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Tarmjäsningssyndrom – kliniska och forensiska aspekter.
Lakartidningen Pub Date : 2026-09-11 DOI: 10.65868/NVMP4067
Anders Helander, Alan Wayne Jones
{"title":"Tarmjäsningssyndrom – kliniska och forensiska aspekter.","authors":"Anders Helander, Alan Wayne Jones","doi":"10.65868/NVMP4067","DOIUrl":"10.65868/NVMP4067","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945088","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
Global njurhälsa – hur kan vi möta den tysta pandemin?
Lakartidningen Pub Date : 2026-09-01 DOI: 10.65868/HSJZ6315
Peter Stenvinkel, Marie Evans, Julia Wijkström, Anders Christensson
{"title":"Global njurhälsa – hur kan vi möta den tysta pandemin?","authors":"Peter Stenvinkel, Marie Evans, Julia Wijkström, Anders Christensson","doi":"10.65868/HSJZ6315","DOIUrl":"https://doi.org/10.65868/HSJZ6315","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865887","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
[Upper tract urothelial carcinoma - regional differences observed in several quality indicators]. [上尿路上皮癌-几个质量指标的区域差异观察]。
Lakartidningen Pub Date : 2026-08-31 DOI: 10.65868/SFQA9031
Johannes Bobjer, Firas Aljabery, Victor Falini, Truls Gårdmark, Tomas Jerlstrom, Henrik Kjölhede, Karin Söderkvist, Anders Ullén, Fredrik Liedberg
{"title":"[Upper tract urothelial carcinoma - regional differences observed in several quality indicators].","authors":"Johannes Bobjer, Firas Aljabery, Victor Falini, Truls Gårdmark, Tomas Jerlstrom, Henrik Kjölhede, Karin Söderkvist, Anders Ullén, Fredrik Liedberg","doi":"10.65868/SFQA9031","DOIUrl":"https://doi.org/10.65868/SFQA9031","url":null,"abstract":"<p><p>Upper tract urothelial carcinoma is a rare disease entity with complex diagnostic and treatment options. In the Swedish National Quality Register for Bladder and Urinary Tract Cancer (SNRUBC), prospective registration of tumour and treatment characteristics is performed with high coverage, where data including quality indicators are presented online (RODRET). Between 2023 and 2024 regional differences in the majority of quality indicators are observed in the SNRUBC, with target levels only met in a few regions. For some quality indicators, such as proportion of patients referred to multidisciplinary tumour board discussion or proportion receiving curative treatment and perioperative lymphadenectomy, an association with better performance and hospital volume above 10 patients per year was observed. A regional centralization of multidisciplinary tumour boards for these patients might decrease regional inequalities and improve quality metrics.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865871","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
Antibiotikakrisen kräver ett stort politiskt lyft.
Lakartidningen Pub Date : 2026-08-28 DOI: 10.65868/XRWC5886
Otto Cars, Daniel Carelli
{"title":"Antibiotikakrisen kräver ett stort politiskt lyft.","authors":"Otto Cars, Daniel Carelli","doi":"10.65868/XRWC5886","DOIUrl":"https://doi.org/10.65868/XRWC5886","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148840495","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
[Rare manifestations of giant cell arteritis]. 【巨细胞动脉炎的罕见表现】。
Lakartidningen Pub Date : 2026-08-27 DOI: 10.65868/VQJT2687
Lisa Davidsson, Linda Meurs
{"title":"[Rare manifestations of giant cell arteritis].","authors":"Lisa Davidsson, Linda Meurs","doi":"10.65868/VQJT2687","DOIUrl":"10.65868/VQJT2687","url":null,"abstract":"<p><p>Giant cell arteritis (GCA) is a large-vessel vasculitis commonly affecting those above the age of 50 years. GCA presents with systemic inflammation and/or local ischemic symptoms, including the risk of visual loss. Scalp and lingual ischemia are rare but severe manifestations of GCA that can lead to delayed diagnosis and treatment, resulting in increased morbidity and mortality. Here we report the cases of two elderly women presenting with necrosis of the scalp and tongue respectively - emphasizing the need to suspect and identify the various manifestations of this complex disease. Treatment remains aligned with current GCA guidelines, including corticosteroid therapy and in certain cases the addition of tocilizumab or upadacitinib.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148829753","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
[Neoehrlichiosis in rituximab-treated patients with MS in Sweden]. [瑞典利妥昔单抗治疗的多发性硬化症患者的新埃利希体病]。
Lakartidningen Pub Date : 2026-08-26 DOI: 10.65868/NFRC5466
Elias Ditlevsen Regen, Daniel Victor, Tijn Hendrikx
{"title":"[Neoehrlichiosis in rituximab-treated patients with MS in Sweden].","authors":"Elias Ditlevsen Regen, Daniel Victor, Tijn Hendrikx","doi":"10.65868/NFRC5466","DOIUrl":"10.65868/NFRC5466","url":null,"abstract":"<p><p>The emerging tick-borne infection neoehrlichiosis is underdiagnosed, and the described cases exhibit a diagnostic delay attributed to a lacking clinical awareness. Although B-cell depletion is an established risk factor for infection, only four cases of neoehrlichiosis in patients with MS have been described. We have recently presented six such cases diagnosed in southern Sweden. In one case, the patient was diagnosed twice. We here present two of these cases, as well as a summary of shared symptoms and findings. Common findings include fever, malaise, anemia and elevated CRP, but the presentation varies. The cases provide a better knowledge of neoehrlichiosis both in patients with MS and in general. As this treatable condition should be considered in patients with B-cell depleting therapy in the case of indicative symptoms, the results are important for health care providers in all fields where such therapy is used.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818905","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
Gravid kvinna med intraspinal tumör opererades med gott resultat.
