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Leptospiros – förbisedd men potentiellt allvarlig sjukdom.
Lakartidningen Pub Date : 2025-10-14
Anders Koch
{"title":"Leptospiros – förbisedd men potentiellt allvarlig sjukdom.","authors":"Anders Koch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286478","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
[Few are treated in primary care after a fragility fracture]. [很少有人在脆性骨折后接受初级保健治疗]。
Lakartidningen Pub Date : 2025-10-13
Jacob Fricke, Stina Ek, Karin Modig
{"title":"[Few are treated in primary care after a fragility fracture].","authors":"Jacob Fricke, Stina Ek, Karin Modig","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We investigated how many of first-time fragility fracture patients were followed up in primary care and treated with bone-specific drugs. By combining data from multiple health data registers, we included 11,102 patients aged 60 years or older who sustained a fragility fracture in Region Stockholm between January 1, 2021, and June 30, 2022. The follow-up period extended up to 6 months after the fracture. Follow-up was defined as a visit to a primary care physician together with one of the following: 1) osteoporosis diagnosis, 2) bone-specific drug treatment or 3) dual-energy X-ray absorptiometry. Our findings revealed that less than 1 out of 5 patients were followed up in primary care after their first fragility fracture. Follow-up was more common among women, older patients, and for central fractures (hip, pelvis, lumbar spine). Moreover, just over 5% received bone-specific drugs within 6 months.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280549","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
[Practice-based reflections on medical school seminars on literature and ethics]. [对医学院文学和伦理学研讨会的实践反思]。
Lakartidningen Pub Date : 2025-10-10
Emmanuel Bäckryd
{"title":"[Practice-based reflections on medical school seminars on literature and ethics].","authors":"Emmanuel Bäckryd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this reflective practice paper, the author reports on his supervisorship of medical students in their small-group literature and ethics discussion seminars during the first five semesters at medical school in Linköping, Sweden. To ensure an open dialogue, it seems important to help students distinguish between genuinely complex medical ethical questions, on which reasonable people may have different opinions, and extremist viewpoints. Furthermore, the seminar discussions can help students realize the difference between law and ethics. Finally, the value of helping students verbalize their (often) intuitive ethical views is emphasized. In this context, a distinction is made between conversation and debate. A conversation, unlike a debate, is not about winning. Verbalizing their own views in a safe non-debate setting helps students understand the perspective of fellow students.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258485","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
Svenska vuxna patienter med typ 1-diabetes underbehandlas.
Lakartidningen Pub Date : 2025-09-29
Jonas Brinck, Henrik Wagner, Sophia Rössner
{"title":"Svenska vuxna patienter med typ 1-diabetes underbehandlas.","authors":"Jonas Brinck, Henrik Wagner, Sophia Rössner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251630","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
[Time to modernise healthcare regarding functional disorders]. 是时候让功能性疾病的医疗保健现代化了。
Lakartidningen Pub Date : 2025-09-25
Oskar Lindfors, Arwa Josefsson, Carl Sjöström
{"title":"[Time to modernise healthcare regarding functional disorders].","authors":"Oskar Lindfors, Arwa Josefsson, Carl Sjöström","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Swedish guideline on post covid-19 and related syndromes classify six overlapping conditions. A functional perspective, as used in Denmark, distinguishes physiological reactions from diseases, aiding understanding and treatment. Functional symptoms arise from dysregulated adaptation systems reacting excessively. This dysregulation can persist, leading to various symptoms. Effective treatment focuses on stabilizing these systems through knowledge, behavioral changes and gradual exposure to discomfort. A biopsychosocial model addressing biological, psychological, and social factors is key. Denmark's structured approach has improved care, and similar competence-building efforts in Sweden could enhance treatment for post-infectious and long term functional conditions.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138055","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 role of urban planning in reducing the negative impact of heat on human health in a changing climate]. [在气候变化的情况下，城市规划在减少热量对人类健康的负面影响方面的作用]。
Lakartidningen Pub Date : 2025-09-25
Anna Oudin, Christofer Åström, Karin Lundgren-Kownacki, Kristoffer Mattisson
