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[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
[Superficial venous thrombosis of the lower extremities]. [下肢浅静脉血栓形成]。
Lakartidningen Pub Date : 2026-08-17 DOI: 10.65868/LKGS1333
Karl Sörelius
{"title":"[Superficial venous thrombosis of the lower extremities].","authors":"Karl Sörelius","doi":"10.65868/LKGS1333","DOIUrl":"10.65868/LKGS1333","url":null,"abstract":"<p><p>Superficial venous thrombosis, SVT, is a common disease and patients with SVT are at risk of suffering from both deep venous thrombosis, DVT, and pulmonary embolism. There is a lack of national interdisciplinary consensus and structure for investigation and treatment in Sweden regarding SVT. This lack of standardized care should be corrected, primarily through cooperation and representation from primary care, emergency care, ultrasound care, coagulation care and vascular surgery care in order to establish standards of care regarding this condition.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765225","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
[Switch from STEMI to OMI]. [从STEMI切换到OMI]。
Lakartidningen Pub Date : 2026-08-14 DOI: 10.65868/PDPV6362
Enis Lila, Björn Gunnarson, Johan Parnfelt
{"title":"[Switch from STEMI to OMI].","authors":"Enis Lila, Björn Gunnarson, Johan Parnfelt","doi":"10.65868/PDPV6362","DOIUrl":"10.65868/PDPV6362","url":null,"abstract":"<p><p>Following up on a previous article written by Lindow et al, this article aims to further discuss a switch from STEMI to Occlusion Myocardial Infarction (OMI). The article explains how OMI can be diagnosed both with or without the ECG, it criticises how the STEMI criteria were created and how they are often used as lone rule-in criteria for acute angiography. False positive STEMI lead to many unnecessary angiographies, while OMI shows better sensitivity, and multiple AI models based on OMI have retrospectively shown to be very promising in choosing which patients need immediate intervention. Using OMI is proposed to lead to less delayed interventions, but this subject needs further investigation; however, prospective studies of OMI as determinant of urgent intervention are ongoing. The authors therefore believe OMI could be implemented within the near future.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765481","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
[Maxillomandibular advancement]. (Maxillomandibular进步)。
Lakartidningen Pub Date : 2026-08-13 DOI: 10.65868/BOTN7628
Iman Malakuti, Payam Farzad
{"title":"[Maxillomandibular advancement].","authors":"Iman Malakuti, Payam Farzad","doi":"10.65868/BOTN7628","DOIUrl":"10.65868/BOTN7628","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is a common and often underdiagnosed disorder associated with increased risk of cardiovascular, metabolic, and neurocognitive complications. For patients who are non-compliant or respond insufficiently to continuous positive airway pressure (CPAP) or a mandibular advancement device, different surgical alternatives are available. One option is maxillomandibular advancement (MMA), which is a well-established and highly effective procedure that increases upper airway volume by advancing both jaws. Meta-analyses and long-term studies demonstrate a reduction of the apnea-hypopnea index (AHI) by more than 50%, frequently with normalization of sleep parameters, improved quality of life and high patient satisfaction. Although MMA is recommended in international guidelines and acknowledged in Swedish national recommendations, the procedure remains underutilized in Sweden. This report presents two illustrative cases and highlights the need for increased awareness, national coordination, and broader clinical implementation of MMA.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723834","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
[Same day discharge robotic-assisted radical prostatectomy (RARP) - time for a shift in paradigm?] 当日出院机器人辅助根治性前列腺切除术（RARP）——范式转变的时间？］
Lakartidningen Pub Date : 2026-07-28 DOI: 10.65868/IUCP2824
Jonatan Palmgren
{"title":"[Same day discharge robotic-assisted radical prostatectomy (RARP) - time for a shift in paradigm?]","authors":"Jonatan Palmgren","doi":"10.65868/IUCP2824","DOIUrl":"10.65868/IUCP2824","url":null,"abstract":"<p><p>In late November 2024 we started a new programme for RARP in the Norrbotten region in rural Sweden, with all patients considered suitable for RARP to have the procedure as a same day discharge (SDD) procedure.We can now report the results of our first year with SDD RARP. 59 patients were planned for SDD RARP, none were planned for overnight stay. 55 patients were successfully discharged within 5 hours after surgery. 4 patients had to stay at the hospital the first night following surgery, 3 of which were discharged before 8 am the first day after surgery. We use only paracetamol prior to surgery and total intravenous anesthesia (TIVA) during the procedure, in combination with transversus abdominis plane (TAP) block. We have shown that SDD RARP is safe and feasible in routine health care in Sweden. If SDD RARP is implemented nationwide more than 2 500 inpatient days per year in Sweden can be saved.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148604725","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
[Reporting of clinical trials]. [临床试验报告]。
Lakartidningen Pub Date : 2026-07-24 DOI: 10.65868/BTEH9164
Love von Schreeb, Cathrine Axfors, Gustav Nilsonne
{"title":"[Reporting of clinical trials].","authors":"Love von Schreeb, Cathrine Axfors, Gustav Nilsonne","doi":"10.65868/BTEH9164","DOIUrl":"https://doi.org/10.65868/BTEH9164","url":null,"abstract":"<p><p>Reporting of clinical trials is essential for evidence-based medicine, yet many trials remain unreported. In a recently published study of 2 112 Nordic clinical studies completed 2016-2019, we found that only 52% had reported results within two years and 78% during the entire follow-up. To highlight this issue, we have created an online dashboard (https://metaresearch.se/nordic-trials-dashboard) that compares reporting between public sponsors. Examples of improved reporting in other countries, notably the United Kingdom, show that progress can be supported by centralized follow-up and institutional support. We argue that similar measures should be considered in Sweden, to relieve researchers of administrative burden while improving transparency.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579315","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
Från hotbild till operativ förmåga – så bör vården möta hybridhot.
