Ugeskrift for laeger
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Ugeskrift for laeger · Mar 2009
Comparative Study[Transfusion practice in total hip arthroplasty in Danish departments of orthopaedic surgery].
We examined the use of blood transfusion in patients undergoing total hip arthroplasty (THA) at 21 orthopaedic departments in Denmark. ⋯ Substantial differences in the use of red blood cell transfusion among THA patients were found when comparing a sample of Danish orthopaedic departments. The differences in the use of blood transfusions could apparently not be explained by a range of patient- and surgery-related factors, which suggests that the variation did not reflect differences in the patients' need for blood transfusion, but rather true differences in transfusion practice.
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Ugeskrift for laeger · Mar 2009
[The effect of length of stay and number of relocations on asylum-seeking children's mental health--secondary publication].
Among asylum-seeking children aged 4-16 years living in the asylum centres managed by the Danish Red Cross in 2006, we investigated mental health in relation to length of stay and number of relocations. Mental health was evaluated using the Strengths and Difficulties Questionnaire (SDQ). We found that children who had been asylum-seeking for more than one year had an increased risk of having mental difficulties (odds ratio 5.5; 95% confidence interval 1.8-16.3); four or more relocations in the asylum system were also associated with a higher risk of mental problems (odds ratio 3,0; 1,4-6,7).
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Ugeskrift for laeger · Mar 2009
[Mini clinical evaluation exercise as evaluation tool of communicative and cooperative skills in the outpatient clinic].
In the revised Danish medical specialist training increased focus has been placed on competences which are hard to evaluate such as communication skills. Mini-CEX seems promising as an evaluation tool. Our aim was to test: 1) whether mini-CEX was useable in the evaluation of communicative and cooperative skills and 2) whether mini-CEX would provide reproducible data. ⋯ The mini-CEX is a promising tool for the evaluation of communicative and cooperative skills.
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Ugeskrift for laeger · Mar 2009
[Fusobacterium necrophorum: from tonsillitis to Lemierre's syndrome].
Fusobacterium necrophorum plays a role in non-GAS-tonsillitis in adolescents and probably also in small children with recurrent otitis media. Anaerobic culture on selective anaerobic media is recommended to detect F. necrophorum and treat such patients. Denmark sees at least 20 annual cases of Lemierre's syndrome with a mortality reaching 9%. Early suspicion of Lemierre's syndrome in adolescents with non-GAS-tonsillitis, who develop septicaemia, pulmonary symptoms and unilateral swelling on the neck, is mandatory to lower morbidity and mortality.