Læknablađiđ
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Gastrointestinal bleeding is a common cause for presentation in the emergency room and hospitalization. The bleeding is usually categorized to upper or lower gastrointestinal bleeding. The purpose of this review article is to provide an overview of the incidence of gastrointestinal bleeding, etiology, risk factors, role of antithrombotics, evaluation of the severity of bleeding, therapy and outcome. Emphasis will be put on gastrointestinal bleeding within the Icelandic health care system but also in broader terms.
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Editorial Historical Article
[Stress-related disorders - a major challenge of 21st century medical sciences].
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The incidence of congenital anomalies of the central nervous system (CNS) in Iceland during 1992-2016 was examined along with timing of diagnosis, maternal residence, known risk factors and perinatal outcomes. ⋯ The incidence of congenital anomalies of the CNS is stable and maternal risk factors are infrequent. Around 90% were diagnosed prenatally. Fetal anencephaly was diagnosed earlier at the end of the study period, after the introduction of a 11-14 week ultrasound scan in 2003, along with increased training among -healthcare professionals and improved ultrasound equipment. Higher prenatal detection rate in urban areas compared with rural may be explained by fewer ultrasound examinations being performed in less populated health districts, staff consequently receiving less training and experience and also with less advanced equipment.