Ugeskrift for laeger
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Ugeskrift for laeger · Sep 2012
Case Reports[Boerhaave's syndrome can be a rare cause of tension pneumothorax].
We report a case of tension pneumothorax as an initial symptom caused by spontaneous rupture of the distal oesophagus (Boerhaave's syndrome). Prompt recognition of this potentially lethal syndrome is essential. The best way to diagnose the syndrome is by performing an oesophagram.
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Ugeskrift for laeger · Sep 2012
[The Danish Health Act and health-care services to undocumented migrants].
Health-care workers may experience uncertainty regarding legal matters when attending to medical needs of undocumented migrants. This paper applies a pragmatic focus when addressing the legal aspects involved in providing health-care services to undocumented migrants with examples from the Danish Health Act and international conventions. The delivery of medical care to vulnerable groups such as pregnant women and children is described.
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Ugeskrift for laeger · Sep 2012
Comparative Study[Various methods for monitoring cardiac output in intensive care patients].
This article presents a mini medical technology evaluation of three less invasive monitoring techniques for monitoring cardiac output, CardioQ, ECOM and PiCCO, with focus on validation, usability and costs in intensive care. In conclusion, when identifying patients with low cardiac output, we suggest starting with simple screening tools (e.g. ⋯ PiCCO using thermodilution). Also consults should be made to other intensive care units in terms of the practical implementation of the monitors.
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Ugeskrift for laeger · Aug 2012
[A procalcitonin-guided algorithm for pneumonia may reduce antibiotic use and treatment duration].
Reduction of antimicrobial resistance in microorganisms is imperative. Pneumonia is important in this matter because of its high incidence, subjective diagnostic criteria, and variations in aetiology. Research has focused on the use of a procalcitonin-guided algorithm for antimicrobial stewardship with promising reductions in antibiotic use and treatment duration, but more research is needed in order to draw a final conclusion. Lack of objective diagnostic criteria, methodological challenges in research, a future focus on primary care, and the need for a cost-benefit analysis should be considered.
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Ugeskrift for laeger · Aug 2012
[Sublingual immunotherapy in children with grass pollen induced allergic rhinoconjunctivitis].
Specific immunotherapy is the only current treatment that may modify the disease process in allergic rhinoconjunctivitis. Recent studies have evidenced that sublingual administration of grass extract tablets is an efficacious, safe and convenient form of specific immunotherapy in children with grass pollen induced allergic rhinoconjunctivitis. It is recommended that daily treatment is initiated four months before the pollen season begins and continued through three years, though paediatric studies of long-term and potential asthma and allergy prevention effects are still awaited.