Ugeskrift for laeger
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Radical prostatectomy has been offered as curative treatment for localized prostate cancer at Rigshospitalet since August 1995. We here report on postoperative complications in 719 patients operated during the 12-year-period from August 1995 to August 2007 with special emphasis on developments over time. ⋯ Our results demonstrate that radical prostatectomy can be performed with a minimal mortality and an acceptable morbidity.
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A 76-year-old female was referred because of violaceous dermatitis on sun-exposed skin. She had associated muscle weakness, dysphagia, dysarthria and reported an unintended weight loss. ⋯ Despite intended curative treatment, she died of the cancer six months later. This case emphasizes the importance of a thorough examination for an underlying cancer, in patients diagnosed with dermatomyositis.
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Surgery for perforated ulcers is one of the most common emergency surgical procedures. Approximately 400 procedures are performed each year in Denmark and mortality is high, reaching close to 30% at 30 days postoperatively. The importance of perioperative fluid administration during the perioperative course remains unclear. The purpose of this study is to describe the perioperative fluid management in these patients in order to identify problem areas (if any) and to create a basis on which future trials on fluid management in this patient group may be designed. ⋯ Both the preoperative fluid management and the postoperative monitoring of the fluid balance are suboptimal and should be optimized. Individualized (goal-directed) fluid administration aiming at optimizing the oxygen supply to the peripheral tissues is warranted and is recommended to high-risk emergency surgery patients.
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Ugeskrift for laeger · Apr 2009
Randomized Controlled Trial[Reasons for non-attendance and cancellations in a paediatric outpatient clinic].
It is important to identify reasons for non-attendance and late cancellations in the health care system to be able to plan possible interventions. ⋯ In the control group more than 70% of late cancellations and non-attendances could have been predicted by the parents, receiving a mailed reminder reduced this proportion significantly. It remains a challenge to reduce the number of non-Danish speaking patients not attending.
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Ugeskrift for laeger · Apr 2009
Comparative Study[Non-attendance at a pediatric outpatient clinic. SMS text messaging improves attendance].
To assess whether short message service (SMS) text message reminders would reduce non-attendance at a paediatric outpatient clinic. Furthermore, we wanted to clarify the families' attitude towards receiving an SMS reminder. ⋯ SMS reminders reduced non-attendance at the paediatric outpatient clinic.