Lakartidningen Pub Date : 2026-07-21 DOI: 10.65868/HQAI7645
Yohan Robinson, Denise Bäckström
{"title":"Från hotbild till operativ förmåga – så bör vården möta hybridhot.","authors":"Yohan Robinson, Denise Bäckström","doi":"10.65868/HQAI7645","DOIUrl":"https://doi.org/10.65868/HQAI7645","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536285","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
[Hybrid warfare - a complex threat to Swedish health care]. [混合战争——对瑞典医疗保健的复杂威胁]。
Lakartidningen Pub Date : 2026-07-21 DOI: 10.65868/GXVU1889
Fredrik Granholm, Kjell Ögren
{"title":"[Hybrid warfare - a complex threat to Swedish health care].","authors":"Fredrik Granholm, Kjell Ögren","doi":"10.65868/GXVU1889","DOIUrl":"https://doi.org/10.65868/GXVU1889","url":null,"abstract":"<p><p>Hybrid warfare poses an increasing and complex threat to Swedish health care, particularly emergency and trauma services that are integral to the total defence system. Hybrid threats combine military, civilian and technological methods, including cyberattacks, sabotage, terrorism, disinformation and disruption of critical infrastructure, often below the threshold of declared war. Health care systems are especially vulnerable, as impaired functionality rapidly affects public trust and societal resilience. Key risks include cyberattacks on digital health systems, physical violence and terrorism targeting hospitals and ambulances, Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) incidents, disruption of medical supply chains, drone-related interference with air ambulance services, and disinformation campaigns undermining trust in health authorities. Regional differences in geography and infrastructure further influence exposure and response capacity.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536238","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
[Virtually planned correction of a forearm malunion with 3D-technology, a case presentation]. [使用3d技术进行前臂畸形愈合的虚拟计划矫正，一例报告]。
Lakartidningen Pub Date : 2026-07-16 DOI: 10.65868/ZZCI9271
Peter Axelsson, Katleen Libberecht, Per Fredrikson, Charlotte Stor Swinkels, Emilia Gryska, Anders Björkman
{"title":"[Virtually planned correction of a forearm malunion with 3D-technology, a case presentation].","authors":"Peter Axelsson, Katleen Libberecht, Per Fredrikson, Charlotte Stor Swinkels, Emilia Gryska, Anders Björkman","doi":"10.65868/ZZCI9271","DOIUrl":"10.65868/ZZCI9271","url":null,"abstract":"<p><p>Modern 3D-software enables the creation of detailed virtual models of a patient's anatomy, allowing more precise visualisation of deformities and simulation of surgical strategies in a risk-free environment. Once an optimal plan is defined, patient-specific guides can be 3D-printed to transfer the virtual plan directly to the operating theatre, reducing reliance on freehand techniques. 3D-guided procedures are often faster, more predictable, and require less imaging. The technology also helps identify conditions not visible on conventional imaging. We describe some benefits of 3D technology and illustrate its clinical value with a case of corrective osteotomy for a malunited forearm fracture.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456157","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
[GynOp - the Swedish National Quality Register of Gynecological Surgery]. [GynOp -瑞典国家妇科手术质量登记]。
Lakartidningen Pub Date : 2026-07-14 DOI: 10.65868/ULDT1375
Maud Ankardal, Sophia Ehrström, Christer Borgfeldt
{"title":"[GynOp - the Swedish National Quality Register of Gynecological Surgery].","authors":"Maud Ankardal, Sophia Ehrström, Christer Borgfeldt","doi":"10.65868/ULDT1375","DOIUrl":"10.65868/ULDT1375","url":null,"abstract":"<p><p>GynOp is Sweden's national quality registry for benign gynecological surgery. Established in 1997, it now comprises six subregistries and combines provider reported data with patient-reported outcomes (PROM) and experiences (PREM). Open annual reports and an interactive dashboard (GynOp Direkt) offer near real time feedback to clinics, supporting safer surgery, day case pathways, and wider adoption of minimally invasive techniques. The registry enables research, including randomized trials such as SALSTER, and is migrating to the INCA platform to strengthen interoperability, analytics, and long-term follow-up.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437280","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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