Ugeskrift for laeger
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Blunt, non-penetrating trauma of the chest (commotio cordis) can cause sudden death in individuals without known cardiac disease. Sudden death in commotio cordis is due to ventricular fibrillation. ⋯ The risk of arrhythmia increases progressively, until a velocity of 64 km/h, and at higher velocities the risk of ventricular fibrillation begins to diminish. The location of the impact must be directly over the cardiac silhouette.
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Ugeskrift for laeger · Oct 2011
[Palliative care of patients with terminal obstructive pulmonary disease].
Terminal chronic obstructive pulmonary disease (COPD) and advanced cancer have similar prognosis and symptom burden. However, palliative care of patients with terminal COPD has been neglected in Denmark. ⋯ Furthermore we discuss the prognostic and ethical challenges for patients, their families and their caregivers. Finally, we summarize the current evidence for palliative treatment of dyspnoea and ways to evaluate response to treatment.
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Ugeskrift for laeger · Oct 2011
Case Reports[Treatment response in vitamin B12 deficiency depends on the chosen vitamin B12 preparation].
In Denmark, patients with vitamin B12 deficiency are usually treated for life with either Betolvex or Vibeden given as injections every third month. This case report describes a patient who received injections with vitamin B12 prescribed in Germany. ⋯ This led to extensive diagnosing before the cause for the inadequate treatment was found. It illustrates that different vitamin B12 drugs may result in different treatment outcomes, and that caution should be taken when treating patients with vitamin B12 drugs from other countries.
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Ugeskrift for laeger · Oct 2011
[General practitioners' storytelling is useful in quality development of general practice].
A consultant function to advice general practitioners (GPs) with regard to interactions with ethnic minority patients was developed in the Copenhagen municipality in 2002-2003 as a quality developing project. One part of the project focused on the challenges experienced by the GPs. ⋯ It is argued that a narrative analysis illuminates positions and structures and gives useful insight to act. In this project it illuminated structural challenges, which had to be solved at a level different from the individual level, which was the focus of the consultant project.