发布求助
文献互助 智能选刊 最新文献

Lakartidningen最新文献

筛选
英文 中文
[Neurosurgical management of combat-related penetrating traumatic brain injury - lessons from 10 years of war in Ukraine]. [与战斗有关的穿透性创伤性脑损伤的神经外科治疗——来自乌克兰10年战争的经验教训]。
Lakartidningen Pub Date : 2025-03-13
Andrii Sirko, Alex B Valadka, Ghazal Yadav, Rocco A Armonda, Mattias K Sköld
{"title":"[Neurosurgical management of combat-related penetrating traumatic brain injury - lessons from 10 years of war in Ukraine].","authors":"Andrii Sirko, Alex B Valadka, Ghazal Yadav, Rocco A Armonda, Mattias K Sköld","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unlike in previous recent conflicts, the casualties in the Ukrainian war are close to advanced medical facilities. We review lessons learned by the neurosurgical service at Mechnikov Dnipropetrovsk Regional Clinical Hospital (MDRCH). Aggressive and early combined treatment of injuries to the brain, the skull and the skull base reduces complications and improves outcomes. Use of the operating microscope optimizes careful handling of tissue. Pericranial flaps that retain vascularized pedicles are extensively used. Initial CT scanning and catheter-based angiography is liberally used if injury to the cerebral vasculature is seen or suspected. Traumatic pseudoaneurysms and arteriovenous fistulae are immediately treated, followed by open craniotomy for hematoma evacuation and calvarial reconstruction. With early and aggressive surgery and postoperative critical care, even the most severely injured patients can expect good recoveries. Premature decisions to withhold or withdraw care should be avoided.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710535","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
[»Left bundle branch area pacing«]. [»左束分支区域起搏«]。
Lakartidningen Pub Date : 2025-03-12
Alice David, Amar Taha, Andreas Martinsson
{"title":"[»Left bundle branch area pacing«].","authors":"Alice David, Amar Taha, Andreas Martinsson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pacing-induced cardiomyopathy (PIC) is a condition that leads to increased morbidity and mortality. Unfortunately, it is not uncommon after implantation of a pacemaker with a right ventricular lead. Right ventricular pacing creates a delayed electrical activation, leading to dyssynchronous contraction, and it is a known risk factor for PIC. Left bundle branch area pacing (LBBAP) is a form of pacing that delivers a physiological activation of the left ventricle. The lead is implanted deep in the septum and captures the left bundle branch of the conduction system. This allows for a synchronous electrical activation of the ventricles. LBBAP has shorter ventricular activation time and less dyssynchronous contraction compared to right ventricular pacing. Recently, studies have shown that the long-term electrical parameters are comparable to right ventricular leads. Randomized trials are underway to compare LBBAP with right ventricular pacing and biventricular pacing.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710533","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
[Adherence to the national guidelines regarding referral of patients with knee osteoarthritis to orthopedic consultation]. [遵守关于膝关节骨关节炎患者转诊骨科会诊的国家指南]。
Lakartidningen Pub Date : 2025-03-11
Daniel Broman, Lisa Andersson, Susanne Beischer, David Sundemo, Olof Thoreson, Maziar Mohaddes
{"title":"[Adherence to the national guidelines regarding referral of patients with knee osteoarthritis to orthopedic consultation].","authors":"Daniel Broman, Lisa Andersson, Susanne Beischer, David Sundemo, Olof Thoreson, Maziar Mohaddes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the study was to investigate: 1) the proportion of referrals from primary care to orthopedic consultations that included the information requested by the national guidelines for patients with knee osteoarthritis, and 2) the proportion of referrals that specified whether patients had completed first-line treatment. A total of 140 referrals were examined. None of the referrals adhered fully to the national guidelines, and none included information on whether the patient had completed first-line treatment. This suggests that the referral process for this patient group needs to be reviewed and improved. We propose three possible changes regarding the referral process, including an enhanced role for physical therapists and the patients themselves and a digital referral platform enabling easier communication between different professions.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605655","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
[Are we hopefully on the way to eradicating HPV-related cancer?] 我们是否有希望根除hpv相关的癌症？］
Lakartidningen Pub Date : 2025-03-10
Arne Wikström
{"title":"[Are we hopefully on the way to eradicating HPV-related cancer?]","authors":"Arne Wikström","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An interesting article in this issue of Läkartidningen argues for the benefit of a broad HPV vaccination with catch-up vaccination also for men, and sheds more light on HPV-related cancer in men. There has been an increase of HPV-related anal and oropharyngeal cancer in recent years, but no screening methods for these cancers have been implemented. A gender neutral catch-up vaccination would help to decrease the burden of oncogenic HPV in society, and would also be beneficial for females. Swedish authorities have now come to the conclusion that catch-up vaccination of men would be cost-effective, a decision that we strongly support.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605656","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
[Catch-up vaccination prevents HPV infection and related precancers when given up to age 26]. [补种疫苗可预防HPV感染及相关癌前病变，接种时间不超过26岁]。
Lakartidningen Pub Date : 2025-03-10
Christina Carlander, Christer Borgfeldt, Lalle Hammarstedt Nordenvall
{"title":"[Catch-up vaccination prevents HPV infection and related precancers when given up to age 26].","authors":"Christina Carlander, Christer Borgfeldt, Lalle Hammarstedt Nordenvall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>HPV-related cancers in men, particularly anal and oropharyngeal cancers, are increasing in Sweden and globally. Men who have sex with men, trans persons and people living with HIV are at especially high risk. HPV vaccination effectively prevents HPV infection and related precancers when given up to age 26. The Public Health Agency of Sweden makes the assessment that catch-up vaccination of unvaccinated males up to 26 years of age is likely to be cost-effective. New international guidelines recommend annual anal cancer screening for high-risk groups from ages 35-45. There are no guidelines for anal cancer screening in Sweden, and screening capacity in Sweden is limited. Vaccinating men not only protects them individually but also indirectly benefits women by reducing HPV transmission and strengthening herd immunity. Increased vaccination coverage and improved screening methods are crucial to reduce the burden of HPV-related cancers in men and accelerate the elimination of cervical cancer.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605657","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 Psykiatrisk diagnostik.
