im metastasierten Stadium sind in ca. 50 % der Faelle noch (sub)totale Remissionen moeglich, die 15-Jahres-Ueberlebensrate liegt fuer diese Patienten um die 90 %. Auch die Metaiodbenzylguanidin(MIBG)-Therapie hat in Europa Marktzulassung und kann nach aktueller Literatur bei der Behandlung inoperabler Neuroblastome und maligner Phaeochromozytome bzw. Paragangliome bei gut 30 % der Patienten eine signifikante Tumorverkleinerung, bei knapp 80 % ein sekretorisches Ansprechen bzw. eine Symptomverbesserung bewirken. Nach vielversprechenden Phase-2-Daten zur Therapie neuroendokriner Tumoren mit radioaktiven Somatostatinanaloga wie DOTATATE oder DOTATOC, bei denen sich jeweils 24 bis 36 Monate progressionsfreies Ueberleben unter Therapie gezeigt haben, rekrutiert aktuell eine erste Phase-3-Zulassungsstudie fuer intestinale Karzinoide. Mit radioaktiven Konjugaten auf Basis der Peptidhormone GLP1 und Minigastrin sind zielgerichtete Tracer fuer Insulinome und medullaere Schilddruesenkarzinome in der fruehen klinischen Erprobung. Vor der zielgerichteten Therapie mit dichtionisierend strahlenden Radionukliden erfolgt in der Regel eine Bildgebung mit Gammastrahlen emittierenden, diagnostischen Analogsubstanzen, um somit eine auf dem Tumorphaenotyp basierende Patientenstratifizierung zu ermoeglichen. (orig.)

  7. Udredning og behandling af autoimmun encefalitis

    DEFF Research Database (Denmark)

    Blaabjerg, Morten; Mærsk-Møller, Camilla C; Kondziella, Daniel;

    2015-01-01

    Autoimmune encephalitis with antibodies against neuronal surface antigens is diagnosed with increasing frequency in recent years. If treated early and aggressively, these conditions often respond favourably to immunotherapy. We describe the clinical features, diagnosis and treatment of the two mo...

  8. 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...

  9. 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....

  10. Behandl dig selv med honning"

    DEFF Research Database (Denmark)

    Mejrup, Kristian; Bjerring-Nielsen, Mattias

    2015-01-01

    with a heavenly figure, a potent Joseph lookalike, who reveals to her inexpressible secrets mediated in an exuberant honeycomb. The revelatory capacity of honey is stylistically rendered by means of repetition, pleonasm, chorus, reprises and gestures. The encounter with “Das ganz Andere” does not leave Aseneth...

  11. 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...

  12. Gruppebaseret behandling af BED - et faseopdelt behandlingstilbud

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...

  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. 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...

  15. 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...

  16. 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....

  17. 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...... incidence ever reported for PTA. There is no definite consensus on the treatment. We recommend most patients treated with puncture and antibiotics as outpatients, and if necessary acute tonsillectomy instead of interval tonsillectomy. Steroids may be of value....

  18. Udredning og behandling af osteoporotiske hoftefrakturer

    DEFF Research Database (Denmark)

    Eiken, Pia A; Abrahamsen, Bo

    2010-01-01

    INTRODUCTION: Osteoporosis is a major cause of low-energy hip fractures. Although there are pharmacologic agents available for both prevention and treatment, less than 10% of hip fracture cases initiate anti-osteoporotic treatment. MATERIAL AND METHODS: In 1995 and 2008, questionnaires were sent......% in 2008. In 2008, 48% of the departments informed the GPs that their patient with a low-energy fracture may have osteoporosis and that further evaluation and treatment may be needed. CONCLUSION: Medical treatment after fractures was more widespread in 2008 than in 1995. About half of the Danish...... to all Danish orthopaedic surgery departments treating patients with low-energy hip fractures, asking them to explain a) whether patients with osteoporosis are identified, b) whether the patients identified are treated for osteoporosis, and c) whether physicians need more information about osteoporosis...

  19. Udredning og behandling af osteoporotiske hoftefrakturer

    DEFF Research Database (Denmark)

    Eiken, Pia Agnete; Abrahamsen, Bo

    2010-01-01

    Osteoporosis is a major cause of low-energy hip fractures. Although there are pharmacologic agents available for both prevention and treatment, less than 10% of hip fracture cases initiate anti-osteoporotic treatment.......Osteoporosis is a major cause of low-energy hip fractures. Although there are pharmacologic agents available for both prevention and treatment, less than 10% of hip fracture cases initiate anti-osteoporotic treatment....

  20. 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...

  1. 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...

  2. Bilateral akillesseneruptur efter behandling med ciprofloxacin

    DEFF Research Database (Denmark)

    Attarzadeh, Amir Pasha; Ryge, Camilla

    2013-01-01

    We report a case of spontaneous non-traumatic bilateral rupture of the Achilles tendons following ciprofloxacin treatment. A 54-year-old man presented with spontaneous Achilles tendon rupture on the left side, tendinitis and partial tear on the right side following few days of treatment with cipr......We report a case of spontaneous non-traumatic bilateral rupture of the Achilles tendons following ciprofloxacin treatment. A 54-year-old man presented with spontaneous Achilles tendon rupture on the left side, tendinitis and partial tear on the right side following few days of treatment...... with ciprofloxacin 500 mg twice daily and long-term treatment with prednisolon 10 mg once daily. This rare side effect caused by concurrent treatment with steroids and ciprofloxacin should be kept in mind. Any signs of tendinitis following this treatment should arouse the physicians' suspicion towards ciprofloxacin....

  3. 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...

  4. 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...

  5. Choledocholitiasis. Endoskopisk behandling af 416 konsekutive patienter

    DEFF Research Database (Denmark)

    Pedersen, F M; Brandt, C J; Schaffalitzky de Muckadell, O B

    1998-01-01

    Endoscopic extraction of calculi in the common bile duct has been the treatment of choice for many years. According to international standards a stone-free common bile duct should be achieved in at least 90% of the patients and with an overall complication rate below 20%. We reviewed records of 4...

  6. Psykoterapeutisk behandling af emotionelt ustabile personlighedsforstyrrelser

    DEFF Research Database (Denmark)

    Sørensen, Per; Kjølbye, Morten

    2015-01-01

    "Måske er vi samme person. Måske har vi ingen grænser. Måske strømmer vi gennem hinanden ubegrænset og storartet" (Ingmar Bergman, Fanny og Alexander, 1980)......."Måske er vi samme person. Måske har vi ingen grænser. Måske strømmer vi gennem hinanden ubegrænset og storartet" (Ingmar Bergman, Fanny og Alexander, 1980)....

  7. Ipilimumab til behandling af metastaserende melanoma

    DEFF Research Database (Denmark)

    Ghasemi, Habib; Schmidt, Henrik; Stolle, Lars Bjørn

    2015-01-01

    Until recently metastatic melanoma was a disease with limited treatment options and a poor prognosis. However, new promising products have been developed. Ipilimumab, a full human anti-cytotoxic T-lymphocyte antigen-4 antibody, has shown improved survival in several clinical trials and is now...... a part of the standard treatment options for this disease in Denmark. In this case report we present a 78-year-old man with metastatic melanoma who had complete remission after treatment with ipilimumab....

  8. 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...

  9. 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...

  10. Momsmæssig behandling af vouchere

    DEFF Research Database (Denmark)

    Christiansen, Randi; Elgaard, Karina Kim Egholm

    2012-01-01

    and a-hydroxysalmeterol during visits one and two were 12.6 and 21.8%, respectively. The intra-individual variability of salmeterol and a-hydroxysalmeterol in the urine concentrations were significantly higher when uncorrected for USG with 43.0 and 43.7% versus 20.4% (p

  11. Den kardiovaskulaere risikoprofil og antihypertensiv behandling

    DEFF Research Database (Denmark)

    Zittel, S; Moll, C K E; Hamel, W

    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 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...

  12. Ny viden om spasticitet og dens behandling

    DEFF Research Database (Denmark)

    Lorentzen, Jakob; Willerslev-Olsen, Maria; Crone, Clarissa

    2012-01-01

    Spasticity is a frequently used diagnosis, and anti-spastic medication is used widespread. In this systematic review article we highlight difficulties in diagnosing spasticity correctly and thus limit the value of the diagnosis in ensuring the best possible treatment. We review recent neuroscience...... research and conclude that it is necessary to develop better tools for clinical diagnosis of spasticity in order to avoid potential malpractice and to limit treatment with anti-spastic drugs for patients with documented increased reflex-mediated muscle tone as their main annoyance....

  13. 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...

  14. Impotens forarsaget af behandling med methotrexat

    DEFF Research Database (Denmark)

    Penninga, Ida Elisabeth Irene; Larsen, H.K.; Andersen, S.E.

    2008-01-01

    Methotrexate (MTX) is used in the treatment of malignant and non-malignant diseases. This case report describes impotence as a seldom but possible overlooked adverse effect to MTX treatment. A 58 year-old man was treated for erythrodermia with a weekly dose of 7.5 mg MTX. He developed erective...... impotence nine months after initiation of treatment. Two weeks after discontinuation of MTX the impotence subsided, but when MTX treatment was reintroduced, the impotence returned after two months. Only a few other cases of impotence associated with MTX have been described previously Udgivelsesdato: 2008/1/28...

  15. 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...

  16. 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...

  17. Kirurgisk behandling af urininkontinens hos kvinder

    DEFF Research Database (Denmark)

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

    2010-01-01

    INTRODUCTION: During the last decade, minimal invasive procedures have been introduced for treatment of urinary incontinence (UI) in women leading to shorter hospitalisation and fewer complications. The aim of this study was to outline clinical practice and attitudes among Danish UI surgeons. MAT...

  18. 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......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 pathogenesis of type 1 and type 2 diabetes which are targeted by biologic therapeutics and reviews the treatment results. Udgivelsesdato: 2008-Jun-9...

  19. Eosinofili--patogenese, klassifikation og behandling

    DEFF Research Database (Denmark)

    Andersen, Christen Lykkegaard; Vestergaard, Hanne; Nørgaard, Peter

    2009-01-01

    Eosinophilia represents a complex clinical problem, the management of which is based on case history and clinical examination. Allergy, parasitic infection or inflammation may then be identified or malignancy suspected. In some cases, representing a haematologic disorder, clonality is demonstrated...... only by specific tests. The diagnostic and therapeutic approach, including a new classification for eosinophilia, is reviewed, and the importance of molecular biological technique is highlighted. Unexplained eosinophilia should be managed in collaboration with a haematology department. Udgivelsesdato...

  20. Alternativ behandling og kræft

    DEFF Research Database (Denmark)

    Lunde, Anita; Johannessen, Helle

    2010-01-01

    Guidelines Network, SIGN, er de inkluderede reviews kvalitetsvurderet og de fundne effekter bedømt efter 4 evidensniveauer.  Resultater: Ti reviews omhandler manipulativ og kropsbaseret praksis, og heraf er fem med høj kvalitet. Det mest konsistente resultat er, at massage signifikant reducerer angst hos...... kræftpatienter (evidens A). Ydermere findes effekt af massage mod depression, smerter og kvalme. Ingen reviews finder skadelige virkninger af massage, og forestillingen om, at massage kan sprede kræft, afkræftes af nyere forskning. Konklusion: Massage er en sikker terapi at kombinere med konventionel...... at differentiere effekten i forhold til typen af massage, kræftformen eller sygdomsstadie. Udgivelsesdato: 29 jan 2010...

  1. 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...

  2. 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 uncomplicated...... Type B dissections, while surgery has been reserved for complications and persistent pain in spite of medical treatment. Endovascular techniques are less invasive than open repair and show promising early results Udgivelsesdato: 2008/9/8...

  3. 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...

  4. Behandl dig selv med honning"

    DEFF Research Database (Denmark)

    Mejrup, Kristian; Bjerring-Nielsen, Mattias

    2015-01-01

    Abstract: This article has a twofold purpose: to investigate the symbolic richness and abundant sweetness of honey and to employ ‘honey treatment’ as a strategy for reading the honeycombapocalypse comprised in the Jewish legend of Joseph and Aseneth. This text tells of Aseneth’s encounter with a ...... entirely perturbed and paralysed. In fact, her free speech and wits remain as if protected by a honeysweetened agency. The article emphasizes the necessity of a ‘conversion’ by the reader enabling him to grasp the sublime potential of the aesthetics of sweetness....

  5. Herpes zoster: klinik, diagnostik og behandling

    DEFF Research Database (Denmark)

    Kofoed, Kristian; Rønholt, Finn; Gerstoft, Jan

    2011-01-01

    Herpes zoster (HZ) is a painful vesicular rash localized to one dermatome. Post-herpetic neuralgia (PHN) is persistent pain three months after the rash started. In recent years several Cochrane reviews and clinical studies on how to treat HZ and PHN have been published. These studies show...

  6. 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...

  7. 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...

  8. Noninvasiv behandling af slid og erosion

    DEFF Research Database (Denmark)

    Pallesen, Ulla; Dijken, Jan van

    2012-01-01

    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...

  9. 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 ...

  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. Perioperativ behandling af ovariecancer i stadium IIIC

    DEFF Research Database (Denmark)

    Hjort Jakobsen, Dorthe; Høgdall, Claus; Kehlet, Henrik

    2010-01-01

    Besides intraoperative efforts, the perioperative care is essential to improve the postoperative outcome following ovarian cancer surgery. Multimodal evidence-based care within the fast-track methodology significantly enhances postoperative recovery and reduces morbidity. The purpose of this stud...... was to assess and discuss perioperative care principles in patients undergoing ovarian cancer surgery with stage IIIC at the six centres in Denmark performing this surgical procedure....

  12. Autoimmun hepatitis. Fremtroedelsesformer, diagnostik og behandling

    DEFF Research Database (Denmark)

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

    1992-01-01

    a few weeks to years. Seven patients had increased serum aspartate aminotransferase (ASAT) levels. The three patients with normal ASAT levels had hypoalbuminaemia, decreased level of prothrombin or high levels of serum immunoglobulin G. Moderate or high levels of smooth muscle antibody titer were...

  13. Brystkræft--kirurgisk behandling

    DEFF Research Database (Denmark)

    Christiansen, Peer Michael; Kroman, Niels; Elberg, Jens Jørgen;

    2007-01-01

    This short review of surgical treatment of breast cancer includes a description of indications and contraindications for the common surgical procedures as well as more recently introduced techniques. The latter are mainly operations performed in cooperation between breast and plastic surgeons...

  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 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...

  16. Diagnostik og behandling af øsofagusperforationer

    DEFF Research Database (Denmark)

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

    2011-01-01

    The treatment of oesophageal perforations (EP) has primarily been a surgical issue and despite significant advances in surgery and intensive care medicine EP is continuously associated with high morbidity and mortality. Implementation of an effective treatment algorithm which steps away from...... and the establishment of a controlled fistula....

  17. Meckels divertikel. Fra embryologi til behandling

    DEFF Research Database (Denmark)

    Buchvald, F F; Pærregaard, Anders

    2000-01-01

    Meckel's diverticulum (MD), an remnant of the omphalomesenteric duct, is the most common congenital abnormality of the small bowel. The aim of this paper is to give a review of MD, from embryology to diagnosis, complications and treatment.......Meckel's diverticulum (MD), an remnant of the omphalomesenteric duct, is the most common congenital abnormality of the small bowel. The aim of this paper is to give a review of MD, from embryology to diagnosis, complications and treatment....

  18. Lenalidomid til behandling af transfusionskraevende myelodysplastisk syndrom

    DEFF Research Database (Denmark)

    Risum, Malene; Dufva, I.H.

    2010-01-01

    Lenalidomide is the first drug to induce transfusion independence and cytogenetic remission in patients with myelodysplastic syndrome (MDS) with deletion 5q and low or intermediate risk score. Transfusion independence can be obtained within five weeks. Three out of four patients also obtain...

  19. Elektrokemoterapi til behandling af kutane metastaser

    DEFF Research Database (Denmark)

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

    2015-01-01

    effect by at least 300-fold. Electrochemotherapy is an efficient, once only treatment for cutaneous metastases with an objective response of 62-99%. Electrochemotherapy can reduce discomfort such as ulceration, oozing, bleeding and pain. Adverse events depend on the size of treatment area, but are very......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...

  20. 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...... and joint disease, while efalizumab, which targets T lymphocytes, is only indicated for the skin disease. Registration of the treated patients in quality databases is an essential instrument in the surveillance of beneficial and adverse events during biological therapy. Udgivelsesdato: 2008-Jun-9...

  1. 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...

  2. 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...

  3. 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...

  4. Herpes zoster: klinik, diagnostik og behandling

    DEFF Research Database (Denmark)

    Kofoed, Kristian; Rønholt, Finn; Gerstoft, Jan

    2011-01-01

    Herpes zoster (HZ) is a painful vesicular rash localized to one dermatome. Post-herpetic neuralgia (PHN) is persistent pain three months after the rash started. In recent years several Cochrane reviews and clinical studies on how to treat HZ and PHN have been published. These studies show...

  5. 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. The morta......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....... Transient improvement of the condition is seen in a subgroup of patients after administration of flumazenil, a specific benzodiazepine antagonist. The group of patients with a positive response to flumazenil therapy may have a better prognosis. Flumazenil may be used in patients in the pretransplantation...

  6. 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....

  7. 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...

  8. Medullær thyroideacancer hos et ti måneder gammelt barn med multipel endokrin neoplasi 2B

    DEFF Research Database (Denmark)

    Mathiesen, Jes Sloth; Døssing, Helle; Bender, Lars;

    2014-01-01

    In infants at risk of multiple endocrine neoplasia type 2B (MEN2B) the American Thyroid Association recommends genetic testing as soon as possible after birth and that thyroidectomy should be performed in MEN2B RET-mutation positive individuals as soon as possible and if possible within the first...

  9. Hubungan Tingkat Keteraturan Berolahraga Terhadap Komplikasi Penyakit pada Pasien DM Tipe 2 di Poliklinik Endokrin RSUP DR. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Reza Ekatama Rajasa

    2016-08-01

    Full Text Available AbstrakAda banyak faktor yang mempengaruhi komplikasi pada pasien DM tipe 2, salah satunya adalah keteraturan berolahraga. Aktivitas fisik yang kurang akan  berisiko terjadinya hiperglikemia. Kondisi ini lambat laun akan menyebabkan kerusakan mikrovaskular dan makrovaskular. Olahraga yang teratur dapat membuat normal gula darah. Tujuan penelitian ini adalah meneliti lebih lanjut tentang hubungan keteraturan berolahraga terhadap komplikasi DM tipe 2. Penelitian ini dilakukan pada masyarakat yang berkunjung ke poliklinik RSUP Dr. M. Djamil Padang. Ini merupakan studi retrospektif dengan jumlah subjek 73 orang. Pengumpulan data responden dilakukan dengan wawancara dan rekam medis. Analisis statistik yang digunakan adalah uji chi-square.Hasil penelitian ini menunjukkan bahwa 65,8% responden menderita 3 atau lebih komplikasi (banyak, sedangkan 34,2% menderita kurang dari 3 komplikasi (sedikit. Kesimpulan studi ini adalah terdapat hubungan antara keteraturan berolahraga dengan komplikasi DM tipe 2.Kata kunci: keteraturan berolahraga, komplikasi DM tipe 2AbstractThere are many factors correlate to complications in  type 2 diabetes mellitus (DM patients, one of them is exercise regularity. Lack of physical activity can lead to the hiperglycemia condition. It  could be the cause of  micovascular and macrovascular injuries. Exercise regularity can lead blood glucose toward normal. The objective of this study was to investigate the correlation of exercise regularity to the type 2 DM complications.The research was conducted to the  people who visit polyclynic of M. Djamil Hospital. It is a retrospective study with 73 subjek. Data collection was performed through interviews and using medical records. The statistical analysis was performed chi-square test.The result of this research found that 65.8% of respondent had many complication ( three or more, whereas 34.2% of had less than three complications. Analysis by chi square test, concluded that there was a significant relation between exercise regularity and complications of type 2 DM.Keywords: exercise regularity, complication of type II DM

  10. 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...

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

    DEFF Research Database (Denmark)

    Gade, Christina; Engberg, Jørgen; Weis, Nina

    2008-01-01

    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...... 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...

  12. 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....

  13. 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....

  14. 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 tre...... treatment. Patients, who are diagnosed late in the disease course or only respond partly to medical treatment, are at high risk of developing severe liver insufficiency. This article summarizes the present knowledge and evidence regarding diagnostics, therapy and disease course....

  15. Barn utsatt for komplekse traumer: diagnosebegrep og behandling

    OpenAIRE

    Rønning, Christina; Teige, Synnøve Oddfrid Veien; Løkke, Ragnhild Støren

    2009-01-01

    The purpose of this thesis was to consider whether complex trauma disorders should be included as a diagnostic entity, and to evaluate if trauma-focused cognitive behavioral therapy (TF-CBT) is a suitable treatment model for children with complex trauma reactions. First, we reviewed arguments supporting the existence of a complex trauma diagnosis, and considered research that supports postulated core problems in these children. Second, we presented research on the TF-CBT model for children ex...

  16. 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 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...

  17. 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....

  18. Behandling af peritoneal karcinose med laparoskopisk intraperitoneal kemoterapi under tryk

    DEFF Research Database (Denmark)

    Graversen, Martin; Pfeiffer, Per; Mortensen, Michael Bau

    2016-01-01

    Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is a new treatment option in patients with peritoneal carcinomatosis (PC). PIPAC has proven efficacious in the treatment of PC from ovarian, colon and gastric cancer. PIPAC has a favourable profile regarding safety for patients and occupati......Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is a new treatment option in patients with peritoneal carcinomatosis (PC). PIPAC has proven efficacious in the treatment of PC from ovarian, colon and gastric cancer. PIPAC has a favourable profile regarding safety for patients...

