{"title":"Romlige data i medisin og helsefag.","authors":"Geir Aamodt","doi":"10.4045/tidsskr.24.0581","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0581","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012205","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}
Marthe Kopland, Vigdis Skinnemoen Ottersen, Dag Olav Dahle, Tobias Gedde-Dahl, Jakob Dalgaard
{"title":"En mann i 50-årene med akutt nyresvikt, anemi og trombocytopeni.","authors":"Marthe Kopland, Vigdis Skinnemoen Ottersen, Dag Olav Dahle, Tobias Gedde-Dahl, Jakob Dalgaard","doi":"10.4045/tidsskr.24.0231","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0231","url":null,"abstract":"<p><strong>Background: </strong>When haemolytic anaemia, thrombocytopenia and renal failure are present, a thrombotic microangiopathic (TMA) condition should be suspected. We describe the various differential diagnoses of primary TMA syndromes, their clinical findings, clinical workup and treatment.</p><p><strong>Case presentation: </strong>A previously healthy man in his fifties was hospitalised with anaemia, thrombocytopenia, bilirubinaemia and acute renal failure. He was in good general condition without neurological symptoms. Due to suspicion of thrombotic microangiopathy (mainly thrombotic thrombocytopenic purpura (TTP)), he was referred to a university clinic for immediate plasma exchange. His renal failure deteriorated and haemodialysis was initiated. However, ADAMTS13 level was normal. Thus, complement-mediated thrombotic microangiopathy was suspected and eculizumab was administered. Due to previous abdominal discomfort a faecal sampling was performed, detecting enterohaemorrhagic E. coli (EHEC) DNA (Shigatoxin 2f). Hence, the diagnosis was Shigatoxin-induced haemolytic uraemic syndrome (ST-HUS). Supportive care was continued and renal function normalised.</p><p><strong>Interpretation: </strong>When thrombotic microangiopathy is suspected, an assessment is made whether to initiate plasmapheresis and immunomodulatory treatment. A thorough workup is needed to differentiate between the various primary TMA syndromes. Thus, treatment with expensive and possibly harmful drugs can be avoided. The various primary TMA syndromes have overlapping clinical features, and the diagnosis can be difficult.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012186","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}
{"title":"Kunstig intelligens kan ikke utføre kvalitativ analyse.","authors":"Kirsti Malterud","doi":"10.4045/tidsskr.24.0571","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0571","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012188","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}
{"title":"Autoresuscitering.","authors":"Steinar Konradsen","doi":"10.4045/tidsskr.24.0481","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0481","url":null,"abstract":"<p><strong>Background: </strong>Cardiac arrest is a critical condition that can occur unexpectedly in prehospital settings. In rare instances, patients may experience a phenomenon known as autoresuscitation, or the Lazarus phenomenon, where spontaneous circulation resumes after resuscitation efforts have ceased.</p><p><strong>Case presentation: </strong>A 90-year-old woman suffered prehospital cardiac arrest. Despite 20 minutes of cardiopulmonary resuscitation, no shockable rhythm was detected by an AED, and she was declared dead. Shortly after, she unexpectedly regained a pulse and began breathing. Although her condition showed slight improvement, she remained unresponsive and was placed in palliative care, passing away the next day.</p><p><strong>Interpretation: </strong>This case underscores the rarity of autoresuscitation and highlights the importance of monitoring patients after CPR before declaring death. Awareness of the phenomenon can enhance communication with families in cases where it occurs.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012117","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}
{"title":"Cosmetic and plastic surgery semantics.","authors":"Kjersti Ausen","doi":"10.4045/tidsskr.24.0647","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0647","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012181","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}
{"title":"Cosmetic surgery among women - a cross-sectional study.","authors":"Ingela Lundin Kvalem, Tilmann von Soest, Christine Sundgot-Borgen, Camilla Lindvall Dahlgren","doi":"10.4045/tidsskr.24.0218","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0218","url":null,"abstract":"<p><strong>Background: </strong>Studies from 2003 and 2008 indicated that 7-8 % of adult women in Norway had undergone cosmetic surgery. As there is little research available on the current situation, the main purpose of this study was to map the use of, desire for and social acceptance of cosmetic surgery. We also wanted to identify differences in demographic and psychosocial factors between women who have undergone cosmetic surgery, those who desire such surgery and those who do not.</p><p><strong>Material and method: </strong>A sample of 3071 women aged between 18 and 60 years was recruited from the research panel used by the Ipsos/MMI market research company. Of these, 3055 were included in the study. Structured telephone interviews were conducted in December 2022.</p><p><strong>Results: </strong>A total of 526 participants (17 %) answered that they had undergone at least one cosmetic procedures, while 1588 (52 %) reported that they were likely to have cosmetic surgery, and 535 (18 %) stated that cosmetic surgery had been recommended to them. The women who had undergone or desired cosmetic surgery reported a lower level of education, less satisfaction with their body and appearance, more frequent recommendations for cosmetic surgery, and greater use of appearance-focused social media compared to those who had no wish for cosmetic surgery.</p><p><strong>Interpretation: </strong>The study indicated an increase in the use of cosmetic surgery among adult women over the last 20 years, from 8 % to 17 %, as well as an increase in both the desire for and social acceptance of cosmetic surgery.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012184","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}
{"title":"Rettelse: Ny behandling for alloimmunisering i svangerskapet.","authors":"Cathrine Ebbing, Kjell Åsmund Blix Salvesen, Vasilis Sitras, Heidi Tiller","doi":"10.4045/tidsskr.25.0012","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0012","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012050","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}
{"title":"Vaskebjørnøyne.","authors":"Miriam Sandnes, Håkon Reikvam","doi":"10.4045/tidsskr.24.0490","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0490","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012215","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}
{"title":"Ultralyd i allmennpraksis – nyttig eller hokuspokus?","authors":"Hans-Christian Myklestul, Trygve Skonnord","doi":"10.4045/tidsskr.24.0601","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0601","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012211","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}
Elisabeth Askimdal Hersvik, Ramprabananth Sivanandan, Germar Schneider
{"title":"Kunstig intelligens i bildediagnostikk – ett år i klinisk bruk.","authors":"Elisabeth Askimdal Hersvik, Ramprabananth Sivanandan, Germar Schneider","doi":"10.4045/tidsskr.24.0487","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0487","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012082","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}