Læknablađiđ
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To determine the relationship between serum vitamin D levels and known cardiometabolic risk factors among healthy Icelandic children as well as study these connections independent of body mass index (BMI). ⋯ Vitamin D deficiency has been associated with the development of cardiovascular disease. It is important to explore the connection between known risk factors and vitamin D and treat those who are deficient of it, especially children and young adults. It is possible that vitamin D deficiency has an effect on cardiovascular risk early in life through insulin resistance and altered blood sugar control. It is important to follow guidelines for giving vitamin D to children, as the result showed that 2/3 of the children were under 50 nmol/L. Key words: Vitamin D, cardiovascular risk factors, insulin Correspondence: Emil L. Sigurdsson emilsig@hi.is.
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Comparative Study
[Adverse drug reaction reports in Iceland from 2013 to 2016. A comparison with other Nordic countries].
Information regarding adverse drug reactions (ADRs) of new medications is based on clinical studies of selected populations. The reporting of ADRs from real-life use following the marketing of new active substances is instrumental for the continuous evaluation of their benefit-risk balance. The aim of this study was to determine the number and nature of ADR reports in Iceland and compare with other Nordic countries. ⋯ There is great variability in the number of ADRs reported annually in Iceland. The drugs reported are within different ATC-classes and the proportion of serious ADRs is low compared to the other Nordic countries. This is not explained by different sales volumes. Key words: adverse drug reaction, pharmacovigilance, ADR reporting, side effects. Correspondence: Hrefna Guðmundsdóttir, Hrefna.Gudmundsdottir@lyfjastofnun.is.
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Sexual violence against children is a hidden problem. Medical examination and evaluation is needed to search for possible injuries, exclude infections, procure legal evidence and ensure the child´s welfare. We assessed medical evaluations done at Landspitali University Hospital and in the Reykjavik Children's House, a specialized clinic for childhood abuse cases. ⋯ Most examinations were conducted on prepubertal girls, were not a matter of urgency and showed normal results. Possible relation to sexual violence was described for one in eight. Infections were rare. When child sexual abuse is suspected, care with methodology and procedures is needed, both for elective and acute medical examinations. Key words: Violence, child sexual abuse, children, external genitalia, injuries, severity grading. Correspondence: Ebba Margret Magnusdottir, ebbamag@landspitali.is.