Lakartidningen Pub Date : 2025-03-07
Johan Bengtsson, Christian Rück, Linda Steinholtz, Mats Adler
{"title":"ABC om Psykiatrisk diagnostik.","authors":"Johan Bengtsson, Christian Rück, Linda Steinholtz, Mats Adler","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605658","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
[Abortion after week 18]. [18周后流产]。
Lakartidningen Pub Date : 2025-02-25
Lotti Helström
{"title":"[Abortion after week 18].","authors":"Lotti Helström","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A woman has the right to have an abortion without declaring any reason for it until the eighteenth week of the pregnancy. After that, abortion can be allowed upon application to the Legal Council of the National Board of Health and Welfare.   The number of abortions allowed for social reasons has been stable until 2020, when an increase of refusals occurred. The increase coincided with changes in meeting routines for the council.  The procedure for handling requests for abortion is problematic. Opportunities for the members of the council to discuss are scarce. No reasons for denial of abortion are communicated and there are no minutes from the meetings.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501605","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 Registry of Cardiopulmonary Resuscitation - improvement through measurement]. [瑞典心肺复苏登记处-通过测量改善]。
Lakartidningen Pub Date : 2025-02-20
Araz Rawshani, Anneli Strömsöe, Solveig Aune, Johan Israelsson, Per Nordberg, Johan Herlitz
{"title":"[The Swedish Registry of Cardiopulmonary Resuscitation - improvement through measurement].","authors":"Araz Rawshani, Anneli Strömsöe, Solveig Aune, Johan Israelsson, Per Nordberg, Johan Herlitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Swedish Registry of Cardiopulmonary Resuscitation started in 1990 and records the vast majority of resuscitation attempts in Sweden. The registry aims to monitor and improve the links in the chain of survival. The registry charts critical events at the time of resuscitation as well as the subsequent follow-up of initial survivors concerning their ongoing treatment, long-term survival, and quality of life. Several quality indicators that involve the delay time to treatment and survival have demonstrated improvements in the treatment and outcomes since the start of the registry. Data from the registry are being used to enable the improvement through measurement principle. A doubling in survival is noted for out-of-hospital cardiac arrest, despite an increased ambulance response time and a diminishing prevalence of cardiac etiology, resulting in a decreased incidence of ventricular fibrillation as the first recorded rhythm among these victims. These factors may underestimate the true improvement of survival rates after cardiac arrest in Sweden.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501831","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
[Treatment of freezing cold injuries]. 【冻伤的治疗】。
Lakartidningen Pub Date : 2025-02-19
Cathrine Gennert Jakobsson, Helge Brändström, Maria Truedson, Henrik Hedelin
{"title":"[Treatment of freezing cold injuries].","authors":"Cathrine Gennert Jakobsson, Helge Brändström, Maria Truedson, Henrik Hedelin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The keys to successful treatment of freezing cold injuries are proper recognition and grading of the injury, followed by appropriate treatment within the first 24 hours. In the latter stages, challenges remain but are less time sensitive. The thawing process, in a water bath with a temperature of 37-39°C, is painful and requires ambitious pain relief. Thawing initiates an inflammation cascade at the cellular level resulting in micro embolies disrupting the micro-circulation. This mechanism explains why more severe frostbite injuries can be successfully treated with thrombolytic therapy and drugs such as iloprost and NSAID. These treatments must, for the same reason, be initiated within the first days after thawing. Imaging methods such as angiography, CT or bone scintigraphy give valuable added information to complement clinical examination after thawing. Proper wound care is of essence and aggressive surgery, such as amputation, should be postponed until definite clinical demarcation of necrosis is established.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501833","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
[Chronic thromboembolic pulmonary hypertension]. 慢性血栓栓塞性肺动脉高压。
Lakartidningen Pub Date : 2025-02-11
Kasper Andersen, Bertil Larsson, Erik Björklund, Eva Mathilda Bergman, Gerhard Vikström, Charlotte Ebeling Barbier
{"title":"[Chronic thromboembolic pulmonary hypertension].","authors":"Kasper Andersen, Bertil Larsson, Erik Björklund, Eva Mathilda Bergman, Gerhard Vikström, Charlotte Ebeling Barbier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic thromboembolic pulmonary hypertension (CTEPH) can develop subsequent to acute pulmonary embolism, with exertional dyspnea being the predominant symptom. Initial evaluation of CTEPH patients should prioritize surgical intervention via pulmonary thromboendarterectomy (PEA). For cases where surgical intervention is not feasible, balloon pulmonary angioplasty (BPA) emerges as a potential treatment. Post-treatment, patients are expected to demonstrate both subjective and objective amelioration. The technique often requires multiple sessions. The safety profile of BPA is comparable to that of open surgical PEA. Further research is imperative to comprehensively evaluate the long-term efficacy and safety of this therapeutic modality.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"122 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399063","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信