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

    DEFF Research Database (Denmark)

    Oczachowska-Kulik, Anna Ewa; Lund, Allan; Skovby, Flemming

    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...

  20. Dilemmaer i musikterapeutisk behandling af en traumatiseret flygtning med musikerbaggrund

    Directory of Open Access Journals (Sweden)

    Bolette Daniels Beck

    2016-12-01

    Full Text Available Denne artikel præsenterer et single case-studie af et receptivt musikterapiforløb med en 55-årig syrisk flygtning, som har været udsat for fængsling og tortur på grund af sine aktiviteter som protestsanger og musiker. Der beskrives problemstillinger og dilemmaer relateret til at anvende musik, der både kan trigge traumer, men også vække indre ressourcer. Kortlægning af patientens forskellige personlighedsdele og musikkens evne til integration af dem vil blive belyst gennem teorien om strukturel dissociation.

  1. Årsager, udredning og behandling af abortus habitualis

    DEFF Research Database (Denmark)

    Larsen, Elisabeth Clare; Christiansen, Ole Bjarne

    2012-01-01

    Recurrent miscarriage (RM) is defined as three or more consecutive early pregnancy losses and affects 1% of couples. RM is probably a multifactorial disease and evaluation includes parental karyotyping, testing for uterine anomalies, thyroid dysfunction, thrombophilia and immune factors. Couples...

  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 is a common neurological disorder, and between one fourth and one third of the patients do not obtain seizure freedom after treatment with antiepileptic drugs. If the epileptic seizures in such patients have severe consequences, the patients should be assessed for epilepsy surgery. In case...... 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. Behandling af mani hos voksne (Treatment of mania in adults)

    DEFF Research Database (Denmark)

    Licht, Rasmus Wentzer; Straszek, Sune Puggaard Vogt

    2014-01-01

    Around 1% of the population will experience at least one episode of mania. Mania has negative social consequences, may lead to cognitive impairment and may even be lethal. Therefore, prompt and efficient medical action needs to be taken, not only addressing the acute symptoms but also the high ri...... of recurrence. Many well-documented antimanic drugs are at hand, and the database has been carefully outlined in recent guidelines, also addressing factors of importance in choosing among the options. The real challenge is dealing with non-response, where the database is extremely poor....

  4. Narrativ og evidensbaseret behandling af komplekst traumatiserede mennesker

    DEFF Research Database (Denmark)

    Riber, Karin; Lindvig, Ditte

    2011-01-01

    Many survivors of potentially traumatizing events develop serious psychological problems. This article aims to critically examine two fundamentally different treatment paradigms. The article presents and discusses Michael White's narrative therapy, Metin Basoglu's modified behaviour therapy...... and Frank Neuners narrative exposure therapy in the hope that a resource focused exchange between these different theoretical and practical fields can enrich the psychological treatment of complex traumatized individuals. By comparing the respective perspectives, they are brought into a dialogue...... that results in building a bridge between narrative and evidence based theories and their practices....

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

    DEFF Research Database (Denmark)

    Eiken, Pia Agnete; Kristensen, Bent; Langdahl, Bente Lomholt;

    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....

  6. Osteoporosens betydning for behandling af frakturer og ortopaediske muligheder

    DEFF Research Database (Denmark)

    Lauritzen, J B

    2001-01-01

    The treatment of osteoporosis-related fractures can be difficult, when secure fixation and stable osteosynthesis is obtained in frail trabecular and cortical bone. In the case of defects, bone grafting and substitutes may be needed to reinforce osteosynthesis and promote fracture healing, which may......, intramedullary nails with neck screw, retrograde intramedullary nails, external fixation, cannulated screws, various plates, tension band wiring, threaded K-pins, and to some extent arthroplasties and reconstructive spine instrumentation. The goal in the treatment of osteoporosis-related fractures is to restore...... be delayed. The structural grafts may be biologically inert or osteoconductive, but also osteoinductive, and various osteoinductive growth factors and hormones could be a supplement to treatment. Several types of osteosyntheses have improved the clinical outcome, among them: sliding hip screw, neck screws...

  7. Dyb venøs trombose - epidemiologi, diagnose og behandling

    DEFF Research Database (Denmark)

    Sejersen, Holger Marquard; Nielsen, Hans Kræmmer; Thyssen, Jacob Pontoppidan;

    2007-01-01

    and hormone therapy. DVT most often appears in the crural veins. The diagnosis is based on ultrasound, d-dimer and clinical examination. Correct treatment requires gradient compression hosiery, low-molecular heparins and anticoagulant therapy. Duration of treatment depends on the individual risk of recurrence....

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

    DEFF Research Database (Denmark)

    Gade, Christina; Engberg, Jørgen; Weis, Nina

    2008-01-01

    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...

  9. 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 de...... 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...

  10. 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 de...... 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....

  11. HIV kan og skal behandles samtidig med tuberkulose

    DEFF Research Database (Denmark)

    von der Maase, Sarah; Gerstoft, Jan; Wejse, Christian

    2014-01-01

    The proper timing of antiretroviral therapy (ART) to HIV-patients co-infected with tuberculosis has been debated. We review three studies on this matter. One study found a significant reduced mortality for patients with CD4+ T-cell counts (CD4+) ≤ 200 per mm3 who received ART early, whereas...... the other two studies found this difference for patients with CD4+ HIV after the initiation of ART....

  12. Hvorfor og hvornår behandles aktiniske keratoser

    DEFF Research Database (Denmark)

    Wulf, Hans Christian Olsen

    2014-01-01

    in the hyperkeratotic AK. Visible AK and neighbouring invisible AK should be treated. As AK are provoked by UV radiation, protection against UV is essential. This paper comments on a Cochrane review: "Interventions for actinic keratosis" and treatments avaliable in Denmark...

  13. Ventrikulaere takyarytmier. En retrospektiv analyse af aetiologi, demografi og behandling

    DEFF Research Database (Denmark)

    Christensen, Alex Hørby; Henningsen, Kristoffer; Svendsen, Jesper Hastrup

    2008-01-01

    to ventricular tachyarrhythmias. MATERIALS AND METHODS: We conducted a retrospective review of 993 patients discharged from Rigshospitalet over 6 years and 5 months with the diagnostic codes ventricular tachycardia, ventricular fibrillation or premature ventricular contractions. RESULTS: The population had...... unknown etiology; 492 (50%) of the patients overall had an ICD implanted, the majority of whom had been categorized as having ventricular tachycardia (92%); 168 patients had previous cardiac arrest, 127 of whom did not have a potential reversible cause. Of this group 75 (59%) had an ICD implanted...

  14. 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...

  15. 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...

  16. 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-scanning, experienced...

  17. Endoventrikulaer venstre ventrikel-rekonstruktion til behandling af hjerteinsufficiens

    DEFF Research Database (Denmark)

    Funder, Jonas Amstrup; Klaaborg, Kaj-Erik; Egeblad, Henrik;

    2009-01-01

    ventricular restoration was performed in 26 patients (23 males) with a median age of 64 years (47-74 years). Twenty-one of the patients were in New York Heart Association (NYHA) class III-IV. The median preoperative left ventricular ejection fraction was 27% (13-38%). We collected both pre- and postoperative...... had increased to 35% (18-53%) (p class I-II (p

  18. Frakturerede fortænder – behandling med direkte plast

    DEFF Research Database (Denmark)

    Pallesen, Ulla; van Dijken, Jan WV

    2017-01-01

    . Klasse IV fyldninger har kortere holdbarhed end fuldkeramiske - og metalkeramikkroner. Holdbarheden er blevet forbedret med nyere materialer og adhæsiver. En plastopbygning af en fraktureret tand er mere konservativ for både tandsubstans, pulpa og det omgivende blødtvæv end en krone. Taget i betragtning...

  19. 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...

  20. 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...

  1. Vellykket konservativ behandling af chylopericardium efter koronar bypassoperation

    DEFF Research Database (Denmark)

    Clausen, Jesper Holmbæck; Veien, Karsten Tange

    2012-01-01

    Chylopericardium after thoracic duct injury is a rare but serious complication of thoracic surgery with mortality rates above 50% without intervention. Complications of chylopericardium are malnutrition, immunosuppression, electrolyte derangement and tamponade. This case describes a 67-year...

  2. 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...

  3. Myopati hos en patient i behandling med simvastatin og fluconazol

    DEFF Research Database (Denmark)

    Pedersen, Jens Kristian; Lydolph, Magnus Christian; Somnier, Finn

    2016-01-01

    A 69-year-old female was admitted due to progressive loss of muscle strength following addition of fluconazole to long-term simvastatin treatment. Rhabdomyolysis was suspected and both drugs were discontinued. Forced diuresis was initiated together with a short course of prednisolone. After 21...

  4. Karkirurgisk behandling hos patienter med påvirket nyrefunktion

    DEFF Research Database (Denmark)

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

    1994-01-01

    and blood pressure status was evaluated preoperatively and at follow-up. The perioperative mortality was 5% (n = 2) and morbidity 21% (n = 9). At discharge from hospital renal function was maintained in 38 patients (90%), including three patients who at the time of operation were without diuresis and had...

  5. 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...

  6. Lovende resultater ved konservativ behandling med dynamisk mobilisering efter akillesseneruptur

    DEFF Research Database (Denmark)

    Tengberg, Peter Toft; Barfod, Kristoffer Weisskirchner; Krasheninnikoff, Michael

    2011-01-01

    There is no consensus regarding the optimal treatment of acute Achilles tendon ruptures. This review of the literature on the subject shows a significantly higher rate of reruptures (RR) in the conservatively treated group compared to the surgically treated group when the foot is immobilised...

  7. Pancreastraumer hos børn--operativ versus nonoperativ behandling

    DEFF Research Database (Denmark)

    Haugaard, Michael Valentin; Penninga, Luit; Ifaoui, Inge Bøtker-Rasmussen;

    2012-01-01

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

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

    DEFF Research Database (Denmark)

    Fassi, Daniel El; 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...

  9. 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 a two-week interval and in combination with methotrexate. Mild to moderate side-effects are frequent, particularly during the first infusion, but long-term side-effects are generally rare, although pulmonary events and reactivation of viral infections of the liver is of concern....

  10. Der er store barrierer for psykiatrisk behandling i lavindkomstlande

    DEFF Research Database (Denmark)

    Sørensen, Carina Winkler; Bæk, Ole; Carlsson, Jessica

    2015-01-01

    resources and ineffective health organization. Human resources are inadequate, and often drugs are not available. Individuals face long distances to psychiatric hospitals, out-of-pocket payment and stigma. There is a great need for research in how to enhance prevention and treatment of mental disorders......Huge barriers to the treatment of mental disorders in low-income countries In low-income countries 76-85% of people living with mental disorders do not receive treatment. To reduce the treatment gap many challenges need to be addressed. On a health political level this includes limited financial...

  11. Antibiotika som primær behandling af appendicitis

    DEFF Research Database (Denmark)

    Hupfeld, Line; Pommergaard, Hans-Christian; Burcharth, Jakob;

    2014-01-01

    Acute appendicitis has traditionally been treated surgically. Conservative approach with antibiotic treatment has been suggested as an alternative to the surgical procedure. The available studies on surgery versus antibiotics may indicate the safe use of conservative treatment for uncomplicated...... appendicitis, but the available studies are typically of low quality. Thus, further studies are needed to clarify the role of conservative treatment, and in the meantime appendectomy remains the standard treatment for acute appendicitis....

  12. Apoptose ved kronisk inflammatorisk tarmsygdom. Betydning for patogenese og behandling

    DEFF Research Database (Denmark)

    Seidelin, Jakob Benedict; Nielsen, Ole Haagen

    2003-01-01

    Inflammatory bowel disease (IBD) is characterized by the increased survival of lamina propria leucocytes and ulcerations and an increased epithelial leakiness that compromise the barrier function of the epithelial lining. Deregulated apoptosis seems to be a major cause of the impaired barrier fun...

  13. 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...

  14. Graviditet i livmoderhalsen kan behandles konservativt med methotrexat

    DEFF Research Database (Denmark)

    Sørensen, Marie; Clausen, Helle Vibeke

    2011-01-01

    Two cases of cervical ectopic pregnancy after in vitro fertilization embryo transfer were managed conservatively. One living cervical ectopic pregnancy was treated with intra-amniotic and systemic injection of methotrexate, and the other cervical ectopic pregnancy with a fetal pole was treated...... with systemic methotrexate. The patient with the living cervical ectopic pregnancy had stable vital signs during the period of treatment. The patient with the fetal pole was admitted with heavy vaginal bleeding and anaemia and was stabilised before treatment was initiated. She was stable throughout...

  15. 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...

  16. Bivirkninger ved N-acetylcystein-behandling af paracetamolforgiftede patienter

    DEFF Research Database (Denmark)

    Schmidt, L E; Dalhoff, K P

    1999-01-01

    the full course of NAC. In all cases the recommended treatment with antihistamine or steroids against adverse effects was administered. We conclude that treatment with NAC is safe. Accordingly we find no reason to change the recommendation for treatment of paracetamol intoxication in Denmark....

  17. 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....

  18. 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...

  19. Pankreas øytransplantasjon som behandling for diabetes mellitus

    OpenAIRE

    2007-01-01

    ABSTRACT. Background. Results in pancreatic islet transplantation have improved during the last decade, but long term results remain disappointing. This is partly due to loss of islets in pre-transplant culture and immediate post-transplant period. Aim. Exendin is currently being used as drug therapy of type 2 diabetes mellitus. We wanted to investigate the in vitro effect of exendin on insulin secretion, pro- and anti-inflammatory cytokines in isolated pancreatic islets from rats. ...

  20. Medicinsk behandling af patienter med primær hyperparathyroidisme

    DEFF Research Database (Denmark)

    Vestergaard, Peter; Mosekilde, Leif

    2009-01-01

    Surgery is the recommended treatment for primary hyperparathyroidism. For exceptional medical treatment, the main drugs available are cinacalcet to normalize plasma calcium, and bisphosphonates to prevent bone loss. The patients eligible for medical therapy are those who cannot be operated or whose...... condition persists despite optimal surgical treatment. However, PHPT can cause other complications that need special attention regarding prevention and treatment during follow-up. Udgivelsesdato: 2009-Aug-10...

  1. 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...... outcomes, but the success rate varies. The endorectal advancement flap is considered to be the gold standard. Ligation of the intersphincteric fistula tract is promising. Proctectomy or proctocolectomy in combination with transposition flaps may be necessary. A success rate of 66-70% has been reported....

  2. Valg af behandling af akut, purulent divertikulitis er uafklaret

    DEFF Research Database (Denmark)

    Hupfeld, Line; Burcharth, Jakob; Pommergaard, Hans-Christian;

    2015-01-01

    Inflammation in colonic diverticula can develop into acute diverticulitis. Treatment varies depending on illness severity. Perforated diverticulitis with faecal peritonitis is treated surgically and Hartmann's procedure is the preferred operation. Peritoneal lavage might be an alternative...

  3. 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....

  4. 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 have no effect...

  5. Stor forskel i behandling af depression mellem psykiatriske afdelinger

    DEFF Research Database (Denmark)

    2010-01-01

    A large proportion of patients admitted to psychological departments and wards suffer from depression. Knowledge is limited about the clinical aspects and treatment of depression at admission and discharge, as well as about the differences between psychiatric hospitals. The purpose of this study...

  6. 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. Medi....... Medical and psychological treatment interventions can be applied on different levels particularly in relation to the cognitive symptoms of depression. Udgivelsesdato: 2007-Apr-16......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...

  7. 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...

  8. 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...

  9. Den initiale behandling af svært tilskadekomne traumepatienter

    DEFF Research Database (Denmark)

    Steinmetz, Jacob; Svendsen, Lars Bo

    2014-01-01

    Multitrauma is usually defined as injury to several organ systems. The more severe the injury, the higher is the mortality. It is essential that a trauma team assess and treat these patients using a rapid, structured approach in order to increase the survival. Damage control surgery and resuscita...

  10. 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...

  11. 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...

  12. Gastroskopisk behandling af penetrerende gastrisk bånd

    DEFF Research Database (Denmark)

    Fonnest, G F; Jess, Per

    1999-01-01

    Gastric wall penetration of a gastric band after operation for morbid obesity is a well known late complication. The treatment is usually reoperation. In this case report we show that a band penetrating the gastric wall can be successfully treated by gastroscopic operation. This technique is more...... simple than reoperation, especially in case of morbid obesity at the time of the complication....

  13. Intranasal glukagon til behandling af hypoglykaemi. En fremtidig behandlingsmulighed

    DEFF Research Database (Denmark)

    Carstens, S; Andersen, I; Gustafsson, Ida

    1994-01-01

    or glucose administered intravenously by a physician. These are however not optimal treatments. Obtaining intravenous access requires a medical doctor and glucagon injection is not always properly done by family members. Glucagon administered intranasally has been proven to raise blood glucose levels...... in volunteers. The effect of intranasal glucagon on blood glucose is similar to that seen after intramuscular administration for the first 15 minutes following administration. However, intranasal glucagon seems more physiological in that is stabilizes blood glucose concentrations at nearfasting levels, whereas...... glucagon given intramuscularly tends to give hyperglycaemia. Intranasal glucagon is easy to administer, and can thus prevent serious hypoglycaemic crises and thereby make diabetics and their families more secure....

  14. Ticsundertrykkelse er en ny evidensbaseret nonfarmakologisk behandling af ticslidelse

    DEFF Research Database (Denmark)

    Sørensen, Camilla Birgitte; Debes, Nanette Mol; Skov, Liselotte

    2017-01-01

    Chronic tic disorder and Tourette syndrome are both chronic and impairing neurobiological disorders starting in childhood with a prevalence between 0.4 and 1.6%. Traditionally, pharmacological therapies have been first-line treatment but are often associated with adverse effects. Recently...... behavioural therapy has shown to be effective in treating tics and today both habit reversal (HR) and exposure and response prevention (ERP) are recommended as first-line treatments. HR and ERP are now available for Danish patients. This article describes the evidence and recommendations for both therapies....

  15. 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.......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....

  16. 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...

  17. Antitrombotisk behandling ved iskaemisk apopleksi og transitorisk cerebral iskaemi

    DEFF Research Database (Denmark)

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

    2007-01-01

    includes anticoagulation in patients with cardioembolic stroke and antiplatelet agents aspirin possibly combined with dipyridamole or clopidogrel alone in patients with non-cardioembolic stroke. Other individual risks may modify this treatment regimen. Udgivelsesdato: 2007-Oct-1......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...

  18. 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 de...... 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....

  19. 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 de...... 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...

  20. Der er store barrierer for psykiatrisk behandling i lavindkomstlande

    DEFF Research Database (Denmark)

    Sørensen, Carina Winkler; Bæk, Ole; Carlsson, Jessica;

    2015-01-01

    resources and ineffective health organization. Human resources are inadequate, and often drugs are not available. Individuals face long distances to psychiatric hospitals, out-of-pocket payment and stigma. There is a great need for research in how to enhance prevention and treatment of mental disorders...

  1. 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...

  2. 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 ...... 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....

  3. 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....

  4. 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...

  5. 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...

  6. 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...... pressure 90-99 mmHg; no diabetes or cardiovascular disease) did not reduce mortality or morbidity. The evidence for pharmacotherapy in patients having mild/uncomplicated hypertension is weak. However, current Danish guidelines have taken this into consideration in their recommendations of pharmacotherapy...

  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...

  8. Gener efter behandling af almindeligt forekommende akutte øjenlidelser

    DEFF Research Database (Denmark)

    Krogsgaard, M R; Danborg, L; Jensen, P;

    1990-01-01

    and 75% within 48 hours. 10% had symptoms for more than a week. Cases of infectious conjunctivitis and trauma to the eye (without intrabulbar lesion) had the highest risk of developing symptoms after the consultation. The lowest incidence of complaints was seen among patients in whom a foreign body...... was removed from the cornea or conjunctiva. The longest duration of symptoms was seen among patients with infectious conjunctivitis. Cases with a foreign body on the cornea or conjunctiva or trauma to the eye (without intrabulbar lesion) had a slightly longer duration of the symptoms when a corneal tear......The aim of the study was to determine the duration of symptoms in patients treated in the emergency room at Glostrup Hospital for acute eye-trouble. Nine common diagnoses were selected for the study. All patients seen during a 2 1/2 month period were asked to complete a questionnaire one week after...

  9. Den haemostatiske balance under behandling med nyere p-pillepraeparater

    DEFF Research Database (Denmark)

    Petersen, K R; Skouby, S O; Sidelmann, Johannes Jakobsen

    1994-01-01

    of fibrinogen and factor VII increased while the capacity of coagulation inhibition was affected by increased protein C and decreased protein S levels. Increased fibrinolytic capacity was indicated by elevated activity and reduced antigen levels of tissue plasminogen activator and reduced activity...

  10. Behandling af kroniske sygdomme hos patienter med demens

    DEFF Research Database (Denmark)

    Pedersen, Hanne; Klinkby, Kristian Skikkild; Waldorff, Frans Borch

    2017-01-01

    , polypharmacy and chronic pain. Ongoing goal setting is important, and advance care planning is recommended. In general, comorbidity must be carefully and holistic assessed and managed according to each patient's general status of health and stage of dementia. As the dementia develops, focus should primarily...

  11. 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...... of the patients had normal kidney function previous to hospitalization. Treatment includes fluid replacement, IV sodium bicarbonate and haemodialysis....

  12. Diagnostik og behandling af næsefraktur hos voksne

    DEFF Research Database (Denmark)

    Sjöstedt, Sannia; Larsen, Christian Grønhøj; Bilde, Anders;

    2016-01-01

    The risk of complications warrants treatment of most dislocated nasal fractures. Other injuries including other facial fractures and septal haematoma must be treated if present at the initial presentation. The usual treatment for a simple nasal fracture is closed reduction in local anaesthesia...... after five to seven days. Complicated cases require open reduction in general anaesthesia. Later revision of the deviated nose may become necessary in patients suffering from complications such as persistent nasal stenosis and/or deformity....

