Danish medical journal
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Danish medical journal · Apr 2015
ReviewMigration and health: exploring the role of migrant status through register-based studies.
This thesis aims to explore migrant status as a determinant in register-based studies on migrant health. It is based on eight studies that investigate the following three main issues: 1) What is the importance of migrant status for morbidity patterns among migrants compared with Native Danes? 2) Do migrant status and ethnicity affect clinical indicators of access among migrants compared with native Danes? 3) What is the importance of migrant status for mortality patterns among migrants compared with Native Danes? The thesis builds on a register-based historical prospective cohort design. Through Statistics Denmark, all refugees (n = 29,174) and family reunification immigrants (n = 33,287) who received residence permits in Denmark from 1 January 1993 to 31 December 1999 were included and matched 4:1 on age and sex with Native Danes. ⋯ It also demonstrates the role of migrant status as a useful variable in migrant studies in addition to ethnicity. Across all three sub-themes, inequalities in morbidity patterns were sometimes in favour of migrants and sometimes in favour of native Danes. Finally, inequalities in health were more pronounced for the refugee group, which was consistently more at risk compared with native Danes or which apparently benefited less from the protective factors of being a migrant compared with family reunification immigrants.
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Danish medical journal · Apr 2015
ReviewDanish national sedation strategy. Targeted therapy of discomfort associated with critical illness. Danish Society of Intensive Care Medicine (DSIT) and the Danish Society of Anesthesiology and Intensive Care Medicine (DASAIM).
Sedation of critically ill patients undergoing mechanical ventilation should be minimized or completely avoided. Only in selected situations is sedation indicated as first line therapy (increased intracranial pressure or therapeutic hypothermia). ⋯ If sedation is used a validated sedation scale is recommended. On a daily basis sedation should be interrupted and only restarted after a thorough search for reversible causes of discomfort and stress.