Ugeskrift for laeger
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We present two cases of scalp burn or possible chemical reaction due to use of hair highlight products. One case was treated with serial excision of the scarred bald area after the burn, and the other case was treated with implantation of expanders and subsequent excision of the bald area.
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Ugeskrift for laeger · Feb 2011
[Long-term effects of weight-reducing drugs in hypertensive patients--a survey of a Cochrane review].
In eight studies included in the present Cochrane review the effects of orlistat or sibutramine versus placebo on mortality, cardiovascular mortality and adverse events were investigated in obese people with hypertension. No studies with rimonabant fulfilled the inclusion criteria. ⋯ Orlistat reduced systolic and diastolic blood pressure more than placebo, while blood pressure increased during treatment with sibutramine. The studies were too small and of too short duration to allow an evaluation of the effect on cardiovascular mortality and morbidity.
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Toe tourniquet syndrome is a rare condition in which a hair or thread becomes tightly wrapped around an appendage, which causes ischaemic strangulation. We present a three month-old infant with strangulation of one toe to direct attention to this condition. ⋯ The condition can easily be prevented by simple measures. Consequently, it is important to have the condition in mind in infants who cry for no obvious reason, and in infants presenting with oedema on fingers, toes or genitalia.
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Ugeskrift for laeger · Feb 2011
Review[Coccygectomy can be a treatment option in chronic coccygodynia].
Coccygodynia is pain in the region of the coccyx. Treatment is primarily conservative, but some patients have persistent pain and may require surgical treatment. ⋯ Overall, 83% had an excellent or good result. We recommend coccygectomy for selected patients with intractable coccygodynia.
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Good clinical skills and dexterity alone do not make a good surgeon. Skills in leadership, decision-making, communication and teamwork, so-called non-technical skills, are also needed. ⋯ Implementation of a preoperative briefing also improves communication and reduces the number of postoperative complications. Focus should be directed towards the training of surgeons in non-technical skills in order to improve outcome after surgery.