Laeknabladid最新文献_第2页

[Improved glycemic control of children and youth with type 1 diabetes in Iceland in 2008-2022]. [2008-2022年冰岛1型糖尿病儿童和青少年血糖控制改善]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-03-01 DOI: 10.17992/lbl.2025.03.830

Jakob Thorir Hansen, Elisabet Konradsdottir, Ragnar Bjarnason, Berglind Jonsdottir

{"title":"[Improved glycemic control of children and youth with type 1 diabetes in Iceland in 2008-2022].","authors":"Jakob Thorir Hansen, Elisabet Konradsdottir, Ragnar Bjarnason, Berglind Jonsdottir","doi":"10.17992/lbl.2025.03.830","DOIUrl":"10.17992/lbl.2025.03.830","url":null,"abstract":"Introduction: Type 1 diabetes is characterized by destruction of the insulin-producing beta cells causing hyperglycemia. Insulin treatment targeting euglycemia mitigates complications. This study aims to assess glycemic control in Icelandic children with diabetes over the past 14 years and examine the impact of a semi-automatic insulin pump.Methods: The study included Icelandic pediatric patients with type 1 diabetes from the past 14 years. Data on HbA1c, date of diagnosis, co-occurring diagnoses, sex, age, number of ketoacidosis diagnoses, and the introduction of a semi-automatic insulin pump were gathered from medical records.Results: The average of means HbA1c peaked in 2012 at 70,4±11,3 mmol/mol and had its nadir in 2022 at 59,5±11,2 mmol/mol. The proportion of children with HbA1c over 70 mmol/mol was highest in 2011 (51.8%) and lowest in 2022 (10.2%). Females had higher HbA1c levels, the difference decreased by the end of the study period. Mean HbA1c decreased by 6.4 mmol/mol 18 months after introduction of a semi-automatic insulin pump. There was no significant change in mean HbA1c when 18 months prior and post introduction were compared. No change in incidence was observed over the period. Between 2018-2023, 11.2% had hypothyroidism, 2.2% had celiac disease, and 29 cases of ketoacidosis were diagnosed.Discussion: Significant progress has been made in treating Icelandic children with type 1 diabetes in recent years. There was no increase in incidence, contrary to other studies. The impact of the semi-automatic insulin pump was less pronounced than in other studies, possibly due to a longer follow-up period.","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"111 3","pages":"112-118"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Operations for neuroendocrine tumors in upper gastrointestinal tract in Landspitali University Hospital-Reasearch]. 兰德斯皮塔利大学医院研究中心上胃肠道神经内分泌肿瘤的手术治疗

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-03-01 DOI: 10.17992/lbl.2025.03.829

Erla Thordis Atladottir, Daniel Bjorn Yngvason, Kristin Huld Haraldsdottir

{"title":"[Operations for neuroendocrine tumors in upper gastrointestinal tract in Landspitali University Hospital-Reasearch].","authors":"Erla Thordis Atladottir, Daniel Bjorn Yngvason, Kristin Huld Haraldsdottir","doi":"10.17992/lbl.2025.03.829","DOIUrl":"10.17992/lbl.2025.03.829","url":null,"abstract":"Introduction: Neuroendocrine tumors are rare tumors, originating from the neuroendocrine system. They originate most commonly in the lungs and gastrointestinal organs. These tumors differ according to their origin and maturity. Neuroendocrine tumors can be hormonally active or inactive.Method: This is a retrospective study of patients that had surgery for a neuroendocrine tumor in the upper gastrointestinal organs, in the period 2010-2020. Tumor origin was registered, as well as operations and factors related to the operations, complications, and survival rate. Patients who underwent surgery for a primary tumor in the upper gastrointestinal tract, or liver metastasis were included. Data was gathered from medical charts from Landspitali University Hospital, and analyzed with descriptive and survival statistics with the help of the softwares Microsoft Excel and GraphPad Prism. Appropriate permits were gathered.Results: In total, 31 patients, was operated for neuroendocrine tumors in the upper gastrointestinal tract but tumor resection was only done on 29 patients. Those 29 patients made the study sample. 34% of the patients had complications that required intervention or intensive care treatment. No patient died within 30 days of the operation. Total survival of the patients was 88% and disease specific survival was 95%.Conclusion: Few patients are operated on for a neuroendocrine tumor in the upper gastrointestinal tract each year. The surgeries were successful, and survival is comparable to other studies.","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"111 3","pages":"106-111"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Stroke and vegetations on cardiac valves - Case report]. [中风和心脏瓣膜上的植被- 1例报告]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-03-01 DOI: 10.17992/lbl.2025.03.831

Sigrun Jonsdottir, Thorunn Jonsdottir, Olafur Arni Sveinsson

引用次数: 0

[Living with type 1 diabetes]. [1型糖尿病患者]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-03-01 DOI: 10.17992/lbl.2025.03.828

