Ugeskrift for laeger
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We tested the hypotheses that lipid levels change minimally in response to normal food intake and that nonfasting levels predict cardiovascular events. The maximum changes after normal food intake from fasting levels were as follows: total cholesterol -0.2 mmol/l, LDL cholesterol -0.2 mmol/l, HDL cholesterol -0.1 mmol/l, and for triglycerides +0.3 mmol/l. Highest versus lowest tertile of nonfasting total cholesterol, LDL cholesterol, and triglycerides, and lowest versus highest tertile of nonfasting HDL cholesterol predicted a 1.7-to 2.2-fold increased risk of cardiovascular events.
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A 19-year-old female was brought to the Emergency Room as a trauma patient. During a tilting contest she fell off the horse and was penetrated by a spear used for tilting the ring. ⋯ The spear penetrated the patient near the left iliac crest pointing at the heart. Further investigation at the Emergency Room is described briefly and guidelines for penetrating, impaled foreign bodies in the (thoraco)abdominal region are outlined.
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Ugeskrift for laeger · Jun 2009
[Differences between hospitals in prognosis after resuscitated out-of-hospital cardiac arrest patients].
There are substantial differences in long-term survival of patients resuscitated from out-of-hospital cardiac arrest, and the level of care during hospitalization may be a contributing factor. The purpose of this study was to determine if a difference in long-term prognosis between hospitals could be detected in patients surviving cardiac arrest in Copenhagen. ⋯ The survival rate after out-of-hospital cardiac arrest was significantly higher in patients admitted to a tertiary facility than among patients admitted to less specialized hospitals. Further studies are needed to identify causal factors.
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Ugeskrift for laeger · Jun 2009
Case Reports[Paradoxical effect of methylphenidate in the treatment of a patient with severe traumatic brain injury].
Methylphenidate is a central nervous system (CNS)-stimulating agent. During recent years methylphenidate has been shown to increase arousal in patients with traumatic brain injury. ⋯ Surprisingly, the cognitive level was then dramatically improved. To our knowledge, such paradoxical effect of methylphenidate has not previously been described.