  13. Kombineret kirurgisk og onkologisk behandling af kolorektale levermetastaser

    DEFF Research Database (Denmark)

    Bergenfeldt, M.; Jensen, B.V.

    2008-01-01

    Isolated colorectal liver metastases should be referred for multispecialist management at a liver centre. Long-time survival is possible after resection and adjuvant therapy. If unresectable, newer chemotherapy with oxaliplatin, irinitecan, bevacizumab and cetuximab may result in a median survival...

  14. Vellykket konservativ behandling af chylopericardium efter koronar bypassoperation

    DEFF Research Database (Denmark)

    Clausen, Jesper Holmbæck; Veien, Karsten Tange

    2012-01-01

    Chylopericardium after thoracic duct injury is a rare but serious complication of thoracic surgery with mortality rates above 50% without intervention. Complications of chylopericardium are malnutrition, immunosuppression, electrolyte derangement and tamponade. This case describes a 67-year...

  15. Antibiotika som primær behandling af appendicitis

    DEFF Research Database (Denmark)

    Hupfeld, Line; Pommergaard, Hans-Christian; Burcharth, Jakob

    2014-01-01

    Acute appendicitis has traditionally been treated surgically. Conservative approach with antibiotic treatment has been suggested as an alternative to the surgical procedure. The available studies on surgery versus antibiotics may indicate the safe use of conservative treatment for uncomplicated...... appendicitis, but the available studies are typically of low quality. Thus, further studies are needed to clarify the role of conservative treatment, and in the meantime appendectomy remains the standard treatment for acute appendicitis....

  16. 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...... of contractility and repolarisation associated with ischaemia. Ranolazine increases the exercise capacity, reduces angina, and diminishes the use of nitroglycerine. The drug has an excellent safety profile and may be a valuable addition to the treatment of chronic stable angina....

  17. Behandling av bakteriell vaginose i svangerskapet for å forebygge komplikasjoner

    OpenAIRE

    Engstad, Tora Torgersen; Dalaker, Vivian

    2009-01-01

    ABSTRACT Background. Bacterial vaginosis is a clinical entity characterized by offensive vaginal discharge caused by a disturbance of the normal vaginal bacterial flora. The hydrogen peroxidase producing lactobacilli are replaced by several anaerob bacteriae and the vaginal pH is increased. Bacterial vaginosis during pregnancy is associated with preterm delivery and as much as 40% of preterm deliveries can be linked to bacterial vaginosis. Preterm delivery is the major cause of neonatal mo...

  18. Forekomst og behandling af seksuel dysfunktion ved hjertesygdom

    DEFF Research Database (Denmark)

    Mickley, Hans

    2002-01-01

    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...

  19. 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...

  20. Diagnose og behandling af cerebral venøs sinustrombose

    DEFF Research Database (Denmark)

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

    2015-01-01

    antagonists for three months or more. In fulminant cases local thrombolysis is administered, while symptomatic treatment for increased intracranial pressure is given. In retrospective analyses this approach has been associated with a good outcome – even in cases treated by decompressive craniectomy....

  1. Akut dissemineret encefalomyelitis. Afgraensning, behandling, prognose og evidens

    DEFF Research Database (Denmark)

    Christensen, Pia Sønderby; Østergaard, John R

    2008-01-01

    and prognosis for children with ADEM and to evaluate the level of evidence in treatment. MATERIALS AND METHODS: Medical records were found by searching for diagnoses and reviewed retrospectively. The level of evidence in treatment was evaluated by searching PubMed, EMBASE and The Cochrane Library. RESULTS: 11...

  2. 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...

  3. HUBUNGAN FAKTOR RESIKO KARIES DALAM SALIVA DENGAN INDEKS DMF-T PADA PENDERITA DM TIPE II DI RSCM SUB BAGIAN ENDOKRIN (Laporan Penelitian

    Directory of Open Access Journals (Sweden)

    Buddiwati Punta

    2015-07-01

    Full Text Available Dental caries is a multifactorial disease. The most important factors in the development of caries is saliva. Reduced salivary secretion in patients with type 2 diabetes melitus to the occurrence of caries have yielded controversial results. The aim of the study was to find out whether the risk factors of the saliva i.e. saliva secretion rate, buffer capacity, salivary S. mutans, salivary Lactobacilli, alone or in combination, could be used for prediction of caries activity. Thirty patients with type 2 diabetes mellitus and age range 46-73 participated. Diabetic status was determined by fasting plasma glucose is >126mg/dl, 2-hour plasma glucose is >140mg/dl. Decayed, missing, and filled teeth indices were determined by means of clinical examination. Stimulated saliva with parafin was measured for flow rate and buffer capacity, level of S. mutans & Lactobacilli were analyzed with dentobuff and dentocult. There was no decrease in salivary secretion in patients with type 2 diabetes melitus. Significant corellation were found between buffer capacity, and combination of the S. mutans & Lactobacilli counts in caries activity.

  4. Behandling med dopaminagonister i den tidlige fase af Parkinsons sygdom: gennemgang af et Cochrane-review

    DEFF Research Database (Denmark)

    Bode, Matthias

    2009-01-01

    The Cochrane analysis confirms some well-known facts: initial therapy with dopamine agonists (DA) delays the incidence of motor complications, but is associated with inferior motor control and a higher frequency of non-motor adverse events (AE) compared with levodopa. Some serious AE are missing...

  5. 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....

  6. Monitorering og komplikationer ved konservativ behandling af svær, akut pankreatitis

    DEFF Research Database (Denmark)

    Novovic, Srdan; Malmstrøm, Marie Louise; Andersen, Anders Møller

    2013-01-01

    Severe acute pancreatitis (SAP) is associated with a high morbidity and a mortality risk of up to 20%. Although much progress has occurred during the latest couple of years, there are still some major controversies on important issues such as monitoring, fluid therapy, antibiotic treatment...

  7. 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...

  8. Nonoperativ behandling af alvorlige stumpe pancreaslæsioner hos børn

    DEFF Research Database (Denmark)

    Penninga, Luit; Hillingsø, Jens

    2011-01-01

    Diagnosis and treatment of pancreatic trauma in children is challenging. Grade I and II lesions of the pancreas (Organ Injury Scale of the American Association of Trauma) are generally treated non-operatively. However, the optimal treatment of pancreatic lesions with involvement of the pancreatic...

  9. 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...

  10. Epilepsikirurgisk behandling af danske børn 1996-2002

    DEFF Research Database (Denmark)

    Uldall, Peter V; Nielsen, Hanne; Alving, Jørgen

    2002-01-01

    Epilepsy surgery is done in order to obtain seizure freedom or to reduce the number of epileptic seizures in selected patients not responding to medical treatment. Few Danish children have had this treatment, most probably because of some restrictions imposed by The Danish National Health Board. We...... present the results of the first 22 Danish children who have had epilepsy surgery....

  11. Indikation for behandling med warfarin bør altid fremgå eksplicit ved sektorskifte

    DEFF Research Database (Denmark)

    Vestergaard, Thea; Hjort, Johanne; Madsen, Henrik Bjørnsgaard

    2014-01-01

    Warfarin has a narrow therapeutic window and side effects include bleeding causing e.g. hospital admission and death. Monitoring of treatment and review of indication are mandatory. We report a case of more than four years of warfarin treatment without indication. Treatment was not discontinued due...... to inadequate medical record keeping and communication among health-care providers. Medical-record keeping should follow guidelines from the National Board of Health. In addition, clearly stated treatment duration and indication may prevent unwarranted or premature termination of treatment....

  12. Behandling og rehabilitering på apopleksiafsnit øger 5-års-overlevelsen

    DEFF Research Database (Denmark)

    Jørgensen, H S; Kammersgaard, L P; Nakayama, H;

    2000-01-01

    in the stroke unit had higher comorbidity with regard to hypertension and diabetes. Multivariate linear and logistic regression analyses were applied to estimate the independent influence of stroke unit treatment on outcome. Stroke unit treatment significantly reduced not only initial mortality, but also...... mortality within five years from stroke onset. The relative risk of dying within the first five years from stroke was reduced by 40%, p nursing home, reduces cost of treatment...

  13. Antihypertensiv behandling forud for cerebrovaskulaere sygdomme er utilstraekkelig i henhold til rekommandationerne

    DEFF Research Database (Denmark)

    Nielsen, Aneta Aleksandra; Christensen, Cramer; Brandslund, Ivan;

    2008-01-01

    INTRODUCTION: Hypertension, diabetes mellitus and age are risk factors for cerebrovascular events. The aim of this study was to investigate the presence of hypertension, diabetes and antihypertensive treatment preceding disease debut in patients admitted to hospital with cerebrovascular events...... with antihypertensives and 80% had blood pressure >/= 140/90. The remaining 41% of all patients received no antihypertensive treatment, though 66% had elevated blood pressure. CONCLUSIONS: A total of 74% of all patients had increased blood pressure before hospital admittance. Our study shows that management...... of hypertension is unsatisfactory, and many cerebrovascular events may be prevented through improved detection of unknown hypertension and more intensive anti-hypertensive treatment. Udgivelsesdato: 2008-Oct-6...

  14. Begrænset evidens for bedste behandling af ukompliceret galdestenssygdom

    DEFF Research Database (Denmark)

    Rasmussen, Martin; Schulze, Svend; Bisgaard, Thue

    2016-01-01

    be cholecystectomy or watchful waiting is weak. This narrative-condensed review critically analyses current evidence with special focus on epidemiological risk factors of developing symptoms or complications related to gallbladder stones. The evidence for treatment is discussed.......Gallbladder stones will rarely lead to colic pain attacks and even more seldom to complications. A conservative watchful waiting strategy may be an alternative to cholecystectomy for uncomplicated symptomatic gallbladder stone disease. Evidence for whether the optimal treatment should...

  15. Udredning og behandling af osteoporose hos patienter med kronisk obstruktiv lungesygdom

    DEFF Research Database (Denmark)

    Eiken, Pia Agnete; Brask-Lindemann, Dorte; Vestbo, Jørgen;

    2012-01-01

    Patients with chronic obstructive pulmonary disease have a high risk of osteoporosis and fractures. We present an algorithm for the prevention and treatment of osteoporosis in patients with chronic obstructive pulmonary disease.......Patients with chronic obstructive pulmonary disease have a high risk of osteoporosis and fractures. We present an algorithm for the prevention and treatment of osteoporosis in patients with chronic obstructive pulmonary disease....

  16. 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....

  17. Ny behandling af peritoneal karcinose fra kolorektal cancer. Cytoreduktiv kirurgi og hyperterm intraperitoneal kemoterapi

    DEFF Research Database (Denmark)

    Iversen, Lene Hjerrild; Rasmussen, Peter C; Laurberg, Søren

    2007-01-01

    Peritoneal carcinomatosis (PC) is commonly seen in colorectal cancer and is uniformly fatal. Cytoreductive surgery (CS) combined with hyperthermic intraperitoneal chemotherapy (HIIC) is a new treatment in strictly selected patients with PC. CS includes peritonectomy procedures and resection of in...

  18. Endokrinologisk udredning, behandling og opfølgning af polycystisk ovariesyndrom

    DEFF Research Database (Denmark)

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

    2010-01-01

    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......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...

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

    DEFF Research Database (Denmark)

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

    2008-01-01

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

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

    DEFF Research Database (Denmark)

    Bengård Andersen, Åse; 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....

  1. Pårørendes oplevelse af pleje og behandling af intensivpatienter

    DEFF Research Database (Denmark)

    Jensen, Hanne Irene

    fald gentages processen, evt. med færre testdeltagere. Derefter afprøves skemaet i en række europæiske lande. Status: Interviewundersøgelsen er i gang (indtil videre med inklusion af 6 pårørende). Sideløbende er udviklingsarbejdet med spørgeskemaet i gang. Der er pilottestet, og 2. udkast er udarbejdet...

  2. 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....

  3. Alternativ behandling i Danmark--brug, brugere og årsager til brug

    DEFF Research Database (Denmark)

    Lønroth, Helle Langhoff; Ekholm, Ola

    2006-01-01

    : The survey revealed that 40.2% had ever used CAM and 20.1% had used CAM within the last year. Of those reporting having used CAM ever, reflexology (22.7%), massage/osteopathy/other manipulative techniques (16.5%) and acupuncture (16.2%) were the most frequently used. The use of CAM was more common among....... CAM was used mainly to treat mild symptoms/diseases (39%) and as prevention or for increased well-being (22%). More women than men stated that they wished to take an active part in their own treatment (30% versus 14%) and cited the unwanted side effects of conventional medicine (16% versus 7...

  4. Angioneurotisk ødem i forbindelse med behandling med angiotensinkonverterende enzym-haemmer

    DEFF Research Database (Denmark)

    Johansen, E C; Johansen, J B; Døssing, H

    1996-01-01

    Angioneurotic oedema secondary to angiotensin-converting enzyme (ACE) inhibitors is a rare condition, but it is a side effect which is likely to be seen more frequently because of the increased use of these drugs in the treatment of heart failure and hypertension. We report two cases which...... illustrate problems in the diagnosis and management of this life-threatening condition, and also demonstrate that angioedema re-occurs if the ACE inhibitor is not discontinued. If angioedema is suspected, therapy with any angiotensin converting-enzyme inhibitor should be discontinued promptly, respiratory...

  5. 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...

  6. 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...

  7. Screening for tuberkuloseinfektion før behandling med biologiske lægemidler

    DEFF Research Database (Denmark)

    Ravn, Pernille

    2011-01-01

    Tumour necrosis factor antagonists (anti-TNFα) have become an invaluable treatment against chronic inflammatory diseases. Individuals treated with anti-TNFα have more than a fourfold increased risk of tuberculosis (TB) reactivation depending on the clinical setting and the TNF-antagonist used. All...... candidates for anti-TNFα treatment in Denmark should be evaluated for possible latent TB using history of exposure, chest X-ray and an interferon-γ release assay. Preventive chemotherapy is recommended for all individuals with latent TB infection before initiation of anti-TNFα as it is expected to reduce...

  8. Korrekt behandling af akut akillesseneruptur - det svære valg

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...... 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....

  9. 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...

  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. Intermitterende pneumatisk kompressions-behandling ved underekstremitetsiskæmi uden kirurgiske behandlingstilbud

    DEFF Research Database (Denmark)

    Feuerhake, Ingrid Luise; Henneberg, Eskild W; Høgh, Annette

    2016-01-01

    Patients with critical limb ischaemia, without possibility for vascular surgery reconstruction, are a high selected population with a wide scale occurrence of co-morbidity and mortality. We outline the use of intermittent pneumatic compression (IPC) to these patients. Impact on both wound healing...

  12. Konservativ behandling af sårinfektioner efter operation for mammacancer

    DEFF Research Database (Denmark)

    Lanng, Charlotte; Hoffmann, Jack

    2002-01-01

    INTRODUCTION: The aim of this study was 1) to ascertain how patients with a wound infection after breast surgery are treated in other Danish surgical departments, and 2) to analyse our experience with conservative treatment of wound infections. MATERIAL AND METHODS: 1) A questionnaire sent to sur...

  13. Hageterapi som behandling av psykiske lidelser: En systematisk litteraturgjennomgang av mulige virkningsmekanismer

    OpenAIRE

    Jervidalo, Tora Larsen

    2015-01-01

    Horticultural therapy is a treatment intervention that use garden environment and gardening to achieve therapeutic changes. This systematic mixed methods review is an attempt to achieve a greater understanding of why horticultural therapy works, by a) examine what the available research on horticultural therapy as treatment of mental illness suggest in terms of possible mechanisms of change associated with the relationship between nature and human, and b) evaluate the empirical findings in th...

  14. Systemisk prokinetisk behandling af postoperativ ileus efter abdominalkirurgi. Gennemgang af et Cochrane-review

    DEFF Research Database (Denmark)

    Holte, Kathrine

    2010-01-01

    Based on the evidence presented in the Cochrane review "Systemic prokinetic pharmacologic treatment for postoperative adynamic ileus following abdominal surgery in adults", routine administration of systemic prokinetics for the prevention of postoperative ileus is not recommendable. The potential...

  15. 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 multisectorial action is urgently needed. This should include intervention at the family, school, municipal, regional and national levels, including the commercial sector and food companies. Treating childhood obesity has not been very successful, but some comprehensive community-based treatment programmes have...

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

    DEFF Research Database (Denmark)

    Gerbild, Helle Nygaard

    2008-01-01

    clients, however, are positioned as user of both complementary and alternative medicine and conventional treatments, such as biological, homeopathic, and traditional Chinese medicine. The main factors that drive them to this are the aim, the hope, the belief, and knowledge how to cure diabetes. Conclusion......: The study shows that the decisive difference of how diabetics are positioned as to complementary and alternative self-care is the way in which they have the strength and hope, believe and knowledge of how to cure disease which by people in general is regarded as chronic.......Background and objectives: There have not earlier been studies focusing on experiences of Danish diabetic patients using Complementary and Alternative Medicine (CAM) – considered from the patients’ point of view. The existing studies mostly based on quantitative methods of patients with diabetes...

  17. 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...

  18. Behandling og håndtering af kongenitte melanocytære naevi

    DEFF Research Database (Denmark)

    Bahn, Kamille-Amalie; Hædersdal, Merete; Schmidt, Grethe

    2016-01-01

    Congenital melanocytic naevi (CMN) appear in approximately 2.6% of Caucasians. There is a major demand for treatment but no vital indication. Laser therapy, curettage and excision are available treatment modalities, but there is no ideal treatment with documented long-term effect and without side...

  19. 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...

  20. Behandling af kardiogent shock med perkutan mekanisk cirkulationsstøtte

    DEFF Research Database (Denmark)

    Junker, Anders; Kaltoft, Anne; 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 ventricu......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...

  1. Fra mental retardering til målrettet behandling ved fragilt X-syndrom

    DEFF Research Database (Denmark)

    Jønch, Aia Elise; Timshel, Susanne; Carlsen Lunding, Jytte Merete;

    2014-01-01

    From intellectual disability to new treatment modalities of fragile X syndrome: Ugeskr Læger 2014;176:V06130350 In 1943 a large family with X-linked mental retardation was described by Martin & Bell. This family had what we know today as fragile X syndrome, the most common inherited form...... of intellectual disability. Current knowledge about the specific gene, the encoded protein and the pathophysiological mechanisms involved has made it possible to develop pharmacological treatment trials. Fragile X syndrome therefore is on its way as model disorder for targeted treatments in genetic medicine...

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

    DEFF Research Database (Denmark)

    Pedersen, Lise; Palshof, Torben

    2009-01-01

    and multidimensional phenomenon Apart from erythropoietin and to some degree methylphenidate, there is no evidence that pharmacologic intervention may reduce CRF. CRF has major impact on quality of life for most patients suffering from a cancer disease. It is therefore of obvious importance to increase the focus...... on CRF - both in the pharmaceutical industry and in the professional-medical environment. Udgivelsesdato: 2009-Sep...

  3. 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...

  4. Idrætstraumatologi og artroskopi--fra videnskab til klinisk behandling

    DEFF Research Database (Denmark)

    Krogsgaard, Michael Rindom

    2012-01-01

    Since the first knee arthroscopy in 1912, it is routine to scope all joints and many extra-articular structures. The effect of arthroscopic procedures in overuse conditions is sparsely documented and should be investigated in randomized studies, but score systems to evaluate clinical effects are ...... are lacking. An increased understanding of tissue reaction to loading and ligament healing as well as neuromuscular control is likely to change the basic principles of treatment and prevention in relation to sports injuries....

  5. Succesfuld behandling af svær dabigatranoverdosering med idarucizumab hos en patient med nyresvigt

    DEFF Research Database (Denmark)

    Poulsen, Christina Gjerlev; Bestle, Morten; Boesby, Lene

    2017-01-01

    In the course of an uncomplicated sigmoidostomy a 63-year-old male who had severe comorbidity developed a critical bleeding due to dabigatran intoxication induced by acute kidney injury. Massive blood transfusions, tranexamic acid, Octaplex and haemodialysis were not effective. Administration...

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

    DEFF Research Database (Denmark)

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

    2006-01-01

    inhibitors (PI), in particular, has been associated with insulin resistance and hyperglycaemia, but only infrequently with diabetic ketoacidosis. We report a case of diabetic ketoacidosis in an HIV-infected woman after 1(1/2) years of a PI-containing regimen, demonstrating reduced beta cell function...... and insulin resistance. Udgivelsesdato: 2006-Feb-27...

  7. Organisation af behandling og opfølgning af patienter med type 2-diabetes

    DEFF Research Database (Denmark)

    Drivsholm, Thomas Bo; Snorgaard, Ole

    2012-01-01

    The organization of treatment and control of type 2 diabetic patients in Denmark has undergone a major development within the last decade. From being based on local hospital guidelines, treatment and control have moved towards a more organized collaboration between primary and secondary care based...

  8. Komplementær og alternativ behandling på socialpsykiatriske bosteder

    DEFF Research Database (Denmark)

    Lunde, Anita

    2016-01-01

    -processer. Kontakt til flere socialpsykiatriske bosteder har vist, at eksempelvis massage og øreakupunktur tilbydes som supplement til bostøtte. Disse metoder er dog kun sparsomt belyst og evalueret. Dette forskningsprojekt vil undersøge brugen af KAB i socialpsykiatrien i Region Syddanmark og Midtjylland, samt om...

  9. Vellykket behandling af supraventrikulær takykardi med modificeret Valsalvas manøvre

    DEFF Research Database (Denmark)

    Wallentin, Johan; Sjøl, Anette

    2016-01-01

    Supraventricular tachycardia (SVT) is a frequent challenge in medical emergency units. Adenosine, the drug of choice, may cause severe discomfort. The Danish Society of Cardiology's National Treatment Guidelines for SVT recommend first aid treatment with ''vagus stimulation such as carotid massage...

