Ugeskrift for laeger
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Surgery for hip fracture represents a major challenge due to high postoperative morbidity and need for postoperative rehabilitation. Recent literature documents the need for increased use of regional anaesthesia, early surgery, fluid management to optimise preoperative haemodynamic function and avoidance of postoperative fluid excess, early oral nutrition and postoperative opioid-sparing multimodal analgesia. The future strategy should include combined use of all treatment modalities within the context of "fast-track rehabilitation".
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At least 5-10 per cent of the Danish population will during their lifetime experience more than one episode of major depression but only a minority of this group will receive the necessary and sufficient prophylactic treatment against their illness. Randomised controlled studies have shown that the majority of commonly used antidepressant drugs, new as well as old ones, possess prophylactic efficacy. ⋯ This is partly due to a lack of relevant treatment facilities for psychiatric patients, partly to a lack of knowledge among patients and their relatives but also among doctors of the indications for prophylactic treatment against recurrent depression and the technical issues involved. A short practical guideline for prophylactic treatment against recurrent depression will appear from the article.
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Ugeskrift for laeger · May 2003
Comparative Study[Children with ear disorders who are treated by reflexologists or general practitioners].
The aim of the study was to describe similarities and differences in health, quality of life, and diagnosed morbidity in 0-6 year-old children whose parents contact either a reflexologist or a general practitioner (GP) due to their child's ear disorder. ⋯ According to a medical evaluation there was no difference in morbidity between children treated by a reflexologist and a GP. According to the parents' evaluation, children in reflexology treatment were more ill and their health-related quality of life was more affected by the ear disorder than that of children treated by a GP.