Ugeskrift for laeger
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Ugeskrift for laeger · Sep 1989
[Festival injuries. Injury patterns at the Midtfyn Music Festival in 1988].
A first-aid station was established at the Midtfyn Music Festival in 1988. A total of 174 patients were treated. The diseases and casualties are described according to numbers, distribution, course and causes. ⋯ Treatment could be completed in approximately 60% of the cases. Most of the casualties were caused by broken glass, deliberate violence or failure to comply with maintenance medication. Various suggestions are made to reduce the number of casualties.
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Ugeskrift for laeger · Sep 1989
[Autologous epidural blood patch and post-lumbar puncture headache. A review of a 1-year period at a central hospital].
During a period of one year in which 609 spinal anaesthetics were performed, seven men and eight women complained of post lumbar puncture headache (PLPH). This form of headache was most frequently localized to the forehead and neck. The maximal intensities of the PLPH were assessed as "7-8" on a 10 cm visual analogous scale. ⋯ Relapse occurred in one patient. No significant adverse effects were observed. AEBP is thus considered as a safe and effective form of treatment of PLPH.
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Ugeskrift for laeger · Sep 1989
Review[Immunologic consequences of surgery, anesthesia and blood transfusion. Surgical immunosuppression].
On the basis of the literature and the authors own investigations, the present article provides a brief schematic review of the fraction of the physiological immune response which has hitherto been investigated in connection with surgical trauma. Surgery, anaesthesia and blood transfusion induce temporarily acquired immune suppression and thus a potentially increased risk for postoperative infectious complications and recurrence after cancer surgery. ⋯ The clinical sequelae of preoperative and postoperative immune suppression are increased morbidity and mortality rates. Future research in this field must, therefore, be focussed on detailed investigation of the mechanisms which lead to postoperative immune suppression and development of methods to prevent these.
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Ugeskrift for laeger · Sep 1989
[Long-term treatment with intrathecal morphine in severe painful cancer].
Intrathecal treatment with morphine was instituted in seven cancer patients with severe pain. All of the patients had already received treatment with epidural morphine and the reason for the change in treatment was insufficient effect, side effects and/or pain connected with the injections in the epidural form of therapy. The duration of treatment was 5-136 days (median 40 days). ⋯ One patient received accidentally too great a dose of morphine intrathecally as compared with the usual dose and required treatment for respiratory insufficiency. Apart from postural headache on account of leakage of cerebro-spinal fluid, which could be treated by epidural blood "patch", the method was without complications which could be attributed to the intrathecally placed catheter. Treatment of pain with opioids injected intrathecally may thus be recommended in the cases in which epidural treatment cannot be carried out on account of the reasons mentioned above.
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Ugeskrift for laeger · Sep 1989
[Danish physicians' attitude to capital punishment. A questionnaire study].
The attitudes of the Danish medical profession to capital punishment and participation in the procedure of capital punishment were illustrated by means of a questionnaire investigation. A total of 1,011 questionnaires were sent to a representative section of Danish doctors. Out of the 591 who replied, 474 considered that capital punishment is not an acceptable form of punishment while 76 considered that capital punishment is acceptable. Twenty doctors were willing to participate actively in executions although medical participation of this type has been condemned both by the Nordic Medical Associations and also by the World Medical Association.