  10. Alternativ behandling i Danmark--brug, brugere og årsager til brug

    DEFF Research Database (Denmark)

    Lønroth, Helle Langhoff; Ekholm, Ola

    2006-01-01

    : The survey revealed that 40.2% had ever used CAM and 20.1% had used CAM within the last year. Of those reporting having used CAM ever, reflexology (22.7%), massage/osteopathy/other manipulative techniques (16.5%) and acupuncture (16.2%) were the most frequently used. The use of CAM was more common among...

  11. Acquisition and management of energy data. Opsamling og behandling af energi-data

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, K.E.

    1989-07-15

    Three computer programmes have been developed for the collection and management of measurement data in connection with a small dual-purpose power plant in a rural area. One of these is a modem program which enables readings of operational measurements to be taken and transferred over a geographical distance. Another program generates a daily report on the system's operation in a way which is determined by the user. An independent copying program is an extension of the graphic program which makes it possible to copy parts of data files over shorter periods of time and through individual data channels. Measuring data can form the basis of a control system. These types of program are presented in detail. (AB).

  12. 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...

  13. Ballondilatation af det eustakiske rør er ny behandling til kronisk otitis media

    DEFF Research Database (Denmark)

    Møller, Martin Nue; Wanscher, Jens; Larsen, Per Leganger

    2014-01-01

    Balloon dilation of Eustachian tube is a novel method for managing chronic ventilatory dysfunction in patients with chronic otitis media, as an alternative to classic grommet insertion. Although few retrospective studies have been conducted the method seems to be rapid, simple and safe with promi......Balloon dilation of Eustachian tube is a novel method for managing chronic ventilatory dysfunction in patients with chronic otitis media, as an alternative to classic grommet insertion. Although few retrospective studies have been conducted the method seems to be rapid, simple and safe...

  14. Endokrinologisk udredning, behandling og opfølgning af polycystisk ovariesyndrom

    DEFF Research Database (Denmark)

    Glintborg, Dorte; Rungby, Jørgen; Eskildsen, Peter

    2010-01-01

    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......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...

  15. 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...

  16. Behandling af ustabil angina pectoris. En spørgeskemaundersøgelse

    DEFF Research Database (Denmark)

    Nielsen, J D; Stoltenberg, Meredin; Juul, A

    1990-01-01

    Questionnaires about therapy in unstable angina pectoris were sent to 63 Danish medical departments and were answered by 52 departments (82.5%). Nitroglycerin is commonly used but only in half of the departments is Nitroglycerin administered intravenously. Calcium-receptor-blockers are used in more...... departments (65%) than beta-receptor-blockers (35%) (p less than 0.05). Five departments use thrombolytic therapy along local guidelines. All recommend aspirin as prophylaxis against thrombosis and 63% recommend the therapy to be continued for life. An exercise test is always performed during hospital stay...

  17. Fra mental retardering til målrettet behandling ved fragilt X-syndrom

    DEFF Research Database (Denmark)

    Jønch, Aia Elise; Timshel, Susanne; Carlsen Lunding, Jytte Merete

    2014-01-01

    From intellectual disability to new treatment modalities of fragile X syndrome: Ugeskr Læger 2014;176:V06130350 In 1943 a large family with X-linked mental retardation was described by Martin & Bell. This family had what we know today as fragile X syndrome, the most common inherited form......, and this article reviews clinical and therapeutic aspects of the syndrome....

  18. Fra mental retardering til målrettet behandling ved fragilt X-syndrom

    DEFF Research Database (Denmark)

    Jønch, Aia Elise; Timshel, Susanne; Lunding, Jytte

    2014-01-01

    In 1943 a large family with X-linked mental retardation was described by Martin & Bell. This family had what we know today as fragile X syndrome, the most common inherited form of intellectual disability. Current knowledge about the specific gene, the encoded protein and the pathophysiological...... mechanisms involved has made it possible to develop pharmacological treatment trials. Fragile X syndrome therefore is on its way as model disorder for targeted treatments in genetic medicine, and this article reviews clinical and therapeutic aspects of the syndrome....

  19. 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...

  20. Diagnostik og behandling af kvinder med urin-inkontinens på danske gynaekologiske afdelinger

    DEFF Research Database (Denmark)

    Vejtorp, M; Fischer-Rasmussen, W; Blaabjerg, J

    1990-01-01

    The routine practice in the diagnosis and treatment of urinary incontinence was investigated by means of a questionnaire to which all 32 departments replied. Miction charts were employed routinely in 17 departments and for selected patients in eight departments. Weighing of diapers was employed...

  1. 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...

  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. Rapid eye movement sleep behavior disorder--diagnostik, årsager og behandling

    DEFF Research Database (Denmark)

    Zoetmulder, Marielle; Jennum, Poul Jørgen

    2009-01-01

    Rapid eye movement (REM) sleep behaviour disorder (RBD) is characterized by loss of REM sleep and related electromyographic atonia with marked muscular activity and dream enactment behaviour. RBD is seen in 0.5% of the population. It occurs in an idiopathic form and secondarily to medical and neu...... and neurological disease. RBD is related to brainstem pathology. Furthermore, it is increasingly recognized that RBD is frequently related to Parkinsonian disorders and narcolepsy. This article reviews recent knowledge about RBD with focus on the diagnostic process and management....

  4. 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...

  5. Behandling af uraemisk osteodystrofi med laegemidler, som påvirker calcium-fosfor-omsaetningen

    DEFF Research Database (Denmark)

    Vestergaard, Peter; Eiken, Pia A

    2012-01-01

    This review discusses the mineral bone disorders in patients with chronic kidney disease. We focus on the management of these conditions by administration of calcium, vitamin D (ergocalciferol and cholecalciferol), vitamin D receptor activators (calcitriol, alphacalcidiol), phosphate binders...

  6. Ballondilatation af det eustakiske rør er ny behandling til kronisk otitis media

    DEFF Research Database (Denmark)

    Wanscher, Jens; Nue Møller, Martin; Leganger Larsen, Per

    2014-01-01

    Balloon dilation of Eustachian tube is a novel method for managing chronic ventilatory dysfunction in patients with chronic otitis media, as an alternative to classic grommet insertion. Although few retrospective studies have been conducted the method seems to be rapid, simple and safe...

  7. Akut iliofemoral venøs trombose bør behandles med kateterbaseret trombolyse

    DEFF Research Database (Denmark)

    Broholm, Rikke; Just, Sven; Jørgensen, Maja;

    2012-01-01

    Treatment of acute iliofemoral deep venous thrombosis (DVT) with catheter-directed thrombolysis (CDT) has been performed in Denmark since 1999. The purpose of CDT is to dissolve thrombus and to restore the venous lumen as fast as possible and thereby save venous valve function and prevent...... postthrombotic syndrome. Danish studies have shown that treatment of acute iliofemoral DVT using CDT results in good patency, preserves venous valve function, reduces the frequency of PTS, and is associated with a higher quality of life....

  8. 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 res...... for radiotherapy. Treatment and control of BTO in Denmark are in agreement with current international principles....

  9. Integrert behandling av rus og psykiske lidelser i en sikkerhetspsykiatrisk avdeling: Evaluering av implementeringstiltak

    Directory of Open Access Journals (Sweden)

    Kari E. Bjørnstad

    2014-06-01

    Full Text Available Integrated treatment of substance abuse and mental illness in a security psychiatric ward: Evaluation of the implementation measures Violence and homicide among patients with severe mental disorders is associated with substance use. The main aim of this study was to improve organization-level dual diagnoses capability in a forensic psychiatric unit. Health personnel and organization level assessments were performed before and after program and staff training and program implementation. Results: The DDCMHT targeted important areas of change and staff training was associated with an increased total score in dual diagnoses capability from 2.7 to 3.9 on a 1-5 scale, a change from being categorized as Addiction or Mental health Services Only to Dual Diagnosis Capable. Important implementation factors were clinical experience and organizational support. Despite implementation challenges, the main conclusion to be drawn from the study is that improvements in dual diagnoses capability are feasible at a service level.

  10. 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, J.

    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....... Systematic literature searches were performed in Medline by 3 international and a Danish bibliographic fellow. Outcome data were extracted and processed by use of routine methods from clinical epidemiology and statistics. The evidence was presented to the Danish rheumatologists. The participants were divided...... of these in the analysis. All 186 Danish rheumatologists were invited, and 26 (14,0%) participated in the meeting held in Copenhagen, December 2006. The individual recommendations were endorsed by 68-100% of the participants. CONCLUSION: Within the framework of the multinational 3e project, it was possible to develop...

  11. Lægers tavshedspligt ved behandling af unge kan være et dilemma

    DEFF Research Database (Denmark)

    Boisen, Kirsten; Adolphsen, Caroline; Svensson, Jannet;

    2016-01-01

    to treatment. Young people value confidentiality, although they are unaware of the current guidelines. International guidelines on youth-friendly health services recommend split visits and confidential care while at the same time acknowledging parents' caretaking role, especially in adolescents with chronic...

  12. Længerevarende behandling af børn og unge i sikrede pladser

    DEFF Research Database (Denmark)

    Bonke, Jens; Kofoed Rasmussen, Lene

    I slutningen af 1990'erne blev der åbnet for, at landets sikrede institutioner kunne anvendes til længerevarende behandlingsforløb for unge kriminelle eller kriminalitetstruede. Ordningen har kun været benyttet i ringe grad og har været praktiseret meget forskelligt i de involverede institutioner...

  13. 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 the proc......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...

  14. Risiko for anastomoselækage ved postoperativ behandling med nonsteroide antiinflammatoriske stoffer

    DEFF Research Database (Denmark)

    Klein, M.; Gögenür, Ismayil; Rosenberg, J.

    2010-01-01

    strength and reduced deposition of hydroxyproline. Retrospective human studies have reported increased leakage rates after postoperative diclofenac and celecoxib treatment. We recommend that diclofenac and celecoxib be omitted from analgesic regimens after colorectal surgery involving an anastomosis...

  15. Kardiovaskulære risici ved behandling med nonsteroide antiinflammatoriske lægemidler

    DEFF Research Database (Denmark)

    Schmidt, Morten; Fosbøl, Emil Loldrup; Torp-Pedersen, Christian

    2016-01-01

    cyclooxygenase-2 inhibitors has been associated with a substantial vascular risk but increasing concern also relates to traditional NSAIDs, in particular diclofenac. This review summarizes the current evidence regarding the cardiovascular safety of NSAIDs and presents recommendations for their use....

  16. Konservativ behandling af sårinfektioner efter operation for mammacancer

    DEFF Research Database (Denmark)

    Lanng, Charlotte; Hoffmann, Jack

    2002-01-01

    treated conservatively with repeated aspiration or replacement of the drain, 5% had spontaneous perforation of the wound abscess, corresponding to a small area of necrosis, and healed without operation. Five per cent had a major area of necrosis with underlying infections. These patients had their wound...

  17. Manglende evidens for skadelig effekt på knogleheling ved behandling med NSAID

    DEFF Research Database (Denmark)

    Janum, Susanne; Kristensen, Billy Bjarne

    2012-01-01

    discard of NSAID for postoperative pain relief in uncomplicated cases. However, NSAID should be considered a potentiel risk factor of impaired bone healing and avoided in patients with a high risk of pseudoarthrosis. Recommended daily doses should be respected and duration of treatment should be limited....

  18. Svær laryngomalaci hos børn kan behandles med laserkirurgi

    DEFF Research Database (Denmark)

    Meyer, Lars Christian; Godballe, Christian

    2012-01-01

    Laryngomalacia is the most common cause for congenital stridor. The stridor is caused by collapse of supraglottic structures during inspiration. Two severe cases treated with laser-assisted supraglottoplasty are presented. Our cases as well as the literature describe good effect of the treatment...

  19. Patient med nedsat leverfunktion fik myoklonier under behandling med selektive serotoningenoptagelseshæmmere

    DEFF Research Database (Denmark)

    Forsberg-Gillving, Mimmi; Bode, Matthias; Sindrup, Søren Hein

    2015-01-01

    Side effects such as myoclonus and tremor are rare when treating with selective serotonin reuptake inhibitors (SSRIs). We present a case where a patient with known liver cirrho-sis and in treatment with citalopram developed myoclonus, tremor and gait difficulties. The symptoms were reduced when...

  20. 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......, p complications including anastomotic leaks (eight vs. 14) and lower operation-related mortality (zero vs. three). None of these differences were statistically significant. CONCLUSION: LRH is comparable...... 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...

  1. 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...

  2. Behandling af angste psykiatriske patienter med MusiCure - et pilotprojekt

    Directory of Open Access Journals (Sweden)

    Torben Egelund Sørensen

    2005-02-01

    Full Text Available I perioden 1.11.2003 til 1.3.2004 blev der på to åbne og en lukket sengeafdeling på psykiatrisk afdeling, Horsens sygehus, gennemført et pilotprojekt, med det formål at undersøge om brugen af speciel designet musik (MusiCure ville have en positiv effekt på angste og urolige patienter. 30 patienter fik MusiCurebehandling en eller flere gange, og af disse fik de 26 en positiv effekt af behandlingen: De blev beroliget; faldt til ro/i søvn. For en patient havde behandlingeningen effekt, og for 3 patienter havde behandlingen en negativ effekt. Interviews med patienter og plejepersonalet viste at brugen af MusiCure havde en angstdæmpende effekt, enten givet aleneeller i kombination med PN medicin og /eller kugledyne. Det konkluderes at undersøgelsens samlede resultat tyder på at MusiCure kan anvendes til såvel psykotiske som ikke-psykotiskepatienter, og at MusiCure, anvendt alene eller sammen med kugledyne, kan være et alternativ til brugen af PN medicin. Artiklen er en revideret udgave af artikel med samme titel bragt på Musica Humanas hjemmeside.

  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...... to cellular swelling, extreme rhabdomyolysis and global hypoperfusion. We describe the clinical observations, therapy and injuries which may be expected. Furthermore, the pathophysiology and factors influencing the survival of this patient are discussed....

  4. Rapid eye movement sleep behavior disorder--diagnostik, årsager og behandling

    DEFF Research Database (Denmark)

    Zoetmulder, Marielle; Jennum, Poul Jørgen

    2009-01-01

    Rapid eye movement (REM) sleep behaviour disorder (RBD) is characterized by loss of REM sleep and related electromyographic atonia with marked muscular activity and dream enactment behaviour. RBD is seen in 0.5% of the population. It occurs in an idiopathic form and secondarily to medical...... and neurological disease. RBD is related to brainstem pathology. Furthermore, it is increasingly recognized that RBD is frequently related to Parkinsonian disorders and narcolepsy. This article reviews recent knowledge about RBD with focus on the diagnostic process and management....

  5. 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...

  6. Synet på begrensning av livsforlengende medisinsk behandling i ulike religioner

    OpenAIRE

    Tran, My Linh Thi

    2012-01-01

    Background: End-of- life care poses fundamental ethical problems to clinicians. Development of new technology within medical and science have made it possible to keep patients alive with life-sustaining medical treatments such as elective intubation, mechanical ventilation, dialysis, artificial nutrition and hydration. The questions related to ethical decisions of withholding or withdrawing curative treatments have received substantial attention in medical journal as well as in public debate....

  7. 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...

  8. Idrætstraumatologi og artroskopi--fra videnskab til klinisk behandling

    DEFF Research Database (Denmark)

    Krogsgaard, Michael Rindom

    2012-01-01

    Since the first knee arthroscopy in 1912, it is routine to scope all joints and many extra-articular structures. The effect of arthroscopic procedures in overuse conditions is sparsely documented and should be investigated in randomized studies, but score systems to evaluate clinical effects...... are lacking. An increased understanding of tissue reaction to loading and ligament healing as well as neuromuscular control is likely to change the basic principles of treatment and prevention in relation to sports injuries....

  9. Terapeutiske vacciner er et nyt behandlings-princip ved kastrationsresistent prostatacancer

    DEFF Research Database (Denmark)

    Djurhuus, Sissal Sigmundsdòttir; Brasso, Klaus; Berg, Kasper Drimer

    2015-01-01

    endocrine agents have been approved for CRPC treatment. The continued need for new effective drugs in CRPC has led to development of a novel therapeutic approach in CRPC treatment. Therapeutic vaccines activate the immune system to kill prostate cancer cells. This review describes recent pivotal phase 2...

  10. Behandling med antidepressiva på geriatriske afdelinger. Forekomst og journalforing

    DEFF Research Database (Denmark)

    Rosholm, Jens-Ulrik; Mortensen, Hanne Hollaender; Svensson, Birthe Hjorth

    2003-01-01

    INTRODUCTION: The aim of the present study was to describe the occurrence of antidepressant treatment in geriatric departments in Denmark and assess the notes of the patient records in connection with prescription. MATERIAL AND METHODS: Patient records for consecutively referred patients in seven...... geriatric departments were examined and basic information was noted. For users of antidepressants further information about the treatment was noted. RESULTS: A total of 1211 patients records were examined and out of these 338 patients were in treatment with antidepressants (29.7%). The users...... during the admission. Depression was stated as being the main reason in 54% of those who continued an ongoing treatment, and in 78% of those who started their treatment during admission. In 98.4%, the beginning of treatment with antidepressants was based upon the file notes. In 34.8% of the records...

  11. Idrætstraumatologi og artroskopi--fra videnskab til klinisk behandling

    DEFF Research Database (Denmark)

    Krogsgaard, Michael Rindom

    2012-01-01

    Since the first knee arthroscopy in 1912, it is routine to scope all joints and many extra-articular structures. The effect of arthroscopic procedures in overuse conditions is sparsely documented and should be investigated in randomized studies, but score systems to evaluate clinical effects are ...... are lacking. An increased understanding of tissue reaction to loading and ligament healing as well as neuromuscular control is likely to change the basic principles of treatment and prevention in relation to sports injuries....

  12. Medicinsk behandling af hypofosfatæmisk rakitis hos børn

    DEFF Research Database (Denmark)

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

    2014-01-01

    regimen often fails to prevent bone deformity and reduced final height. The rarity and complexity of these diseases call for centralised specialist care and international collaboration. Future medical treatment may be improved by addition of new promising experimental treatments.......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...

  13. 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

    INTRODUCTION: Treatment with valproate is associated with an increased risk of teratogenicity compared to other antiepileptic drugs and can cause a complex of serious symptoms usually referred to as "foetal valproate symdrome" which is characterised by major and minor malformations in association...

  14. 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...

  15. Rapid eye movement sleep behavior disorder--diagnostik, årsager og behandling

    DEFF Research Database (Denmark)

    Zoetmulder, Marielle; Jennum, Poul Jørgen

    2009-01-01

    Rapid eye movement (REM) sleep behaviour disorder (RBD) is characterized by loss of REM sleep and related electromyographic atonia with marked muscular activity and dream enactment behaviour. RBD is seen in 0.5% of the population. It occurs in an idiopathic form and secondarily to medical and neu...

  16. 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 cohort...... study among 104 consecutive patients referred on suspected stable angina pectoris. Data on the diagnostic regimen was systematically collected from patient files and data on other resource use was collected using a questionnaire for self- reporting. Non-parametric bootstrapping was applied. Results...... 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....

  17. 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....

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

    DEFF Research Database (Denmark)

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

    1996-01-01

    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...

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

    DEFF Research Database (Denmark)

    Sørensen, I J; Matzen, L E

    1993-01-01

    The distributions of sodium and potassium in the serum on admission, and the types of medicine used were studied retrospectively in hospitalized geriatric patients (n = 1418). Sodium concentrations below 130 mmol/l were found in 7.4% and potassium concentrations below 3.0 mmol/l in 5.0% of patients...

  20. Blødningskomplikationer ved behandling med clopidogrel og acetylsalicylsyre efter akut koronart syndrom

    DEFF Research Database (Denmark)

    Kjær, Janus; Larsen, Christian Hastrup; Poulsen, Tina Svenstrup

    2006-01-01

    INTRODUCTION: The Clopidogrel in Unstable Angina to Prevent Recurrent Events (CURE) study showed that patients with unstable angina pectoris (UAP) and non-ST-elevation myocardial infarction (NSTEMI) benefit from combined therapy with acetylsalicylic acid (ASA) and clopidogrel. However, only patie...

  1. 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...

  2. Prognostiske faktorer af betydning for den recidivfrie overlevelse efter kirurgisk behandling af hoved-hals-melanom

    DEFF Research Database (Denmark)

    Andersson, A P; Gottlieb, J; Søndergaard, K;

    1993-01-01

    The clinico-pathological and therapeutic data of 512 patients with clinical stage I invasive head and neck melanoma of the skin were re-evaluated. There were 287 females and 225 males. The median age at primary surgery was 65 years, range 18 to 96 years. The median observation period was 5 years...

  3. 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...

  4. Advance Care Planning kan bruges til at planlægge pleje og behandling i forvejen

    DEFF Research Database (Denmark)

    Skorstengaard, Marianne Hjorth; Groenvold, Mogens; Jensen, Anders Bonde

    2017-01-01

    Advance care planning (ACP) is a discussion between an incurably ill patient, a healthcare professional and if possible, a relative about preferences for end-of-life care, and ACP may improve the communication in this situation. However, in the Danish healthcare system there is no formalized and ...... and systematically used standard procedure for discussions with patients about their knowledge of their treatment options, values and preferences. In this article we review the concept of ACP, including definition, experiences from abroad and the status of ACP in Denmark....

  5. 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...

