Ugeskrift for laeger
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Non-adherence or incomplete adherence to drug prescriptions is common. In long-term therapy for chronic disease, it has been estimated that only half of all drug doses are taken as prescribed. In this article we discuss poor adherence in terms of prevalence, clinical significance, treatment opportunities and ethical aspects.
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We report a case of meningitis by Streptococcus salivarius following spinal anaesthesia for caesarean section. The possible aetiological causes are discussed, and the literature on the disease and the effectiveness of surgical face-masks are reviewed.
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A 63-year-old man was admitted to hospital. He had a history of splenectomy secondary to trauma, previous alcohol abuse, cirrhosis and oesophagus varices. The patient had been bitten by a dog three days before admittance. ⋯ Six days after the bite, the patient died despite antibiotic treatment. The gram-negative rod Capnocytophaga canimorsus was found in the blood culture. This case emphasizes the importance of early diagnosis and prompt treatment of infections in post-splenectomy patients as they carry a greater-than-normal risk of serious complications.
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Massive bleeding is a common cause of death in trauma patients. The aim of this study was to describe the number and survival within the group of trauma patients who received treatment with blood components, as well as to describe the amount and kind of blood components in acute treatment. ⋯ Acute transfusion with blood components was given to 7% of primarily admitted trauma patients in 2004. Only 2% were massively transfused and in this group mortality was high. All massive transfused patients except one received balanced treatment.
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Ugeskrift for laeger · May 2008
[Conditions for foreign doctors' clinical work assessed by Danish health care personnel, patients and foreign doctors].
Many foreign doctors work in Danish hospitals. This study concerns the opportunities available to and difficulties encountered by these doctors. ⋯ Insufficient communication is the biggest challenge for foreign doctors, and can influence the evaluation of their professional competence. Cultural differences may influence foreign doctors' cooperation with Danish personnel. Patients are satisfied with treatment given by foreign doctors.