Ugeskrift for laeger
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Ugeskrift for laeger · Jul 1993
[Admissions and ambulatory treatment before and after establishment of a community psychiatric center in Copenhagen].
The purpose was to measure the use of psychiatric treatment before and after the start of community psychiatry in a part of Copenhagen. The use was measured during the two years before and after starting for the first 45 patients entering the treatment facility. Number of patients taken in for in-patient treatment, of intakes, of in-patient days, of emergencyroom visits and out-patient attendances were measured. ⋯ Use of medicine per day was the same, but total use increased because of the more stable contact. No difference in in-patient treatment use was seen according to the case manager's professional education. It is concluded that community psychiatry by increased use of outreach, patient contact, and psychological treatments can increase the stability of the contact and reduce the use of in-patient days.
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Ugeskrift for laeger · Jul 1993
Case Reports[Presumed anaphylactic shock after infusion of Lipofundin].
A case of anaphylactic shock in a 45 year old man with Hodgkin's disease following Lipofundin infusion is described. Lipofundin is a soybean oil based preparation for parenteral nutrition. ⋯ Soy-protein, in small quantities, can be detected in soy-oil. A possible connection between the patient's reaction and soy-allergy is discussed.
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Carditis is seen in about 4-10% of cases of Lyme's disease. It is usually dominated by varying degrees of atrioventricular block, and implantation of a temporary pacemaker may be necessary. ⋯ Third degree AV-block after oral penicillin treatment of erythema migrans is unusual in Europe. When an atrioventricular block of unknown origin is diagnosed, Lyme carditis must be considered, especially among young patients.
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A 69-year-old male developed a spontaneous rupture of the normal stomach during oxygen administration via a nasopharyngeal catheter. The clinical picture and treatment is discussed.