Ugeskrift for laeger
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Ugeskrift for laeger · Feb 2008
[Hospital staff's different attitudes and experiences with regard to immigrant patients].
The study investigates hospital staff's different attitudes and experiences with regard to immigrant patients as a basis for educational initiatives. ⋯ There is a need for educational interventions relating to major issues such as communication and culture and to specific issues of immigrants' health and disease patterns in a global perspective. The starting point of interventions should be the specific interests and needs of the different groups of professionals.
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Intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are rare conditions with high mortality. IAH is an intraabdominal pressure (IAP) above 12 mmHg and ACS an IAP above 20 mmHg with evidence of organ dysfunction. IAP is measured indirectly via the bladder or stomach. ⋯ When the content exceeds the compliance of the abdominal wall, the IAP rises. Increased IAP affects the functioning of the brain, lungs, circulation, kidneys, and bowel. The treatment of ACS is a reduction of IAP.
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Ugeskrift for laeger · Feb 2008
Review[Neisseria meningitidis. The pathophysiological role of lipopolysaccharides in association with meningococcal disease and septic shock].
A major pro-inflammatory and toxic component of N. meningitidis is lipopolysaccharide (LPS). LPS contributes to severe symptoms of meningococcal disease, septic shock and severe coagulopathy, in part by increasing pro-inflammatory mechanisms and reactive oxygen species. Recent technologies have increased the likelihood of developing an anti-meningococcal immunization strategy based upon the virulence of LPS which may lead to a vaccination against this important pathogen including serogroup B disease. This review summarizes recent findings that may provide a safe, effective prophylaxis and therapy.
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Ugeskrift for laeger · Feb 2008
Case Reports[Sciatic nerve block performed with nerve stimulation technique in an amputee--a case study].
We present a case of a sciatic nerve block performed with the nerve stimulation technique. This technique is normally not used in amputees because detection of a motor response to an electrical stimulation is impossible. ⋯ After surgery the patient was pain free. The technique thus presents an alternative method for anesthesia and perioperative pain management in a high-risk group of patients.
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Ugeskrift for laeger · Feb 2008
Case Reports[Long term effect of spinal cord stimulation in a patient with complex regional pain syndrome and phantom pain syndrome type 1 after amputation].
The development of stump and phantom pain after limb amputation in patients with complex regional pain syndrome (CRPS) is very frequent. Stump pain is typically recurred CRPS and the possibilities for effective pharmacological pain relief are often limited. ⋯ This case story summarises the long term effect of SCS in a patient with CRPS after two amputations of the right leg. Pharmacological pain therapies as well as Guanethidine blockade were found to be ineffective.