Læknablađiđ
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Non-specific abdominal pain (NSAP) is the most common diagnosis of patients presenting to emergency departments (ED) with abdominal pain. The aim of this retrospective study was to investigate how many NSAP patients were re-admitted within 1 year to the ED with abdominal pain. ⋯ Almost 8% of discharged NSAP patients were re-admitted within a year for abdominal pain. At re-admission, one of four patients received a more specific diagnosis, most often cholelithiasis or appendicitis. Our results suggest that the diagnosis of patients with NSAP, at the first visit to the ED, could be improved.
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The main objective of the study was to assess to what degree nine and fifteen year old Icelandic children followed the national physical activity (PA) guidelines for children set forth by the Icelandic Public Health Institute, which recommend no less than 60 minutes of moderate-to-vigorous physical activity a day (MVPA). ⋯ The results highlight the importance of developing PA interventions targeting children of school age. It is important to research and evaluate different ways as to how these interventions should best be conducted. Key words: physical activity, children, body composition, accelerometers.
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Pulmonary embolism is an uncommon but potentially life threatening disease in children and adolescents. The clinical findings can be similar to other more common conditions such as pneumonia. Therefore high level of suspicion is required for early and accurate diagnosis. ⋯ Computed tomography is the most widely used method in diagnosing pulmonary embolism. Anticoagulation is the mainstay of therapy for pulmonary embolism, however, acute surgery may be required for removal of the embolism. We report a case of pulmonary embolism in a teenage girl with serious circulatory failure where emergency surgery was needed.
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The main objective was to determine the incidence and causative pathogens of osteomyelitis and septic arthritis in Icelandic children, as well as presenting symptoms and diagnosis. ⋯ An increased incidence was found in the youngest age group with osteomyelitis, especially in cases without a pathogen identified. The most commonly cultured pathogen was S. aureus, followed by K. kingae. A more sensitive technique to identify pathogens might be indicated in culture negative cases.