Ugeskrift for laeger
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Permanent central venous catheters play an important role in the treatment of patients with malignancies. Two systems are available, Hickman-Broviac Catheters (HB) and Port-a-Cath (PAC), the latter is fully implantable. Since 1982, the systems have been used in the Finsen Institute. ⋯ In general, the complication rate was lower for the PAC method. In addition, the nursing care was reduced to a minimum. The surgical cut-down method is preferable, as catheter implantation is possible even in patients with disorders of the coagulation system.
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Ugeskrift for laeger · Sep 1991
[A physician-staffed heart ambulance in a rural district. A 1-year trial].
A trial period of one year in which the ambulance service for patients with acute cardiac disease was improved is described. This trial took pace in the County of Vestsjaelland in a mixed urban and rural district with five general practices and with more than fifteen kilometres (9.4 miles) to the county hospital. Two ambulance stations were equipped with defibrillators and the staff were trained in their use. ⋯ The total number of emergency ambulance turn-outs was 1,200, 41 of these were patients with clinical cardiac arrest and 56 to patients with other forms of acute cardiac disease. Sixty-one patients were found to have conditions other than cardiac diseases. It proved possible to provide medical assistance in 79% of the cases.(ABSTRACT TRUNCATED AT 250 WORDS)
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Apical hypertrophic cardiomyopathy is a subtype of non-obstructive hypertrophic cardiomyopathy characterized by a unique spade-like configuration and apical obliteration in the left ventriculogram as well as in the long axis two-dimensional echocardiogram. The symptoms and electrocardiographic findings in apical hypertrophic cardiomyopathy are quite similar to ischemic heart disease and confusion of the two diseases is obvious. An illustrative case, in which ventriculographic and echocardiographic findings were diagnostic for apical hypertrophic cardiomyopathy, is presented.
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The object of this investigation was to analyse the frequency of medial and pertrochanteric fractures of the femoral neck and to calculate the future number. During the period 1976-1988, 3,099 patients aged over 50 years were admitted to hospital with fractures of the femoral neck. 60% were medial femoral neck fractures. The sex ratio women:men was 2.94. ⋯ The incidence increased from 3.31 per 1,000 in 1976 to 7.15 per 1,000 in 1988. By means of linear regression, the frequency in year 2010 was calculated to be 14.5 per 1,000 and the number of fractures 794. During the course of the coming 17 years, doubling of the number of medial and pertrochanteric femoral neck fractures may be anticipated, provided linear increase in the frequency occurs.
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Ugeskrift for laeger · Aug 1991
Case Reports[Neuropsychological sequelae after electric accidents].
No investigations have been found in the literature which document how many individuals develop neuropsychological and neuropsychiatric dysfunctions following electric shock. Three cases are reviewed in this article where patients developed neuropsychological dysfunction after electric accidents. The first case report describes a man who developed an amnestic syndrome followed by personality changes and diffuse anxiety after an electric accident. ⋯ The patients had difficulty in concentration, psychosomatic symptoms and anxiety reactions. On the basis of the case reports described here, it is important to emphasize that manifest or discrete neurological, neuropsychological and neuropsychiatric dysfunctions may occur as sequelae of electric shock. It is therefore of significance to submit patients of this type to neurological examination and neuropsychological and personality psychological investigations in order to reveal possible neurological and psychological disturbances.