Lakartidningen Pub Date : 2026-08-25 DOI: 10.65868/NUZR5562
Sana Ekholm, Richard Shore, Gustav Liu Burström, Anna Sand
{"title":"Gravid kvinna med intraspinal tumör opererades med gott resultat.","authors":"Sana Ekholm, Richard Shore, Gustav Liu Burström, Anna Sand","doi":"10.65868/NUZR5562","DOIUrl":"https://doi.org/10.65868/NUZR5562","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813328","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 Swedish Neonatal Quality Register (SNQ) - a complete register for a complex chain of events]. [瑞典新生儿质量登记(SNQ) -一个复杂事件链的完整登记]。
Lakartidningen Pub Date : 2026-08-20 DOI: 10.65868/EYXG8576
Lars Navér, Stellan Håkansson, Lena Swartling Schlinzig, Ylva Thernström Blomqvist, Gerd Holmström, Mikael Norman
{"title":"[The Swedish Neonatal Quality Register (SNQ) - a complete register for a complex chain of events].","authors":"Lars Navér, Stellan Håkansson, Lena Swartling Schlinzig, Ylva Thernström Blomqvist, Gerd Holmström, Mikael Norman","doi":"10.65868/EYXG8576","DOIUrl":"https://doi.org/10.65868/EYXG8576","url":null,"abstract":"<p><p>The Swedish Neonatal Quality Register (SNQ) is a nationwide database with excellent completeness and data validity. The coverage ratio is 98% regarding pre-term infants, and data from 230,000 infants are available in the register. All neonatal units in Sweden report daily, enabling instant online data availability. It covers all newborn infants admitted for neonatal care (approximately 10% of all births in Sweden). The aim is to provide professionals, families and stakeholders with data on capacity, process and outcome measures to stimulate development and improvements of care. SNQ is a comprehensive register for a complex and often long chain of also post-neonatal events. The register includes neonatal intensive care, home care, transport, and long-term follow-up of health and development. A process towards increased automatic data transfer from medical records is underway. After discharge, families are invited via SMS to provide feedback on their experiences and the quality of care.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148795194","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
[Postoperative atrial fibrillation after open heart surgery]. [心脏直视手术后心房颤动]。
Lakartidningen Pub Date : 2026-08-19 DOI: 10.65868/PZMQ3800
Ali Abbas, Anders Jeppsson, Amar Taha
{"title":"[Postoperative atrial fibrillation after open heart surgery].","authors":"Ali Abbas, Anders Jeppsson, Amar Taha","doi":"10.65868/PZMQ3800","DOIUrl":"10.65868/PZMQ3800","url":null,"abstract":"<p><p>New-onset postoperative atrial fibrillation (POAF) affects 30-50% of all patients after open heart surgery. This condition is associated with an increased risk of heart failure, future atrial fibrillation, and ischemic stroke, but no causal relationship has yet been established. Patients who develop POAF after cardiac surgery should therefore be closely monitored due to the increased risk of heart failure and recurrence of atrial fibrillation. At the same time, recent studies using implantable monitors show that patients with POAF after coronary artery bypass surgery have a very low atrial fibrillation burden after the first postoperative month. It is still unclear whether anticoagulant therapy reduces the risk of ischemic stroke in these patients. Any decision regarding anticoagulation treatment should therefore be based on an individual assessment of the patient's risk of both stroke and bleeding.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148795207","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
[Interaction between psychotic patients and AI-driven chatbots]. [精神病患者与人工智能驱动的聊天机器人之间的互动]。
Lakartidningen Pub Date : 2026-08-18 DOI: 10.65868/FUWZ2922
Hanna Daun, Viktor Fabri
{"title":"[Interaction between psychotic patients and AI-driven chatbots].","authors":"Hanna Daun, Viktor Fabri","doi":"10.65868/FUWZ2922","DOIUrl":"10.65868/FUWZ2922","url":null,"abstract":"<p><p>In the last few years, the use of AI-driven chatbots has increased a lot. The interaction between psychotic patients and these types of systems may delay care, maintain and worsen delusions or even encourage potentially dangerous actions. Commercially available chatbots seem to lack the ability to identify psychotic symptoms in users. This underscores the need for spreading knowledge about the risks associated with this technology among caregivers, patients and their close ones.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148795161","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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