Laeknabladid最新文献_第7页

[Cervical artery dissection in Iceland: epidemiology, treatment and prognosis]. 冰岛颈动脉夹层：流行病学、治疗和预后。

IF 0.6 4区医学

Laeknabladid Pub Date : 2024-11-01 DOI: 10.17992/lbl.2024.11.812

Idunn Andradottir, Brynhildur Thors, Olafur Sveinsson

{"title":"[Cervical artery dissection in Iceland: epidemiology, treatment and prognosis].","authors":"Idunn Andradottir, Brynhildur Thors, Olafur Sveinsson","doi":"10.17992/lbl.2024.11.812","DOIUrl":"10.17992/lbl.2024.11.812","url":null,"abstract":"Background: Cervical artery dissection is a common cause of ischemic stroke in young adults and middle-aged individuals. Due to advances in imaging techniques and increased knowledge, dissections are now diagnosed much more frequently than before. This study aimed to investigate the incidence of cervical artery dissection in Iceland from 2005 to 2023.Methods: A retrospective study was conducted using medical records of individuals diagnosed with cervical artery dissection in Iceland between January 1, 2005, and December 31, 2023. The factors examined included gender, year of diagnosis, age at diagnosis, symptoms, risk factors, treatment, and prognosis. Data processing was performed using Excel® and Rstudio.Results: The study sample consisted of 107 individuals, including 37 women and 70 men. The average incidence was 1.62 per 100,000 people per year. The incidence increased over the period, being 2.7 times higher in the latter half compared to the former. The average age of diagnosis was 50 years (range 18-101 years). The most common symptom was pain (72%), followed by sensory disturbances (67%), motor disturbances (49%), and Horner's syndrome (36%). Half of the patients experienced an ischemic stroke (51%). Five individuals (4.6%) had a recurrent dissection during the follow-up period. Dissections occurred in the internal carotid artery in 56% of cases and the vertebral artery in 44% of cases. All patients received antiplatelet and/or anticoagulant therapy. After 3-6 months, 77% had no or mild disability (0-2 on the modified Rankin scale).Discussion: The incidence of cervical artery dissection in Iceland is consistent with findings from other studies. Diagnoses have increased in recent years, and the average incidence has risen. The majority of patients achieved good recovery, indicating effective diagnosis and treatment of cervical artery dissection in Iceland.","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 11","pages":"506-511"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838420","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

[Early HIV Detection: Key to Preventing AIDS]. 早期发现HIV：预防艾滋病的关键。

IF 0.6 4区医学

Laeknabladid Pub Date : 2024-11-01 DOI: 10.17992/lbl.2024.11.811

Gudrun Aspelund

引用次数: 0

[Dissection of cerebral arteries]. [脑动脉解剖]。

IF 0.6 4区医学

Laeknabladid Pub Date : 2024-11-01 DOI: 10.17992/lbl.2024.11.810

Elias Olafsson

引用次数: 0

[Independent medical services are one of the cornerstones of icelandic healthcare]. [独立医疗服务是冰岛医疗保健的基石之一]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2024-10-01 DOI: 10.17992/lbl.2024.09.807

Ragnar Freyr Ingvarsson

引用次数: 0

[Eosinophilic esophagitis (EoE) in adults in Icelandic and international context]. [冰岛和国际背景下的成人嗜酸性粒细胞食管炎 (EoE)]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2024-10-01 DOI: 10.17992/lbl.2024.09.808

Helgi Kr Sigmundsson, Einar S Bjornsson

引用次数: 0

[Eosinophilic esophagitis]. [嗜酸性粒细胞食管炎]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2024-10-01 DOI: 10.17992/lbl.2024.09.806

Johann Pall Hreinsson

引用次数: 0

[Licorice consumption can be life-threatening]. [食用甘草会危及生命]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2024-10-01 DOI: 10.17992/lbl.2024.09.809

Olafur Orri Sturluson, Birgir Johannsson, Helga Agusta Sigurjonsdottir

引用次数: 0

[On autopilot: is it unevitable that our fast paced living drives us to ultra-processed foods?] [自动驾驶：我们的快节奏生活是否不可避免地促使我们食用超加工食品？］

IF 0.6 4区医学

Laeknabladid Pub Date : 2024-09-01 DOI: 10.17992/lbl.2024.09.803

Anna Sigridur Olafsdottir

引用次数: 0

[#ADHD]. [#ADHD]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2024-09-01 DOI: 10.17992/lbl.2024.09.802

Elvar Danielsson

引用次数: 0

[The efficacy of magnetic transcranial stimulation in treating treatment-resistant or prolonged depression in a clinical sample]. [经颅磁刺激治疗临床样本中的抗药性抑郁症或长期抑郁症的疗效]。

IF 0.4 4区医学

Laeknabladid Pub Date : 2024-09-01 DOI: 10.17992/lbl.2024.09.805

Elin Maria Arnadottir, Nicolas Petur Blin, Jon Gauti Jonsson, Dagur Bjarnason, Engilbert Sigurdsson

{"title":"[The efficacy of magnetic transcranial stimulation in treating treatment-resistant or prolonged depression in a clinical sample].","authors":"Elin Maria Arnadottir, Nicolas Petur Blin, Jon Gauti Jonsson, Dagur Bjarnason, Engilbert Sigurdsson","doi":"10.17992/lbl.2024.09.805","DOIUrl":"https://doi.org/10.17992/lbl.2024.09.805","url":null,"abstract":"Introduction: Depression is a common, serious and often chronic disorder and one of the leading causes of disability worldwide. The annual prevalence of depression is 5-10%, twice as high among women as men and the lifetime prevalence is at least 20%. Up to a third of depressed individuals meet criteria for treatment-resistant depression, where two antidepressants have been tried for at least 6 weeks each at therapeutic doses. As of January 2022 transcranial magnetic stimulation for adults with treatment-resistant depression that has not responded to other forms of treatment has been available by a service that is part of Primary Health Care of the Capital Area in Iceland.Methods: This is a retrospective cohort study where participants completed a course of magnetic transcranial treatment for depression in the years 2022 and 2023. Two validated self-rating measures were used to assess depression. Information on previous treatment approaches for depression was collected from electronic health records.Results: 104 individuals completed the treatment in these first two years, 60,6% women. Most had unipolar depression (86,5%), but a small subgroup had bipolar depression (13,5%). The proportion of responders varied according to the measures used, 36,1% and 45,7%, respectively, and the same was true for remission where the proportions were 12,4% and 31,5%, respectively, higher for the longer inventory. The drop-out rate was only 12,5% and no serious adverse events were reported during the treatment.Conclusion: The results support that magnetic transcranial stimulation, as provided by this service is effective in treating treatment-resistant or longstanding depression in a real life clinical setting and the low drop-out rate supports that the treatment is generally very well tolerated.","PeriodicalId":49924,"journal":{"name":"Laeknabladid","volume":"110 9","pages":"411-417"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114171","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