  6. Svær hyponatriæmi ved Terlipressin behandling

    DEFF Research Database (Denmark)

    Poulsen, Anja; Krag, Aleksander

    2013-01-01

    to terlipressin treatment. A 60-year-old woman with bleeding oesophageal varices was treated with terlipressin 2 mg every fourth hour. After 24 hours of treatment she was somnolent, and the sodium concentration had dropped from 127 mmol/l to 107 mmol/l. Hyponatraemia is an important adverse event in terlipressin...

  7. Forebyggelse af infektioner hos patienter, der har kronisk inflammatorisk tarmsygdom og er i behandling med TNF-hæmmere

    DEFF Research Database (Denmark)

    Risager Christensen, Katrine; Steenholdt, Casper

    2014-01-01

    suppression of the immune system. National and international guidelines recommend screening and vaccination for selected infectious agents prior to anti-TNF initiation as well as during ongoing anti-TNF therapy. This review focuses on current available recommendations and discusses physicians’ and patients...

  8. En krobjektiv lidelse? Forståelse og behandling af kroniske, diffuse smertelidelser med fibromyalgi som eksempel

    Directory of Open Access Journals (Sweden)

    Rie Lykke Danielsen

    2011-12-01

    Full Text Available The article deals with the disease field chronic diffuse pains, here exemplified by fibromyalgia, where patients are frequently rendered homeless in an objectivity focused medical treatment system, whose specialities (ideally seen are mutually exclusive, and where the absence of a diagnosis therefore poses a fundamental problem. In the treatment field there is, however, also a bio-psycho-social approach, and these two treatment regimes are respectively termed as a chrObjective approach and a holistic subject approach.By empirical examples, from stories by both therapists and patients, the article describes how the actors navigate between the two treatment regimes, to which the patients must necessarily adapt in their wish for acceptance and assistance from both sides. The authors further discuss to which degree the two treatment regimes are actually incompatible. The interviews and observation of participants, which constitute the empirical basis for the article, were carried out among therapists and patients in Denmark in 2010.

  9. 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...... infusion, and 44% were Ab-positive after 6 months. Low s-infliximab was associated with Ab development and later therapeutic failure, and high Ab levels could be related to dose increases, side-effects and cessation of therapy. Pharmacological monitoring should help optimize anti-TNF therapies....

  10. Treatment of biofuel ashes for forest recycling; Behandling av aska fraan biobraenslen foer spridning paa skogsmark - etapp 1

    Energy Technology Data Exchange (ETDEWEB)

    Bjurstroem, H.; Sjoeblom, R. [AaF-Energikonsult, Stockholm (Sweden)

    1997-03-01

    Logging residues are the easiest available fuel for an increased production of energy in Sweden from renewable sources. A consequence of their removal from the forest is that the cycle of mineral nutrients is broken. The purpose of recycling the ash after this fuel to forest land is to compensate for the removal and close again the nutrient cycle. Recycling nutrients and returning the inorganic components of the biomass removed from the forest should be performed in accordance with general principles of environmental protection, health considerations and the good house-keeping of natural resources. The activities should also be carried out in accordance with the needs of the forest and energy plant owners regarding good technology and economy. This implies that functional requirements originating from these principles and needs should be clearly structured and formulated and that such requirements should provide a basis for the continued development work as well as for the implementation of suitable, economical and efficient systems. Returning inorganic constituents implies that the principle of recirculation is followed as well as that nutrients are brought back which improves accretion in the forest. At the same time, the risk of damage to the forest can be assessed as insignificant. Furthermore the risks to human health are also assessed to be insignificant provided that pertinent precautions are taken to avoid dusting. In the present report, technical and economical aspects of importance for the selection of method as well as for the establishment of a system are described and discussed. The need for further development work is identified in the following areas: functional requirements - operational requirements, sampling, testing and quality assurance, granulation, curing processes and drying/sintering. 102 refs, 1 fig, 2 tabs

  11. Præhospital behandling ved større udendørs musikfestival. Økonomiske aspekter

    DEFF Research Database (Denmark)

    Mikkelsen, J B; Larsen, C F

    1994-01-01

    An emergency facility was provided at the Midtfyn Rock Music Festival in 1990 (comprising 7,000 musicians and ancillaries and an overall public attendance of 60,000). A total of 329 patients were treated at the facility during the four and a half days that the festival lasted. The numbers...

  12. Medicinsk vs. kirurgisk behandling af svært overvægtige patienter med type 2-diabetes

    DEFF Research Database (Denmark)

    Svane, Maria Saur; Bojsen-Møller, Kirstine Nyvold; Madsbad, Sten

    2016-01-01

    Bariatric surgery induces large and sustainable weight loss in obese patients and improves glycaemic control in patients with Type 2 diabetes. Eleven randomized controlled trials have shown superior glycaemic outcomes after bariatric procedures vs. medical therapy/intensive lifestyle interventions...... in obese patients with Type 2 diabetes. Furthermore, many patients experience remission of Type 2 diabetes after surgery but relapse may occur during follow-up. Data from observational studies show reduced incidence of micro- and macrovascular complications in addition to reduced cardiovascular and total...... mortality after surgery....

  13. 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...

  14. Behandling med duodenal-jejunal bypass-sleeve ved svær overvægt

    DEFF Research Database (Denmark)

    Rohde, Ulrich; Gylvin, Silas; Vilmann, Peter

    2014-01-01

    Overweight and obesity are risk factors for several co-morbidities reducing life expectancy. Conservative treatment of obesity is generally ineffective in the long-term. Bariatric surgery has proven effective, but is associated with potential complications. Duodenal-jejunal bypass sleeve is a novel...

  15. Diagnostik og behandling af sjældne årsager til iskæmisk apopleksi

    DEFF Research Database (Denmark)

    Kondziella, Daniel

    2016-01-01

    Rare causes of ischaemic stroke comprise a plethora of diagnoses of cardioembolic, inflammatory and genetic origin. The differential diagnosis is challenging but important because these disorders (e.g. monogenetic disorders such as COL4A1 mutations) often affect young individuals, they typically...... require sophisticated diagnostics (e.g. fluorescence angiography in Susac's syndrome) and they are increasingly treatable (e.g. enzyme replacement for Fabry's disease). This review discusses practical considerations and recent diagnostic and therapeutic advances in uncommon causes of ischaemic stroke....

  16. Udvikling af cerebrale infarkter hos en 17-årig mand i behandling med sertralin og lisdexamfetamin

    DEFF Research Database (Denmark)

    Martinussen, Malene; Debes, Nanette Mol; Christensen, Catrine

    2016-01-01

    A 17-year-old male with ADHD who was treated with sertraline and lisdexamfetamine presented with transient episodes of speech impairment and right-sided hemiparesis preceded by headaches. Magnetic resonance imaging revealed three cerebral ischaemic lesions. Treatment was initiated with aspirin...

  17. Udvikling af cerebrale infarkter hos en 17-årig mand i behandling med sertralin og lisdexamfetamin

    DEFF Research Database (Denmark)

    Martinussen, Malene; Debes, Nanette Mol; Christensen, Catrine

    2017-01-01

    A 17-year-old male with ADHD who was treated with sertraline and lisdexamfetamine presented with transient episodes of speech impairment and right-sided hemiparesis preceded by headaches. Magnetic resonance imaging revealed three cerebral ischaemic lesions. Treatment was initiated with aspirin...

  18. 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...... 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....

  19. Heterotop graviditet efter IVF-behandling med excision af rumperet interstitiel graviditet og senere kejsersnit nær termin

    DEFF Research Database (Denmark)

    Elers, Jimmi; Zingenberg, Helle; Bing, Mette H;

    2016-01-01

    We describe a rare case of heterotopic pregnancy following in vitro fertilization with transferring of two embryos in a 39-year-old woman with previous bilateral salpingectomy. An ultrasound examination was performed on the day before admission showing a vital intrauterine pregnancy and no ectopic...... pregnancy. The woman was admitted with a ruptured cornual pregnancy at ten weeks of gestation. Laparotomy was performed on vital indication with excision of the ruptured haemorrhagic cornual pregnancy. The intrauterine pregnancy continued uneventfully with obstetric and fetal medicine specialist monitoring...

  20. Cadmium in willow plantations - municipal waste products as fertilizers; Kadmiumhalt i Salixodlingar efter behandling med kommunala restprodukter

    Energy Technology Data Exchange (ETDEWEB)

    Hasselgren, K. [ENVIRO Miljoekonsult (Sweden)

    1995-07-01

    Plantations of willows (i.e. Salix spp) seem to absorb cadmium (Cd) from arable land to a greater extent than other plant cultivations. Thus, energy forestry, based upon cultivation of Salix, could possibly be used for biofuel production in combination with biological purification of arable land contaminated with Cd by atmospheric deposition and P fertilizers during the passed 100 years. Application of sewage sludge (5-7 ppm Cd of dry solids) up to 550 g Cd per hectare, or 140 g Cd hectare and year, resulted in clearly increased concentrations of Cd in the upper 10 cm layer of the soil. In deeper soil layers the differences compared with control plots were small. Lower rates of sludge application, corresponding to less than 70 g added per hectare and year, did not materially affect the Cd-content in the soil irrespective of layer. A general pattern was that the content of Cd in plant tissues decreased with increased stem diameter, increased age of stems and stands as well as increased biomass growth. Thus, concentrations of Cd in Salix material, in clones from some of the first generation of energy forest plants (S. viminalis, S. dasyclados and S. schwerinii). were fairly high in young stands. In general, 1-year-old shoots contained 5-6 ppm Cd of dry solids in stems and 10-15 ppm in leaves. In older shoots, up to three years, and older stands, up to six years, the Cd contents decreased to 1-2 ppm Cd and 2-4 ppm Cd of dry solids for stems and leaves, respectively. Abundant supplies of water and nutrients seem to stimulate the Cd uptake in Salix in terms of higher concentrations in plant tissues as well as higher plant growth levels compared with conventional energy forestry. Stands with older stems, not irrigated and not fully fertilized resulted in uptake rates in the range of 10-30 g Cd per hectare and year. 14 refs, 9 figs, 1 tab

  1. 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...

  2. Anvendelse af fibrinolytika ved behandling af akut myokardieinfarkt i Danmark. En spørgeskemaundersøgelse

    DEFF Research Database (Denmark)

    Nielsen, J D; Stoltenberg, Meredin; Siemsen, M

    1990-01-01

    Questionnaires were sent to all Danish departments admitting patients with acute myocardial infarction (AMI) in order to investigate the attitudes of the departments to thrombolytic therapy in AMI. Two questionnaires were used: one with few questions which was answered by all 68 departments......, and a more comprehensive questionnaire which was answered by 51 departments. The study shows that thrombolytic therapy now is use in all departments as opposed to 25% two years ago. In connection with introduction of thrombolytic therapy scientific studies are performed in 75% of the departments. In all...... departments, streptokinase (SK) is the drug of first choice and recombinant tissue plasminogen activator (rt-PA) is used in 2/3 of the departments in cases where SK-antibodies are suspected....

  3. Antihypertensiv behandling efter apopleksi--beskyttende effekter mod kardiovaskulaer sygdom ud over det, som opnås ved blodtryksreduktionen?

    DEFF Research Database (Denmark)

    Christensen, Kent Lodberg; Husted, Steen

    2006-01-01

    The presence of significant effects beyond what may be achieved by reducing consultation blood pressure, particularly in stroke prevention, has been indicated by several clinical hypertension trials, including LIFE, ASCOT, NORDIL, ACCESS and now also MOSES. New data suggest that apparent pressure...... equality could be a beta-blocker-induced diminished white coat effect; despite this, the evidence points towards the presence, however not a major one, of meaningful preventive effects unrelated to pressure reduction. Udgivelsesdato: 2006-May-29...

  4. 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...

  5. 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....... Evidence-based guidelines already exist that focus on all steps in the management. This article, which was written by members of the Scandinavian Neurotrauma Committee, presents recommendations on the pre-hospital management of traumatic brain injury adapted to the infrastructure of Scandinavia...

  6. 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....

  7. 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...

  8. Fatal blødning ved operation for hoftenær fraktur hos en patient i behandling med dabigatran

    DEFF Research Database (Denmark)

    Rasmussen, Lasse Enkebølle; Viberg, Bjarke L; Pottegård, Anton

    2015-01-01

    An 82-year-old woman in treatment with the thrombin inhibitor dabigatran etexilate (a new oral anticoagulant (NOAC)) was admitted with a subtrochanteric femoral fracture and surgery was initiated 15 hours after admittance. She had a blood loss of 6,000 ml and died the next morning from multi......-organ failure. In 2013 1.8% of hip fracture patients in Funen received NOACs. Surgery is recommended within 24 hours for hip fracture patients to reduce mortality, but patients in treatment with NOACs should wait at least 48 hours before major surgery. Care should be taken when prescribing NOACs to patients...

  9. 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...

  10. 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

    30-40% of cancer patients suffer from pain at diagnosis while 70-80% of patients at progressed stages of the disease suffer from pain. Background pain is treated with long-acting opioids. Breakthrough pain can be treated with shorter acting non-opioid analgesics or opioids. The aim of this study ...

  11. 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

    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...

  12. 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

    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...... 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....

  13. 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

    a direct comparison or an indirect statistical comparison between the two antiangiogenic agents. In clinical practice ranibizumab compared to pegaptanib is the drug of choice because of cost-utility analysis and the number of patients gaining visual acuity. Udgivelsesdato: 2009-Nov......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 include...

  14. Cancer i øjenregionen

    DEFF Research Database (Denmark)

    Prause, J.U.; Heegaard, S.; Toft, Peter Bjerre

    2002-01-01

    oftalmologi, cancer, tumor, øjenlåg, conjunctiva, cornea, hud, øjets indre, orbita, diagnostik, behandling......oftalmologi, cancer, tumor, øjenlåg, conjunctiva, cornea, hud, øjets indre, orbita, diagnostik, behandling...

  15. Shopping

    DEFF Research Database (Denmark)

    Mathiesen, Frants; Arvedsen, Karsten

    2014-01-01

    Shopping behandles som fænomen og begivenhed og som konkret undervisningstilgang til Visuel Kultur......Shopping behandles som fænomen og begivenhed og som konkret undervisningstilgang til Visuel Kultur...

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

    DEFF Research Database (Denmark)

    Hansen, Birgitte; Winther, Bodil; Norlyk, Annelise

    2015-01-01

    Patients with colorectal cancer are offered multi factual treatment which means long-term treatment followed by severe side effects. Within a phenomenological- hermeneutical frame of reference the aim of this study was to explore the patient’s perception of the challenges they experience during...... treatment for colonic cancer. Ten patients participated in the study. Data were collected through semi-structured interviews and analysed using the guidelines for meaning interpretation given by Kvale and Brinkmann. The analysis led to one dominating theme: endurance and four subthemes: coping with bodily...... 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...

  17. Behandling af defaekationsblokade som følge af dyb fossa recto-genitalis med total baekkenbundsrekonstruktion med Prolene-net

    DEFF Research Database (Denmark)

    Møller, P; Monrad, H; Kehlet, H

    1992-01-01

    of the abdominal pain and dependence on morphine in two of the patients. Rectal compression resulting from an abnormally deep recto-genital fossa should be included in the differential diagnostic deliberations in patients with severe constipation and defaecation blockage. Complete reconstruction of the pelvic......The causes of severe defaecation blockage resulting from compression of the rectum and deep recto-genital fossa are reviewed and are illustrated by three patients who had previously undergone hysterectomy and who had incapacitating defaecation blockage and abdominal pain requiring morphine in two...... of the patients. The condition had not been diagnosed despite previous hospital contact for many years in two of the patients. Complete reconstruction of the pelvic floor with prolene net was performed. Subsequent defaecography showed normalization of defaecation without rectal compression and with relief...

  18. Outlet of products of biological treatment- what will be the future problems and opportunities?; Avsaettning av energiprodukter fraan biologisk behandling - vilka fraagestaellningar kommer att bli aktuella?

    Energy Technology Data Exchange (ETDEWEB)

    Hellstroem, Hanna

    2010-01-15

    Biological treatment and related products is a topical subject, which increases year after year, not only in Sweden but all over the world. In this phase of expansion, it is interesting to find out what subjects could become relevant for products from this treatment method in the future. The following products are incorporated in the concept 'energy products' from biological treatment: sludge from sewage treatment plants, digestate from waste digestion plants, biogas, ethanol, and products from biorefinery. Questions regarding the process of these products are not included in this project. The purpose is to bring forward a catalogue of ideas of current and future topics in the field of biological treatment. The goal is to identify development projects which could be of interest for upcoming programs at Waste Refinery. Issues and project proposals for each product have been identified by the writer's network, and in discussions tabled at a workshop arranged by Waste Refinery in the autumn of 2009. At the present time, almost all digestate is sold, but there are problems. Though the plants have found an outlet for their products, they do not receive adequate return on them. Moreover, a lot of water is being transported. Many stakeholders within Waste Refinery, as well as external stakeholders, have requested a project on refining of digestate. Other topical issues regarding digestate are how new, non-food substrates and additives affect the quality of the digestate. Sewage treatment plants have to pay large amounts of money for the disposal of sludge. If Waste Refinery can include sewage sludge in their range of work, there will be several synergies between sludge and digestate. Matters, that need to be solved in the near future, are how to best achieve hygienisation of sewage sludge in order to guarantee salmonella-free sludge. As for biogas, the demand will be determined by factors such as the access of raw material, whether it becomes a vehicle fuel to count on in the future, taxes and means of control (i.e. environmental objectives). Concrete project proposals regarding the gas composition and measurement of raw gas, as well as the minimization of emissions have been received. There are also many questions regarding the distribution of biogas. As for ethanol, the questions primarily regard the process and new substrates identified in interesting fields. Such matters and project ideas have, however, not been considered, as this report is intended to identify questions about the products. Contact with various ethanol producers and researchers has shown that there is, as it seems, no need for further development of ethanol as a product. Waste Refinery has already touched the subject of biorefinery in the WR 20 project, refinement of digestion residue. No project proposals have been identified for products from biorefinery, either by the writer's network or during the workshop. One proposal is to do a more thorough study of biorefinery under the management of Waste Refinery

  19. Perforation of the colon during combined radio and steroid therapy. Diagnosis and treatment; Colonperforsjon under kombinert steroid- og straalebehandling. Diganostikk og behandling

    Energy Technology Data Exchange (ETDEWEB)

    Wiig, J.N.; Aass, N.; Karlsen, K.O.; Giercksky, K.E. [Norske Radiumhospital, Oslo (Norway)

    1996-02-01

    Eighth patients with colon perforations after combined treatment with radiotherapy and steroid medication are studied retrospectively. Sigmoid diverticuli perforated after a minimum of 5 days treatment. The main symptom was a varying degree of abdominal pain. Clinical parameters were of limited value. The most important single examination was plain abdominal x-ray, though this was not positive in all cases. Seven patients were operated on, one with simple suture, the rest with Hartmann`s procedure. None developed postoperative peritonitis. One died from cerebral infarction. Four died within 38 days postoperatively after discharge from hospital. Abdominal symptoms during high dose steroid treatment may indicate perforation on the colon. Immediate operative intervention may have an uncomplicated postoperative course. 8 refs., 2 tabs.

  20. Stress i gymnasiet - Hvad der stresser gymnasielever og hvordan forebyggelse og behandling virker med ’Åben og Rolig for Unge’

    DEFF Research Database (Denmark)

    Nielsen, Anne Maj; Lagermann, Laila Colding

    Denne undersøgelse af stress hos gymnasieelever i Aalborg viser, hvordan stress giver sig udslag i gymnasiet, hvad der stresser eleverne, hvad der adskiller de stressramte elever fra andre elever, hvordan et stressreduktionskurset Åben og Rolig for Unge virker for de unge i gymnasiet, og hvad der...

  1. Mænd med rejsningsbesvær efter radikal prostatektomi bør behandles efter sædvanlige retningslinjer

    DEFF Research Database (Denmark)

    Fode, Mikkel; Hansen, Rikke Bølling; Maigaard, Thomas

    2015-01-01

    . The method is effective in animal models, but the results cannot be confirmed in humans. At this time, treatment regimens which actually create erections and allow for sexual intercourse following surgery should be prescribed. These include PDE5 inhibitors, vacuum erection devices, injection therapy...

  2. 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....

  3. 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...

  4. Kontrollmestringsteori og Becks kognitve teori. En sammenlignende undersøkelse av teoriene med henblikk på forståelse og behandling av depresjon

    OpenAIRE

    Brabrand, Kristin; Søvik, Ellen; Blomdal, Ane Jostedt

    2012-01-01

    Psychotherapy theories differ in how they understand and approach depression (Nordahl et al., 2012). In this paper we compare the control-mastery theory and Beck`s cognitive theory, with the aim to identify similarities and differences between the theories. In this comparison, similarities in conceptualization appeared. Both the control- mastery theory and Beck`s cognitive theory describe depression as developed on the basis of maladaptive cognitions (Beck, 1970; Weiss, 1993). At the same tim...

  5. 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...

  6. Assisteret hjemmebehandling af eksacerbation i kronisk obstruktiv lungesygdom. Fremskyndet udskrivelse til fortsat behandling, monitorering og pleje i eget hjem varetaget af lungesygeplejerske

    DEFF Research Database (Denmark)

    Ringbaek, Thomas Jørgen; Eriksen, Nanna; Vestbo, Jørgen

    2003-01-01

    of COPD. In order to evaluate various types of assisted home care, the selection of patients, feasibility, effect, safety, and cost-effectiveness, the literature was reviewed. Most information is available on assisted home care following a hospital-based assessment and led by a respiratory nurse......Chronic obstructive pulmonary disease (COPD) is a leading cause of hospitalisation in Danish adults, and admission rates are expected to increase in the future. Assisted home care with disease monitoring and treatment by a pulmonary nurse may reduce time spent at hospital and the economic burden...

