Danish medical journal
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Danish medical journal · Feb 2016
Therapeutic hypothermia after cardiac arrest in a real-life setting.
In 2002, two landmark studies concluded that therapeutic hypothermia (TH) improves survival and neurologic outcome in patients with shockable rhythms and out-of-hospital cardiac arrest (OHCA). However, the evidence on whether TH also improves the prognosis in patients with non-shockable rhythms or in-hospital cardiac arrest (IHCA) is sparse. The aim of this study was to assess the prevalence and prognosis of patients with non-shockable rhythms or IHCA after implementation of TH in a real-life setting. ⋯ none.
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Danish medical journal · Jan 2016
Observational StudyAdmission-time-dependent variation in mortality in a Danish emergency department.
The inflow of patients in emergency departments (ED) varies over time. If variations are not anticipated, accumulation of patients and treatment delay may occur. This may trigger adverse events causing excess mortality. The aim of this study was to determine if attending the ED after hours and during weekends was associated with an increased mortality. ⋯ none.
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Danish medical journal · Dec 2015
Syphilis and HIV co-infection. Epidemiology, treatment and molecular typing of Treponema pallidum.
The studies included in this PhD thesis examined the interactions of syphilis, which is caused by Treponema pallidum, and HIV. Syphilis reemerged worldwide in the late 1990s and hereafter increasing rates of early syphilis were also reported in Denmark. The proportion of patients with concurrent HIV has been substantial, ranging from one third to almost two thirds of patients diagnosed with syphilis some years. ⋯ Although the rate of syphilis has stabilized in recent years, a spread to low-risk groups is of concern, especially due to the complex symptomatology of syphilis. However, given the efficient treatment options and the targeted screening of pregnant women and persons at higher risk of syphilis, control of the infection seems within reach. Avoiding new HIV infections is the major challenge and here cART may play a prominent role.
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Danish medical journal · Dec 2015
EHealth: self-management in inflammatory bowel disease and in irritable bowel syndrome using novel constant-care web applications. EHealth by constant-care in IBD and IBS.
Inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS) are chronic gastrointestinal disorders of unknown aetiology of increasing incidence and changing disease activity or severity. Approximately 60-80% of IBD patients suffer from IBS. Monitoring and treatment goals of IBD are to optimise the disease course by prolonging remission periods and preventing or shortening periods of active disease. Constant-care web-monitoring and treatment approaches with active patient involvement have been proven effective in UC, increasing patients' adherence and improving the disease outcomes. ⋯ The novel constant-care web applications have proven feasible in improving the disease outcomes in CD patients on IFX, in UC patients on mesalazine, and in monitoring IBS. These applications are expected to be implemented in the clinical practice of gastroenterology in Denmark in the coming years. Future studies will help to assess whether the natural disease course can be improved in the long-term.
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Danish medical journal · Nov 2015
Multicenter StudyThe patient safety climate in Danish hospital units.
This study aimed to describe and analyse the patient safety climate in 15 Danish hospital units. ⋯ The TrygFonden provided financial support to the Danish Safer Hospital Programme, which funded this study.