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[Electroencephalography - from the past to the present - the development during the 100 years after Berger]. [脑电图--从过去到现在--伯杰之后的 100 年间的发展]。
Lakartidningen Pub Date : 2024-11-12
Roland Flink, Anders Hedström, Ingmar Rosén
{"title":"[Electroencephalography - from the past to the present - the development during the 100 years after Berger].","authors":"Roland Flink, Anders Hedström, Ingmar Rosén","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1924 the German psychiatrist Hans Berger made the first electroencephalographical (EEG) recording of cerebral activity in humans. Worldwide, EEG developed into a widely used diagnostic method and was introduced in Sweden in 1937. Today EEG is an essential diagnostic and monitoring standard in epilepsy, sleep disorders, neonatology and intensive care, and provides prognostic information after perinatal asphyxia and cardiac arrest. Like ECG, EEG is an old electrophysiological method that today, and in the future, provides unique diagnostic information.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anemi vanligt bland idrottare. 贫血在运动员中很常见。
Lakartidningen Pub Date : 2024-11-12
Amanda Lahti, Göran Sandström, Mats Börjesson
{"title":"Anemi vanligt bland idrottare.","authors":"Amanda Lahti, Göran Sandström, Mats Börjesson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Expectancies and SSRI treatment of social anxiety disorder]. [期望与社交焦虑症的 SSRI 治疗]。
Lakartidningen Pub Date : 2024-11-11
Kurt Wahlstedt, Tomas Furmark
{"title":"[Expectancies and SSRI treatment of social anxiety disorder].","authors":"Kurt Wahlstedt, Tomas Furmark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The efficacy of escitalopram in treating social anxiety disorder is significantly influenced by expectations shaped through communication, contributing to about half the improvement. Overt SSRI treatment with accurate information about its effectiveness doubled the clinical outcome compared to covert treatment with misinformation about the therapeutic effect. Clinical improvements are not solely due to serotonin reuptake inhibition, as indicated by similar serotonin transporter occupancy in both treatment types, without correlation to anxiety reduction. There was, however, notable correlation between clinical improvement and reduced dopamine transporter availability in the overt SSRI group, possibly due to increased dopamine turnover. This was also observed in a study on combined CBT and  SSRI treatment. Conversely, clinical improvement after CBT combined with placebo showed an inverse correlation with dopamine transporters and did not inhibit serotonin transporters.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Glycogenic hepatopathy/hepatic glycogenosis: an underappreciated but benign and reversible diabetic complication]. [糖源性肝病/肝糖原病：一种未被重视但良性可逆的糖尿病并发症]。
Lakartidningen Pub Date : 2024-11-05
Åke Sjöholm, Havraz Mahma
{"title":"[Glycogenic hepatopathy/hepatic glycogenosis: an underappreciated but benign and reversible diabetic complication].","authors":"Åke Sjöholm, Havraz Mahma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Almost 100 years ago, the French physician Pierre Mauriac described a syndrome named after him, resulting from poorly controlled type 1 diabetes, with growth retardation, delayed puberty, Cushingoid features and hepatomegaly. With modern diabetes care, this is very rare but does occur; however, despite the condition having important clinical implications and being easily treatable, this diabetes complication remains relatively unknown. We present here an authentic patient case in the form of a young man with glycemically poorly controlled type 1 diabetes who developed hepatomegaly, hyperlactatemia and histopathological changes in the liver consistent with glycogenosis, a state readily reversed by normalization of glycemia.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Delivery care in Sweden is safe: but there are challenges concerning teamwork and communication]. [瑞典的分娩护理是安全的：但在团队合作和沟通方面存在挑战]。
Lakartidningen Pub Date : 2024-10-30
Lotta Millde Luthander, Sissel Saltvedt, Karin Källén
{"title":"[Delivery care in Sweden is safe: but there are challenges concerning teamwork and communication].","authors":"Lotta Millde Luthander, Sissel Saltvedt, Karin Källén","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Delivery care in Sweden is very safe, the incidence of maternal death is 5/100 000 and perinatal death <2/100 000. The perinatal death rate among babies born at or after week 41+0 decreased from 0.17 to 0.09% (p<0.001) and obstetric anal sphincter injuries have decreased from 3.5% to 2.6%; however interventions such as induction of labour increase. A national project to improve safety for newborns at delivery was initiated in 2007, engaging all delivery clinics in Sweden. The cooperative work process resulted in implementation of protocols, safety tools (SBAR; NEWS2) and intensified simulation training. The Swedish Pregnancy Register offers available data on pregnancy and delivery, enabling delivery clinics to assess results and direct improvement efforts. Still, challenges concerning teamwork and communication in difficult situations such as vacuum extraction and fetal surveillance with CTG need attention. Individualized support to »second victims« and continuous focus on phycological safety have the potential to further improve delivery care.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Patient safety in primary care and for elderly patients - a case illustrates risks and possible measures]. [初级保健和老年患者的患者安全--以案例说明风险和可能采取的措施]。