  7. Patienter med basalcellenævussyndrom bør tilbydes tidlig interdisciplinær opfølgning og behandling

    DEFF Research Database (Denmark)

    Bay, Christiane; Ousager, Lilian Bomme; Jelsig, Anne Marie

    2016-01-01

    Basal cell naevus syndrome (Gorlin-Goltz syndrome) is a rare, autosomal dominantly inherited condition with a wide range of developmental and multiple organ-related anomalies. Cardinal features include multiple basal cell carcinomas, jaw cysts, palmoplantar pits and calcification of the falx...

  8. Handling of safety issues in the senior management group at the nuclear power plants; Behandling av saekerhetsrelaterade fraagor i kaernkraftverkens ledningsgrupper

    Energy Technology Data Exchange (ETDEWEB)

    Wahlstroem, B. [VTT Automation, Esbo (Finland)

    2001-02-01

    The report describes the results from a series of interviews, which were made in the preparation of an application for a reserach project to the Nuclear Fission Safety Programme of EU. The project application 'Learning organisations for nuclear safety - LearnSafe' collected a consortium of 5 partners and 9 associated partneres and has been assigned the reference number FIS5-2001-00066 by the European Commission. (au)

  9. 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...

  10. 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

    treatment for colonic cancer. Ten patients participated in the study. Data were collected through semi-structured interviews and analysed using the guidelines for meaning interpretation given by Kvale and Brinkmann. The analysis led to one dominating theme: endurance and four subthemes: coping with bodily...

  11. Der er begrænset effekt af interferonbeta til behandling af sekundær progressiv multipel sklerose--en gennemgang af et Cochranereview

    DEFF Research Database (Denmark)

    Schreiber, Karen; Voldsgaard, Ana; Sørensen, Per Soelberg

    2013-01-01

    Interferon (IFN)-beta 1b is approved for the treatment of secondary progressive multiple sclerosis (SPMS) with relapses in the EU. This Cochrane review analysed all double- or single-blinded randomised placebo controlled studies that had evaluated the efficacy of IFN-beta versus placebo in SPMS...

  12. Rusmisbruk, angst og depresjon etter 10 år: En prospektiv undersøkelse av stoffmisbrukere med og uten LAR-behandling

    Directory of Open Access Journals (Sweden)

    Ravndal Edle

    2015-12-01

    Full Text Available Substance abuse, anxiety and depression after 10 years: A prospective study of drug users in and outside OMT treatment AIMS - The national Opiate Maintenance Treatment (OMT program in Norway started officially in 1998. The same year a treatment study was initiated, including the most used treatment measures for drug users in Norway. The main aim in the present study was to investigate the prevalence of live OMT patients in the total sample after 10 years, and to compare the outcome of primarily substance abuse, anxiety and depression among OMT patients versus non-OMT patients. DESIGN & METHODS - Four hundred and seven patients, in Oslo and the nearby regions, who started in 16 different in- and outpatients programs, were followed from intake to treatment and during ten years (1998-2009. Patients in the sample were interviewed after one, two, seven and ten years, and they were divided into three different treatment groups: inpatient residency for grown-ups, outpatient psychiatric youth teams and youths living in collectives. Data was collected through use of EuropASI and HSCL-25 at all follow-ups. RESULTS - After ten years 15 % were deceased. Of the 333 persons left, 73 % (n=248 were interviewed after ten years. Forty percent (n=99 were then in OMT. After ten years there were no gender differences regarding attendance to OMT, but the OMT-group was older (30 vs .28 yrs, p<0.05, and they used more benzodiazepines (p<0.000 and cannabis (p<0.01 than the others. The OMT-group reported to a larger extent more anxiety and depression throughout the total observation period than the non OMT participants. Use of heroin and criminality were significantly reduced in both groups. CONCLUSIONS - In spite of reduced use of heroin, the OMT patients seemed to have more difficulties in reducing the use of benzodiazepines and cannabis, whereas the anxiety and depression scores were high and stable through the total observation time.

  13. Mænd med rejsningsbesvær efter radikal prostatektomi bør behandles efter sædvanlige retningslinjer

    DEFF Research Database (Denmark)

    Fode, Mikkel; Hansen, Rikke Bølling; Maigaard, Thomas

    2014-01-01

    Penile rehabilitation programmes aim to improve long-term sexual function after nerve-sparing radical prostatectomy. Programmes aim to improve cavernous oxygenation to avoid structural damage in penile tissue. Especially, daily use of phosphodiesterase type 5 (PDE5) inhibitors has been studied. T......, urethral suppositories and penile implants....

  14. Mænd med rejsningsbesvær efter radikal prostatektomi bør behandles efter sædvanlige retningslinjer

    DEFF Research Database (Denmark)

    Fode, Mikkel; Hansen, Rikke Bølling; Maigaard, Thomas

    2015-01-01

    Penile rehabilitation programmes aim to improve long-term sexual function after nerve-sparing radical prostatectomy. Programmes aim to improve cavernous oxygenation to avoid structural damage in penile tissue. Especially, daily use of phosphodiesterase type 5 (PDE5) inhibitors has been studied. T......, urethral suppositories and penile implants....

  15. Fluconazol og amning

    DEFF Research Database (Denmark)

    Pedersen, Andreas James Thestrup; Hessellund, Anne; Bergmann, Troels Korshøj;

    2016-01-01

    Når lokalbehandling til candidainfektion ikke er nok, er næste valg systemisk behandling. Men hvad, hvis kvinden ammer? Kan systemisk behandling med tablet fluconazol anvendes? Svaret er ja – men langvarig behandling (> 2 uger) bør undgås. Fluconazol vil udskilles i brystmælk, men mængden af...... fluconazol, som barnet derved indtager, er lav....

  16. Vision og virkelighed

    DEFF Research Database (Denmark)

    Carlsen, Benny Bang

    Bogen behandler andetsprogsdidaktiske problemstillinger og emner som fx sproglig opmærksomhed, kontrastiv lingvistik, kommunikativ kompetence, andetsprogstilegnelsesteorier, intersprogsanalyse og kulturmødet....

  17. Betonkonstruktioner efter DS/EN 1992-1-1

    DEFF Research Database (Denmark)

    Jensen, Bjarne Christian

    Betonkonstruktioner efter DS/EN 1992-1-1 behandler beregning af betonkonstruktioner efter betonnormen Eurocode 2. Bogen behandler emner som bøjning, bøjning med normalkraft og forskydning, vridning, søjler, støbeskel, gennemlokning, snitkraftbestemmelse i kontinuerte bjælker og plader, gitteranal......Betonkonstruktioner efter DS/EN 1992-1-1 behandler beregning af betonkonstruktioner efter betonnormen Eurocode 2. Bogen behandler emner som bøjning, bøjning med normalkraft og forskydning, vridning, søjler, støbeskel, gennemlokning, snitkraftbestemmelse i kontinuerte bjælker og plader...

  18. 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....

  19. 13. Colloquium and advanced training seminar on waste water management: Treatment, discharge, monitoring; 13. Kolloquium und Fortbildungskurs zur Abwasserwirtschaft: Abwasserbehandlung, Abwasserableitung, Ueberwachung

    Energy Technology Data Exchange (ETDEWEB)

    Otterpohl, R.; Neis, U.; Sickert, E. (comps.)

    2001-07-01

    Subjects: Municipal sewage plants of different sizes, fundamentals, monitoring parameters, monitoring of industrial effluent producers, water quality, precipitation water quality, hygienization of liquid effluents, endocrineously active compounds. [German] Themen des Kolloquium zur Abwasserbehandlung, Abwaserableitung und Ueberwachung waren: Staedtische Abwasserbehandlungsanlagen verschiedener Groesse, Grundlagenermittlung, ueberwachungsrelevante Parameter, Ueberwachung industrieller Direkteinleiter, Gewaesserguete, Niederschlagswasserbeschaffenheit, Hygienisierung von Abwasser, endokrin wirksame Verbindungen.(uke)

  20. Hubungan Resistensi Insulin dengan Gambaran Klinis Sindrom Ovarium Polikistik

    OpenAIRE

    Meliza Wahyuni; Eva Decroli; Putri Sri Lasmini

    2015-01-01

    Abstrak Sindrom Ovarium Polikistik (SOPK) merupakan kelainan endokrin dan metabolik pada wanita usia reproduksi. SOPK merupakan kumpulan gejala dari amenore, oligomenore, infertilitas, obesitas, hirsutisme, acne, alopesia, dan akantosis nigrikan. Resistensi insulin diyakini sebagai salah satu penyebab tersering dari SOPK melalui berbagai mekanisme. Tujuan penelitian ini adalah untuk mengetahui hubungan resistensi insulindengan gambaran klinis SOPK. Penelitian ini dilakukan pada pasien SOPK de...

  1. Europa

    DEFF Research Database (Denmark)

    Hansen, Ole Erik

    2000-01-01

    Artiklen behandler, hvordan Europa blev centrum for den globale økonomiske udvikling, og hvilken rolle nationalstaterne har spillet for Europas udvikling. Derudover behandles det, hvordan den europæiske integrationsproces kan ses som et forsøg på at genskabe Europas centrale politiske og økonomiske...

  2. De nye myter

    DEFF Research Database (Denmark)

    Krogsdal, Iben Egekvist

    Selvudvikling og selvrealisering i en psykologiseret tidsalder. Bogen er en omskrivning af min ph.d.-afhandling og behandler psykologiseringen af det moderne samfund ud fra terapiformen NLP.......Selvudvikling og selvrealisering i en psykologiseret tidsalder. Bogen er en omskrivning af min ph.d.-afhandling og behandler psykologiseringen af det moderne samfund ud fra terapiformen NLP....

  3. Hvad gør vi ved aborterede fostre?

    DEFF Research Database (Denmark)

    Mathar, Helle

    2011-01-01

    Artiklen behandler det etiske problem, at man på nogle hospitaler er begyndt at begrave aborterede fostre på kirkegårde.......Artiklen behandler det etiske problem, at man på nogle hospitaler er begyndt at begrave aborterede fostre på kirkegårde....

  4. Tovholder og forløbskoordinator

    DEFF Research Database (Denmark)

    Wulff, Christian; Vedsted, Peter

    2011-01-01

    KOL - sygdom, behandling og organisation giver en omfattende gennemgang af alle aspekter omkring KOL patienter fra tidlig opsporing og diagnose til forebyggelse, behandling og sundhedsvæsenets organisation. Vinklen er tværfaglig og alle kapitler er skrevet af specialister på deres felt. Bogen er ...

  5. Stem cell  mediated liver regeneration:

    DEFF Research Database (Denmark)

    Jelnes, Peter

    Leversygdomme er et udbredt sundhedsproblem verden over. Kroniske leversygdomme er karakteriseret ved en kontinuerlig ødelæggelse af leverparenkymet samt fibrose. Den nuværende og foretrukne behandling af terminale leversygdomme er levertransplantation med efterfølgende immunsuppressiv behandling...

  6. New-onset atrial fibrillation after acute myocardial infarction in patients with left ventricular systolic dysfunction recorded by an Implantable Cardiac Monitor - Incidence, prediction and prognosis

    DEFF Research Database (Denmark)

    Jøns, Christian

    2010-01-01

    , med høj præcision, identificeres tidligt after AMI vha. metoder, der er følsomme for abnorm kardiel autonomon funktion. Fremtidige studier bør afklare om tidlig identificering af højrisiko-behandling samt præventiv behandling kan nedsætte den kardiovaskulære morbiditet og mortalitet i denne gruppe...

  7. Implementation of life cycle assessment models in solid waste management

    DEFF Research Database (Denmark)

    Damgaard, Anders

    Teknologier til behandling af affald bliver løbende forbedret, og antallet af forskellige måder at behandle affaldet på er stigende. Det er derfor nødvendigt at finde en metode til at vurdere, hvad der er den mest optimale kombination af teknologier til affaldsbehandling. En af de metoder, der er...

  8. Kazuo Ishiguros romaner i helteperspektiv, specielt An Artist of the Floating World

    DEFF Research Database (Denmark)

    Klitgård, Ebbe

    2006-01-01

    På baggrund af en forfatterskabskarakteristik behandles Kazuo Ishiguros romaner i helteperspektiv og i forlængelse heraf foretages en romananalyse af An Artist of the Floating World fra 1986.......På baggrund af en forfatterskabskarakteristik behandles Kazuo Ishiguros romaner i helteperspektiv og i forlængelse heraf foretages en romananalyse af An Artist of the Floating World fra 1986....

  9. Blødningsforstyrrelser hos kvinder

    DEFF Research Database (Denmark)

    Astrup, Karen

    1994-01-01

    Efteruddannelsesartikel for praktiserende læger om undersøgelse og behandling af blødningsforstyrrelser hos kvinder i almen praksis. Udgivelsesdato: 1994......Efteruddannelsesartikel for praktiserende læger om undersøgelse og behandling af blødningsforstyrrelser hos kvinder i almen praksis. Udgivelsesdato: 1994...

  10. Herodotos and Hemerodromoi

    DEFF Research Database (Denmark)

    Nielsen, Thomas Heine; Schwartz, Adam; Christensen, Dirk Lund

    2009-01-01

    Artiklen behandler de oldgræske 'hemerodromoi' - militære langdistanceilbud - i almindelighed og den athenske hemerodromos Pheidippides' løb fra Athen til Sparta i år 490 f.Kr., idet både historiske og fysiologiske forhold tages under behandling....

  11. 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...

  12. Kazuo Ishiguros romaner i helteperspektiv, specielt An Artist of the Floating World

    DEFF Research Database (Denmark)

    Klitgård, Ebbe

    2006-01-01

    På baggrund af en forfatterskabskarakteristik behandles Kazuo Ishiguros romaner i helteperspektiv og i forlængelse heraf foretages en romananalyse af An Artist of the Floating World fra 1986.......På baggrund af en forfatterskabskarakteristik behandles Kazuo Ishiguros romaner i helteperspektiv og i forlængelse heraf foretages en romananalyse af An Artist of the Floating World fra 1986....

  13. De danske fanger i Sachsenhausen

    DEFF Research Database (Denmark)

    Danielsen, Astrid Marie Møller

    2009-01-01

    Specialet behandler systematisk tidligere danske kz- fangers interaktion med andre fangenationaliteter belyst ud fra erindringer og kendt forskning om KZlejren Sachsenhausen.......Specialet behandler systematisk tidligere danske kz- fangers interaktion med andre fangenationaliteter belyst ud fra erindringer og kendt forskning om KZlejren Sachsenhausen....

  14. Trækonstruktioner

    DEFF Research Database (Denmark)

    Larsen, H.J.; Riberholt, H.

    Denne anvisning behandler materialer til trækonstruktioner og beregning af sædvanlige elementer og konstruktioner i henhold til Trænormen fra 2003 med tillæg. Forbindelser behandles i SBI-anvisning 194: Trækonstruktioner. Forbindelser. Anvisningen er tænkt anvendt af projekterende og som lærebog ...

  15. Resource recovery from waste incineration residues

    DEFF Research Database (Denmark)

    Allegrini, Elisa

    Affaldsforbrænding er i mange lande en vigtig teknologi til behandling og energiudnyttelse af affald. Udover energi resulterer forbrænding også i produktion af asker. Størstedelen af askerne udgøres af slagge, som efter behandling har gode tekniske egenskaber og kan anvendes til bygge- og...

  16. A.R.T. – Aggression Replacement Training

    DEFF Research Database (Denmark)

    Harbo, Lotte Junker; Domben, Eskil

    2015-01-01

    Artiklen indeholder en kort introduktion, eksemplificeret ved case, af det manualbaserede program til behandling af udadreagerende unge Aggression Replacement Training.......Artiklen indeholder en kort introduktion, eksemplificeret ved case, af det manualbaserede program til behandling af udadreagerende unge Aggression Replacement Training....

  17. Kreditret 2010/2011

    DEFF Research Database (Denmark)

    Werlauff, Erik

    Bogen giver et koncentreret indblik i og overblik over regler og praksis vedrørende kredit til virksomheder, herunder spørgsmål i relation til gældsbrevsloven, kreditaftaleloven, digital tinglysning mv. Også spørgsmål om tinglig sikkerhed i form af virksomhedspant og fordringspant behandles, till......, tillige med det international-privatretlige lovvalg i kredit- og panteretlige spørgsmål. Også ejendomsforbehold, leasing og factoring behandles. Endelig behandles spørgsmål om kaution og støtteerklæringer (comfort letters)....

  18. Forskningsbaseret viden kan bruges i praksis

    DEFF Research Database (Denmark)

    Braad, Mette; Bahnsen, Iben Bøgh; Axelsen, Hanne Clement

    2013-01-01

    Evidensbaseret praksis blev trænet i et samarbejde mellem sygeplejestuderende, kliniske vejledere og undervisere på sygeplejerskeuddannelsen i Aalborg. Resultatet af samarbejdet kommer nu præmature børn i CPAP-behandling til gode i form af systematisk soignering, aflastning og gel-behandling omkr......Evidensbaseret praksis blev trænet i et samarbejde mellem sygeplejestuderende, kliniske vejledere og undervisere på sygeplejerskeuddannelsen i Aalborg. Resultatet af samarbejdet kommer nu præmature børn i CPAP-behandling til gode i form af systematisk soignering, aflastning og gel...

  19. Hvordan diagnosticerer man astma hos børn?

    DEFF Research Database (Denmark)

    Hermann, Christian

    1997-01-01

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

  20. Does {sup 131}I-treatment of goitre result in an acute increase in the volume a function of the thyroid gland?; Medfoerer {sup 131}I-behandling af strufma en akut foroegelse af glandula thyreoideas volumen og funktion?

    Energy Technology Data Exchange (ETDEWEB)

    Nygaard, B.; Faber, J.O.; Hegedues, L.

    1995-12-01

    Many textbooks claim that radioiodine ({sup 131}I) treatment should be avoided in treatment of a goitre with substernal extension, due to fear of acute swelling of the gland with resulting respiratory problems. We examined patients with multinodular goitre, either nontoxic (n=20) or toxic (n=10) after treatment with {sup 131}I. An ultrasonically determined thyroid volume and thyroid function variables were investigated before and two, seven, 14, 21, 28 and 35 days after treatment. In nontoxic goitres the thyroid volume did not increase significantly, the maximum increase in the median volume being 4% on day 7. Serum levels of free T{sub 3} and free T{sub 4} indices increased by 20% (day 7) and 13% (day 14) (p=0.002), respectively. Likewise thyroid volume in toxic nodular goitre did not change significantly after {sup 131}I treatment. None of the patients presented symptoms of tracheal compression. We conclude that {sup 131}I treatment of nontoxic as well as toxic multinodular goitre does not seem to increase thyroid volume. (au) 18 refs.

  1. Tandlægers erfaringer med at foreslå og få gennemført behandling med kroner og broer i privat praksis [Experiences of Danish dentists in private practice in motivating treatment with crowns and bridges

    DEFF Research Database (Denmark)

    Isidor, F.; Moore, R.

    2003-01-01

    English:What subjective experiences have Danish dentists in private practice to propose and implement treatment with crowns and bridges? A mailed questionnaire were completed and returned by 216 private practice dentists for a random sample from Aarhus. Of these, 22% thought...... and bridges, or lack of success in getting treatment completed hung mostly with practice type and location. Almost 76% of the dentists felt that it should be possible to learn how to motivate patients for the expensive treatments (eg bridges). More than 90% of the dentists felt the need for a better insurance...

  2. Treatment and disposal of radioactive wastes from nuclear power plants. Program for encapsulation, deep geologic deposition and research, development and demonstration; Kaernkraftavfallets behandling och slutfoervaring. Program foer inkapsling, geologisk djupfoervaring samt forskning, utveckling och demonstration

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    Programs for RD and D concerning disposal of radioactive waste are presented. Main topics include: Design, testing and manufacture of canisters for the spent fuels; Design of equipment for deposition of waste canisters; Material and process for backfilling rock caverns; Evaluation of accuracy and validation of methods for safety analyses; Development of methods for defining scenarios for the safety analyses. 471 refs, 67 figs, 21 tabs.

  3. Survey and analysis of how a network owner using the Albatross KIS system processes information on settlement and measurement; Kartlegging og analyse av behandling av maale- og avregningsinformasjon hos netteier med Albatross KIS-system

    Energy Technology Data Exchange (ETDEWEB)

    Graabak, Ingeborg; Saele, Hanne

    1999-01-01

    Four different customer information systems (KIS) are currently widely used in Norway. These are N-KIS, Albatross, Infotron and Elis. The KIS type of system is supposed to be important for how the information is handled by the individual network owners. Troms Kraft Nett AS was chosen to represent the network owners that are using Albatross. The objective of the survey was to develop documentation and competence on the network owners' use of measurement and settlement information. Based on this competence, the project will attempt to suggest rationalization measures. The survey emphasizes the new tasks imposed on the network owners in connection with the deregulation of the Norwegian power market. The report recommends specific measures to rationalize the information management at Troms Kraft Nett AS and general measures to be evaluated in the EFFEKT project ''Rational information management with the network owner''.

