Ugeskrift for laeger
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Ugeskrift for laeger · May 2008
[Conditions for foreign doctors' clinical work assessed by Danish health care personnel, patients and foreign doctors].
Many foreign doctors work in Danish hospitals. This study concerns the opportunities available to and difficulties encountered by these doctors. ⋯ Insufficient communication is the biggest challenge for foreign doctors, and can influence the evaluation of their professional competence. Cultural differences may influence foreign doctors' cooperation with Danish personnel. Patients are satisfied with treatment given by foreign doctors.
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Ugeskrift for laeger · May 2008
Review[Subjective memory complaints in older people. Is it a symptom of dementia?].
Subjective memory complaints are common in older people. They are inconsistently related to current cognitive impairment, but are more consistently correlated to future development of dementia. ⋯ Many patients with dementia have impaired awareness of deficits even in the early stages of dementia and therefore do not complain about memory problems. Reports about impaired memory in older people should lead to diagnostic examination.
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Ugeskrift for laeger · May 2008
Case Reports[Therapeutic hypothermia in cerebral hypoxia following attempted suicide by hanging].
Therapeutic hypothermia for comatose patients after cardiac arrest is standard care today. The case report illustrates that therapeutic hypothermia may also be of value in cerebral hypoxia following an attempted suicide by hanging. ⋯ He recovered completely without cognitive defects. The favourable outcome suggests that therapeutic hypothermia should be considered for other than patients with cerebral hypoxia following cardiac arrest.
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Ugeskrift for laeger · May 2008
Review[Oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease].
Acute exacerbation of COPD is a major cause of hospitalisation in Denmark. Most of the patients require supplemental oxygen in the acute phase and some patients continue oxygen therapy at home after discharge. In this paper we discuss the physiological mechanisms of respiratory failure seen in acute exacerbations of COPD. The principles for oxygen therapy in the acute phase are described and recommendations for oxygen therapy are suggested.
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Ugeskrift for laeger · May 2008
[Optimization of use of prehospital emergency physicians after new dispatch and guidance instructions].
Correct use of prehospital medical competence requires optimal dispatch. Based on the severity gauge Severity of Injury/Illness Index (SIII) which grades injury/illness into eight levels, we examined the effect of implementing new dispatch and guidance instructions in the emergency call centre. ⋯ By implementing more graded dispatch and guidance instructions in the emergency call centre it is possible to optimise the use of the PEP.