Læknablađiđ
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Although a well-known complication of dental treatment, cervicofacial subcutaneous emphysema is uncommon, especially with co-existing pneumomediastinum. This complication is usually attributed to high-speed air-driven handpieces or air-water syringes. Pneumomediastinum is usually self-limiting but potentially life threatening. We present two cases where both patients suffered from cervicofacial subcutaneous emphysema, one additionally having pneumomediastinum following routine restorative dentistry.
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Case Reports
[Successful resuscitation of a pulseless young woman with pulmonary embolus in rural Iceland].
A 27 year old woman suffered a witnessed cardiac arrest in rural Iceland and regained pulse after one hour's resuscitation. She was transported by an air ambulance to a tertiary medical center in Reykjavik where she was diagnosed with a large pulmonary embolus. ⋯ She was discharged from the hospital after two weeks neurologically intact. This case illustrates that even in rural circumstances the chain of survival works if all the links are strong, with early access, early resuscitation and early advanced care.
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Following resection for non-small cell lung cancer (NSCLC), patients are usually admitted to the post-anesthesia care unit (PACU)for a few hours before admission to a general ward (GW). However, some patients need ICU-admission, either immediately post-surgery or from the PACU or GW. The aim of this study was to investigate the indications and risk factors for ICU-admission. ⋯ ICU-admissions are infrequent following non-pneumonectomy lung resections for NSCLC, these patients being older with cardiopulmonary comorbidities. In half of the cases, admission to the ICU directly follows surgery and ICU-readmissions are few.
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Hair pulling disorder (HPD; trichotillomania) is characterized by recurrent pulling of hair from the scalp, eyebrows or other parts of the body. Skin picking disorder (SPD) is closely related to HPD and involves re-current picking of the skin. Even though both HPD and SPD are relatively common and potentially severe disorders, health professionals typically know little about them. ⋯ We also discuss main treatment approaches (drug treatments and behavior therapy) and review research on their efficacy. Results show that behavior therapy (habit reversal) has consistently been shown to be effective, SSRIs seem not to work, but preliminary data suggest that other drugs (e.g. N-acetylcysteine) may benefit some patients.