  4. Soil water, needle chemistry and tree growth after treatment with different doses and types of limestone; Markvatten, barrkemi och traedtillvaext efter behandling med olika doser och sorter av kalk

    Energy Technology Data Exchange (ETDEWEB)

    Akselsson, Cecilia; Westling, Olle; Larsson, Per-Erik; Petersson, Per

    2000-10-01

    The Swedish Board of Forestry co-ordinates extensive research concerning liming and nutrient compensation on acid forest soils in Sweden. Results from the experimental work are presented in annual reports. This annual report for 1999 describes effects on soil water chemistry, nutrient content in needles and forest growth in experimental plots with untreated spruce forest compared to plots treated with different doses (3, 6, and 12 tons per hectare) of limestone. Concerning soil water chemistry effects were also related to four different kinds of substances; crushed or finely ground limestone (CaCO{sub 3}) or dolomite (CaMg(CO{sub 3}){sub 2}). Results from a period of seven years are presented. The experiment was started in 1992. All combinations of dose and type of limestone resulted in increased concentrations of calcium in soil water (50 cm) and higher base cation/ aluminium ratio. The response was dependent of the dose, especially with limestone. Dolomite increased the concentrations of magnesium, but the effect was not clearly dependent of the dose. The results of the experiment demonstrates that it is possible to decrease the acidity of soil water (50 cm) relatively rapid with liming (in a few months), especially with high doses and finely ground limestone. Hydrogen ions and aluminium in soil water showed a tendency to decrease after most of the different treatments. Concentrations of potassium were low before the experiment started, and there was a tendency that the highest dose (12 tons per hectare) decreased the already low concentrations. Increased leakage of nitrogen has been mentioned as a risk in connection with forest liming. This experiment showed no decrease during the studied period of the originally low concentrations of inorganic nitrogen after the treatments. Liming resulted in increased concentrations of calcium in needles, and the response was dependent of dose. The concentrations of manganese and aluminium decreased after most of the treatments. No effect on forest growth was detected five years after liming with all doses and types of limestone.

  5. Moderne Økonomistyring og Kalkulation

    DEFF Research Database (Denmark)

    Nielsen, Steen

    1998-01-01

    Artiklen behandler sammenhængen mellem virksomhedens økonomistyring og virksomhedens produktionsforhold, specielt i relation til virksomhedens kalkulationsforhold. Sammentidig opstilles mulige sammenhænge til antal cost pools, cost drivers, kalkulationsfilosofi mv....

  6. Giftige kokasser?

    DEFF Research Database (Denmark)

    Grønvold, Jonas Lindhardt; Stendal Svendsen, T; Holter, P;

    2005-01-01

    I moderne landbrug behandles kvæg mod rundorme og andre parasitter, med kemiske midler som udskilles i kokasserne. Dermed bliver kokasserne i nogle tilfælde giftige for det dyreliv som er knyttet til dem...

  7. Giftige kokasser?

    DEFF Research Database (Denmark)

    Grønvold, Jonas Lindhardt; Stendal Svendsen, T; Holter, P

    2005-01-01

    I moderne landbrug behandles kvæg mod rundorme og andre parasitter, med kemiske midler som udskilles i kokasserne. Dermed bliver kokasserne i nogle tilfælde giftige for det dyreliv som er knyttet til dem...

  8. Danske og finske PISA-resultater i et komparativt, kvalitativt perspektiv - men en spcialpædagogisk vinkel

    DEFF Research Database (Denmark)

    Andersen, Frans Ørsted

    2009-01-01

    Artiklen baserer sig på sammenlignende studier af hverdagen i almindelige danske og finske folkeskoler. Fokus er bredt på klasserumsledelse og undervisningsdifferentiering - men også detaljer som skolemadsordninger, undervisningsmaterialer og frikvartersordninger behandles. Desuden omtales finsk ...

  9. Bange anelser om ny anbringelsesreform

    DEFF Research Database (Denmark)

    Kildedal, Karin

    2004-01-01

    Artiklen omhandler en analyse af den anbringelsereform, der er under behandling i folketinget i 2004. Analysen problematiserer, at staten fortsat prøver at kvalificere det sociale arbejdes praksis gennem lovgivning....

  10. Phytoremediation organischer Schadstoffe mit Hilfe von Phragmites australis

    OpenAIRE

    Neustifter, Juliane Erika

    2007-01-01

    Praxisorientierte Projekte an einer Kläranlage lieferten umfassende Einblicke in einen mit Phragmites australis, dem Schilfrohr, bepflanzten Bodenfilter und seine jahreszeitlichen Rhythmen. Es wurde festgestellt, dass der Filter eine ausgezeichnete Restreinigung und Pufferwirkung hat und sogar verschiedene endokrin wirksame Substanzen zurückhält. Es konnte gezeigt werden, dass Phragmites australis organische Schadstoffe aufnehmen kann und wichtige Entgiftungsenzyme für den Abbau dieser Xenobi...

  11. Manifestasi Kehamilan Di Rongga Mulut Dan Perawatannya

    OpenAIRE

    Fatimah

    2008-01-01

    Kehamilan merupakan sebuah proses fisiologis yang melibatkan banyak sistem dalam tubuh dan mengakibatkan terjadinya perubahan pada sistem baik secara anatomis maupun fisiologis seperti pada sistem reproduksi, endokrin, sirkulasi pencernaan dan juga rongga mulut. Manifestasi kehamilan di rongga mulut merupakan suatu kondisi yang sering tetjadi, baik pada gigi maupun pada jaringan di sekitamya. Hal ini dapat terlihat dan tingginya tingkat karies, erosi enamel, terjadinya gingivitis kehamila...

  12. An abnormal portal blood flow in the inner ear

    DEFF Research Database (Denmark)

    Friis, Morten

    Den endolymfatiske sæk (saccus endolymphaticus), en del af det indre øre, har karakteristika som en endokrin kirtel og synes at producere et natriuretisk hormon, som tænkes at have en effekt på reguleringen af det indre øres væsker. En fejlregulering af væskerne i det indre øre er en mulig årsag ...

  13. Ross - for altid?

    DEFF Research Database (Denmark)

    Blume, Peter Erik

    2011-01-01

    Med baggrund i Jens Ewalds bog om Alf Ross omtaler artiklen en række de problemstillinger, som bogen behandler, samt vurderer den betydning, Ross har haft og måske fortsat har. Afslutningsvis betones den juridiske biografis betydning.......Med baggrund i Jens Ewalds bog om Alf Ross omtaler artiklen en række de problemstillinger, som bogen behandler, samt vurderer den betydning, Ross har haft og måske fortsat har. Afslutningsvis betones den juridiske biografis betydning....

  14. Tilsynsdiamanten i spændingsfeltet mellem soft law og hard law

    DEFF Research Database (Denmark)

    Rasmussen, Niels Skovmand

    2013-01-01

    Artiklen behandler de retskildemæssige spørgsmål, som Tilsynsdiamanten udstedt af Finanstilsynet giver anledning til. Dette sker på baggrund af forskellige teorier omkring soft law og hard law.......Artiklen behandler de retskildemæssige spørgsmål, som Tilsynsdiamanten udstedt af Finanstilsynet giver anledning til. Dette sker på baggrund af forskellige teorier omkring soft law og hard law....

  15. Internationale joint ventures - udvalgte selskabsretlige problemstillinger

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig

    2001-01-01

    Artiklen behandler en række problemstillinger som er særlige for joint ventures stiftet i selskaber af aktie-, anpartsselskabstypen. Bl.a. behandles en række problemer omkring joint venture aftalens forhold til selskabets vedtægter samt en række problemstillinger knyttet til det forhold at der er...... etableret fælles kontrol over joint venture selskabet....

  16. Revisors kompetence - efteruddannelse

    DEFF Research Database (Denmark)

    Kiertzner, Lars

    2010-01-01

    Nærværende artikel behandler efteruddannelseskravene for revisorer. Først præsenteres kravene for godkendte revisorer i afsnit 1 om de kompetencekrav, der stilles for at opnå godkendelse, og i afsnit 2 om efteruddannelseskravene, som de med virkning fra 1.1. 2009 er udmøntet i revisorloven (RL), ...... revisor har en af specialistuddannelserne - CIA m.v. - er der derimod sådanne krav, der dog ikke behandles her. Udgivelsesdato: April 2010...

  17. Platons ‘respekt’ for Protagoras

    DEFF Research Database (Denmark)

    Bloch, David

    2011-01-01

    Platons forhold til sofisten Protagoras behandles. Hvor forskningen oftest har hævdet, at Platon har stor respekt for denne, argumenteres der her for, at Platons dialog "Protagoras" viser alt andet end respekt.......Platons forhold til sofisten Protagoras behandles. Hvor forskningen oftest har hævdet, at Platon har stor respekt for denne, argumenteres der her for, at Platons dialog "Protagoras" viser alt andet end respekt....

  18. Sikringsbokføring fra IAS 39 til IFRS 9

    OpenAIRE

    Fjermestad, Anders

    2012-01-01

    Regnskapsmessig behandling av finansielle instrumenter er i dag et aktuelt tema. Både kjølvannet til kredittkrisen i slutten av forrige tiår, samt utgivelse av ny internasjonal regnskapsstandard innen fagområdet bidrar til dette. Denne oppgaven tar for seg gjeldende og ny regnskapsstandard for finansielle instrumenter, med fokus på oppgavens hovedfenomen som er regnskapsmessig behandling av sikringsaktiviteter, eller sikringsbokføring. Gjeldende regnskapsstandard for finansielle instrument...

  19. Må journalister bryde loven for at oplyse befolkningen?

    DEFF Research Database (Denmark)

    Rytter, Jens Elo

    2010-01-01

    Artiklen behandler spørgsmålet om, hvorvidt journalister skal straffes, når de overtræder loven for at fremskaffe relevante oplysninger til offentligheden. Dansk retspraksis analyseres i lyset af EMRK art. 10.......Artiklen behandler spørgsmålet om, hvorvidt journalister skal straffes, når de overtræder loven for at fremskaffe relevante oplysninger til offentligheden. Dansk retspraksis analyseres i lyset af EMRK art. 10....

  20. Optisk Design og Optiske Systemer

    DEFF Research Database (Denmark)

    Dalsgaard, Erik

    1999-01-01

    På basis af geometriske bølgeaberrationer gives et grundlag for dimensionering af optiske systemer. En række numeriske metoder til analyse og optimering, baseret på 4. ordens bølgaberrationer samt endelig raytracing, behandles.......På basis af geometriske bølgeaberrationer gives et grundlag for dimensionering af optiske systemer. En række numeriske metoder til analyse og optimering, baseret på 4. ordens bølgaberrationer samt endelig raytracing, behandles....

  1. Oplevelsesøkonomi

    DEFF Research Database (Denmark)

    Madsen, Jan Halberg

    Bogen behandler dominerende teorier og værktøjer i alle led af værdikæden og belyser oplevelsesøkonomiens potentialer og mangfoldighed med eksempler og cases fra forskellige brancher. Teorierne behandles ud fra en praksisnær tilgang med cases og eksempler som fx Læsø Salt, Astrid Lindgren Verden,......, Hard Rock Cafe, Smukfest, Hverringe Gods og Eksperimentarium....

  2. Simon of Faversham Quaestiones super De motu animalium

    DEFF Research Database (Denmark)

    Christensen, Michael Stenskjær

    2015-01-01

    I tredje og fjerde kapitel (699a12–700a25) af De motu animalium behandler Aristoteles principperne for bevægelse i både den himmelske og sublunære sfære. Denne artikel præsenterer en tekstkritisk udgave og analyse af Simon af Favershams behandling af forholdet mellem den yderste himmelske sfære o...

  3. Epilepsie und polyzystisches Ovarialsyndrom

    Directory of Open Access Journals (Sweden)

    Rösing B

    2012-01-01

    Full Text Available Epilepsien sind gehäuft mit endokrinen Funktionsstörungen vergesellschaftet. Bei Frauen gehören Zyklusstörungen, Hyperandrogenismus, Gewichtszunahme und Subfertilität dazu. Die vorliegende Übersicht zeigt aktuelle Daten und pathophysiologische Vorstellungen zum Zusammenhang zwischen einer Erkrankung mit Epilepsie, ihrer Therapie, dem polyzstischen Ovarialsyndrom (PCOS, sowie assoziierten metabolischen Abweichungen. Mögliche Ursachen für das Auftreten endokriner Störungen bei Epilepsie sind (1. der direkte Einfluss temporal gelegener epileptogener Läsionen oder der antiepileptischen Medikamente (AED auf die hypothalamisch-hypophysär gonadale Achse (HHG, (2. der Einfluss von AED auf die ovarielle Funktion, (3. der Einfluss der AED auf den Steroidhormonmetabolismus inklusive ihrer Serumeiweißbindung und (4. AED-bedingte sekundäre endokrine Störungen durch Gewichtszunahme und veränderten Insulinmetabolismus. Die regelmäßige ärztliche Kontrolle klinischer endokriner Parameter wie Gewichtsentwicklung, Regeltempostörungen und Hirsutismus ist bei Frauen mit Epilepsie obligat. Einzelne auffällige Laborparameter (z. B. sinkendes sexualhormonbindendes Globulin [SHBG], ansteigende Testosteronwerte, Dysbalance der Gonadotropine luteinisierendes Hormon zu follikelstimulierendem Hormon (LH/FSH oder bildgebende Befunde (polyzystische Ovarien ohne klinisches Korrelat sollten engmaschig, zunächst 1–3-monatlich kontrolliert werden, um entstehende Endokrinopathien frühzeitig behandeln zu können.

  4. Effect of intensive multifactorial treatment compared with routine care on aortic stiffness and central blood pressure among individuals with screen-detected type 2 diabetes

    DEFF Research Database (Denmark)

    Johansen, Nanna Borup; Charles, Morten; Vistisen, Dorte;

    2012-01-01

    herigennem effekten af intensiv multifaktoriel behandling sammenlignet med rutine behandling i almen praksis. Resultater: Patienterne in intensiv gruppen havde en 0,51 m/s (95%CI: -0,96; -0,05; p-værdi:0.03) sammenlignet med rutine behandlingsgruppen. Ekstrapolering af disse resultater på basis af en meta......-analyse om pulsbølgehastighed, svarer den difference på 0,51 m/s til en relativ risiko reduktion på 7% af intensiv multifaktoriel behandling sammenlignet med rutine. Men vi kan dog ikke konkludere at en reduktion i aorta stivhed og reducerer incidencen af kardiovaskulære tilfælde. For at bekræfte denne teori...

  5. Bio-Matematik ved Roskilde Universitet

    DEFF Research Database (Denmark)

    Ottesen, Johnny T.

    2010-01-01

    Ved Institut for Natur, Systemer og Modeller ved Roskilde Universitet finder man en velkonsolideret gruppe af forskere, BioMath-gruppen, der beskæftiger sig med Bio-Matematik og Bio-Medicinsk Modellering. Faktisk startede BioMath-gruppen på det tidligere Institut for Studiet af Matematik og Fysik...... pumper; 3) Endokrin fysiologi; 4) Type 1 og type 2 diabetes; 5) Populationsdynamik og sygdomsspredning; og 6) Parameterestimering i patient-specifikke modeller.   Udover overnævnte modelleringsområder har vi ved instituttet en stærk tradition for at beskæftige os med metaaspekter af modellering, f...

  6. Smitte via håndtryk kan udløse erstatning

    DEFF Research Database (Denmark)

    Henschel, Rene Franz

    2008-01-01

    Artiklen behandler hospitalers erstatningsansvar efter dansk rets alminddelige regler samt efter lov om klage- og erstatningsadgang inden for sundhedsvæsenet såfremt patienter eller besøgende smittes via håndtryk på danske hospitaler mv. Udgivelsesdato: 26092008......Artiklen behandler hospitalers erstatningsansvar efter dansk rets alminddelige regler samt efter lov om klage- og erstatningsadgang inden for sundhedsvæsenet såfremt patienter eller besøgende smittes via håndtryk på danske hospitaler mv. Udgivelsesdato: 26092008...

  7. Dentalmaterialer kan udløse orale allergiske reaktioner

    DEFF Research Database (Denmark)

    Røn Larsen, Kristine; Johansen, Jeanne Duus; Arenholt-Bindslev, Dorthe

    2013-01-01

    Mange af de materialer, der anvendes i forbindelse med diagnostik, profylakse og behandling af sygdomme i mundhulen (her betegnet dentalmaterialer), kan udløse akutte eller kroniske reaktioner, herunder egentlige allergiske reaktioner. I klinikken kan det være vanskeligt at skelne mundslimhindefo......Mange af de materialer, der anvendes i forbindelse med diagnostik, profylakse og behandling af sygdomme i mundhulen (her betegnet dentalmaterialer), kan udløse akutte eller kroniske reaktioner, herunder egentlige allergiske reaktioner. I klinikken kan det være vanskeligt at skelne...

  8. Moms og fast ejendom

    DEFF Research Database (Denmark)

    Edlund, Hans Henrik

    1999-01-01

    I artiklen gives et overblik over, hvorledes fast ejendom behandles momsmæssigt. Derfor findes en kort skitsering af reglerne for moms på byggearbejder, afgrænsningen mellem momspligtig og momsfri udlejning, muligheden for frivillig registrering af udlejning samt opgørelse af reguleringsforpligte......I artiklen gives et overblik over, hvorledes fast ejendom behandles momsmæssigt. Derfor findes en kort skitsering af reglerne for moms på byggearbejder, afgrænsningen mellem momspligtig og momsfri udlejning, muligheden for frivillig registrering af udlejning samt opgørelse af...

  9. Kommende standarder for revisors ydelser - "Efter clarity"

    DEFF Research Database (Denmark)

    Kiertzner, Lars

    2011-01-01

    Atiklen præsenterer på et overordnet niveau kommende standarder med videre fra IAASB. Formålet er at give et samlet overblik over, hvad der kan forventes i de kommende år. Den første og største del af artiklen behandler allerede igangsatte projekter, der befinder sig et sted i tilblivelsesprocess...... ISA 700 om revisionspåtegningen ISA 720 om andre oplysninger i regnskaber og ISRE 2400 om review. Andre projekter om vejledninger (IAPS), andre erklæringsopgaver og beslægtede opgaver behandles kun perifert....

  10. Hvem hjælper, når hunden eller katten er syg, og ejeren ingen penge har?

    DEFF Research Database (Denmark)

    Sandøe, Peter

    2017-01-01

    Mange smådyrspraktiserende dyrlæger vælger at behandle syge og tilskadekomne hunde og katte, selv om ejeren ikke kan betale. Forandringer i branchen, hvor dyrlægerne i stigende grad ikke selv ejer praksis, kan dog udfordre den professionsbårne etik.......Mange smådyrspraktiserende dyrlæger vælger at behandle syge og tilskadekomne hunde og katte, selv om ejeren ikke kan betale. Forandringer i branchen, hvor dyrlægerne i stigende grad ikke selv ejer praksis, kan dog udfordre den professionsbårne etik....

  11. Blandt venner er alting fælles

    DEFF Research Database (Denmark)

    Olsen, Anne-Marie Eggert

    2007-01-01

    Historisk fremstilling af venskabets status og behandling i politisk filosofi; forholdet mellem venskab og retfærdighed hos Aristoteles. Diskussion af dets aktuelle status, herunder i ven/fjende-distinktionen og i Derridas begreb om gæstevenskab. ......Historisk fremstilling af venskabets status og behandling i politisk filosofi; forholdet mellem venskab og retfærdighed hos Aristoteles. Diskussion af dets aktuelle status, herunder i ven/fjende-distinktionen og i Derridas begreb om gæstevenskab. ...

  12. Social kapital- introduktion til Robert Putnam

    DEFF Research Database (Denmark)

    Skaarup, Inge Marie

    2011-01-01

    Artiklen behandler de tre centrale begreber i Robert Putnams teori om social kapital. Det drejer sig om følgende: Fælles normer for generaliseret gensidighed, netværk og social tillid. Begreberne beskrives og diskuteres, bl.a. ved brug af eksempler fra pædagogisk praksis.......Artiklen behandler de tre centrale begreber i Robert Putnams teori om social kapital. Det drejer sig om følgende: Fælles normer for generaliseret gensidighed, netværk og social tillid. Begreberne beskrives og diskuteres, bl.a. ved brug af eksempler fra pædagogisk praksis....

  13. Ambulanceudrykning i København, Odense og Ringkøbing Amt. Resultater fra Sundhedsministeriets og Amtsrådsforeningens stikprøveundersøgelse 1990. 2. Ambulancemandskabets behandling, lægestøtte og diagnosemønster

    DEFF Research Database (Denmark)

    Larsen, C F; Trier, H

    1992-01-01

    district with smaller towns (the County of Ringkøbing). The conditions of the patients were assessed by the ambulance staff: 7-12% of the patients transported had visible haemorrhage, 5-8% were unconscious, 4-7% were cyanotic, 2-3% had seizures and 1-2% had pareses. The serious cases tended to be most...

  14. ANALISIS PENYEBAB KEMATIAN DAN TANTANGAN YANG DIHADAPI PENDUDUK LANJUT USIA DI INDONESIA MENURUT RISET KESEHATAN DASAR 2007

    Directory of Open Access Journals (Sweden)

    Sarimawar Djaja

    2013-05-01

    Full Text Available Latar Belakang: Penduduk lansia di Indonesia terus bertambah kira-kira 3 jutaan setiap 10 tahun, pada tahun 2010 tercatat18 juta, merupakan 7,59 persen dari total penduduk. Analisis penyebab kematian pada lansia dari Riset Kesehatan Dasar2007 diharapkan memberi gambaran penyebab kematian usia 55 tahun ke atas dan tantangan yang dihadapi di Indonesia.Metode: Riskesdas 2007 menggunakan metode potong lintang untuk peristiwa kematian dalam kurun waktu satu tahun dirumah tangga terpilih. Sampel berasal dari sampel Kor dan Modul yang mencakup 258.366 RT, diperoleh secara ProbabilityProportional to Size (PPS. Data penyebab kematian dikumpulkan dengan menggunakan kuesioner dengan teknik autopsi verbal dan diklasifi kasi berdasarkan ICD-10. Hasil: Penyebab kematian tertinggi adalah penyakit sistem sirkulasi, diikuti dengan infeksi, sistem pernapasan, pencernaan, otot rangka, endokrin, neoplasma, kecelakaan/cedera. Kematian akibat penyakit sistem sirkulasi dan endokrin di perkotaan lebih besar dibandingkan di pedesaan, sedangkan kematian akibat penyakit infeksi, sistem pernapasan, pencernaan lebih besar di pedesaan dibandingkan di perkotaan. Jenis penyakit infeksi adalah TB, diare, hepatitis virus, malaria. Jenis penyakit sistem sirkulasi adalah stroke, hipertensive heart disease dan ischaemic heart diseases. Neoplasma yang tercatat adalah kanker payudara, pencernaan, lymphoid, pharynx, paru-paru, otak, tiroid, sistem saraf. Proporsi terbesar penyakit sistem pernapasan adalah bronkhitis, asma, emfi sema. Saran: Kementerian Kesehatan harus melaksanakan segala upaya untuk meningkatkan status kesehatan semua umur, pemeliharaan kesehatan serta kesejahteraan lansia denganmewujudkan jaminan sosial bagi lansia.