{"title":"[The role of urban planning in reducing the negative impact of heat on human health in a changing climate].","authors":"Anna Oudin, Christofer Åström, Karin Lundgren-Kownacki, Kristoffer Mattisson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Increasing heat is the largest direct health risk associated with climate change, and urban environments exacerbate the problem through the urban heat island effect. Vulnerable groups, including the elderly, individuals with chronic illnesses, pregnant women, children, and socially disadvantaged populations, are particularly at risk. Densification policies may contribute to more sustainable cities but can at the same time increase heat exposure by limiting green spaces. While solutions like tree planting can mitigate heat, they must be balanced with competing urban development needs. Climate adaptation measures, such as urban greening, should be implemented with a justice perspective to avoid reinforcing social inequalities. Moving forward, urban planning strategies must integrate climate adaptation with public health to reduce heat-related health risks and create more sustainable, liveable cities. Green spaces not only help lower urban temperatures but also provide other health benefits such as promoting physical activity and stress relief.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138061","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
[Why doesn't healthcare use patient-reported outcome measures (PROMs) more widely?] [为什么医疗保健没有更广泛地使用患者报告的结果测量（PROMs） ？]
Lakartidningen Pub Date : 2025-09-24
Margareta Kristenson, Boel Andersson Gäre, Johan Berkius, Cecilia Fagerström, Lotti Orwelius, Christina Petersson, Sandra Stern, Kristofer Årestedt
{"title":"[Why doesn't healthcare use patient-reported outcome measures (PROMs) more widely?]","authors":"Margareta Kristenson, Boel Andersson Gäre, Johan Berkius, Cecilia Fagerström, Lotti Orwelius, Christina Petersson, Sandra Stern, Kristofer Årestedt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>PROMs provide valuable information from patients about their health and health-related problems. These measures complement medical measures and are critical for developing optimized, co-produced and person-centred healthcare, as they add important perspectives, offering a holistic view of health. Valid and reliable PROMs have been developed since a long time and are increasingly used in research. Digital PROMs are today available at 1177.se but seldom utilized in clinical practice. To utilize PROMs in clinical care, healthcare professionals need to understand their value and how to analyse data and use results. Therefore, to support the increased interest to implement PROMs, this knowledge needs to be disseminated among all professionals. In order to effectively use PROMs in improvement work, we also need to address significant technical and legal obstacles. Integrating PROM data into electronic medical records should be prioritized in the ongoing development of infrastructure for health data collection.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131246","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
[New classification criteria for antiphospholipid syndrome: implications and clinical significance]. [抗磷脂综合征新分类标准：意义及临床意义]。
Lakartidningen Pub Date : 2025-09-17
Liridon Hasani, Signe Olin, Anders Bengtsson, Andreas Jönsen, Sophie Ohlsson, Johan Elf, Helena Strevens, Eva Zetterberg
{"title":"[New classification criteria for antiphospholipid syndrome: implications and clinical significance].","authors":"Liridon Hasani, Signe Olin, Anders Bengtsson, Andreas Jönsen, Sophie Ohlsson, Johan Elf, Helena Strevens, Eva Zetterberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The new ACR/EULAR classification criteria for APS differ from the previous Sydney criteria by incorporating a broader range of clinical manifestations beyond venous/arterial thromboembolism and obstetric complications. These include microvascular disease, heart valve disease and thrombocytopenia. We applied both classification systems to a cohort of 139 individuals diagnosed with primary APS in Southern Sweden. Of these, 76 met the ACR/EULAR criteria, while 78 fulfilled the Sydney criteria. Subsequently, only a marginal difference in diagnostic yield was observed between the two classification systems. However, the ACR/EULAR criteria are particularly advantageous as they provide clear definitions and encompass a broader spectrum of clinical manifestations, aligning more closely with the clinical management of patients with APS compared to the Sydney criteria.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075587","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
ABC om Akut septisk artrit hos vuxna.
Lakartidningen Pub Date : 2025-09-16
Ivan König, Alexandra Horvath, Kristian Samuelsson, Jonatan Tillander
{"title":"ABC om Akut septisk artrit hos vuxna.","authors":"Ivan König, Alexandra Horvath, Kristian Samuelsson, Jonatan Tillander","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069898","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
[Electrostatic air cleaning in operating room]. 【手术室静电空气净化】。
Lakartidningen Pub Date : 2025-09-15
Jörgen Rutegård, Catinka Ullmann, Lars Ekberg, Daniel Olsson
{"title":"[Electrostatic air cleaning in operating room].","authors":"Jörgen Rutegård, Catinka Ullmann, Lars Ekberg, Daniel Olsson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Airborne infection is considered a significant cause of postoperative wound infections (surgical site infections - SSI). In low-income countries, the risk is elevated. A simple concept based on electrostatic air cleaning has, after extensive testing, been shown to effectively reduce the levels of particles and bacteria in the air. This has been demonstrated in laboratory environments and in simulated operating room environments at Kungälv Hospital, as well as in field studies at two hospitals in a low-income country (the Democratic Republic of the Kongo).</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065342","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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