Ugeskrift for laeger
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The aim of this retrospective study was to quantify and characterize contacts to the acute emergency department due to fall accidents among elderly aged 65 years and above at H:S Hvidovre hospital in Copenhagen during a three-month period. Data on demographics, injuries and admission rates were collected along with follow-up data during the six months after the index contact. ⋯ The results document the frailty of a considerable proportion of the elderly who contact the acute emergency department because of a fall. About half of the elderly returning home directly from hospital have no planned follow-up. A more structured assessment and collaboration between hospital and primary health care is needed in order to prevent further falls among the elderly.
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Lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) is among the most common malignant lymphomas of the ocular adnexa and it furthermore shows an increasing incidence. The disease is most often localized and indolent of nature; gentle treatment is therefore of essence to avoid complications, especially visual impairment. MALT lymphoma can be treated with radiotherapy (RT), but in case of relapse, alternatives are required. New treatment modalities such as anti-cluster of differentiation (CD)-20 monoclonal antibodies (rituximab) and local injection of interferon-alpha have shown promising results. ⋯ RT is effective in treatment of MALT lymphomas of the ocular adnexa. Rituximab showed an excellent result in one patient with recurrent disease. However, latent infections such as hepatitis B virus (HBV) should be considered before rituximab is administered.
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Ugeskrift for laeger · Oct 2008
[Implementation of a national training assessment programme in anaesthesiology].
In 2004, outcome-based education and in-training assessment was introduced by a reform of postgraduate medical education in Denmark. An assessment programme covering the introductory year of anaesthesiology was constructed. The purpose of this study was to explore to which degree this programme was implemented in daily practice in the clinical departments and whether the recommended assessment protocol was followed. ⋯ In conclusion, the in-training assessment programme of the introductory year of anaesthesia has been implemented to a high degree and the assessment protocol is used according to recommendations.
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In 2007 the Faculty of Health Sciences, Aarhus University, took a first step towards outcome-based education. During an educational development process, all courses developed clear, consistent descriptions of learning outcomes and extensive, template-based course descriptions. ⋯ Furthermore, the process created the basis for alignment of outcomes, assessment and teaching. In this paper, we share results, problems encountered and lessons learned.
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Ugeskrift for laeger · Oct 2008
[Why do we need mandatory communication courses for pre-registration house officers?].
This study reports the rationale for the composition of a 3-day mandatory communication skills course for pre-registration house officers (PRHOs). In addition to communication skills, the course addresses aspects of competence related to professional performance within areas covered by the legal framework, the ability to analyse ethical problems, and health advocacy. Standard evaluation forms were collected from 274 PRHOs. The course was highly rated by participants with respect to content, form and outcome.