Danish medical journal
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Danish medical journal · Mar 2012
ReviewThe role of procalcitonin in adult patients with community-acquired pneumonia--a systematic review.
Promising results in relation to severity assessment and treatment of patients with community-acquired pneumonia (CAP) have recently been presented from the study of procalcitonin (PCT) levels in these patients. ⋯ PCT should only be an adjunct to the clinical examination and should be regarded a prognostic rather than diagnostic factor. PCT may help to safely reduce anti-biotic use, but more research is required. Limitations of the present study include the heterogeneity of the literature with regard to setup and quality, differences in biochemical methods and diagnostic criteria of CAP and, finally, the risk of publication bias.
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Danish medical journal · Mar 2012
ReviewPostoperative non-steroidal anti-inflammatory drugs and colorectal anastomotic leakage. NSAIDs and anastomotic leakage.
Anastomotic leakage (AL) is the most important and one of the most serious complications after colorectal resections with primary anastomosis. Any factors that contribute to increase the risk of AL should be identified and--if possible--eliminated. Non-steroidal anti-inflammatory drugs (NSAIDs) are often used for treating pain after surgical procedures, among these also colorectal resections. ⋯ In conclusion, the studies included in this thesis have elucidated some of the physiological and pathophysiological mechanisms involved in anastomotic healing and leakage, and furthermore have shown that the use of NSAIDs in the postoperative period increase the risk of AL in patients undergoing colorectal surgery with primary anastomosis. Based on the findings in these studies, and based on existing knowledge, it is recommended that NSAIDs be abandoned after colorectal resection with primary anastomosis. It should be investigated whether the NSAIDs are also harmful to other types of anastomoses and after other surgical procedures where early tissue healing is crucial.
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The trauma centre at Aarhus University Hospital, Denmark was established in 1999 and has continuously tried to improve its efficiency through regular training of personnel and auditing of selected trauma cases. The purpose of the present study was to assess the efficiency of the trauma teams to perform the initial evaluation using the time spent in the emergency room after arrival and the time to the first chest X-ray as measures for effectiveness. ⋯ not relevant.
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This article presents the treatment results of 320 consecutive patients with malignant haematological diagnoses admitted to a tertiary intensive care unit at a Danish University hospital over a six-year period (2005-2010). With reference to international publications, we describe the development in treatment. ⋯ not relevant.
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Danish medical journal · Mar 2012
Historical ArticleAuthorship trends over the past fifty years in the Journal of the Danish Medical Association (Danish: Ugeskrift for Læger).
Internationally, the number of authors per scientific article is increasing. The objective of this study was to determine authorship trends over the past fifty years in Ugeskrift for Læger (UfL). ⋯ not relevant.