Lakartidningen Pub Date : 2024-10-29
Rita Fernholm, Sofia Carheden-Eriksson
{"title":"[Patient safety in primary care and for elderly patients - a case illustrates risks and possible measures].","authors":"Rita Fernholm, Sofia Carheden-Eriksson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Safe healthcare means care without preventable harm. Different parts of healthcare face various challenges, with types of harm varying by specialty and context. In primary care, delayed diagnoses dominate serious harm, while in home care settings, challenges often arise from the transfer of information among different caregivers or assistants, thereby increasing the risk of harm from for example medications or complications from catheters, stents, and urinary catheters. Poor continuity of care contributed to the suffering of the patient in this article, showcasing systemic vulnerabilities. To improve patient safety, patient engagement, continuity of care, and information exchange across care transitions are vital. Collaboration among healthcare providers towards shared patient-centred goals is essential for effective and safe care delivery.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The image of patient safety in Sweden might seem contradictory]. [瑞典的患者安全形象似乎自相矛盾]。
Lakartidningen Pub Date : 2024-10-28
Hans Rutberg, Urban Nylén
{"title":"[The image of patient safety in Sweden might seem contradictory].","authors":"Hans Rutberg, Urban Nylén","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is a multiplicity of signals and evidence of avoidable harm and lack of quality in health care. In parallel the medical results often are excellent. Better understanding and knowledge is needed regarding how different factors interact in a complex way resulting in both good and bad outcomes. That would improve the possibilities for better patient safety as well as even better medical results. Evaluation and follow-up of safety and results always in itself influences the processes. Evaluation has to be done in a balanced and well elaborated way to provide a basis for wise governance and improvement. There is need of a leadership that keeps focus on safety and quality even when there is a competition with economy and other challenges.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Suicide prevention - the prognosis is good if help is offered in time]. [预防自杀--如果及时提供帮助，预后良好]。
Lakartidningen Pub Date : 2024-10-28
Ullakarin Nyberg
{"title":"[Suicide prevention - the prognosis is good if help is offered in time].","authors":"Ullakarin Nyberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is difficult to predict who will end their life by suicide, but often possible to prevent a suicide. To succeed with suicide prevention within healthcare, a clinical practice is required that includes more than assessing signs of psychiatric disease. Assessments of suicide risk must include the patient's own perspective and narrative, as well as life-threatening behavior and reasons to live. Cooperation with relatives is necessary to understand the whole picture, and alternative behavior in situations where life seems impossible to endure should be the long-term goal of all suicide prevention.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Results of recent patient safety work in the surgical disciplines]. [外科领域近期患者安全工作的成果]。
Lakartidningen Pub Date : 2024-10-25
Pelle Gustafson, Axel Ros
{"title":"[Results of recent patient safety work in the surgical disciplines].","authors":"Pelle Gustafson, Axel Ros","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Swedish surgical care shows high quality and patient safety. The reasons for this are several; among the most important are a generally well-educated staff and nation-wide quality registers. Areas in need of development are improved risk assessment and risk management, both for individual patients and for specific types of operations. The ability of the surgical team to synthesize information on what has been done and what should be done postoperatively and communicate this to the teams that take care of the patients after surgery needs further honing. This could result in decreased failure-to-rescue in the postoperative period. Also, strengthening of teamwork and team performance is needed. As new knowledge on the detrimental effects of rude behaviour emerges, it becomes obvious that further work to diminish this is needed. Research is under way of identifying the possibility to identify good and safe surgeons already at the start of their education.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patientsäkerhet 2024 och framåt. 2024 年及以后的患者安全。
Lakartidningen Pub Date : 2024-10-24
Pelle Gustafson
{"title":"Patientsäkerhet 2024 och framåt.","authors":"Pelle Gustafson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"121 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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