  15. Endokrinologie der Benignen Prostatahyperplasie

    Directory of Open Access Journals (Sweden)

    Rumpold H

    2002-01-01

    Full Text Available Die Prostata ist ein endokrines Zielorgan, für dessen Entwicklung, Funktion und Wachstum Androgene unabdingbar sind. Sie atrophiert nach Kastration und erreicht nach Androgensubstitution wieder ihre normale Funktion. Paradoxerweise entwickeln sich benigne Prostatahyperplasie (BPH und benigne Prostatavergrößerung (BPE in einem Lebensabschnitt, der durch einen langsamen Abfall der Serumandrogene gekennzeichnet ist, sodaß neben Androgenen weitere Wachstumsregulatoren an deren Entstehung mitbeteiligt sein müssen. Die Pathogenese von BPH/BPE wird heute als ein multifaktorielles Geschehen verstanden, an der (i endokrine Faktoren wie Steroid- und Proteinhormone, (ii lokale Faktoren, die auto-/parakrin zwischen Epithel und Stromazellen wirken (z. B. Insulin-like growth factor IGF, Fibroblastenwachstumsfaktor FGF, der epidermale Wachstumsfaktor EGF und schließlich (iii luminale Faktoren wie Zink, Kallikreine und Prostaglandine, die zwar primär für die Fertilität wichtig sind, sekundär aber zu einer Wachstumsproliferation der alternden Prostata führen, beteiligt sind. Daneben spielen auch genetische und exogene Faktoren (z. B. Ernährung eine Rolle. BPH und BPE zählen zu den häufigsten Erkrankungen des alternden Mannes und haben deshalb große sozioökonomische Relevanz. Genaues Verständnis der Pathogenese ist Voraussetzung für die Entwicklung effizienter medikamentöser und, vielleicht in Zukunft, präventiver Strategien.

  16. La position de l'adjectif épithète : effets de focalisation à l'intérieur du syntagme nominal

    DEFF Research Database (Denmark)

    Nølke, Henning

    1996-01-01

    Artiklen behandler problemet om, hvorvidt det attributive adjektiv skal stå foran eller efter substantivet på fransk. Det vises først, at ingen eksisterende teori tilbyder et enkelt forklarende princip. Forfatteren applicerer derpå sin fokaliseringsteori, som er i stand til at kombinere forskelli...

  17. Placebo og migrænebehandling

    DEFF Research Database (Denmark)

    Olesen, Frede

    2015-01-01

    Denne artikel omhandler placebo- og nocebo-effekter ved behandling af migræne. En af de førende forskningsgrupper fra Harvard Universitet i USA har fremlagt et nyt studie, som viser potentiale for smertemodulering. Det nye studie bekræfter den efterhånden ret omfattende viden om, at hjernen kan...

  18. 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 evidens...

  19. Om retsinstituttet passiv identifikation i formueretten

    DEFF Research Database (Denmark)

    Holle, Marie-Louise

    2015-01-01

    ikke undergivet en behandling i sin helhed i dansk retslitteratur. Studiet af passiv identifikation lider navnlig under, at forholdet til andre retsfigurer er uafklaret. Det antages i både dansk og udenlandsk retsteori, at passiv identifikations anvendelsesområde er sammenfaldende med aktiv...

  20. Åbne læringsressourcer - mod en sociokulturel teori om læringsressourcer

    DEFF Research Database (Denmark)

    Dalsgaard, Christian

    2007-01-01

    Afhandlingen behandler spørgsmålet om, hvordan it-baserede læringsressourcer udvikles med udgangspunkt i et læringsteoretisk grundlag. Læringsressourcer forstås som alle typer af ressourcer eller materialer, der anvendes til at understøtte læreprocesser. Formålet med afhandlingen at opstille et t...

  1. Rehabilitation in Parkinson’s Disease

    DEFF Research Database (Denmark)

    Rose, Martin Høyer

    Parkinsons sygdom (PD) er en progredierende neurodegenerativ sygdom med gradvis udvikling af motoriske og non-motoriske symptomer. Dopaminerg behandling udgør en effektiv symptomatisk behandlingsform, men indebærer risiko for langtidsbivirkninger i form af svært behandlelige fluktuationer i...

  2. Screening for diabetes: what do the results of the ADDITION trial mean for clinical practice?

    DEFF Research Database (Denmark)

    Lauritzen, Torsten; Borch-Johnsen, Knut; Davies, Melanie J

    2013-01-01

    Artiklen opsummerer de nuværende resultater fra ADDITION studiet. Forfatterne konkluderer at ADDITION studiet har skabt yderligere evidens til støtte for tidlig opsporing og behandling af patienter med uerkendt diabetes. Frem for at fokusere på populationsbaseret screening opfordre forfatterne pr...

  3. Cardiovascular risk reduction following diagnosis of diabetes by screening:

    DEFF Research Database (Denmark)

    Charles, Morten; Simmons, Rebecca; Williams, Kate

    2012-01-01

    Baggrund: Der er usikkerheder om behandlingen af diabetes tidligt i sygdommens forløb. Derfor er nogle praktiserende læger tilbageholdende for intensivt at behandle patienter med tidlig diabetes. I dette studie fra ADDITION Cambridge ville vi beskrive ændringen i modulleret kardiovaskullær risiko...

  4. Tekster og sproghandlinger

    DEFF Research Database (Denmark)

    Borchmann, Simon

    2010-01-01

    Denne artikel er en sprogvidenskabelig introduktion til temaet tekst og sproghandling. Artiklen tjener dels som en beskrivelse af den historiske baggrund for temaet, dels som en argumentation for at det er relevant at behandle en bestemt problematik i relation til dette tema. Artiklen er delt i t...

  5. Die Anomalie des Normalen

    DEFF Research Database (Denmark)

    Jahnke, Carsten

    2012-01-01

    Artiklen behandler spørgsmålet af de dokumenter, Christian I havde udstillet ved magtoverdragelsen i hertugdømmerne 1460. Imod den gamle opfatning, blev der gjort en difference mellem Christians håndfæstning i Ribe og en senere givet privilegium. Desuden blev betydningen af den 9 kapitel af håndf...

  6. Case report - curved femoral osteotomy for management of medial patellar luxation

    DEFF Research Database (Denmark)

    Allpass, Maja; Miles, James Edward

    2015-01-01

    Medial patellaluxation kan forårsages af femoral varus hos hund. Førhen har patienter med excessiv femoralvarus været korrigeret ved en lateralt placeret femoral kile-ostektomi. Her præsenteres en case, hvor en buet osteotomi blev anvendt til behandling af medial patellaluxation....

  7. Læremidler og almendidaktik

    DEFF Research Database (Denmark)

    2012-01-01

    Bidraget undersøger læremidlets status og behandling gennem forskellige historiske perioder indtil den i almendidaktikken senest fremherskende berøringsangst. Der er imidlertid anknytningspunkter til den didaktiske tradition hvorfra der udvikles en strukturmodel for almendidaktikken...

  8. Taxis als Konzept der systemisch funktionalen Linguistik (SFL)

    DEFF Research Database (Denmark)

    Holsting, Alexandra Emilie Møller

    På baggrund af den systemisk funktionelle lingvistiks behandling af "hypotaktiske ekspansionssætninger" (det der traditionelt betegnes og betragtes som adverbialsætninger) foreslås en alternativ inddeling der kan tage højde for de grammatiske forskelle som ikke kan forklares med udgangspunkt i de...

  9. Elevplaner i praksis

    DEFF Research Database (Denmark)

    Lund, Jens H

    2014-01-01

    Denne artikel behandler spørgsmålet om, hvordan eksterne styringstiltag i forhold til skolen gennemgår rekonstruktioner og omsætningsprocesser i det ’indre liv i skolen’. Artiklen er dermed et mikrosociologisk bidrag til den samlede forskning i styring og professioner. Jeg trækker i vid udstrækni...

  10. Professionel kompetence og uddannelse

    DEFF Research Database (Denmark)

    Hedegaard, Karen Marie

    Specialet behandler forholdet mellem professionel kompetence og uddannelse gennem en undersøgelse og diskussion af teorier og forskning om professionsbegrebet i sociologien historisk og aktuelt, bl.a. Talcott Parsons, MaxWeber og Thomas Mathiesen, og diskuterer forskellige forståelser af...

  11. Live Speed Analysis, en app til hastighedsmålinger

    DEFF Research Database (Denmark)

    Bolet, Lars; Christensen, Peter Muhlig; Halskov-Sørensen, Asbjørn;

    2013-01-01

    I et bachelorprojekt har tre studerende udviklet en app, som kan registrere og behandle hastigheder ved den såkaldte spejlmetode. App'en er siden videreudviklet, så registreringerne stedfæstes, tidstemples og uploades til en fæIIes database. App'en er frit tilgængelig. Den kan bruges af...

  12. Kultur og etnicitet på arbejde

    DEFF Research Database (Denmark)

    Steensen, Jette Johanne Elisabeth; Day, Barbara Noel

    Gennem temaerne etnicitet, etnisk udvikling, kultur, multikulturalitet og racisme behandler bogen emnet interkulturel kompetence fra såvel et teoretisk som et praktisk perrspektiv. Teorierne giver dermed indblik i en lang række praksisfelter såsom socialt arbejde, skole hjem samarbejde, demokratisk...

  13. Reflections on Contemporary Construction Practice

    DEFF Research Database (Denmark)

    Beim, Anne

    2011-01-01

    Indledningskapitlet til bogen, Tectonic Visions in Architecture, som behandler det for arkitketuren centrale tektonikbegreb. Gennem analyse af et antal moderne bygningsværker berøres arkitekturens teknologiske aspekter og produktonsformer og ikke mindst industrielle processer og miljøtilpasset by...

  14. Vejsalg, gårdbutikker og fritidsfiskere - den informelle økonomi på Samsø

    DEFF Research Database (Denmark)

    Rasmussen, Rasmus Ole

    2007-01-01

    Bidraget behandler den uformelle økonomi på Samsø, med udgangspunkt i den første kortlægning nogensinde af den del af den uformelle økonomi som er forbundet med salg af produkter som er relaterede til naturgrundlaget. De mange vejboder er et iøjnefaldende element i landskabet, og nogle af dem har...

  15. 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...

  16. 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...

  17. Alternative Veier

    DEFF Research Database (Denmark)

    Kruse, Tove Elisabeth; Salamonsen, Anita

    reflektioner omkring patienters brug af og erfaringer med alternativ behandling. Patientorganisationer, organisatoner for alternative behandlere og organisationer for læger og medicinstuderende har læst bogens patienthistorier og deres perspektiver lægges frem. Til slut i bogen diskuteres betydningen af de...

  18. Complementary or Contradictory Drug Policies

    DEFF Research Database (Denmark)

    Jourdan, Michael

    Almindeligvis antages det, at skadesreduktion udgør en fjerde søjle - som komplementerer kontrol, behandling og forebyggelse.  Denne placering er problematisk. De forskellige indsatser kan sættes i båse og man viser ikke inkompatibilitet mellem de forskellige indsatser nogen systematisk opmærksom...

  19. Henvisning, assessment og egnethed til musikterapi i psykiatrisk regi

    DEFF Research Database (Denmark)

    Hannibal, Niels

    2003-01-01

    I denne artikel beskrives og uddybes emnerne henvisning, assessment og egnethed til musikterapi. Først redegøres for typiske henvisningsgrunde til musikterapi og for hvilken psykoterapeutisk behandling musikterapien i psykiatrien tilbyder. Derefter gennemgås de egnethedskriterier der ligge til gr...

  20. History of Education in Europe

    DEFF Research Database (Denmark)

    Haue, Harry

    2009-01-01

    Denne oversigtsartikel behandler børnearbejde i relation til skolegang og uddannelse. Fokus er på sammenhængene mellem samfundsudvikling og ændringer i børnens muligheder for formaliseret læring fra landbrugssamfundet via industrisamfundet til informationssamfundet, og den værdi børnearbejdet til...

  1. Notat vedr. regn, rørdimensionering og bassindimensionering

    DEFF Research Database (Denmark)

    Bentzen, Thomas Ruby

    Dette notat vil redegøre for simple men meget anvendte metoder til dimensionering af afløbssystemer. Notatet vil primært behandle overfladevand(regnvand) som på en tilfredsstillende måde skal kunne ledes gennem afløbssystemet. Såfremt f.eks. husspildevand skal medtages er dimensioneringsprocedure...

  2. Elevers læring gennem undersøgelse og faglig læsning

    DEFF Research Database (Denmark)

    Negendahl, Kim; Daugbjerg, Peer

    2014-01-01

    Med afsæt i Prof. Jens Rasmussens (2013) argumenter for undervisningsdifferentiering vha. præstationsstandarder behandles differentiering af naturfagsundervisnings målsætning for alle skolens elever. Fokus vil være på læreres arbejde med undervisningsplaner og opstillede mål i forhold til undervi...

  3. Dømmer jeg - eller er jeg vågen?

    DEFF Research Database (Denmark)

    Hedegaard, Karen Marie

    2014-01-01

    Artiklen behandler begrebet dømmekraft ud fra et filosofisk og sociologisk perspektiv på ansvar og etik i professionel lærerpraksis. Med reference til Anne Marie Pahuus, der bygger på bl.a. Aristoteles, Kant, og Hannah Arendt, introduceres begrebet dømmekraft med udgangspunkt i den praktiske...

  4. Børs- og kapitalmarkedsret

    DEFF Research Database (Denmark)

    Schaumburg-Müller, Peer; Werlauff, Erik

    Værket giver et samlet billede af danske og EU-retlige forskrifter om regulerede værdipapirmarkeder. Det beskrives i dybden, hvordan det danske værdipapirmarked fungerer, og hvilke regelsæt der skal iagttages af et selskab, der bliver børsnoteret eller allerede er børsnoteret. Desuden behandles h...

  5. Tuberkulose forårsaget af Mycobacterium africanum

    DEFF Research Database (Denmark)

    Bek, Dorte; Kjeldsen, Marianne Kirstine; Hansen, Nikolaj Friis;

    2010-01-01

    Tuberkulose (TB) forårsages af patogene arter fra Mycobacterium tuberculosis komplekset (MTBC) og har en incidens på cirka 7/100.000 i Danmark. På mistanke om TB hos en akut indlagt 40 årig afrikansk mand initieredes anti-TB behandling. Efter 13 timers indlæggelse afgik patienten ved døden. Fra l...

  6. Part 2: Prediktion, Simulering og Regulering med Neurale Netværk. Prediction, Simulation and Control using Neural Network

    DEFF Research Database (Denmark)

    Schiøler, Henrik

    på tilsvarende måde, dog i en lidt forkortet udgave. Til sidst behandles, hvorledes de behandlede nettyper anvendes i en regulatorstruktur baseret på såkaldte Sliding mode control. Teorien for de neurale net er her den samme som for simulering. Det konkluderes at de alternative strukturer, baseret på...

  7. Towards applied integrationism

    DEFF Research Database (Denmark)

    Nielsen, Charlotte Marie Bisgaard

    2011-01-01

    Forsøg med Aspergerklasser fortsættes i Danmark. Artiklen giver bud på hvorfor Aspegere og lærere i konventionelle sammenhænge oplever kommunikationsproblemer i et integrationelt perspektiv og skitserer rammerne for en dybere behandling af emnet med inddragelser af perspektiver som Asperger...

  8. Danskernes racisme

    DEFF Research Database (Denmark)

    Necef, Mehmet Ümit

    2010-01-01

    Jens Peter Frølund Thomsen, politolog fra Århus Universitet, har i bogen Konflikten om de nye danskere (2006) undersøgt danskernes holdninger til her-boende etniske minoriteter, herunder racismens omfang og dens former. Ar-tiklen diskuterer Thomsens definition på racisme og hans behandling af sin...

  9. Secondary care intervals before and after the introduction of urgent referral guidelines for suspected cancer in Denmark

    DEFF Research Database (Denmark)

    Larsen, Mette Bach; Hansen, Rikke Pilegaard; Hansen, Dorte Gilså

    2013-01-01

    på nationalt niveau spiller en rolle for hurtig udredning og iværksættelse af behandling for kræftsygdomme. Resultaterne er baseret på et retrospektivt populationsbaseret studie med data fra i alt 6518 kræftpatienter. Data blev indsamlet via spørgeskemaer, som blev udfyldt af patienternes...

  10. History of Education in Europe

    DEFF Research Database (Denmark)

    Haue, Harry

    2009-01-01

    Denne oversigtsartikel behandler børnearbejde i relation til skolegang og uddannelse. Fokus er på sammenhængene mellem samfundsudvikling og ændringer i børnens muligheder for formaliseret læring fra landbrugssamfundet via industrisamfundet til informationssamfundet, og den værdi børnearbejdet til...

  11. Balkan – Pestens første udbrud?

    DEFF Research Database (Denmark)

    Fledelius, Karsten

    2013-01-01

    Artiklen behandler den religiøst farvede nationalismes udvikling i Jugoslavien efter præsident Titos død i 1980 og dens virkninger på Balkan-landene, samt EU's muligheder for at danne modvægt mod aggressiv nationalistisk-religiøs chauvinisme...

  12. Tætte parcelhusområder

    DEFF Research Database (Denmark)

    Jantzen, E.B.; Kaaris, H.; Pedersen, H.T.;

    Publikationen giver vejledning i planlægning af bebyggelser med individuelle parcelhuse på små grunde. Den præsenterer seks principmodeller for udstykninger og gennemgår det praktiske planlægningsgrundlag, der er basis for principmodellerne. Desuden behandles de byplanmæssige forhold, der har bet...

  13. Revisionsplanlægning og revisionsrisikomodellen

    DEFF Research Database (Denmark)

    Kiertzner, Lars

    2009-01-01

    afsnit behandles særlige forhold om fremadrettede konsekvenser af øget skepsis og detailregulering som grundlæggende i flere clarity versioner af ajourførte standarder. Herunder diskuteres anvendeligheden af RS i typisk danske SMV sammenhænge. For at sikre artiklen en blot nogenlunde lang levetid er det...

  14. Innovation og ledelse i et SMV perspektiv - del 2

    DEFF Research Database (Denmark)

    Sundbo, Jon; Ulhøi, John Parm

    2009-01-01

    I del 1 behandles en række af de centrale teoretiske og metodiske sider af innovationsledelsesfeltet med specielt fokus på de små- og mellemstore virksomheders situation. Denne artikel udgør del 2 og diskuterer og eksemplificerer, gennem praktiske cases, hvordan mindre og nyere organisationer fra...

  15. Diskrimination

    DEFF Research Database (Denmark)

    Lippert-Rasmussen, Kasper

    2007-01-01

    Sociale problemer og uligheder kategoriseres ofte som afspejlende diskrimination. Det er imidlertid langt fra klart, hvori præcist diskrimination består, og derfor heller ikke klart, hvorfor diskrimination er uretfærdig. Artiklen behandler disse to spørgsmål. Jeg argumenterer for den forholdsvis ...

  16. Dentalmaterialer kan udløse orale allergiske reaktioner

    DEFF Research Database (Denmark)

    Røn Larsen, Kristine; Johansen, Jeanne Duus; Arenholt-Bindslev, Dorthe;

    2013-01-01

    Mange af de materialer, der anvendes i forbindelse med diagnostik, profylakse og behandling af sygdomme i mundhulen (her betegnet dentalmaterialer), kan udløse akutte eller kroniske reaktioner, herunder egentlige allergiske reaktioner. I klinikken kan det være vanskeligt at skelne mundslimhindefo...

  17. School Classes for Talented Pupils

    DEFF Research Database (Denmark)

    Rasmussen, Annette; Rasmussen, Palle

    Det hævdes ofte, at der er behov for særlige indsatser for at stimulere de mest talentfulde elever i skolen. I artiklen behandles dette spørgsmål i sociologisk perspektiv, på baggrund af følgeforskning i forbindelse med en "talentklasse" i Nordjylland....

  18. Nitrification biokinetics in rapid sand filters for drinking water treatment

    DEFF Research Database (Denmark)

    Tatari, Karolina

    Danmarks drikkevandsforsyning er udelukkende baseret på grundvand – og mere end 2500 vandværker behandler hver dag vand til de danske forbrugere. Selv om denne vandbehandling betegnes som simpel, er den i virkeligheden baseret på komplicerede mikrobielle processer, som vi hidtil har vidst relativ...

  19. Andersen and Tradition. Animal Tales and 'Zaubermärchen'

    DEFF Research Database (Denmark)

    Pedersen, Viggo Hjørnager

    2010-01-01

    Artiklen behandler to delvis overlappende litterære former og Andersens forhold til dem. Det drejer sig om dyrefortællingen med personificerede dyr og eventyret med overnaturlige væsener, 'trylleeventyret'. Andersen arvede begge disse former og kom så på sin side til at danne forbillede for andre...

  20. Kan forskellige velfærdsregimer betjenes af harmoniserede uddannelser?

    DEFF Research Database (Denmark)

    Jensen, Niels Rosendal

    2009-01-01

    Artiklen behandler dels Bologna-processen, dels etableringen af et marked for serviceydelser. Begge dele berører hidtidige sammenhæng mellem national uddannelse til et nationalt arbejdsmarked. Dog understreges, at den fortsatte nationale akkreditering af uddannelser modificerer virkningerne af...