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Biography Historical Article Classical Article
[Tuberculosis in Iceland. 1976].
Because of signs of tuberculous lesions in old skeletons it can be stated with certainty that tuberculosis has occurred in the country shortly after the settlement. From that time and up to the seventeenth century, little or nothing is known about the occurrence of the disease. A few preserved descriptions of diseases and deaths indicate that tuberculosis has existed in the country before the advent of qualified physicians in 1760. ⋯ Between 1950 and 1970 only about 7,000 people have been vaccinated. So the total number of BCG vaccinations up to the end of 1970 has not exceeded 14,000 in the country. Therefore it seems most unlikely that the relatively few BCG vaccinations, given in recent years can be expected to have had much influence in speeding up the downward trend of the disease in the country. (ABSTRACT TRUNCATED)
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The mortality of severe sepsis is growing due to increased incidense of the syndrome. The speed and appropriateness of therapy administered in the initial hours is likely to influence outcome. Thus, eleven organizations of experts have developed guidelines, evidence based as far as possible, for the bedside management of patients, aimed at improving diagnosis and outcome in sepsis. The guidelines are a part of a campaign named ?surviving sepsis campaign?, see www.survivingsepsis.org The present article is aimed at introducing the guidelines to icelandic doctors.