Ugeskrift for laeger
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Ugeskrift for laeger · Jan 2007
[Are Danish medical students concerned about their future job? A questionnaire study].
Knowledge about the thoughts of Danish medical students regarding their job future is limited. The aim of this study was to investigate whether medical students are concerned about their future work, and if so, to describe the types of concerns they have, to what degree they are concerned, possible reasons for and consequences of their concerns; furthermore, to evaluate if gender and semester influate on the concerns. ⋯ Medical students from 3rd, 8th, and 13th semester are concerned about their future work, especially in relation to the patient, regarding, for example, the risk of committing an error or being incompetent in relation to practical skills, but also work-related concerns are mentioned.
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Ugeskrift for laeger · Dec 2006
[Transthoracic ultrasound: a necessary standard within intensive, acute and pre-hospital medicine].
The introduction of focus assessed transthoracic echocardiographic (FATE) protocols has brought ultrasound into the first line in evaluating the critically ill patient. The technical advancements within ultrasound technology with miniaturisation and refinements of equipment have made the advantages of imaging available in the hemodynamic monitoring, and this modality now surpasses more conventional methods in feasibility and specificity. It seems reasonable to expect echocardiography to be incorporated as a new standard in the immediate assessment of the critically ill patient in the emergency and the intensive care unit as well as in the pre-hospital setting.
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Surgical patients with pulmonary disease are at increased risk of developing postoperative pulmonary complications and some patients may need postoperative ventilatory support. Stratifying and planning the right strategies for these patient categories are important since complications increase morbidity and mortality. Predictive tests, however, are few and preoperative interventions are of limited value. This brief review summarizes the current knowledge on perioperative measures to reduce pulmonary complications.
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Daily smokers and heavy drinkers develop two to four times more complications after major as well as minor surgery. Increased postoperative morbidity is probably due to tobacco and alcohol-related organ dysfunctions which are, however, reversible during abstinence. ⋯ Preoperative prevention programs are cost-effective. In conclusion, according to present evidence the smoking and drinking patient should be identified, informed, and offered preoperative prevention whenever possible.