Kolbeinn Gudmundsson

引用次数: 0

[Balancing mood, the will to live and risk of side-effects on lithium therapy]. [平衡情绪，生存意志和锂离子治疗副作用的风险]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-03-01 DOI: 10.17992/lbl.2025.03.827

Engilbert Sigurdsson

引用次数: 0

[Physicians role in ambulance services]. [医生在救护车服务中的作用]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-02-01 DOI: 10.17992/lbl.2025.02.823

Unnsteinn Ingi Juliusson

引用次数: 0

[Acute airway obstruction from a retropharyngeal hemorrhage]. [咽后出血引起的急性气道阻塞]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-02-01 DOI: 10.17992/lbl.2025.02.826

Aaron Palomares, Hjalti Mar Bjornsson

引用次数: 0

[Trigeminal neuralgia - Overview]. [三叉神经痛-概述]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-02-01 DOI: 10.17992/lbl.2025.02.825

Olafur Arni Sveinsson, Enrico Bernardo Arkink, Elfar Ulfarsson, Brynhildur Thors

{"title":"[Trigeminal neuralgia - Overview].","authors":"Olafur Arni Sveinsson, Enrico Bernardo Arkink, Elfar Ulfarsson, Brynhildur Thors","doi":"10.17992/lbl.2025.02.825","DOIUrl":"10.17992/lbl.2025.02.825","url":null,"abstract":"Trigeminal neuralgia is the most common cause of facial pain in individuals over 50 years old and can have a profoundly negative impact on quality of life. Epidemiological studies have measured the annual incidence of trigeminal neuralgia at around 4-5 cases per 100,000 inhabitants per year. In Iceland, this would amount to about 16-20 new cases annually. The incidence increases steadily with age, peaking between 50 and 70 years. The pain is sudden and often compared to an electric shock. The attacks usually occur in the second or third branches of the trigeminal nerve. The pain is often triggered by sensory stimulation. Chewing, brushing teeth, speaking, or exposure to cold wind on the face, can all trigger an attack. The most common cause of trigeminal neuralgia is believed to be pressure from a nearby blood vessel on the nerve at its origin in the brainstem. Other underlying causes include multiple sclerosis (MS), tumors and in some cases, no cause is found. Treatment for trigeminal neuralgia involves medication with drugs such as carbamazepine, oxcarbazepine, gabapentin, or various types of surgical procedures. This article will review the epidemiology, pathogenesis, clinical symptoms, diagnosis and treatment of trigeminal neuralgia.","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"111 2","pages":"62-67"},"PeriodicalIF":0.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Should public health policy be part of a city plan?] 公共卫生政策应该成为城市规划的一部分吗？］

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-02-01 DOI: 10.17992/lbl.2025.02.824

Lilja Sigrun Jonsdottir

引用次数: 0

[Nordic nutrition recommendations 2023 on diet for health and environment estimated for children]. [《2023年北欧营养建议》，关于儿童健康和环境饮食的估计]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2025-01-01 DOI: 10.17992/lbl.2025.01.821

Inga Thorsdottir, Tinna Odinsdottir, BirnaThorisdottir Thorisdottir

{"title":"[Nordic nutrition recommendations 2023 on diet for health and environment estimated for children].","authors":"Inga Thorsdottir, Tinna Odinsdottir, BirnaThorisdottir Thorisdottir","doi":"10.17992/lbl.2025.01.821","DOIUrl":"10.17992/lbl.2025.01.821","url":null,"abstract":"Nordic nutrition recommendations 2023 (NNR2023) advised for the first time certain amounts of foods from food-groups based on scientific data on healthy and environment-friendly diet. The food-based-dietary-guidelines are intended for adults and children above age two, but children's energy requirement and intake are lower than those of adults. In this review, reference amounts of food from different food-groups are calculated for children to align with the combination recommended for adults in NNR2023. The calculated reference consumption for children aged three to 9 years was 50%-76% of that for adults, which means at least 250-380 grams daily of vegetables, fruits and berries, with at least half being vegetables. A comparison with results from studies on diet of randomly selected children in Iceland, in the capital area or country-wide, 2003-2012 (N=943), indicates that children's diet needs to be improved. The data are 10-20 years old, and new data are necessary, but changes in consumption of the food groups compared in the current paper are not expected to be large. Below 5% of the children had lower consumption of vegetables than advised. The median of meat intake was higher than advised maximum intake of red meat for pre-schoolers and adolescents. Pre-schoolers had high fish intake, while older children, especially adolescent girls, had a lower intake. New studies on children's diet are needed in Iceland to analyse their diet today.","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"111 1","pages":"10-16"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0