Ugeskrift for laeger
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A 32 year-old women experienced dyspnea and thoracic pain that persisted with variable intensity over a course of eight months until acute worsening necessitated admission. A CT scan demonstrated a central pulmonary embolus. Subsequent surgical embolectomy produced a grained substance that was histologically compatible with a choriocarcinoma. Trophoblast tumors are rare, but unspecific symptoms from lungs, liver, kidney or brain warrant control of S-hCG in women, even when pregnancy has not been recognized or menopause has been reached.
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An introduction to the R project for statistical computing (www. R-project.org) is presented. ⋯ Simple well-known statistical tests are fairly easy to perform in R, but more complex modelling requires programming skills; 3. R is seen as a tool for teaching statistics and implementing complex modelling of medical data among medical professionals.
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Documentation of and staff compliance with guidelines during in-hospital cardiac arrest are very important. The purpose of the study is to clarify to what extent treatment of cardiac arrest was documented and whether the staff followed the hospital's protocol for cardiac arrest treatment in 2005. ⋯ The percentage of hospital staff following the guidelines for cardiac arrest has improved significantly. The documentation of cardiac arrest as given in the medical records has not improved significantly. The reason is that the lack of data concerning the dosage of medication and/or dosage/number of shocks delivered is missing for about 1/3 of the cases.
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Ugeskrift for laeger · Jan 2008
[Implementation of non invasive ventilation in respiratory ward in patients with exacerbations of chronic obstructive pulmonary disease].
Non Invasive Ventilation (NIV) has been shown to lower the mortality rate from 22% to 9% when given as an additional treatment to selected chronic obstructive pulmonary disease (COPD) patients with acute respiratory failure and hypercapnia. Risk of intubation has been shown to fall from 33% to 14%. In February 2004 NIV was added as a treatment modality in a respiratory ward to patients with exacerbation of COPD after initial stabilization with standard treatment: oxygen, bronchodilators, systemic steroids and, if indicated, antibiotics. We present the results of NIV treatment. ⋯ In selected COPD patients with acute respiratory failure and hypercapnia NIV is a safe and life-saving treatment applicable to the respiratory ward.
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Ugeskrift for laeger · Jan 2008
Case Reports[Post-tonsillectomy haemorrhage treatment with activated factor VII].
Tonsillectomy is a common procedure in otorhinolaryngology and postoperative haemorrhage is a well-known complication. In this case, a 34 year-old male with obstructive sleep apnoea and no coagulation defects was operated; 30 minutes after the operation he presented with primary post operative haemorrhage and surgical haemostasis was not possible. After one hour of secondary surgery tranexamacid 1 g and phytomenadione 10 mg was given, but the diffuse bleeding continued until recombinant factor VIIa 96 mg/kg was administered.